Chapter 1: The Office's Unspoken Rules...
Two blackboards from top to bottom, with oily pens recording the patient's name, gender and surgical content for each operating room. Yang Zongbao found himself arranged in the middle observation operating room. That is a thousand-level laminar flow operating room, the air above the operating table is extremely clean, unless it is a major operation or an introduction by a leader, that operating room will not be used. Because the cost of opening a room is very high. The cost of opening a room is 200,000 yuan, and one operation can't even pay for the electricity bill of this room, so yesterday Yang Zongbao was already very satisfied with being able to perform two operations in that room. Some doctors may not enter that room once a year. Today, he was arranged again in that room to do a gastric cancer anesthesia, which is too wasteful.
But the leader arranged it, just do it yourself, and you'll get a salary of 500 yuan per month for two months. The miserable life of a resident doctor. Resident doctors live in the hospital, as the name suggests, they are on call 24 hours a day. It seems that I will have to give up the house I just rented for a month, anyway, I couldn't afford the rent. Yesterday there should be two meal tickets, this hospital is also stingy. Lunch was only 5 yuan per box of boxed lunch because I am a contract worker. Didn't eat lunch and dinner, should have had two meals, today the head nurse will give me some, so tonight's dinner is solved.
Today I've scheduled surgery for myself, it seems that I won't be fired. Later I'll discuss with the director to see if I can sleep in the duty room. If agreed, I'll move in after work today.
Yang Zongbao walked to the outpatient department while thinking. It was 5 o'clock in the morning, and there were no people except for a few nurses on shift change and scattered relatives of patients wandering around, only Yang Zongbao was left.
The patient undergoing surgery today is in ward 21. When Yang Zongbao entered, the patient and his family were chatting, and they stood up when they saw Yang Zongbao enter.
Because the anesthesiologists in the operating room usually wear scrub shirts under their white coats, not their own clothes, similar to old men's undershirts. So the recognition is very high.
"Haven't eaten yet?" Yang Zongbao asked.
"No." The patient replied from his bed.
"Let me take a look." Yang Zongbao placed the middle finger of his right hand on the patient's Adam's apple, and his index and ring fingers were respectively placed on the top of the patient's clavicle at the base of the neck.
"Your trachea isn't in the middle, has it been injured before?" Yang Zongbao used his hand to explore and found that his organs were not like those of ordinary people in the middle. This method of measurement with one hand was a unique technique of Yang Zongbao's, not that other doctors didn't know about it, but they just weren't willing to put their minds to using it.
"Uh, no injuries." The patient's response was what Yang Zongbao had expected, as there were no obvious signs of external trauma.
"Do you usually take any medicine?"
"Take some anti-thyroid medication." The patient replied.
"Okay, rest well." Yang Zongbao asked and then left the operating room, found the patient's medical record at the nurse station, which did not indicate any thyroid problems. Looking again at the doctor in charge of the ward, a man named Jiang Han, he asked the little nurse who was recording on the computer: "Is Dr. Jiang Han here?"
"Have you gone blind?" The little nurse was really fierce, and Yang Zongbao choked before he could say anything. Is it that once a woman becomes a nurse, her temper changes?
"I..." Yang Zongbao intended to explain.
"Haven't you seen what time it is? Doctors don't sleep, who's like you, hanging around the hospital all day with nothing to do?"
Yang Zongbao was stunned, and the doctor who had been waiting in the hospital all day was not good? Has this world gone crazy? His own thinking couldn't keep up with the times. It took Yang Zongbao a long time to find his voice again.
"There are some issues with the 21-bed surgical patient, I want to understand the situation with his attending physician, otherwise it will affect the morning's surgery."
"What? Which department are you from?" The nurse finally looked up and gave Yang Zongbao a straight look.
"Anesthesiology department." Yang Zongbao still had a smile on his face, not that he wasn't angry in his heart, but getting angry wouldn't solve anything, so it was better to endure and be more harmonious.
"When did the anesthesiology department get new people, I don't know?" The little nurse saw the clothes inside Yang Zongbao's white coat and knew he was from the operating room, but she stubbornly found a way to save face.
"I've just arrived, sorry for the trouble."
Seeing Yang Zongbao's attitude was good, the little nurse reluctantly picked up the external phone.
Ding... ding...
The alarm at bed eleven in the nurse's station suddenly went off.
"You're sick, so early." The little nurse put down the phone she had just picked up, glanced at Yang Zongbao with an inexplicable look of triumph, and walked away.
Yang Zongbao also got a bit angry, but still stood outside the nurse station waiting.
The room number eleven soon transmitted a noisy voice. The little nurse who just came out with a flustered face, ran out while shouting: "Huang Juan quickly come out, something happened."
He picked up the phone and dialed a number.
"What's wrong?" It was probably Huang Juan, who had just called out from the duty room and walked out in her clothes.
"It's no good! The patient in bed eleven is suddenly having trouble breathing and complaining of chest pain." The little nurse was completely flustered: "I couldn't get through to Dr. Jiang Han on the phone."
"Then hit the director's, are there any other doctors?" Huang Juan took over the phone and dialed it up. The phone was quickly connected, and Huang Juan briefly explained the situation.
"Are there any other doctors? First come first served." Huang Juan should be a more experienced nurse, and her reaction was still relatively calm.
"It's all gone." The little nurse said with her head down.
"Isn't there one? Where is the doctor on duty?" Huang Juan asked hopefully.
"Not in." The little nurse's face turned white and was completely frightened.
"This is not the time to talk about this, go and stabilize the patient's condition first. Who is this?" Huang Juan, being an experienced nurse, quickly knew what to do to solve the current problem as much as possible.
"This is the new anesthesiologist in the operating room." The little nurse said hastily with a tone of apology.
"Doctor? That's good, as long as it works." Huang Juan said and grabbed Yang Zongbao to run.
What's the point of being useful? Yang Zongbao was at a loss for words regarding Huang Juan's behavior of grabbing strong men. But he had no choice but to follow along, as human life comes first.
When they arrived at the eleventh bed in the ward, Huang Juan forcibly drove out other patients. The only ones left in the ward were Huang Juan, a nurse and Yang Zongbao, of course, as well as the patient.
The patient was seen covering his chest and shrinking into bed.
"Stethoscope." Yang Zongbao stretched out his hand.
"What?" The little nurse didn't understand.
"Here." Huang Juan took out a thing from her pocket and handed it over to Yang Zongbao, and at the same time pulled the little nurse outwards.
"Call for cardiac surgery consultation. The patient has pericardial effusion." Yang Zongbao quickly made a judgment about the problem.
"What is pericardial effusion?" The little nurse next to her asked, "We are general surgery, how can we have patients with heart problems?"
What is called stupid material? What should be called if it's not stupid material? Can't understand anything and still want to be a nurse.
"Prepare a thoracic surgery package for me, the patient is estimated to be in critical condition soon." Yang Zongbao ignored the idiot nurse and spoke directly to Huang Juan, because in his eyes this old nurse was very useful and easy to work with.
"Okay, I'll get ready right away." Huang Juan turned her head to the nurse and said: "What are you standing there for? Go call a consultation for me now, we can talk about other things later."
"Yes." The little nurse didn't know why she particularly disliked Yang Zongbao. It seemed that if it weren't for him, she wouldn't have ended up in this situation. She hadn't realized at all that even if Yang Zongbao hadn't come, the patient would still have had pericardial effusion. This itself had nothing to do with Yang Zongbao. But the outcome would be very different; if Yang Zongbao weren't there, the patient would definitely die.
Yang Zongbao used a stethoscope to listen to the patient's chest for a while, then decisively inserted a 10cm long chest puncture needle into the patient's chest without anesthesia. Immediately, red liquid flowed out, and this scene was seen by the little nurse who had just returned from the phone call, she exclaimed: "Blood."
Because of her scream, the patient's family rushed in. Seeing Yang Zongbao drawing blood from the patient's chest, this was a scene that ordinary people could not understand. Rushing up without saying a word, they punched Yang Zongbao.
Yang Zongbao's face was twisted, but his hands didn't move. This wasn't a joke. The chest puncture needle was sharp enough to pierce bone, and if his hand moved even slightly, the patient's heart might be pierced. Now the tip of the chest puncture needle in Yang Zongbao's hand was between the heart and the membrane surrounding it, where there had been fluid earlier; any fluid would interfere with the heartbeat, so it had to be aspirated out for the patient.
The force of the patient's family member was actually quite sufficient. It wasn't that Yang Zongbao had enough strength or a sturdy body, but rather he was relatively slender. Why did he keep his hands still while being beaten? Because he knew there was a living life under his hands.
"What are you doing? This is a treatment." Huang Juan, regardless of gender, firmly restrained the patient's family members to prevent them from affecting Yang Zongbao's work.
Yang Zongbao's mouth already had a bloody taste. The punch just now hit Yang Zongbao's oral mucosa against his teeth. Soft flesh colliding with teeth, of course, bleeds. Yang Zongbao didn't show it, he just swallowed the blood into his stomach. Soon, 300 milliliters of bloody fluid was drawn out, and the patient's breathing situation improved significantly. At this time, Director Zhu Zeming of Thoracic Surgery came in, just in time to switch with Yang Zongbao.
Yang Zongbao smiled at Zhu Zeming and left.
Zhu Zeming did not immediately start diagnosing the patient, but instead took a glance at Yang Zongbao walking out and felt amazed again. How many more surprises would this young man bring to him? The diagnosis was correct, the treatment was correct, and the technique was correct. Such a person was worth his effort to cultivate, but before that, he had to see what kind of heart he had.
"Thanks for your hard work." Huang Juan came out to get medicine and took the opportunity to thank Yang Zongbao. Today's events could be big or small, if Yang Zongbao wasn't there, the patient would have died, and as a substitute nurse, she would have borne great responsibility.
"It's nothing. Can't that nurse be replaced?" This was the first time Yang Zongbao had the idea of replacing the nurse.
"This is hard to handle. This isn't something you and I can control."
Huang Juan's words are very clear, they have connections, there are people above them, it's not that you can just swap if you want to.
"Got it. If Director Hu or Dr. Jiang Han comes, please give me a call, it's about the surgical patient tomorrow."
"Uh-huh."
Yang Zongbao returned to the operating room empty-handed, covered in stinky sweat. He rushed to the bathroom to take a shower and changed out of the smelly clothes he had worn the night before. The hospital was fully air-conditioned, but being inside for a day was like taking a sauna. The smell was truly unbearable.
