Chapter Five Hundred and Eighty Eighth Serious Injury

After the visit of the District Chief, the atmosphere of the Bazhai Township Branch of the District Hospital has been cleaned up—there is no point in rushing to work, and the hospital is naturally quiet.

The doctors from the district hospital sat in the corner in twos and threes, chatting softly and boldly looking at their mobile phones, just like stray dogs and cats on the street, active only when looking for food.

Director Wang Haiyang and other doctors who came to the free clinic continued to see the doctor without envy.

The wider the news of the free clinic spread, the more people came. It is impossible to realize this hope by treating all patients. The small hall of the Bazhai Township branch hospital was already full of queues. Doctors from the district hospital had filled in the vacancies before, and there were so many people that they didn't feel it. Now that people don't come to do it, the doctors in the free clinic are Alexander. Doctors who have been in the clinic know that the table cannot be left empty, otherwise, the patients waiting to see the doctor will have to turn upside down.

Lu Wenbin, Yu Yuan and other junior doctors also took turns to replace the frontline doctors.

It is a routine practice for the doctors to sit in the consultation for half a day without eating, drinking or urinating. However, no one can persist in the 11-hour consultation from 8 am to 7 pm. During the rest time in the middle, you have to take turns to replace them.

Ling Ran sat for 3 hours and got up to rest.

Energy potions can replenish energy and make people energetic, but there is no way for daily metabolism.

Ling Ran asked Lu Wenbin to go into battle, and since he went to the bathroom, he saw that the inside was filled with smoke, his breath was full of carcinogens, and the fingers of patients with severed limbs and replanted patients couldn't survive a bubble of shit in it.

Director Hong held a cigarette in his mouth, with a carefree smile on his face, held the cigarette with his pale yellow hands, and greeted warmly: "Doctor Ling also peed."

"Yes." Ling Ran let out a smile that met social expectations: "Director Hong, please open the window."

"Oh, yes, I forgot to open the window, it's a little cold." Director Hong opened the window a little embarrassedly, and then shrugged his shoulders, only to feel that most of the happiness of smoking was lost, and he couldn't help but miss Doctor Yun in his heart. In Yunyi, when he was smoking, the junior doctors never dared to call out, that is, to hold hospital affairs meetings and so on, so they had to restrain themselves a little.

Ling Ran didn't think so much anymore, he urinated, nodded to Director Hong and went out.

Director Hong didn't want to smoke anymore, so he chased them out together, and said with a smile, "Well, Doctor Ling, the wife of the head of the Cangping District, was originally introduced to Academician Zhu, so why did I send you back? Yes question?"

Ling Ran didn't expect the chief physician...to be so gossip at such an old age, he just said: "Synovitis, another arthroscopic operation, academician I wish you won't do it a long time ago, bring it back to me for it."

Director Hong was taken aback for a moment, turned around and laughed, and said, "That's right, you young people are proficient in making all kinds of endoscopes now, and they are good at it."

He just made it out of feeling.

The development of new technologies has an immediate effect on the improvement of surgical results. Just like gallbladder surgery, using laparoscopy and laparotomy are almost two concepts. As long as it is a gallbladder surgery that meets the indications of laparoscopy, no matter how good a doctor uses laparotomy to perform gallbladder surgery, the effect will hardly be better than the average value of laparoscopic gallbladder surgery.

If it is compared by doctors of the same level, the gap will be even greater.

It is not surprising that Hippocrates' healing ability was inferior to that of Concord residents.

However, new technology is not friendly to the elderly.

The age of 20 or 30 is a critical period for doctors to grow up. After the age of 40, it is very difficult to learn new technologies, but there are still advantages in accumulating experience. However, after the age of 50, let doctors learn new technologies It can be said that it violates human physiology.

In fact, the performance of all walks of life in this regard is very obvious, but the lifelong learning of the medical profession has made this problem more prominent.

As far as endoscopy is concerned, laparoscopy and hysteroscopy are of moderate difficulty, while arthroscopy is the easiest, mainly because the internal structure of the joint is simple and the operation has a high error tolerance rate.

so,

Orthopedic surgeons usually do not refuse to use arthroscopy, and departments such as gynecology and general surgery are actively using it.

It is unavoidable to have a sense of fear in departments such as chest surgery.

Thoracoscopy is far more difficult than other endoscopes, and the cost of learning is extremely high. Moreover, thoracic or cardiac surgery is prone to accidents, and it is not so easy to carry out thoracoscopy.

Although Director Hong is the director of the Department of Internal Medicine, the Department of Respiratory Medicine is closely related to the chest.

"Ling Ran, you can perform arthroscopic surgery, and laparoscopy is also good. Have you ever thought about doing thoracoscopy?" Director Hong tentatively invited. For the respiratory department, the level of thoracic surgery in the hospital directly affects the development of the department itself.

Among other things, the same lung cancer patients must first go to a hospital with a high level of thoracic surgery. After surgical resection, it is more common to be hospitalized in the respiratory department.

A good thoracic surgery department, in cooperation with the respiratory department, can also solve some difficult diseases through the joint diagnosis and treatment of internal medicine and surgery.

As one of the powerful directors of Yunyi's powerful department, Director Hong couldn't be said to be dissatisfied with Yunyi's chest, but he was not very satisfied. When he was connected with Ling Ran's ability in arthroscopy, he wanted to hook him over.

It doesn't matter which department he is in, anyway, what Ling Ran is doing now is not in the emergency department. If he carries out thoracoscopic surgery, he will be up in a year or two.

The learning process of a surgeon is very slow, but it takes one to two, two or three years for a trained surgeon to start a new project. Of course, this refers to young and middle-aged doctors under the age of 55. Those who are over the age limit really have to learn.

However, Ling Ran hadn't thought about thoracoscopy, and said truthfully: "I have never been in contact with thoracic surgery, and I haven't studied laparoscopy clearly yet."

In contrast, he is a little more confident with arthroscopy.

Director Hong coughed and laughed twice: "That's a pity, thoracoscopy is actually quite fun."

He is an internal medicine specialist, so he doesn't need to undergo surgery, so he is naturally not afraid of Ling Ran stealing his job. In fact, the better the thoracic surgery is done, the greater the promotion of internal medicine.

The two talked, and then went to the hall together.

The total area of ​​the Bazhai Township branch is not as large as the Yunyi Emergency Center, and now it looks like there are many doctors and many patients. Even the doctors who change shifts have nowhere to hide. They can only find a corner and take it with them as hard work. up.

As soon as I went downstairs, I saw a riot at the door, several people shouted and carried people in.

"Doctor, doctor... help..." The woman running in the front shouted loudly, and the voice could be heard by everyone in the building.

Most of the doctors stopped what they were doing, and a few who were close rushed forward.

Ling Ran also walked a few steps quickly, took out the alcohol gel, wiped it on himself, and asked Director Hong next to him: "Have some?"

"I just washed my hands." Director Hong said, and still took the alcohol gel that Ling Ran squeezed over.

Ling Ran himself wiped his hands with alcohol gel before putting on gloves.

Putting on the gloves again, the patient has been carried by four people with a quilt to the treatment room across the hall.

The patient, who was lying comfortably on the bed for infusion, had to push the infusion pole and sit on the other side.

"What's the situation?" Ling Ran directly asked Lu Wenbin who was running ahead.

"The big arm was slashed, and the artery was not injured." Lu Wenbin was extremely calm. I have been in the emergency department for several years, and I have seen a variety of patients. This kind of cut wound with a not deep wound is commonly known as "skin trauma".

The surrounding doctors also noticed it, and several of them left disappointed.

After so many days of free clinics, although there are some severe patients found, none of them can be directly treated. It was not easy to meet someone who was full of momentum, but he didn't expect that it was just a slash.

People came and went quickly, and after a while, there were only four white coats left in front of the hospital bed.

The woman who called for help just now couldn't help screaming: "Why come and leave, save people, save people!"

The two doctors who wanted to come to help, heard the screams, bowed their heads and left.

"The patient's signs are stable, so don't be nervous." Ling Ran said, took over the diagnosis and treatment, took a flashlight to scan the patient's pupils, and said at the same time: "Large debridement kit, check for other wounds, Yu Yuan Find someone who doesn’t call you and ask about the medical history. Tell the family members to wait outside in the yard.”

There are probably 20 or 30 people who send patients to see a doctor. Their clothes are still dusty and dirty, and they all look like a big source of pollution.

Yu Yuan tried her best to persuade her, but her voice was too low compared to the screaming girl and the accompanying new troops.

If the hall of the Bazhai Township Branch was like a vegetable market just now, it is now like a primary school with recess activities. Even the well-informed doctors frowned.

Ling Ran also frowned, what he disliked the most was this chaotic environment. At this time, you can only focus on the patient, just like when you are reading in the library, no matter how noisy the surroundings are, no matter how many people come and go or even watch, you can only focus on the books up.

"Debrid, suture." Ling Ran said something to Lu Wenbin, and then cut off all the sleeves of the patient's clothes.

On the big bare arm, you can see a foot-long opening, the skin and flesh are turned over a bit scary, and then... there is no challenge...

"Father, you can't die..." The screaming woman became louder when she saw this scene.