Since 1981 Health School Chapter 527

  Chapter 527 The doctor is not urgent enough to support

   There are several reasons for the low number of emergency department visits during the day.

  One is that it is only the first day of opening, and the second is that all major hospitals are open during the day, and patients must choose outpatient clinics first.

  The third is that workers have to go to work during the day, businessmen have to do business, and students have to go to class, so there is no time at all during the day.

  Before changing, you had no place to go when you were sick at night.

   Unless you have a trauma and urgently need rescue, you can go to the hospital to be treated by a resident doctor, but a large number of internal medicine patients are left unattended.

   Now it's better. As soon as the emergency department of the People's Hospital opened, the problem of the difficulty of seeing a doctor at night for millions of people was solved at once.

   To put it bluntly, this is an exclusive monopoly business. Anyone who has studied economics knows that monopoly is the real huge profit.

  Not to mention the medical fee and operation fee, the registration fee is 50 cents during the day, and 1 yuan for emergency treatment at night, which alone doubles the price.

  In addition, when you come to see a doctor during the day, you will feel distressed when you prescribe a box of medicine, and you have to bargain for a long time for a blood test.

  But I went to the emergency department at night, and the pain was so tormenting that you couldn't bear it. You can prescribe two boxes of medicine or three boxes of medicine, and do whatever you want to do. Anyway, as long as the doctor can relieve my pain.

   Then the doctor's pen is so crooked, and a few boxes of medicines are randomly filled on the prescription paper, the patient will have to pay more, and the hospital will be able to generate more income.

   To put it bluntly, it's all business, but to put it bluntly, it's all profit.

   It was only 5:30, half an hour had passed.

  The emergency room is already full of people. The doors of the outpatient clinics of internal medicine, surgery, orthopedics, pediatrics, and ENT are full of people, and the corridors are full of patients queuing up to see a doctor.

   There are only 10 beds in the emergency room, and 8 people are already rescuing them.

  The little nurse on duty in the infusion room is busy doing skin tests, static dosing, and infusion, and each patient is waiting for the injection.

  On the way from the back door of the emergency department to the laboratory and imaging department, there are patients coming and going, busy to check up one by one.

  The sudden burst of patients, together with the groans of patients, the comfort of family members, the cry of rescuers, the sound of nurses calling for help, and the sound of machines ticking, made the emergency department more lively than the vegetable market.

  At this time, Yi Zewen was busy rescuing a surgical patient, doing debridement and suturing.

  The head nurse Shou directed the young nurses to complete the doctor's orders, and even the head nurse Shou himself ended up in person later, it was really too busy.

  There are more than 30 people in the emergency department, none of them are vacant, and all of them are devoted to clinic and rescue.

  As the saying goes, the more anxious the heart is, the wetter the wood will be. As time goes by, even though the doctors and nurses have used all kinds of martial arts and full power, the number of patients has not decreased, but more and more.

   The emergency ward of the Vietnam People's Hospital is not big, and the patients who came to see the doctor had to start queuing up.

  Unable to stand up in the room, they had to wait outside the emergency department, all the way to the main road at the door, which surprised the passing citizens.

  Many citizens are still quietly asking, is there any hot commodity for sale?

  Lan Lijuan gets off work late, because several experiments of the Helicobacter pylori research group have reached a critical moment, so she has to finish sorting out the data before leaving.

  Anyway, when she got home, Mao Xiaolian had already cooked dinner, and the twins were watching cartoons or reading books under the care of her aunt, so she didn't have to worry about anything.

  When she was riding a bicycle past the entrance of the hospital in the evening, she found that the main road to the east of the hospital was full of people.

  Doctors' nerves are very sensitive, especially the direction of the queue is the "Emergency Department" where the huge light box advertisement is located.

  Lan Lijuan has heard her husband say that the emergency department will be very busy at night, and it will explode.

  So Lan Lijuan hurriedly put the bicycle in the reception room, "Uncle Wang, what's going on over there?"

"Hey, they are all doctors. I just went to see the doctor. There are too many people in the emergency department. Everyone can only line up. No, the line is on the main road. This is really strange. Where do so many patients come from?"

  The gatekeeper, Uncle Wang, has lived for so many years, and it was the first time he saw so many patients coming to the hospital at night, and he was stunned for a while.

  Lan Lijuan parked her bicycle and picked up her briefcase:

   "Uncle Wang, I'll go over and have a look. You can look after the bicycle for me. By the way, has Dean Chen's Santana started yet?"

Chen Qi and Lan Lijuan do not commute together. Generally speaking, Lan Lijuan goes to work earlier and leaves later. In addition, the People's Hospital is only 2 kilometers away from No. 77 Lu Xun Road. She prefers to ride a bicycle by herself. Be free.

   And Chen Qi will drive Santana to and from get off work. After all, he usually has more time to go out for meetings, so it is more convenient to have a car.

   "No, Dean Chen's car is parked behind the yard. I can help the dean keep a close eye on it and make sure that no one will cause damage."

  Lan Lijuan was relieved when she heard that Chen Qi was still in the hospital, thinking that her husband must be helping, so she also hurried to the emergency department.

  Lets put it this way, Lan Lijuan went to the emergency room with a lot of effort, because the door was crowded with patients and family members, and everyone was waiting anxiously.

  Suddenly saw a woman wanting to "jump the queue", of course the people in the queue were not happy:

   "I said, this lesbian, can you get out of the queue when you come to see a doctor?"

   "That's right, a little bit of quality, okay?"

   "Hey, hey, talking about you, this lesbian, why are you still squeezing in?"

  Lan Lijuan really couldn't laugh or cry, she hurriedly explained: "You guys misunderstood, I am a doctor in this hospital, and seeing so many patients, I wanted to help."

   "Yo, it's a doctor, sorry!"

   "Come, come, everyone, give way, the support doctor is here!"

  Lan Lijuan finally squeezed into the emergency department, and found that both the hall and the corridor were full of patients at this time.

  Usually seeing the "Mrs. Dean" coming, those winking doctors and nurses would have come to say hello, but today every white coat in the emergency department is in a hurry, and there is no time to flatter.

  Lan Lijuan walked quickly to the outpatient area, and saw that every consulting room was densely packed with human heads, and the entire table was covered with green medical records.

  When the doctor writes the prescription, the writing can only be described as flying.

   (So the doctor's handwriting is all flamboyant, and there are too many patients. How can I have time to write some beautiful calligraphy in regular script and running script? Of course, it is cursive script to the end.)

  Lan Lijuan walked to the door of the emergency room again, which was the busiest place because they were all critical patients. One patient probably had no heartbeat and was doing cardiopulmonary resuscitation.

   "Hurry up, come on, someone will do it for me, I can't take it anymore."

  Doing cardiopulmonary resuscitation cannot be described as a little tired. It is difficult for ordinary people to survive for 5 minutes.

  So every two or three minutes must be replaced.

  Later generations invented an automatic compression machine, which liberated human hands, but the family members did not know that once the machine pressed, it meant that the doctor had given up the rescue.

   Must be pressed by a doctor to be effective.

"I come!"

  When the little doctor turned around, he saw Director Lan, and was a little embarrassed for a moment.

  Lan Lijuan is actually about the same age as a little doctor and a nurse. She is only 26 years old this year, but she is the head of the department and the wife of the dean. She has a special status.

   "Director Lan, this, this..."

   "Don't do this and that, you should rest quickly and take over from me later."

  After speaking, Lan Lijuan put the briefcase aside, crossed her hands, and squeezed away the little doctor to rescue her on the spot.

  Guo Yuanhang, the old Comrade Guo, passed by the emergency department before get off work and saw the emptiness inside, so he felt anxious and uneasy.

  So even when I go home and watch cartoons with my grandson, my mind is still restless.

   "Old woman, you guys have dinner first, I have to go to the hospital to see."

  After speaking, Lao Guo didn't wait for his wife to answer, he picked up his coat and went out. He wanted to see if there were more patients in the emergency department at night. If there were no patients, he had to think of a way.

   As a result, he was still walking halfway when he saw that the main road under the light box was full of people, and he was shocked.

   Leaders are afraid of mass incidents. Even Lao Guo is not immune. At that moment, he has already thought of countless possibilities. The biggest possibility is that the emergency department died on the first day of opening?

  So he quickened his pace, and his face had become extremely ugly.

   As a result, when I got closer, I saw that there were no angry people, no white banners, and some were orderly queues.

   Well, it's a shame to say that it's orderly, and there are several fights erupting over the issue of queuing and cutting.

   But at least Lao Guo could see that these people were not making trouble, but queuing up to see a doctor. Now his mood suddenly became beautiful, and his eyes became brighter.

  He silently walked along the line, and then silently calculated in his heart, not counting the patients in the emergency room, there were already more than 100 people queuing outside.

  The first reaction in Lao Guo's mind was: get rich.

  Forgive him for having this kind of thinking. After the marketization of XX, Lao Guo has been driven crazy by funds, and all he thinks about is money.

   So excited, Lao Guo rushed into the emergency department, and was caught by the head nurse Shou before he entered the door.

   "Guo Shuji, you came at the right time. There are not enough manpower now. Can you help to go to the surgery clinic for a while? There are not enough two doctors."

  Old Guo raised his eyebrows when he heard it: "Okay, help me get a white coat, there are so many patients, hehehe, by the way, is Chen Qi here?"

   "Here, white coat, Dean Chen? Didn't see anyone."

   "What? The emergency department is so busy, this kid won't come? Huh, it's against him. Hurry up and send someone to find him, and let him, the chief dean, come to serve the people immediately."

  The head nurse Shou gave Lao Guo a dark look, thinking that he is so busy now that he has no time to find someone.

  What is Chen Qi doing at this time? He took a nap happily and accidentally overslept.

   This is a small ailment of Chen Qi. It may be a bad habit formed by playing mobile games at night in his previous life. Anyway, it is impossible to sleep before 12 o'clock in the middle of the night.

   Then he especially likes to take a nap. When he was in Africa before, he would like to take a nap by the sea in the afternoon when he had nothing to do. If no one called him, he would always sleep through it.

   No, Chen Qi originally planned to mic for a while, but he couldn't get up after mic.

   When he woke up, he found that it was already dark, "Oh, it's over, it's over, and I overslept again, why didn't He Jia, the manager of this hospital, come and call me."

   Poor family, He Jia, a little girl, dare not disturb the dean to take a nap, not to mention the little girl rushes off work as soon as 5 o'clock.

   After Chen Qi washed his face, he ran to the emergency department before he had time to eat dinner.

  After all, he also felt apprehensive, although he was 90% sure that the emergency department would be "booming".

   But the world is impermanent, what if the patients in the 1980s don't play their cards according to the routine? What if the patient doesn't come at night?

  The emergency department is related to the hospital's income generation and financial pressure relief, and it is even more related to the face and prestige of his new director, which cannot be lost.

  The hospital office is located in the northernmost part of the hospital, and the emergency department is in the southernmost part. Chen Qi bypassed the inpatient department, and when he walked to the laboratory and imaging department, he found that it was already full of patients waiting for examination.

  Even the people from the General Affairs Department are stepping up to install street lights halfway to make it easier for patients to see a doctor at night.

  Seeing so many patients, Chen Qi felt instantly settled, and excitedly clenched his fists. It was done, and the emergency department became a hit.

   Sure enough, as soon as he entered the emergency department, the busy scene inside was exactly the same as that of later generations.

  Perhaps in terms of "average population density", it is higher than that of later generations. After all, the emergency building of later generations has several floors and is very grand, but now it is just a simple two-story building.

  Chen Qi first came to the hall to check the queuing situation, but unexpectedly discovered that Zuo Liwei, the new chief of the medical department, was personally guiding doctors and triaging patients.

   Section Chief Zuo saw that Chen Qi had arrived, and wanted to flatter him, but before he could say anything, he was surrounded by a large group of patients asking questions.

  Chen Qi waved his hand, indicating that he should be busy first, and then ran to the emergency room to have a look.

  In the emergency room, Lan Lijuan has taken over the temporary command and is busy prescribing medical orders.

  Chen Qi was a little surprised, thinking that this wife is really desperate to work, but what to do with two children at home, so he hurried over to "question":

   "Hey, Lan Lijuan, aren't you from the Department of Gastroenterology? Why did you come to the emergency department? What time is it? What about my son and daughter?"

  Lan Lijuan gave her husband a white look, and quickly issued an oral doctor's order to the nurse:

"Epinephrine 1mg bolus injection, and 300mg amiodarone dissolved in 20mL glucose solution for rapid bolus injection, and then 1mg/min to maintain intravenous infusion, Chen Laoer, if you have time, hurry up and rescue the 2-bed patient, just sent Yes, heart failure."

  Chen Qi felt distressed and impatient when he saw his wife who was too busy to touch the ground. He grabbed a little nurse next to him and asked:

   "Where's Yi Zewen? Where's Zhang Xing? Why didn't you see them?"

   "Dean, they are rescuing several trauma patients in the nearby operating room. Everyone is busy. The blood pressure in the second bed of the dean is only 80/40. What should we do now?"

  Chen Qijiang ran over to look at the electrocardiogram beside the bed, and after doing a physical examination, he immediately gave the doctor's order:

   "Immediately give the patient intravenous injections of lanatoside 0.4mg, furosemide 20mg, dexamethasone 5mg, diprophylline 0.3g, and at the same time add 10mg of phentolamine to 250ml of 5% glucose solution and continue the infusion."

   Well, there are not many people, and Dean Chen has also been recruited.

  (end of this chapter)

Chapter end