medical road with you

Chapter 2 Don't Give Up Easily

Chapter 2 Don't Give Up Easily

Four years later, Huaguang Hospital, the First Affiliated Hospital of Huada Medical College, Emergency Surgery Department.
After working nervously for half an hour, simply dealing with a car accident patient and sending the patient to the orthopedic surgery department, Lu Ping and Chi Na finally had a rare moment of free time.
"Pingping, I heard that our hospital is about to start to be privatized gradually, and is ready to accept investment from a large group!"

Chi Na has been at the same table with Lu Ping since she was in high school. From Seoul No. [-] Middle School to Huada Medical School, and then to Huaguang Hospital for internship, the two have been inseparable, closer than sisters.
"Oh!" Lu Ping responded briefly, then looked at the medical journal in his hand.
The latest research on coronavirus RNA reverse transcriptase.
Lu Ping was looking into it, and Chi Na started to gossip again: "The new shareholder is coming to our hospital for inspection recently, and I heard that he is a typical three-high man."

The three highs in Chi Na's mouth, good looks, high education, high salary.
Lu Ping gave Chi Na a white look.
Chi Na didn't mind Lu Ping's blank eyes at all, and continued to gossip: "I don't think he might be as good-looking as my husband Zhou Feng, but you can try it. I've already inquired about it. He is single, and you Ms. San Gao is very right."

Lu Ping was admitted to Huada Medical School with the provincial top score, and he was No. 1 in every exam in the university. Moreover, he has published some papers in some domestic and foreign journals, which is rare for Huada Medical College for many years. The talent I met at first sight, although I am still a poor intern doctor now, but the salary in the future will be very impressive.
As for Lu Ping's appearance, after Lu Ping won the Huada talent show competition, even though he knew that Lu Ping was already famous, there was still an endless stream of people pursuing him.
And since Jiang Tianhai left BGI, one of the things Chi Na did most often was to protect Lu Ping from the peach blossoms.
Good looks, high education, high salary, in Chi Na's eyes, Lu Ping definitely meets this standard.
Chi Na's boyfriend Zhou Feng is Tianhai's good friend. It was through Lu Ping and Tianhai that Chi Na met Zhou Feng back then. Zhou Feng is the captain of the construction team with only a primary school education. With the help of Tian Hai and Lu Ping, Chi Na and Zhou Feng could not go to where they are today.
Her lifelong happiness has been resolved, and seeing her friend alone all the time, Chi Na is really worried, she spends all day looking for a suitable boyfriend for Lu Ping, but Lu Ping doesn't care at all.
Lu Ping lowered his head and continued to read, completely ignoring Chi Na's words.
Chi Na reluctantly tapped Lu Ping's forehead: "I said, my Miss Lu Ping, you don't open your fingers to calculate how old you are this year, 23, 23, okay, you think you are still a fresh little cucumber, you The best years are about to pass, if you don't find a suitable one right now, in a few years, you will be an old girl, no one wants you, okay? You only know how to read and read books, maybe you want to be with me Your books last a lifetime."

Lu Ping smacked his mouth seemingly indifferently: "Actually, wouldn't it be nice to spend a lifetime with books?"

Chi Na was startled, Lu Ping, don't you really plan to be single for the rest of your life?
Jiang Tianhai, I'm afraid it's a hurdle that Lu Ping will never be able to overcome in his life. Also, such an excellent man treats Lu Ping so meticulously, whoever he is, would have gone through difficult times.
Hey, Chi Na sighed and looked at the corridor with her chin in her hand.
Back then, why did Jiang Tianhai break up with Lu Ping? If Jiang Tianhai had a change of heart, Chi Na wouldn't believe it even if he killed Chi Na ten times.
Perhaps this is what people often say is unrequited.
"Quick, quick, quick!" There was a burst of noise in the corridor: "Where is the doctor, where is the doctor?"

Lu Ping patted Chi Na who was still in a daze: "Let's go, here comes the patient."

The patient was lying on a stretcher, wearing a yellow safety helmet, his face and clothes were covered with thick yellow dust, he was lying there, holding his waist, screaming "Ouch!"
“How did the patient get hurt?”

Picking up the pen, Lu Ping began to record the patient's history of present illness while starting the consultation.
"We were laying tiles on the outside of the building, when we heard a plop, he fell down." A young guy accompanying him replied.
Injured from falling from high altitude, Lu Ping wrote these words on the white paper.
"how long it has been?"

"Half an hour at most."

"Fall from a shelf how many meters away?"

"Eight meters."

"Which part of the body hits the ground first when it hits the ground?"

This time the young guy didn't answer, and turned to look at the patient on the stretcher.
"Ass." The wounded patient grudgingly replied.
Falling from a high altitude and landing on the buttocks, the possibility of injury to the abdominal organs is relatively small, mainly depends on the spine.
"Chi Na, come here and measure his blood pressure and heart rate."

Heart rate 80 beats/min, blood pressure 120/75mmhg.
The vital signs were basically normal, and apparently, there was no internal bleeding.
Lu Ping gently pressed a circle on the patient's stomach: "Does it hurt?"

The patient shook his head: "My waist hurts."

Lu Ping pressed lightly near the lumbar spine.
"It hurts, it hurts." The patient cried out just as Lu Ping touched the skin.
"There is a high possibility of a lumbar spine fracture, go and take a picture."

The accompanying guy was a little confused: "Where are you going to shoot the film?"

Lu Ping looked the boy up and down, with a young and immature face, he looked less than 20 years old, his Mandarin was not standard, and his words were a bit shy. It seemed that he was a rural boy who had not been working for a long time. I don't know how long it took Huaguang Hospital to find the imaging room.
"I'll go with you."

Lu Ping turned around and said to Chi Na: "Stay here for a while, I'll send him to make a film."

"Thank you doctor." The young man showed a row of white teeth.
In 3 minutes, Lu Ping took the patient to the camera room: "This patient fell from a height, and the lumbar spine may be fractured. Be careful when carrying it."

Lu Ping carefully explained to the operators in the camera room.
Anyone who has a bit of surgical knowledge knows that patients with lumbar fractures must be careful when handling them. One person cannot lift the head and the other lifts the feet. In this way, the spinal nerves are easily lost. The pinto method or rolling method should be used.
Lu Ping, two accompanying boys, and an operator together carefully lifted the patient onto the scanning stand. Even so, the patient was still screaming in pain.
For patients with lumbar fractures, the best treatment is to rest in bed and try not to move if you can.
Three minutes later, the picture came out. The third and fourth lumbar vertebrae were fractured, and the kyphosis angle was <3°. The diagnosis was clear. As Lu Ping guessed, no surgery was required for this level of fracture, only bed rest was required.
"I'll send you to the orthopedic surgery department and go through the hospitalization procedures there." Lu Ping handed the film to the accompanying boy.
"Doctor, won't you be responsible for treating him in the future?" The young man accompanying him looked very disappointed. From the time of the accident to the present, every person in a white coat he met was very impatient with him and had a very unfriendly attitude. To such a kind doctor.
Lu Ping smiled: "I am an intern doctor in the emergency department of surgery. I am mainly responsible for diverting patients. At that time, there will be a specialist orthopedic doctor to treat you. He is more professional than me."

"Oh." The boy was still disappointed.
The orthopedic surgery department is on the eighth floor. After waiting for two waves of elevators, Lu Ping finally sent the patient to the ward.
The nurse allocated a bed, number 36.
Lu Ping took the patient to the bed again, and looked up at the bedside label. The doctor in charge of the bed, Chen Fei, was the attending physician.
The bed had already been made, and Lu Ping called the accompanying family member of a patient next to him: "This uncle, can you do me a favor and carry this patient to the bed?"

The uncle is very nice and nodded.
Under Lu Ping's unified command, the four finally carried the patient to the bed.
"Okay, the doctor in charge of the bed will come to see you in a while, so I'm leaving."

"Doctor, what's your surname?" the accompanying young man asked.
"My surname is Lu."

"Thank you, Doctor Lu."

"You're welcome."

Just after Lu Ping finished speaking, Fade Chen came in, and Lu Ping couldn't help frowning. This Fade Chen doesn't have a good reputation in orthopedics.
"Is that Zhao Yong?" Fade Chen flipped through the medical records and asked with his head down.
"Yes!" The accompanying boy hurriedly answered cautiously.
"I just did a plain film, and I didn't do CT or MRI. Go, I'll go for CT and MRI now and make an appointment to see if I can make an appointment." Fade Chen didn't even take a look at the patient. checked.

Zhao Yong immediately became unhappy: "I still have to move around, doctor, can I stop doing it first, my waist really hurts."

After finally lying on the bed and resting comfortably for a while, Zhao Yong really didn't want to be moved around again, every time he was lifted, his waist hurt unbearably.
"No, if you don't do CT, how can you make a clear diagnosis, and if you don't have a clear diagnosis, how can you treat the symptoms." Fade Chen said in an impatient tone.
"However, this doctor Lu has already told us that it is a fracture of the lumbar cone. The diagnosis is clear, so why do we need to do another examination?" The accompanying guy didn't like this doctor in charge of the bed very much, and he believed in Lu Ping's diagnosis even more.
Fade Chen turned his head and glanced at Lu Ping's badge: "She? She's just an intern, not even qualified to practice medicine independently. I'm the attending doctor. Don't you believe her more?"

"I believe in this Doctor Lu." The accompanying young man straightened his chest, hardened once in a while.
"I also trust Dr. Lu." Patient Zhao Yong also said.
Fade Chen's face suddenly turned ugly.
Lu Ping thought for a while: "Dr. Chen, the patient is in great pain now, and it is really not suitable for him to move. You can prescribe the checklist first, wait for the patient to rest for a few days, and the acute phase is over, and then go for the checkup."

"No!" Fade Chen refused without thinking.
These patients are really stingy. Several times, he compromised and promised the patient to check up a few days later, but the patient kept procrastinating and did not do it when he was discharged from the hospital. The director named and criticized.
Why do you come to a big hospital for medical treatment? Isn’t it because there are so many tests here?
Lu Ping was already dissatisfied with Dr. Fade Chen. She suppressed her temper and discussed with him. As a result, Fade Chen had such a bad attitude.
Lu Ping suddenly became angry, neurology is the same, and so is orthopedics.
At the beginning, when she was an intern in the Department of Neurology, a patient with herpetic neuralgia came. Lu Ping asked her teacher why she didn’t let the patient go for a nerve block, because there is no good drug treatment for herpetic neuralgia at all. Hospitalization is a waste of money, only a nerve block can be done to temporarily relieve the pain.
The teacher in charge taught her at that time, write down your medical history record, don't worry about it so much.
As a result, the patient stayed in the hospital for ten days and spent more than 1 yuan. The symptoms did not relieve at all. Finally, he went to the outpatient clinic for a nerve block, and Lu Ping wrote a purely fictitious course record there every day against his conscience.
One like this, two like this!
This is Huaguang Hospital, the top hospital in Seoul, it exists to solve the pain of patients, it is not a simple money-making machine.
But now, those medical students who have sworn the medical student declaration walked into the hospital, put on white coats, and became a real doctor, but they have long forgotten their original intentions. Open, it is a check of several hundred yuan.
Originally, Lu Ping also wanted to calm things down, but seeing Zhao Yong on the bed with a painful face, the trusting eyes of the young man accompanying him, and the greed and disdain in Fade Chen's eyes, she decided that she couldn't bear it anymore.
"Okay, Dr. Chen, I would like to ask why the patient should go for a CT scan right now."

"For a definitive diagnosis."

"A definite diagnosis?" Lu Ping snorted, and pulled out the plain radiograph: "This lateral radiograph shows a fracture of the lumbar spine. It's clear and clear. How can we further clarify it!"

"Plain radiographs can't tell whether the nerve is damaged or not, and whether surgery is necessary."

"Okay, I can give you a clear answer now. The patient's spinal nerves are not damaged. Damage to the lumbar 3 and 4 spinal nerves manifests as loss of skin sensation in the perineum (saddle area), loss of sphincter function, and inability to control bowel movements. , the sensorimotor function of both lower limbs is abnormal. In this patient, the sensory motor function of both lower limbs is normal, and there is no loss of bladder and bowel control. Therefore, it can be concluded that the spinal nerve is not damaged. "

An intern doctor, Fade Chen didn't pay attention to it at first, but when he saw Lu Ping explaining each of them with reason and evidence, Fade Chen's face became more and more ugly.
Hmph, seeing Fade Chen's strange expression, Lu Ping felt a burst of contempt in his heart. This Dr. Chen probably lost his professional knowledge to the sky.
"Dr. Chen, what I just said is correct, but any qualified orthopedic surgeon should know all this knowledge by heart. How can Dr. Chen, who has been an orthopedic doctor for more than ten years, put his housekeeping skills on the contrary?" Forgot, without relying on CT, MRI is a high-end equipment, can't even give a diagnosis?"

Lu Ping's voice became louder and louder, and nearby patients came to watch.
"Oh, this little doctor is amazing!"

"This doctor in charge of the bed really got into the eyes of money. He only knows how to check up the patients all day long."

The discussion was loud, and Fade Chen could hear it clearly. He had never been insulted like this in front of a patient, and he was completely angry.
"Your name is Lu Ping, right? As a little intern, you think you can endorse some of the knowledge points in the book, which is great. Let me tell you, being a doctor is not as simple as memorizing. Ten years of work experience tells me that Relying only on experience and theoretical knowledge is not enough. The most accurate diagnosis can only be made if you can see it clearly on the film. The current situation of this patient requires a CT scan immediately.”

Ignoring Lu Ping, Chen Fei said directly to Zhao Yong: "You, go for CT."

Zhao Yong didn't move, but looked at Lu Ping with a look of asking for help.
Lu Ping clenched his fists and took a step forward: "Doctor Chen, you said that I am inexperienced, okay, I admit it, then we will ask a doctor with more experience to judge whether we need to do CT immediately."

Fade Chen didn't want to entangle with this pestering intern doctor anymore, but with so many eyes watching him, he had to protect his face.
"Okay, our department director is in the office, I'll call him right away."

The director of the Department of Orthopedics is already a chief physician at the professor level, so he should be a highly respected person.
Lu Ping prayed silently in his heart.
After a while, a doctor with graying hair and reading glasses came over, and Lu Ping immediately greeted him.

"Hi, director. I'm Lu Ping, an intern. The situation is like this. This patient is in pain now, and he doesn't want to."

Before Lu Ping finished speaking, the director directly interrupted her: "I already know the situation, the patient needs to be checked immediately."

"Why?" Lu Ping looked at this kind old doctor in disbelief, but he didn't expect him to say the same.
"This is the diagnosis and treatment process of our orthopedics department. Patients with falling injuries must complete CT examination."

Lu Ping's heart sank, and when he turned his head, he saw Chen Fei behind the director smiling triumphantly.
How can such a successful villain make him happy.

"But the patient is suffering now, why can't he wait?"

“This is our orthopedic policy!”

“Is the pain of the patient important, or the regulations of the department?”

Lu Ping uttered a cry from the bottom of her heart, her voice was very loud, there were hundreds of people in the orthopedic ward of Nuo University, and only Lu Ping's sonorous and forceful questions were heard.
The director of the orthopedics department adjusted his glasses, bowed his head, and looked at Lu Ping carefully: "You are an intern, you haven't been in our orthopedics department yet, so with your attitude towards me now, I will not let you pass the internship Respect teachers, how can you become a good doctor if you don’t understand this simple truth.”

Pointing to Lu Ping's intern doctor's badge, the director said: "You are an intern doctor in Huaguang Hospital, you need to follow the regulations of Huaguang Hospital, don't get too complacent because of your good grades, don't forget to do your own internship The identity of the doctor."

Lu Ping, the director of the orthopedics department has heard about this person, his grades are astonishingly good, and he is only a college student, so he has published a few papers. The director of the orthopedics department has heard about it for a long time, but he did not expect that it is such a thorn in his head that will never be destroyed. Arrogant, she will be even more defiant in the future.
Lu Ping lowered his head and looked at his badge: Huaguang Hospital, intern.
These two lines used to make Lu Ping feel proud, but at the moment, she only thinks these eight words are very dazzling.
manner?identity?Hehe, the head of the orthopedics department of Huaguang Hospital taught an intern a lesson, but what he taught was only her attitude, and what he relied on was his own identity. Where is his medical skill and his medical ethics?
If she doesn't put the patient's pain first, if Huaguang Hospital is just a signboard to attract patients, then what is she doing here, when will her medical dream come true, and how can she be worthy of it? Her father, who passed away after suffering from illness, how can she be a doctor?
Suddenly, Lu Ping tore off his badge, held it up high, and threw it on the ground: "If the purpose of Huaguang Hospital is that the rules are greater than the patients, then I would rather not practice in this hospital!"

Lu Ping's strength was so great that she smashed a corner of the breastplate, and the corner jumped up and hit the director's eyes directly.
"You..." the director widened his eyes in anger, he didn't expect this Lu Ping to be so stubborn.
If she is rejected by Huaguang Hospital, her internship will not be completed, and she will not be able to graduate smoothly. Without a medical bachelor's degree certificate, wouldn't her university studies be in vain?
The atmosphere suddenly became tense. The doctors, nurses, and the family members of the patients who were watching were all shocked. The ward, which had always been extremely noisy, was eerily quiet.
Beep, the elevator is open.
The dean and a young man entered, surrounded by a large crowd.
No, the atmosphere is wrong!
As soon as the dean got off the elevator, he noticed the strange atmosphere, but he still tried his best to smile, and began to introduce to the cold young man in front of him: "This is our orthopedic ward, with 3 beds, and 8 chief doctors. , [-] deputy chief doctors, our orthopedics department has introduced the most advanced high-hardness steel plates from abroad, which can perform open reduction and internal fixation for various types of fractures, including spinal fractures"

The dean was talking endlessly, but the young man's eyes drifted to the distance, locked on a thin figure surrounded by everyone: "What's going on?"

The explanation stopped abruptly in embarrassment, and the dean forced a smile: "Maybe there was a small accident, let's go and have a look."

Glancing at the young man in a neat suit beside him, the dean kept drumming, but don't have any serious medical accidents. Tianbao Group is finally willing to invest in Huaguang Hospital. Today, it is the future director Xiaojiang who is here After investigation, if something goes wrong, the billions of Tianbao Group will be wiped out.
Huaguang Hospital looks glamorous on the surface, but only he, the dean, knows that it has long since become an empty shell. It is expected that the Ministry of Health will give you money, but there is no way. , Every time they leave without fines, they will never give up. The head of the imaging department has long complained to him that the machines in the hospital are too old and need to be replaced with a new batch.
However, a 280-slice spiral CT costs tens of millions, he has no money!
That's why he thought about the way of attracting private capital to become a shareholder.
However, by the way, this Director Xiao Jiang is really cold, no matter how gaudy he speaks, he only has one word: um.
"What's going on?" the dean opened his mouth, showing his majesty.
In front of director Xiao Jiang, he can bow down for money, but in front of his subordinates, he must put on airs as the dean.
When Fade Chen saw that the dean was here, he immediately trotted over: "Dean, it's like this, this new patient needs to be checked, but this intern doctor is messing around, insisting that it is unnecessary, and the patient is also encouraged by her." "

With a few words, Fade Chen pushed all the responsibilities onto Lu Ping.
It turned out that it was just an intern making trouble, that's fine, the dean breathed a sigh of relief: "Which intern is so bold!"

"she!"

"What's your name, look up for me."

Lu Ping raised his head, his face was ashen, the dean who can say such words is definitely not a good bird.
She has no hope.
However, the next second, her eyes froze.
Jiang Tianhai, for four years, she thought she would never see him again in this life, but he appeared in front of her under such circumstances.
He has changed a lot, he has lost the immaturity and innocence of a teenager, and he has become calm and mature, but this maturity is accompanied by indifference, giving people a feeling of being thousands of miles away.
No matter how many things have changed, he is still the one she will never forgive.
Without any emotion, Lu Ping withdrew his gaze.
The dean took a look at this handsome and lovely intern student: "Why are you agitating?"

Before he finished speaking, Jiang Tianhai stretched out his long arms and pointed to the accompanying boy beside the bed: "Tell me, what's going on?"

When the accompanying guy was called, he was surprised at first, and then spoke excitedly.
"My friend fell from an eight-meter-high shelf, and it was Dr. Lu who took us to take a film."

He was stuttering, and his pronunciation was not very standard, but the accompanying guy still explained the whole thing very clearly, especially when Lu Ping asked the phrase 'Is the patient's pain more important than the department's regulations', and Lu Ping dropped his badge He even imitated it vividly.
The entourage is naturally more partial to Lu Ping. In his mouth, Lu Ping is simply a hero who draws his sword to help in the face of injustice.
"Is that so?" Tian Hai glanced at Fade Chen and the director of the orthopedics department, his gaze was so cold that it made one's skin crawl.
Fade Chen and the director of the Department of Orthopedics bowed their heads in silence, but the onlookers beside them responded positively: "Yes, that's how it is, this little doctor is really amazing."

Jiang Tianhai glanced at Lu Ping, turned around after only one glance, and asked the dean, "Dean, then I would like you to answer this question. Is the patient's pain or the department's regulations important?"

"Of course the pain of the patient is important!" The dean immediately laughed and replied: "The purpose of our hospital is to solve the pain of the patient!"

Then, he turned around and looked at Fade Chen and the director of the Department of Orthopedics: "You are an attending physician and a department director, but you are not as good as an intern doctor. Really, Huaguang Hospital has lost all face!"

Fade Chen and the director of the orthopedics department lowered their heads and did not speak, their faces were swollen into liver-colored faces.

The dean glared: "What are you doing here in a daze, what should you be doing?"

Fade Chen and the director of the orthopedics department took the opportunity to escape quickly.

After sweeping away the doctors and nurses who were still watching, the dean's voice became louder: "Is there no work to do? Everyone gather around here to watch the fun!"

Everyone dispersed one after another, but Lu Ping still stood where he was.
The dean glanced at Lu Ping, turned around and made a gesture of invitation to Tianhai: "Director Jiang, this way please, take a look at our external traction equipment."

Tianhai didn't move: "Wait a minute!"

Taking long legs, Tianhai walked to the badge in two steps, bent down, and picked up the badge with a broken corner with his slender fingers.
Shaking, she put it near her mouth and blew it, then wiped it with her fingers. Holding the badge, Tianhai walked to Lu Ping, slightly pulled up the corner of her white coat, held the pin through the corner, pressed He circled half a circle with the tip of the needle, let go, his whole body clattered, and he put on the badge again.
After straightening the badge again, Tianhai said, "The dream of medicine is the biggest dream of your life. For it, you have paid such a high price. How can you give up so easily!"

During the whole process, for about 1 minute, Tianhai kept staring at Lu Ping, but Lu Ping kept his head down, like a piece of wood, and would not respond to any stimulation.
Whether it is love or hate, Tianhai has thought many times about what kind of expression Lu Ping will have when he sees him again. He thinks of anger, resentment, and grief, but he never imagines that his heart is as still as water.
How much she hates him and how determined she is to dig him out of her heart so thoroughly, after he stands in front of her and puts on her breastplate, she still doesn't even want to look at him one glance.
Hey, with a long sigh in his heart, Tianhai sadly turned around and left.
. . .

Tian Hai left, following the shocked dean.
Lu Ping finally raised his head, stretched out his hand, and lightly touched the broken corner of the breastplate, his remaining warmth came from his fingertips.

"Pingping, if one day you had to choose between your medical dream and me, which one would you choose?"

Tianhai once asked her this question, but at that time, she didn't answer.
In the next sentence, he said, "Lu Ping, let's break up!"

(End of this chapter)

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