Doctor of Healing

"Uh……"

"Not to mention the suffering of the patient, the failure of the doctor, the hospital has to lose money, and in the end only the cosmetic and plastic surgery hospital is cheap." Meng Qingfei said, "This is all clinical experience, learn from it."

"Learn what?"

Is it okay to not work?Ji Xiang thought to himself.

"Of course, be careful. Removing the stitches is a small task. If it is on the arms and legs, I will remove it. It is not a fibroid on the chest, so you should be more cautious."

Chapter 168 One in and one out

"The clinical situation is like this, let alone ordinary people's awareness of diseases and diagnosis and treatment is about zero. Even if it is an old doctor, what can happen? It should be an accident." Meng Qingfei said.

"Teacher, is there anything else?"

"Of course, don't think that you are very powerful." Meng Qingfei looked at Ji Xiang and said directly, without thinking that Ji Xiang would think too much.

Ji Xiang smiled.

The system NPC also said similar words.

"Some time ago...the pediatric emergency department of our hospital stopped, did you know that?" Meng Qingfei suddenly changed the subject.

"I don't know, Teacher Meng."

"There are fewer and fewer paediatricians. It takes a lot of trouble to support a paediatric department and a neonate. The severe paediatric department has stopped. There is no way. Then again, there is a patient who comes to see a doctor with a child."

There is still a difference between Meng Qingfei and Zhao Zhe. Although he will stray from the topic when he talks, he always takes the topic back as soon as possible.

Except for the dirty white clothes, the other points of this person are not bad, Ji Xiang thought.

"The 30-week-old newborn was brought by the county hospital below with a 120 ambulance. I issued a hospitalization order and went straight to the hospital. I was afraid that it would be difficult to explain if there was no doctor in the middle of the accident, so I followed."

"What happened afterward?"

"30-week premature infant, the infant develops progressive dyspnea, moaning, cyanosis, and three concave inspiratory signs within 4 to 12 hours after birth. Let me test you, what disease is diagnosed?"

"Neonatal Respiratory Distress Syndrome." Ji Xiang replied directly without thinking.

"Not bad." Meng Qingfei nodded, Ji Xiang's basic knowledge was indeed solid.

Although this is a simple question, it is not bad that doctors who are not specializing in pediatrics can answer half of it.

"The treatment of neonatal respiratory distress syndrome requires a drug, pig lung phosphate injection. The commercial name of this drug in our hospital is Guersu, 5300 pieces."

"Oh." Ji Xiang has no concept of money. It doesn't matter if he adds more than 5300 or one or two less.

Seeing Ji Xiang's calm face, Meng Qingfei was slightly taken aback, but didn't think much about it.

"While sending the children to the neonatal ward, I first gave them a vaccination and said this medicine."

"You know, if doctors from two different systems say it, the patient's family will accept it a little more. This medicine is too expensive, and it's actually not good. It doesn't take much in a year, and the manufacturer is taking the natural flow."

Meng Qingfei explained that Ji Xiang probably knew what he meant.

"Is it used at home later, is the child okay?" Ji Xiang asked.

He estimated that Teacher Meng was telling himself such a clinical experience.

"No, the patient died the next day before I got off work."

"!!!"

"Because Guersu is expensive, so the patient's family discussed it. I don't know which second-tier doctor to call, but they said that the hospital can't have such expensive medicines!"

"Just, it's useless?" Ji Xiang was surprised.

"Well, it's useless." Meng Qingfei said flatly, "Just because of the doctor's words, the patient's family refused to take the medicine, and the child died."

"What I'm telling you is the same reason that I don't remove sutures from patients." Meng Qingfei said seriously, "Nowadays, there are many branches of clinical departments, and it is impossible to describe them as separated by mountains. Every department is separated by a mountain. understand."

Ji Xiang was stunned and nodded.

"That's what it means." Meng Qingfei said with a smile, "Don't say anything else, the nurses in our hospital have children, and how many are delayed with neonatal jaundice?

"Mr. Meng, I understand."

"If you have nothing to do, come and have a look. If you can handle some small stitches, I'll take you to do them first." Meng Qingfei felt that he had given Ji Xiangtian a great favor, and said very cautiously, "You can sew it yourself when you're done. ."

Ji Xiang didn't explain how well he did the operation, and bowed slightly to express his gratitude.

"Don't say that. I was off work a few days ago, and I went to the imaging department for something. They said something that made me dizzy."

"A postgraduate student in the imaging department, a doctor from my own family, I don't know who went through and stayed." Meng Qingfei said, "It has been three years since the license examination."

"Uh, not really."

"The point of my confusion is that I don't even know that doctors in the imaging department also have to take a practice certificate. If they want to have the right to diagnose, they must have a practicing doctor. Otherwise, they are a technical post. The doctor's medical film has a clinical graduation certificate."

"..."

Ji Xiang was also a little dizzy.

Four and five years of imaging medicine are not the same.

"Furthermore, that child could pass the postgraduate examination, but he failed the examination for practicing medicine. It is no wonder that the postgraduate examination may be imaging, and the examination for practicing medicine is mainly clinical."

"Say [-], say [-], you must be cautious." Meng Qingfei said very seriously.

"Thank you, Mr. Meng." Ji Xiang understood Meng Qingfei's very confusing words, and knew that he was good to himself, and sincerely thanked the emergency doctor.

"I'll tell you another story."

There are relatively few patients in the emergency department today. Meng Qingfei said he is addicted, and he has great energy to be a teacher.

"My buddy, in the imperial capital." Meng Qingfei said with great interest, "When he was studying in cardiothoracic surgery, he encountered a patient who had post-operative flatulence and his stomach was bulging."

"The relationship between anesthesia?" Ji Xiang asked.

"Listen to me." Meng Qingfei didn't answer Ji Xiang's question, and continued, "I haven't had a bowel movement for many days, so there must be no mechanical ileus. Hot compress, massage, Kaisailu, Neostigmine, gastrointestinal decompression, anus Pipe exhaust, I have used all the methods that can be used, but it still has no effect.”

"What if you were?"

Go to the system space to find the system NPC, Ji Xiang thought to himself.

There must be a way for the system NPC to be.

Meng Qingfei didn't wait for Ji Xiang's answer, he said with a smile, "This disease, the hospital where he studied can't do anything about it, and my buddies are dumbfounded."

"Huh? Why? I feel that the top tertiary hospitals can't cure all diseases." Ji Xiang said after thinking.

"No, my buddy will cure this disease. He thinks it's very simple, so he doesn't dare to say a word of nonsense. After waiting for a day, the director was anxiously standing in the doctor's office and scolding people."

"He can?"

"Of course, there are also formulas - one in and one out, apply medicine to clear the intestines."

"What's in and out..." Ji Xiang felt that Teacher Meng was driving with him.

This is too boring!

But Meng Qingfei didn't have a smile that men could understand, but said seriously, "Xin Si Ming."

"Mr. Meng, Xinsidiming you just said, and it seems that this medicine is not produced by the manufacturer because it is too cheap." Ji Xiang said.

"Also, it's just less. Let me ask you, how do you use Neostigmine?"

"Intramuscular injection and intravenous push are fine, mainly intramuscular injection."

"What about the Zusanli injection?"

"..." Ji Xiang was startled.

He knew about Zusanli, but he had no idea what Zusanli injection was.

Chapter 169 The emergency room repaired by the faucet

Meng Qingfei looked proud, "I don't understand, right? Actually, I don't understand either."

"My classmates are from the county hospital of traditional Chinese medicine, and they are good at integrating traditional Chinese and western medicine, so Zusanli injection is just a very common small application for them. But in the imperial hospital, including the director, no one has seen it."

"I go!"

Ji Xiang was really stunned.

He never thought that the doctors of the lower-level hospitals could teach the professors and directors of the large-scale tertiary hospitals in the imperial capital a lesson.

"I didn't expect it." Meng Qingfei said, "So I always thought that little doctors should not be taken lightly."

He has the energy of being a good teacher, and it is a bit like the system NPC. Ji Xiang doesn't know if it is only for his single skills or AOE skills.

"Zusanli gave Xinsidi Ming half an hour later, the bedpan was stuffed in, and Gucci Gucci was done."

"Teacher, do you mean Gucci?" Ji Xiang was a little surprised by this homonym.

"It's just that, don't you think it's a little strange that you care about things?" Meng Qingfei laughed, "I heard it was very strange for the head nurse to carry Gucci's bag for the first time, how could she carry such a strange thing? at work."

"Haha." Ji Xiang thought about it, it was indeed a bit similar.

"At that time, the doctors in the hospital in the imperial capital were shocked that they could still do this!"

"Really?" Ji Xiang pondered and asked subconsciously.

"You can go home and look for information. No matter where you work in the future, you have the opportunity to try it. Anyway, intramuscular injection of neostigmine is not against the rules. According to Chinese medicine, Zusanli is an acupoint, but in Western medicine, it is the place for intramuscular injection. ."

Ji Xiang felt that what he said made sense.

"Besides the doctor, patients and ordinary people must be strangers. So there is no need to be angry with patients. If I come to remove the sutures, I will do it only if I feel safe. If there is a slight problem, I will never touch it."

"Mr. Meng, what if I complain about you." Ji Xiang was a little worried.

"If you complain, just complain. Our emergency department has no bonus. If you dare to deduct my salary, I dare to jump off the building with the dean's child." Meng Qingfei said contemptuously.

"No, no." Ji Xiang said quickly, "Will you talk admonishingly, and then stop working for a while."

"Isn't that just right?" Meng Qingfei said, "Who would want to be on duty in the emergency department. I'm forty, and after a night of poor sleep, my hair fell out, and I soon became a standard chief physician. The director is sensible, don't worry."

Indeed, Meng Qingfei just mentioned the suspension of emergency pediatrics.

At present, emergency department, pediatrics department, and interventional department are the three major minefields in the hospital. As long as there is a choice, these three departments will not be selected to work.

No wonder Meng Qingfei was fearless, with a hob-like look on his face; no wonder Zhao Xiangming burst into tears at the department meeting that day.

Tsk tsk, Ji Xiang sighed.

"Today is really busy..." Meng Qingfei sighed.

Before he finished speaking, the phone at the nurse's station rang frantically.

Meng Qingfei raised his hand and slapped himself on the face.

"Old Meng! Prepare to rescue!!"

The nurse's roar came from next door, and at the same time there was the sound of slippers running in the corridor.

"Damn! Xiaoji, remember, you must not be idle. Here, this is the consequence!" Meng Qingfei stood up and habitually wiped his hands on the buttocks of the white clothes, as if he had just washed his hands.

"what happened?"

Meng Qingfei went out with a probe and saw President Wu of the Urology Department running in, with a panicked face.

"Mr. Wu, why did you come so quickly? The 120 ambulance called you? It's impossible. The 120 people are still here and haven't seen the doctor."

"Don't mention it, I'm so mean in the afternoon." President Wu said with remorse.

"Afternoon? What's going on?" Meng Qingfei asked in confusion.

"Professor Bao's operation was late today, and it's nothing to worry about. I followed him on the stage and took a look." Seeing that the emergency department was quiet, and the patient obviously hadn't arrived, Mr. Wu began to blame himself.

"After the operation, I changed clothes with Professor Bao. I also praised him when he changed to a new belt."

"Gucci's?"

Mr. Wu didn't know this stalk, and was startled when asked.

"Go ahead, how do you say it's up to the belt." Meng Qingfei waved his hand and brought the topic back.

"Didn't I show off a bit." President Wu said in frustration, "I saw that the belt head seemed to have moved, so I moved it..."

"and then?"

President Wu was silent.

"Look at you, come to my emergency department and talk half way." Meng Qingfei said disdainfully, "Believe it or not, the nurse already knows everything, maybe it's even worse. If you don't tell me, I won't listen. "