Chapter 987 Walking on Thin Ice

Dr. Li Min returned to his original unit after his vacation. Although his training had not yet ended, he had returned with a full load. At this time, he was excited about returning from his studies and deeply attached to this land.

He stepped into the township hospital where he had worked for many years. Although the hospital was small, it carried the hopes of tens of thousands of villagers in the surrounding area. There were only dozens of doctors and nurses in the hospital, two security guards, and other administrative and logistics staff, totaling only more than 30 people.

Most doctors in the hospital hold general practitioner licenses. They need to handle various cases from internal medicine to surgery, from pediatrics to obstetrics and gynecology. Some hold assistant doctor licenses, and some do not even have formal medical licenses. Although their existence may not be completely in line with regulations, they are an indispensable part in actual operation.

The conditions of township hospitals are limited, especially in areas with relatively backward economic conditions. It is almost impossible to operate completely in accordance with the medical standards and procedures of big cities.

If you have to strictly follow those "rules and regulations", I'm afraid you won't even be able to get enough people who can work. Therefore, the doctors here are more like generalists. They need to meet the needs of patients and solve their pains as much as possible with limited resources.

"The expert from the provincial capital is back!" The old dean rushed out of the office with full energy and joy on his face, and almost trotted to Li Min.

The old dean was ruddy and energetic. In the past, his waist was often unable to straighten up, and he had to drag one leg to walk, which seemed particularly strenuous. Now this situation does not exist at all. Although he can't say that he walks briskly, at least he walks easily.

Seeing this scene, Li Min was also relieved in his heart. He smiled and said to the old dean: "Your waist is really good, and you walk with the wind. You look at least 20 years younger!"

The old dean laughed, patted Li Min on the shoulder and said: "Only 20 years younger? Too conservative. Everyone says that I have a waist of 20 years old now, but to be honest, my waist has been getting better day by day since you treated me last time. Are you used to studying in the provincial capital?" His words were full of concern for Li Min.

Li Min nodded and smiled in response: "It's OK, I learned a lot, I brought it back to share with everyone, I hope it can help our hospital's work."

The old dean pulled Li Min into the office, and then several doctors came to take Li Min's luggage. Li Min also brought some special snacks from the provincial capital for everyone to eat, and asked the doctors who took the luggage to distribute them. He also brought two bottles of good wine for the old dean. This wine was given to everyone by the rich man Wang Changxin when he invited everyone to dinner. At that time, everyone who had to drink took a bottle back. Li Min didn't know what kind of wine it was. In order to bring this bottle of wine, he shared a private car with others.

The old dean held the wine carefully in his hands and looked left and right: "Little Li, it seems that I love you for nothing."

Several patients who were waiting for treatment also recognized Li Min and gathered at the door to greet him enthusiastically. Township hospitals are like this. The patients are all nearby villagers, so after working for a long time, everyone knows each other.

An old man took Li Min's hand and said gratefully: "Doctor Li, you are finally back. The medicine you prescribed for me last time was very effective. You must show me again this time." Another mother with a child also came forward: "Doctor Li, my child's foot is deformed, can you help me?"

"Doctor Li just came back, and his butt hasn't even warmed up yet, let him take a rest." A patient said loudly, and everyone immediately felt embarrassed, shut up and left the office.

"Don't worry, I'll take a break and then start seeing patients." Li Min didn't plan to rest for too long, and wanted to get into the role as soon as possible.

The old dean said: "Don't be so anxious, right? I'll start work tomorrow."

"I'm idle anyway, I slept for a few hours in the car when I came back." Li Min wanted to make good use of every minute of the holiday.

Faced with the enthusiasm and expectations of the villagers, Li Min felt the responsibility and mission of being a doctor. He knew that although he had learned a lot of advanced knowledge and technology in the provincial capital, it was more important here to transform this knowledge into practical solutions that were suitable for local conditions and truly benefit those in need.

Unlike the big hospitals in the provincial capital, the principle of doctors in the township hospitals is to solve the problem as quickly as possible with economic methods. Of course, it is better to cure it completely. If it cannot be cured completely, symptomatic treatment is needed. If neither can be done, the doctor should be able to point out a way for the patient to go to treat the disease.

So in the grassroots hospitals, the legendary magic doctor's unique skill is "three elements and one bottle", hormones, antibiotics, vitamins and a bottle of drip. These skills are indeed very effective. Many doctors who have been in big hospitals for a long time sometimes don't know how to treat diseases in grassroots hospitals. They just don't understand the needs of grassroots patients. They require the treatment plan to be short, flat and fast.

So Li Min has been thinking about how to turn what he learned in the provincial capital into a treatment plan with a rural style, that is, it must have township characteristics. For example, in terms of strengthening nutrition, you can't ask patients to buy some nutrients, you can only ask them to have a few eggs a day.

——

On the first day of the holiday, the news and Moments on the mobile phone all have one feature-the scenic spots are crowded with people, and the highways are all congested. Yang Ping is very strange. How did Xia Shu go to the same highway as the head nurse to go on vacation when he went back to his hometown? The scenery outside the car in their circle of friends is surprisingly the same.

Compared with the bustle and crowding outside, the hospital ward is much quieter. When Yang Ping came to the ward, an eighty-year-old patient was sitting at the nurse's station. She was clamoring to be discharged, but she couldn't get through her children's phone calls. Angry, the nurse next to her tried to persuade her softly, and finally persuaded the patient to return to the ward.

"Isn't this patient scheduled to be discharged before the holiday?" Yang Ping asked.

The nurse shook her head and sighed and said, "That's what their family members said originally, but they called us on the 30th and changed their story and said they would pick up the old man from the hospital after the holiday. I asked why, and the family members said they were traveling outside now. In fact, the family members had planned it before the holiday. Yes, leave the old man in the hospital and go traveling by yourself.”

It turned out that Yang Ping understood the whole story and told the nurse: "Old and high-risk patients should be seen more often so that any problems can be detected and dealt with early."

In the doctor's office, except for a few doctors who were on vacation, everyone was busy, and no one was late. The keyboard was clicking non-stop early in the morning.

''The professor is here, preparing for the National Day ward rounds! "When Song Zimo saw Yang Ping, he immediately reminded everyone.

Yang Ping straightened his white coat and said, "Let's do the ward rounds."

The doctors in the office immediately stood up and followed Yang Ping. Yang Ping's steps were steady, and every step seemed so calm and unhurried. His eyes revealed a wisdom and calmness accumulated over the years that were incompatible with his age. , as if he could penetrate into the mystery of every life, followed closely behind him were a group of young doctors and interns, their expressions were solemn, as if they were performing a sacred ceremony, their eyes were full of desire for knowledge and desire for knowledge. Love of medicine.

"No matter when, contacting patients is the most basic principle. Only by contacting patients can we truly grasp first-hand information." Yang Ping's voice was not high, but clear and powerful.

In an era of rapid advances in medical equipment, the basic principle of contact with patients has been abandoned. Many doctors have ignored this or are unwilling to do it, especially surgeons. They can often make a decision based on just one image: operate!

The group of people slowly walked into the ward. The patient was a young man in his twenties. His face was haggard, but his eyes revealed a desire for life. Seeing Yang Ping and a group of doctors walking in, he worked hard. He squeezed out a smile, which was a deep trust and gratitude to the doctor.

This patient with intracranial brainstem tumor came to Sanbo Hospital to see Yang Ping for surgery. It is now one week after the operation and his condition is recovering well. Yang Ping walked to the hospital bed and first inquired about the patient in detail. No detail is spared.

His words are gentle, kind and clear, as if he is talking to an old friend. At the same time, he is doing various neurological examinations with his experienced hands, as if he is having a silent dialogue with the patient's body. .

"Well, judging from the current situation, you are recovering very well after the operation. I believe you will be able to work normally in the near future." Yang Ping said while checking, and at the same time turned to look at the doctors behind him, "Come here and do it." Let’s have a physical examination.”

The young doctors stepped forward one after another and began to examine the patient in turn. After the examination, they either frowned and thought, or discussed in low voices, trying to catch the clues of the disease from every subtle change. The last person to examine the patient was Li Guodong. , he not only checked the patient's nervous system, but also performed a simple physical examination on other aspects of the patient. He held a stethoscope and listened carefully to the patient's heartbeat. His eyes were focused and serious, as if he was resonating with the patient's heartbeat.

"Professor Yang, I found that the patient's heartbeat was irregular, sometimes fast and sometimes slow." Dr. Li Guodong hesitated for a moment, then plucked up the courage to say, because no one had ever mentioned this abnormality.

Hearing this, Yang Ping frowned slightly, and then gave an encouraging smile: "Very good, your observation is very careful, so comprehensive attention to the patient should become a habit. Focused attention is only a foundation, and comprehensive attention is the advanced form. Why did everyone just focus on the nervous system during the physical examination? The electrocardiogram monitor next to the bed has not been removed. Have you paid attention to the electrocardiogram on the screen? Or do you think young people don’t need to pay attention to this? "

Then Yang Ping explained in simple terms how to think comprehensively and deeply in clinical practice, which not only included the latest medical research results, but also combined with his own clinical experience. The young doctors listened with interest, nodding in agreement from time to time, or lowering their heads to record carefully, their eyes Full of thirst for knowledge and love for medicine.

"Do further cardiac examinations and complete them as soon as possible today." Yang Ping gave verbal instructions, and the doctor in charge immediately took notes.

"Professor Yang, it's really hard for you to come to check the ward in person during the holidays." The patient said gratefully, his eyes full of respect and gratitude to Yang Ping.

Yang Ping smiled slightly: "Diseases don't have holidays, so doctors don't have holidays either. This is determined by the characteristics of our work. We just do our jobs well. Don't worry, the operation was successful. You can work like a normal person after you are discharged from the hospital. Live and check regularly.”

The patient nodded vigorously: "Thank you, Professor Yang, and thank you to all the doctors."

Originally, this patient was judged to be inoperable in many other hospitals. When he was in despair, he heard the people sitting next to him on the train talking about Sanbo Hospital, saying that there was a Professor Yang in Sanbo Hospital, and his surgical skills were simply divine. The patient was so impressed that he made a note of it, so he came to the Surgical Research Institute of Sanbo Hospital. Unexpectedly, he could actually perform the operation, and the operation was successful.

The ward rounds continued. During the rounds, Yang Ping stopped from time to time to explain the condition and treatment plan in detail to the patients and their families. His tone was gentle and confident, which not only conveyed the rigor of medicine, but also gave the patients and their families enough confidence and comfort.

The young doctors following Yang Ping also benefited a lot. They not only learned valuable medical knowledge, but also deeply realized the sense of responsibility and mission that a doctor should have.

"As doctors, we must always have a cautious attitude. If we had not found out the arrhythmia patient just now, he might have died suddenly. So we should quickly complete the heart examination. If there is no major problem after the examination, it would be better. But what if there is a problem? What is delayed is human life, and human life is at stake! We must respect life. Although it is inevitable to make mistakes objectively, we cannot make mistakes subjectively. Others can make mistakes, but we cannot."

During today's ward rounds, everyone remembered a lot of things, but the word "walking on thin ice" impressed them the most. Be serious, serious, and serious. In the words of Professor Zhang Zongshun: In our profession, no matter how serious we are, it is not too serious, because we hold human lives in our hands.

After the ward rounds, Yang Ping did not leave the hospital immediately. He returned to his office and began to review all the cases he had visited today to see if there was anything missing. After several reviews to confirm that he had thought of everything he should have thought of, Yang Ping was relieved. This is what being a doctor is like. You must always be cautious.

At the same time, the ward was still busy and orderly. Other doctors and nurses were also sticking to their respective posts to protect the health and lives of patients. They walked by in a hurry or talked softly, and they all seemed so focused and serious.

Although it was a holiday, Yang Ping still arranged some work. He performed surgery in the morning and taught everyone in the afternoon. He did not get off work until nightfall.