Great Doctor Ling Ran

Chapter 19: technique

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"Doctor Ling, don't use up all your strength, an ambulance may come later." The little nurse Wang Jia reminded Ling Ran while making preoperative preparations.

Today is the busiest day in the emergency room since Ling Ran came to Yunhua Hospital, and an ambulance even came... Ling Ran grinned: "That's good..."

His task is to get a primary treasure chest every time he completes a task. Just now he was worried that there were not enough patients and the task was wasted.

It would be better if more ambulances came.

However, Wang Jia did not expect Ling Ran to react like this. After being surprised for a while, he couldn't help thinking: Dr. Ling is really different from those pretending men.

A junior resident doctor whose name was not remembered because of his ordinary appearance looked at the overcrowded treatment room and said, "If there are any more patients, we will be overwhelmed."

"The emergency center will not send people to us for the time being. But it depends on the situation." Doctor Zhou, who is slightly ugly but has a surname, introduced his presence: "Ordinary patients will definitely not be sent here, but emergency patients Severe patients who are close to us will still be assigned, and another one, if the patient’s family members request it, will also be assigned. Then there are patients who come to the door by themselves.”

"Most patients will ask to come to our Yun doctor." The resident doctor who came to help pouted. Yunhua Hospital is one of the few large comprehensive tertiary hospitals in Yunhua City. Ordinary people will come here specially for outpatient clinics, let alone emergency services.

"In the current situation, those who can be transferred to other departments should be transferred there. No matter how busy you are, you can only hold on. You can't let the patient come and transfer them to another hospital." Dr. Zhou was too old for emotion, and only said: "You will know after staying for a while. A big hospital like ours is always overloaded. When you have experience, you have to learn to allocate energy and prioritize."

The resident doctor grinned and agreed.

Ling Ran suddenly asked, "So, if I take care of the patients assigned to us, it's okay to help others?"

Doctor Zhou was stunned for a moment, he hadn't considered this issue at all, wouldn't it be good to rest after finishing his work

Doctors are so busy every day that they are exhausted, don't you want to rest

For the purpose of encouraging the interns, and in order not to show the greasiness of a middle-aged man in front of the interns and nurses, Dr. Zhou said: "If you want to help out, there must be no one blocking you. "

The resident doctor next to him seemed to be encouraged by Ling Ran, his spirit was shaken, and he said, "Then let's speed up."

"Follow me obediently." Doctor Zhou cut off the dream of being a resident doctor with one sentence.

Although Dr. Zhou is a good old man with ordinary medical skills, but he has been in the hospital for more than ten years, and his vision is not bad.

He agreed with Ling Ran to do things alone because Ling Ran has already proved that he is capable of completing ordinary stitching work independently.

This is a very critical step that many residents fail to achieve in a year. Just like the general ugly resident whose dream was cut off by him, Dr. Zhou is not at ease that he can perform surgical debridement independently.

Ling Ran's ability to perform debridement surgery independently means that he can help share the work pressure and will not create new troubles.

Corresponding to it is the general ugly resident doctor, who also needs the guidance and supervision of Dr. Zhou. Sometimes, it may be hand-in-hand teaching. In Dr. Zhou's view, teaching others to do it is really not as good as doing it yourself.

Less time spent, better results, less patient dissatisfaction, not to mention countless things to note.

However, in Dr. Zhou's view, just dealing with the injuries of the six people assigned to him is quite a heavy workload. It is not certain whether Ling Ran needs help from others.

After all, it was the injury caused by the explosion. Many people have more than one wound, and there are all kinds of pollutants.

Putting on his gloves, Dr. Zhou first disinfected and debrided the most severely injured patient with a torn brow bone.

He wiped off the oil from the skin around the wound with ether, then changed the gauze covering the wound, then dipped a soft brush in sterile soapy water, scrubbed the skin carefully, rinsed it with distilled water, washed it again, and then used sterile gauze dry off.

Dr. Zhou has already been very proficient in the whole process, but it took more than ten minutes to do it all.

When he raised his head again, he saw that the patient in the next bed had all the fine wounds on one leg that were healed by Ling Ran.

"You come here to do the stitches." Doctor Zhou simply called Ling Ran over, went to the next bed, and checked Ling Ran's stitches.

He was worried that Ling Ran would make a mistake in his plan.

This is not uncommon for young doctors.

Doctor Zhou looked at it from bottom to top, but the more he read it, the more frightened he became.

The patient whose leg was blown to pieces had more than a dozen wounds in a row, ranging from deep to shallow, large and small. Correspondingly, Ling Ran also used different suturing methods.

There are simple intermittent sutures on one side that are knotted multiple times, there is also a simple continuous suture that sutures a wound continuously and then knotted with a long suture, and there is also a cross suture that crosses to form an X shape at the largest and deepest wound. .

Even below the knee, Dr. Zhou saw continuous overlock stitching.

Although this suture method is commonly used in the operating room, emergency doctors are not used to it, because it is based on simple continuous sutures, and then the sutures are interlocked, which is more difficult and consumes time and energy. Also more.

Although the continuous overlock suture method is very suitable for thin skin and more mobile parts, doctors usually use the doctor's order of "don't move" to solve the corresponding problems...

If it wasn't in the emergency room, Dr. Zhou might have thought he was visiting a suture teaching...

It was even better than suture teaching, because Ling Ran's suture selection was just right, and no one could find any faults.

Continuous overlock suture is used on knees, cross suture is used on wounds with high tension, simple intermittent is used on longer wounds, simple continuous is used on superficial wounds, saving time and reducing patient pain...

The skills he has mastered are rich, and the choices are correct... Dr. Zhou secretly sighed: This is really a feast for the ancestors.

"Doctor, is my sewing okay?" the patient asked worriedly.

"No problem, the sewing is quite good." Doctor Zhou paused, and then said: "Just wait a moment, let us take a photo, and we can teach interns later."

When he said this, the patient immediately felt relieved.

Dr. Zhou hurriedly greeted Nurse Wang who was next to her, and came to take a few photos of her.

After doing this, Dr. Zhou looked back and the patient with the torn brow bone was also sutured.

What Ling Ran used was absorbable gut, which is commonly known as beauty thread.

The tensile strength of this thread is weak, and doctors in the emergency department do not like to use it. The older doctors, in particular, adhere to the concept of curing the disease and saving the patient. They only care about whether the sutures will break, and they don't care whether the scars will be too large.

On the other hand, thinner thread means more stitches and a lot of wasted time.

Ling Ran didn't have the corresponding mental burden, he just used it when he thought it was appropriate.

Doctor Zhou could only smile wryly when he saw it, and said, "The private hospital outside charges at least one or two thousand yuan for one centimeter suture with cosmetic sutures."

Ling Ran raised his eyebrows and asked, "So... I have generated income for our hospital?"

"You didn't inform me in advance."

Ling Ran shook his head.

"Just use the normal suture to avoid complications." After Dr. Zhou finished speaking, he said, "Afterwards, I'll report to Director Huo again."

The one whose brow bone was torn was a young man. After hearing what the two of them said, he quickly expressed his thanks, and he also expressed contempt for the high fees charged by private hospitals. It is not known whether there is a "revenue theory" that despises Ling Ran in private.

Doctor Zhou chuckled twice, and said, "You have met Dr. Ling. It is impossible for someone else to sew up your brow bone wound so well. One minute on stage, ten years off stage. "

"That is to say, if I look like this, I won't have scars?" The young man was a little embarrassed after speaking, and said, "I don't have a girlfriend yet."

"There will be no scars." Nurse Wang Jia was maintaining Ling Ran's suture results.

Ling Ran raised his head and added, "However, it won't help you find a girlfriend."

"Doctor Ling... don't tell me..." Wang Jia covered her mouth and smiled, shaking her waist, and gently pushed Ling Ran.

The young man lying on the hospital bed only felt that he had received a stronger impact from the explosion...

Ling Ran made a special reminder, saying: "Pay attention to tightening your expression, be careful that the lines are broken."

"Doctor Ling is really careful with his patients." When the two young intern nurses passed by Ling Ran, their footsteps naturally slowed down and they laughed like silver bells.