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    9/23/2009

    临床经验汹涌而来

    本想有人带着我值班三个月，我还可以慢慢磨蹭磨蹭地累积临床经验。
    不想最近得知一个晴天霹雳，十一休假之后，与我在同一科室轮转的住院医们都要轮到其他科室去了，就剩我一人孤苦伶仃待在神内了...
    而且在不到三个月的情况下，我就要独立当班了...我那个慌啊...做梦都紧张
     
    于是昨天值班，临床经验就向我扑面而来啊...
    早上来了个黑便3次的上血病人，来的时候一般情况不错，自己提着补液走进来的，我问好病史做好体检就去写病史去了。
    不想写到一半，此人再次呕血、解黑便，后解血便...休克了...
    我还没反应过来...看着日值班的医生处理...
    然后就一直观察情况，下午也没有去休息...
     
    傍晚时分急诊送上来一个头晕待查的人
    问好病史做好体检，考虑脑梗，但是神经体征很难解释...
    跟带我的医生讨论了一下，还是把脑梗放第一诊断，不过心里还是没底
    今天早晨再去看病人的时候，神经体征明显了，饮水还有呛咳，心里踏实些了
    嗯，这次看到了脑梗的进展了...
     
    今天凌晨2点，被护士叫醒，原来27床在抢救了
    呵呵，难道是知道我要独立当班了，一系列事情都拥着在今天出现？
    27床是个肿瘤晚期恶液质病人，考虑到家属感受，推了不少心二联呼二联，再给了胸外按压，可能我太用力了，就听到卡卡的响声，把带我的医生吓到了，赶紧叫我轻一点，呵呵，我不好意思的笑了，他又急了，说你怎么能在这种场合露出笑容呢...
    然后就是宣告死亡，填单子，写病程录，继续挣扎着睡觉...
     
    虽然是涌来了一些事，可是我还有很多很多很多不懂的呀
    一个人处理不来很慌的，老是叫二班要被狂骂的，我很焦虑的...
    我现在要狂翻小张送的《内科住院医师手册》，用大林送的精油皂舒缓神经，用哈尼送的面膜保养...
    我对生活和工作都是有要求滴~
     
    8:53:12 PM | Blog it

    Comments (5)

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    liyun shenwrote:
    现在行吃大麦的东西,高纤的谷物早餐,有N多PAPER说会调整糖耐量,增加饱腹感,吃点东西心里会开心点
    Nov. 5
    Yianwrote:
    Hold on Jenny!I'm sure you will make through it! I'm on your side!We should learn how to cope with GRIEVE!Let's keep on moving~
    Sept. 28
    yehong liuwrote:
    buttom of the food chain, i can tell, however, look the other side, and forget the stuff happened in the hospital, and like what we did, hanging out will helps both of us to relieve the stress.
    Sept. 28
    min MINwrote:
    作孽哦，JENNY，不过如此残酷，如此作孽的情况下你生存下来了，以后能独当一面的时候，就很强悍很能干来~~~我现在蹲妇产科也是看到抢救病人很慌的~~~
    Sept. 26
    心宁wrote:
    多吃点米吧，B族维生素有神经保护作用
    Sept. 23

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