The emergency department at night is a little messy.
Discarded laundry and trash can be seen on the floor. The positions of the infusion stand, the bench and even the hospital bed became more random. At the trash can in the corner, you can still see a rag soaked in disinfectant, covering the suspected vomit.
Ling Ran walked quickly to the treatment room, and saw that the patient had been pushed into the curtained compartment. From the outside, he could see his upper body lying on his back, staring blankly at the ceiling.
"Doctor Ling, come in." Nurse Liu let Ling Ran in, and pulled up the curtain.
The patient heard the movement, but remained motionless.
"Concussion?" Ling Ran chose a better guess, no matter how serious it is, it doesn't matter whether the pouch is sewn or not.
"Scared." Zheng Pei, a senior resident who was squatting at the end of the bed looking at the wound, looked up.
"Oh." Ling Ran glanced at the messy condition of the patient's crotch, but understood the patient somewhat.
Zheng Pei wears glasses, has a short beard on his chin, and has hair as long as the beard. After this year, he will be the head of the hospital, and if he survives, he will be promoted to the attending doctor. He is also the most experienced front-line doctor on duty today. He has been hospitalized for three years and trained for three years, and has performed thousands of stitches.
Knowing that Nurse Liu sent someone to call Ling Ran, Zheng Pei asked with the intention of taking a school exam, "What information can you get based on your observations now?"
When the superior doctor is in a good mood, he will take the exam for the junior doctor, and when the superior doctor is in a bad mood, he will also take the exam for the junior doctor. Whether it is an intern or a resident doctor, there is a possibility of being humiliated anytime, anywhere.
Of course, this is the kind of life that medical students live in school. Ling Ran was not surprised. With sufficient light, he began to think while watching.
He just acquired a specialized skill of interrupted vertical mattress suture, which is suitable for sewing stomachs and pouches, but in terms of observation and diagnosis, he still needs to rely on himself.
Fortunately, Ling Ran learned this knowledge on his own very early on. He carefully sized up the patient's blood wound, and replied: "The right side of the vagina is torn, and the vagina is exposed. The surface of the vagina and the inside of the soft tissue, Obvious dust and fine debris can be seen, and the wound has reached the sheath, but the sheath should be intact."
Every time he said a word, the patient on the hospital bed trembled.
It is not so easy to be a calm patient.
Zheng Pei glanced at Ling Ran in surprise, said "En", and said, "You observed very carefully. You also learned a lot."
Ling Ran smiled slightly.
Zheng Pei waited for a few seconds, before he could say something modest, he patted himself on the forehead and smiled at Nurse Liu, "Look who I'm talking to."
Immediately afterwards, Zheng Pei gave up his seat and said, "Come and check it out, and explain your judgment item by item."
Ling Ran put on his gloves, stepped forward to fiddle with them twice, and the dull-eyed patient trembled even more.
"I didn't see any combined injuries, non-linear wounds, and some pollution. Is it on the road? It's not like..." Ling Ran has memorized books, but in terms of specific practice, it is difficult to make an accurate statement. analysis.
Zheng Pei laughed twice, and said: "I asked when I was outside, I was injured when I was skateboarding in the park, there is no such thing as a skateboard, jumping on the iron railing and sliding down, guess what?"
"The person went up, but the skateboard didn't go up." Ling Ran felt as if he had solved a riddle and got the answer.
Zheng Pei snapped his fingers and said with a smile, "You guessed right, the whole person rode on the iron assistant, but what they were looking for was not a round handrail, so..."
"So we should consider the possibility of tetanus and give him tetanus antitoxin." Ling Ran accepted Zheng Pei's words.
Zheng Pei was dumbfounded, it was obviously a very exciting chat, why was he pulled back in an instant.
"The bleeding is not too serious. If the spermatic cord is..." Ling Ran recalled the content of the anatomy class, but he asked rather hesitantly, "What should a normal spermatic cord look like?"
If he is given a complete male pouch, he can cut it off with a single knife, and then come out with the spermatic cord, he can still distinguish between normal and abnormal. The current situation is quite special. For the unfamiliar anatomical structure, Ling Ran has no idea. Didn't dare to draw a conclusion.
Zheng Pei didn't check this far. Hearing what Yang Rui said, he began to observe carefully, and at the same time muttered to himself, "If it's abnormal, first consider torsion of the spermatic cord..."
"Are you still talking about Huanzhugege?" The patient finally couldn't lie down, and asked in a hoarse voice.
Zheng Pei was dumbfounded by the question: "What are you talking about?"
"You just said... the golden lock, is it the golden lock in the pearl..." The patient's cheeks twitched twice, and he looked at the ceiling indignantly, and said, "I have suffered such a serious injury, and the doctor is still talking about TV dramas. The fuck sent me to this hospital, I..."
Zheng Pei laughed angrily: "My God, Huan Zhu Ge Ge, what era is Huan Zhu Ge Ge from? Do you know why other people's skateboarding accidents are not easy to get hurt, and you are easy to get hurt because you are too old..."
Nurse Liu hurriedly said, "Doctor Zheng, what medicine are we taking now?"
For doctors and nurses, quarreling with patients is the most unprofitable and prone to accidents.
Zheng Pei shook his head and said, "Ling Ran, explain the spermatic cord to the patient first."
"The spermatic cord is the structure that fixes the penis and transports nutrients, including arteries and veins, vas deferens, lymphatic vessels, nerves..." Ling Ran replied in a circle as if endorsing, and then said to the patient: "We are checking whether your spermatic cord is normal , If something goes wrong here, such as the spermatic cord is twisted, surgery is required to restore it, and the testicular bowl may also be removed, so sutures are unnecessary.”
Speaking of the last sentence, Ling Ran felt slightly regretful.
The patient said nothing, stared blankly at the ceiling, trembling all over.
"It's a bit of testicular decline." Zheng Pei paused, and said, "There is no twist, and the position itself is relatively rare."
Ling Ran followed the direction of his fingers and nodded in confirmation.
"Debride the wound and suture it. Be careful not to separate too much when debridement." Zheng Pei confirmed that there was no other problem, so he didn't plan to do it by himself, took off his gloves, and signaled Ling Ran to go into battle.
Ling Ran originally wanted to do stitching, but now he sat in seat C without hesitation, and started a job that was both unfamiliar and familiar.
The specialized interrupted vertical mattress suture finally played a role.
After a few minutes, return the eggs back to the nest.
Ling Ran left the cubicle satisfied, feeling that today's shift was worthwhile.
Lu Wenbin also caught sight of Ling Ran, walked over two quick steps, and said, "Doctor Ling, the edema of the patient on bed 5 has disappeared."
"Did you go to check the ward again just now?" Ling Ran looked at his watch, it was already early morning.
Lu Wenbin looked bright and said, "I want to take a look at it by the way. I didn't expect the swelling to disappear so quickly."
At the same time, a system prompt popped up in front of Ling Ran:
Complete the mission: "Healing the Patient"
Obtain reward: Cut (bow-wielding specialization)