Chapter 987 Walking on thin ice
Dr. Li Min returned to his original unit on vacation. Although his training was not over yet, he returned with a full load. At this time, he was not only excited about returning from his studies, but also mixed with a deep attachment to this land.
He stepped into the township hospital where he had worked for many years. Although this hospital was small, it carried the hopes of tens of thousands of surrounding villagers. There were only a few dozen doctors and nurses in the hospital, and only two security guards, plus administrative, The total number of logistics and other staff is only about thirty.
Most doctors in the hospital hold general practitioner licenses, and they need to handle a variety of cases from internal medicine to surgery, from pediatrics to obstetrics and gynecology. Some hold assistant physician licenses, and some even do not have formal medical licenses, although Their existence may not be entirely compliant with regulations, but in actual operations, they are an integral part.
The conditions of rural hospitals are limited, especially in areas with relatively backward economic conditions. It is almost impossible to operate in full compliance with the medical standards and procedures of big cities.
If we have to strictly follow those "rules and regulations", I'm afraid there won't even be enough people to do the work. Therefore, the doctors here are more like generalists. They need to meet the needs of patients and solve their illnesses as much as possible with limited resources.
"The experts from the provincial capital are back!" The old dean was full of energy and rushed out of the office with a face full of joy. He took three steps at a time and almost trotted to Li Min.
The old dean's face was red and energetic. In the past, he often couldn't straighten his waist and had to drag one leg when walking, which seemed particularly difficult. Now this situation does not exist at all. Although he can't walk with flying speed, at least he can walk easily.
Seeing this scene, Li Min also felt relieved. He smiled and said to the old dean: "You are so old, your waist is so good, you walk with wind, and you look at least twenty years younger!"
The old dean laughed, patted Li Min on the shoulder and said: "Only twenty years younger? It's too conservative. Everyone says I have the waist of a twenty-year-old now, but to be honest, my waist has not improved since the last time you gave me a waist. After I got the treatment, I was really getting better day by day. Are you still used to studying in the provincial capital?" His words were full of concern for Li Min.
Li Min nodded and responded with a smile: "It's okay. I learned a lot. I'll bring it back to share with you. I hope it will be helpful to the work of our hospital."
The old dean pulled Li Min into the office, and then several doctors came over to catch Li Min's luggage. Li Min also brought some special snacks from the provincial capital for everyone to eat, and asked the doctor who picked up the luggage to distribute them. He gave them to the old hospital The chief also brought two bottles of good wine. This wine was given to everyone by local tycoon Wang Changxin when he invited guests to dinner. At that time, everyone who drank must bring a bottle back. Li Min didn't know what the wine was. In order to bring this bottle of wine, he They all came back by sharing a private car with others.
The old dean carefully held the wine in his hand and looked around: "Little plum, it seems that my love for you is not in vain."
Several patients who were waiting for treatment also recognized Li Min, and gathered around the door to greet him warmly. This is the case in rural hospitals. The patients are all nearby folks, so after working for a long time, they all know each other.
An old man took Li Min's hand and said gratefully: "Dr. Li, you are back. The medicine you prescribed for me last time was really effective. Please give it to me again this time." Another A mother with a child also came forward: "Dr. Li, you see my child's feet are deformed. Can you help me take a look?"
"Dr. Li has just come back. His butt is still hot from sitting. Let him rest." A patient said loudly. Everyone immediately felt embarrassed, shut up and left the office.
"Don't worry, everyone, I'll start going out to the clinic after a while." Li Min doesn't plan to rest for too long and wants to get into the role as soon as possible.
The old dean said: "Don't be in such a hurry, right? We'll start work tomorrow."
"Idle time is idle. I slept in the car for a few hours when I came back." Li Min wanted to make the most of every minute of the vacation.
Facing the enthusiasm and expectations of the villagers, Li Min felt the responsibility and mission of being a doctor. He knew that although he had learned a lot of advanced knowledge and technology in the provincial capital, what was more important here was how to This knowledge is translated into practical, locally adapted solutions that truly benefit those in need.
Different from large hospitals in provincial capitals, the principle of treating diseases in rural hospitals is to use economical methods to solve the problem as quickly as possible. It is better to cure the problem radically. If it cannot be cured, symptomatic treatment is needed. If neither can be done, then It can point out a way for patients and where they should go for treatment.
Therefore, in grassroots hospitals, the legendary miracle doctor's trick is "three ingredients in one bottle", including hormones, antibiotics, vitamins and a bottle of intravenous needles. These tricks are indeed very effective. Many doctors who have stayed in large hospitals for a long time sometimes go to grassroots hospitals. If you don't know how to treat diseases, you just don't understand the needs of grassroots patients. Their requirements for treatment plans are short, flat and quick.
Therefore, Li Min has been thinking about how to transform what he learned in the provincial capital into a treatment plan with local style, that is, it must have rural characteristics. For example, when it comes to strengthening nutrition, you can't ask patients to buy any nutrients. You can only ask them to buy a few eggs a day.
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On the first day of the holiday, the news and Moments on his mobile phone all had one characteristic - all the scenic spots were crowded with people, and the highways were all congested. Yang Ping was very surprised, how would Xia Shu go back to his hometown to go on vacation with the head nurse? The same highway? The scenery outside the car in their circle of friends is actually the same.
Compared with the bustle and crowding outside, the hospital ward is much quieter. When Yang Ping came to the ward, an eighty-year-old patient was sitting at the nurse's station. She was clamoring to be discharged, but she couldn't get through her children's phone calls. Angry, the nurse next to her tried to persuade her softly, and finally persuaded the patient to return to the ward.
"Isn't this patient scheduled to be discharged before the holiday?" Yang Ping asked.
The nurse shook her head and sighed and said, "That's what their family members said originally, but they called us on the 30th and changed their story and said they would pick up the old man from the hospital after the holiday. I asked why, and the family members said they were traveling outside now. In fact, the family members had planned it before the holiday. Yes, leave the old man in the hospital and go traveling by yourself.”
It turned out that Yang Ping understood the whole story and told the nurse: "Old and high-risk patients should be seen more often so that any problems can be detected and dealt with early."
In the doctor's office, except for a few doctors who were on vacation, everyone was busy, and no one was late. The keyboard was clicking non-stop early in the morning. ''The professor is here, preparing for the National Day ward rounds! "When Song Zimo saw Yang Ping, he immediately reminded everyone.
Yang Ping tidied up his white coat: "Let's do ward rounds."
The doctors in the office immediately stood up and followed Yang Ping. Yang Ping's steps were steady, and every step seemed so calm and unhurried. His eyes revealed a kind of wisdom and calmness accumulated over the years that was incompatible with his age. , as if he could penetrate into the mystery of every life, followed closely behind him were a group of young doctors and interns, their expressions were solemn, as if they were performing a sacred ceremony, their eyes were full of desire for knowledge and desire for knowledge. Love of medicine.
"No matter when, contacting patients is the most basic principle. Only by contacting patients can we truly grasp first-hand information." Yang Ping's voice was not high, but clear and powerful.
In an era of rapid advances in medical equipment, the basic principle of contact with patients has been abandoned. Many doctors have ignored this or are unwilling to do it, especially surgeons. They can often make a decision based on just one image: operate!
The group of people slowly walked into the ward. The patient was a young man in his twenties. His face was haggard, but his eyes revealed a desire for life. Seeing Yang Ping and a group of doctors walking in, he worked hard. Squeezing out a smile, it was a deep trust and gratitude to the doctor.
This patient with intracranial brainstem tumor came to Sanbo Hospital to see Yang Ping for surgery. It is now one week after the operation and his condition is recovering well. Yang Ping walked to the hospital bed and first inquired about the patient in detail. No detail is spared.
His words were gentle, kind, and clear, as if he were talking to an old friend. At the same time, he used his experienced hands to perform various neurological examinations, as if he was having a silent dialogue with the patient's body. .
"Well, judging from the current situation, you are recovering very well after the operation. I believe you will be able to work normally in the near future." Yang Ping said while checking, and at the same time turned to look at the doctors behind him, "Come here and do it Let’s have a physical examination.”
The young doctors stepped forward one after another and began to examine the patient in turn. After the examination, they either frowned and thought, or discussed in low voices, trying to catch the clues of the disease from every subtle change. The last person to examine the patient was Li Guodong. , he not only checked the patient's nervous system, but also performed a simple physical examination on other aspects of the patient. He held a stethoscope and listened carefully to the patient's heartbeat. His eyes were focused and serious, as if he was resonating with the patient's heartbeat.
"Professor Yang, I found that the patient's heartbeat was irregular, sometimes fast and sometimes slow." Dr. Li Guodong hesitated for a moment, then plucked up the courage to say, because no one had ever mentioned this abnormality.
Yang Ping frowned slightly when he heard this, and then gave an encouraging smile: "Very good, your observation is very careful, so comprehensive attention to the patient should become a habit. Focused attention is only a foundation, and comprehensive attention is the advanced form. Why did everyone just focus on the nervous system during the physical examination? The electrocardiogram monitor next to the bed has not been removed. Have you paid attention to the electrocardiogram on the screen? Or do you think young people don’t need to pay attention to this? ”
Then Yang Ping explained in simple terms how to think comprehensively and deeply in clinical practice, which not only included the latest medical research results, but also combined with his own clinical experience. The young doctors listened with interest, nodding in agreement from time to time, or lowering their heads to record carefully, their eyes Full of thirst for knowledge and love for medicine.
"Do further cardiac examinations and complete them as soon as possible today." Yang Ping gave verbal instructions, and the doctor in charge immediately took notes.
"Professor Yang, it's really hard for you to come to check the ward in person during the holidays." The patient said gratefully, his eyes full of respect and gratitude to Yang Ping.
Yang Ping smiled slightly: "There are no holidays for diseases, so doctors don't have holidays either. This is determined by the characteristics of our work. We just do our job well. Don't worry, the operation was successful. You can work like a normal person after you are discharged from the hospital. Life, pay attention to regular review. ”
The patient nodded vigorously: "Thank you, Professor Yang, and thank you to all the doctors."
Originally, this patient was judged to be inoperable in many other hospitals. When he was desperate, he heard the people sitting next to him on the train talking about Sanbo Hospital, saying that there was Professor Yang in Sanbo Hospital, and his surgical skills were simply divine. The patient was so impressed that he made a note of it, so he came to the Surgical Research Institute of Sanbo Hospital. Unexpectedly, he could actually perform the operation, and the operation was successful.
The ward rounds continued. During the ward rounds, Yang Ping stopped from time to time to explain the condition and treatment plan in detail to the patients and their families. His tone was gentle and confident, which not only conveyed the rigor of medicine, but also gave the patients and their families enough of confidence and comfort.
The young doctors who followed Yang Ping also benefited a lot. They not only learned valuable medical knowledge, but also deeply realized the sense of responsibility and mission that a doctor should have.
"As doctors, we must have an attitude of walking on thin ice at all times. The patient with an irregular heartbeat just now may have died suddenly if we had not detected it, so we should complete the cardiac examination as soon as possible. If there are no major problems after the examination, we will be more careful. Okay, what if there is a problem? What is being delayed is human life, and human life is at stake! Although it is inevitable to make mistakes objectively, we cannot make mistakes subjectively. Others can make mistakes, but we cannot. "
During today’s ward rounds, everyone remembered a lot of things, but what impressed me the most was the word “walking on thin ice.” Be serious and serious again and again. In the words of Professor Zhang Zongshun: In our profession, we can’t be too serious, because we hold the What matters is human life.
After the ward rounds, Yang Ping did not leave the hospital immediately. He returned to his office and began to review all the cases he had reviewed today to see if there was anything missing. After several reviews, he confirmed what should be thought of. Having thought about it, Yang Ping was relieved. Being a doctor is like this. You must have the spirit of walking on thin ice at all times.
At the same time, the ward is still busy and orderly, and other doctors and nurses are also sticking to their posts to protect the health and lives of patients. They are either walking by in a hurry or talking softly, all looking so focused. And seriously.
Although it was a holiday, Yang Ping still arranged some work. He performed surgery in the morning, gave everyone classes in the afternoon, and didn't get off work until nightfall.