Path of Medicine With a System

Modern conveniences, 24-hour supermarkets and restaurants, and street lights that are always bright at night all reflect the advantages of a modern country.

Even in the countryside, the construction of a large number of paved roads has made it a thing of the past that used to be covered with dirt on sunny days and muddy on rainy days. The expressway extends in all directions, hundreds of kilometers between counties and cities, and 120 is galloping at high speed!

The speed limit on the expressway is not within the limit for this special vehicle. The ambulances subsidized by the state to the county and township hospitals are well-equipped and of good quality! Some large ambulances can directly provide a mobile platform for emergency operations.

He entered the city hospital directly in about forty minutes, this speed! As a result, the three men on horseback got carsick! A man as strong as a mountain vomited! The white milk was spit out for a car, combined with the semi-fermented smell, and the heating in the car was so fumigated that the emergency nurse's nose was almost crooked!

During the Spring Festival, the land of Huaguo is like a train that has suddenly entered the slow lane, and the running rhythm suddenly slows down. Supermarkets are closed, restaurants are closed, and the government seals off. Every household is immersed in a joyful and peaceful festive atmosphere.

In the third day of junior high school, Zhang Fan was on duty 24 hours a day. However, there are overtime pay for being on duty these days! And it's double the overtime pay, triple? Just talking, you really mean it!

In a normal hospital, people come and go. At this time, there are very few patients, and the doctors are taking turns to rest. The outpatient clinic stopped, and the routine surgery stopped, but the yellow lights of the emergency department were always shining.

On a platform in front of the emergency department, there is a unique device for ambulances to send patients. The piercing whining sound came from far and near. The doctors and nurses in the emergency department were eating lunch. Hearing this sound, it was like a assembly call. At the same time, they had put down their chopsticks, put on their hats and masks to welcome the arrival patients.

I don't know about other industries, but in this medical industry, a dean and a department director are very important. Yes, the country is vigorously supporting development, but if there is a problem with the idea of ​​the leader, then a lot of money is spent, but the effect is hard to say.

A hospital and a department are inseparable from the joint efforts of the staff of the department, but if the wrong path is chosen, then even if the effort is not in vain, it will be a long way.

The emergency department of a large hospital is directly a treatment center integrating diagnosis and treatment, and some emergency operations are directly handled in the emergency department. Under the leadership of a powerful department director, he can directly monopolize some operations in trauma surgery and general surgery.

But the director of the emergency department of the city hospital, who was born in pediatrics, was assigned to the emergency department because there was no one in the emergency department, and she couldn't compete for the director of the pediatrics department. Pediatrics is a small general practice, so she was assigned to the emergency department. In internal medicine, there are very few surgeons specializing in pediatrics.

This is the disadvantage of old-fashioned doctors, who have not fully developed. Although they are in the emergency department, their thinking is still not out of pediatrics. The state strongly supports the development of emergency department, but the emergency department of the city hospital still has no surgery, the biggest surgical operation that can be performed is suturing, if the wound is too big or too deep, it will be sent directly to the relevant department, and the efficiency of the emergency department is not enough. high.

The only unique diagnosis and treatment is gastric lavage. After drinking pesticides before 1990, I no longer need to be sent to the hospital. It is useless! Because the pesticides at that time were all powerful pesticides, such as the familiar dichlorvos, one sip would be a three-step fall! It was too late to rescue them.

In recent years, the control of pesticides has been slightly better. To be honest, drinking this kind of pesticide can make you feel extremely uncomfortable. Pulling into the hospital is gastric lavage.

If it is weakly acidic or a pesticide that does not react with alkali, it is very painful. Suds! The soapy water used in the hospital is not high-end, it is the kind of soap that ordinary people wash clothes. After dissolving, it is poured directly into the stomach, poured in a large amount, and then induces vomiting. Strong vomiting can cause gallbladder pain. You spit it out. Gastric lavage and enema, after one set, is as uncomfortable as being tortured.

But there are also advantages. Those who drink pesticides are generally housewives.

If you have been rescued once, you will never drink pesticides again. This gastric lavage once can be said to make you never want to see soap again in your life!

Ake was sent to the emergency department. There was no obvious abnormality in the blood routine examination in the emergency department, because he had been treated in the county hospital. The diseases, especially the abdominal diseases, were very similar. If the laboratory tests did not have a typical test positive, it was really bad. judge.

A disease, a rare and not typical disease, can be diagnosed by a doctor at a glance. Either the doctor has seen similar patients recently, or he has had it himself! At least, this doctor is really good. It takes a certain amount of time for a general doctor to diagnose and treat a disease.

Depending on the symptoms, the symptoms of many diseases are similar, laboratory tests, such as the current fever, taking antibiotics at home, infusion of antibiotics in lower-level hospitals, directly interfere with the course of the disease, if there is no clinical experience, even postdoctoral Textbooks, let alone a clear diagnosis.

This is the case now with Ake! There is a big trick in the emergency department, the laboratory test is not typical, and the trick is directly enlarged. Anyway, I don’t know which department the disease is, so I will consult it directly!

During the Spring Festival holiday, the bosses in the department are not on duty, unless the department is too small to rotate staff. The emergency department called for a consultation, and all the doctors who came were young! Moreover, during the three days of the Spring Festival, the general department on duty is not an old doctor, who made you young and unqualified, just endure it.

The respiratory department and the general surgery department did not tell me what was wrong for a long time. The physical examination revealed a rash on her body and a fever of 40 degrees, but her pulse and blood pressure were normal. This made it difficult for several young doctors. What kind of disease is this? Other inspections that will be held for a while will not come out.

what to do? Simple, expand the scope of consultation! ~Anyway, it’s the Spring Festival, and idleness is idleness. We are so busy, and doctors in other departments of yours can’t be idle either. Come on, let’s discuss together! When there are no bosses, the young generation of the hospital gathers in the emergency department.

Not to mention high-end medical care in Huaguo, but the control of infectious diseases is quite good. Some young doctors have only seen it in books, but the books are all selected from the most classic and typical cases. In reality, they have never seen real medical records. It cannot be recognized or diagnosed, and if the diagnosis is not clear, it cannot be treated. Moreover, this disease is very simple to say, but people are a complex, and there are too many similar diseases. With the current medical level, many diseases cannot be diagnosed clearly, that is, symptomatic treatment.

And why is it said that this infectious disease should be strictly controlled?

Talk about the most severe infectious disease, cholera! Class A infectious disease is a disease parallel to the plague. To what extent is this disease dangerous? It is caused by a special bacterium. This bacterium is too powerful. When ordinary bacteria enter the stomach, they are killed by gastric acid. Vibrio cholerae not afraid.

It goes through the stomach and directly enters the intestinal tract, and then directly causes the intestinal spasm, directly causing severe diarrhea and vomiting of the sick person, how severe is it, very direct, very direct, it is jet-like vomiting, like a goddess scattering flowers Squirt, vomit or gut stuff! Unlike normal vomiting is stomach contents.

Diarrhea, severe diarrhea, severe diarrhea that cannot be controlled directly, it is an exaggeration to say that this kind of patient has a bucket next to the bed to vomit, and there is also a bucket under the buttocks! Double barrel! Pull it down to the end, and what you pull out is water, which is exactly the same as the water that has been washed with rice. This is the body fluid inside the body!

In this way, I can't feel its power. Its power is very powerful. How can a cholera patient be dehydrated in one day? A person weighing two hundred catties can directly have diarrhea of ​​less than one hundred catties! Directly, the cross talk actor Sun Yueneng turned into Gong Hanlin within a day of vomiting and diarrhea!

Is it scary? What is even more frightening is that there is no effective medicine for this disease. Simply put, even if you go to the hospital, it will only give you rehydration, a large amount of rapid rehydration, and a competition to see who is the best in the end. Hopeless. The rest is up to you, it’s your fate to survive! If you can't make it through, you will be cremated directly, and you won't even see the last side of your family members! ~

What's also frightening is that the disease is highly contagious. Once a case occurs in an area, the water source must be controlled first. Because this bacterium can quickly pollute water sources, it is transmitted through diet, and if it is not properly controlled, there will be a large number of infections, and a large number of deaths. This is the scary thing about infectious diseases!

The Department of Infectious Diseases is a separate department, but medical knowledge is related. Zhang Fan has a habit. After entering the department, he first livers over the diseases of this department. The process of revisiting the past to learn the new, this kind of effort, if he doesn't show up, it's not right for him!

The emergency department expanded the scope of consultation, so Zhang Fan had to go too, and the infectious department was the furthest away, so Zhang Fan was also the last to arrive. The young doctors said in one go, but none of them could confirm the diagnosis.

"Come on, let's let Director Zhang take a look." A new graduate student this year didn't know whether he was praising Zhang Fan or deliberately embarrassing Zhang Fan. !

The current Zhang Fan really doesn't care about them, because he also knows that they are not at the same level, so there is no point in worrying about them. Not all doctors have this mentality, there are hundreds of them, and Zhang Fan has no time to pay attention to him.

"Brother Zhang, show me! The Respiratory Department doesn't accept it, and the Digestion Department doesn't accept it either, but this man has burned like this, and the Emergency Department can't help it. If it doesn't work, I'll call the director!" Xiao Li from the emergency department took the medical records. Quickly handed it to Zhang Fan.

Zhang Fan looked at the temperature and the vital signs recorded by the nurse, then opened Ake's clothes, checked his pulse with one hand, and opened Ake's clothes with the other to look at Ake's chest.

In just 30 seconds, in just 30 seconds, Zhang Fan said to Xiao Li: "Report to the Health Bureau! This is an infectious disease!" These words made the other doctors involuntarily move away three steps away in an instant!

"Really, don't talk nonsense, you were diagnosed without a laboratory test? Once this is reported, it will be no small matter. It will involve the hospital." The graduate student just felt that Zhang Fan ignored him , a little unhappy.

Repeatedly challenging the bottom line of others, Zhang Fan turned to look at him, and threw the medical records on his chest, "Rose rash! Relatively slow pulse! High fever! How did you graduate!"

"Do the Feida test! Blood culture! Send it directly to the Department of Infectious Diseases!" Zhang Fan didn't say much, and turned to Xiao Li in the emergency department.

"Okay! I'm going to prepare now, Brother Zhang, is it you or me who will report?"

"You are the first receiving doctor. If you don't want to, I'll report it."

"Look at what you said, isn't it because I'm afraid of taking credit for you? I don't look like some people. If you have to come, I'll go!"

"Doctor Zhang, amazing!"

"That's right, it's obvious at a glance!"

Thousands of people beat the drum. No way, the graduate student just now was a little embarrassed holding the medical records! Although it is just one sentence, the lethality is really not small! With so many people, he regretted it to death!

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