I Spent Those Years In the Operating Room Fighting Monsters
Chapter 419: Is it time for us to go back? !
"Mr. Qu, I think I'll choose some simpler ones first. If it's the type, it's still uncertain for the time being."
After Lu Cheng finished speaking, he thought about it seriously for about ten seconds. During this process, Qu Hongsheng kept looking at Lu Cheng and didn't speak. The eyes are a little complicated.
Lu Cheng actually said that he would not choose a patient, then this step is a bit big. Now the patients of comprehensive orthopaedics, some complicated patients, sometimes even he is quite troublesome to deal with.
Although there is a famous saying that it is actually difficult to refute, but after all, Lu Cheng is only so old, what if he really encountered a difficult patient that is difficult to handle?
Lu Cheng said again, "Mr. Qu, because I will definitely need you to give me more guidance at that time, so that I can learn more about the diseases of orthopedics."
The reason why Min Hong isolated the comprehensive orthopaedic department was to handle some complex cases and to improve the Second Xiangya Hospital's grasp of the complex diseases of the big orthopedic department. This point, Lu Cheng agrees very much.
Since Lu Cheng chose to come to the five departments of orthopedics, he naturally wanted to see these diseases. Moreover, Lu Cheng felt that he already had a certain background and could handle some relatively complicated patients.
If you simply choose patients to be admitted to the hospital, then the five wards of orthopaedics are the second joint surgery, or the second sports medicine or even the deformation of the third trauma department.
Simply increasing the number of patients diagnosed and treated is not a particularly wise choice for the development of the department.
When Lin Hui went to the Magic Capital to look for Lu Cheng, he once mentioned to him that he hoped that the ancient hospital of Xiangya would be able to make further progress.
Min Hong also adhered to this idea, and resisted the pressure to divide the Orthopedics Department into two more departments. Lu Cheng didn't want their efforts to go to waste.
Moreover, Lu Cheng knew very well that his biggest shortcoming was bone disease, and he was not very proficient, not even getting started. Now it happens that Professor Qu Hongsheng is a professor of osteopathy, and Lu Cheng is naturally happy to learn more from him.
Make your basic knowledge more comprehensive and solid.
Because Lu Cheng found that many of his skills have reached the top level now, and it is quite difficult to improve further, and he needs a lot of opportunities.
Above the top level is the expert level, and above the expert level is the peak, breaking the pole, leading...
Through the common clinical fighting monsters, the most advanced skill book that can be exploded is the top level. Unless it is a particularly complicated patient, like a patient of the Terminator level, there is a chance to have a top-level skill book.
This can also further enhance Lu Cheng's strength.
But Lu Cheng can't put all his hopes on the upgrade of monsters. To pursue the probabilistic explosion of skill books, it is better to seek all-round development first, and look for opportunities to gradually break through the current top skills to expert level or even. Peak level.
After reaching a certain level of knowledge and skills, if you want to go further, you must learn from other disciplines or other majors.
Lu Cheng's innocuous flattery did not make Qu Hongsheng smile.
To be honest, Qu Hongsheng had only two main purposes for bringing Lu Cheng to the fifth ward of the Department of Orthopedics.
One is to let Lu Cheng mature the framework of the five wards of orthopedics, and then gradually embed his group of students into it. The second purpose is to have more time for him to go further and work hard in the direction of the vice president.
It wasn't because of Lu Cheng's talent that he wanted to teach him something.
Of course, this request of Lu Cheng is also very reasonable. Although Lu Cheng has left the student stage now, his current position is still the chief resident doctor, and he can learn from the higher-level doctors.
And even if an associate professor says that he is studying with the professor, there is no problem.
Qu Hongsheng nodded and said, "Well, good. I will take you for a while, and I will teach you something. Similarly, I will also check your current level."
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"Then the specific situation, let's be more specific."
"I came to you, in addition to the above two things, there is actually one more thing."
"I just hope you can take the time to write a tender. Recently, it's time for a national natural tender. I think you, the younger generation of doctors, should each write a copy and submit it for a try. If you can make more It will have many benefits for the development of our hospital and each department."
Speaking of this, Qu Hongsheng asked with concern: "Of course, I have strong requirements for other young doctors. It's just that your current situation is quite special."
"I also know that you will be busy with graduation and exams recently, and there is a lot of clinical work to do."
"But I still want to ask if you have the time and idea to write about this. If not, I'd better explain it to other young people directly."
It can be said that, for every teaching hospital and every department in a teaching hospital, to develop, to enhance its reputation, and to enhance its comprehensive strength, two aspects are most important. money and talent.
There are many kinds of money, various funds, projects, and development funds reserved by departments, and research funds allocated and rewarded by hospitals.
However, the money needed for research and subject development is a huge amount, and a department's annual profit may not be able to support the development of a subject. It is like an 863 national key project that Qu Hongsheng applied for.
That research fund needs to consume more than 20 million!
Is this what a simple department and a simple hospital can afford?
Therefore, the writing and submission of tenders for general projects each year is a must for every teaching hospital. Being able to take more is the fundamental foundation of development.
If there is no money, basically all development ideas and ideas are empty talk.
Talent is very important. But high-level talents can think of ways to make money by themselves.
Qu Hongsheng knows that Lu Cheng has a large amount of research start-up funds awarded by the hospital, but these research funds may be used for clinical topics that Lu Cheng encountered in the clinical process.
Some interesting, useful, and breakthrough clinical topics encountered in clinical practice cannot be postponed until the time of bid submission. At this time, the corresponding research start-up funds will be used...
And the more the number of subjects, the more results will be produced, and the more results will be produced, the more subjects that can be applied for in the coming year, which is positive reinforcement.
On the contrary, if there are fewer subjects, the results will be less, and the number of subjects that can be applied for later will also be less.
"Teacher Qu, let me try to write about this."
"But it doesn't necessarily guarantee that it will be cast out."
"This year, I have a total of 33 courses. So far, only 11 have completed the exam. This semester will end in January, and there are still more than 20 courses to take the exam, so." Lu Cheng didn't want to be himself be that special person.
It's just that the situation he is in now is quite special, and there is no way.
Qu Hongsheng felt a headache when he heard that Lu Cheng still had so many courses to take exams. Twenty-two courses?
Some people may not have so many courses in two or three years, and they don't know what the school thinks. Are they really afraid that Lu Cheng's Waterloo will become a joke?
"That's fine." Qu Hongsheng no longer had any hope for Lu Cheng.
"However, it's important to focus on studies." Qu Hongsheng gave Lu Cheng a lot of free time...
After asking, Lu Chengcheng left Qu Hongsheng's office and came to the doctor's office.
In the doctor's office, Fang Nixin and Cao Xiaohe frowned. A frowning look. The two of them each turned over a pile of thick medical records in front of them, looking extremely complicated.
The people from Professor Wu's group have gone to the ward rounds under the leadership of Professor Wu.
Lu Cheng found out that there are still four doctors in his group.
It is understandable that there are only 14 beds in Professor Qu's group now, and there are only 12 patients in the group, nine after surgery and three before surgery. The three people are allocated according to the three-three-four-four, which is just right. And if there are only twelve patients, each of them can be allocated three beds.
Two of the four doctors in charge of the bed were old acquaintances of Lu Cheng.
One is Xie Jian, and the other is Pang Lin.
Speaking of which, the current Pang Lin is a doctor, and Cao Xiaohe is not a doctor. Logically speaking, the current position of Cao Xiaohe should belong to Pang Lin.
However, considering that Lu Cheng had been with Cao Xiao and Fang Nixin for a longer time, and that Pang Lin had only come to the fifth ward of the Orthopedics Department, he took the initiative to request to exchange places with Cao Xiaohe, I personally assigned the clinical management bed in order to be able to learn from Lu Cheng.
After all, it was a classmate before.
After Lu Cheng walked in, Xie Jian cried and said to Lu Cheng, "Brother Cheng, I think I came here wrong. I shouldn't be here."
"Three of the four patients I manage now are infected, and the other one doesn't know when he will be able to have surgery. Am I and him?"
"The medicine needs to be changed at least twice a day." Xie Jian complained, with an expression of wanting to die.
"What's the situation?" Lu Cheng asked.
"I manage one to four beds. One bed was after debridement of polyarticular tuberculosis, and now it is complicated by bacterial infection, the wound does not heal, the patient loses weight, and there is a bone defect before surgery. Now there is a thrombus."
"Bed 2, a patient with septic arthritis. Before the operation, he had a multi-resistant infection, high blood pressure, and mild diabetes. The blood sugar level before the operation was good. It turned out too. It was a mess."
"The most terrible thing is the three beds. I had an operation in the hospital below, and there were three sinus tracts. Although the sinus tracts were removed, the infection is still not under control. Now the antibiotic level has been raised to a very high level, almost every day. The pharmacy department should be invited for consultation, and bacterial culture should be carried out every day.”
"The patients and their families were very noisy. From the time of admission, they said that the hospital's diagnosis and treatment were wrong, and now they are talking about us again."
"I said it's no wonder why the last batch of bedside doctors went so thoroughly, and none of them were in good condition."
"There are also four beds. There are heart diseases, but now there are multiple fractures, and the cardiology department has sent our department to do cardiology treatment. The point is that this patient has multiple fractures and dare not transfer to the cardiology department. Consult anytime."
"The patient and family members didn't understand it very well. They asked me several times when the surgery would take place. How dare I say it."
"It doesn't matter if there is occasional ventricular fibrillation, it seems that there is intermittent atrioventricular block, and they are all drunk. Moreover, in the consultation opinions of the cardiology department and the anesthesiology department, it is written that the operation risk is high, how can we do this? Operation?"
"If you don't do surgery, the fracture will be hard to heal..."
Xie Jian muttered a lot.
When Lu Cheng heard this, he felt a special mood—
Okay!
It sounds so exciting to him.
Lu Cheng then looked at Pang Lin again and asked, "Where are you? What's the situation?"
Pang Lin said: "The patients on my side after the operation are all fine. Two are normal and are about to be discharged from the hospital, and the other is a Pilon fracture with arterial embolism and diabetes. After surgery, the situation is a bit messy now."
"However, Professor Qu seems to intend to transfer to Professor Hu of the Fourth Department of Orthopedics. He also discussed with the patient whether to directly amputate the limb. However, the patient and family members are very willing to save the limb."
"It's just a little troublesome to change the medicine???"
This Lu Cheng really knows that patients with diabetic foot have a smell that is difficult to describe, but this smell is still fresh in his memory after smelling it once. Hearing the words "diabetic foot" can fill the nasal cavity, making people feel Desire to die.
"What about the preoperative patient?" Lu Cheng continued to ask.
I secretly complained in my heart, oh well, the life in the future will have to pass by, so many difficult patients, one can make people very headache, and now running out of so many at once, it will really make people explode in place.
I don't know what the **** happened to Min Hong before.
Pang Lin said blankly: "The patient before surgery has sleep apnea syndrome. The femoral neck is fractured, and the person planning to have a joint replacement, but no one dares to give her anesthesia or perform manual reduction on her. , I'm afraid that if you move a bit, people will be gone."
"Blood oxygen levels are around 90 every night now."
Lu Cheng: "..."
Lu Cheng then continued to ask about the situation of the remaining four beds~www.wuxiaspot.com~ The brows of the other two bed managers were also very dark, although they managed only two patients for the time being, three after surgery and one before surgery. .
The patients they manage are not simple.
The first 'post-op' sounds exciting.
The patient was an amputee from the hospital below, who was filled with pus, then amputated again, and became infected again. He did not dare to amputate for the third time. Now the amputation level of the lower limb is a little above the knee joint. where did...
What about the other two postoperative patients? Also quite wow.
An infected, infected bacteria is also very common, that is, Staphylococcus aureus, but even if it cannot be cured, drug susceptibility, combined antibiotics, sensitive antibiotics, and antibiotics that expand the antibacterial spectrum are all used.
But it didn't work.
The other one is not infected, and the wound after the operation is also excellent, that is, the person is delirium now.
Twenty-four hours a day, twenty hours of which are sleepless, and the remaining four hours are scolding his wife, his children, his mother, and occasionally saying that his grandparents are watching him nearby , and brought him candy...
He just doesn't eat, but he is always hungry, he wants to eat some human flesh, and sometimes he says that there is fighting outside, he is very scared, there are many ghosts haunting him, and he wants his family to quickly call for help... …
Now some young nurses don't dare to enter his ward, they feel chilly.
After listening to Cao Xiaohe, he stood up in pain and said to Lu Cheng and Fang Nixin, "Is it too late for us to run back to the trauma center now?"
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