Chapter 108： Neurotic patients are more happy

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Yunhua Hospital.

Neurology.

Cao Yue, a female doctor in the EMG room, was sitting in a chair with a smile, watching Lu Wenbin pushing the flat bed against the wall, and then she said, "Okay, it's all right there, I'll do the rest. "

Lu Wenbin looked at the patient Li Huamin on the flat bed and said, "No need for my help?"

"No need." Cao Yue grinned and said, "You just have to wait outside."

"This ... the patient has a personality, you pay attention."

"It's okay, I have seen more patients." Cao Yue glanced at him.

Lü Wenbin was impatient with the expression on his face. He hesitated and left the consultation room. He found a bench and sat down with a long breath. He hasn't scratched the skin in the last few days, and his hands are itchy.

Consultation room.

Cao Yue snorted softly, saying: There are more patients with personality, who has never seen it.

What she most despise is a resident doctor of surgery. If she is not capable, she needs to be professional or unprofessional. She is not good at all. It seems that she can become a technical master at any time, and then educate people.

In Cao Yue's opinion, these surgical inpatients are all tendons to do dirty work.

Regardless of the clean environment in the operating room, in fact, every time a certain period of time, there will be some germs in the operating room. Surgeons' white coats are often clean only in the morning, and they are exposed to more blood stains every day than most people in their lifetimes ...

In comparison, Cao Yue's working environment is much more comfortable.

The myoelectric room is an ordinary office. The instrument is connected to the computer. As long as the patient's skin is patched, the rest of the operation is performed by the computer.

From the appearance point of view, it is a bit more complicated than the ECG.

This position can be said to be a relaxed position in the whole hospital. It has nothing to do with it, don't even think about it, and the working environment of the surgeon can be said to be two worlds.

Whenever Cao Yue thought of this, he would sing in his heart: we are different, different ...

"You are a doctor who specializes in measuring nerves?" Li Huamin lay down on his side, exposing the red silk sleeves of half of his arm, very bright and beautiful.

Cao Yue stopped singing inside, laughed twice, held up the patch, and said, "I'm a professional electromyographer, not a nerve tester. Let me squeeze the sleeves."

While Cao Yue was talking, he took his own hands and tucked up the patient's sleeves, and said, "You have external fixation on your hands, can you put both sleeves in?"

"There are buttons at the back." Li Huamin replied, and then asked, "Is my nerve all right?"

"I don't know yet." Cao Yue was annoyed: "I haven't tested it yet, who knows."

"If the nerves don't fit, it's a stroke, right?"

"A stroke in the brain is a problem."

"Is there anything wrong with my brain?"

"No test, I don't know."

"Doctor, don't lie to me, I'm not afraid of death." Li Huamin said earnestly: "I asked my family, they didn't say anything. I know, everyone is hiding from me, that's good for me, but I think know."

Cao Yue frowned: "But I really don't know."

"Doctor!" Li Huamin was anxious, and lifted the small quilt covering his body, and said loudly, "Doctor, I'm not afraid of death, I just want to die clearly, normal people have nothing to test for nerves, I'm not neurological!" "

Cao Yue stared at Li Huamin's red silk Tang suit style tops and looked at it for a few seconds, always feeling a bit familiar.

Li Huamin's expression was eased when he noticed the clothes on his body. He asked, "Doesn't it look good? This dress was designed by myself. The old man said that the shroud must be red, but the five elements are pink, so I use pink for embroidery. The cloth is red, and the middle of the five fortunes is gold ... "

"What are you wearing?" Cao Yue was shocked.

"Shouyi!" Li Huamin said solemnly: "You will measure my nerves for a while. If there is something wrong with my brain, I will jump on the roof in this suit, so as not to hurt my family!"

Li Huamin looked at Cao Yue very seriously and said, "Have a good test and see if there is any problem in my mind!"

"Wait a minute ..." Cao Yue stood up tremblingly, opened the office door, and shouted, "Lu ... Dr. Lu, please ... please help me."

...

the next day.

Lu Wenbin was standing outside the ward, and the director of the rounds reported: "The patient has a good anastomosis ..."

Li Huamin was half-lying on the bed, beckoning to the doctors outside the room.

"Lao Du went in and watched, let's go to the next room. You continue to say." Huo Congjun went through the door without entering, and sent the deputy director into it.

Lu Wenbin said: "There is no problem with tendon sutures, and the intensity is high. Doctor Ling can begin early rehabilitation ..."

"Just follow Dr. Ling's doctor's advice." Huo Congjun cut off Lu Wenbin's words without hearing two sentences. He didn't know anything about hand surgery before, and now let go of Ling Ran even more.

In any hospital, if a doctor can perform hundreds of procedures, and the excellent rate reaches the local average of the type of surgery, then it is a proper expert, because you do the same surgery The more formulas there are, the more strange situations you encounter. Not to mention Ling Ran's excellent rate far exceeds 90%.

Of course, doctors in ordinary hospitals may take several years, or even more than ten years, to be eligible for a certain operation.

To perform a certain operation repeatedly, not only the cooperation between the hospital and the department, but also the environment must be coordinated. Most doctors in most hospitals can get two or three cases of the main operation every day, which is not bad. If you want to accumulate a certain operation to 100 cases, it will take years.

Only when the degree of senior attending is strengthened, the doctor's right of choice is strengthened, and the influence in the department increases, can he do more techniques he wants to do, and even use the techniques he likes and excels as the main techniques of the undergraduate department .

Huo Congjun is an emergency doctor with a medic background. He valued talents more than his qualifications. He also increased his trust in Ling Ran. Therefore, although he was serious during the rounds, he rarely changed Ling Ran's medical orders. When patients have postoperative complications or other comorbid symptoms, the medication adjustment will be adjusted.

Lu Wenbin's envious feet were all in a smit.

In the hospital, the intervention of the chief director to the young doctor is comprehensive. I can give you a holiday today, let you and your wife cheer for a child, or you can work overtime tomorrow to see if the color of a certain patient's **** is authentic. If it is Huo Congjun who can be fully respected by the doctor, it is basically the leader of the treatment team.

In Yunhua Emergency Department, there are two other chief physicians and two senior senior associate directors.

After a while, Director Du returned to the medical group.

"Is it possible for Ling Ran to do a case with a nerve injury?" Huo Congjun and Deputy Director Du talked softly.

Director Du hesitated and asked: "The patient just performed well, but is it too urgent?"

"There are many cases with neurological injuries, and it is easy to find them. We don't have to call." Huo Congjun said, and whispered: "As far as I know, in Changxi Province, flexor tendon sutures can be done independently. , The doctor who does the aneurysm of the nerve, count it out. There are even fewer that specialize in this. "

Director Du laughed twice.

There are not many doctors who can do flexor tendon sutures and nerve bundle membrane damage, and they do less. But this is originally a word, it is like a forest, you need to find a pine tree, next to a locust tree, and next to an elm tree, and there must be no plants in the middle.

There are a lot of pine trees, a lot of elm trees, and a lot of locust trees. What is the point of three trees next to each other?

Of course, it makes sense in the hospital.

People who can do flexor tendon sutures, nerve anastomosis, and orthopedic surgery, people do broken finger replantation all day and night. Where can I do a single flexor tendon suture with nerve rupture?

Many nerve anastomosis can be done alone, but most of them are neurosurgeons' doctors. They can't complete the craniocerebral operation. One night is done, and they are too lazy to get a hand consultation.

Of course, an out-of-hand doctor who can only do flexor tendon sutures is also very good, and too lazy to raise his temper.

The operations outside the hand are all performed within 24 hours, and the earlier the treatment, the better. Many patients who have suffered from a flexor tendon rupture, with nerve damage, and no broken fingers, can only get good flexor tendon suture techniques and not bad aneurysm anastomosis. What is the prognosis?

Some big hospitals are too busy to ask patients if they are willing to amputate ...

In the United States, the percentage of replantation of severed fingers is 2%, relying on strict censorship. Smoking and drinking, and anyone who cannot guarantee good living habits, even with insurance, may not be able to get two hours of assistance from an elite doctor.

So it doesn't make sense to have pine elm and locust trees close together, unless you cut them down together.

"I don't object to it. The recovery period for patients with flexor tendon injuries is too long, and the recovery period for nerves is longer. Our ward is not enough." Dr. Du reluctantly offered an opinion.

"Add enough." Huo Congjun waved his hand. The big emergency department in his dream should have more than two hundred beds. If he can have more than 500 beds like the Chongyu Emergency Center, he wouldn't mind.

"There are more sources of disease, so don't let Ling Ran do too much work. The young man rushes down and has to look up." Dr. Du said here and asked Lu Wenbin: "Ling Ran is still undergoing surgery?"

"Yes, the operation was only halfway, and it was a little unexpected." Lu Wenbin said nonsense, which was a reason for not accompanying the rounds.

If other little doctors often do not participate in the director's rounds, most of them are wearing small shoes to fractures. However, the hospital's clear rules and hidden rules have always been aimed at ordinary doctors, and skilled doctors have always been special cases.

It's as if the poor student is wrong and the good student is right. Huo Congjun now mentioned Ling Ran with a smile on his face and said, "It is necessary to let Ling Ran pay attention to the body ~ www.novelhall.com ~ Don't just work. What time did he come today?"

"At four o'clock. Three cases have already been performed, and now the fourth case." Lu Wenbin said all was a flutter of liver. When the main sword comes at four, he will have to come at three or more. There is no reason to speak. At Quanyunhua Hospital, there are three or four doctors who can play like this. But let him run into one.

Huo Congjun didn't think it was strange to start the operation at four in the morning, and only nodded: "No wonder he told me last time that the time was wasted. But the cases with neurological injuries add up just fine, and then I'm afraid There are too many referrals to the following hospitals ... "

As he was talking, Huo Congjun's mobile phone ringing sounded melodiously: there was an injured goshawk, an injured goshawk, it passed through, through the valley ...

The doctors held their breaths and stared at the director.

"Okay, I understand. I must concentrate on the superior forces of the department ... I must do my best to ensure safety and ensure the quality of medical treatment ..." Putting down his mobile phone, Huo Congjun's eyes were as sharp as eagles, and he said, "Director Hao's daughter was burned. The burn group Go ahead and prepare. The other doctors should not take it lightly. Hand over the work in the hurry and prepare for support at any time. "

At this point, there is no time to continue the big round, and the group of doctors are scattered away, busy preparing. The packed case of the medical records, the doctor's order should be rushed to explain the doctor's order, the surgery time should be adjusted to adjust the operation time, and the toilet should be rushed to grab the position ...

Director Du was close to Huo Congjun, with anxiety in his face: "Let's say in private, why don't we go to the main hospital after a burn?"

Yunyi Emergency Department is famous for treating burns, but in the circle, no matter the actual level or influence, it is not as good as Director Liu of the Army General Hospital. The latter is the best in the country in the field of burns.

Huo Congjun looked to both sides and whispered, "When I pour the water, I'm hot."