MTL - I Can See Health-Chapter 37 superstitious hospital

  Chapter 37 Superstitious Hospital

  Time passed slowly, and more and more doctors and nurses came to the department.

  Although Lu Chen was an unfamiliar face, everyone didn't care.

  Because there are so many people in the department!

  In addition to the doctors in the undergraduate room, there are also graduate students, graduate students, interns, and doctors in lower-level hospitals.

   There are so many people that no one can recognize all of them.

   The originally quiet doctor's office has gradually become noisy.

   "Junior brother, there are two graduate students in our group. Like you, they are both graduate students of Teacher Li Yao this year."

   "Besides, there is also a trainee doctor from a lower-level hospital, a doctor on a regular training rotation, and two trainee doctors from our school."

   "The superior of our group is Mr. Li Yao, I am the attending physician in the group, and you are the rest."

   Including Li Yao's mentor, there are nine doctors in the whole group.

   The general medical team follows a three-level physician system.

   The highest-level director/deputy director, the middle-level deputy chief physician/attending physician, and the lowest-level resident physician.

   Doctors at each level have different duties and tasks.

   The chief/deputy chief physician is mainly to coordinate the overall situation, formulate treatment plans for patients, or solve difficult clinical problems.

  The attending physician is the middle force of the department. Most of the medical behaviors are completed by the attending physician under the guidance of the resident physician.

   Resident physician, the lowest-level doctor. From asking the medical history, writing the medical record, pasting the test sheet, and accompanying the patient to check, it is all done by the resident physician.

   However, today's hospitals are more and more extreme.

   Especially in large tertiary hospitals.

   The senior chief physician of a group usually sits in the outpatient clinic, and occasionally comes to the department for ward rounds. Almost all the patients are managed by the attending physician.

   As for the resident physicians, there are few resident physicians in large hospitals.

  Because doctors who can stay in large hospitals should have at least a master’s degree, they can be promoted to attending physician soon after graduating with a master’s degree.

  There is a strange phenomenon in all the large tertiary hospitals now—there are no resident physicians in all medical groups, but there are a lot of attending physicians!

   But those dirty and tiring jobs have to be done by someone!

   Therefore, regular trainees, graduate students, and advanced students have completely replaced the role of resident physicians.

  A department of any large tertiary hospital, if it only relies on the doctors of the undergraduate department to work, it will definitely be difficult to operate.

   You said you want the hospital to recruit people?

how could it be possible!

   Hiring a doctor, the hospital pays an extra salary.

   With a few more doctors in each department, the entire hospital will pay hundreds of thousands more every year.

   And graduate students, graduate students, cheap and easy to use!

   The key is to use it endlessly, and fresh blood comes in every year.

   Seeing this, you have to admire the "wisdom" of the leadership of the National Health Commission.

   At a very small price, the problem of shortage of people in the hospital was directly solved.

   "Junior Brother, there are seventy-five hospital beds in eight districts in our hearts."

  Sun Guoguo continued.

   "Mr. Li Yao is the director of the ward, so we are the director group. There are three other groups, and our group manages more patients, with a total of twenty hospital beds."

   "Well, because of your presence, junior brother, the beds in our group will be reassigned. You three graduate students, advanced students, and regular training students jointly manage 20 beds."

  Interns don’t need to be in charge of beds, they just do chores.

  …

   7:40 in the morning.

   Others in the same group began to arrive one after another.

   After not seeing her for a few months, Jiang Qingyan still looked cold.

   But when she saw Lu Chen, she was still stunned, nodded slightly, and said hello.

   Another female graduate student named Ke Yue is a shy and shy girl. When she saw Lu Chen, she just smiled and didn't communicate much.

   Her undergraduate degree was from a not-so-famous medical school. This time, she was admitted to Jinghua Medical University, which was considered a successful landing.

   The doctor who is studying is a cardiologist at the county hospital below, and she is a female attending doctor in her thirties. Because the promotion of the chief executive to the deputy director requires further study experience, most of the chief executives will go out to study for half a year to a year before being promoted.

  Gu Pearson is a boy and one of the few boys in the group. Because I didn't go to graduate school, I went directly to the training program.

   The other two interns are both girls and have a weak sense of presence. They usually help with electrocardiograms or blood pressure measurements.

  …

  The time arrives at 8:00 sharp, and the early shift of the department begins.

   Most of the doctors and nurses in the entire department came to the doctor's office.

  Except for the director and the attending physician who can sit, everyone else is standing or leaning.

The tradition of    handover is generally that nurses start the shift. The content of the nurse's shift is the patients who were admitted, discharged, transferred to departments, and died during the day shift the day before, and then there are special patients, such as critically ill patients.

   When the nurse is finished, the doctor on duty will be handed over.

   The doctor on duty last night was Sun Guoguo.

   She put her hands behind her back, looked serious, coughed softly, and started to shift.

  The content of the shift of the doctor is not as complicated as that of the nurse, and it is mainly to explain the patients who have changed.

"Last night at 8 o'clock, bed 23 complained of palpitation and chest tightness. An electrocardiogram was done to show atrial fibrillation. Considering the first diagnosis of atrial fibrillation, Dalone and potassium supplementation were used. After about two hours, the patient complained of palpitation and improved, and the electrocardiogram was reviewed. , restored sinus rhythm."

   "At 11 o'clock at night, 49 beds had tarry black stools, a total of three times, about 400ml. Considering the gastrointestinal bleeding, it may be related to the dual-antibody therapy. Please consult an emergency gastroenterology department for hemostasis..."

   "Around 7:10 in the morning, 10 beds experienced sudden dyspnea. Considering the attack of acute heart failure, diuretic tube dilation therapy was given, and the patient's symptoms were relieved..."

   "Other patients are in stable condition and their shifts have been completed."

   After the shift is over, the doctors and nurses all return to their posts.

   Usually, Li Yao leads everyone around the room, but today, the director of the department, Mr. Li Yao, went out of the outpatient clinic, and she did not come to the department.

  After the early shift was over, Sun Guoguo started rounds with eight people in the same group.

   "Before the ward rounds, the beds should be reassigned, so that when the ward rounds come later, everyone will pay more attention to the patients who are in charge of their own beds!"

  Sun Guoguo said to the people in the same group.

   "Except for the interns, everyone has 4 beds."

   "Jiang Qingyan, you are in charge of beds 1, 2, 3, and 5."

  Although the hospital is a place advocating science, it is also inevitably superstitious.

   No 4 beds, 14 beds, 24 beds, 34 beds…

   There are no beds with 4 in the single digit, but a 4 in the tens digit is allowed.

   "Ke Yue, you are in charge of beds 6, 7, 8, and 9."

   "Lu Chen, you can take care of beds 10, 11, 12, and 13."

  “…”

  Apart from Jiang Qingyan, several other people in the same group are very strange.

   This guy named Lu Chen started to manage the bed as soon as he arrived in the department?

   He just entered the department, this should be his first department.

   Not to mention seeing patients, it is estimated that even the doctor's order and medical record system will not be used!

   (end of this chapter)