"Director Wang, please make a trip." Huo Congjun received Chief Physician Wang Haiyang from the hand surgery department at the elevator.
Wang Haiyang is a kind of skinny old man, the bones on his cheeks and arms are all exposed, and he only weighs about 80 kilograms, which is very in line with the value weight of the Internet celebrity era.
As a former orthopedic surgeon, at such a weight, choosing hand surgery feels more like being forced - a 200-jin fat man wants amputation, and he can't even move his legs.
With a familiar smile on Wang Haiyang's untouched face, he smiled at Huo Congjun and said, "I'm not used to you being so courteous. I didn't expect you, Huo Erpao, to smile so nicely when begging for help."
Several attending physicians followed Huo Congjun and came over to make the background, each of them lowered their heads and smiled.
Huo Congjun coughed and laughed, and said, "Isn't it because you came? I'm happy, don't rush back tonight, let's have a drink..."
"Don't tell me, I'm guilty of being flattered by you, okay, let's not go to the conference room, just go to the ward to see." Wang Haiyang can see that Huo Congjun is really interested in the current case. of.
"Oh, how embarrassing, I came here to ask you for a consultation, and I didn't even take a sip of water..." Huo Congjun's fake politeness could be smelled three meters away.
Wang Haiyang chuckled and said, "Go to the ward and be more intuitive, and save everyone some time."
"Okay, then go directly to the ward." Huo Congjun didn't bother to go to the meeting room to watch T, turned his head and said, "Go and call Ling Ran, and ask him to come directly to the observation room."
The observation room of the emergency department is equivalent to the ward of the inpatient department. Normally, the observation room only accepts patients who need to be observed in a short period of time, but in practice, it is not so easy. The most common ones are "three nos". The so-called patients who can’t be cured, who can’t get better, who can’t go home, and those who have a long time can stay in the emergency room for a year or two.
Huo Congjun has always been annoyed by these old patients who treat the emergency room as a nursing home, but this time, he made full use of this situation and quietly opened up several emergency rooms, which are nominally used to expand the beds in the observation room , actually serving as an additional ward.
The Medical and Political Department pretended to come to investigate once, but turned a blind eye and let him go.
When Wang Haiyang entered, he saw four beds in a ward and a few simple rehabilitation props that were exactly the same as those in hand surgery, and he almost laughed out loud.
"Fortunately, it was me who came here. If Director Jin saw it, it would make you laugh." Wang Haiyang satirized the two department directors unabashedly.
As a chief physician, if you don't seek to make progress, you can indeed be very casual.
In fact, if he was the deputy chief physician, it would be impossible for Wang Haiyang to come to the emergency department to diagnose the patients of Huo Congjun who wanted to grab business.
However, Wang Haiyang didn't care.
The relationship between him and the director of the department, Jin Xi, is already very tense—the department director and the chief physician of each department have almost unknown confrontations. Wang Haiyang neither expects to be the director of the department, nor The departments can be further divided, and in addition, he can't improve his skills, so Wang Haiyang, who leads a treatment group alone, has long been in a state of letting himself go.
Huo Congjun has been in Yunyi Hospital for so many years, and he knows the affairs among doctors too well, so he said with a smile: "You still have patients left in our emergency department, how about it, I will take care of all the patients that Jinxi doesn't want. Can’t be treated? You have to choose first? It doesn’t make sense, right.”
Wang Haiyang laughed a few times, but didn't answer.
Picking patients is a long-standing problem between emergency departments and specialized departments.
According to regulations and the normal hospital model, patients admitted to the emergency department will be transferred to other departments after rescue or simple treatment.
However, regulations are regulations, and execution is execution. When the best hospitals are more congested, other professional departments do not want to receive all the patients in the emergency room, and they will make various requirements.
The result is a referral system, which can easily become a selection system.
Specialized departments are not willing to admit patients who are intractable and perishable. For example, patients with advanced cancer cannot be operated on and their lives are in danger at any time. Professional departments are not willing to admit them. Elderly patients with chronic diseases are not willing to be accepted by professional departments. For example, elderly patients with infections have repeated illnesses, and relapses after being cured. No matter how good they are, they dare not leave.
As for elite departments like Yunyi Hand Surgery, the patients they treat are not limited to the surrounding areas of Yunhua or Changxi Province. They have patients from all over the country. Patient selection is also inevitable in hand surgery. Patients who meet the research direction of the directors are the first, followed by patients with mature treatment plans, who can also be admitted in a timely manner. In addition, they will observe how well the patients deal with each other, and examine the patient's ability to pay .
From the perspective of the department, the money that can be allocated to treat a patient is very little. The average case is only one or two thousand, two or three thousand yuan, and the tens of thousands of yuan is very little. However, if there is a patient who is in arrears of medical expenses, the deficit may reach hundreds of thousands of yuan. The performance of a department will be deducted. Doctors doubt their lives, and normal people will avoid beatings.
For patients who do not meet the interests of the department and the hospital, the department will naturally try to avoid admission as much as possible. Some patients will leave, and some patients are stranded in the emergency department for various reasons.
The thunder that Huo Congjun blocked for other departments now became his weight.
As he said to Wang Haiyang, the watch can pick patients, and he doesn't need to refer them. Everyone sticks to their own opinions, so it doesn't matter whether it is right or wrong.
"Is this the patient?" Wang Haiyang changed the topic and came to the hospital bed.
The patient's family hurriedly got up to say hello, and was persuaded by Dr. Zhou to go to a corner of the ward, where a group of emergency doctors in white coats surrounded the bed.
When the chief director goes on tour, ostentation is indispensable, and the doctors can also gain experience from it. Of course, what everyone is most curious about now is whether Ling Ran's tang suture can work.
"Patient Ma Wenhua, a 42-year-old male, was sent to the emergency department of our hospital because of a car accident. The head CT was negative, the cervical spine and limbs were fractured to varying degrees, and intra-abdominal hemorrhage. The first-stage operation was performed for 3 hours. The left flexor tendon injury was performed in parallel. The Tang method is sutured..." Zhao Lele said this, glanced at Ling Ran, and then continued to talk about the past history and medication.
Wang Haiyang listened silently, expressionless.
For him, these are all background factors. Huo Congjun invited him here mainly to see the hand stitching.
Therefore, Wang Haiyang's eyes quickly locked on Ling Ran.
He had never met Ling Ran, but Huo Congjun said "the most handsome one", and Wang Haiyang remembered it. Looking around at this time, he easily found the target.
Zhao Le agreed with this, so he ended the introduction obediently, and retreated behind Huo Congjun.
"How did you sew this? Let's talk about the steps directly." Knowing that Ling Ran had not received systematic training, Wang Haiyang deliberately prevented him from speaking the prepared lines.
Ling Ran himself didn't think much about it, he took two steps forward, and said, "I chose the first loop suture at the 8 mm dorsolateral side of the proximal end of the tendon, and locked it into the first loop knot. Later, pass the trocar longitudinally through the tendon, and exit the needle at 6 mm dorsolateral to the distal end... ”
He said while pointing to the back of the patient's hand.
In fact, Wang Haiyang has never done tang suture. He usually uses Kessler and double kessler. sense of accomplishment.
Relatively speaking, Wang Haiyang doesn't like the more complex suture method. Although judging from the data, the success rate is increased by 10% to 20%, and the score of hand function assessment can also be 10% to 20% higher, but the burden on doctors can be more than one or two times.
However, Wang Haiyang still knew the well-known Tang method of opponent surgery very well. He had even seen Tang Jinbo's live operation.
While listening to Ling Ran's explanation, Wang Haiyang corresponded to the knowledge points in his memory. After listening for a while, he felt that he seemed to understand more.
After a while, looking at the handsome young intern, Wang Haibo suddenly came to his senses, damn it, Lao Huo is calling himself to find fault, not to attend the lecture...