Yunhua Hospital.
Neurology.
Cao Yue, a female doctor in the electromyography room, sat on a chair with a half-smile, watched Lu Wenbin push the flat bed against the wall and put it away, and then said: "Okay, just get there, I'll do the rest. "
Lu Wenbin looked at the patient Li Huamin on the flat bed, and said, "You don't need my help?"
"No need." Cao Yue chuckled and said, "Just wait outside."
"This... the patient has more personality, you should pay attention."
"It's okay, I've seen too many patients." Cao Yue glanced at him.
Seeing the expression on his face, Lu Wenbin lost his patience. After hesitating for a while, he left the consultation room, found a bench, sat down, and let out a long breath. He hasn't scratched the seams in the past few days, and his hands are itchy.
Consulting room.
Cao Yue snorted lightly, and thought: There are so many patients with personalities, who hasn't seen them.
What he despises the most is a resident doctor in surgery. He wants to be capable but not professional, but he is not good at it.
From Cao Yue's point of view, these surgical residents are just a bunch of dirty work.
Although the environment in the operating room is clean, in fact, every once in a while, there will be some kind of bacteria in the operating room. The white coats of surgeons are often only cleaned in the morning, and they are exposed to more blood stains every day than the average person in a lifetime...
In comparison, Cao Yue's working environment is much more comfortable.
The myoelectric room is an ordinary office, and the equipment is connected to the computer. As long as the patch is applied to the patient's skin, the rest of the operations are all performed by the computer.
From the appearance point of view, it is a more complicated examination than the electrocardiogram.
This position can be said to be the most relaxed position in the whole hospital. It has nothing to do with it. Don't even think about it. It can be said that it is a different world from the working environment of a surgeon.
Whenever Cao Yue thinks of this, she sings in her heart: We are different, we are different...
"Are you a doctor who specializes in nerve testing?" Li Huamin lay on his side, revealing half of his arm. The red silk sleeves were very bright and beautiful.
Cao Yue stopped singing in her heart, chuckled twice, held up the patch, and said, "I'm a professional EMG, not a nerve tester. Come and roll up your sleeves."
While Cao Yue was speaking, she rolled up the patient's sleeves by herself, and said: "You have an external fixation on your hand, can you still put both sleeves in?"
"There are buttons on the back." Li Huamin replied, and then asked: "Then am I in good spirits?"
"I don't know yet." Cao Yue was a little annoyed: "I haven't tested it yet, who knows."
"If the nerves are not right, it's a stroke, right?"
"A brain nerve problem is a stroke."
"Then is there something wrong with my brain?"
"No test, I don't know."
"Doctor, don't lie to me. I'm not afraid of death." Li Huamin said seriously: "I asked my family, but they didn't tell me. Know."
Cao Yue frowned: "But I really don't know."
"Doctor!" Li Huamin was in a hurry, lifted the quilt covering her body, and said loudly: "Doctor, I am not afraid of death, I just want to die clearly, normal people have nothing to do to test their nerves, I am not crazy! "
Cao Yue stared at Li Huamin's red silk Tang suit-style top for a few seconds, feeling strangely familiar.
When the clothes on her body were noticed, Li Huamin's expression suddenly softened, and she asked, "Does it look good? This dress is designed by myself. The old man said that it is auspicious if the shroud is bright red, but my five elements belong to pink, so I use pink for the embroidery. The cloth is made of bright red, and the five blessings holding longevity in the middle is made of gold... "
"What are you wearing?" Cao Yue was shocked.
"Shouyi!" Li Huamin said seriously: "You will test my nerves later. If there is something wrong with my brain, I will wear this clothes and jump on the rooftop, so as not to hurt my family!"
Li Huamin looked at Cao Yue very seriously, and said, "Take a good test to see if there is any problem with my brain!"
"Wait a moment..." Cao Yue got up tremblingly, opened the office door, and called, "Lu... Doctor Lu, that... please come and help me."
…
the next day.
Lu Wenbin stood outside the ward and reported to the director who came to make the rounds: "The patient's neurological anastomosis is in good condition..."
Li Huamin was half lying on the bed, and waved to the doctors outside the room.
"Old Du, go in and take a look. Let's go to the next room. You continue to talk." Huo Congjun passed the door without entering, and sent the deputy director in.
Lu Wenbin said: "There is no problem with the tendon suturing, and the strength is relatively high. Doctor Ling ordered that we can start early rehabilitation..."
"Just follow Doctor Ling's orders." Huo Congjun cut off Lu Wenbin's words without listening to a few words. He didn't know anything about hand surgery before, and now he let Ling Ran go.
In any hospital, if a doctor can perform hundreds of cases of a certain operation, and the excellent rate reaches the average value of this type of operation in the local area, then he is a proper expert of this type, because you perform the same operation The more patterns, the more strange situations you will encounter. Not to mention that Ling Ran's excellent rate far exceeds 90%.
Of course, it may take several years or even ten years for doctors in ordinary hospitals to be qualified to perform a certain operation.
To perform a certain operation repeatedly, not only the cooperation of the hospital and departments, but also the cooperation of the environment is required. For most doctors in most hospitals, it is not bad if they can get two or three main operations every day. If they want to accumulate 100 cases of a certain operation, it will take several years.
It is only at the level of a senior attending doctor that doctors have more choices and influence in the department, so that they can do more surgeries that they want to do, and even use the surgeries that they like and are good at as the main surgeries of the department. .
Huo Congjun is an emergency doctor who was born as a military doctor. He values talent far more than qualifications, and his trust in Ling Ran is also increasing day by day. Therefore, although he is serious when making ward rounds, he rarely changes Ling Ran's doctor's orders without authorization. When the patient has postoperative complications or other combined symptoms, the medication will be adjusted and so on.
Lu Wenbin's envious feet were all splayed.
In the hospital, the big director's interference with the little doctor is all-round. I can give you a day off today so that you and your wife can cheer up and have a baby, or I can ask you to work overtime tomorrow to see if the shit of a certain patient is authentic. If someone like Huo Congjun can be fully respected by the doctor, he is basically the leader of the treatment team.
In the emergency department of Yunhua, there are two other chief physicians and two senior deputy directors.
After a while, Director Du returned to the medical group.
"Cases with combined nerve damage, can Ling Ran do it?" Huo Congjun discussed with Deputy Director Du softly.
Director Du hesitated for a moment, and asked, "The patient just now behaved well, but was he too anxious?"
"There are many cases of combined nerve injury, and it's easy to find. We don't need to keep calling." Huo Congjun said, and then said in a low voice: "As far as I know, in Changxi Province, flexor tendon sutures can be performed independently. You can count the number of doctors who do perineurial anastomosis. There are even fewer doctors who specialize in this."
Director Du chuckled twice.
There are really not many doctors who can suture the flexor tendon and combine perineurial injuries, and there are indeed fewer doctors who specialize in it. But this is just a rhetoric. It’s like there is a forest. If you want to find a pine tree, there must be a locust tree next to it, and an elm tree next to it, and there must be no plants in between.
There are many pine trees, there are many elm trees, and there are also many locust trees. What's the point of having three trees next to each other
Of course, it still makes sense to be in a hospital.
Those who can do flexor tendon suture and nerve anastomosis, and if they can do orthopedic surgery, they are doing replantation of severed fingers all day long. How can they have the time to do flexor tendon suture combined with nerve rupture for you
There are also many who can do nerve anastomosis alone, but most of them are neurosurgery doctors. They can't finish craniocerebral surgery.
Of course, the surgeon who can suture the flexor tendon alone is also very good, and he is too lazy to maintain his temper.
Surgery outside of the hand is performed within a 24-hour deadline, and the earlier the treatment, the better the effect. Those patients who were injured by flexor tendon rupture, combined with nerve injury, and did not have a broken finger at the same time, many of them can only get good flexor tendon suture technique and not too bad epineurium anastomosis. How the prognosis is basically depends on fate.
Some big hospitals are really overwhelmed, and they will ask patients if they are willing to amputate...
The rate of replantation of amputated fingers in the United States is 2%, relying on strict censorship. Smoking, drinking, and anyone who can't guarantee good living habits, even if they have insurance, don't necessarily get two hours of help from an elite doctor.
So it doesn't matter whether the pine, elm, and locust tree are close together, unless you cut them down together.
"I don't object to doing it, but the recovery period for patients with flexor tendon injuries is too long, and the recovery period for nerves is longer, and our wards are not enough." Dr. Du reluctantly made an opinion.
"If it's not enough, add more." Huo Congjun waved his hand. The large emergency center in his dream should have more than 200 beds, and he would not mind if it could have more than 500 beds like the Chongyu Emergency Center.
"There are many sources of illness, so don't work too hard on Ling Ran. Young people have to lower their heads and rush forward, but they also have to look up." Dr. Du asked Lu Wenbin when he said this, "Ling Ran is still undergoing surgery?"
"Yes, the operation is just halfway done, so there was some unexpected situation." Lu Wenbin said nonsense casually, which was considered a reason for not accompanying him on rounds.
Other little doctors who often do not participate in the director's ward rounds are likely to break their bones through wearing shoes. However, the clear rules and unspoken rules of the hospital have always been aimed at ordinary doctors, and skilled doctors have always been special cases.
It's as if bad students are wrong in everything they do, and good students are right in everything they do. When Huo Congjun mentioned Ling Ran now, he smiled all over his face, and said, "Ling Ran must pay attention to his body, not just work. What time did he come today?"
"Four o'clock. Three surgeries have already been performed, and the fourth one is being performed now." Lu Wenbin said that his liver trembled. If the chief surgeon came at four o'clock, he would have to come after three o'clock, so there was no reason to talk about it. In Quanyunhua Hospital, there are only three or four doctors who can play like this. But let him run into one.
Huo Congjun didn't think it was strange to start the operation at four o'clock in the morning, so he just nodded and said, "No wonder he told me last time that the afternoon was wasted. But the cases with combined nerve injuries will be fine. There are too many referrals from the following hospitals... "
As he was talking, Huo Congjun's cell phone rang melodiously: there was a wounded goshawk, a wounded goshawk, it passed through the valley...
All the doctors stared with bated breath, and all looked at the director.
"Okay, I understand, we must concentrate the superior strength of the department... we must do our best to ensure safety and medical quality..." Putting down the phone, Huo Congjun's eyes were as sharp as an eagle, and he said, "Director Hao's daughter was burned, and everyone in the burn team Go prepare. Other doctors should not take it lightly, hand over the work at hand quickly, and be ready to support at any time."
At this time, there was no time to continue the rounds, and the doctors scattered in all directions, busy making preparations. Those who need to clean up the medical records clear up the cases, those who need to explain the doctor's orders quickly give the doctor's orders, those who need to adjust the operation time quickly adjust the operation time, and those who need to go to the toilet hurry to grab a seat...
Director Du approached Huo Congjun with worry on his face: "Let's talk in private, why don't you go to the general hospital if you get burned?"
The emergency department of Yunyi Hospital is very famous for treating burns, but in the circle, it is not as good as Director Liu of the Army General Hospital in terms of actual level and influence. The latter ranks first in the country in the field of burns.
Huo Congjun looked around and said in a low voice, "When I poured the boiling water, I burned my feet."