Great Doctor Ling Ran
Chapter 1222: Clamping (physical book on sale)
Compared with ordinary surgery, preparations for transplant surgery often take longer. The cooperation and organization of multiple medical teams requires more thoughts.
If it is a transplant center with the same kind of skilled work, a similar operation may be opened in a few hours, but for Yunhua Hospital, which has very few similar opportunities, preparation in advance is inevitable.
Wei Jiayou even wanted to give some training to the general surgery transplant team, and after confirming that there was no problem, he tried to contact the donor again.
The big move he ran all the way to Yunhua couldn't be like a throwing knife, passing by lightly.
The general surgery department is indeed preparing earnestly and enthusiastically.
Even the chief director of general surgery can hardly meet several times. There are guests outside the hospital to take care of life, and there are also visits inside the hospital to introduce and care about work. As one of the members of the Chinese Medical Association Surgery Branch, the general surgery director is usually It will not be so approachable.
However, regardless of the attitude of Yunyi's general surgery, it is also realistic that they cannot perform liver transplantation quickly and cleanly.
For two consecutive days, Wei Jiayou organized personnel to do basic training, do preoperative diagnosis, and held multidisciplinary meetings, gradually building momentum.
On the third day, Wei Jiayou pretended to be casual and strolled to the emergency center.
"Can't help it?" A cold inquiry, as if coming up from the ground.
Wei Jiayou had anticipated that, looking down at Yu Yuan with raised eyes, said, "I'm hanging out."
"You have this spare time, isn't it good to do surgery?"
"You don't cut wood by mistake. You don't have the skill to do this. You don't understand." Wei Jiayou now knows the situation of Yu Yuan and others well, and Yu Yuan can pick it up with a single sentence.
Speaking of it, Yu Yuan has despised other people most of the time in the past few years. Especially in the reading stage, she has a deep disdain for those students who use nutrition for cartilage hyperplasia.
Wei Jiayou is tall and long, with good facial features, but a group with good skills...
Considering that he is a disciple of an academician, the theoretical foundation is not bad.
Yu Yuan is not the kind of stubborn person, she just said: "The operating room of the emergency center is not allowed to visit from outside hospitals."
"I don't need to visit the operating room." Wei Jiayou paused, deliberately teasing Yu Yuan: "I know that your emergency center has spent a lot of money to build a visit room. You are not allowed to visit the outside hospital. Do you Director Huo know?"
"Every day someone applies to visit the visit room, you are not the only one." Yu Yuan's words became a little bit more intense, and then she realized that she was wrong, she immediately put it away, and said, "I'm going to do something. You should also go to general surgery."
"Don't worry." Wei Jiayou held up his hand, swaying the smell of ginseng, and slowly followed Yu Yuan.
Like most top three hospitals, Yunyi's emergency center has also become crowded and cramped.
The vast numbers of patients and their families, especially those stranded, have caused more and more extra beds in the emergency center, and the width of the beds and the beds are slowly narrowing.
Fortunately, Huo Congjun and Ling Ran both cared about the separation of functional areas, making the small halls such as the rescue room and the disposal room reasonable. Yu Yuan walked in and felt more spacious.
Wei Jiayou came from Beijing and naturally felt more comfortable.
In this era when people across the country feel that Beijing, Shanghai and Guangzhou have great medical resources, the doctors in Beijing, Shanghai and Guangzhou themselves are extremely uncomfortable.
Not to mention the exaggerated number of outpatient clinics like 40 and 80 in a day. The patient who has been holding urine for 30 years with Krypton Eyes sees a patient with indigestion. It is really annoying to take out the other party’s intestines. Stroke it again, and dance around the neck.
As for the environment of the emergency room and so on, let alone, the conditions of many hospitals are not as good as the quadrangle hospitals before the transformation, and hospitals with good conditions can compete with the quadrangle hospitals after the shed reform.
Of course, patients will not feel much more comfortable. Patients with regular numbers obviously cannot get high-quality medical resources in the capital, but if they want to register as experts, the waiting period of 10 days and 20 days is really waiting for the style of the British Empire. .
From this perspective, Beijing, Shanghai and Guangzhou’s high-quality medical resources are also half a set of false propositions, and as high-speed rail and airplanes become more convenient, they will become more and more false.
In contrast, local top medical resources like Yunyi are closer to local needs. Ordinary patients, if they can't order tricky diseases, such as Yunyi-level hospitals, can easily handle them.
Even in diseases of some local pedigrees, there can be better performance. For example, the research of West China Medical College in anorectal medicine, and the clinical practice of Xiangya Medical College in oral cancer and other aspects are beyond Beijing, Shanghai, Guangzhou and Shenzhen.
However, emergency and cardiac surgery are quite general clinical medicine disciplines. When Wei Jiayou looked around, they were basically familiar scenes until...
"Doctor Yu, you are here." An ordinary-looking resident sees the ball head erected on the horizon from a distance, as if a sailor on a voyage sees the land, happily wishing to kill two slaves to show celebrate.
"What's wrong?" Yu Yuan's expression became serious, with a little joy.
She is rarely needed like this in the emergency room unless...
"The dung has been incarcerated for four or five days, and we are a little unsure." The ordinary-looking hospital doctor whispered.
Uncertainty of **** incarceration, for an emergency doctor, is actually a bit metaphysical. The technical threshold of this kind of work is not high, the lower limit is particularly low, even the upper limit is not much higher, but many emergency department doctors are usually unwilling to do this job.
In the past, the emergency department transferred similar patients out.
But since Yu Yuan became the inpatient general manager, the emergency department rarely referred patients with **** incarceration.
And most of the time, such patients are naturally given to Yu Yuan.
Wei Jiayou frowned at this moment. Before Yu Yuan could speak, he said, "You Yun doctors are also really ridiculous. What can't be done with feces incarceration? Surgery can't be done, and digging can't be done?"
"Don't underestimate the **** incarceration!" Yu Yuan turned her head and glared at Wei Jiayou, with a serious expression, as if she was doing damage to an ocean-going warship: "Serious **** incarceration will cause meningitis and death. of."
Wei Jiayou said in his heart, I just underestimate the dung incarceration, I don't want to be optimistic.
He opened his mouth and finally simplified the story of Lu Dongbin and the dog into one word: dog.
Yu Yuan walked forward quickly.
Wei Jiayou thought for a while, but still followed.
The patient is an old man, looking lean and lean, his abdomen is not protruding, and he can't see that he is a man full of savings.
Yu Yuan has done a simple check at this time and started to introduce the specific steps: "I treat many patients with **** incarceration every year. For your current situation, I suggest not to dig with bare hands, just use a medium-sized one. Insert the anoscope, and then use the elliptical forceps with your fingers to clamp out the incarcerated stool. This is less painful and does not require anesthesia..."
She also explained to the little doctor next to her by the way: “Pig up the stool with your fingers directly, and the patient will be uncomfortable, especially for patients who have been incarcerated for a long time. It is better to use your fingers to dig up the stool, but leave it in the anus. , Then use straight-headed oval forceps to clean it...Finally, inject the open plug through the **** canal. It should be noted here that when the patient wants to relieve the stool, let him relieve it. In this way, the stool that has not been dug out can be diarrhea. Come out, finally put in a metronidazole suppository, and then use anti-inflammatory drugs..."
The little doctors next to them looked different, some could hold it back, and they couldn't help it, their eyes were already showing timidity.
At this time, the patient groaned: "Doctor, how much does it cost to get me this?"
"Do you have medical insurance?" Yu Yuan asked ~www.wuxiaspot.com~ which residents have medical insurance. "The family quickly replied.
Yu Yuan deliberately took a look at the clothing of the family and the old man, and she knew in her heart, she said slowly: "This is handled mainly by one or two parts, one part is medication, anti-inflammatory drugs, and oral laxatives. Kaysailu will be used for five days...If the cost of the operation is calculated, it will be calculated based on the method of **** incarceration, 5 yuan a time, okay?"
The old man hesitated: "5 yuan is not expensive."
Yu Yuan smiled and nodded.
The little doctors next to him hadn’t experienced it. Some people couldn’t help but vomit: “It costs one or two hundred yuan to build a sewer in my house.”
A cold light flashed in Yu Yuan's eyes: "In the medical pricing of Changxi Province, it is only 200 yuan for a third-level A hospital to perform eyeball enucleation. Do you want to take advantage of it?"
The little doctors clamped the **** canal one after another.
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