Great Doctor Ling Ran

in the morning.

Director Huo Congjun came to the emergency department, brewed a cup of strong tea, discarded the first bubble, sat down, and slowly drank the second bubble of tea.

After a while, he walked out of the director's room on his back and began inspections from the observation room.

霍 Behind Huo Congjun, there are three deputy chief physicians and six serving physicians.

Meet everyone, forming a sharp arrow, like a lion on the grassland, and hunting with lionesses.

The resident doctors on duty waited quietly in front of the bed under their control, like walking dogs on the grassland, waiting for the debris left in the gap between the lions' teeth.

Interns are seemingly free vultures. They have no fixed position and are not valued by patients. They can only wait quietly to clean up the residue left by lions and walking dogs.

The territory of a department is not large. For example, there are usually dozens of beds in the observation room of the emergency department. However, the order is still maintained by the lions and the dogs.

霍 Besides Huo Congjun, the emergency department of Yunhua Hospital and two other chief physicians do not need to follow him for rounds.

Although they are all named directors, Huo Congjun, the chief of the section, is the owner of the territory because of his administrative powers. The other two chief physicians have just obtained senior titles, just like stray male lions. Efforts to maintain their freedom.

7 Every morning at 7 am, this is the moment when the hospital demonstrates order.

Ling Ran put on a white coat, put 30 pieces of Hetian Jade Buddha in a bag, and then came to the rescue room, silently observing everything around him.

He already has some hunting skills that can kill certain diseases, but in the realm, that's not enough.

"Xiao Ling ..." Huo Congjun suddenly called out, beckoning Ling Ran over.

"This is your patient, please introduce it." Huo Congjun stood in front of the 12-bed patient, looked at the medical record, and handed it to Ling Ran who came quickly.

According to the bed system, the patient should actually belong to the attending doctor Zhou, even if everyone at the scene knew that Ling Ran had done more than 50 sutures the day before yesterday, he should first ask the attending doctor.

However, the director of the department is the king of the territory. He can do whatever he wants to do. Even if the director wants to remove a seemingly healthy patient from the kidney, other doctors can only disagree verbally and cannot obstruct it.

Of course, patients and their families can refuse to operate, but in a hospital environment, the authority of the department director is still very high.

Ling Ran, while recalling the patient's condition, opened the medical records and said: "The patient was a 19-year-old female who had been in good health. This time, she was debrided and sutured due to the elbow tear caused by falling from the stairs ..."

半 He said to himself, he finished his first examination.

After waiting for Ling Ran to take a breath, Huo Congjun suddenly asked, "Why line 0?"

The 0th suture is much smaller than the 4th suture commonly used in emergency room sutures. Line 4 is expressed in the United States Pharmacopeia standard as 2-0 with a diameter of 0.3 mm. Line 0 is 4-0 with the USP standard and has a diameter of only 0.15 mm, which is exactly half of line 4.

一 The diameter of the two wires is doubled, and the cross-sectional area is four times, similar to the gap between the little finger and the thumb.

Correspondingly, the tensile strength, which is the resistance to stretching, is much weaker.

In other words, wounds sutured by line 0 are more likely to rupture than larger lines 2, 4 and even 7.

Ling Ling was asked for a moment, and the girls and relatives in the hospital bed did not know why they looked at the young doctor.

"I think the 0th line can meet the needs of suture." Ling Ran responded quickly, but some of the answers were too simple, too concise.

小 Small doctors such as interns, registrars, and resident doctors are asked questions during rounds, and it is a daily routine in hospitals, but generally speaking, everyone will say at least two more.

Even if it is difficult, it is hard to come by.

Wu Huocong shook his head and continued to ask, "Why not choose the conventional thread? With the No. 0 thread, what should I do if my wound is cracked?"

"If it breaks ... re-sew it up again?" Ling Ran personally felt that this question was still stupid, but he was not an unreasonable person, so that the superior doctor would not come to Taiwan on the spot ... Although he had done it, he did not have to do it every time. do all.

Ling Ran gave a kind and caring smile, very handsome and sunny.

He Huo Congjun didn't keep up with Ling Ran's thinking. He checked the room every day and checked for decades. Such a clever little doctor has never seen him.

的 The chief physician, deputy chief physician, attending and resident doctors accompanying the rounds also fell into a long silence.

Dr. Zhou, the good old man, secretly sighed and coughed. "I saw the wound was not very serious at that time. It is estimated that Line 0 can guarantee the effect, and Ling Ran was allowed to use it."

"Don't defend him, you are also wrong." Huo Congjun said in front of the patient's family, "Ling Ran's choice of Line 0 is unconsidered and must be pointed out."

The family members of some patients who didn't understand were suddenly anxious. The mother standing beside the bed asked: "Doctor, is there a problem with my daughter's arm?"

"There is no problem now, but more careful care is needed to avoid activities. We mainly consider the tensile strength of the suture, just because it is not strong, and it will not heal if it cracks." Huo Congjun treats the patient and Yan Yuese, and There was no seriousness at the meeting, and the patient's symptoms did not change.

The patient's family members looked at each other, and they all showed some anxiety.

Ling Ran only understood the focus of Huo Congjun's question at this time, and immediately said: "The tension of line 0 is sufficient. Avoiding activities and careful care should be, but I don't think you should worry too much."

Xiu Huo said from the junior doctor who educated the military: "Don't you worry about using line 4?"

"The patient is only 19 years old. The area of ​​the wound is large, but not deep. If thick lines are used, the scars left will be too large, which will affect future life."

They just said on line 0 and line 4 that the patient didn't quite understand. Ling Ran talked about the thickness. A few people knew it instantly.

The fat little **** the sickbed, looking at Ling Ran's gaze, was no longer skeptical, but was properly grateful.

Huo Congjun, a medic, was unmoved, saying: "It is OK to consider scars, but you must understand that there are many reasons for scars, which are related to the patient's physique and the wound situation. From this perspective, choose 0 Line, not desirable. "

The **** the bed was really nervous at this moment, and looked at Ling Ran hurriedly.

"Besides the suture, the tissues on both sides of the wound must be tightly aligned, and the skin should be flat." Ling Ran raised his eyelids and said, "This can be achieved."

After a two-second pause, Ling Ran reiterated: "The distribution of suture tension should be concentrated in the subcutaneous tissue and deep dermis, and there is no tension in the superficial dermis and epidermis ... this is also achieved. I don't think the scar tissue will grow too much. , It is necessary to consider the thickness of the suture. "

When Ling Ran first spoke, Huo Congjun and the doctors behind him were somewhat scornful.

From their point of view, Ling Ran obviously considered a small problem and forgot the bigger problem. This kind of little doctor who has no sense of priorities has also seen many unknowns in their careers. .

However, the two problems that Ling then continued to say were actually shocking everyone.

He didn't mean how complicated the problem was, but it was surprising that he could take care of it.

"Is it time to change the dressing? Now." Huo Congjun found a reason and asked the nurse to give the gauze on the patient's arm.

A doctor present at the meeting, all bent over and observed the wound on the girl's arm.

Wu Huo's army was more serious.

After a long time, Huo Congjun raised his head, but recruited other residents and interns, and said, "Ling Ran, let's talk about your thoughts when stitching."

Ling Ran has never been frightened. He mastered the master level of intermittent suture technology, and he is more familiar with it: "General debridement sutures are intermittent sutures, and this time is no exception. In the suture, the angle and depth of the needle are mainly paid attention to. After the suture is raised, it can cushion the scar before it forms. "

Nearly 10 residents and more than a dozen interns were around a hospital bed, and there wasn't enough space, so someone simply stood on a chair to see the patients inside.

The patient's family now understands that the doctor's operation is excellent, so they happily gave up the place.

Ling Ran's voice is not loud, but it is clear and clear: "The basic principle is to enter the needle with a shallow wound location and a deep wound into the needle. In addition, because the patient has a skin defect, hit The knot should not be too tight, so as not to worsen the blood circulation around the wound and delay the healing ... After that, pay attention to the suture removal to minimize the appearance of scar tissue ... "

"It's very good." Huo Congjun took the lead and applauded.

I watched the room, and there was an applause.

"Everyone has learned." Huo Congjun looked at the young doctor.

"learnt."

"learned."

"understood."

Residents and interns quickly nodded.

"Just learn." Huo Congjun nodded slowly, then his voice became harsher: "But no one is allowed to learn!"

Everyone was shocked. UU Reading Book www. uukanshu.com

Wu Huo Congjun said: "There are many ways to cover up the scars. For example, you can wear long-sleeved clothes afterwards, or use tattoos to cover up. As a doctor, the first thing you need to consider is treatment."

"I don't wear long sleeves and don't want a tattoo." The girl quickly shook her head.

Huo Congjun ignored him and said to himself: "Ling Ran thinks it makes sense, but Yi Gao can be daring, and other levels are not enough, just don't think about it so much, first sew the wound to me and say, do you understand?"

"I see." This time, the morale of the young doctors was not so high.

No one wants to admit that he is weaker than others, let alone weaker than a small intern.

But Huo Huo's army had a temper in the army, and Aang's throat said, "I didn't hear you, didn't I eat?"

"I see." The little doctors raised their voices, and the answers were mixed.

After all, the hospital is not an army, and Huo Congjun will not force it. He turned to Ling Ran and said, "This time you will pass the customs. Change the medicine for the patient."

"Yes." Ling Ran was pounded by Dr. Zhou and quickly answered.

"Will I be scarred then?" The girl watched as the inspection team was leaving, and asked quickly.

"The scars will be shallower. It is impossible to leave no scars at all." Huo Congjun walked out for several meters, and he turned back and answered.

The savage girl said "Oh", and smiled sweetly at Ling Ran: "Thank you, Dr. Ling."

"You're welcome." Ling Ran nodded slightly, preparing to change the medicine, but a white treasure chest flashed in front of her eyes.

New achievement: Heartfelt thanks from the patient

Achievement description: The patient's sincere gratitude is the greatest compliment to the doctor

Reward: Junior Treasure Chest