Chapter 18 Night Shift Doctor
(Thanks to the boss for his 2,000 starting point coins reward, thank you!)
Generally speaking, there are more patients on Saturdays and Sundays, and so at night.
In large hospitals like them, the director level generally does not need to work night shifts, unless the situation is special. Even the deputy director rarely works night shifts.
For example, Director Qian's team has two attending doctors in our hospital. Usually, there is only one attending doctor in the night shift, and then a resident doctor in our hospital and one or two interns. When you are too busy, you can ask the inpatient department of the general surgery department to send someone to help with the surgery.
Sometimes there is no need for the attending doctor to sit on the night shift, and two resident doctors from our hospital and one resident doctor and intern are all done. After all, the resident doctors from our hospital in the First Affiliated Hospital of the Magic City have basically no problems with first- and second-level surgery, and even third-level surgery can be performed. If you encounter emergencies and difficult problems, the inpatient department of the surgical department will send a master to take the surgery.
But now, Jiang Yurong has only three resident doctors who come to study in the newly established group. It goes without saying that their level is. Except for Ruan Bin, the others are garbage. The thick blanks that cannot be used on the table.
Uh... I guess Huang Hongwen and Zhou Tianlei will be dissatisfied with this, but they are indeed rough...
In other words, when working night shifts, Jiang Yurong is probably required to take charge. Otherwise, if a difficult patient comes, will the three of them be rescued?
In fact, Jiang Yurong was also a little angry at this moment. She didn't want to argue with her just after she came in, but these two directors targeted her everywhere, and she was not a mud.
"But my two night shifts cannot be arranged together, at least they must be separated. Otherwise, it will be impossible for me to work in a row at that time. You also know that the three of them are resident doctors who come to further study, and I am not at ease to let the three of them sit on their own at night." Jiang Yurong said in a deep voice.
"Okay, otherwise, Friday and Sunday are your group, how about it?" Director Qian also made a step back.
"Can!"
So, the night shift schedule was settled.
After the meeting was held, Jiang Yurong asked Ruan Bin and the other two to stay, and they held a small meeting alone.
"Tomorrow is Friday. You only need two of you three to work night shifts with me. Who would you like?" Jiang Yurong asked to the three of them.
"I do!" Huang Hongwen was the first to raise his hand to sign up. Just kidding, how happy it is to be able to work night shifts with a beautiful girl? Besides, he is here to learn more. How could he miss the opportunity to learn from a beautiful girl?
"I do it too!" Zhou Tianlei was not willing to fall behind. He was on night shift. He would definitely be hungry in the second half of the night. At that time, he could offer a midnight snack to be eaten by the beauty Jiang. Maybe he could give him a sense of existence, right?
"Where are you?" Jiang Yurong looked at Ruan Bin.
"I'm free, I'll just take a break during the day tomorrow." Ruan Bin spread his hands and said it doesn't matter. Although they are advanced doctors, they also have rest days every month.
"Okay, let's Ruan Bin, Zhou Tianlei and me for the night shift tomorrow night." Jiang Yurong said. She knew that Ruan Bin's level was higher than the other two, and he said it himself, so she decided to let Ruan Bin go to the night shift first and see the other party's level before talking about it.
"Deputy Director Jiang, what about me, I can do it, I want to learn more from you." Huang Hongwen was anxious when he heard that he had no self. It was as if he had lost a eldest daughter-in-law.
"It's okay, I'll wait for you on Sunday."
Huang Hongwen:...
Leave after get off work.
The next day, Ruan Bin was resting, and after getting up, he went out to have a meal. Then he spent 2 yuan to take a bus to take a good look at this international metropolis.
Okay, I took the seat from the initial station to the final station, and came back again, well, there was 2 yuan left.
Just like this, a boring day passed.
He also wanted to have a better day off, but unfortunately his wallet was shriveled, so he would have to forget it.
On this day, he watched several internal surgical textbooks and videos of hospitals and added several unintroduced professional skills.
I returned to the hospital, slept for an afternoon, got up and had dinner because I had to work night shift.
Hand over shifts on time at 6 o'clock.
There was only one anesthesiologist, three nurses, and three doctors including Jiang Yurong. There were no patients at this point, so it seemed a little deserted.
It was not until seven o'clock that several patients came to the emergency department for treatment, but they were all minor diseases such as fever, cold and diarrhea. Just prescribe some medicine or inject some fluid, and there were no patients who needed surgery.
At 8 o'clock in the evening, the emergency department finally welcomed the first patient who needed surgery.
The patient is a man in his thirties. His symptoms are sudden pain in the upper right abdomen and radiated to the right shoulder and back, tenderness, nausea, vomiting and fever. After measuring his blood pressure, he found that his blood pressure was dropping!
Jiang Yurong is worthy of being a top student and has been the attending doctor in a world-renowned hospital for one year, so it was quickly determined that this should be acute cholecystitis.
"Immediately perform routine blood tests, B-ultrasound and CT tests!" Jiang Yurong said.
When the examination results came out, the patient was in shock.
Anyway, Zhou Tianlei was so nervous that he had seen this. If he had encountered such a situation, he would have been in a state of silence.
"Director Jiang, the patient is in shock, what should I do?" nurse Zhao Yaxue asked anxiously.
"It's okay, it's just viral shock. I'm sent to the operating room and preparing for cholecystectomy!" Jiang Yurong said calmly after reading the examination report.
"Doing laparoscopy or traditional surgery?" Ruan Bin couldn't help asking. There are three surgical plans for cholecystectomy.
"You go and ask the patient's family and ask them to sign the surgical consent form."
"good."
Ruan Bin took a surgical consent form and then talked to the patient's family.
This family member is a woman, who should be the patient's wife.
"You are the patient's family, are you?"
"Yes, yes, my husband is okay?"
"He has acute cholecystitis and needs immediate surgery. There are three surgical options. The first is the traditional open cholecystectomy, the second is the small incision cholecystectomy, and the third is the laparoscopic cholecystectomy. Which one do you choose?" Ruan Bin asked.
"Ah? I don't understand this, which one is better?" the woman asked hurriedly. When she heard that she was going to have surgery, she was panicked.
"Of course, the third type of laparoscopy is the best, with a small wound and quick recovery. However, the operation fee is the most expensive, which costs 20,000 yuan. And this does not include hospitalization fees and postoperative medical expenses, as well as other expenses." Ruan Bin explained patiently.
The charges for lascopic surgery for cholecystectomy are different in each place. For metropolis like Modu or big hospitals, the charges are almost the same as 20,000 yuan.
If it is a second-tier city or even a third-tier city, some hospitals can do it for just over 10,000 yuan.
"Ah? So expensive!" The woman was obviously shocked after hearing this. The 20,000 yuan was just a surgical fee, not including hospitalization fees, postoperative medication recovery, etc., which means that the total cost in the end is definitely more than 20,000, or even 30,000 to 40,000 yuan.
Chapter completed!