Since 1981 Health School
Chapter 527
There are several reasons for the low number of emergency department visits during the day.
One is that it is only the first day of opening, and the other is that the outpatient clinics of all major hospitals are open during the day, and patients must choose outpatient clinics first.
The third is that workers have to go to work during the day, businessmen have to do business, and students have to go to class, so there is no time at all during the day.
In the past, you had no place to go when you were sick at night.
Unless you have a trauma and urgently need rescue, you can go to the hospital to be treated by a resident doctor, but a large number of internal medicine patients are left unattended.
It's all right now. Once the emergency department of the People's Hospital opened, the problem of difficulty in seeing a doctor at night for millions of people was solved at once.
To put it bluntly, this is an exclusive monopoly business. Anyone who has studied economics knows that monopoly is the real huge profit.
Not to mention the cost of medicine and surgery, the registration fee is 50 cents during the day, and 1 yuan for emergency treatment at night, which doubles the price alone.
In addition, if you come to see a doctor during the day, you will feel distressed when you prescribe a box of medicine, and you will have to bargain for a long time for the patient to have a blood test.
But at night, I went to the emergency room, and the pain was so painful that you couldn’t stand it. You can prescribe two boxes of medicine or three boxes of medicine, and do whatever you want to check. Anyway, as long as the doctor can relieve my pain.
Then the doctor's pen is so crooked, and a few boxes of medicines are randomly filled on the prescription paper, the patient will have to pay more, and the hospital will be able to generate more income.
To put it bluntly, it’s all business, but to put it bluntly, it’s all profit.
It was only 5:30, only half an hour had passed.
The emergency room was already full of people, and the doors of the outpatient rooms of the departments of internal medicine, surgery, orthopedics, pediatrics, and ENT were crowded with people, and the corridors were full of patients queuing up to see a doctor.
There are only 10 beds in the rescue room, and 8 people are already rescuing her.
The nurses on duty in the infusion room are busy doing skin tests, static dosing, and infusion, and the patients are waiting for the injection.
On the way from the back door of the emergency department to the laboratory and imaging departments, there are patients coming and going, busy going to the examination one by one.
Immediately full of patients, together with the groans of patients, the comfort of family members, the cry of rescuers, the sound of nurses calling for help, and the sound of machines ticking, made the emergency department more lively than the vegetable market.
At this time, Yi Zewen was busy rescuing a surgical patient, doing debridement and suturing.
The head nurse Shou directed the young nurses to complete the doctor's orders, and even the head nurse Shou himself ended up in person later, it was really too busy.
There are more than 30 people in the emergency department, none of them are vacant, and all of them are devoted to clinic and rescue.
As the saying goes, the more anxious the heart, the wetter the firewood. As time goes by, even though the doctors and nurses have used all kinds of martial arts and full power, the number of patients has not decreased, but more and more.
The emergency ward of Yuezhong People's Hospital was not big, and the patients who came to see the doctor had to start queuing up.
Unable to stand up in the room, they could only line up outside the emergency department, all the way to the main road at the door, which surprised the passing citizens.
Many citizens also quietly inquired, is there any hot commodity for sale?
Lan Lijuan gets off work late, because several experiments of the Helicobacter pylori research group have reached a critical moment, so she has to finish sorting out the data before leaving.
Anyway, when she got home, Mao Xiaolian had already cooked dinner, and the twins were watching cartoons or reading books under the care of her aunt, so she didn't have to worry about anything.
When she rode her bicycle past the entrance of the hospital in the evening, she found that the main road to the east of the hospital was full of people.
The nerves of doctors are very sensitive, especially the direction of the queue is the "emergency department" where the huge light box advertisement is located.
Lan Lijuan had heard her husband say that the emergency department would be very busy at night, and it would explode.
So Lan Lijuan hurriedly put the bicycle in the reception room, "Master Wang, what's going on over there?"
"Hey, they are all doctors. I just went to see the doctor. There are too many people in the emergency department. Everyone can only line up. No, the line is on the main road. This is really strange. Where do so many patients come from?"
The guard, Uncle Wang, had lived for so many years, and it was the first time he saw so many patients coming to the hospital at night, and he was stunned for a moment.
Lan Lijuan parked her bicycle and picked up her briefcase:
"Uncle Wang, I'll go over and have a look. You can take care of the bicycle for me. By the way, has Dean Chen's Santana started yet?"
Chen Qi and Lan Lijuan do not commute together. Generally speaking, Lan Lijuan goes to work earlier and leaves later. In addition, the People’s Hospital is only 2 kilometers away from No. 77 Lu Xun Road. She prefers to ride a bicycle by herself. Be free.
And Chen Qi would drive Santana to and from get off work. After all, he usually spends more time going out for meetings, so it would be more convenient to have a car.
"No, Dean Chen's car is parked behind the yard. I can help the dean to keep a close eye on it and make sure no one damages it."
Lan Lijuan was relieved when she heard that Chen Qi was still in the hospital, thinking that her husband must be helping, so she also hurried to the emergency department.
Let's put it this way, Lan Lijuan went to the emergency room with a lot of effort, because the door was crowded with patients and family members, and everyone was waiting anxiously.
Suddenly seeing a woman wanting to "jump the queue", the people in the queue are of course not happy:
"I said, this lesbian, can you get out of the queue when you come to see a doctor?"
"That's right, a little bit of quality is good."
"Hey, hey, talking about you, this lesbian, why are you still squeezing in?"
Lan Lijuan really couldn't laugh or cry, she quickly explained: "You guys misunderstood, I am a doctor in this hospital, seeing so many patients, I wanted to help."
"Yo, it's a doctor, sorry!"
"Come, come, everyone, give way, the supporting doctor is here!"
Lan Lijuan finally squeezed into the emergency department, and found that no matter the hall or corridor were full of patients at this time.
Usually, seeing the "Madam of the Dean" coming, those winking doctors and nurses would have come over to say hello, but today every white coat in the emergency department is in a hurry, and there is no time to flatter.
Lan Lijuan walked quickly to the outpatient area, and saw that every consulting room was densely packed with human heads, and the entire table was covered with green medical records.
When the doctor writes the prescription, the writing can only be described as flying.
(So the doctor's handwriting is all flamboyant, there are too many patients, how can I have time to write some beautiful calligraphy in regular script and running script, of course it is cursive script to the end.)
Lan Lijuan walked to the door of the emergency room again, which was the busiest place, because they were all critically ill patients, one patient probably had no heartbeat, and was doing cardiopulmonary resuscitation.
"Hurry up, come on for me, I can't take it anymore."
Doing cardiopulmonary resuscitation cannot be described as a little tired. It is difficult for ordinary people to survive for 5 minutes.
So every two or three minutes must be replaced.
Later generations invented an automatic compression machine, which liberated human hands, but the family members did not know that once the machine pressed, it meant that the doctor had given up the rescue.
Must be pressed by a doctor to be effective.
"I come!"
As soon as the little doctor turned around, he saw Director Lan, and was a little embarrassed for a moment.
In fact, Lan Lijuan is about the same age as a little doctor and a nurse. She is only 26 years old this year, but she is the head of the department and the wife of the dean. She has a special status.
"Director Lan, this, this..."
"Don't do this and that, you should rest quickly and take over from me later."
After finishing speaking, Lan Lijuan put the briefcase aside, crossed her arms and squeezed away the little doctor to rescue her on the spot.
When Comrade Guo Yuanhang and old Guo passed by the emergency department before get off work, he saw how empty it was, and felt anxious and uneasy.
So even when I go home and watch cartoons with my grandson, my mind is still restless.
"Old lady, you guys have dinner first, I have to go to the hospital to see."
After speaking, Lao Guo didn't wait for his wife to answer, he picked up his coat and went out. He wanted to see if there were more patients in the emergency department at night. If there were no patients, he had to think of a way.
As a result, he was still walking halfway when he saw that the main road under the light box was full of people, and he was shocked.
Leaders are afraid of mass incidents. Even Lao Guo is not immune. At that moment, he has thought of countless possibilities. The biggest possibility is that the emergency department died on the first day of opening?
So he quickened his pace, and his face had become extremely ugly.
As a result, when I got closer, I saw that there was no outrage, no white banners, and there was an orderly queue.
Well, it's a bit of a shame to say it's orderly, and there are several fights erupting over the issue of queuing and cutting.
But at least Lao Guo could see that these people were not causing trouble, but queuing up to see a doctor. Now his mood suddenly became beautiful, and his eyes became brighter.
He silently walked along the line, and silently calculated in his heart, not counting the patients in the emergency room, there were already more than 100 people queuing outside.
The first reaction in Lao Guo's mind was: get rich.
Forgive him for having this kind of thinking. After the marketization of XX, Lao Guo has been driven crazy by funds, and all he thinks about is money.
So the excited Lao Guo rushed into the emergency department, and was caught by the head nurse Shou before he entered the door.
"Guo Shuji, you came at the right time. There are not enough manpower now. Can you help to go to the surgery clinic for a while? There are not enough two doctors."
Old Guo beamed with joy when he heard that: "Okay, help me get a white coat, there are so many patients, hehehe, by the way, is Chen Qi here?"
"Here, white coat, Dean Chen? Didn't see anyone."
"What? The emergency department is so busy, this kid won't come? Huh, it's against him. Hurry up and send someone to find him, and let him, the chief dean, come to serve the people immediately."
Head nurse Shou gave Lao Guo a dark look, thinking that he is so busy now that he has no time to find someone.
What is Chen Qi doing at this time? He took a nap happily and accidentally overslept.
This is a small problem of Chen Qi. It may be a bad habit formed by playing mobile games at night in his previous life. Anyway, it is impossible to sleep before 12 o'clock in the middle of the night.
Then he especially likes to take a nap. When he was in Africa, he was willing to take a nap by the sea in the afternoon. If no one called him, he would always sleep through it.
No, Chen Qi originally planned to mime for a while, but he couldn't afford to mime after a while.
When he woke up, he found that it was already dark, "Oh, it's over, it's over, and I overslept again, why didn't He Jia, the manager of this hospital, come and call me."
Poor family, He Jia, a little girl, dare not disturb the dean to take a nap, not to mention the little girl rushes off work as soon as 5 o'clock.
After Chen Qi washed his face, he ran to the emergency department before he had time to eat dinner.
After all, he also felt uneasy, although he was 90% sure that the emergency department would be "booming".
But the world is impermanent, what if the patients in the 1980s don't play their cards according to the routine? What if the patient doesn't come at night?
The emergency department is related to the hospital's income generation and financial pressure relief, and it is even more related to the face and prestige of his new director, which cannot be lost.
The hospital office is located in the northernmost part of the hospital, and the emergency department is in the southernmost part. Chen Qi bypassed the inpatient department, and when he walked to the laboratory and imaging departments, he found that it was already full of patients waiting for examination.
Even the people from the General Affairs Department are stepping up to install street lights on the way, so that patients can see a doctor at night.
Seeing so many patients, Chen Qi's heart was instantly settled, and he squeezed his fist excitedly. It was done, and the emergency department became a hit.
Sure enough, as soon as he entered the emergency department, the busy scene inside was exactly the same as that of later generations.
Perhaps from the perspective of "average population density", it is higher than that of later generations. After all, the emergency building of later generations has several floors and is very grand, but now it is just a simple two-story building.
Chen Qi first came to the hall to check the queuing situation, but unexpectedly found that Zuo Liwei, the new chief of the medical department, was personally guiding doctors and triage.
When Section Chief Zuo saw Chen Qi arrived, he wanted to flatter him, but before he could say anything, he was surrounded by a large group of patients asking this and that.
Chen Qi waved his hand, indicating that he should be busy first, and then ran to the emergency room to have a look.
In the emergency room, Lan Lijuan has taken over the temporary command and is busy prescribing medical orders.
Chen Qi was a little surprised, thinking that this wife is really terrible at work, but what should she do with two children at home, so she hurried over to "question" and said:
"Hey, Lan Lijuan, aren't you from the Department of Gastroenterology? Why did you come to the emergency department? What time is it? What about my son and daughter?"
Lan Lijuan rolled her husband's eyes, and quickly gave the nurse a verbal doctor's order:
"Epinephrine 1mg bolus injection, and 300mg amiodarone dissolved in 20mL glucose solution for rapid bolus injection, and then 1mg/min to maintain intravenous infusion, Chen Laoer, if you have time, hurry up and rescue the 2-bed patient, just sent Yes, heart failure."
Chen Qi felt distressed and impatient when he saw his wife who was too busy to touch the ground. He grabbed a nurse next to him and asked:
"Where's Yi Zewen? Where's Zhang Xing? Why didn't you see them?"
"Dean, they are rescuing several trauma patients in the nearby operating room. Everyone is busy. The blood pressure in the second bed of the dean is only 80/40. What should we do now?"
General Chen Qi ran over to look at the electrocardiogram at the bedside, and after a physical examination, he immediately gave the doctor's order:
"Immediately give the patient intravenous injections of lanatoside 0.4mg, furosemide 20mg, dexamethasone 5mg, diprophylline 0.3g, and at the same time add 10mg of phentolamine to 250ml of 5% glucose solution and continue the infusion."
Well, there are not many people, and Dean Chen has also been recruited.
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