Chapter 182： Benevolence

The height of the Yunyi Emergency Department is 8 meters. The area of ​​the reception hall is comparable to that of a high-end hotel, and people are not crowded.

When the leaders came to visit, Yunyi Emergency Department was always one of the items visited.

After all, leaders do not necessarily understand the difficulty of internal medicine or the specialty of surgery, but they must know the importance of emergency department.

The eight open glass doors were all opened inward at this time, welcoming a batch of emergency patients, including emergency ones sent by ambulances, and emergency ones who came by themselves. Inevitably, there were emergency ones who thought they were urgent. .

Residents, nurses, and nurses are busy handling patients, and they are still very easy.

The morning when nothing happened was the sun, but it was just a medical condition such as prescribing pills and drips. It was not a disease for a hospital like Yunyi.

A patient with pain in the right lower abdomen passed Dr. Zhou's hand and was given to another group.

A patient with pain in the left lower abdomen was examined by Dr. Zhou and still shook his head in disappointment.

The patient's family was stunned at that time, and asked Dr. Zhou dumbly: "How can I get to the hospital? It's fine at home ..."

"Who said it to you?" Dr. Zhou asked, as he beckoned quickly to call for the residents to take over. As a senior salted fish, he has long passed the age of fighting with patients' families.

In fact, at the age of a senior attendant or deputy director, if you are serious about fighting, you generally wo n’t lose. The problems of patients have not changed much in the past ten years, but they have been changed by different people. The response plans can be said to be all Ready-made, if you have patience—because senior doctors are usually impatient, everyone stays aloof.

The resident doctor quickly picked up the patient, and the patient's family stared at the doctor around him, without much entanglement.

"No need to explain?" Ling Ran rarely touched the patient's family. He spent most of his time in the operating room. The doctor-patient problem was only taught by Professor Huo.

"Unexplainable." Dr. Zhou grinned and said, "Do you know that there are scalping speculation in the outpatient clinics of doctors in our hospital?"

"know."

"You may not have noticed it. I tell you a secret. The patients who buy scalp tickets to see a doctor are very obedient and not noisy and obedient. Do you know why?"

Pu Chou quietly gathered up and interjected: "Because of money?"

"People who are rich again need to be poor when they see the disease." Dr. Zhou said with a lip, "This is actually a different demand, you know? The needs are different."

Ling Ran asked: "What needs?"

"People who spend 200 yuan or 300 yuan to buy scalper tickets, their appeal is to be optimistic about the disease, and the experts whose registration fee can get this price can solve some problems even if they are not ill, so there are fewer contradictions. But, come Many of the patients in our emergency department or with an expert account have minor illnesses, and some of them may not even be sick. So, their appeal is medical services. Do you understand? It is for you to look at things, speak nicely, and have a more attitude. It ’s better, but our experts have not been trained in this area, which has created contradictions. ”Dr. Zhou proudly summarized his experience.

Pu Chou listened very seriously: "So we are going to be trained in the future, right?"

Dr. Zhou suddenly changed his face: "You are stupid."

"Another one." Ling Ran referred to the patient who was brought by the pick-up lane, and changed their attention.

"Abdominal pain looks very serious." Dr. Zhou got up in spirit and went to pick up the car.

The originally responsible resident doctor saw Dr. Zhou coming and immediately gave way obediently. Acute abdomen is a relatively large illness in the emergency department, and residents are still afraid to do it.

"Have you had surgery recently?" Dr. Zhou pressed twice and asked.

The following family members quickly said: "The acute appendicitis my mother did last week is in our Yunyi ..."

"Did you have a bowel movement?"

"It was there at first, but it was gone. We didn't notice. My mother was a little constipated before ..."

"Do you vomit?"

"No." The family members turned and asked, "Mom, have you vomited?"

The old lady shook her head hard and said, "No."

"The bowel sounds are very weak. Let's be a CT. Add a plain film, and the B ultrasound will do it first." Dr. Zhou was asking on the surface, but he actually brought the bicycle over.

Watching him fill in the form, the family members asked anxiously: "What is the specific illness, can we stop it from hurting ..."

"Suspected to be intestinal obstruction." Dr. Zhou opened the list and said, "Intestinal obstruction may have serious consequences. Send the patient to be checked first."

When the old lady was sent away, Dr. Zhou went on to inquire about the past history, and at the same time gave the patient's family a notice of surgery, etc., and instantly put it into a dizzy state.

"Why is it so serious ..." The family held the operation notice, and some did not believe it.

Regardless of this, Dr. Zhou gave a follow-up to a resident doctor, let him leave with the patient's family members, and then turned back to Ling Ran and said, "This is an elderly intestinal obstruction. Surgery, if you need it, be your assistant. "

Ling Ran heard that it was a bowel problem, and immediately thought of Yu Yuan, saying, "Then I will call someone again."

Dr. Zhou is indifferent. As long as he can stand on the operating table, it doesn't matter if there are more doctors. It doesn't matter if surgery is not needed.

Yu Yuan quickly ran downstairs, with ruddy after running: "Which intestinal obstruction?"

Dr. Zhou recognized Yu Yuan and gave thumbs up to Ling Ran: "Good idea, why didn't I think of it before ... your idea has great potential."

Ling Ran explained: "If I consider Yu Yuan's knowledge of the anorectal specialty, she can let her also watch ..."

"I didn't say, if surgery is needed, I try to give her a chance to get started." Dr. Zhou said firmly.

Ling Ran looked at Dr. Zhou suspiciously and asked, "Have you ever seen Yu Yuan undergo an operation?"

Dr. Zhou asked, "Have you ever seen an intestinal obstruction surgery?"

Ling Ran soon met.

After CT showed stenosis, the old lady was pushed into the operating room as soon as possible. This is the most dangerous type of intestinal obstruction.

Dr. Zhou handed Ling Ran two masks in one hand, with sad words: "Both of them."

Ling Ran put on a mask hesitantly.

Yu Yuan Que jumped on and asked, "Am I the second assistant?"

"Decide after the operation." Dr. Zhou solemnly walked into the operating room.

Both the nurse and the anesthesiologist were present in the operating room, each with a serious expression.

"Intestinal obstruction. Narrow." Dr. Zhou paused and looked at Ling Ran before saying: "The patient has not had a bowel movement for several days. It is said that she eats quite a lot. The 64-year-old lady can Family members are very proud to eat two big bowls. Let ’s open it and watch again. ”

Everyone showed an unbearable expression.

Ling Ran finally came to his senses, and a thought rose in his mind:

What am I doing?

I just know a little bit of varus suture and tension suture.

Why am I curious about abdominal surgery?

Dr. Zhou silently opened his abdomen ...

Magnificent

The air is rising ...

The smell is long ...

Laminar flow operating room or anything, fart is useless.

Dr. Zhou looked at Ling Ran's face and smiled: "Good news, bad news. Which one do you want to hear?"

"Good news!" Yu Yuan's surprisingly active cooperation, curious light flashed under the black round glasses.

Dr. Zhou said: "The good news is not serious, and it should be handled better."

"What about the bad news?" Yu Yuan asked again.

Dr. Zhou yelled, "Why didn't I see you so well before? Bad news ... The bad news is unreasonable, and we have to deal with it ourselves."

"Do it yourself, why is it bad news?" Yu Yuan was puzzled.

Dr. Zhou smirked twice and said, "Wait a minute, I'll tell you later."

Dr. Zhou then proceeded to perform bowel examinations. After finishing the pre-work, he raised his neck and moved a little, and smiled, "Yu Yuan, do you know what the next steps are?"

Yu Yuan kept staring at the operation and said without hesitation: "Now it is time to empty the proximal feces."

Dr. Zhou laughed loudly: "Yes, the savings of the week, maybe how many old stools are there before, are you happy?"

"Happy." Yu Yuan nodded hard, the round glasses behind the black-rimmed glasses were shining.

Not only Dr. Zhou, but everyone including Ling Ran looked at Yu Yuan together.

"We're going to dig now." Dr. Zhou said to Yu Yuan face to face.

"I know, by the way, I read a document specifically about this." Yu Yuan almost danced and said, "Don't you often contaminate the abdominal cavity and incision when taking feces? We can use a laparoscopic surgical cable The plastic bag of the thread is **** at one end, and then the plastic bag inserted into the intestine is placed in the plastic bag in the front, so that the contents of the intestine can be discharged into the plastic bag.

"You do it." Dr. Zhou silently gave up the position of the main knife.

"I ... come to operate?" Yu Yuan paused for a moment.

"Yes, it's for you." Dr. Zhou only felt that the operation had lost its only appeal.

Yu Yuan's hands trembled happily. She took the place of Dr. Zhou on the main knife position, only to notice Ling Ran, and then quickly humbled, "Dr. Ling, you still come ..."

"No, you come." Ling Ran's tone was very modest.

"Thank you, Dr. Ling." Yu Yuan took a deep breath for the rest of her life, her face was slightly black, but she didn't care.

After a while.

Yu Yuan, as she said, prepared the plastic bag, and then, along the intestine, pulled out the feces stuffed in the intestine.

With long palms and wide palms, the capacity of two mobile phones was soon installed ...

The itinerant nurse couldn't help but asked, "How much more?"

"It's still early, these are the digested parts ~ www.novelhall.com ~ Grandma likes to eat rice." Yu Yuan smiled and said, "I've dealt with the following first, and I'll go down the intestine again later. I should be able to clean it up. Can this be done? Dr. Zhou. "

"Yes." Dr. Zhou's face was a stiff face.

Yu Yuan changed a plastic bag and continued to dig.

The filled dung bag was put into an aluminum alloy basin, and the pour-out of the saturated solution from the puddle leached the nose.

"There are still undigested bamboo shoots in this bag. It is not appropriate for my grandma to eat this only after the operation." Yu Yuan filled another half of the bag, stopped and watched it for a few seconds, and asked herself: " Maybe she's constipated and wants to eat bamboo shoots to solve it, isn't it right? Dr. Zhou. "

"Yes." Dr. Zhou didn't want to talk, his eyes were straight.

Yu Yuan kept smiling: "Okay, another bag."

There was a clear sense of joy in that tone.

"Come on." Dr. Zhou is not a professional general surgeon after all.

He now very regrets that he did not call for general surgery people to come to the consultation, or simply refer to them. If they are doctors in general surgery, they should be more able to adapt to the scene in front of them.

"Okay. I'm packing the third bag now." Yu Yuan is very good at everything.

"The effusion is serious here." Yu Yuan reported as she worked.

"Even eating such a large amount of meat is difficult to digest."

"Oh, there's air coming out."

"I have a fourth bag!"

In the operating room, only Yu Yuan's full voice remained, and the large aluminum alloy basins were also full.

Ling Ran stood in front of the operating table with a serious, majestic, stable, and calm expression, staring at his breath and looking ahead ...

The nurses looked dispirited and desperate, and they could only stare at Ling Ran to barely find the faith that persisted ...