The floor height of Yunyi's emergency department is 8 meters, and the area of the reception hall is comparable to the lobby of a high-end hotel, and people come and go without being crowded.
When the leaders come to visit, the emergency department of Yunyi has always been one of the items to visit.
After all, leaders do not necessarily understand the difficulty of internal medicine or the specialty of surgery, but they must know the importance of the emergency department.
The 8 open glass doors are all opened inward at this time, welcoming batch after batch of emergency patients, including emergency patients sent by ambulance, emergency patients who come to the door by themselves, and emergency patients who think they are urgent .
Resident doctors, training doctors and nurses are busy dealing with patients, and they are still able to handle them with ease.
The morning is sunny when there is no accident, and illnesses such as prescribing medicine and drips are not considered diseases to hospitals like Yunyi.
A patient with right lower quadrant pain passed Dr. Zhou's hands and was sent to other groups.
A patient with pain in the left lower abdomen was checked by Dr. Zhou, but he still shook his head in disappointment.
The patient's family members were stunned at the time, and asked Dr. Zhou blankly: "Why can't we send it to the hospital? It's fine at home..."
"Who told you it can't be done?" Dr. Zhou asked back, while quickly beckoning the resident doctor to take over. As a senior salted fish, he has long passed the age of arguing with the patient's family.
In fact, at the age of a senior attending or deputy director, if you fight seriously, you will generally not lose. The problems of the patients have not changed in the past ten years, but they have been raised by different people. The solutions can be said to be the same. Ready-made, if you have patience, because high-level doctors are usually impatient, so everyone still avoids talking.
The resident doctor quickly picked up the patient, and the patient's family members glared at Dr. Zhou without much entanglement.
"Don't you need to explain?" Ling Ran seldom had contact with patients' family members. He spent most of his time in the operating room. He was only taught by Director Huo about doctor-patient issues.
"I can't explain it clearly." Doctor Zhou laughed twice, and said, "You know that some doctors in our hospital have outpatient clinics, and there are scalpers speculating tickets?"
"Know."
"You may not have noticed. Let me tell you a secret. The patients who buy scalper tickets to see a doctor are very obedient. They are not noisy or noisy. Do you know why?"
Pu Chou quietly came over and interjected, "Because you have money?"
"No matter how rich a person is, he will also be poor if he is sick for a while." Dr. Zhou curled his lips and said, "This is actually a different appeal, you know? The needs are different."
Ling Ran asked, "What needs?"
"Those who buy scalper tickets for 200 or 300 yuan, their appeal is to see a good disease, and the experts who can get this price for the registration fee can solve some problems even if the disease is not good, so there are few conflicts. However, come Many of the patients in our emergency department or on the specialist account have minor illnesses, and some of them may not even be sick. Therefore, their appeal is for medical services, understand? They want you to be careful, to speak nicely, and to have a better attitude. That's good, but our experts haven't been trained in this area, so there is a contradiction." Dr. Zhou triumphantly summed up his own experience.
Pu Chou listened very seriously: "So we will be trained in the future, right?"
Doctor Zhou suddenly changed his face: "You are stupid."
"Here comes another one." Ling Ran pointed to the patient brought over by the car aisle, changing their attention.
"It looks like you have severe abdominal pain." Dr. Zhou got up excitedly and went to pick up the car.
When the resident doctor in charge saw Dr. Zhou coming, he immediately stepped aside obediently. Acute abdomen is considered a major disease in the emergency department, and residents dare not rush to treat it.
"Have you had surgery recently?" Dr. Zhou asked after pressing twice.
The family members who followed hurriedly said: "My mother came for acute appendicitis last week, and it was at our Yun doctor..."
"Did you have a bowel movement?"
"It was there at the beginning, but it disappeared later, and we didn't pay attention to it. My mother used to be a little constipated..."
"vomit?"
"No." After the family member finished speaking, he turned around and asked, "Mom, have you ever vomited?"
The old lady shook her head with difficulty and said, "No."
"Bowel sounds are very weak, let's do a CT scan. Add another plain film, B-ultrasound has also been done and brought here first." Dr. Zhou was asking on the surface, but actually brought the order cart over.
Watching him fill out, the family members asked anxiously: "What is the specific disease, can we stop the pain..."
"It is suspected to be intestinal obstruction." Doctor Zhou wrote the order and said, "Intestinal obstruction may cause serious consequences, so send the patient for examination first."
After the old lady was sent away, Dr. Zhou then asked about the past history, and at the same time gave the patient's family members the operation notice, etc., and instantly put him into a dizzy state.
"Why is it so serious..." The family member held the operation notice, as if in disbelief.
Regardless of these, Dr. Zhou handed over the follow-up to a resident doctor, and asked him to leave with the patient's family members, and then turned to Ling Ran and said, "This is an elderly intestinal obstruction, and it may not be easy to deal with. Let's see if it is necessary later. Surgery, if necessary, you can be an assistant."
Ling Ran heard that it was an intestinal problem, and immediately thought of Yu Yuan, and said, "Then I'll call someone else."
Dr. Zhou doesn't care, as long as he can stand on the operating table, it doesn't matter how many doctors there are. If you don't need surgery, it doesn't matter much.
Yu Yuan quickly ran downstairs, her face was rosy after running: "Which bowel is blocked?"
Doctor Zhou recognized Yu Yuan and gave Ling Ran a thumbs up: "Good idea, why didn't I think of it before... Your idea has great potential."
Ling Ran explained: "I think that if Yu Yuan has some knowledge about the anorectal profession, I can let her watch it..."
"I didn't say anything. If surgery is needed, I will try my best to give her the chance to do it." Dr. Zhou said in a firm tone.
Ling Ran looked suspiciously at Doctor Zhou, and asked, "Have you ever seen Yu Yuan undergo surgery?"
Doctor Zhou asked back: "Have you ever seen intestinal obstruction surgery?"
Ling Ran saw it soon.
After the CT showed that it was strict intestinal obstruction, the old lady was pushed into the operating room immediately. This is the most dangerous type of intestinal obstruction.
Doctor Zhou handed Ling Ran two masks with one hand, and said with sorrow, "Put them all on."
Ling Ran put on the mask hesitantly.
Yu Yuan happily put it on, and asked, "Am I the second assistant?"
"Let's decide after the operation." Dr. Zhou walked into the operating room solemnly.
In the operating room, nurses and anesthesiologists have all arrived, all with serious expressions.
"Intestinal obstruction. It's narrow." Doctor Zhou paused, looked at Ling Ran again, and said, "The patient hasn't had a bowel movement for several days. It is said that he eats quite a lot. A 64-year-old lady, one meal can The family members are very proud to eat two big bowls, let's open it and have a look."
Everyone showed unbearable expressions.
Ling Ran finally came to his senses, and an idea popped up in his mind:
what am i doing
I just know a little bit of inversion stitches and tension stitches.
Why should I be curious about abdominal surgery
Doctor Zhou opened the abdomen silently...
majestic...
The air rises...
long smell...
The laminar flow operating room is useless.
Doctor Zhou looked at Ling Ran's face and smiled: "A piece of good news and a piece of bad news. Which one do you want to hear?"
"Good news!" Yu Yuan actively cooperated unexpectedly, and under the black round glasses, there was a curious light shining.
Doctor Zhou said: "The good news is that it's not serious, it should be easier to deal with."
"What about the bad news?" Yu Yuan asked again.
Dr. Zhou clicked his tongue and said, "Why didn't I see you so obedient before? Bad news... The bad news is that it doesn't make sense to consult with the general surgery department. We have to deal with it ourselves."
"Do it yourself, why is it called bad news?" Yu Yuan was puzzled.
Doctor Zhou smirked twice and said, "Wait a minute, I'll tell you later."
Then Dr. Zhou went on to do the intestinal tube examination. After finishing the pre-processing, he raised his neck and moved his head, and said with a smile, "Yu Yuan, do you know what the next step is?"
Yu Yuan kept staring at the operation, and said without hesitation: "Now it should be emptying the feces at the proximal end."
Doctor Zhou laughed loudly: "That's right, with a week's savings, there may be a lot of old feces from the past, aren't you happy?"
"Happy." Yu Yuan nodded vigorously, the round glasses behind the black-rimmed glasses were shining brightly.
Not only Doctor Zhou, but everyone including Ling Ran all looked at Yu Yuan.
"We're going to dig out the excrement now." Facing Yu Yuan, Dr. Zhou said it word by word.
"I know, by the way, I read a document that specifically talked about this." Yu Yuan almost danced and said, "Didn't the abdominal cavity and incision be often polluted when feces are removed? We can cover the optical cable in laparoscopic surgery." Tie one end of the plastic bag of the thread to death, and then insert a plastic bag into the intestinal tube and put it in the front plastic bag, so that the contents of the intestines can be discharged into the plastic bag. If there is too much, change the plastic bag... "
"You do the operation." Doctor Zhou silently gave up the position of the chief surgeon.
"I... come to operate?" Yu Yuan was stunned for a moment.
"Yes, I will operate it for you." Doctor Zhou felt that this operation had lost its only attraction.
Yu Yuan, however, was so happy that her hands trembled. She replaced Dr. Zhou as the chief surgeon, and then she noticed Ling Ran, and quickly gave in: "Doctor Ling, why don't you come..."
"No, you can come." Ling Ran's tone was very modest.
"Thank you, Dr. Ling." Yu Yuan took a deep breath as if she had survived a catastrophe, her face darkened slightly, but she didn't take it seriously.
After a while.
Yu Yuan prepared the plastic bag as she said just now, and then, along the intestinal tract, took out the feces stuffed in the intestinal tract bit by bit.
The palm-length and palm-width plastic bag quickly contained the capacity of two mobile phones...
The itinerant nurse couldn't bear it anymore and asked, "How much more?"
"It's still early. These are the digested parts. Granny likes to eat rice." Yu Yuan smiled and said, "Let's deal with the bottom first, and I'll go down the upper part of the intestine later, and it should be able to clean up." Clean. Is this okay, Doctor Zhou."
"Yes." Doctor Zhou's face was stiff.
Yu Yuan then changed to a plastic bag and continued digging out excrement.
The filled dung bag was put into an aluminum alloy basin, and part of the saturated solution dripped out, giving off a pungent smell.
"There are still undigested bamboo shoots in this bag. It's not suitable for a grandma to eat this just after surgery." Yu Yuan filled another half bag, stopped to watch for a few seconds, and asked herself: " Maybe she is constipated and wants to eat bamboo shoots to solve it, isn't that right? Doctor Zhou."
"Yes." Doctor Zhou didn't want to speak, his eyes were straight.
Yu Yuan kept smiling: "Okay, another bag."
There was obvious joy in that tone.
"Hurry up." Dr. Zhou is not a professional general surgeon after all.
He now regrets that he didn't call the general surgery staff for consultation, or simply refer him. If it was a general surgery doctor, they should be more able to adapt to the scene in front of him.
"Okay. I'm filling the third bag now." Yu Yuan was kind and well-behaved.
"The effusion here is quite serious." Yu Yuan reported while working.
"It's hard to digest such a large amount of meat."
"Oops, there's gas coming out."
"I'm packing the fourth bag!"
In the operating room, only Yu Yuan's energetic voice was left, and the big aluminum alloy basin was also piled up to the brim.
Ling Ran stood in front of the operating table with a serious, majestic, stable, and calm expression, holding his breath and staring straight ahead...
The nurses looked sluggish, with despair on their faces, they could only stare at Ling Ran to find the faith to persevere...