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Chapter 590 Serious injury
After the visit of the district chief, the ethos of the district hospital Bazhai Township Branch was one of the nets – it was meaningless to rush to work, and the hospital was naturally quiet.
Doctors from the district hospitals, sitting in the corner in twos and threes, chatting quietly, looking at the mobile phone boldly, like stray dogs and stray cats living on the streets, only active when they are foraging.
Director Wang Haiyang and other doctors who came to the clinic will continue to see the doctor if they are not envious.
The more widely spread the news of the clinic, the more people will come. This hope is impossible to see all patients see the disease. The small hall of the Bazhai Township Branch has been filled with teams. Before the doctors in the district hospitals filled in the vacancies, many people came and did not feel it. Now people are not doing it, and the doctors at the clinic are Alexander. Doctors who have been sitting in the clinic know that they can't let the table empty. Otherwise, waiting for the patient to see a doctor, you have to make a fuss.
Lv Wenbin and Yu Yuan and other small doctors also took turns to replace the frontline doctors.
Doctors who do not eat for a long time, do not drink water, do not pee, are routine operations, but from 8 am to 7 pm, for 11 hours of consultation, no one can persist. In the middle of the rest time, you have to take turns to replace it.
After three hours of sitting, I got up and rested.
Energy medicine can fill the energy and make you energetic, but daily metabolism is no way.
Ling Ran let Lu Wenbin go into battle, and went to the bathroom, and saw that it was full of smog. The fingers of the patient who had carcinogenic factors in the respiration and replanted the broken limbs could not survive the time of a bubble.
Director Hong smouldering with smoke, his face with a free-spirited smile, with a yellow hand holding a cigarette, greeted with enthusiasm: "Mr. Ling also peeed."
"Yes." Ling Ran released a smile that met the expectations of the society: "Director Hong, trouble opening the window."
"Oh, yes, I forgot to open the window, it was a bit cold." Director Hong was a little embarrassed to open the window, and then narrowed his shoulders. He only felt that the happiness of smoking was lost, and he couldn’t help but miss the cloud doctor. In Yunyun, when he smoked, the little doctors never dared to call, that is, to open a hospital meeting, and so on, to a little convergence.
Ling Ran did not have so much thought, sprinkled urine, nodded to Director Hong and went out.
Director Hong did not want to smoke. He chased him out together and smiled and said: "That, Dr. Ling, the mayor of Muping District, was originally introduced to the academician. Why did you send it back? problem?"
Ling Ran did not expect the chief physician... so old, still so gossip, only said: "Synaptic inflammation, and surgery under arthroscopy, I wish the academician did not do it, handed it back to me."
Director Hong listened to a glimpse and turned his head and said: "Also, the various endoscopes are still skilled and well done by young people."
This is what he feels.The development of new technologies is immediate to the improvement of surgical results. Just like gallbladder surgery, laparoscopic and open surgery are almost two concepts. As long as it is a gallbladder surgery that meets the laparoscopic indications, even the best doctors who use the open surgery for the gallbladder have a better outcome than the average of laparoscopic gallbladder surgery.
If it is compared by doctors at the same level, the gap is even greater.
It is not a strange thing that Hippocrates’ treatment ability is not as good as that of Concord.
However, new technologies are not friendly to older people.
Twenty or thirty years old is a crucial 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 50 years of age, 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 area is very obvious, just the lifelong learning of the doctor industry, so that this problem is more prominent.
In terms of endoscopy, laparoscopic hysteroscopy is moderately difficult, and arthroscopy is the simplest. This is mainly due to the simple structure inside the joint and the high fault tolerance of the operation.
Therefore, orthopedic surgeons generally do not refuse to use arthroscopy, gynecological and other departments, and everyone is actively using.
Departments like the chest can't help but feel fear.
The difficulty of thoracoscopic surgery is much higher than that of other endoscopes. The cost of learning is extremely high. Moreover, surgery on the chest or cardiology is prone to accidents. It is not so easy to carry out thoracoscopic surgery.
Although Director Hong is the director of internal medicine, the respiratory department is closely related to the chest. The difficulty of the thoracic surgery of the cloud doctor has long been seen by him.
"Suddenly, your arthroscopy can open the knife, the laparoscope is also done well, have you ever thought of 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.
Do not say the same, the same lung cancer patients, must go to the hospital with a high level of thoracic surgery, after surgery, it is more common to go to the respiratory department.
Good thoracic surgery, in conjunction with the respiratory department, can also solve some difficult diseases through the joint diagnosis and treatment of internal and external surgery.
As one of the strong directors of the powerful department of Yun Medicine, Director Hong can not say that he is dissatisfied with the cloud doctor's chest, but he is not satisfied. When he is connected to Ling Ran's strength in arthroscopy, he wants to hook him up.
It doesn't matter which department you are in, anyway, what you are doing now is not the life of the emergency department. If he had a thoracoscopic surgery, it would take a year or two.
The surgeon's learning process is very slow, but the surgeon who has learned to start a new project is one or two years, two or three years. Of course, this refers to young and middle-aged doctors under the age of 55. If they are older, they really have to learn.
Ling Ran did not think about thoracoscopic things, as the truth said: "I have not been exposed to thoracic surgery, and now, laparoscopic surgery has not been studied."
In contrast, arthroscopy he is a little confident.
Director Hong coughed and cried twice: "This is a pity, and the thoracoscopic is actually very fun."He is a medical doctor. He does not need surgery. He is naturally afraid of stealing his life. In fact, the better the chest surgery is done, the greater the promotion of internal medicine.
The two talked and went to the hall together.
The eight villages of Bazhai Township do not have the large area of the Yunnan Medical Emergency Center. Nowadays, there are more doctors and more patients. Even if they are doctors who change jobs, there is no place to hide. They can only find a corner, as hard work. It is.
Just down the stairs, I saw a ruin at the door, and several people were squatting, carrying people in.
"Doctor, doctor... help..." The woman running at the front shouted loudly, and the voice was heard by people in the entire building.
Most of the doctors stopped their work, and several of them were close, and they rushed up.
Ling Ran also took a few steps, took out the alcohol gel, wiped it, and asked the director next to Hong: "Come on?"
"The hand that just washed." Director Hong said that he was still picking up the alcohol gel that was squeezed.
Lingran himself wiped his hands with alcohol gel and started wearing gloves.
Wearing the gloves again, the patient has been attached to the quilt by four people and carried to the treatment room across the hall.
The patient who was lying in bed comfortably infusion had to push the infusion rod and sit on the other side.
"What is the situation?" Ling Ran directly asked Lu Wenbin in front.
"The big arm was cut by a knife and did not hurt the artery." Lu Wenbin was calm. I have been in the emergency department for several years, and I have seen a variety of patients. This kind of wound is not a deep cut in the ordinary position, which is commonly known as "skin trauma".
The doctors around the circle also saw it, and several people left with disappointment.
Many days after the clinic, the severely ill patients were found, but they could not be treated directly. It’s hard to meet a momentum, but I didn’t expect to cut it.
People come fast, and they walk fast. After a while, there are four white coats left before the bed.
The woman who had just called for help saved her screaming: "How come and go, save people, save people!"
The two doctors who wanted to come and help, listened to the screams and left with a low head.
"The patient's signs are stable, no need to be nervous." Ling Ran said, taking advantage of the treatment, taking a flashlight to sweep the patient's pupil, the mouth simultaneously said: "Da Qing Chuangbao, then check if there are other wounds, Yu Yuan Find a medical history that is not called. Let the family members go to the outside yard to wait."
There are twenty or thirty people who are sent to see a doctor. The clothes on the body are also gray and dirty, and they are all seen as big sources of pollution.
Yu Yuan’s big persuasion, but her voice is too small for the screaming women and the accompanying forces.
If it is said that the hall of the Bazhai Township Branch is just like a vegetable market, it is now like a primary school for inter-school activities. Even the well-informed doctors are frowning.Ling Ran is also frowning. What he likes most is this chaotic environment. At this time, I can only concentrate on the patient. It is like how to be noisy around when I study in the library. Many people come and go and even watch, and can only concentrate on the books. It is.
"Debridement, suture." Ling Ran said to Lu Wenbin, and then cut off the patient's sleeves.
On the bare big arm, you can see a long open mouth, the flesh is turned a little scary, and then... there is no challenge...
"Children, hey, you can't die..." The screaming woman saw this scene, and the volume was higher.
(End of this chapter)
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