After sending the tired and paralyzed Director Wang back to the office, Ling Ran was not in a hurry to go back to the operating room.
Although the two patients with replanted severed fingers today were selected by director Wang Haiyang, they are still patients in the emergency department, and they are also admitted to the ward of the emergency department, which means that they will also occupy two beds.
Beds are the most scarce resource in the emergency department.
Fortunately, the emergency department has an independent building, and there is still room for expansion. After the new observation room is renovated, nearly 30 new beds can be added, that is, seven to eight wards. In addition, Part of the previous warehouse space can also be freed up to renovate the rehabilitation room and so on.
Not counting the extra beds, there are about ninety beds, which would be a high-allocation scale for any tertiary hospital outside Zheng@zhou.
Considering that all supporting facilities are not complete, and the hospital beds are relatively crowded, Ling Ran is not in a hurry for surgery, and will go to the observation room for rounds first.
Although there has been no major surgery for a few days, most of the patients in the observation room are Ling Ran.
The bed turnover rate of hand surgery has always been a big problem. Some Class B hospitals like to carry out orthopedic and hand surgery operations, and they also take a fancy to the benefits brought by long-term hospitalization of patients. However, for the tertiary hospitals, the low turnover rate is simply a persistent problem. The ever-increasing number of operations creates a huge contradiction with the scarce number of hospital beds.
Yunhua Hand Surgery has developed to this day, and it is also greatly troubled by the number of hospital beds. Otherwise, if the number of hospital beds is unlimited, there is no such thing as a second-class hospital, and everyone's technology is not on the same platform.
As far as China's current medical situation is concerned, if a medical student cannot join a large and medium-sized hospital after graduation, the probability of getting ahead in medicine is extremely low.
The volume of surgeries performed by a Grade B hospital may not be as large as that of a single surgeon in a Grade III hospital, and the difficulty is even worse. It’s like two students, one student only does one exercise book a year, which is the simplest type, and the other student only makes one exercise book a week, which is still difficult. After 10 years, everyone will take the exam together. What is the winning path for a student who does one workbook a year? Of course it was luck.
Patients with a slightly more serious illness also knew to go to a big hospital.
The platform of Yunhua Hospital is also indispensable for Ling Ran to have a large number of cases.
Turning around, Ling Ran saw Boss Shao.
Boss Shao, who had just had a laparotomy, was leaning against the wall, holding a book of Dream of the Red Chamber, reading it with gusto.
"Doesn't your stomach hurt?" Ling Ran sat next to Boss Shao's bed.
"Dr. Ling, oops, I didn't even thank you. Son, pour a cup of tea for Dr. Ling. Your dad didn't die from a hemorrhage, thanks to Dr. Ling." After Boss Shao finished speaking, he said: "The stomachache is mild, doctor They didn't give me painkillers either, knowing I could bear it."
The corner of Ling Ran's mouth twitched.
If you can bear it, you can bear it, but the pain is certain.
"Doctor Ling, please drink tea." The young man diligently made tea in his own cup, brought it to Ling Ran, and then said softly, "Thank you, Doctor Ling."
"You're welcome." Ling Ran took a sip of tea and found that the brew was quite good.
Boss Shao's son went to do his homework by himself. He looked about fourteen or fifteen years old, and his homework was placed on an army bed, with an army quilt under his buttocks, like a soldier ready to go to work at any time.
"My mother wants to take care of the store, so I asked my son to come and help me for two days. He will go back when I can leave." Boss Shao said with a smile: "Don't think he is young, he is very familiar with the hospital."
Ling Ran kept smiling, and said again: "Shall I give you a physical examination?"
His physical examination is at the specialization level, not very strong, but it is enough.
Boss Shao naturally wouldn't object, he arranged a physical examination every three months, and never took his body lightly.
Ling Ran checked Boss Shao from head to toe, and then said: "Basically there is no problem, there is a slight heart murmur, it may be that the mitral valve is not good, the liver and kidney are not good, it is probably the same as before, there is inflammation in the stomach, It may be affected by the laparotomy, the gallbladder is also not very good, but there is no need to deal with it for the time being, the lungs are also, you have to pay attention... "
Boss Shao smiled: "It's good that it's okay. Hey, the injury is healed this time. I'm going to buy a cotton vest. I will wear it on my back when I go out in the future, so I won't be afraid of falling."
"The kind that children carry?"
Boss Shao blushed slightly: "I think the kids in the yard carry it pretty well, and they won't get hurt if they fall."
"How hot is it?"
"I usually stay in an air-conditioned room."
"You run a barbecue restaurant, how do you barbecue while wearing a cotton vest?"
"Then you have to be more careful when grilling, don't fall down." Boss Shao said seriously, and then suddenly said: "By the way, I sent someone to send the tripe over. Doctor Ling can try it."
Needless to say, Shao Quji, his son with pricked ears, brought a pot of tripe.
There was a pot full of tripe, and Ling Ran, who looked like he hadn't eaten dinner, was drooling crazily.
"Doctor Ling, don't be too polite. My son doesn't like to eat tripe anymore, and we can't eat much of the newly delivered tripe." Boss Shao was talking about the other three patients in the same room, all of whom had abdominal trauma , not to the point where I can eat.
Ling Ran thought for a while, then took out his mobile phone and said, "Then I'll call Lu Wenbin and ask him to bring some pig's trotters over."
Reciprocity is one of the few social skills that Ling Ran has mastered, but Boss Shao's son Shao Quji's eyes lit up when he heard it.
…
Director Wang Haiyang was paralyzed, and when he returned home, he couldn't wait to turn on his mobile phone, and sent the clips of today's operation to the Wechat group of the hand surgery department.
Most of Yunyi's operating rooms are equipped with audio-visual functions, and the video recording of microsurgery is simpler. It can basically achieve the view of the surgeon and the view of the video.
Such surgery videos are naturally of great teaching value. Although the main purpose of Director Wang Haiyang is to show off, in name, it is still for teaching.
The little doctor in the WeChat group immediately asked obediently: "Did Director Wang perform the operation today?"
"Yes." Director Wang wrote and drew on the phone with his thick fingers. He doesn't know how to use pinyin, and he uses handwriting input method for chatting.
"Today's finger replantation is said to be done very quickly, is it this time?"
"right."
"Handsome!" Behind the little doctor's admiration was a row of expressions and pictures.
Director Wang Haiyang smiled very proudly, and said directly in voice: "You can take a look, each finger takes less than an hour and a half on average. Today's work is really smooth, and the effect should be good."
"Old king and old tree are blooming!" Director Jinxi sent a smiley emoji.
Director Wang Haiyang quickly sent a laughing emoji, and said, "I'm in good shape today, and I can do five fingers in one go."
The operation of severed finger replantation is very laborious, meticulous and highly technical.
In European and American countries, the price of replanting three fingers after a severed finger is about 300,000 US dollars, of which the cost of surgery accounts for the bulk. Most families without corresponding insurance will choose to stop the matter.
There are many hospitals in China that can perform severed finger replantation, and many hospitals are still at a very low level. On the one hand, this is due to the advantages brought about by performing only one surgical procedure; on the other hand, it is also because of the low requirements for severed finger replantation in China .
The requirements for hand surgery in Yunyi are relatively high. Director Wang Haiyang must be proud of maintaining a high standard in difficult operations and at the same time achieving a large number of operations.
"The anastomosis of blood vessels is really fast."
"Let's suture the epineurium, it's so neat."
"Director Wang's speed is really fast."
After watching the video, the doctors expressed their opinions. Wang Haiyang was in a good mood and kept writing.
"Old Wang, who do you use as an assistant today? The level is good." Director Jinxi waited for everyone to praise him before asking this question.
He is the head of the hand surgery department, so naturally he needs to know the people under his hands like the back of his hands.
Although the doctor who helped Wang Haiyang only showed his hands, the operation method was obviously not the one that Director Jinxi was familiar with, let alone the deputy director and chief physician he was familiar with. Naturally, he couldn't help being curious.
Other doctors are actually very curious about this question.
Someone also said: "The technique is super skilled, it should have done the replantation of severed fingers, is it Hu's main treatment? @胡万山."
"It must have been done many times."
"I really want to see the stitching technique."
"This level is very good. When you watch it for 12 minutes, the tendon is stitched very quickly."
"Is Director Wang doing flying knives? @王海洋?" Director Pan Huapan boldly typed and asked.
Wang Haiyang didn't have time to write on his mobile phone, so he directly sent a voice: "The first assistant is Ling Ran."
"It doesn't look like the style of our hospital. Don't tell me, this operation is very meticulous. Look at the blood vessel suturing..."
In the chat group of the Hand Surgery Department, Director Pan Huapan just sent another message, but after him, there was no new message for a long time.
"Pan Hua" withdrew a message.
…