Aww~ aww~
When the call of the ambulance came, Juanzi first pushed the wheelchair to the door, ready to pick up the patient.
This is the third carload of patients sent by Lu Jinling, and the patients in the previous carload are still receiving transfusions.
Ling Ran also stretched, ready to pick up the car.
He is not unhappy about suturing on rest days. When he was in school, he could tie knots thousands of times for training, and now he can debride and suture tens of thousands of times.
Medicine is originally a kind of "oil seller" technology. The theory is important, but the value of experience cannot be ignored.
For Ling Ran, playing games is relaxation, and doing debridement and sutures can also be regarded as relaxation. Whichever is more fun depends on whether the game starts smoothly or the suture case is interesting.
"Butt stab wound, deep wound..."
"Back injury, it's not too serious, lie down here and debride the wound."
"The foot injury is contaminated, Dr. Xiong, you come to do the debridement."
Ling Ran didn't catch a patient and start doing it. Instead, like in an emergency room, he looked at each patient and classified them secretly.
This is also something new he has learned since he started his internship.
Even in the emergency department of Yunyi Hospital, patients are treated in a pulse-like manner. It is common for an ambulance to send four or five patients in one go, but there may not be so many doctors who are free, so the order of diagnosis and treatment is naturally not It is first come, first served, but it must be prioritized.
After two rounds of cooperation, Dr. Xiong and Juanzi gradually became familiar with Ling Ran's rhythm. Working together made Ling Ran feel more comfortable than at Yunyi.
No matter how good the doctors in the emergency department of Yunyi Hospital are, it is impossible for him to be a good assistant. At most, they are one or two helpers. On the contrary, Dr. Xiong and Juanzi cooperate seriously, and the effect is better.
When suturing, Ling Ran only needs to thread the needle, and Dr. Xiong can do the stitching and knotting work, which is more than a little bit easier.
In the hospital, this is the configuration for ordinary secondary surgery.
"Okay, these three are finished, and the last one is left, how are you going to sew it?" Dr. Xiong finished bandaging the last patient, and said to Ling Ran with some uneasiness: "Girls like beauty, It’s the shoulder again, if it doesn’t work well, I’ll send it to the hospital.”
After finishing speaking, Dr. Xiong asked half curiously, "Little Lu, where did you get the patients? Women still fight?"
"I'm drunk at KTV." Lu Jinling kept watching. She didn't know whether she was looking at a patient or Ling Ran, but she answered briefly.
Dr. Xiong was stunned, and shook his head incomprehensibly for a moment: "What time is it, and I'm drinking at KTV."
"Nowadays, KTV shows are cheap in the afternoon. Many people have had enough to drink and sing, and then go to skewers at night to save money." Lu Jinling broke the news casually.
The patient was a girl of indeterminate age, with heavy makeup on, and the previous drunkenness gradually disappeared. At this time, she looked at her wound and asked, "Can it be stitched? How long will it take?"
"Ten minutes." Ling Ran kept looking down at the wound, said something, and then said to Juanzi, "Give me the 5-0 thread, is there any gut thread?"
"Wait a minute." Dr. Xiong quickly interrupted Ling Ran, and said, "It's very valuable to sew it up with cosmetic thread."
"Otherwise?" Ling Ran's judgment is very simple. To look beautiful and reduce scars, use thin threads and absorbable sutures.
Dr. Xiong stayed in the clinic for a long time, so he thought a lot, pulled Ling Ran a few meters away, and asked, "Have you thought about it, can you sew?"
"Yes." Ling Ran's answer was intermittent and forceful.
He was a master stitcher, it would be a shame if he couldn't fix even one wound like this.
Dr. Xiong nodded half-believingly, and said: "The scars left by the beauty thread are shallow. If you sew it well, our small clinic can really make some money. However, using 5-0 is too thin, right? Should I use Line 0?"
The diameter of the 5-0 thread is 0.1 mm, which is the thickness of two or three strands of hair. The 0 thread is 4-0, which is one and a half times thicker and less likely to loosen and split.
From Dr. Xiong's point of view, thicker thread is easier for Ling Ran to control. If he can't change the thread halfway through the stitching, it will be self-defeating.
Ling Ran said calmly, "It's all fine, but the effect of using 5-0 is better."
For him, any kind of suture can guarantee a smaller scar, because the behavior of the patient is unknown, so it is also possible to use a slightly thicker suture to ensure the suture effect.
Of course, the thickness mentioned here is also relative. Line 0 is already the thinnest line commonly seen in emergency rooms, and most doctors would not choose it because they find it troublesome.
Dr. Xiong looked at Ling Ran, feeling a little uncertain. A few seconds later, he heard him shout, "Old Ling."
Ling Jiecong was drinking tea with his wife on the second floor, when he heard the voice, he put down his teacup and ran down, asking, "Is it time to collect the money?"
"Almost, Xiao Ran is going to use cosmetic thread to sew it up for others. You can talk to the patient about it. They charge by the centimeter outside." Dr. Xiong said.
"I know, absorbable thread, right? Some private hospitals are really dark." Ling Jie porridge entered the consultation room as he spoke, and sympathized with the patients.
After a while, Ling Jie porridge came out and said, "Okay, a wound that is more than four centimeters counts as four centimeters, and we will give you a 50% discount. My son sews it well, you have not read this book in vain."
The patients in the consultation room came to their senses at this moment. When they saw Ling Ran, they became even more nervous, and asked, "You know how to get beauty needles, right? My shoulders are often exposed, so I can't leave scars."
Juanzi's left leg weighs 50 catties, and her right leg weighs 50 catties. She took 4-0 and 5-0 gut.
Ling Ran then put it in front of the patient, and said, "These two kinds of lines are not easy to leave scars, and the 5-0 line is thinner, and the scars will be less, but you need to pay more attention to the movement of the wound..."
"I use the thin one." The patient made his choice without Ling Ran finishing his sentence.
Dr. Xiong curled his lips and said, "It's very thin."
"I want a thinner one." The patient's mind was right at this time.
After Ling Ran gave the instructions before suturing, he didn't like to talk anymore, so he waved his hand to let people leave, and tore open the suture bag by himself.
Threads below size 0 are basically accompanied by needles. The characteristic is that there is no needle nose at the end of the needle, and the thread is directly pressed into the end of the needle during production, so that the trauma to the skin is less during suturing.
When packaging, ordinary sutures can be packed in packs of five or ten, and those with needles can be packed in a single pack. Its advanced properties can be seen at a glance.
Doctors don't necessarily like thinner sutures, though. If stitching is regarded as an exam, using line 7 is equivalent to marking the passing line at 30 points, and you can meet the requirements by doing it casually; line 0 is equivalent to marking the passing line at 60 points, and you must Be a little more serious; 5-0 is equivalent to marking the passing line at 80 points. Some doctors have to concentrate on doing it to achieve it, and some doctors may not be able to do it with all their efforts.
Of course, there are always people who can score 100 on any test paper.
For example, Ling Ran, who has mastered the interrupted suture technique at the master level, let alone 5-0, 6-0, giving him 10-0 is also easy.
"Okay, you can open your eyes, don't get wet on the wound, and try not to move around..." Ling Ran habitually said the precautions, and felt that it was no different from suturing other people.
Dr. Xiong, who was an assistant at the side, saw it clearly. He felt that Ling Ran's movements were extremely relaxed, and that he was not disturbed at all by the thickness of the thread. He was surprised and tried not to show it.
On the contrary, the patient was a little uncomfortable, and said nervously and uneasy: "I just said that if there is a scar, not only will I get my money back, but I will also lose money. If... if there is no scar, my sister will be injured again. I will introduce you to your clinic."
Ling Jiecong readily agreed. He doesn't know medical skills, but he knows quite a few doctors, and in his opinion, Ling Ran's skills are no worse than those high-priced doctors.
Thinking of this, Ling Jieju thought again, according to the flow of people, the clinic can hire another part-time doctor, and when Ling Ran goes to work at Yunhua Hospital, the clinic can also operate as usual.
He looked at the utility room next to the consultation room, showing a trademark simple and honest smile.