I Spent Those Years In the Operating Room Fighting Monsters

In the doctor's office, Lu Cheng was editing the medical records of the prison bed.

Although Min Hong said that Lu Cheng is now in charge of a bed, he does not need to deal with the patient's doctor's orders and medical records by himself, and he can do it at the end of the season, but the end of the season is a brother after all.

Sometimes the things the superiors confessed do not need to be so true. Now that the end of the season has gone to the operating room for mining, Lu Cheng naturally wants to do what he should and can do.

Patients transferred in through consultations need to have the transfer-out record of the original department and the transfer-in record of the current department. On the transfer record, she recorded in detail the diagnosis and treatment process of her endocrinology department, as well as the consultation records of the orthopedics department and the infection department.

The drugs recommended for continued use are also standard quadruple anti-tuberculosis drugs: rifampicin, isoniazid, ethambutol and pyrazinamide!

However, after the transfer, the doctor on duty also carried out the anti-tuberculosis treatment plan according to this standard.

However, Lu Cheng did not continue to this plan. You know, Lu Cheng's current understanding of the experience in the treatment of infection after fracture is at an expert level, and infection after fracture is a big category, which includes tuberculosis infection.

Although there are differences between post-fracture infection and initial joint infection, the two are also related to a certain extent.

Therefore, Lu Cheng adjusted the patient's medication plan based on his own experience and the different depth of understanding of drugs!

Adjusted to a triple anti-tuberculosis program: isoniazid, rifampicin and ethambutol.

Did not directly use the quadruple program!

Instead, pyrazinamide was temporarily kicked out. As a second-line anti-tuberculosis drug, pyrazinamide is generally used in anti-tuberculosis treatment where the first-line anti-tuberculosis drug treatment is ineffective or has developed drug resistance.

Of course, in order to ensure accuracy, Lu Cheng also evolved the drug treatment effects of quadruple and triplet in battle scenes.

Pyrazinamide looked a little silly during the battle. Although it looked very powerful and lethal, it was actually killed by the other three drugs before it arrived on the battlefield.

Therefore, during this process, Lu Cheng came to a conclusion that the effects of triple-drugs and quadruple-drugs are almost the same.

Then, to reduce the use of one drug, it is best to reduce the use of one drug!

With the aid of battle scene skills, Lu Cheng can maximize the efficacy of the anti-tuberculosis drugs that enter the patient's body, which can save the cycle of anti-tuberculosis treatment and reduce the time of pre-operative anti-tuberculosis treatment.

Lu Cheng has now been granted the right to supervise one bed by Min Hong. Therefore, all the doctor’s orders for supervising one bed have not been asked by other people, including the head nurse. It is also clear to the nurse team that it may be supervised by one bed. There are often doctors' orders to change these, so that the nurses can cooperate more.

...

one week later!

After the end of April and the holiday in May.

The new month has finally arrived.

The fourth ward of orthopedics department once again welcomed a new face.

The upper-level doctor is still the old bacon, but the tube bed doctor has made major changes.

At the end of the season, he was a student of Professor Min Hong, so he was still stationed in the Fourth Department of Orthopedics. Deng Zhi came to further his studies. It was because Professor Min liked to teach. Naturally, there was no change.

Chen Guoer from the burn department only had one month's rotation plan in the orthopedics department, so she went to spine surgery this month. However, Tong Gaobo and Fan Cheng left the Fourth Department of Orthopedics and slipped to the Second Department of Orthopedics.

This is the case with residents, taking turns.

Similarly, the group of Professor Min Hong from the fourth ward of orthopedics also ushered in newcomers.

Liu Qingyun, a professional postgraduate in general surgery, is currently in the second year of postgraduate and is preparing to enter the third year.

The graduate student of orthopedics comes from the first orthopedics department, named Xia Guangming.

Another is a professional graduate student in spine surgery, Penno. Although spinal surgery is independent of orthopedics, in the system of standardized training of residents, it still follows the rotation plan of orthopedics.

In the early handover, after Min Hong briefly talked about the rules, he asked Professor Hu to take his bedside doctor to the ward round.

Min Hong brought his team into the teaching and research section.

After each newcomer was introduced one by one, Min Hong and others remembered the faces of everyone and said: "First of all, once again, welcome everyone to our fourth orthopedic ward."

"Xia Guangming, are you a graduate student of our orthopedics department?"

Xia Guangming said: "Yes, Professor Min, I am a student of Teacher Liu Minqin of the Department of Orthopedics."

"You are a graduate student in our orthopedics department, so you should manage four beds first, ranging from 19-22 beds. Deng Zhi, you will be in charge of 23-25 ​​beds this month."

"Pennuo, you can manage beds 26-29. Liu Qingyun, you can manage beds 30-32."

"13 beds-2 beds for supervision, it's still back to the end of the season."

"The end of the season and Deng Zhi have been in our department for a long time. If you have any questions, if you can't find Lin Hui to be hospitalized, you can ask them both. You can also ask Xiao Lu in our department. "

Xia Guangming and others nodded, looked at Lu Cheng, Deng Zhi, and Lu Cheng, and remembered these lower-level doctors for the first time.

If it's okay, the general hospitalization will burn them if you don't find them, and you will also ask the general hospitalization questions. It's better to ask a doctor of the same level...

After Min Hong talked about the general rules of the fourth department of bones again, he let Lin Hui lead the team. The main thing is to tell the new doctor how to do the doctor's order, how to arrange the routine operation, and how to send these problems.

After talking eloquently for more than ten minutes, Lin Hui also went out again.

The general hospitalization is here to set the rules.

After the superior doctor finally left, Xia Guangming breathed a sigh of relief and said, “Brother Mo, it’s terrible. Professor Min is really as terrible as the rumors. A small lecture a week, a teaching round, if it weren’t for me. I can’t go to the first department of bone this time, I really don’t want to go to the fourth department of bone."

"Brother at the end of the season, you have to cover me."

Xia Guangming and the end of the season are at the same level. Before entering the clinic, they were in a classroom, so they were very familiar.

Peng Nuo also hurriedly took out his phone and said, "Brother Ji-End, Senior Brother Xia, I am Peng Nuo from Spine Surgery. You can just call me Xiao Peng. I will add you a vx. There will be problems that I don’t understand in the future. , Just come to ask you."

At the end of the season, he said, "You are welcome, everyone will be brothers when you come in. I will first build a small group, which is our private group. If there is anything I can help, I will talk about it in this small group. "

While talking, the May breakfast mutual aid group was established at the end of the season, and Xia Guangming, Lu Cheng, and Deng Zhi were all brought in for the first time.

"This small group, everyone can order whatever you want. If you want to complain, you can talk about it here. We won't complain. In addition, if it is convenient to bring breakfast on the way, then you can help each other."

"Qingyun, you also come into the group. Brother Zhi, you scan the QR code with Peng Nuo. There will be many places to help each other in the next month."

Peng Nuo breathed a sigh of relief when he heard that at the end of the season: "Brother Ji, listening to you say this, I am relieved. Before coming to the orthopedics department, my seniors told me that the four orthopedic wards were terrible."

"But now, it doesn't seem to be the case, right?"

How to answer this question?

At the end of the season, he touched his head and said: "In addition to getting tired from the fourth department of orthopedics, the improvement that everyone can get is quite big."

"Here I want to tell you one thing. It is the teaching round on Tuesday and the small lecture on Thursday morning. Everyone must come on time. Otherwise, Professor Min will be angry. Other times, it is actually okay. ."

"Know that."

"understand."

"Tuesday morning, Thursday morning, right? It's okay." Liu Qingyun shivered a little. He found that besides himself, they were all members of the orthopedics department.

If you make a mistake, I'm afraid your teacher, Professor Min, is not familiar with it, so why not target yourself?

So, Liu Qingyun touched Lu Cheng who was standing next to him, and surreptitiously took out a pack of blue pure realm from his pocket: "Brother, don't you have one?"

Lu Chenghan smiled and waved his hand to refuse: "Brother Qingyun, I don't know this. Come on yourself."

"Brothers seem to be kind, are you from Xiangxi?" Liu Qingyun asked.

"Well, yes, I'm from Longxian County. Brother Qingyun is also from Xiangxi?" Lu Cheng was recognized at a glance, and instantly felt that he had met a fellow villager.

"I am a native of Shashi, and I studied undergraduate in Jishi, so I am familiar with it."

While talking, he took out another pack of betel nuts, threw one into his mouth, and asked, "What about the betel nuts?"

Lu Cheng continued to decline.

Liu Qingyun did not persuade him, and the betel nut in his left hand and the cigarette in his right hand scattered one by one.

Then Liu Qingyun finally scattered a cigarette to Deng Zhi, and the two knew it and put the cigarette into their trouser pockets.

This is to find a smoker!

Unfortunately, no like-minded people were found for betel nut.

As the saying goes, betel nut with smoke is boundlessly happy.

...

Teaching rounds finally started!

"Liu Qingyun, what do you think of this patient?"

"Pennuo, do you know the diagnosis of this patient?"

"Xia Guangming, you are a graduate student of our orthopedics department, you must know that?"

On the spot, Liu Qingyun and a few people were slapped up.

Without warning, without preparation.

In particular, Liu Qingyun, a non-orthopedic graduate student, became the vanguard, and was the first to ask him how much he knew.

Followed by Peng Nuo, Xia Guangming and Ji Mo, Deng Zhi and Lu Cheng.

Then Xia Guangming and others saw that the question had not reached the end of the season until there were better answers. And Deng Zhi occasionally adds,

Wait until Lu Cheng starts to speak! That is, Barabara is a lot of words thrown out of the mouth, like an Internet spray.

To be a keyboard man with this ability, one can cry at least nine.

After Lu Cheng finished speaking, senior physicians like Lin Hui, Zhu Lihong and Chang Weilong stopped talking.

Suddenly, Xia Guangming and others were dumbfounded.

Liu Qingyun was embarrassed in his heart, my mother grinned, I just returned to Lu Cheng to dissipate smoke, he is not the spy who is inserted into the tube bed doctor by the superior of the fourth department of orthopedics.

So Liu Qingyun took two steps back secretly, and asked the end of the season: "Brother at the end of the season, who is this teacher?"

There was full respect for Lu Cheng in his eyes.

But the form of close-to-ear and end-of-season talk is infinitely random.

The end of the season reluctantly said: "My younger brother, I have not yet arrived at Yanyi's younger brother."

Um.

I see!

Um?

Junior brother?

"Seriously?"

Liu Qingyun's eyes turned into frog eyes, and his eyeballs almost protruded.

At the end of the season, he nodded, is there anything wrong with Junior Brother?

The words of my ex-girlfriend’s hometown came in my heart——

What about the situation?

Junior brother, I haven't arrived yet.

That's it?

When I walked out of the first room in a daze.

Came to the prison 1 bed.

Now Liu Qingyun saw that even the bedside doctor at the end of the season stopped talking.

I only heard Lu Chengdao: "Master, this patient's preoperative anti-tuberculosis treatment cycle is enough. Yesterday, I took the last liver and kidney function and performed an MRI again."

"I think the operation will be possible tomorrow. Are you free?"

Liu Qingyun suddenly said inwardly, listen, listen.

Is this human?

Ask other professors if they are available. When can you arrange for the professor to have surgery?

If this is in our general surgery, I will kill you with a slap.

When Min Hong heard this, he said with surprise on his face: "Oh? Is hip tuberculosis limited? Let me see?"

Then Min Hong picked up the patient’s medical record and opened it. After confirming the examination results again, he said: “The liver and kidney function is OK, the blood coagulation function is normal, there is no tuberculosis in the lungs, and the lesions are beginning to be limited. It’s time for surgery. NS."

"The effect of this anti-tuberculosis treatment is very good. I originally expected it to be at least one week away."

"At the end of the season, let's send it tomorrow! You do a good job of the preoperative conversation, and clearly discuss the related risks."

"By the way, this operation must be the last one tomorrow, so you may go to the debridement with Xiao Lu yourself first."

"is that OK?"

The end of the season is natural, isn't it just a debridement? Of course there is no problem, so he nodded.

"Okay, Master."

And these words directly dampened everyone else.

What was Min Hong just talking about? If there is no auditory hallucination of mental illness, he should call Lu Cheng to be the chief surgeon first, and call this senior at the end of the season to be an assistant for joint surgery, right?

this?

What is the situation with this tm?

The eyes of Xia Guangming and others were full of doubts. They kept staring at the end of the season, meaning,

Didn't you say that this elder brother is your junior, is he a novice who is not yet in the first year of graduate school?

Is he in charge?

Are you still so cooperative?

So natural?

Min Hong did not pay attention to the expressions of Xia Guangming and others, and continued to round the room below.

...

After the teaching rounds.

Xia Guangming blocked the end of the season on the way back to the doctor's office.

"Brother at the end of the season, what's the situation with Lu Cheng?"

"Ang?" The end of the season scratched his head and said, "Oh, forget that you rarely come to joint surgery. So maybe you don't know Xiao Lu."

"Anyway, he can now prescribe a doctor's advice to the patient alone and perform the operation alone. If the supervisor comes to your bed in the future, you can cooperate with Xiao Lu."

"Don't ask me why. I don't know how he did it. Anyway, Professor Min and the others are also in the medical department. Generally speaking, there will be no problems."

"Oh, and there. There are several sports medicine surgeries to be done tomorrow, and one of them is also Xiaolu's. Well, it's your 21-bed, shoulder impingement syndrome patient."

Me him!

Xia Guangming didn’t have enough brains at the time. I was a senior graduate student who worked as an assistant with someone who was not in the first grade of graduate school. The key point was that he was still in charge.

Am I crazy or the world is crazy?

Authorized by the professor and filed in the medical department, when has our department of orthopedics come to such a great god?

Is it not good to have this ability to work? Coming to graduate school?

Xia Guangming’s face was unnatural~www.wuxiaspot.com~ The end of the season took a deep breath, patted Xia Guangming’s shoulder and said: "Guangming, I know you can’t accept it for a while, but you slowly, just It's getting harder and harder to accept. Then I get used to it."

"Anyway, it's just such a thing, it looks like this."

Hearing what the end of the season said, Peng Nuo asked with a little doubt: "Senior Brother Ji, is this Lu Cheng amazing?"

At the end of the season, he scratched his head and said with certainty: "I think you can remove the word "?"

"Lu Cheng's sports medicine surgery is recognized even by Professor Huang You. And Lu Cheng's approach to joints is highly recognized by Professor Min. Anyway, whether he is good or not, you don't have to worry about it."

"Before entering the department, please calm your mind and don't let him break your mind."

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