Chapter 148 Female patient suffering from domestic violence, first endoscopic surgery

Author: Jiangbian Yuweng

Chapter 148 Female patient suffering from domestic violence, first endoscopic surgery

"It hasn't started yet!"

Dr. Zou and Tang Li answered in unison.

The attending doctor's ward rounds are usually conducted after 7:40. However, it is not fixed and can be arranged flexibly according to the attending doctor's own schedule.

In principle, ward rounds need to be done once every morning.

Because there are only doctors on duty at night.

On the one hand, there are not enough manpower, and on the other hand, the doctors on duty are often low-level and lack experience and skills.

This will lead to situations where emergencies of some patients are not properly handled.

During the ward rounds in the morning, the attending physician can check and fill in the gaps to avoid further risk expansion.

"Well, then you hurry up and make rounds. The first operation will start at 8:30 in the morning. You may not rest in the middle, and you will complete all two operations today. At 4 o'clock in the afternoon, I will take three graduate students to do scientific research experiments.

, then it will be up to you to keep an eye on it.”

Many professors in various departments have teaching tasks.

Or just work part-time in the hospital.

In addition to leading their own projects and conducting scientific research, they also have to go to school to attend classes.

It will be very busy.

…

The two attending physicians acted separately during ward rounds.

Zhou Can followed Tang Li, a resident doctor, and three graduate students for ward rounds.

Dr. Zou took two senior residents to check the beds he was responsible for.

Doctors are responsible for all beds outside the hospital. Many interns only need to monitor two to three beds. Regular trainees generally monitor about five beds. Resident doctors who specialize in managing beds monitor ten to fifteen beds.

The attending doctor will be responsible for more beds, and one person may need to be responsible for about 25-30 beds.

It must be explained that the beds these people are targeting overlap.

For example, Zhou Can targets beds 21-25, and Jiang Xiaohua targets beds 26-31.

Their superior doctor Cheng Gang is in charge of beds 21-31.

Here you can find that the beds that the lower-level doctors are watching need to be watched again by the higher-level doctors.

However, as the level of doctors increases, the number of beds they are responsible for increases.

At the level of Director Dewen, you are often responsible for all the patients in the entire team.

At the director level, ward rounds are performed once a week. Some patients who are discharged quickly may not see the chief physician for ward rounds.

"Dr. Zhou, the number of patient beds in our group is not fixed. You just came here, so you may not know it."

Tang Li pointed at Zhou Can as she walked forward.

It is said that women have a very powerful sixth sense.

Maybe that's the case.

Tang Li must have felt that Zhou Can had a promising future, so she would not hesitate to lower her profile to befriend him.

"There are two attending doctors in our team, Dr. Zou and I. Normally, I check the ordinary beds in the team. Dr. Zou is older than me and has more experience. He checks the ICU ward."

The attending physicians in the group conduct ward rounds and carry out clear division of labor, which is conducive to assigning responsibilities to each person.

And it can better serve patients according to the doctor's personal ability and level.

Dr. Zou is about five years older than Tang Li.

I definitely need more experience.

The patients in the ICU ward are critically ill.

It would be safer for an experienced doctor to check the ICU ward.

"Good morning, Doctor Tang!"

Cheng Gang waited early in the ward under his jurisdiction.

When he saw Tang Li approaching with someone, he immediately said hello with a smile.

"morning!"

Tang Li seemed quite cold to him, she just responded casually and started to check on the patient in charge.

Cheng Gang looked at Zhou Can who was following Tang Li and couldn't help but feel complicated.

It can be seen that after Zhou Can was transferred to Director Wen's team, his treatment was quite generous.

This guy is really lucky. Why am I not so lucky?

Cheng Gang was really envious.

"Dr. Zhou, this patient underwent surgery this afternoon. Dr. Zou performed the operation. Her skull was fractured and it was deeply embedded. Fortunately, her brain was not damaged."

Tang Li took the initiative to introduce to Zhou Can the patients who were about to undergo surgery today.

The purpose is to let Zhou Can know what he is doing in advance.

Zhou Can discovered that the injured woman was in her thirties and had many bruises and bruises on her face and hands.

How did you get injured?

It feels like being beaten like this by domestic violence.

Her head wound has been bandaged with gauze. The nurse should come over two hours before the operation to shave her hair, cleanse the surgical site, and take basic physical signs such as blood pressure.

"How did you get hurt?"

Zhou Can couldn't help but ask.

"I just accidentally fell and got hurt."

The woman's eyes were a little evasive.

"This fall is a blessing among misfortunes, because according to the examination results, if it falls a little further, it may cause serious injury to the brain tissue. At the least, it may be paralysis or mental retardation. If it is more serious, it may lead to death.

Already."

Zhou Can didn't point it out, just told her the possible consequences.

You can't be so lucky every time.

Domestic violence only occurs zero times and countless times.

Generally speaking, parents and brothers cannot be so cruel.

It was most likely the woman's husband.

However, when Zhou Can was an intern, he was slapped down by the woman for interfering in such bad things. Therefore, he did not interfere too much.

Just click and stop.

This woman is in her thirties and is already an adult. She can only make her own decisions.

After investigating the woman with a skull fracture, we continued to investigate other patients in our team's responsibility.

After checking around, I found that the conditions of some patients were alarming.

But I didn't see the car accident patient who needed surgery today.

I guess he needs to stay in the ICU to save his life.

Some injured people are so seriously injured that they cannot meet the requirements for surgery temporarily and may need to stay in the ICU for a period of time. Save their lives first, and then perform surgery.

There is also a situation where the patient's injuries are extremely serious and the condition is complex.

To be on the safe side, doctors need to consult with multiple departments before formulating a surgical plan.

After the ward rounds, Tang Li prescribed some new medical orders and adjusted the medication of some patients.

After the treatment was completed, Zhou Can and others were taken into the operating room.

At this moment, the patient has been carried onto the operating table.

The anesthesiologist is carefully examining the patient.

Dr. Zou was watching with two residents.

"You guys are so fast!"

Tang Li said with a smile.

"There are only a few patients in the ICU. After checking, the three of us took the patients directly to the operating room."

Dr. Zou shrugged.
To be continued...