Chapter 204 Don't let him screw up your mentality(1/2)
In the doctor's office, Lu Cheng was editing the medical records of bed 1.
Although Min Hong said that Lu Cheng was now in charge of the 1st bed, he did not need to handle the patient's medical orders and medical records himself, and could let Ji Mo do it, but Ji Mo was his senior brother after all.
Sometimes things explained by superiors do not have to be so serious. Now that he has gone to the operating room to mine at the end of the season, Lu Cheng naturally has to do everything he should and can do.
A patient transferred through consultation needs to have a transfer record from the original department and a transfer record from the current department. The transfer record records in detail her diagnosis and treatment process in the endocrinology department, as well as the consultation records in the orthopedics and infectious diseases departments.
The drugs recommended to continue to be used are also standard quadruple anti-tuberculosis drugs: rifampicin, isoniazid, ethambutol and pyrazinamide!
However, after transfer, the doctor on duty also implemented the anti-tuberculosis treatment plan according to this standard.
However, Lu Cheng did not continue with this plan. You must know that Lu Cheng's current experience in treating post-fracture infection is expert-level, and post-fracture infection is a broad category, including tuberculosis infection.
Although there are differences between post-fracture infection and primary joint infection, there is a certain connection between the two.
Therefore, Lu Cheng adjusted the patient's medication plan based on his own experience and depth of understanding of drugs!
Adjust to triple anti-tuberculosis regimen: isoniazid, rifampin and ethambutol.
The four-link solution is not used directly!
Instead, pyrazinamide was temporarily kicked out. As a second-line anti-tuberculosis drug, pyrazinamide is generally used for anti-tuberculosis treatment that is ineffective or has developed drug resistance.
Of course, in order to ensure accuracy, Lu Cheng also evolved the drug treatment effects of quadruple and triple combinations in combat scenes.
Pyrazinamide seemed a bit stupid during the battle. Although it looked very powerful and very lethal, in fact it had been killed by the other three drugs before it arrived on the battlefield.
Therefore, during this process, Lu Cheng came to the conclusion that the effects of triple drugs and quadruple drugs are almost the same.
So, if you can reduce the use of one drug, it is best to reduce the use of one drug!
With the assistance of combat scene skills, Lu Cheng can maximize the effectiveness of the anti-tuberculosis drugs entering the patient's body, which can save the cycle of anti-tuberculosis treatment and reduce the time of pre-operative anti-tuberculosis treatment.
Lu Cheng has now been given the right to supervise bed 1 by Min Hong. Therefore, no one else has interfered with all the medical orders for bed 1. Including the head nurse, they have also made it clear to the nursing team. Maybe bed 1 will be monitored.
There are often changes in doctor's orders, so nurses can cooperate more.
…
A week later!
The end of April and the holidays in May are over.
The new month has finally arrived.
The Fourth Ward of Orthopedics once again welcomed new faces.
The superior doctors are still the same old men, but the bedside doctors have undergone major changes.
Ji Mo is a student of Professor Min Hong, so he is still stationed at the Fourth Department of Orthopedics. Deng Zhi came to study because Professor Min likes to teach, so there is no change.
Chen Guoer from the burn department only had one month to rotate in the orthopedics department, so she had already gone to the spinal surgery department this month. Gao Bo and Fan Cheng, on the other hand, left the fourth department of orthopedics and slipped into the second department of orthopedics.
That’s what it’s like to be a resident doctor, it goes round and round.
Similarly, Professor Min Hong’s group in the Fourth Ward of Orthopedics has also welcomed a new member.
Liu Qingyun, a professional graduate student in general surgery, is currently in his second year as a graduate student and is preparing to enter his third year.
A graduate student in the Department of Orthopedics is from the Department of Orthopedics, named Xia Guangming.
There is also a professional graduate student in spine surgery, Penno. Although spine surgery is independent of orthopedics, within the standardized training system for residents, it still follows the rotation plan of orthopedics.
In the morning handover class, after Min Hong briefly explained the rules, he asked Professor Hu to take his bedside doctor for ward rounds.
Min Hong led his team into the teaching and research room.
After introducing all the newcomers one by one, Min Hong and others remembered everyone's faces and said: "First of all, welcome everyone to our fourth ward of orthopedics."
"Xia Guangming, are you a graduate student in our Department of Orthopedics?"
Xia Guangming said: "Yes, Professor Min, I am a student of Professor Liu Minqin from the Department of Orthopedics."
"You are a graduate student in our Department of Orthopedics, so you will be in charge of four beds first, from beds 19 to 22. Deng Zhi, you will be in charge of beds 23 to 25 this month."
"Peng Nuo, you will be in charge of beds 26-29. Liu Qingyun, you will be in charge of beds 30-32."
"13 beds - 2 beds will be in charge at the end of the season."
"Ji Mo and Deng Zhi have been in our department for a long time. If you have any questions, if you can't find Mr. Lin Hui in the hospital, you can ask them. You can also ask Xiao Lu from our department.
"
Xia Guangming and others nodded and looked at Lu Cheng, Deng Zhi and Lu Cheng. They immediately remembered these junior doctors.
If nothing is wrong, it would be a shame if the chief resident did not ask them. If he still asks the chief resident questions, he might as well ask a doctor of the same level...
After Min Hong once again explained the general rules of the four orthopedics departments, he asked Lin Hui to lead the team. He mainly told the new doctors how to make medical orders, how to arrange routine surgeries, and how to deal with these problems.
After talking eloquently for more than ten minutes, Lin Hui walked out again.
The chief hospital officer is here to set the rules.
After the superior doctor finally left, Xia Guangming breathed a sigh of relief and said: "Brother Mo, it's too scary. Professor Min is really as scary as the rumors say. One small lecture and one teaching round a week, if it weren't for me
I can’t get into the first department of orthopedics this time, and I really don’t want to go to the fourth department of orthopedics.”
"Brother Ji Mo, you have to protect me."
Xia Guangming and Ji Mo are in the same grade. Before entering clinical practice, they attended classes in the same classroom, so they are very familiar with each other.
Pen Nuo also quickly took out his mobile phone and said: "Brother Ji Mo, Senior Brother Xia, I am Pen Nuo from the spinal surgery department. You can just call me Xiao Peng. I will add you as vx. If you have any questions in the future,
, I’m here to ask you.”
After hearing this, Ji Mo said: "Don't be polite, everyone. We are all brothers when we come in. I will first create a small group, which is our private group. If you need help, just talk in this small group."
"
While talking, a breakfast mutual aid group for May was established at the end of the season, and Xia Guangming, Lu Cheng and Deng Zhi were immediately involved.
"This is a small group. Everyone can order whatever they want. If you want to complain, you can talk here. We won't complain. In addition, if you can bring breakfast on the way here, we can help each other."
"Qingyun, you also come into the group. Brother Zhi, scan the QR code for Pennuo. In the next month, there will be many places to help each other."
When Pennuo heard what Ji Mo said, he immediately breathed a sigh of relief: "Senior brother Ji, I feel relieved when I hear what you said. Before I came to the orthopedics department, my senior brothers all told me that the fourth ward of the orthopedics department was very scary."
"But now it seems like that's not the case, right?"
How to answer this question?
Ji Mo touched his head and said: "Aside from being a little tired in the fourth department of orthopedics, in fact, the improvement that everyone can get is quite big."
"I want to tell you something here. It is the teaching rounds on Tuesday and the small lecture on Thursday morning. Everyone must come on time. Otherwise, Professor Min will be angry. At other times, everything is actually fine.
.”
"I know, I know."
"I understand."
"Tuesday morning, Thursday morning, right? There's no problem." Liu Qingyun was trembling a little. He found that besides himself, everyone here was an insider of the Department of Orthopedics.
If you make a mistake, your teacher, Professor Min, may not be familiar with you, so why not take it personally?
So, Liu Qingyun touched Lu Cheng who was standing next to him, and secretly took out a pack of blue Pure Realm from his pocket: "Brother, do you want one?"
Lu Chenghan smiled and waved his hand to refuse: "Brother Qingyun, I don't know how to do this. You can do it yourself."
"Brother looks kind-hearted, are you from Xiangxi?" Liu Qingyun asked.
"Well, yes, I am from Long County. Brother Qingyun is also from Xiangxi?" Lu Cheng was recognized at a glance and instantly felt that he had met a fellow villager.
"I'm a native of Shashi. I got my undergraduate degree in Jishi, so I'm familiar with it."
As he spoke, he took out another pack of betel nuts, threw one into his mouth, and asked, "Can we use betel nuts?"
Lu Cheng continued to decline politely.
Liu Qingyun did not dissuade him. The betel nut in his left hand and the smoke in his right hand dispersed one by one.
Then Liu Qingyun finally only gave Deng Zhi a cigarette, and the two of them put the cigarette into their trouser pockets knowingly.
This is where you found your smoking mate!
It's a pity that I haven't found any like-minded people in Betel Nut.
As the saying goes, add betel nut and smoke, and you will have endless happiness.
…
Teaching rounds have finally begun!
"Liu Qingyun, what do you think of this patient?"
"Penno, do you know this patient's diagnosis?"
"Xia Guangming, you are a graduate student in our Department of Orthopedics, you must know that, right?"
On the spot, Liu Qingyun and others were brought to a standstill.
No warning, no preparation.
In particular, Liu Qingyun, a non-orthopedic graduate student, became the vanguard. He was the first to ask what he knew.
To be continued...