Chapter 12 Director’s Ward Round
Zhang Lin did not embarrass the Northeastern people. After drinking more than a dozen bottles of beer, he could still stand up and shout "Pay the bill!"
After drinking and eating, the two said goodbye at the door of the hotel. Zhang Lin was a little wobbly when he walked. Yang Ping was worried and wanted to follow him to help him.
"Don't worry, I'm just one drink short of drinking. If you want to topple me, you're always one drink short." Zhang Lin waved his hand.
Zhang Lin's pediatrician suddenly appeared and seemed to have been waiting under a tree for a long time.
She immediately ran up to help Zhang Lin. Zhang Lin instantly felt like he was getting blood, and he immediately walked normally without any drunkenness.
"Drink less."
"It's okay. I haven't finished the two bottles yet, so let's eat some vegetables."
The two left hand in hand.
At seven o'clock the next morning, Yang Ping rushed to the department and started another busy day of work.
"What day is it today?" Zhang Lin took out Fengyoujing, poured it on his fingers, and rubbed his temples.
"Tuesday!" Yang Ping said.
It's normal for a doctor to not remember the day of the week. It's enough to remember which day he was on duty because all days are working days.
"It's over! Today the director is doing a ward round. I haven't prepared anything. I'm dead." Zhang Lin slapped his thigh.
"It's just ward rounds, why are you so nervous?" Yang Ping comforted him.
The director's ward round is usually a nightmare for young doctors. It is the time when the director checks his studies and work every week. Just asking questions can make a young doctor exhausted.
Corey's ward rounds are scheduled for Tuesday morning, so apart from emergency surgeries, no other elective surgeries will be arranged on Tuesday morning. All elective surgeries will be postponed to the afternoon.
After the routine handover in the morning, ward rounds began, and members of the entire department came out in large numbers, with a luxurious lineup and magnificent momentum.
Headed by Director Han, flanked by Director Tian, Director Ouyang, Director Bai, and Director Ding, followed by the attending physician, resident physician, graduate student, and intern physician.
The layers are clear and the formation is neat. Doctors have a strict hierarchy, second only to soldiers. Subordinates must obey their superiors, and operations cannot be overstepped, nor can positions be overstepped.
Director Han's white coat is neatly buttoned, and his short, thick, black hair is cut into a straight stubble. He holds his head high and his chest high, and walks steadily, as if his body is equipped with iron bones.
Director Tian is the most elegant, with gold-rimmed glasses that have remained unchanged for thousands of years, regular facial features, good figure, and a scholarly temperament.
Director Ouyang is actually only in his early forties, but his 46-length hair is already mixed with black and white. He is tall and thin, with a straight waist. He looks capable and steady in the blue shirt under his white coat.
Director Bai is the most important among the directors. He is 1.7 meters tall and weighs over 200 kilograms. His white coat is custom-made and is still tight in the front. It feels like the buttons will burst open at any time, turning into a hidden weapon and flying to both sides.
Director Ding was a little cold, as if he was dealing with it indifferently and it didn't matter to him.
The second echelon is the attending physician. Song Zimo habitually leaves his white coat unbuttoned and puts his hands in his trouser pockets. His white coat is spread apart on both sides and makes a squeaking sound when he walks. If it had been anyone else, the hospital's infectious disease department would have given him trouble.
Tang Fei is always a beautiful rose, with a little light makeup, a lavender hairpin on her symbolic ponytail, and a lady's white coat that outlines her graceful and slender figure.
The third echelon is the resident physician, the bottom of the pyramid. They work hard every day, leave early and come back late, are often scolded, and earn a subsistence-level salary.
Yang Ping was also in the third echelon, side by side with Zhang Lin. He was calm and mentally recalled the information of the patients in his charge in order to cope with Director Han's follow-up questions.
At the end are the trainees and interns, which are the only force that residents can control. They are the lowest level of doctors and a cheap labor force.
The team was huge and moving in the corridor, with someone in front of them clearing the way. Ward rounds are very particular. There are strict rules on how to enter the ward, how to leave the ward, and how to stand. The doctor in charge of the bed goes first, and then the large troops are in place. When coming out, everyone makes way, the director goes out first, and then files out one by one.
The resident doctor knocks on the door, goes in to greet the patient, and then stands on the left side of the bed, with the attending physician and team leader of the same group standing next to him in turn. No one deliberately arranged it, everyone could find their own place. There were so many people that some interns found a seat in the corner of the door and squeezed in. Some interns could no longer enter the ward and could only gather around the door and listen.
The position on the right side of the hospital bed is the ward round C position, which is the position of the director. A confused intern took advantage of the opportunity and grabbed the C position. The teacher patted him gently and said, "Classmate, this position is directly opposite the air outlet of the air conditioner, so it is easy to catch a cold." Then he pulled him to squeeze in with him.
I am really touched. Having such a teacher is a great blessing in life. The interns feel so warm in their hearts.
The director is in place, his strong body seems to be rooted and steady, and his eyes are like X-rays, full of penetrating power, probably like eyes like torches.
The same pair of eyes, the same anatomical structure, why are there such big differences? I don’t know if anyone has done this subject. If not, this will be the subject of the deputy senior high post in the future, Yang Ping thought.
The patient who had his severed finger replanted that night.
The patient was leaning on the bedside, looking at this and that, probably frightened by the situation.
Opposite the director, Zhang Lin began to report the medical records - name, age, gender, diagnosis, why he was hospitalized, how he got sick, how he was treated, what diseases he had before, what the physical examination was like, what instruments were tested, and what abnormalities were found. Report one by one without looking through medical records. The reporter must rely on memory.
The first half is catchy and very confident, and senior doctor Song Zimo cannot hide the smile on his face.
But this brother obviously exerted too much force. Halfway through his rapid-fire report, he got stuck. His tongue started fighting with himself. His voice became lowered, slurred, and he stuttered. He couldn't form a word for a long time. Sweat continued to form on his forehead, and the last bead-like sweat rolled down, even his stammering disappeared.
oops! Unfortunately, the other doctor regretted that it was a perfect medical report, but this guy overdid it——
Director Han frowned.
Song Zimo immediately came to the rescue and continued to improve the medical record report.
"Let me look at the medical records!" Director Han stretched out his hand. The medical record was delivered to Director Han. Director Han opened it, read it carefully, and read ten lines at a glance: "The right thumb is completely severed - well, this medical record is very well written, and it contains abnormalities that are difficult for others to find."
The self-confidence that had been lost in front of everyone due to being stuck just now was instantly regained. Being able to be publicly praised by Director Han was something that could be boasted while chatting in the canteen.
Zhang Lin cheered up again.
"That's right, let's keep working hard." Song Zimo also said.
"This patient is a male. You can ask about his menstrual history, menarche and last menstrual time. He is clearly recorded. He is a talented person! He is a pillar of the country. Also, there is actually a record of my booking in the medical record?" Director Han is very serious. say.
Pfft, someone couldn't hold it back anymore and burst out laughing, followed by the characteristic breathing sound of someone holding their breath forcibly.
The wrong template was used. The female medical record template used a male patient; the header of the director's ward round record was written as the director's ward opening record.
"Ah -" Zhang Lin's face turned red, and he immediately looked around to see which intern or trainee had written it. He wanted to kick him to death.
Yang Ping stood next to Zhang Lin, feeling super embarrassed. He was in the same group, and in full view of everyone, he was receiving the scorching gazes of ten suns.
The X-ray was handed over, and Director Han held it up to look at the light from the window.
I have to ask a question, I really have to ask a question!
Everyone immediately shrank down like ostriches, as if the director could not see him.
Opposite Zhang Lin, the sweat that had just subsided started to seep out from his forehead again.
"When replanting a severed finger to anastomose blood vessels, what should be paid attention to when the fracture is aligned?" Director Han put down the film and glanced at the scene.
Everywhere he passed, the young doctors immediately became three points shorter.
This question is a bit too detailed. My brother who reviewed "Hand Surgery" urgently yesterday was quite calm at first, but now he is a little confused.
The director's gaze was like a searchlight. At this moment, Song Zimo stepped forward.
There is no question that Senior Brother Song cannot answer. This is the consensus of everyone.
"Pay attention to the alignment or slight valgus, and never varus."
"Well, very good. The operation time is only one hour. This speed is good. Director Tian is getting faster and faster now." Director Han looked through the operation records.
Director Tian next to him blushed: "I didn't do this, the new Dr. Yang did it."
Dr. Yang?
Can he replant a severed finger independently? Even if it is broken into three sections, it can be done in an hour?
Everyone focused their attention. Isn't this the intern led by Zhang Lin? There are actually people who don't know that he is a new doctor and regard him as an intern. It's because the department is too busy and there are too many people.
There was a small commotion among the crowd, with people questioning, envious, and talking about it.
"Yes, it was Dr. Yang who did it, my first assistant." Zhang Lin finally came back. He had lost face twice just now. This time, it took an hour to replant the severed finger. I am the first assistant. What else can you say? Whoever is awesome should give it a try.
"Yang Ping did it?" Director Han raised his head and looked Yang Ping up and down, as if he didn't believe it.
"Yes!" Zhang Lin confirmed again that as the person involved, he has the most say. The key is that the identity of this first assistant cannot be questioned.
"I felt confident at the time, so I did it myself." Yang Ping replied.
Director Tian added: "The quality of the vascular anastomosis is very high."
Director Han nodded and asked: "Please answer, why can't there be any inversion of vascular anastomosis?"
Yang Ping thought for a while and replied calmly: "Inversion will cause local stenosis and unevenness of the lumen, the blood will form a vortex, and platelets will aggregate locally, eventually leading to thrombosis."
Director Han hummed, quite satisfied with the answer.
"The skin cannot be turned inward even if it is sutured." Someone said.
Director Han found the next target of the question and immediately singled out the student who had just spoken: "You answer the next question."
This brother wants to slap himself in the mouth, he is so embarrassed!
——
After more than three hours, the director's ward rounds were over and everyone breathed a sigh of relief.
The buddies who were called by the director to answer questions were all sweating profusely, and in severe cases, there were signs of dehydration.
Someone was already leaning weakly against the nurse's station: "Sister! Can you get a bottle of 5% glucose to drink?"
I was secretly happy that I wasn't named, it was a false alarm, I was lucky enough to escape, at least I didn't have to worry about it this week.
Damn it, during the ward round just now, the director raised his eyelids and looked this way. His little heart immediately felt like a diesel engine. It was pulsing and dangerous. Some people described the thrilling feeling at that time.
After everyone dispersed, Yang Ping went to check the ward again to see that the severed finger he had replanted showed good blood luck.
(End of chapter)