Great doctor starts with adding points

"I'm home. I'll be back in three days. Do you have time to have dinner together?" Early the next morning, after Wu Xie got up, he saw the message from Yang Xianming.

Wu Xie couldn't be sure how long Yang Xianming would last in the battle. He could only be sure that his classmate had no scars on his body and had passed the skill level.

"Okay! ~Call when you come, I'll find a place nearby." Wu Xie looked at the additional overall knowledge points on the panel, and slightly accelerated the speed of washing.

I have to say that washing your face with one hand is not as comfortable as washing your face with water in both hands, especially after using facial cleanser, it takes a long time to rinse it off.

Going out, Wu Xie didn't choose to eat noodles or noodles, but chose a bun shop to buy some steamed buns, and then walked towards Minda Hospital.

As he walked along, Wu Xie looked left and right, and he could see the Minda Hospital at five o'clock in the morning, which was busier than the street in Shazhen, as if it was the last market before the Chinese New Year, crowded with people and shoulders, comparable to that of Tongji Hospital Emergency room.

Wu Xie knew that this was an unexpected situation. Everyone had family members and relatives!

In addition to seriously injured and dying patients, there are also some slightly injured patients.

The only good thing is that when Wu Xie passed by the emergency department, he didn't see white coats and green clothes running!

If you don't run, it proves that you are not in a hurry, at least not in the kind of rush that will kill people. If only the family members think they are in a hurry, then it's okay!

The palm is injured and is bandaged, but it does not affect lifting things and eating buns with healthy hands. Wu Xie was dressed in casual clothes, and when she walked into the elevator, there was a kind aunt asking: "Are you down so early to buy breakfast by yourself? Are you not accompanied by family members?"

Wu Xie didn't realize that the other party was talking to him at all, so he put the last bit of bun skin into his mouth, chewed with his mouth closed, and stepped aside a little to facilitate other people's communication.

There were many people in the elevator, and the person who asked the question was an aunt. She looked at Wu Xie's face seriously and then smiled and said, "Young man, which department are you in?"

He even touched Wu Xie.

Wu Xie turned around and looked, thinking it was a certain employee of the hospital who recognized him, but he didn't recognize him.

She blinked her eyes, quickly swallowed the bun, and said, "Teacher, I'm in orthopedics."

This aunt is about fifty years old, wearing a thick padded jacket, she looks like an ordinary old lady, but Wu Xie knows that ordinary clothes cannot be used to judge a person's identity.

The other party smiled when he heard the words: "Orthopedics, I also go to the orthopedics department, and my daughter is also hospitalized in the orthopedics department. She is about the same age as you. What do you do?"

After Wu Xie heard the words, he realized that the other party had misunderstood something.

"I'm an orthopedic doctor. Go to work." Wu Xie replied cautiously.

The aunt was taken aback when she heard the words, and murmured in a low voice: "I work in a hospital and have a salary. She is a college student. I don't think she can make it. She looks quite delicate..."

Wu Xie: "..."

Are you here to help your daughter on a blind date?

After reaching the floor where the trauma surgery department was located, Wu Xie got off the elevator, and at the same time the aunt got off. After walking into the trauma surgery department with Wu Xie, she watched Wu Xie enter the doctor's lounge, and finally sighed .

There seems to be an expression of envy and regret in the eyes...

In the lounge of trauma surgery, there were three or four people lying here and there, one of them was Fu Jinjin's student Guan Yun.

But Wu Xie didn't bother him. He unscrewed the white coat and went out. It's just that when he was wearing the white coat in the corridor, his left hand was inconvenient, and he had to wear it for more than half a minute before finally buttoning it up.

"Oh!~" Wu Xie sighed himself.

It's better if people are not injured or sick!

Walking into the doctor's office, you can find that every table in the doctor's office is full of printed waste paper, and the waste paper pages are full of fonts, but crossed by strokes. Or discarded, unpacked consultation sheets, checklists, etc.

On the shift shift table, there were piles of panel bags, in which there were still two small bread bags left unopened, and many half-bottles of water were placed unevenly.

There was another man in a white coat, wearing green hollowed-out rubber shoes from the operating room and a green washclothes, dozing there. He also didn't wear isolation plastic gloves on his feet. If he walked out like this in normal times, he would definitely be scolded to death.

After seeing that the air conditioner was turned on, Wu Xie could only hope that he would not catch a cold.

After tidying up a table, I looked at all the beds in the department, and found that there were 80 additional beds and extra beds, and the diagnosis was relatively uniform, either upper and lower extremity trauma, or multiple trauma patients.

There are as many as 72 people in need of level one care! As many as 48 patients required oxygen.

There are as many as 57 patients who need ECG testing!

Good guy, all the beds in the department are occupied by oxygen-inhaling patients! ~

At five o'clock, family members and patients in the ward began to wake up one after another, and the sound of getting up and groping began to increase gradually.

At the same time, Wu Xie could still hear, in the direction of the nurse's station outside, there were bursts of jingle bells, jingle bells.

Part of it is the call of the patient in the ward, and part of it is the sound of the phone ringing, asking for a consultation.

The voice of the nurse on duty kept ringing: "The doctor on duty in our department is not in the department at present, and has gone to run for consultation. If it is an emergency consultation, please call the emergency consultation number! Or ask the chief on duty, and stop calling the department."

After on-site first aid, patients transferred to the hospital also need follow-up treatment. At this time, the hospital is the busiest time.

There are as many consultations and operations as a cow's hair, one after another.

Basically, as long as the diagnosis of limb trauma is listed, a consultation will be sent to the trauma surgery department. Wu Xie sees that there are as many as 134 patients in an ordinary consultation, and his scalp tingles when he thinks about it.

There are 134 consultations, each consultation takes an average of 10 minutes, and it takes 20 hours to run non-stop!

After the real emergency patients are dealt with, it is estimated that tomorrow the people in the entire department will be dispatched for consultation, so that they can complete the task better.

Wu Xie first looked at the diagnosis as a whole, and found that most of the fracture patients in the department are currently in the postoperative state, and most of the patients with open fractures are in the postoperative state, and there are also some critically ill patients who are also in the postoperative state.

Let's take a look at one of the severely ill patients, which is a double lower limb amputation...

When Wu Xie saw the operation method, his eyes flickered.

After carefully reviewing the doctor's order again, his eyes froze slightly, and then he looked at the blood test this morning, and finally decided to add another blood test for coagulation function.

The state of blood coagulation function must be paid attention to after trauma.

After carefully reviewing the doctor's order again, Wu Xie added another 24-hour water intake.

This patient was able to go to amputation, which proves that his condition was not very good when he was admitted to the hospital, and he may be on the verge of shock before the operation. In such a state, we must pay special attention to changes in liver and kidney functions.

However, just after Wu Xie issued the doctor's order, the people in the nurse's station rushed over angrily: "Who issued the emergency blood draw order?"

Before the person arrives, the voice arrives first.

"I, Wu Xie!~" Wu Xie turned her head.

The other party was stunned when he heard the words, thinking it was a small resident doctor in the department, but if it was Wu Xie, she rushed to the door and closed her mouth silently.

Two days ago, Director Fu Jinjin specially introduced Wu Xie to everyone in the department. How could she not know him?

And Fu Qianjin explained very solemnly that Wu Xie will be the chief inpatient of the department in the future, in charge of all emergency services, consultations, medical records and medical orders for all patients in the department, and the nursing department should cooperate more.

"Do you want to add a doctor's order?" She asked nervously.

Because there are a lot of medical orders waiting to be drawn, she hopes to leave work on time.

Wu Xie nodded upon hearing the words: "Maybe more will be added. I just arrived!~"

"Okay! ~ You'd better drive quickly." She reluctantly turned her face away and walked away.

"Thank you, hard work!" Before Wu Xie finished speaking, the other party had already left.

But Wu Xie didn't think too much about it, he knew that the nurses were very tired, maybe even more tired than the doctors, but there was nothing he could do.

During on-site first aid, everything can be expedient, but the patients in the ward must be intensively cultivated, taking into account all aspects, and try to consider each patient's situation more carefully and comprehensively, so as to avoid leaving or ignoring some things .

What the general hospital has to do is to check for leaks and fill in vacancies.

Immediately afterwards, Wu Xie browsed slowly one by one, and prescribed the ones that were necessary to be prescribed immediately, and those who felt that they could wait a day or two for a review, were not in a hurry to prescribe them.

Moreover, in terms of doctor's orders, Wu Xie also stopped some doctor's orders, or modified some of them.

Wu Xie knew that it would be very annoying for him to do so, because these doctor's orders were clicked and executed by the nursing department in advance, and if he canceled them here, the nursing department might have prepared medicines and the like, but Wu Xie couldn't control so much for the time being. .

Some of the medical orders he stopped were those that he felt necessary to stop, and those that could be stopped, but he stopped executing them tomorrow!

Time passed slowly.

It was around seven o'clock. The person who was resting in the office rubbed his eyes in a daze, then sat upright and glanced at his phone, then ran out in a hurry. Someone in the group probably called him, but he didn't respond.

However, when he was leaving the office, he saw Wu Xie with gauze wrapped in his hand and working with the computer in a white coat. He didn't recognize him from the back, so he asked, "Who are you?"

"It's me, Wu Xie!" Wu Xie turned his head, and the other party looked familiar to him, but he was not from Fu Jinjin's director team, so he couldn't call out his name.

"Oh, it's Angkor. I'm sorry. I saw that your hand was wrapped in gauze. I thought it was a patient who came in in a white coat casually."

"I'm going to the operating room first." He quickly raised his hand and explained to Wu Xie in this way.

"Did the following operations continue?" Wu Xie asked.

The other party shook his head: "A lot of severe cases are waiting in the ICU, and I don't know when it will be my turn to be in the ward."

After speaking, he hurried down wearing a mask.

Wu Xie continued to browse through the doctor's orders.

Since I promised that Director Fu Jinjin would lead a large round of the ward today, he must know all the relevant conditions of all the patients in the department, so that he can know what is going on during the ward round.

However, one morning, I had to lead someone to check more than 80 beds, and ten beds borrowed from other departments. Wu Xie had never done such a thing before!

At 7:30, there was still no movement in the doctor's office, only the sound of Wu Xie typing on the keyboard slowly.

It wasn't until around 7:40 that the residents in the department arrived one after another.

Cao Zhiyuan and Guan Yun, whom Wu Xie was familiar with, were among them.

"Brother Crab, are you here?" Guan Yun quickly sat next to Wu Xie and asked.

"Um!"

"Did the directors explain how to divide the beds and extra beds yesterday?" Wu Xie asked.

The patients admitted to the ward are divided into groups, and each group has to take care of a certain number of patients. Otherwise, the people in Director Fu Jinjin's group would be exhausted and unable to take care of them.

"There is one extra bed for each group. You can claim it at will, or divide it separately. Master said that you will arrange it in the end." Guan Yun said.

Wu Xie's heart moved, and he said: "Let's arrange it evenly. There are currently 19 extra beds, seven for our group, and six for the other two groups."

"Director Qian's team is in charge of +8 to +13, Director Ning's team is in charge of +13 to +19! And so on!"

"Is it possible?" Wu Xie looked at Director Qian and the doctors in charge of Director Ning's team.

There were five people who came, and they nodded after hearing Wu Xie's arrangement.

Wu Xie looked over one by one and asked, "Everyone is brothers, so don't be too restrained. I'm Wu Xie, and it's my first time here. I just created a group, and there are only junior doctors in the group!"

"We can communicate in this small group alone to avoid being seen by our superiors. For other large groups, we will report to the directors."

"Change the notes after joining the group!" After Wu Xie made arrangements, he released the QR code of the group.

Guan Yun and Cao Zhiyuan, Wu Xie had already been pulled into the group.

So when the other five people were scanning, Wu Xie asked, "Brothers, would you like to introduce yourself?"

Guan Yun heard the words and said quickly: "Brother Xie is a very good person, you can be a little more casual."

After all five people introduced themselves, Wu Xie knew that Director Qian's group had three residents, while Director Ning had only two residents.

At the same time, Director Qian's group does not have a deputy chief physician, and there is only one attending doctor below, while Director Ning's group has only one deputy chief physician, and there is no attending doctor.

Therefore, the most comprehensive package is actually the director team of Fu Jinjin.

At present, Fu Jinjin is the only director of the Department of Trauma Surgery who can lead a master's degree, so Guan Yun is a professional master's student in the Department of Trauma Surgery.

Wu Qi, Hong Suowei, and Zhou Jiangchao are the three interns who follow Director Qian's group.

Dong Haoran and Xiao Yunqi are living and training with Director Ning's group.

After clarifying these, Wu Xie said: "I'm not nervous, I'm not a superior, I also came from a resident doctor, so I also know the hardships of the residency training period, so I won't say too much now. Once you get familiar with me, you will know my temper."

"Today's situation is quite special. The superiors in the department are all performing operations in the operating room, and they can't even out. There are also a lot of patients in the ward, so Director Fu entrusted me to take everyone to do a round of the ward."

"There are a lot of new hospitalized patients, so our goal today is to clarify and understand all the patients' doctor's orders and related examinations one by one, and complete the corresponding preoperative examinations for those who need surgery."

"I also know that everyone has not had time to familiarize themselves with the patients, but it doesn't matter. We will familiarize ourselves with them when we go to the ward rounds. Now you roughly divide the patients in your respective charge, print out a list, and then record the doctor's orders in groups. , so as not to miss it.”

"Who was on duty yesterday?" Wu Xie asked again.

"I'm on duty." Xiao Yunqi raised his hand, he was still in a daze until now.

"Okay, let me help you remember the patients you are in charge of. You probably didn't have time to sleep last night, right?" Wu Xie asked.

Xiao Yunqi shook his head and grabbed two hairs.

Who knows what it is like to receive 70 or 80 newly admitted patients? He absolutely didn't want to meet her for the second time in his life!

"After checking the room later, you go to rest first!"

"Let's save some time. Let's look at a group of patients first. The medical history and injury mechanism of these patients are basically clear. What we need to pay attention to is their underlying diseases and suspicious diagnoses—" Wu Xie explained.

He didn't lead the team to check the house, but just followed him, so this morning's task was also a great challenge for him.

But everyone has to grow up slowly. With his current theoretical reserve and skill reserve, it shouldn't be difficult to check a room.

"..."

There are a lot of new patients, and most of them are transported from the scene. Only a very small number of them were sent to the trauma surgery department because of car accident injuries.

The preliminary diagnosis is all made by the superiors in the department, so there is not much room for deliberation. In the emergency department, if there is any doubt, it is a mutual consultation between multiple departments!

However, after walking around, the time still advanced to more than eleven o'clock.

This is because Wu Xie has accelerated the speed of rounds.

But more than three hours, in front of more than 80 beds, is not enough at all, and it takes more than two minutes for one patient.

When they entered the ward, Guan Yun and the others also had a lot of tasks.

Wu Xie's previous change of doctor's order was only based on a general diagnosis. After seeing the patient, it still needs to be revised.

Guan Yun was a little bit gossip at the moment: "Brother Crab, why does that family member in bed 24 pay so much attention to you, and her daughter also seems a little shy to see you. Do you know each other?"

Guan Yun never forgets to eat melons.

Wu Xie stopped in her tracks: "Cao Zhiyuan, follow me to other departments for rounds. Our department also has beds for supervisors in other wards. These beds will be in your charge."

"Guan Yun, you take care of our patients in the department first! After Cao Zhiyuan comes back later, the two of you will be separated again, and this is the temporary arrangement."

"Ah? I want to prescribe a doctor's order for twenty-six beds by myself? Brother Crab." Big Ears was slightly taken aback.

"Then why not, I'll prescribe a doctor's order, and you and Zhiyuan go to the ward rounds?" Wu Xie asked with a smile when he heard the words.

Guan Yun quickly shook his head.

"Brother Crab, I'm just kidding."

Just kidding, compared to Wu Xie's morning ward rounds and watching movies as fast as a chicken pecking at rice, can I have that level of ward rounds?

No need for a medical history, just look at the film to know the general diagnosis and the corresponding injury mechanism. In Guan Yun's opinion, Fu Jinjin can only be a younger brother in front of Wu Xie!

In fact, the same is true.

Wu Xie's three major film reading skills are already at the professional level, and under the old professor Zeng's feeding, most of the experience points for skill upgrades have been greatly reduced.

Wu Xie added all the learning points last night to the three major film reading skills. In addition to MRI film reading skills, Wu Xie's current X-ray film reading skills and CT film reading skills are at level 4.

Level 4 is not something to brag about!

...

When leaving the office, Cao Zhiyuan followed Wu Xie and asked, "Brother Xie, how did you practice your movie-watching skills? Just watching?"

"Not all, I will teach you slowly later, if you are willing to learn." Wu Xie shook his head.

If you simply look at it, you can definitely make progress. Of course, you need to summarize, and the things that Long Yuan summarized to Wu Xie before are very good.

Of course, Wu Xie still has his own experience now!

"I definitely would, Brother Crab!"

"You are my big brother!" Cao Zhiyuan immediately smiled playfully.

It has been known for a long time that Wu Xie's arrival as the chief resident will be a good time for him and Guan Yun to take off, and now Cao Zhiyuan is more certain.

After all, Wu Xie's body is full of treasures, and any corners and corners that can be picked off are enough for him to gain a foothold in the future.

With this set of time watching movies, if he went to a prefecture-level city hospital, he would definitely be able to surprise the director of the orthopedics department.

Of course, Cao Zhiyuan also knew that if he had to learn the same level as Wu Xie, it would probably be too much!

Both Wu Xie and Cao Zhiyuan were about to break their legs.

In three hours, there were only 18 patients, which was much slower than the rounds in the department!

But there is no way, there are no beds in the trauma surgery department, and the extra beds are clogged up in the corridors of the department, so they can only be borrowed from other departments, such as the rehabilitation department and internal medicine department.

So run!

Moreover, after the ward rounds in these wards, you must explain to the doctor in charge of the bed on the spot what tests and medical orders are needed, and ask them to help prescribe them.

If you need something from others, you still need to be humble, and you need to communicate and communicate, and you need to waste some time.

When he came back, Wu Xie also felt a little weak in his legs.

"I'll order takeaway, Brother Zhiyuan, you can ask Guan Yun and the others in the small group if they have left!" Wu Xie said.

Everyone must be tired today, there is no way, everyone can escape.

The superior was tired in the operating room. He seemed to be the easiest one to conduct rounds, but he almost broke his legs from running, and Wu Longshan, who was conducting emergency consultation in the emergency department, was probably too tired to die.

There is almost no rest time.

"They haven't left yet, they're all writing medical records and prescribing medical orders. But they've all eaten!"

"Brother Shan, please eat." Cao Zhiyuan replied.

Wu Xie nodded, and while bowing his head to order takeaway, he said, "Then the two of us will eat KFC."

"Why do I feel that you are deliberately taking advantage of me?"

"Ah? No, Brother Crab!" Cao Zhiyuan quickly laughed along with him.

"I have to be Uncle Wu Longshan!" Wu Xie joked to liven up the atmosphere.

No way, the rounds and running around in the morning really don't have any time for joking and resting.

Such a big ward round is really tiring!

"Oh, this is different, Brother Xie, you must have always been my big brother!" Cao Zhiyuan stood at attention with a serious tone.

"Kidding!"

"Let's order a family bucket and forget it. In case other people are not full, they can have some." Wu Xie suggested.

Cao Zhiyuan nodded, and then pressed the elevator for the surgery building back to the trauma surgery ward.