Chapter 360 Busy Night Shift
“The chance of getting sick is small for a child of this age, but it doesn’t mean he won’t get sick. Further examination can be done. Fortunately, the child’s condition is not that difficult. It can be saved by surgery.”
That’s right, it’s surgery.
For neuroblastoma, if there is an opportunity for surgery, surgery should be performed as soon as possible. At that time, the patient's primary tumor was still very localized. After removal, the progression of the disease can be delayed with a high probability. Of course, Because of the type.
Neuroblastoma, no matter how clean it is removed, the chance of non-recurrence is almost zero. Therefore, all treatments are aimed at delaying the recurrence of the disease.
Therefore, postoperative adjuvant radiotherapy and chemotherapy, or other treatments, are also necessary.
Surgery!
Several doctors in the pediatric department looked at each other and hesitated. Although they believed in Wu Xiaofu's technical level, they still felt that further diagnosis was necessary.
"Director Wu, I'll let his family discuss it first before making a decision."
This is the job in the hospital. Even doctors from the same hospital cannot speak too directly sometimes. .
Just like now, Wu Xiaofu also understands the concerns of the director of pediatrics.
After all, this disease is bad news for everyone. There is currently no gold standard for diagnosis. If they are wrong, parents will not let them off so easily.
So, it must be confirmed first.
"Okay, if you need it later, you can just come over for consultation. Let's go."
It's already Thursday, and seeing that another week is about to pass, Jiang Bei and the others They are all secretly anxious. This week, they have been working very hard, trying their best to complete the work assigned by their superior doctors and instructors every day. That's not all. Taking advantage of the little rest time, they are still trying their best to enrich themselves.
To cope with the assessment that will appear on the weekend.
After last week’s assessment, they knew that this season’s assessment was completely different from the previous ones, and they had to be more attentive. After all, they didn’t mention the assessment content at the beginning, so they just did it directly. To catch him off guard, there is also the case analysis that directly gives zero points.
It's enough to lose someone once. They will never allow themselves to do something like that a second time.
Neurosurgery.
Tonight is Fu Yuanhang’s night shift. After having Fu Yuanhang, the second-line doctors have become a lot more relaxed. Fu Yuanhang can basically handle some small things, such as if a patient’s dressing fell off or a patient High blood pressure, etc. These are things that neurosurgery often encounters.
It's just tedious, but not difficult to deal with. After Fu Yuanhang's few days of study, he has basically been able to solve it smoothly.
The night shift starts at six o'clock.
At this time, the other doctors in the neurosurgery department have basically not left yet, and some have not returned from surgery. Therefore, during this period, if patients from various groups come over, Fu Yuanhang will not be there yet. It’s considered too busy, because each group will handle it on their own.
But things started to change from eight to nine o'clock. Doctors from other groups left one after another.
When patients have problems at this time, they can only come to Fu Yuanhang, the doctor on duty.
Fu Yuanhang slept in the duty room, holding a small phone.
Beep bell bell!
The small phone rang, and Fu Yuanhang jumped up subconsciously. To be honest, he was just like a spinning top that day. He was really tired. Even though he was working night shift, he was supposed to be able to rest this afternoon. of.
But that’s just a theory.
It was close to five o'clock after finishing the discharge and admission, completing the medical records, changing dressings, etc. After eating, it was time for the night shift. At this time, Fu Yuanhang was somewhat exhausted both physically and mentally. means, but there is no way that the night shift must be worth foolproof.
In last week's assessment, he lost another place, and it was all thanks to this week that he made it back.
At eight or nine o'clock, he thought about lying down for a while. After all, the peak period was in the latter half of the night. However, he really thought too much and came early during the peak period.
"Dr. Fu, the dressing on bed nine is soaked."
The surgery on bed nine was performed today. The craniotomy was performed, and the dressing is soaked. It means there is severe bleeding, so the dressing needs to be changed. Of course, while changing the dressing, you must also check the condition of the wound to see if there are any ruptures of small blood vessels, cracking of the wound, or loose sutures.
If it’s just pure bleeding, that’s easy to solve.
But changing the cranial dressing is more troublesome than other departments. It takes almost ten minutes to prepare things, change the dressing, and handle the medical supplies.
But before this was over, the small phone in my pocket rang again.
Fu Yuanhang didn't bother to answer the phone and shouted directly outside, "I'm in ward three, what's going on?"
"Sleeping pills need to be prescribed for bed No. 17. ”
Sleeping pills!
There is no rush for this, it can wait, "Okay, let the patient wait, I will prescribe medicine for him after I finish handling this."
After the dressing change was completed, Fu Yuanhang went straight to the medical office. The patient's family is already waiting for him.
"Auntie, I will prescribe it for you now. Just go back and the nurse will give it to you after she gets the sleeping pills back later."
I say she is an aunt, but she is actually about seventy years old. Well, the person in the hospital is her old man, who is about the same age. Well, this is the current situation in the hospital. The old man accompanies the old lady, and the old lady accompanies the old man. Fortunately, this old lady has a fairly smart ear, and communication is not difficult.
"Okay, thank you doctor, remember to prescribe four tablets for me."
Four slices!
Fu Yuanhang was stunned when he heard this, and hurriedly called Auntie, "Auntie, you can't take more sleeping pills. Four pills will cause problems. You can only take two pills at most. You have to see if one pill works. What will happen later?" You make up more.”
“That’s right, two pieces for the old man and two for me.”
Ah!
Fu Yuanhang was even more helpless when he heard this, "Auntie, I can only prescribe two tablets for you, but I can't prescribe yours together."
"Then what should I do? I can't sleep without taking medicine."
This!
Fu Yuanhang didn’t know how to explain it for a while. Sleeping pills are prescription drugs, and they are strictly controlled by the pharmacy department. In fact, you have to call and ask for two pills, but for such an old man, taking two You can only fall asleep after watching a movie, and there are a lot of them, so just follow the procedure and ask.
But if you prescribe four tablets, the pharmacy department cannot allow it. What are you doing? Although these four tablets are not enough to kill a person, they are definitely the wrong dosage.
Even if there is no problem with the patient, Fu Yuanhang will definitely be fined. It is okay to fine him money. Now Fu Yuanhang is on duty with the second line and uses the second line number. The fine will also be fined by the second line. Doctors may have other responsibilities to pay for their money.
Therefore, Fu Yuanhang must not violate the hospital's guidelines and prescribe this medicine without permission.
However, what the aunt said is right. If the aunt is not allowed to take medicine, it is also a problem that the aunt cannot sleep. After all, she is so old. If she does not sleep one night, she will have two patients tomorrow.
I have a headache.
As for asking the aunt to go out to buy medicine, that is even more impossible. It is so late at night that she is afraid of getting into trouble if she takes a few steps, let alone buying medicine. It would not work if he went to the emergency room to get medicine. Fu Yuanhang had no choice but to go to the nurse station and ask the nurse if she had any spare diazepam.
Generally speaking, nurses' stations have backup stabilizers to cope with such situations. Moreover, some nurses themselves have problems with sleep disorders. After all, they stay up late for a long time and their nerves are weakened. After asking, it turns out that it is. Yes.
Fu Yuanhang gave the aunt one pill, but he couldn’t just let it go. He had to watch the aunt take the medicine with his own eyes before the matter could be settled. After all, if this pill caused anything, Fu Yuanhang couldn’t just let it go. Yuanhang is the first responsible person.
Be prepared, Fu Yuanhang doesn’t want to make any more mistakes.
Furthermore, Fu Yuanhang also told his aunt to prescribe medicine by herself during the day. From now on, the ward can only prescribe medicine to patients, and hers will not be provided.
As a result, the lady's words before leaving almost made Fu Yuanhang autistic.
"Then we can only let the old man take one pill, one for each, and one for half the night."
This is just the beginning.
Another characteristic of neurosurgery patients is that they are noisy.
In the first half of the night, before twelve o'clock, it was actually pretty good. Basically, Fu Yuanhang could finish one, or several, and then he could lie down on the bed, and then after one minute, or It's a few minutes, call again.
But it was different in the second half of the night.
"Dr. Fu, it's not good, a patient has been extubated."
Many patients in neurosurgery have disorders of consciousness, caused by diseases, or unable to recover temporarily after surgery. Patients often need restraints because they cannot adapt to physical discomfort, such as indwelling tubes.
One could accidentally pull out the tubes on his body. Normally, such a patient should be restrained, but some family members of the patients looked distressed and let them go. However, after they were let go, there was no supervision. When it is in place, this will happen.
No choice, Fu Yuanhang rushed to the ward again. At this time, the patient's family tried hard to persuade the patient not to make a fuss. Of course, the effect was almost useless. After all, the patient had a disorder of consciousness and could not understand these words at all.
"Put on the restraint belt and tie it again."
The nurse called Fu Yuanhang over. The main purpose was to determine whether the patient would suffer any other injuries, determine the patient's current condition, and whether there was any danger. Then, re-applying the restraint also required medical advice.
Beep bell bell!
Before Fu Yuanhang could write a medical order, the small phone rang again.
"Doctor Fu, the heart rate of the patient in bed thirty-seven has dropped."
What!
The situation of the thirty-seven patients appeared in Fu Yuanhang's mind. The basic ethics of the night shift is to know the situation of all patients in the hospital so that the patient's condition can be judged as soon as the patient appears.
This is a patient after a brain tumor surgery. It is already the third day. The patient has woken up and is recovering well. How could such a condition suddenly occur?
Fu Yuanhang rushed over and called the second-line doctors at the same time.
This kind of situation is basically a critical condition, which is beyond his ability to handle, and may require rescue.
In fact, this is indeed the case. When I arrived in the ward, I saw that the patients began to have dilated pupils.
Fu Yuanhang immediately started resuscitation, and the second-line doctors came quickly. After all, they were experienced and immediately started a series of medication and resuscitation.
For a time, various voices sounded throughout the ward.
The sounds of machines, people's roars, doctors' voices giving medical orders, the cries of family members, etc., all come together to make people feel upset and panicked at the same time.
Rescue is never a simple matter.
The entire rescue process lasted for a full two or three hours, but as the line on the monitor straightened, these two or three hours of efforts ended in failure.
Fu Yuanhang was also in a bad mood at this time. Although it was not the first time he saw a patient die, the situation this time was different. After all, he was in his own class. Fu Yuanhang would always have a feeling that the death of this patient would Does it have anything to do with myself?
After all, if he could discover something was wrong with the patient in advance, maybe the patient could still be saved.
“Well, this is the characteristic of our department. The possibility of this patient having this condition after surgery is not small. We have explained it to the family before. No one wants to see such a result. But I can only accept it and continue working.”
The second-line doctor advised Fu Yuanhang to start working. Death cases in the night shift basically mean that he can’t sleep at night. .
Completing medical orders, updating death records, completing medical records, updating rescue records, etc., etc., all need to be done at night, because after six hours, these will be sealed, and if they do anything after six hours, it will be tampering with the medical records. .
If the patient's family sues them, they will lose the case directly.
So, race against time.
While Fu Yuanhang was helping the second-line doctors to do these tasks, there were many small things that accumulated during the two or three hours during the rescue process, and Fu Yuanhang had to find time to deal with them.
At a certain moment, Fu Yuanhang began to feel dizzy, his limbs were weak, as if his body had been hollowed out.
But there is no other way, I have to endure the work.
In the second half of the night, he was destined to be unable to have close contact with the bed. Fu Yuanhang was still busy until the director came at 7:30.
The two dark circles under my eyes are really very obvious.
"Xiao Fu, how are you? Is the night shift intensity of Shenwai okay?"
The person who spoke was Lin Dongping. Fu Yuanhang saw that it was Lin Dongping, who was also a stimulating spirit. Some sleepy people are also excited at this time.
“Not bad, not bad.”
It must be okay. Fu Yuanhang has been here for so many days. It’s not like he doesn’t know that not only does he have this level of strength, but all the neurosurgery doctors basically have this level of strength. If he can’t say it well, he will have no choice but to give up this profession. .
"That's fine, you can continue your work."
Fu Yuanhang watched Lin Dongping leave, and then he breathed a sigh of relief. On this day, Fu Yuanhang's most heartwarming moment was probably Chao Yuan brought breakfast and asked Fu Yuanhang to eat first. It was time for him to work for Fu Yuanhang.
Dear ones!
Brother!
At this moment, this is what Fu Yuanhang feels in his heart.
Of course, Fu Yuanhang is not the only one who has a hard time working the night shift. Each subject has its own characteristics. Perhaps Fu Yuanhang is the busiest among the people who work the night shift, but others will not be so hard either. Where to go.
As for Chao Yuan, he worked the night shift on Tuesday, and he basically didn’t sleep that night.
(End of this chapter)