Doctor's Life Simulator
Chapter 9 The suffocating big director makes ward rounds
Chapter 9 The suffocating big director makes ward rounds
Hearing that the chief director came to make rounds, even Peng Yun and Qian Liang felt their scalps go numb, and signaled to their several little doctors to hurry up and get ready to welcome the chief director's arrival.
After all, they are just the most junior resident physicians, and there are also attending physicians and deputy chief physicians above them.
Moreover, their Chief Director, Wei Guoqiang, is notoriously strict, has a bad temper, and is even more ruthless when confronting others. Even if the Deputy Chief Physician has a problem, he will give him a big meal and show no mercy at all.
Of course, Director Wei's ability to say what he says in the department is really due to his own strength and prestige.
Wei Guoqiang, Chief Physician, Master Tutor, Director of Plastic Surgery and Burn Department of Hecheng First Hospital, Visiting Scholar at Shriners Burns Hospital, Texas Medical Center.
He is also an evaluation expert of the National Science and Technology Award, and a standing committee member of the Burn Surgery Branch of the Huaguo Medical Association.
Deputy director of Zhejiang Burn Surgery Branch, member of medical appraisal expert database of Huaguo Medical Association.
Standing editorial board member of Huaguo Journal of Burns and editorial board member of Huaguo Journal of Injury and Repair (Electronic Edition).An expert who enjoys the special allowance of the Zhejiang Provincial Government, and a high-level talent in Zhejiang Province.
In short, his resume is astonishingly brilliant. Not only has he achieved outstanding results in scientific research, he is also a well-known master in Zhejiang Province in clinical practice.
Therefore, every time the chief director rounds the ward, he goes up to the deputy director, attending physician, and down to the resident doctor with trepidation.
As for the interns, regular trainees, and advanced doctors, they could only follow them from a distance, not even daring to take a breath.
Qin Lang was naturally pulled aside by Qian Liang, and even Peng Yun didn't dare to do anything wrong, so he obediently stood aside.
In front of Director Wei, even a rising star like Peng Yun is walking on thin ice. After all, Director Wei puts too much pressure on people.
Famous doctors in Zhejiang Province are the existence they look up to!
Qin Lang is very calm. After all, in the simulated world, he has heard the name of Director Wei many times.
In the simulated world, only the general direction can be known, and it is also in the form of text.
The only screens are nothing more than the operation screen and the situation of various patients, so Qin Lang is also very curious about this chief director.
Soon, a group of people hurried in.
The one who took the lead was a man in his fifties, with a tall and straight figure, an upright face with Chinese characters, with wrinkles engraved on it, wearing a pair of silver-rimmed glasses, exuding a mountain-like calmness The scene was none other than Wei Guoqiang, the chief director of the First Hospital of Hecheng City.
Behind the fast-paced Wei Guoqiang were the attending physician Wu Youtu and another attending physician You Daren, and after that were several other residents and their little doctors.
While walking, Wei Guoqiang vigorously communicated with several junior doctors, listening to their reports, interspersed with some sharp inquiries from time to time.
All in all, the group gave people a suffocating sense of solemnity.
And as the team came over, Qian Liang and Peng Yun brought Qin Lang and others into the team, waiting cautiously for the chief director's questioning.
Along the way, Wei Guoqiang glared like a diamond when he was looking at junior doctors, and lowered his brows like a bodhisattva when turning to patients.
After communicating with the patient concisely and efficiently for a while, he efficiently solved the patient's questions and the confusion of the subordinate doctors in one sentence.
In just a few minutes, Wei Guoqiang made a conclusion on the patients' conditions that have been controversial these days.
Finally, this time, the most critical 13 beds, Wang Qiang's bed.
Wei Guoqiang didn't say much, but stretched out his hand.
Qian Liang reacted quickly, and immediately took various inspection reports from Qin Lang, and handed them to Wei Guoqiang.
After Wei Guoqiang took the report, he looked at it without saying a word. After he was optimistic, he checked the patient's wound and had a careful communication with the patient before he thought about it.
The ward became quiet all of a sudden, and all the junior doctors were holding their breaths, waiting for the chief director to speak, especially Qian Liang, who was in charge of this patient, his heart was pounding.
"The patient's condition is very typical. Gustilo type I tibia and fibula open fracture soaked in poisonous liquid. After routine debridement and intravenous antibiotic infusion, infection and fever still exist. You all have a look and talk about your thoughts one by one. "
Wei Guoqiang obviously already had a conclusion in his mind, so he was going to use this patient's situation to test his subordinate doctors.
Of course, the two attending doctors were the first to take over the physical examination report and read it.
After a while, the report was handed over to several other residents. As for the interns and regular trainees, they were naturally not qualified to contact them, and Wei Guoqiang did not have any expectations for these rookies.
He was also able to think of it because he happened to encounter similar cases in such a long medical career.
The older the doctor, the more popular the profession. Only by accumulating enough clinical experience can he be calm and make a final decision.
So he wanted to see how far these junior doctors under him could go.
Time seemed to stand still. After reading the physical examination report, the two attending physicians stepped forward to check the patient's wound, but they obviously had no clue.
As for the other residents, who were siblings with Qian Liang, even Peng Yun was inferior, so what could be seen?
"Tell me?"
Ten minutes later, Wei Guoqiang gave the order, his gaze was like a falcon, and he scanned all the junior doctors sharply.
Naturally, the two attending physicians could only bite the bullet, and then came up with the most conventional treatment plan, both of which were very conservative, basically the same as Peng Yun's judgment.
After listening to the plans of the two attending physicians who were similar with minor differences, there was no trace of joy or anger on Wei Guoqiang's face.
Then he looked at several residents, because Qian Liang was in charge of this hospital bed, so he was the first one to look at him.
When Qian Liang instinctively saw Wei Guoqiang's gaze, his legs went limp, and he lowered his head halfway, not daring to look directly into the chief director's gaze.
His thoughts were naturally similar to those of the two attending physicians, but obviously such an answer did not satisfy the chief director.
Qian Liang's head became hot, and he summarized the treatment plan Qin Lang gave them before, but did not explain it in detail.
Listening to Qian Liang's idea, it was obvious that the two attending physicians had exactly the same reaction as Peng Yun before.
"Xiaoqian, your idea is a bit whimsical, but you have thought that the risk of not expanding the debridement is great, and before the bacterial culture and drug susceptibility test are inconclusive, such a treatment plan is too radical .”
Regarding the questions raised by the two attending physicians, several other residents also nodded in agreement, obviously not agreeing with Qian Liang's plan.
Qian Liang felt a little guilty about everyone's reaction. Could it be that it was just a fantasy?
After all, he doesn't have a solid foundation like Peng Yun, but he just echoes what others say, and thinks what Qin Lang said is quite reasonable.
When everyone questioned this plan, Wei Guoqiang's eyes flashed strangely, but he remained calm.
He just emphasized his tone: "Qian Liang, do you really think that using extended debridement and changing antibiotics can treat the patient's infection?"
Qian Liang was asked such a question by the director, and after thinking about what Qin Lang said just now, he bit the bullet and nodded, and said with a lack of confidence: "Yes."
Immediately afterwards, Wei Guoqiang asked again: "Since you can think of this, you should have considered the specific operation. How did you design this extended debridement? Simple extended debridement is not enough."
Qian Liang was so questioned by the director, how could he stand up, and trembled:
"Director Wei, I actually didn't think of this plan. We were discussing the condition just now, and the trainee doctor Qin Lang proposed it. As for the specific measures, just as Qin Lang was about to tell you, you brought someone here."
Qian Liang glanced at Qin Lang for help.
The rest of the people, except Peng Yun and the others, were in an uproar.
The resident doctor at No. [-] Hospital in Tangtang City did not insist on his own treatment plan, but instead adopted the plan of a fellow doctor from a community hospital.
Moreover, it was obvious that Qin Lang had mediocre qualifications, and the two attending physicians and several residents did not understand Qian Liang's stupid operation.
This is the big director's ward rounds, and he did such a shameful thing.
Especially Wu Youtu, who can be regarded as Qian Liang's half teacher: "Qian Liang, what's the matter with you, how can you just listen to the little doctor's whims."
"Okay, why don't you go back, Peng Yun, come forward and talk about your opinion?"
However, before Wu Zhizhi pulled Qian Liang away, he heard Wei Guoqiang's loud words:
"Whimsical? I think it's very good. This little doctor's idea coincides with mine!"
(End of this chapter)
Hearing that the chief director came to make rounds, even Peng Yun and Qian Liang felt their scalps go numb, and signaled to their several little doctors to hurry up and get ready to welcome the chief director's arrival.
After all, they are just the most junior resident physicians, and there are also attending physicians and deputy chief physicians above them.
Moreover, their Chief Director, Wei Guoqiang, is notoriously strict, has a bad temper, and is even more ruthless when confronting others. Even if the Deputy Chief Physician has a problem, he will give him a big meal and show no mercy at all.
Of course, Director Wei's ability to say what he says in the department is really due to his own strength and prestige.
Wei Guoqiang, Chief Physician, Master Tutor, Director of Plastic Surgery and Burn Department of Hecheng First Hospital, Visiting Scholar at Shriners Burns Hospital, Texas Medical Center.
He is also an evaluation expert of the National Science and Technology Award, and a standing committee member of the Burn Surgery Branch of the Huaguo Medical Association.
Deputy director of Zhejiang Burn Surgery Branch, member of medical appraisal expert database of Huaguo Medical Association.
Standing editorial board member of Huaguo Journal of Burns and editorial board member of Huaguo Journal of Injury and Repair (Electronic Edition).An expert who enjoys the special allowance of the Zhejiang Provincial Government, and a high-level talent in Zhejiang Province.
In short, his resume is astonishingly brilliant. Not only has he achieved outstanding results in scientific research, he is also a well-known master in Zhejiang Province in clinical practice.
Therefore, every time the chief director rounds the ward, he goes up to the deputy director, attending physician, and down to the resident doctor with trepidation.
As for the interns, regular trainees, and advanced doctors, they could only follow them from a distance, not even daring to take a breath.
Qin Lang was naturally pulled aside by Qian Liang, and even Peng Yun didn't dare to do anything wrong, so he obediently stood aside.
In front of Director Wei, even a rising star like Peng Yun is walking on thin ice. After all, Director Wei puts too much pressure on people.
Famous doctors in Zhejiang Province are the existence they look up to!
Qin Lang is very calm. After all, in the simulated world, he has heard the name of Director Wei many times.
In the simulated world, only the general direction can be known, and it is also in the form of text.
The only screens are nothing more than the operation screen and the situation of various patients, so Qin Lang is also very curious about this chief director.
Soon, a group of people hurried in.
The one who took the lead was a man in his fifties, with a tall and straight figure, an upright face with Chinese characters, with wrinkles engraved on it, wearing a pair of silver-rimmed glasses, exuding a mountain-like calmness The scene was none other than Wei Guoqiang, the chief director of the First Hospital of Hecheng City.
Behind the fast-paced Wei Guoqiang were the attending physician Wu Youtu and another attending physician You Daren, and after that were several other residents and their little doctors.
While walking, Wei Guoqiang vigorously communicated with several junior doctors, listening to their reports, interspersed with some sharp inquiries from time to time.
All in all, the group gave people a suffocating sense of solemnity.
And as the team came over, Qian Liang and Peng Yun brought Qin Lang and others into the team, waiting cautiously for the chief director's questioning.
Along the way, Wei Guoqiang glared like a diamond when he was looking at junior doctors, and lowered his brows like a bodhisattva when turning to patients.
After communicating with the patient concisely and efficiently for a while, he efficiently solved the patient's questions and the confusion of the subordinate doctors in one sentence.
In just a few minutes, Wei Guoqiang made a conclusion on the patients' conditions that have been controversial these days.
Finally, this time, the most critical 13 beds, Wang Qiang's bed.
Wei Guoqiang didn't say much, but stretched out his hand.
Qian Liang reacted quickly, and immediately took various inspection reports from Qin Lang, and handed them to Wei Guoqiang.
After Wei Guoqiang took the report, he looked at it without saying a word. After he was optimistic, he checked the patient's wound and had a careful communication with the patient before he thought about it.
The ward became quiet all of a sudden, and all the junior doctors were holding their breaths, waiting for the chief director to speak, especially Qian Liang, who was in charge of this patient, his heart was pounding.
"The patient's condition is very typical. Gustilo type I tibia and fibula open fracture soaked in poisonous liquid. After routine debridement and intravenous antibiotic infusion, infection and fever still exist. You all have a look and talk about your thoughts one by one. "
Wei Guoqiang obviously already had a conclusion in his mind, so he was going to use this patient's situation to test his subordinate doctors.
Of course, the two attending doctors were the first to take over the physical examination report and read it.
After a while, the report was handed over to several other residents. As for the interns and regular trainees, they were naturally not qualified to contact them, and Wei Guoqiang did not have any expectations for these rookies.
He was also able to think of it because he happened to encounter similar cases in such a long medical career.
The older the doctor, the more popular the profession. Only by accumulating enough clinical experience can he be calm and make a final decision.
So he wanted to see how far these junior doctors under him could go.
Time seemed to stand still. After reading the physical examination report, the two attending physicians stepped forward to check the patient's wound, but they obviously had no clue.
As for the other residents, who were siblings with Qian Liang, even Peng Yun was inferior, so what could be seen?
"Tell me?"
Ten minutes later, Wei Guoqiang gave the order, his gaze was like a falcon, and he scanned all the junior doctors sharply.
Naturally, the two attending physicians could only bite the bullet, and then came up with the most conventional treatment plan, both of which were very conservative, basically the same as Peng Yun's judgment.
After listening to the plans of the two attending physicians who were similar with minor differences, there was no trace of joy or anger on Wei Guoqiang's face.
Then he looked at several residents, because Qian Liang was in charge of this hospital bed, so he was the first one to look at him.
When Qian Liang instinctively saw Wei Guoqiang's gaze, his legs went limp, and he lowered his head halfway, not daring to look directly into the chief director's gaze.
His thoughts were naturally similar to those of the two attending physicians, but obviously such an answer did not satisfy the chief director.
Qian Liang's head became hot, and he summarized the treatment plan Qin Lang gave them before, but did not explain it in detail.
Listening to Qian Liang's idea, it was obvious that the two attending physicians had exactly the same reaction as Peng Yun before.
"Xiaoqian, your idea is a bit whimsical, but you have thought that the risk of not expanding the debridement is great, and before the bacterial culture and drug susceptibility test are inconclusive, such a treatment plan is too radical .”
Regarding the questions raised by the two attending physicians, several other residents also nodded in agreement, obviously not agreeing with Qian Liang's plan.
Qian Liang felt a little guilty about everyone's reaction. Could it be that it was just a fantasy?
After all, he doesn't have a solid foundation like Peng Yun, but he just echoes what others say, and thinks what Qin Lang said is quite reasonable.
When everyone questioned this plan, Wei Guoqiang's eyes flashed strangely, but he remained calm.
He just emphasized his tone: "Qian Liang, do you really think that using extended debridement and changing antibiotics can treat the patient's infection?"
Qian Liang was asked such a question by the director, and after thinking about what Qin Lang said just now, he bit the bullet and nodded, and said with a lack of confidence: "Yes."
Immediately afterwards, Wei Guoqiang asked again: "Since you can think of this, you should have considered the specific operation. How did you design this extended debridement? Simple extended debridement is not enough."
Qian Liang was so questioned by the director, how could he stand up, and trembled:
"Director Wei, I actually didn't think of this plan. We were discussing the condition just now, and the trainee doctor Qin Lang proposed it. As for the specific measures, just as Qin Lang was about to tell you, you brought someone here."
Qian Liang glanced at Qin Lang for help.
The rest of the people, except Peng Yun and the others, were in an uproar.
The resident doctor at No. [-] Hospital in Tangtang City did not insist on his own treatment plan, but instead adopted the plan of a fellow doctor from a community hospital.
Moreover, it was obvious that Qin Lang had mediocre qualifications, and the two attending physicians and several residents did not understand Qian Liang's stupid operation.
This is the big director's ward rounds, and he did such a shameful thing.
Especially Wu Youtu, who can be regarded as Qian Liang's half teacher: "Qian Liang, what's the matter with you, how can you just listen to the little doctor's whims."
"Okay, why don't you go back, Peng Yun, come forward and talk about your opinion?"
However, before Wu Zhizhi pulled Qian Liang away, he heard Wei Guoqiang's loud words:
"Whimsical? I think it's very good. This little doctor's idea coincides with mine!"
(End of this chapter)
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