Qilu Evening News·Qilu One Point Correspondent Zhou Na
It is difficult to be a doctor, and it is even more difficult to be a pediatrician. As a pediatrician who has worked in clinical practice for more than 20 years, Chang Dayun, deputy director of the pediatric department of Weihai Municipal Hospital, is deeply touched by this. She said, "It is really not easy to be a pediatrician. Pediatrics is a 'dumb department'. We not only have to face children who only know how to cry but not tell their condition in daily life, but also face a circle of relatives around the child. We need to treat the child's illness, and also explain to the children's parents and a series of relatives such as grandpa, grandma, grandma, grandma, and grandma. If the explanation cannot satisfy the family, it is easy to cause disputes..."
1.
When interviewing Chang Dayun, I was worried that she was busy, so we chose Friday afternoon. When we went there, she was busy queuing on the computer.
She said that she was worried when scheduling on weekends. Now, in addition to the two pediatric wards, there are pediatric emergency, pediatric outpatient clinics, pediatric fever clinics, day shifts, noon shifts, and night shifts. At least 4 teams are needed to operate. But there are not enough people in Coral. If you want to maintain a normal job, you can only sacrifice everyone's rest time.
She herself has no concept of holidays. Whether it is day or midnight, no matter it is windy, rainy or snowy, as long as Cory needs it, she has to come to Cory at any time.
asked her if she regretted choosing pediatrics.
She thought for a moment, shook her head and said, "I don't regret it."
She graduated from the Medical School of Qingdao University in 2000 and was admitted to Weihai Municipal Hospital through talent recruitment and became a pediatrician.
She was only 24 years old that year.
"Go wherever you need it." When Chang Dayun first accepted the organization's allocation, she had a very simple idea.
can wait until you truly enter the clinical stage, and Chang Dayun experiences why so many medical students are unhappy in pediatrics after graduation.
"The diagnosis of pediatric diseases is different from other departments. Children are afraid, uncooperated, and crying and making noise. Doctors need to be more patient and careful." Chang Dayun introduced that in pediatrics, most situations have to be observed, judged, and guessed by the doctor themselves, and have high requirements for medical skills, patience, and sense of responsibility.
However, when she was intern at Qinghai Medical Affiliated Hospital, she worked firmly at the grassroots level. After understanding the characteristics of pediatrics, she quickly "can take up all work and put down everything."
When she was a resident, there was only a slope corridor between the dormitory building she lived in and the pediatric ward, and the restaurant turned in the middle. Basically, work, food and accommodation were solved in one building. Sometimes I get busy and don’t leave the building for a week or two, don’t see the sun, and don’t go out shopping.
"Opening your eyes is work. In addition to maintaining normal needs of the human body, almost everyone devoted themselves to Corey..." She said with a smile that although it is hard to be a pediatrician, every position requires someone to pay. When facing the cute children every day, I feel that all the efforts are worth it.
2
At the beginning of work, young doctors will inevitably encounter various setbacks and difficulties, and Chang Dayun never retreated because of this. While integrating the professional knowledge she learned in the book with clinical practice, she actively learns from her predecessors and colleagues around her, and also learns advanced pediatric diagnosis and treatment knowledge at home and abroad through various channels.
In 2008, the diligent and studious Chang Dayun got the opportunity to study at PICU (Pediatric Intensive Care Unit) Affiliated to the Pediatric Hospital of Fudan University in Shanghai. This made her very happy and cherished. During her further study, through humble study and careful consultation, she accumulated richer clinical experience in the treatment of various critically ill children in pediatrics, and further improved her professional knowledge and professional skills. She basically mastered the work flow of PICU, tracheal intubation technology, and the application of mechanical ventilation in clinical practice. After returning from school, she led the department's medical staff to carry out the application of children's ventilators with the support of the hospital's Party Committee and the department director, which significantly improved the level of severe medical rescue in pediatrics.
In the winter of 2009, influenza A broke out and the number of severely ill patients increased.
On a day, the pediatric department received a notice from the Health and Family Planning Commission that a severe influenza A child was in critical condition and was transferred from Rushan to the municipal hospital for treatment.
After receiving the notice, Chang Dayun immediately gave up the rest and rushed to the department to stand by, quickly preparing the ventilator and other rescue measures. After the child came to the hospital, with the joint cooperation of the pediatric medical team, Chang Dayun quickly intubated the child.
The child is in critical condition and is accompanied by multiple organ failure. In order to ensure the safety of the child's life and observe the changes in the child's condition at any time, as the only doctor in the department who had studied PICU at that time, Chang Dayun did not take any leave for 18 days and nights and did not leave the ward.
I was tired and sleepy, so I curled up with my clothes on the free bed in the ward and took a rest... I was thirsty and hungry, so I asked my colleagues from Cory to bring food from the cafeteria. Sometimes I can't catch up with the meal, either endure it or find a few cookies to pad it... When I finally took the child back from the god of death, I watched the child remove the ventilator, watched the child slowly recover and recover, and finally recover, Chang Dayun's eyes couldn't help but get wet. She felt that no matter how much effort and sacrifice was worth it at this moment!
At that time, her son was just 2 years old. For the sake of work, she could only leave it to her grandparents for help. She said that she was ashamed of her son and was also very grateful to her family for their understanding and support.
3
In January this year, the Second Department of Pediatric Internal Medicine admitted a 12-year-old girl named Xiao Jing with "primary erythema limb pain". The girl was pushed in in a wheelchair. During the physical examination, Chang Dayun felt the girl's legs hard and her body temperature was extremely low through her thin pants. When I took off my pants, I was shocked. The skin of the girl's lower limbs below the knees was purple-black and hard, and it looked like leather, with large areas of ulceration, part of which had scabbed, the skin of both feet was eroded, and the five toes were stiff. The legs and feet were swollen, and they also had a stinking smell, and there was almost no normal skin.
Chang Dayun felt heartbroken when he looked at such a beautiful girl who was at the age of beauties, but was tortured by illness. Organize medical staff to provide treatment immediately. Consultation, examination, and infusion treatment measures were carried out quickly and in an orderly manner. The test results show that Xiaojing suffers from severe sepsis accompanied by related organ dysfunction, severe pneumonia, respiratory failure, myocardial damage, and drug-resistant bacteria infection in the soft tissue of the skin.
How to improve the girl's condition? How can the legs of the flower girl return to normal? Chang Dayun couldn't sleep at night because of this. While searching for documents and information in the same department, the medical staff also actively searched for foreign aid. With the help of the Burn Plastic Surgery Department and other departments, Xiaojing was given various symptomatic treatments. In the end, with the unremitting efforts of Chang Dayun and pediatric medical staff, Xiaojing recovered and was discharged from the hospital after half a month.
Xiao Jing's mother was moved and repeatedly expressed her gratitude to the pediatric medical staff.
"Sometimes heal, often help, always comfort, this is our daily work." Chang Dayun said that in pediatrics, we encounter all kinds of children every day. They do their best every time they treat.
"At the most, our outpatient clinic has to see more than 300 children a day, and more than 20 people are admitted to the hospital..."
"Our pediatric internal medicine department can be said to be 'small sparrows are all small and all the internal organs'. Almost all the same cases can be found here, such as digestion, breathing, endocrine, etc., and a total of 14 sub-professions are divided into specialized doctors in each major. But at present, the department is very tight, and at least 2 people have to be sent to higher-level hospitals for further study every year..."
4
When an interview was being conducted, Chang Dayun received a call from the first department of pediatric internal medicine downstairs "Director Chang, now the family of the child finally agreed to do it. The waist pierced, but there is not enough staff here, and someone needs help later! "
put down the phone, and Chang Dayun couldn't help but sigh and said, "When there were too many people in the morning, I was going to do lumbar pierced for this child, but the family just disagreed. There were fewer staff at this time, but they agreed. To do lumbar pierced for the child, we have to mobilize at least 3 doctors... Because the children do not have patience like adults, crying and restlessness are common, and several people need to hold it."
" Of course, it is not only our hospital, but children with shortage of resources in pediatricians nationwide and critical night shifts need to participate together. There must be a senior professional doctor responsible for guiding and rescuing and communicating with the children's family."Chang Dayun introduced that there are many emergencies in the pediatric department at night, and the situation of rushing to the hospital for rescue in the middle of the night is commonplace for everyone.
"There are new patients in the pediatric department! "There are new patients in the second department of pediatrics! "There are too many outpatients, so please support from the ward! "At night, such calls will come one by one. The night shift doctors have to participate in the rescue, and at the same time they have to take time to explain their condition to their parents. Sometimes they are busy until midnight and have not had dinner. The food is already cold. Just as they are about to sit down and have a meal, the phone rings again... When a bite of cold rice is finally in their mouths, it is almost dawn. "This is a very ordinary night in our pediatricians' night shift, an ordinary day in daily work, busy and hard. "
chatted hurriedly, and Chang Dayun rushed to the first department of pediatric internal medicine to help the child with lumbar piercing.
As a department director, Chang Dayun also has to undertake clinical teaching work in addition to the busy daily department management work. He should teach by example and deeds to help the intern doctors integrate theory with practice, so that they can successfully complete the internship tasks during their internship in pediatrics. At the same time, as the teaching director of the pediatric residency training base, she also undertakes the teaching and coordination of resident training doctors. Due to her outstanding work, she has been awarded for many years. Winning honorary titles such as "Weihai City Gold Medal Employee", "Excellent Municipal Quality Control Advanced Individual", "Advanced Worker", "Excellent Teaching Teacher". But she herself does not seem to attach great importance to these honors, and she didn't even mention them during the interview.
"I hope the society will be more tolerant of pediatricians so that the few pediatricians can continue to stick to their pediatricians; I hope there is a better working environment and let more talents join the pediatricians..." After leaving the pediatric ward, Chang Dayun's urgent words remain in his ears.
Personal Profile:
Chang Dayun, female, born in 1976, undergraduate, graduated from the Department of Clinical Medical College of Qingdao University in July 2000, and was assigned to the Department of Pediatrics of Weihai Municipal Hospital to engage in clinical work since the present year. In 2001, she successfully passed the National Practice Physician Examination and obtained the qualification of a practicing physician; in 2005, she passed the national intermediate professional title assessment. She is currently the deputy director of the Pediatrics Department of Weihai Municipal Hospital. Respiratory Group Member of the Pediatric Branch of Shandong Medical Association, Member of the Shandong Society of Integrated Traditional Chinese and Western Medicine, Director of Weihai Preventive Medicine, Weihai Association, Member of Haishi Pediatric Quality Control Center. In 2008, he studied in the Critical Care Medicine Department of the Affiliated Pediatric Hospital of Fudan University in Shanghai. He has rich experience in treating critically ill children in various pediatrics. He is good at the diagnosis and treatment of children with critically ill children. He has published several national papers, 3 patents and 1 scientific research.
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