"This is... to stop the bleeding with bare hands?" Director Liu stood up after speaking, took out reading glasses from his pocket and put them on.
He has worked in the Army General Academy all his life. Although he has never been on the battlefield, he has participated in many exercises and participated in countless military medical system meetings.
For the military medical system, trauma management and hemostasis are core propositions in the core.
During surgery, high-frequency electrocoagulation can be used to stop bleeding, microwaves can be used to stop bleeding, lasers can be used to stop bleeding, various interventional drugs can be used, and there are countless hemostatic forceps and residents who can use them.
But on the battlefield, bandages, compression to stop bleeding and local spraying of drugs are the most commonly used methods, and bare-handed hemostasis is more like a profound secret skill mastered by some people.
Director Liu spent most of his time researching burns, and he didn't master the technique of hemostasis with bare hands, but he was very interested in it.
"Patient is subcapsular hemorrhage..."
"The bleeding has stopped!"
"Ling Ran on the flat bed..."
Looking at the scene displayed by the projector, and listening to the sound of the monitor changing from sharp to soothing, Director Liu actually felt his blood boil.
Doctors know doctors best. Doctors can almost imagine the panorama when watching the scene in the video.
Director Liu and the others watched the video and listened to the voice, and the battle-like tension immediately appeared in their minds.
Patients with hemorrhagic shock are the standard first category of endangered patients. Anyone who has worked in the emergency department can experience the struggle and weakness of blood flowing through their hands and then onto the ground.
In the video, Ling Ran got on the flat bed and was pushed to the operating room together.
Director Liu looked at the farther and farther scenes, and suddenly became anxious: "Oh, why didn't the photographer follow up, follow up! What kind of photographer is this?"
"This was taken by the patient in the ward with his mobile phone." Huo Congjun quickly explained.
"The good material was taken in pieces. You don't know how to send a camera yourself? Don't people take selfies now?" The image of the little nurses in the department twisting and turning to the mobile phone emerged in Director Liu's mind. .
"If you want material, you can shoot it in the future. Ling Ran, show Director Liu and the others your thesis. Stopping bleeding with bare hands is not witchcraft, and we are going to promote it." Huo Congjun took a sip of tea and moistened it The voice is good for cursing.
Ling Ran got up, and gave each visiting doctor a copy of the prepared copy.
When Qi Zhenhai saw the video, he was actually not sure about the situation.
After all, it was a video that had been circulated in the circle for a while, and he was not sure whether Huo Congjun saw the comments that day. The latter, like Director Liu, is also a master who does not play social media.
However, upon seeing Ling Ran, Qi Zhenhai became somewhat vigilant.
The protagonist in the video is too conspicuous, and Ling Ran's recognition is so high, he can't even think of it.
In fact, Qi Zhenhai made comments on the bib that day because the words "Internet celebrity doctor" and the like stimulated him.
As one of the few young chief physicians in China, Qi Zhenhai has been in various social media for several years, but he has not become an Internet celebrity. How can a reckless doctor become an Internet celebrity
Just rely on face
Qi Zhenhai looked at Ling Ran with a serious expression, and he didn't even smile when he got the paper. It wasn't until Ling Ran turned and left that he let out a sharp breath, releasing the sucked stomach.
Looking down at the paper again, Qi Zhenhai thought about finding some loopholes to gain a firm foothold.
Most of the papers are actually out of water. It can be said that it is just an article without much practical significance.
Regardless of data falsification or deliberate selection of sample objects, many articles have problems in conception and direction, and there are many logical errors. It can be said that most of the papers can be picked out. , The major repairs and minor repairs that are inevitable to be encountered are also due to this.
Qi Zhenhai's first reaction was to find something to fight back.
It usually only takes a few minutes for him to read the papers of his graduate students or the review papers sent by journals, which is the basic quality of medical researchers.
Huo Congjun left the crowd alone for a few minutes, then stared at Qi Zhenhai, and said, "Doctor Qi, don't you want to know that it might be impossible to stop the bleeding with bare hands under Wushuye's condition? Did you explain clearly to you in today's paper? "
Qi Zhenhai is the chief physician, not the department director, and Huo Congjun didn't even bother to call him Director Qi.
Qi Zhenhai seized the time to read the article, and at the same time said with a cold face: "Director Huo, what do you mean?"
"You forget what you wrote on the Internet when you turned around?" Huo Congjun showed Qi Zhenhai's comments that day on the big screen, and a paragraph was highlighted:
"Today's video would be one of the most reckless incidents I've ever seen if it wasn't staged. Is it possible to stop bleeding with bare hands without surgical vision..."
Huo Congjun smiled and said, "Maybe it's impossible, didn't you see it?"
Qi Zhenhai chuckled: "You want to stand out for the interns."
"We're having an out-of-hospital consultation today. Consultation is to learn from each other and solve problems... I want to solve this problem for you today." Huo Congjun was aggressive, and his politeness disappeared.
If a hospital is regarded as a workplace, its working environment is very different from other workplaces.
The most apparent point is that doctors are neither as happy and harmonious as civil servants, nor as businesslike as employees of private companies.
The daily life of doctors is hovering between patience and outbreak.
Stressful, bear it; work night shift, bear it; be scolded by the superior doctor, bear it; be scolded by the patient, bear it...
If you can't bear it anymore, you will explode.
Doctors at a higher level scolding doctors at a lower level, and different departments scolding each other are not uncommon in hospitals, and even every hospital has several chief physicians who don't see each other.
If you are more advanced, you will engage in scolding in the same city, in the same province, and ridicule in the whole country. No matter how powerful you are, you can hold international conferences and use English and Chinese in front of your colleagues around the world...
Facts have proved that doing so is not only not ashamed, but also shows the strength and confidence of the doctor. Weak chickens always take selfies with silly smiles on such occasions.
Arriving at the level of chief physicians such as Huo Congjun and Qi Zhenhai, it is reasonable to say that they are equivalent to high-ranking titles of school professors. However, school professors can see the world calmly, but doctors can't. They still have to swear.
Why? Because they are in charge of human life!
The lower-level doctor's operation is wrong, so he should be cocked, and the medical record of the lower-level doctor is irregular, and he will still be cocked.
The directors and deputy directors at the same level will inevitably have to fight each other. Today you say that you have cut too much, which will cause difficulties for the prognosis and affect the patient’s quality of life. Cancer, the day after tomorrow will gather together to scold Chacha Hospital for excessive medical treatment...
Every time there is a consultation in the department, listening to the directors talking to each other, it can be said that the lower-level doctors get gossip and relieve their spirits.
And in the out-of-hospital consultations, it was not uncommon to see bloody scolding, and there were as many medical experts who had feuded with each other, as there were dogs who had fought in the community.
As the chief director of Yunhua Hospital, Huo Congjun has beaten more chief physicians than killed patients in his life. He didn't give Qi Zhenhai a chance to defend himself, and said, "What I look down on most in my life is not to distinguish The most annoying thing is to oppress people with their administrative positions. Ling Ran is an intern, and you are the chief physician, so you have the ability to guide him? Do you know how to stop bleeding with bare hands? More, that’s what you’re talking about.”
He sprayed so happily that the saliva flew far away and landed on the table in front of Qi Zhenhai with glitter visible to the naked eye.
It has only been a few years since Qi Zhenhai was promoted to chief physician. He just saw the shadow of the director of the department. He has neither Huo Congjun's experience nor the confidence of Huo Congjun. Indiscriminate, relying on administrative positions to suppress people?"
Huo Congjun let out a "bah": "Didn't you see the paper with black letters on a white background? It's black and white? When you were young, I hit you with a black nose and a swollen face."
"It's wrong to hit someone." Director Liu persuaded the fight, and then continued to read the paper quietly.
"I have to educate him today, so I came to our department. Qi Zhenhai, if you are from Yunhua Hospital, I will give you some face. If you are from the Provincial Emergency Department, what medical malpractice are you talking about? Have you ever seen medical malpractice? ? Do you have an idea of what a medical malpractice is?" Huo Congjun was so angry that his saliva splashed on the conference table and bounced.
Qi Zhenhai couldn't help feeling a little guilty.
When he saw the video, he commented casually, using the word "medical malpractice", which really easily touched the doctor's sensitive nerves.
In fact, if you comment, you will comment. Qi Zhenhai is not afraid of offending Huo Congjun, it's just that the current scene is a bit embarrassing.
It was as if Qi Zhenhai had been ambushed, and before he could speak for a while, he just looked down at Ling Ran's paper.
After all, he is a doctor who is qualified to compete for the head of the department. Qi Zhenhai has written many papers and read even more papers. He can easily pick out problems from the papers of ordinary residents and even attending doctors.
However, Ling Ran's thesis was different.
After he really mastered the perfect-level bare-handed hemostasis method, he wrote a thesis based on actual cases.
Most importantly, this was Ling Ran's first decent thesis. Therefore, he is not greedy for everything, and the content is limited to a single case, as well as the application of manual hemostasis. The basis of conception means that the viewpoint is stable.
"Wu Zhu Ye Xia Hemostasis Hepatic Suture with Unarmed Partial Compression" has a total of more than 1,000 words, and has been checked by Huo Congjun many times. How could there be obvious omissions.
If Qi Zhenhai had a few hours to do a thorough search of relevant literature, he might be able to raise some objections from the side.
And it took him only a few minutes from getting the paper to the present, so where could he find arguments and evidence.
Huo Congjun didn't give him a chance, he chattered and cursed, that was a happy and wanton one.
He is a well-known troll in Yunhua's medical circle, and he has ruined many "international" conferences, let alone an out-of-hospital consultation.
In the end, Qi Zhenhai still saw Ling Ran's author's introduction, so he smashed the can and said, "It is possible to stop the bleeding with bare hands, but do interns do it with bare hands? I said that medical accidents are still minor, and you are taking human lives carelessly." .”
"Who doesn't know how to wear a hat? Interns can't do manual hemostasis? Who stipulated it? Is it your job to let the patient die on a flat bed?"
"I watched the video, and there was still time for laparotomy."
"You dare to say it after watching the video? I'll give you ten cases, and you come to give me a remote diagnosis?" Huo Congjun snorted. A physical examination is an extremely important part of a doctor's diagnosis. Simply put, contact with patients is a necessary part of making a major diagnosis, and it is also one of the reasons why remote diagnosis frequently makes mistakes.
Naturally, Qi Zhenhai didn't dare to accept the move, he hummed twice, and said: "If you didn't make a mistake once, it doesn't mean that your handling is correct. Interns are not afraid of tigers when they are newborns, and the superior doctors are not afraid of tigers."
"As far as your judgment is concerned, I don't think it is even as good as an intern."
"What is the comparison between me and an intern?" Qi Zhenhai curled his lips.
"I don't think you can compare." Huo Congjun put his hands on the table.
"I don't compare with him." Qi Zhenhai also put his hands on the table.
"You can't even compare to an intern." Huo Congjun leaned forward.
"I don't need to compare." Qi Zhenhai also stretched his body forward.
"you… "
"I… "
Everyone saw in horror that the two were getting closer and closer, their lips were about to touch each other as they only had eyes on each other.
"Well... Let the author of the thesis talk about it." Director Liu really couldn't stand it anymore.
"Ling Ran, tell me." Huo Congjun glanced at Qi Zhenhai, straightened up, provocative.
Not to be outdone, Qi Zhenhai wiped his lips vigorously, straightened his back, and sucked his stomach.