Chapter 66: Is Ye Nan Still Calm?
Chapter 66: Will Ye Nan still calm down
Ye Nan unbuttoned the patient's clothes with a calm expression and asked the turtle director Xunbin to examine the patient. He looked at the turtle gently lowered his head and looked at the chest of the old lady on the bed, then touched the pulsation point of the heart beneath the shriveled and drooping breasts with his hands, stretched out his hands and gently buckled the heart boundary out of the heart, then picked up the stethoscope and listened according to the locations of the five heart valves.
Looking at the neat techniques of Director Turtle, Ye Nan sighed in his heart: Xunbin is still capable, and a set of diagnosis methods of heart vision, touch, knocking, and listening are indeed standardized, but I don’t know if the clinical experience is also sufficiently recognized.
After waiting for a minute, Xunbin listened to the heart, he looked at the monitor beside the bed, then raised his head and asked Han Ling: "What are the number of drops of sodium nitroprusside in the patient now?"
"10 drops/min!" Han Ling replied neatly.
"Accelerate the drop count of sodium nitroprusside. Now the patient's blood pressure can still bear it. Just keep her blood pressure to 90/60mmhg!"
Ye Nan looked at the patient's blood pressure and now it was maintained at around 95/65mmhg. No matter how much sodium nitroprusside is adjusted, it would be good to add up to 11 drops per minute. The difference in this drop has almost no effect. If you adjust it again, it is purely a way to take off your pants and fart it, and it will be a waste of time.
It seems that when you are abroad, you can practice some operational things well, and you are not too proficient in clinical practice.
Han Yan seemed to have seen the truth of the Turtle Director, but she understood very well in her heart. She did not raise this question, but quickly agreed. Anyway, let's adjust it. He is the director, so as long as it has no impact on the condition, he will listen to him.
Seeing Han Yan nodding and agreeing, the turtle director nodded, and was about to turn around and leave to see another patient, suddenly a strange look flashed in his eyes, and he quickly coughed again: "Well... Also, the patient needs to strengthen anti-infection treatment. The effect of cefoperazone sodium is not good, so replace it with Kaifulong!"
"Uh..." Han Ling was obviously stunned when she heard this, and she thought that the patient's cefoperidone sodium was used well in the past three days and the infection was well controlled. Why did she suddenly change the medicine? This Kaifuron is also a third-generation cefoperidone medicine. It has just arrived in the Second Affiliated Hospital. Although it is imported, it may be stronger than cefoperidone sodium, but it is not much stronger. Is this more popular abroad?
But she didn't think much about it. The director's instructions were still implemented, so she nodded and agreed! Director Turtle nodded with satisfaction, then turned around and walked towards bed 29.
Bed 29 is Ye Nan's patient. Seeing Ye Nan and a large group of doctors coming over, the family member smiled from a distance: "Doctor Ye, I just came for a checkup, and now I want to trouble you again!"
Ye Nan nodded and smiled, then signaled to the family: "This is our Director Xun, I'll check it out for your father!" Ye Nan took a step back and asked Xunbin to walk forward.
Ye Nan was still very careful about these details. Although he did not need to be afraid of Xunbin, he is now the deputy director of the emergency department and his superior doctor, representing the face of the department and the hospital. Even if he scolds himself in front of others, he will not make a joke of inexplicably confronting the superior doctor for these trivial matters.
After all, it is extremely taboo for all hospitals to confront the superior doctors, especially the director, in front of the patient, because the hospital has a very strict hierarchy concept. Confronting each other in person is equivalent to challenging the dignity of all directors and leaders.
Although Ye Nan was not afraid of these things, he had to think about his hospital. The hospital leaders were very good to him now, especially Professor Huang who supported him. Ye Nan was even more unwilling to let him lose his face, so he took the initiative to suppress his emotions. His personal face was small, but he must not make such a big joke.
So he took a step back and waited for Xunbin to walk forward and stood in front of the hospital bed. The patient's son quickly smiled and said hello to Xunbin: "Director Xun, please trouble you!"
Xunbin nodded slightly and expressed his response. Seeing that Xunbin stopped talking, Ye Nan began to actively report his medical records: the patient Zhang Zigen, male, 58 years old... was admitted to the hospital for more than ten days of coughing with chest tightness and shortness of breath for five days... The diagnosis was considered for "severe pneumonia"... "levofloxacin" and "cefoperone sodium" to fight infection, "aminophylline" to relieve spasmodic and asthma, "dopamine" to improve pulmonary circulation, etc. Now the patient's cough has improved compared to before!
After Ye Nan reported his medical records, he looked at the Turtle Director and smiled faintly: "Please seek the Director to check the instructions!"
"Hmm..." Xunbin nodded coldly, then watched Ye Nan untied the patient's clothes before starting a checkup.
A few minutes later, Xunbin raised his head after the examination, and Ye Nan quickly pulled down the patient's clothes. After all, it was only February now. Although the air conditioner was turned on indoors, it was still a little cold. If the patient with severe pneumonia caught a cold, it might worsen again.
Just as he was about to help the patient put his coat on, the family next to him quickly reached over and put his clothes on the patient and said with a smile: "Doctor Ye, I'll come and I'll do it there!" Ye Nan smiled, then withdrew his hand, waiting for Xunbin to give instructions to the patient.
Seeing that the family members were so polite to Ye Nan, Xunbin felt a little unhappy again. The family members just said hello to him, but they were extremely enthusiastic to Ye Nan. Could it be that my director is not as good as an ordinary doctor?
Speaking of Xunbin, it was also pitiful. At the time when he was abroad, he was a doctoral student who always followed his supervisor. In the face of his supervisor's scolding, no one took him seriously. He really felt inferior for two years. After returning to China this time, he relied on his name as a doctor of emergency medicine and his uncle's help, and became the deputy director of the emergency department of the Second Affiliated Hospital.
Thinking of his mentor's grandeur in the hospital, Xunbin felt itchy. Now that he got better, he turned over. In his thirties, he became a deputy director of a provincial-level hospital. It was rare. From then on, Xunbin believed that there were no tigers in the country, and that he was a returnee doctor, and he could also be reborn as a king.
Today, the slave turned over to become the director, so before going to work, Xunbin used gel water to wipe his hair off his hair. Even his eyes, who had just undergone myopia laser surgery, put on a pair of flat-glossed famous gold-rimmed glasses, dressing up the director's style.
The slave who suddenly turned over suddenly changed his mind and felt that his tail had risen to the sky and had no eyes. So as soon as he entered the department, his nostrils were facing the sky and he was full of energy.
He stood in front of the bed, and in the manner of a foreign mentor, he was waiting to stand opposite Ye Nan to relieve the patient's clothes. He was so angry that he didn't take action. When he was in the formation, he felt that the director was not taken seriously, so he scolded Ye Nan for a while.
I saw Ye Nan being scolded for a while and seemed much more respectful, so I let out a sigh of relief. However, the patient's family was actually more enthusiastic towards the doctor than to the director of the department, and now I felt unhappy again.
Xunbin didn't think about it. He greeted him enthusiastically, but he just snorted. He would stick your cold butt with a hot face. Ye Nan has taken care of this patient these days, so of course he is very enthusiastic about Ye Nan.
However, Xunbin was not at the moment, so he had to scatter his breath again on Ye Nan, showing his authority in front of the patient's family's face, and scolded Ye Nan with a stern voice: "What are you doing? The patient has been in for a few days, and there are so many rhizomes in his lungs. Antibiotics are all used for low-level drugs. How can the patient be cured like this? How do you, a doctor?"
When Xunbin was scolded, everyone was stunned. Han Ling and Zhang Ying followed behind them all frowned. Why did Xunbin speak like this? Even if Ye Nan used the medicine wrongly, he could only make suggestions or private criticism and exchange. How could he scold his doctors in front of the patient for having problems with the medicine? If the patient seeks trouble in the hospital because of this, it would be a big trouble! Besides, according to the patient's situation, there is nothing wrong with taking the medicine like this, and the patient's condition has improved compared to before, how could he speak like this?
The patient's family was panicked when they heard this, but he was not worried that Ye Nan's medicine was wrong. His father had been treated here for two days, and the situation had improved significantly. However, the director said that the medicine was too low. What should I do? The money he prepared should be used first, and it should be able to last for another two or three days until his father's patient is stable before returning home. However, if this is a high-level medicine, I don't know if my money can last until tomorrow.
At this moment, the family members quickly laughed and said, "Director Xun, this is the case. Our family is not very wealthy. I have repeatedly told Dr. Ye not to use imported drugs. Besides, my father has been much healed. Can you just use the current medicine? This medicine is very effective. Do you think it can?"
Seeing the patient's family defending Ye Nan in such a way, Xunbin was even more angry. He had never been a director and had no view of the overall situation at all. He would not care about other things. He just wanted to criticize a lower-level doctor for taking medicine. Do he still need others to interrupt?
I ignored the family and went crazy at Ye Nan and said, "The family members ask, just listen to him? Are you a doctor or a doctor? If you are a doctor like this, what qualifications do you have to work in our hospital? For an irresponsible doctor like you, I will advise the dean to fire you in the name of the department director!"
Ye Nan looked at Xunbin calmly and frowned gently. He was wondering how such a person got into the deputy director...
Chapter completed!