Chapter 87 Is It a Patient or a Fraudulent One?
This is an attempt by Li Baoshan!
That is to have special people do special tasks, and Qin Yue's work is scientific research.
If every doctor had to engage in both scientific research and clinical practice, there would be no way to do it alone.
He asked Qin Yue to leave the ward, and at the same time as the operation, he summarized the surgical data and surgical procedures, and improved the scientific research ability of the emergency department. This is what Li Baoshan has always wanted to do.
The times are advancing, and scientific research and clinical practice must be combined!
This drastic move can be said to be a major reform of the emergency department of the Second Provincial Hospital!
The biggest changer in this personnel transfer is Chen Cang, who has become the backbone of the emergency department.
Wang Yong's work is intuitive and clear. To put it bluntly, it is Chen Cang and Wang Qian's previous work, which is to write medical records and manage patients...
Chen Cang transformed himself into a senior doctor!
But he became Chen Cang's lower-level doctor...
A handful of bitter tears, Wang Yong sighed.
Even I am not as good as Chen Cang and the others. After all, they used to be better. The superior doctor is at least a senior doctor, at least with good skills and good skills, and I... write medical records for Chen Cang and do chores. To be honest, Wang Yong is really aggrieved. !
No matter how bad he is, he doesn't want to be reduced to this level.
Wang Yong is not only afraid of suffering and shame, but also that there is no hope.
How much stronger can Chen Cang be than himself?
How much can I learn from Chen Cang?
He knew that Chen Cang had some ability and was stronger than himself, but this kind of strength was limited and would not exceed him too much.
How much can you change yourself by following Chen Cang?
So limited!
But this is life, and you have no power but to be swayed.
If you want to stay in the Second Provincial Court, you have to obey the arrangement.
At this time, Wang Yong has even shaken his mind to stay in the Second Provincial Hospital. After all, he can't learn much from Chen Cang, and keeping it is just a waste of youth.
It would be great if he could make a contract here, but if he was still a temporary worker this time, Wang Yong decided to leave.
Hey……
In two or three years, who can give up?
In fact, Li Baoshan did not target anyone. It was a reasonable arrangement. He made some reassignments based on the strengths of different people. In fact, Chen Cang wanted to use it for special surgery, but referring to Chen Bingsheng's words, he also felt young People still need to see each other more and experience more before considering letting Wang Yong follow Chen Cang.
As a temporary worker, Wang Yong is the most suitable for Chen Cang to do chores.
Qin Yue is also quite satisfied with her work!
After all, in the future, I only need to do surgery, collect statistics, and write articles. The clinical pressure will be much less, and the scientific research pressure will increase.
But... scientific research work, this may be the easiest place to get results in the entire emergency department.
Qin Yue is also very satisfied!
The only dissatisfaction is... I have to fight Chen Cang!
The transfer of personnel should be completed within three days. To be honest, Wang Yong is the person with the most emotions and opinions in his heart.
Everyone else basically got some lift.
An Yanjun became the person in charge of the future, Chen Bingsheng became the person in charge of emergency digestive tract surgery, Shi Na became the resident team leader, Wang Qian and Chen Cang had the right to prescribe, and Qin Yue became a scientific researcher plus surgery. personnel.
...
...
Chen Cang became busy all of a sudden. He had to accept patients and handle patients independently, he had to go to surgery, and he had to write medical records.
Wang Yong was a little slack. After all, there was a big gap in his heart. The same group of people became his superiors, and he felt unhappy for anyone, let alone these young guys in their twenties who refused to accept anyone.
Chen Cang has no time to comfort Wang Yong. The emergency room is not a kindergarten. You are crying and making trouble. I will give you a lollipop to comfort you.
On Wednesday afternoon, a patient came to the emergency department and gave this group of young doctors a slap in the face!
It was a good afternoon in August. Just as Chen Cang came out of the operating room, he heard a commotion outside.
Patient again?
Chen Cang saw a young couple stumbled in through the glass, followed by a fat man with a bald head and sweating profusely.
The man supported the woman, the woman was obviously confused, and lay limply in the man's arms.
Seeing this, Tian Xianglan, the nurse station, hurriedly greeted the nurse to push the car and helped the woman up. At this time, Wang Yong also hurried out and pushed them into the emergency room together.
Chen Cang is no longer the little assistant he used to be. In this situation, he has to deal with the patient independently!
Chen Cang said to nurse Xiao Lin, "Go to the monitor and measure your blood pressure and heart rate."
After he finished speaking, he put his hand on the woman's wrist, and suddenly there was a burst of coldness, the pulse was weak, and the palm of the hand was cold.
At this time, the woman's eyes were closed, her face was pale, and her whole person seemed to be serious.
At this time, the man who helped the woman in took the fat man's arm and shouted, "You can't go! We ended up like this after eating at your house. You can't go, and I'll call the police!"
The man is very thin and not tall, and he looks honest and friendly, giving people a feeling of weakness at first glance.
The fat man touched his sweat: "Where am I going? I'm going to the toilet. I've come to the hospital. Let me go first!"
The little man hugged the fat man's arm and said loudly, "No! No, I can't let you go!"
Chen Cang came out at this time and asked the man, "Who are the family members?"
The little man pulled the fat man over and said, "I am!"
Chen Cang nodded, without thinking too much, and asked about the basic situation.
The thin man was pitiful with tears in his eyes: "My wife was not like this in the beginning, she didn't faint, just after eating at his house yesterday, she started to vomit when she went back, and she vomited endlessly, and then she became conscious. It's a little vague and unresponsive, it's his restaurant! I didn't expect to faint today..."
The thin man couldn't stop stressing the matter after eating at his house, and combining all the performances, all clues seemed to be moving towards food poisoning.
Chen Cang frowned and thought about the reason. At this time, Wang Yong also came over. After seeing the patient, his eyes widened and he couldn't stop winking at Chen Cang.
Chen Cang was busy thinking about the patient's condition at this time, how could he care about Wang Yong.
Generally speaking, there are several aspects to consider when encountering a coma. The first is intracranial lesions, the second is metabolic encephalopathy, and the third is toxic encephalopathy.
Check it out first!
The woman was young, only in her twenties or thirties. Chen Cang asked, "Does she usually have any illness?"
The man shook his head: "No! After eating at his house, he went home and slept like this!"
At this point, the monitoring data has come out, HR: 120/min, BP: 96/55mmHg, SPO2: 99% (medium flow oxygen inhalation), RP: 32 times/min.
The patient was still in a coma. Chen Cang kept thinking about the reason. His heart rate was a bit fast. Do you have high blood pressure?
Before Chen Cang could speak, the man emphasized again: "My wife is usually fine, she is not sick, she can eat and drink, and she just had a meal at his restaurant, and that's what happened!"
Chen Cang knew: "Xiao Lin, urgently check blood sugar, blood routine, liver and kidney function, blood sugar, serum ionization... etc. By the way, lactic acid and blood gas analysis. Also, give the patient oxygen, in Add a bottle of balancing fluid!"
After finishing speaking, Chen Cang said to Wang Yong, "Please help me to prescribe the doctor's order and add an emergency brain CT scan to rule out cerebrovascular disease. I'll do a physical examination."
Before Chen Cang could finish his words, Wang Yong winked at Chen Cang, took Chen Cang's arm and went out the door.
"This person is a blackmailer! I've seen it several times, and this couple is a habitual offender who comes to touch porcelain and blackmail!" Wang Yong reminded.
"They came here a few days ago, and Lao Chen showed it."
Chen Cang was stunned!
The emergency department has never lacked these blackmail patients. They often encounter them. It can be said that they are all kinds of people, regardless of gender, age, and age, but the purpose is very simple!
corrupt money.
Chen Cang has seen a mother and daughter. The mother pretends to be sick and the child pretends to be filial. The two are a perfect match. They often go to the small clinic for infusions, and then they have convulsions all over the body and become unconscious. They are rushed to the emergency room. No blood is drawn and no treatment is given. The daughter is responsible for negotiating with the doctor in the small clinic. Once the money is available, the mother’s illness will be cured and then disappear. Maybe the next time she sees it, the other party will nod and smile with you. This kind of person Chen Cang didn't want to provoke him, but he wouldn't cooperate either. Generally speaking, he didn't want to provoke his upper body. After all, he personally saw a doctor who was beaten to the emergency room because he clicked on it. This time he was a patient.
but……
Chen Cang felt that this woman was really sick!
Thinking of this, Chen Cang urged: "Hurry up and get a doctor's order and check it out."
Wang Yong's eyes widened: "Brother, don't you understand what I mean? He's here to corrupt money, you..."
Chen Cang stared at Wang Yong and said, "You are a doctor, not Sherlock Holmes. Go and see what the patient's signs are? I suspect it is a hyperosmolar nonketotic hyperglycemia coma."
When Wang Yong heard this, he cut it off immediately, snorted in disapproval, turned around and left, muttering in his mouth: "A dog bites Lu Dongbin and doesn't know a good person."
Chen Cang sighed and shook his head. At this time, he suddenly heard a commotion inside.
ps: I have finally finished my work, and the update time will resume in the future. Every day at 0:00 and 12:00 noon, there are too many things for veterans during this time, and the update time is unstable, which brings a lot of inconvenience to everyone. I hope you can understand, thank you.