Back in 2002 as a doctor

Or give a step, everyone just come down like this?Wang Chengfa didn't want to make matters worse, after all, after thinking about it carefully, extubation after get off work was indeed a bit inappropriate.

He's softened

he is soft

That's it, don't make trouble for Zhou Congwen, anyway, the days are long.

Wang Chengfa just sat in the office for two hours, looked at the patient once in the middle, and looked at the patient again when he left.

The patient's condition is stable. Although it is difficult to have endotracheal intubation, the patient is quite cooperative.Because he knew that he was going to die when he left the ventilator, and the patient didn't want to experience that feeling of dying again.

……

……

Early the next morning, Wang Chengfa came to the department.

He pretended to look at Zhou Congwen inadvertently. There was nothing unusual about this guy. After meeting him, he greeted himself with a smile on his face.

Wang Chengfa didn't look at the medical records immediately, so he seemed guilty.Face to face with the little doctor, he didn't want to show his timidity.

Just after returning to the doctor's office after the normal process of handover and ward rounds, Zhou Congwen suddenly asked, "Director Wang."

Hearing Zhou Congwen's voice, Wang Chengfa's heart suddenly tightened, and supraventricular tachycardia began to appear in his heart, and a feeling of dying enveloped his whole body.

coming!

he came! !

He really came! ! !

"There should be discussion records for difficult patients and emergency rescue. Should we discuss it now or wait for a while?" Zhou Congwen then said lightly.

Zhou Congwen's tone was flat, as if he was saying that the weather is good today.

However, these words were like a dagger, and when it hit Wang Chengfa's heart, blood had already oozed out and landed in the pericardial cavity, which began to affect the beating of the heart.

Shen Lang and Liu Di vaguely heard the rumble of guns, Shen Lang knew Zhou Congwen's temper very well, he silently took half a step back, pretending that he didn't know anything.

Liu Di asked suspiciously, "Discussion should be needed before death and chronic surgery. Rescue? I haven't heard of it."

"Medical record writing specification, page 33, line 5." Zhou Congwen looked at Wang Chengfa with a smile, and answered Liu Di's question, "General rescue does not need to be discussed, but difficult medical records need rescue."

"Difficult? It's not difficult." Liu Di still didn't understand, and asked to himself.

"It should be a difficult case. What do you think, Director Wang?" Zhou Congwen still had a warm smile on his face.

Wang Chengfa's mouth was bitter, and the amount of fluid in the pericardial cavity increased, and his heart was a little difficult to beat.

Zhou Congwen is really annoying, he won't go down any steps, he must push his nose.And you don't even touch your face when you push your nose, just push your nose there, waiting for you to turn your face.

The key is that I can't turn my face!

Yesterday I said that I was going to extubate. It was really cool to say something to Zhou Congwen at that time, but now I have suffered retribution.

Wang Chengfa took a deep breath, suppressed the irritability in his heart, and said in a deep voice, "No need."

After speaking, he waved his sleeves and turned to leave.

Zhou Congwen seemed to have thought of this, and instead of chasing Wang Chengfa, he sat down at the desk with the medical records and started a new day's work.

"Zhou, I didn't expect that the requirements of surgery are stricter than those of internal medicine. I have never written a discussion on emergency rescue in internal medicine." Liu Di was still in the fog and didn't understand the situation at all.

Shen Lang pulled Liu Di back and motioned him not to talk too much, looking at Zhou Congwen's back feeling helpless.

All I can do is stay away, this matter will never end today, just don't bleed yourself out.

Chapter 0114 Discuss Director Wang's Mistakes ([-])

Sure enough, within half an hour Zhou Congwen walked out with a medical record.

"Woo~~~" Shen Lang let out a long breath.

"Shen Lang, what's wrong with you?" Liu Di asked.

"You don't know the situation in the department." Seeing the doctor in the anorectal department going to change the dressing, and only Liu Di and himself in the office, Shen Lang told him about the contradictions in the diagnosis and treatment of kidney failure patients that day.

Liu Di was dumbfounded, no wonder Wang Chengfa invited him to the Thoracic Surgery Department while playing basketball.

At that time, he thought it was a great opportunity, so he immediately found a relationship to go to the hospital to clear it up, and he was very active in transferring to the thoracic surgery department.

But looking at it now, I think it's a pie in the sky, but it's no pie, the thoracic surgery is like a sea of ​​swords.

"Shen Lang, Zhou Congwen doesn't want to do it anymore?" Liu Di asked in a shy voice.

"Uh...he said that he has an establishment, and as long as he doesn't commit a principled problem, Director Wang can't do anything about him." Shen Lang sighed, glanced at Liu Di, and couldn't help but say directly, "Dizi, actually I can't blame Zhou Congwen ..."

While Shen Lang and Liu Di were gossiping behind their backs, Zhou Congwen knocked on the door of Wang Chengfa's office with his medical records.

"Director Wang, this is the medical record of the patient in the intensive care unit. If you have a look, if there is no problem, please sign it."

Wang Chengfa's eyes seemed to be breathing fire.

Director rounds, are required to sign.But this is just a rule, an unimportant rule.In general, the resident doctor signs directly on his behalf, and it takes more than ten to 20 years to have an electronic signature.

But no matter what, the signature is only signed when you are discharged from the hospital. Now sign a wool? !

Zhou Congwen is too deceitful!

But before Wang Chengfa questioned it, Zhou Congwen smiled, "Director Wang is like this. Yesterday, the patient suffered from acute respiratory failure, and I invited Sun Yali, the chief on-duty of the Department of Anesthesiology and Internal Medicine, for consultation. Sister Sun went out for a meeting today, so she signed the agreement in advance. .”

Meeting, what a fool!

Wang Chengfa turned his mouth to his ears, silently looking at Zhou Congwen with murderous eyes.

"By the way, Director Wang, I would like to advise you." Zhou Congwen said lightly.

advise?you?

When Wang Chengfa heard Zhou Congwen say "you", the hairs on his back stood on end.

I still remember the last time after Zhou Congwen called himself "you", he slapped the internal medicine book in front of his face, making himself unable to step down in front of the general practitioners.

Where does he want to reconcile with himself, where does he admit cowardice, he wants to take the ladder away!

"Although you saved Wang Qiang's affairs, some people in the hospital are eyeing you, waiting for you to make mistakes." Zhou Congwen said lightly, "The people in the institution don't understand clinical practice. Forget not."

Wang Chengfa felt a chill in his heart. He never expected Zhou Congwen to be able to understand Wang Qiang's girlfriend's family and his own thoughts.

"But once you let them know about medical safety and things that violate medical principles, I'm afraid they will let you make it clear at the hospital's weekly meeting. Once that happens, small things will become big things, don't you think?"

There are several "you" in one sentence, and each "you" is like a dagger, piercing Wang Chengfa's heart.

The aftermath of the Wang Qiang incident was caught by Zhou Congwen, what a bastard!Wang Chengfa cursed bitterly in his heart.

This guy is relying on himself to have a handle to fall into someone else's hands, and he even kicked his nose in the face, and what's more, he kicked his nose but didn't get his face. He just kept kicking, kicking, and kicking... waiting for himself to turn his face.

Turn your face?Turn your face!

If there is a possibility, Wang Chengfa will definitely turn his face.

But in that case something to say.

What Zhou Congwen said were all the rules of the courtyard. Although he was dogmatic, he stood on the righteous prostate and looked at himself from a bird's eye view.

The most important thing is that Wang Chengfa knew that what Zhou Congwen said was right, someone was waiting for him to make a mistake, and Zhou Congwen was going to pass the knife to someone.

It doesn't make sense for me to go anywhere in this lawsuit, and I have no way to handle Zhou Congwen.

He has never been taught surgery from the beginning to the end. Zhou Congwen is the one who is barefoot and doesn't even have a pair of shoes. Of course, it doesn't matter what he does.

The most irritating thing is that Zhou Congwen handed the knife as soon as he handed it, and told himself "fairly".

Wang Cheng is sad

Wang Chengfa depressed

Wang Chengfa plucked his hair down strand by strand.

"Director, take a look. If you don't mind, sign your name and I'll go find Sister Sun." Zhou Congwen put the medical records in front of Wang Chengfa and said calmly.

Wang Cheng sent a letter to open the medical record.

The medical records are written in an extremely standardized and bold manner.

What I said in the small intensive care unit yesterday appeared in the medical record without accident, and every word was good.

And after that, there was a series of detailed disposals down to the minute, standard, no one could tell if it was not.

The following is the general duty of the internal medicine department and the consultation records of the anesthesiology department.

Wang Chengfa felt distressed for a while, could the words he said appear in the medical records?This is not a joke.

He felt that Zhou Congwen kicked him in the face again, directly on the nose.

Depressed to see the end, Wang Chengfa realized that the biggest kick was here!

[Due to the critical condition of the patient, Zhou Congwen, the doctor on duty for the first extubation after the operation, had a dispute with Wang Chengfa, the head of the department, on the treatment. According to the requirements of the medical department and the requirements of the medical record writing standard, he asked the head of the department, Dr. Wang Chengfa, to discuss the difficult rescue.

The head of the department, Dr. Wang Chengfa, refused to organize an internal discussion on the patient. 】

Two lines of words, every word punishes the heart.

All I had to do was write at the bottom the words that the signature appeared as evidence, and I was responsible for all consequences.

Wang Chengfa's chest felt tight, and he was about to have a heart attack.

No, this time it wasn't a heart attack, it was a cardiac tamponade.

"Director Wang, take a look at the last course of the disease that you refused to discuss. At that time, you said no two words, but you felt that writing only these two words did not meet the writing standards, so you wrote an extra paragraph.

If you don't think it's right, I'll go back and modify it. "

Zhou Congwen said lightly.

Gan!

Modify a wool!Wang Chengfa gave Zhou Congwen a bitter look.

"Director Wang, make sure that the medical records are not discussed? I am worried that I will go to the brother department to sign. The medical records will not look good if they are written like this." Zhou Congwen sighed.

Gan^2! !

It's not good-looking, how the hell do you know it's not good-looking? !The flames of hell were burning in Wang Chengfa's heart.

"But I'm just a junior doctor, and I have to obey your doctor's orders." Seeing that Wang Chengfa was silent, Zhou Congwen kept stating, "Look, Director Wang."

Gan^3! ! !

Wang Chengfa was completely speechless.

"I suggest that the discussion should be carried out according to the requirements of the hospital. It can be resolved within the department. What do you think?" Zhou Congwen said sincerely.

"The medical record is written like this, it must be Class C. It's nothing if I was deducted some money. The medical department has recently checked the medical records strictly. Once you bring it to the hospital's weekly meeting to talk about the matter, you don't look good, don't you?"

Gan... You still know it's not good-looking!

Wang Chengfa was almost emotionally broken by the foot on his nose.

He kept scolding his mother in his heart, but there was nothing he could do about Zhou Congwen.

"Director Wang, please give me an opinion." Zhou Congwen said with a smile, "If it doesn't work, I have to say hello to the medical department and the medical record room in advance."

"Discussion!" Wang Chengfa suppressed the anger in his heart, and replied with his voice almost roaring.

"That's okay. The head nurse, the nurse on the night shift yesterday, and all the doctors are among the discussants. Do you think it is necessary for the doctors from the anesthesiology department to attend?"

Zhou Congwen stabbed Wang Chengfa's heart again, and twisted it twice by the way.

"No, we can discuss it internally." Wang Chengfa's face was pitch black, the corners of his mouth were connected to his ears, and his eyes were like knives.

"Then I'll prepare." Zhou Congwen bowed slightly, turned and left.

"Bang~~~"

The sound of a hard object breaking came from behind, and Zhou Congwen's smile became more intense.

Wang Chengfa was broken today.

But it's nothing, just get used to it, and the days of breaking the defense will be many in the future, and today is just the beginning.

Twenty minutes later, the head nurse sat in the doctor's office with a nervous expression on her face, and the night shift nurse yawned and sat listlessly next to the head nurse.

Shen Lang and Liu Di sat in the corner as much as possible, they didn't want to get involved in this matter at all.

"The patient's vital signs were unstable after extubation yesterday, and he developed acute respiratory and circulatory failure. Now we are discussing difficult rescue in accordance with Director Wang's advice." Zhou Congwen sat in his seat like an old professor and began to speak first.