Xiaotie waited impatiently in front of the emergency building, frequently raising his hand to look at his watch.
In about two hours, an ambulance with the "Golden Deer" logo parked in the reception channel.
Xiao Tie glanced at the license plate, heaved a long sigh of relief, then became nervous again in an instant, and hurried to the front.
The nurse and the little doctor in the emergency department who picked up the car took a look at Xiao Tie, both of whom thought he looked familiar, but they didn't say anything.
Xiao Tie kept his head low in front of Director Pan, and he was about thirty-five or sixteen years old outside. In the hospital, there is no threshold from hospitalization to attending treatment, it is nothing more than the difference between sooner or later, but no matter how late, if you are old enough, you are still attending treatment.
"Patient Zheng Qi, 51 years old, cut injury, right thumb, index finger, middle finger..." Out of the ambulance was a young man in a white coat who looked like a student, and he reported nervously, not clearly speaking.
For the patient's condition, when the ambulance was on the way, it had already reported to the emergency center and transferred it to the emergency department of Yunyi Hospital. At this time, report it again, which is to check.
"Hand injury, call Dr. Lu." The little doctor who picked up the car quickly pulled the patient out while making a quick judgment.
The work of the emergency department is complicated and complicated, but simple and simple.
In general, the main task of the emergency department is to ensure that patients survive. On this basis, what emergency doctors need to do is to avoid brain death, heart arrest, respiratory arrest, excessive blood loss, and organ damage...
Under the premise of ensuring that the patient will not die immediately, the emergency department can consider whether to handle the patient by itself or refer it to another doctor.
Theoretically, if you have a cut on your arm, you can do it yourself, or you can send it to the aesthetic department for stitches. If you have a hand injury, you can send it to the orthopedics department or hand surgery department.
This judgment is usually directly issued by the on-site doctor, and it is also the purpose of Xiaotie's visit here.
He hurriedly called the familiar Dr. Zhou, and waited anxiously while explaining the situation at the scene.
Xiaotie himself can wait outside the emergency building for the patient to come, but it is impossible to ask Dr. Zhou to wait too. At this time, he can only hope that Comrade Zhou is not in a hurry.
Of course, Comrade Zhou was not in a hurry. With his skill, he could bring a few interns, Gui Peisheng, and residents over, and he would be able to gain a lot of gratitude and be released as an instructor.
In contrast, Dr. Zhou prefers colleagues to praise him for his urgency and righteousness.
As soon as Xiao Tie entered the treatment room, he was relieved to see Doctor Zhou coming up to him.
"Your relative?" Doctor Zhou asked.
"Yes." Xiaotie nodded in recognition, and said, "I went to the construction site to do some errands, and it happened that the debt collector came..."
Doctor Zhou interrupted him and said, "Let's not talk about this now. The patient's symptoms are basically stable, and the blood loss is not too much. The core problem is the cut injury of the finger. Let me tell them, don't open the first aid gauze, and I will directly refer to you. Go to surgery?"
"Ah... no." Xiao Tie panicked, and quickly said, "That's not what I meant."
"No?" Doctor Zhou was a little strange. He and Xiaotie were considered to be at the same time, and they were admitted to the hospital one after the other. They belonged to the wavers of the reform of public institutions back then, so they knew each other well. It's just that as everyone grows older, the social circle is more restrained, and we have lost contact for some days. Considering Director Pan's remarkable training, Dr. Zhou's eyes were filled with suspicion.
A good man is a good man, and it is foolish to be deceived.
Xiao Tie said gruffly: "I mean, I hope that Zheng Qi can be arranged to be treated in the emergency department nearby. Uh... the hand surgery department is very busy today, and there are two patients with special needs ahead. It's not good to jump in the queue. , and delayed the treatment."
This was the best excuse Xiaotie could find.
In the hospital, special needs patients in a broad sense refer to special needs outpatient clinics. Most of the tertiary hospitals have special needs outpatient clinics or wards for more powerful cadres.
It meets the needs of patients beyond medical services at an expensive price. In contrast, the cadre ward is concerned with rank and relationship, and the special needs outpatient clinic can look at the rank and relationship, as well as money, and provide special services with clearly marked prices.
For example, many large hospitals have been criticized for registering, and there is no need to worry about special needs outpatient clinics. As long as the outpatient fee is paid according to the standard of 388 yuan for the attending and deputy high, and 500 yuan for the director, patients and their families can order whoever they want. Might be cheaper than scalper tickets. If a doctor can’t figure it out, he only needs to pay 500 yuan to initiate an in-hospital expert consultation, and 1,000 yuan to get an out-of-hospital expert consultation. Stay in the ward of 1,000 yuan per day to rest, and let the doctors and nurses run around. Compromise and standards.
Such a patient fasted the day before and wore no makeup that day. Before going into battle, if you tell people that they were cut in line, it must be unpleasant.
Dr. Zhou reluctantly accepted this reason, but still kindly explained: "If you refer it to Director Pan, the curative effect will definitely be better. If you stay in our emergency department, then Ling Ran can only do it. His patients are The recovery is good, and the operation is also meticulous, but after all, you are young and have little experience, so you have to think clearly."
"I've thought about it clearly." How could Xiao Tie answer.
In fact, if he was asked to make a judgment, he also felt that Ling Ran's skills were far inferior to Director Pan's. Apart from other things, as far as experience is concerned, Ling Ran has only had surgery for a few months, how can he compare with Comrade Pan Hua who has had surgery for 20 years.
However, Director Pan didn't want to do the surgery himself, so Dr. Tie could understand.
In any case, they are all acquainted brothers-in-law. Director Pan spends one-third of his time in the country in the hotel, one-third in the hospital, and one-third at his brother-in-law's house. After getting along day and night, clinical decisions are prone to deviations.
It was just handed over to Ling Ran Xiaotie, although he disagreed, he still did it.
Doctor Zhou looked at his expression, nodded, and said, "That's fine, you call the family members over, and I'll explain a few words."
"Can't I replace it?" Xiao Tie became anxious again.
Dr. Zhou shook his head: "You know the rules of our hospital. Without the signature of his relatives, we will definitely not perform his operation."
"Well... the immediate family members haven't come here yet." Xiao Tie was worried that when Director Pan's sister signed, a Pan name came out and people would guess it.
"Someone has to sign it. If you can't do it, I'm doing it for your own good." Dr. Zhou's good character was sent away. The operation is not 100% successful, if one operation is not done properly, Xiao Tie's identity will be embarrassing.
Fortunately, Zheng Qi's son arrived in time, and Xiao Tie finally solved the problem.
Doctor Zhou shouted at this time: "Xiao Lu, here to pick up the guests."
"Here we come." Lu Wenbin, who had been waiting for a long time, ran over, took Zheng Qi's case, untied the gauze and looked at the wound, and then looked at Xiao Tie. It was a little strange, but he didn't say much, so he just Said: "There are still three operations ahead, this one happens to be scheduled for the fourth one."
"Well, Doctor Lu, can you arrange it a little earlier." Xiao Tie spoke in a good voice, even a little humble.
Lu Wenbin shook his head resolutely: "I can't come early."
Xiao Tie was about to get angry again, and said anxiously: "No, I..."
Dr. Zhou quickly suppressed him, coughed twice, and said, "Dr. Lu, Dr. Tie is in a hurry if he cares. This patient is doing delicate work, and the suturing of the hands is very important. I want to do it as soon as possible..."
"Not as soon as possible." Lu Wenbin sighed, stretched out five fingers, and said: "Preoperative preparations, blood tests, skin tests, skin preparations, intestinal preparations must all be required, and the anesthesiologist must be notified to make arrangements. These rings Necklaces, wenwan beads, etc. need to be dealt with. When they are finished, the first three operations will be almost done. If there is a slight delay, there will not be enough time for the three operations. Don't accept this humiliation."
All the doctors present understood what Lu Wenbin meant. It meant that the time spent on preoperative preparation was equivalent to the time spent on the two surgeries, and the time spent on one surgeries was left as a margin. No matter how you heard it, it seemed correct. .
However, what Lu Wenbin said was nonsense to Xiao Tie.
Xiao Tie didn't care about offending people anymore, and said slowly: "As far as I know, Dr. Ling only performs flexor tendon surgery. One flexor tendon surgery will take more than two hours. After three operations, Seven or eight hours have passed..."
"If you do this, you can only do a few operations a day." Lu Wenbin didn't say much, took out a surgical schedule from his pocket, and handed it to Xiao Tie.
The operation schedule has the time, the name of the operation and the personnel involved in the operation.
Xiao Tie looked around and saw that among the seven operations in the cells, three had been crossed out, and two were added behind.
"Doctor Ling plans to have 7 surgeries today, and two were added temporarily. Counting you, the total is 10, and one surgery is performed in two hours? Do you really think people can stay up without sleep?" Lu Wenbin said, and hit him A big yawn. 8)