Chapter 7 Coping with ease (please collect, please read)

Author: Jiangdi Youbai

Chapter 7 Coping with ease (please collect, please read)

"Brother Hao, there was no emergency last night, right?" Wu Xie met Fang Hao at the entrance of the hospital and still asked enthusiastically, looking particularly cheerful.

Fang Hao was stunned when he heard this, and replied in a rather urgent tone: "Ah? There were no emergency patients yesterday."

After Fang Hao finished speaking, his eyes looked at Wu Xie, feeling quite guilty.

The two of them walked towards each other without stopping. Fang Hao said again: "Xiao Xia, I'm going back first. I didn't sleep well last night due to insomnia."

"Brother Hao, go and rest." Wu Xie paused, turned around and watched Fang Hao for a distance.

When they arrived in the department, Xu Rong and other nurses were gossiping. It seemed that the gossip was about 'Second Master Qin' and 'Second Uncle Qin' seemed to be a terminal problem. Everyone had different identities and different names.

Wu Xie can't take care of these noisy matters.

Entering the office, the chief surgeons in the department, He Ling and Liu Chengshan, were both there. Except for Wu Xie and Fang Hao, the resident doctor Zhong Yusheng and two medical assistants were busy in front of the computer.

Seeing Wu Xie coming in, He Ling and Liu Chengshan both said hello: "Xiao Wu is here."

"It's quite early today."

It was still early, only 7:40.

It's just that now, except for the director and Fang Hao, who is off the evening shift, everyone else in the pediatric department is here, so it's not too early.

Wu Xie dealt with it casually, and soon director Lu Junyin arrived in the department and at the door of the office.

He glanced at Wu Xie deliberately, and then ordered: "Check the room."

Zhong Yusheng and the two medical assistants stood up immediately. Wu Xie, He Ling and others were standing, filing out of the office door and waiting for Lu Junyin.

Lu Junyin put on his white coat, but did not wear a badge: "Everyone is here today, and there is no surgery. Let's slow down the ward rounds a little bit. We also learn to do some business learning in the department."

"Don't be afraid, we are not as formal as a big hospital. We just check for leaks and fill in the gaps individually." Lu Junyin added.

When Wu Xie heard this, his brows flashed, and he noticed with his peripheral vision that everyone's expressions had not changed at all, as if they had expected it.

I felt nervous secretly, Director Lu, this seemed like departmental business study, but was it actually to test me, right?

Although Wu Xie has a certain amount of knowledge, the experiences in the previous few years have left Wu Xie a little confused, but not panicked.

When Lu Junyin glanced at everyone, he still noticed the change in Wu Xie's demeanor, but he did not comfort him: "Let's go to the ward rounds."

If Wu Xie is as ignorant as he said, then no matter how much Wu Guonan drinks, it will be useless.

Bed 123 is under the supervision of Lu Junyin and is in charge of medical assistant Guo Lixiang. Guo Lixiang has just graduated from junior college for one year and is not even qualified to apply for the medical assistant qualification certificate. Now he can only hang out in the department.

However, at the age of twenty-two, his face still had a childish look. After entering the ward, he said with all his strength: "Director Lu, this patient has a fracture of the femoral neck. The county hospital said that his physical condition is too poor to allow surgery.

"

"It has been ten days since he was transferred to our hospital. His condition is now good and he is still being tractioned."

The patient was an old woman in her seventies, who was obese and had piles of fat on her belly. When she heard someone coming, she hummed: "Director Lu, please give me some good medicine to relieve my pain."

The family members who accompanied her cursed and said: "If the bone is broken, there is no pain medicine. I tell you to avoid food but you don't. Now when there is a problem, you come here to yell..."

"You are a diabetic and you still eat steamed buns, braised chicken feet, fatty meat, and whatever you can't eat every day. How are you doing now?"

The old man then continued to remain silent and just hummed: "Then it hurts..."

"The patient has diabetes and high blood lipids. Diabetes has caused changes in the retina and hearing. The edema of both lower limbs is severe, and he is overweight, so the risk of surgery is too high." Guo Lixiang continued to report on the medical history.

After Guo Lixiang finished speaking, Lu Junyin asked in the direction of Wu Xie: "Xiao Wu, how to treat a fractured femoral neck?"

Wu Xie was a little nervous when he heard the question, but quickly calmed down: "For femoral neck fractures, people over 65 usually choose total hip or hemi-hip replacement."

This key point is a must-take for practicing physicians and undergraduate final exams.

"If you are under 65 years old, internal fixation with cannulated nails is the best choice."

"If surgery is not possible, conservative treatment is the only option." Wu Xie felt that his answer was not good enough, but it was enough.

In the town hospital, you will never encounter such patients.

Wu Xie's answer was quite satisfactory, not to say surprising, but at least it was not as unlearned as rumored.

"What types of medications are used when treating diabetes?" Lu Junyin continued to randomly select a question.

This question actually has nothing to do with surgery. This is a knowledge point of endocrinology, but it can be used in surgery.

"Sulfonylureas stimulate insulin secretion." Wu Xie knew this knowledge point and was familiar with it because it was something he had just read in physiology.

"Thiazolidinediones, improve insulin sensitivity."

"Biguanides lower postprandial blood sugar."

"Alpha-glycosidase inhibitor, reduces sugar absorption."

"New drugs, insulin, etc." Wu Xie answered the overall categories while licking his fingers.

Surgeons do not need to have an in-depth understanding of the details of antidiabetic drugs, just a little knowledge is enough.

Although the content of Wu Xie's answer was simple, it was comprehensive enough. There were some contents that Lu Junyin might not be able to clarify.

The Department of Surgery at the town hospital never engages in theory, but only focuses on operations.

Lu Junyin then smiled: "Under what circumstances can patients with high blood sugar undergo surgery?"

"7.8 on an empty stomach and 10 or less after a meal. Stop taking medication on the day of surgery." This is also a very basic question, which is the basic skills of surgery and is part of the preoperative preparation.

Wu Xie answered fluently.

After Lu Junyin heard this, he didn't ask any more questions. He looked at He Ling and Liu Chengshan and found that they had no additional comments.

So Lu Junyin looked at Zhong Yusheng and asked: "Does Yusheng know the answers to these questions?"

Zhong Yusheng immediately became nervous and said with an awkward smile: "Director, I know a little, but it has been a long time since I graduated and I have forgotten many things. I am not as comprehensive as Xiao Wu."

Zhong Yusheng graduated from a bachelor's degree and was directed to work in a town hospital. It has been five years since he graduated. He has lost half of his basic skills in three years of training, and probably a quarter of them have been lost in two years of working.

The contents Lu Junyin asked are not accessible in the town hospital, so they will naturally be forgotten gradually.

Lu Junyin said to Zhong Yusheng: "I still need to read some books when I go back to catch up."

Guo Lixiang hurriedly explained the medical history of bed 2. However, Lu Junyin directly asked He Ling, the attending physician, to answer questions about patients in bed 2.

He Ling answered some questions related to surgery easily and in more detail than Wu Xie, but for questions unrelated to surgery, for example, what are the major categories of antihypertensive drugs for high blood pressure?

He Ling's answer was incomplete: "Pril type, Sartan type, Bell type, Thiazide type."

"I don't know about the others, Director Lu."

These are commonly prescribed drugs in clinical practice. He Ling’s answers were not detailed and professional, and he directly used the names of the drugs to replace their effects.

"Does Xiao Wu know?" Lu Junyin moved the question to Wu Xie.

"Beta blockers antagonize the sympathetic nervous system." This is something I have just memorized in physiology, and Wu Xie is very familiar with it.

Everyone frowned when they heard this, and the mystery in their hearts was once again laid out.

What did Wu Xie do to be dismissed from the county hospital?

"..."
Chapter completed!