Chapter 32 Small Appendix, Big Spirit

On this day, after the shift was over, the head nurse Tian Xianglan suddenly said: "The end of the month is coming soon, and our emergency department's performance for this month is estimated to be counted down again. Everyone, please supervise the hospitalization expenses of patients during this time. Now many of them are owed Fei came in and hasn't handed over the money yet. Our department's mission will definitely not be completed, but we can't be named and criticized by the hospital leaders again, right?

Also... Doctors, save some of your consumables, which are all money, and can you not use one mask a day, one a day, because there are mines at home? Also, don’t throw away those dermatologists before they’re used up. Besides, pour some alcohol in and they can still be used! ...that's all money. "

"Finally, there is the issue of outpatient expenses. In the future, one patient must be registered for one number, not dozens of patients. The hospital now implements a policy of one ID card for one patient, and remember to charge for suture bags and dressing kits. This is not a benefit. Courtyard, everyone... I won't say who it is, everyone should pay attention..."

Well, as always, the head nurse said that I don't know how expensive firewood, rice, oil and salt are when I'm not home.

As the chief housekeeper of the department and the financial director of the family, Tian Xianglan also has a major task.

Don't look at the emergency department, which seems to be the largest department in the hospital, but... it is also the poorest department in the hospital.

The emergency duty system is unique, even one hospital.

The work during the day is rather cumbersome. Writing medical records, ward rounds, dealing with patients, debridement and dressing changes have become a surgeon’s life habit. What are the shortcomings.

Wang Qian came back from his marriage, and the vacation trip to Hawaii made this sturdy guy lose a few pounds abruptly.

Chen Cang sighed with emotion, honeymoon seems to be a physical task.

Chen Bingsheng looked at Chen Cang and said, "I have two appendiceal surgeries today, and Dr. An has one. I said hello to him and asked you to do it. You should do your best."

Chen Cang's eyes lit up, and he said with a smile, "You gotta boss! Thank you very much."

It is a happy thing for a surgeon to have an operation.

How many surgeons can't perform an operation for ten days and a half months after entering the hospital, and they are also doing chores, so the opportunity is very important.

Chen Bingsheng gave Chen Cang a chance, and even "borrowed" An Yanjun's operation.

Chen Bingsheng rolled his eyes: "Stop flattering, practice hard, and try to get this appendix surgery done in this period of time. When they come to check, you will have appendix surgery, and I'm sure there is no problem!"

Chen Cang nodded and said with a smile, "Can appendix surgery make flowers?"

Chen Bingsheng sneered: "Do you think appendix surgery is easy?"

Chen Cang asked curiously, "Is it difficult?"

Chen Bingsheng couldn't help shaking his head: "Simple appendix surgery is very simple, which is true, but there are various complications in joining patients, and even when the intra-abdominal condition is not ideal, how far can you do it?"

"The second hospital in our province encountered ordinary patients. When I was studying in the sixth hospital in Shanghai, I saw dozens of patients with hundreds of difficult appendectomy cases with my own eyes."

"Routine appendectomy is suitable for appendicitis with mild inflammation at the root of the appendix with relatively easy mesenteric separation, but what should you do if the root is abnormally swollen, gangrenous and perforated at the root, or even the appendix is ​​severely adhered and cannot be freed from other special pathological changes? ?"

A series of questions confused Chen Cang.

Because of these issues, he hadn't thought about it at all.

Chen Bingsheng sighed: "There are too many clinical problems, you can't relax your vigilance, what is the difference between us surgeons and pig killing? The purpose of pig killing is to kill the pig. If you can't kill it with one knife, you can do it again, but we are different. , we are here to save people."

"Why do you have to study medicine for five years as an undergraduate, three years as a graduate student is not enough, and you have to train after graduation, just because you don't know how the patient wants to get sick!"

Chen Cang was taken aback...

How would you like to get sick? ? ?

Chen Bingsheng sighed: "This disease, like a person, looks like a person, he will never get sick according to your textbook outline, what about appendicitis, any disease, and it will change because of the individual patient. "

"If you catch a cold, some people will disappear immediately, and some people will get better without taking medicine? This person has one constitution, and similarly, a disease is also a constitution."

"I'm telling you so much, nothing else, I just want you to calm down and do your studies, learn techniques in a down-to-earth way, and don't say anything else, you are really able to complete the appendectomy this year, I will be thankful !"

Chen Cang couldn't help but ask: "Boss, how is the appendectomy done? I think you are similar to the appendectomy done by our Director Li? Even Director Li is not as fast as you."

Chen Bingsheng couldn't help but smiled and looked at Chen Cang: "What do you think is the difference between an ordinary doctor and a famous doctor?"

Chen Cang: "Level? Technology? Details? Or..."

Chen Bingsheng said directly: "Do you know the function of car airbags?"

Chen Cang suddenly realized!

Chen Bingsheng: "The role of airbags will not make the car more beautiful, or even faster, but the role of airbags can only be truly reflected when you encounter a situation."

"The difference between a master and an ordinary person is basically not big in normal times. There are some details that are different, but you can't see it, but when something special happens to you, the gap between you and the master is clear at a glance. Director Li is like this. people!"

"This is to tell you that if you have more time in the future, think more, think more, read books, the surgeon is a doctor first, and then a surgeon, you know? Your surgery has just begun, so I didn’t even understand appendix surgery, and ordinary appendectomy is rare now, it’s all laparoscopic surgery, you have to hurry up and keep up.”

Chen Cang nodded and smiled: "Okay boss!"

For two years, Chen Cang basically dealt with some basic clinical operations, such as suturing, debridement, first aid, etc., but there was really little contact with surgery.

Now Chen Bingsheng is equivalent to completely opening the door for Chen Cang.