Chapter 241： Reduction suture

Ling Ran completed today's two broken finger replantation operations, changed his hand-washing suit, and left the operating area.

Lu Wenbin followed the change of clothes in a panic and then returned to the office. He couldn't help but asked Ling Ran: "Is the surgery not fun? Or is it not suitable? Are there really two operations today?"

He watched that Ling Ran had chosen two cases of surgery, only when Ling Ran wanted to wait for the rest, but Ling Ran even changed his hand-washing suit. Before that, when will Ling Ran take off his clothes?

"Let's save some room in our own ward." Ling Ran looked at Lu Wenbin, using the tone of the people, saying: "There are only more than 30 vacant beds, and there are only 80 extra beds. Don't breathe any more That's it. "

Huo Congjun happened to be carrying his hands on his back, and entered the office from the outside. When he heard Ling Ran say "our own ward", his excited left hand couldn't hold his right hand.

"It's a bit harder now. I'm applying for more beds recently, and there should be news soon." Huo Congjun couldn't help but leak a little information. The doctors in the cited office talked a lot.

The control of hospital beds is extremely strict in departments, hospitals, and health systems, and they are overlaid.

For example, the extra beds currently added by Huo Congjun are strictly extra beds, but the site of the emergency department is large, and the ward has been built. In the future, during the inspection, it will be treated as a normal bed. Only the emergency department is required to limit the number of extra beds in the corridor and ward.

However, when the health system such as the Provincial Department of Health checks, the extra beds will be emptied, especially when the health health commissioner inspects them, all extra beds will not be recognized, or they will be counted as the basis. The number of doctors and nurses is further increased in the number of beds.

However, when Huo Congjun promoted the emergency center, he definitely had to add an extra bed. Otherwise, the basic conditions would not meet. How to call it a "center".

Ling Ran nodded and agreed, saying: "The Orthopaedics and Sports Medicine Center has 180 beds. This time, an extra bed of 50 or 60 beds is not enough for circulation. Our department has room for development."

Dr. Zhou was shocked to hear that he could not use five beds every month. The patients changed five days and seven days, which made Dr. Zhou tired.

Director Du also felt unwell and laughed: "Ling Ran, our hospital's department can reach 100 beds even if it is large."

"We have almost 100 beds now."

"I mean not counting extra beds."

"That's a total of 200 beds?"

"How can I double the extra bed." Director Du said helplessly: "Ling Ran, if you think about it, you used two beds today, and replanted the limbs. It can be up to 40 days. Send them out ... "

Huo Congjun coughed twice, interrupting Du's mentally retarded mathematics, and said, "Ling Ran wants more beds. This is to be encouraged. Young doctors are willing to do things. We cannot pull back. Ling Ran, you Do your surgery well, don't worry about anything else. By the way, the dissertation is doing a good job, continue to work hard, and go to finance to get money. "

"Okay." Ling Ran agreed, took two sips of water, and got up. "Dr. Lu, let's go to the treatment room."

"Oh." Lu Wenbin quickly followed.

Huo Congjun looked at Ling Ran with a smile and disappeared at the door.

Deputy Director Du looked at his expression and whispered, "Liver just trembled."

"Ha ... no ... yeah, a little." Huo Congjun sighed.

Deputy Director Du said with anxiety, "We have all seen Ling Ran undergoing replantation of six or seven broken fingers a day. Do you dare to give him unlimited beds? No one in our department has ever got unlimited beds ..."

"You didn't hear Ling Ran just now?" Huo Congjun asked back.

Deputy Director Du asked in wonder: "Which sentence?"

Huo Congjun sighed: "He sips one of us, ours, ours, what does this mean?"

"Describes Ling Ran's grammar?"

"It shows that Ling Ran takes our department as the home and is proud of the department." Huo Congjun corrected the words of Deputy Director Du, and then said, "You said that the infinite beds, we are emergency departments, do you need infinite beds before? Do I need unlimited beds? "

Deputy Director Du was silent.

One advantage of the emergency department is that patients can be transferred to other departments.

Of course, other departments are willing to accept.

Generally, patients rescued by Huo Congjun and others will be classified into a certain department and taken away by themselves. Only a few patients, such as patients with undiagnosed diarrhea and abdominal pain, and patients with headache and vomiting, will stay in the observation room of the emergency department for observation.

However, after Ling Ran started to do hand surgery, and then wanted to receive Ling Ran's patients in hand surgery, it was impossible, unless Huo Congjun transferred all the bills to hand surgery.

In other words, major emergency departments must have their own beds, and they can only be more or less.

Deputy Director Du couldn't help but sighed again: "If Ling Ran does it again, we won't be able to survive any more beds."

"Can't stand it anymore, there must be a road before the car." Huo Congjun noticed that other doctors around him were also paying attention to his own words, so he accentuated, "No hospital is afraid of many patients. A patient with a broken finger replantation Counting medical insurance payments, more than 20,000 yuan, what do you think I did when I went to the hospital meeting? "

Deputy Director Du immediately bowed his head.

If the department wants to get upset, it can't just rely on spraying. Spray guns also need bullets. Previously, the Yunyi Emergency Department relied on the reputation of burn surgery and the halo that Yunyi brought, plus Huo Congjun's use of his influence and spray power from 120 The share of the emergency center was cut. This year, there are more items such as replanting of broken fingers and tang sutures. The doctors at the level of deputy director can feel that life is getting better. At this time, it is obviously out of date to say more.

Think again. Isn't the hospital trying to recruit mature doctors to do more surgery, share more, and increase influence?

The average attending doctor performs an average of 20 to 30 operations every month, which is tiring and tiring. Ling Ran can perform 30 to 40 large microsurgeries in a week. This efficiency requires only beds, and really only provides unlimited beds. Power up.

Otherwise, people will not be left without a bed, but will be deliberately driven away.

Not to mention the tangles in the office, Lu Wenbin followed Ling Ran to the treatment room and found that Ling Ran's goal was still debridement and suture.

"Dr. Ling, we are still grabbing the rations of the intern. It ’s not good to say that we ca n’t go out." Lu Wenbin stared at him with all eyes around him. He really felt a fever on his face. He will be a hospital doctor. By next year, he will not be qualified. The shallowest resident doctor is equal to saying that he has been in the hospital for four to five years. He has still done tang suture, helped with broken fingers and replanted, and has done Achilles tendon suture repair. Resident doctors who are assisted by surgery belong to the rising stars who are admired among the newcomers.

When Lu Wenbin stood in front of the interns and the registrants, and when he stood in front of the same young colleagues who had never had **** in the operating room, he had a strong psychological advantage.

In particular, he went to the Shanghai market, received the influence of academicians, learned about China's first-class orthopedic technology, and participated in sports star surgery. Then he let Lu Wenbin in the treatment room to grab debridement and sutures and grab the work of young doctors. Lu Wenbin really I feel like I can't handle it.

Ling Ran only looked at Lu Wenbin strangely: "I am also an intern."

"You ..." Lu Wenbin looked at Ling Ran's handsome face, speechless.

"We took the second block and had trouble finding a big wound." Ling Ran greeted the nurse on duty in the treatment room, and he sat in the temporarily free cubicle and closed the curtain.

Lu Wenbin digged into it.

He is a resident, and today's debridement and suture will have to sign his name.

Lu Wenbin is deeply ashamed of this.

Soon, a patient with a thigh injury was pushed into the compartment by a wheelchair.

"What's your name? How old is it?" Lu Wenbin habitually picked up a pen and paper and started writing a medical record.

Ling Ran asked Lu Wenbin to ask her family members to help him put the patient on the treatment bed together. Then, Ling Ran looked at the patient's wound and considered it silently.

"Call out a nurse." Ling Ran watched Lu Wenbin write the medical record and said again.

Lu Wenbin glanced at Ling Ran puzzledly and went out to shout.

Normal debridement and suture can be done by a doctor or a nurse, or by a single doctor who is trying to do it alone. There are currently two doctors present, and Lu Wenbin does not understand the purpose of calling a nurse.

However, Ling Ran was called as a nurse, so she didn't need to worry about Lu Wenbin.

After a while, two nurses came together.

Lu Wenbin said in his heart that he had given up his position due to difficult words such as "uneven distribution of loot".

"The wound area is relatively large and there are a small number of skin defects. I am going to do a subcutaneous hidden reduction suture. The scar after healing will be smaller. I want to use the absorbable thread of Johnson & Johnson No. 0, can I?" An emergency manual guide to asking questions to patients and families at the same time.

The patient and his family looked at each other, asked the price, and reluctantly agreed.

The two nurses took the sutures with different colors, put them on and passed them to Ling Ran, and saw Ling Ran who had just had a debridement and sutured the deep wound, and then injected the needle against the skin on the side of the incision ...

Lu Wenbin was surprised, and could not help saying: "Dr. Ling, the wound is 8 centimeters in length. Is it sutured under the skin?"

The patient is injured on the leg. Subcutaneous suture is good-looking, but the suture strength of the subcutaneous suture is lower than other suture methods. The 8 cm mouth is sewn down, and it will break in a few days. Look good.

Ling Ran guessed Lu Wenbin's idea and said, "Reduction of sutures ~ www.novelhall.com ~ Reduction is to reduce tension, and tension is the culprit that makes the skin crack.

During the conversation, Ling Ran's suture had penetrated into the dermis. After four consecutive stitches, the knot was tied outside the skin where the first stitch was inserted, and then restarted again. After three consecutive times, she dropped thread 0 and told the nurse Road: "5-0 regular line."

Lu Wenbin suddenly realized that the reduction had been completed. It is equivalent to saying that Ling Ran had already pulled up the cracked skin with 12 needles.

"Skin tension has spread to the dermis and subcutaneous fascia?" Lu Wenbin asked inquiringly.

"Well, although it is an 8 cm long wound, after tension treatment, tension-free suture can be done." Ling Ran explained to him and continued to work.

The two little nurses seemed to understand, and praised in unison: "Dr. Ling is so good!"

Lu Wenbin's mentality is slightly balanced. Although it is debridement and suture, it seems that the debridement of suture is not so shame.

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