Chapter 116： ASAP

Xiaotie was in front of the emergency department building, waiting for anxiety, and frequently raised his hand to look at his watch.

It will take two hours for an ambulance with the "Golden Deer" logo to park into the admissions channel.

Xiao Tie glanced at the license plate, and breathed a sigh of relief, and then he became tense and rushed to the front.

The nurse and the little doctor who picked up the car in the emergency department glanced at Xiao Tie. They all felt familiar and unfamiliar, but they did not say anything.

Xiao Tie was a small boy in front of Director Pan, and he was 35 or 6 years old outside. In the hospital, there is no threshold from hospitalization to attending. It is nothing more than a difference between morning and evening, but no matter how late, the mature is also attending.

"Patient Zheng Qi, 51 years old, cut wound, right thumb, forefinger, **** ..." A young man in a white coat appeared in the ambulance. He reported it tensely and couldn't say clearly.

The patient's condition was reported to the emergency center when the ambulance was on the road, and transferred to the Yunyi Emergency Department. At this time, report it again, which is to check the effect.

"Hand trauma, call Dr. Lu." The little doctor who picked up the car quickly pulled the patient out while making a judgment quickly.

The work of the emergency department is complex and simple.

In general, the main task of the emergency department is to ensure that patients survive. On this basis, all the emergency doctors need to do is to avoid brain death, avoid cardiac arrest, stop breathing, avoid excessive blood loss, and avoid organ damage ...

Under the premise of ensuring that the patient does not hang up immediately, the emergency department can consider whether to handle the patient by itself or refer to it.

Theoretically, you can do it by yourself with a cut on your arm, or you can send it to a medical and aesthetic department for a beautiful stitch. If you have a hand trauma, you can send it to orthopedics or hand surgery. You can also do it yourself.

This judgment is usually issued directly by the on-site doctor, which is also the purpose of Xiaotie.

He quickly called the familiar Dr. Zhou and waited anxiously while explaining the situation on the scene.

Xiaotie himself can wait for the patient to come outside the emergency department building. It is impossible to ask Dr. Zhou to come and wait. At this time, he can only hope that Comrade Lao Zhou has no urgent work.

Of course, Comrade Lao Zhou did not have a hurry. With his skill, he casually brought in a few interns, Gui Peisheng, to the hospital, and he was able to reap a lot of gratitude and be freed as a mentor.

In contrast, Dr. Zhou prefers colleagues to praise him for his righteousness.

As soon as Xiao Tie entered the treatment room, he saw Dr. Zhou greeted him and was relieved.

"Your relatives?" Dr. Zhou asked.

"Yes." Xiaotie nodded and acknowledged, "Go to the construction site to work, just as someone else is collecting debts ..."

Dr. Zhou interrupted him: "Don't say this now, the patient's symptoms are basically stable, and the blood loss is not too much. The core problem is the cut of the finger. Let me tell them, don't open the emergency gauze first, I will directly transfer to you To hand surgery? "

"Ah ... no." Xiao Tie panicked and said quickly: "I didn't mean that."

"No?" Dr. Zhou was a little strange. He and Xiaotie were regarded as pseudo-contemporaneous, and the hospitals that were admitted one after the other belonged to the tide of the reform of public institutions in the year, so they were familiar with each other. It's just that as everyone gets older, the social circle is more restrained and some days are not connected. Considering Director Pan's remarkable training, Dr. Zhou's eyes were skeptical.

Good old people return to old good people, it is stupid to be deceived.

Xiao Tieyi said: "I mean, I hope to arrange Zheng Qi nearest to the emergency department for treatment, that ... hand surgery is very busy today, there are two special needs patients in front, it is not good to cut in, not to cut in In that case, treatment is delayed. "

This is a good excuse for Xiaotie to find out.

In the hospital, the general-purpose special-need patients refer to the special-need clinics. Most of the top three hospitals have special needs clinics or more expensive cadres' wards.

It meets patients' needs beyond medical services at an expensive price. In contrast, the cadre ward discusses levels and relationships. Special needs clinics can look at levels and relationships, as well as money, and provide special services with clear prices.

For example, many large hospitals are registered for rickets. You don't need to worry about special needs clinics. You only need to pay the outpatient fee according to the standard of 388 yuan and 500 yuan for the director. The patients and their families can order whatever they want. May be cheaper than scalper tickets. If a doctor is unsure, as long as he pays 500 yuan, he can initiate an in-hospital expert consultation, and 1,000 yuan can be consulted by an out-of-hospital expert. In theory, he can also seek a remote consultation with a foreign doctor ... Most importantly, the patient spends most of his time You can stay in the ward for 1,000 yuan a day and rest, and you can run as doctors and nurses.

Such a patient, fasting the day before, and faced up on the same day, and you told people that he was cut off, it must be unpleasant.

Dr. Zhou reluctantly accepted this reason, but still explained kindly: "If you refer to Director Pan, the effect will be better. If you stay in our emergency department, only Ling Ran can do it. His patient is The recovery is good, and the surgery is meticulous, but after all, it is a young man with little experience, so you have to think about it. "

"Think it out." How could Xiaotie answer.

In fact, if he is to make a judgment, he also feels that Ling Ran's technology is far inferior to that of Director Pan. Not to mention, just experience, Ling Ran only had a few months of surgery, how can it be compared with Comrade Pan Hua who had surgery for 20 years.

However, Dr. Pan was unwilling to perform the operation himself, and Dr. Tie understood.

How do you say it ’s familiar brother-in-law? One third of Director Pan ’s time in the country, one in the hospital, one in the hospital, and one-third in the brother-in-law ’s home.

It was just handed over to Ling Ran-although Xiaotie did not agree, he still did.

Dr. Zhou looked at his expression and nodded, and said, "That line, you call your family over, I will give you a few words."

"I can't replace it?" Xiaotie was anxious again.

Dr. Zhou shook his head: "You also understand the rules of our hospital. Without the signature of relatives, we definitely will not do his operation."

"That ... Immediate relatives haven't come yet." Xiao Tie was worried that when Pan's sister signed, a surname of Pan came out and let people guess.

"Someone has to sign it, you can't do it, and I'm doing it for you, too." Dr. Zhou sent away his good attributes. The operation was not 100% successful. If one operation was improper, Xiaotie's identity was awkward.

Fortunately, Zheng Qi's son arrived in time, and Xiaotie finally solved the problem.

Dr. Zhou shouted at this time: "Xiao Lu, here is the pick-up."

"Here it is." Lu Wenbin waited long ago, ran over, took Zheng's case, unzipped the gauze and looked at the wound, and looked at Xiaotie again. It was strange, but he didn't say much. Dao: "There are three more operations in front, and this is exactly the fourth one."

"Well, Dr. Lu, can you make it a little earlier." Xiao Tie spoke kindly, and even got out of breath.

Lu Wenbin shook his head resolutely: "It's too early ~ www.novelhall.com ~ Xiaotie is going to get angry again, anxiously:" No, I ... "

Dr. Zhou hurriedly squeezed him, coughing twice, and said, "Dr. Lu, Dr. Tie is concerned but chaotic. This patient is doing fine work. Hand stitching is very important. I want to do it as soon as possible ..."

"Can't do it soon." Lu Wenbin sighed, stretched out five fingers, and said, "Pre-operative preparations, blood tests, skin tests, skin preparations, and bowel preparations all need to be prepared. The anesthesiologist must inform the arrangements, these rings. Necklaces, wenwan beads, and so on, you have to deal with it. When you are done, the first three operations will be almost done. There is a slight delay. The time for the three operations is not enough. At that time, the operation is out of order ... Anyway, I am not subject to this burying. "

All the doctors present were aware of the meaning of Lu Wenbin. It was said that the time spent in preparation before surgery was equivalent to the time of the two operations, and the time left for the operation was spared. It seemed to be correct. .

However, Lu Wenbin's words sounded nonsense in Xiaotie.

Xiaotie also couldn't care less about offending people, and slowly said, "As far as I know, Dr. Ling has done flexor tendon surgery, a flexor tendon surgery, it will take more than two hours, three operations come down, Seven or eight hours passed ... "

"If you want to do this, you can do a few operations a day." Lu Wenbin didn't say much, took out a surgical schedule from his pocket and handed it to Xiaotie.

Surgery schedule has time and name of the operation and personnel involved in the operation.

Xiao Tie looked around and saw the operation in seven cells. Three of them had been crossed out, and two were added afterwards.

"Dr. Ling is planning to have 7 operations today, and temporarily added two, which is yours, a total of 10, one operation in two hours? You really think people can not sleep." Lu Wenbin said, and hit A big yawn.