Great Doctor Ling Ran

"Director Wang, please take a trip." Huo Congjun received Chief Physician Wang Haiyang from the Department of Hand Surgery at the elevator.

King Wang Haiyang is a slightly skinny old man, with bones on his cheeks and arms showing, only about 80 pounds, which is in line with the value of the Internet Red Age.

As a former orthopedic surgeon, with such a weight, choosing hand surgery feels more like being forced—a 200-pound fat man has to amputate, and he can't even move his leg.

King Wang Haiyang didn't pull the skin on his face, showing a familiar smile, and smiled at Huo Congjun: "I'm not used to your diligence. I didn't expect that when Huo Erpao asked for help, he smiled so well."

Several of the attendants followed Huo Congjun and came over to set the background, one by one with their heads down and smiling.

Wu Huo Congjun coughed and said, "Isn't it because you're here? I'm happy, don't rush back at night, let's have a drink ..."

"Don't introduce me, you're guilty of slapstick, okay, let's not go to the conference room, just go to the ward to see it." Wang Haiyang could see that Huo Congjun really got the heart for the case at hand. of.

"Ah, that's so embarrassing. I came here to ask you for a consultation. I didn't take a sip of water ..." Huo Congjun's fake politeness could be smelled three meters away.

King Wang Haihe smiled and said, "Go straight to the ward, save everyone time."

"Okay, then go directly to the ward." Huo Congjun didn't bother to go to the meeting room to see the PPT, and turned around: "Go and call Ling Ran and let him come to the observation room directly."

The observation room in the emergency department is equivalent to the ward in the inpatient department. Normally, the observation room only accommodates patients who need to be observed in a short period of time, but in actual operation, it is not so easy. The most common is "three cannot" Patients, the so-called incurable, can not be cured, can not return home, have a long time, can stay in the emergency room for a year or two.

Huo Congjun was always annoyed by these old patients who used the emergency room as a nursing home, but this time, he took full advantage of this situation and quietly opened up several emergency rooms, which were nominally used to expand the beds in the observation room. Which is actually used as an additional ward.

Medical and Political Science Department visited him in a pretended manner, and let him go with his eyes open and closed.

When the king of the sea entered, he saw four beds in a ward, and several simple rehabilitation props exactly the same as the hand surgery, and almost laughed out loud.

"It's okay for me to come. If Director Jin sees it, it will make you laugh." Wang Haiyang satirically mocked the two department directors.

As a chief physician, if you do not want to be motivated, you can be very casual.

In fact, if it is a deputy chief physician, it is impossible for Wang Haiyang to come to the emergency department to help Huo Congjun's patients who want to grab business to make a diagnosis. For the doctors of the opponent surgery, Wang Haiyang is a pure enemy.

However, Wang Haiyang didn't care.

His relationship with Jinxi, the director of the department, was already very stale--the directors and chief physicians of each department had almost no known confrontation. Wang Haiyang neither expected to sit in the position of director of the department, nor did he Expect to be able to divide the department, plus, he can't climb the skills, so Wang Haiyang, who leads a treatment group, has long been a self-reliant state.

Huo Congjun spent so many years in Yunyi and knew too much about the doctors. He smiled and said, "How many patients do you have left in our emergency department? What about Jinxi's unwanted patients, I have Ca n’t admit it? I have to let you pick first? That doesn't make sense, right. "

King Wang Haihe laughed twice and didn't answer.

Picking patients is a chronic illness between the emergency department and the professional department.

According to the regulations and the normal hospital model, patients were admitted to the emergency department. After rescue or simple treatment, the patients were transferred to other departments.

规定 However, regulations are regulations and enforcement is enforcement. In the case of better congestion in the better hospitals, other specialty departments do not want to receive patients in the emergency room in full, they will make various requirements.

The result is a referral system, which can easily become a selection system.

Professional departments are reluctant to take refractory patients. For example, patients with advanced cancer can not be operated on, and they are in danger of life at any time. Professional departments are unwilling to treat them. Elderly patients with chronic diseases are not willing to accept it in professional departments. For example, in elderly patients, the condition is repetitive, cured and relapsed. No matter how good they are, they will not be able to leave.

For elite departments such as Yunyi Hand Surgery, the patients they are treating are not limited to the surrounding areas of Yunhua, or the area of ​​Changxi Province. They have patients from all over the country. With sufficient surgery, Hand surgery also inevitably selects patients. The patients who meet the director's research direction are the first, followed by patients with mature treatment plans, and can be treated in a timely manner. Otherwise, they will observe whether the patient is dealing well, and examine the patient's ability to pay. .

From the perspective of the department, the money that can be allocated to treating a patient is very small. For ordinary cases, it is only one or two thousand, two thousand or three thousand yuan. However, if a patient in arrears in medical expenses appears, the deficit can reach hundreds of thousands of dollars. Doctors in a department whose performance will be deducted are suspicious of life, and beatings will be avoided by normal people.

For patients who are not in the interests of the department and the hospital, the department will naturally avoid admission as much as possible. Some patients will leave in this regard, and some patients will stay in the emergency department for various reasons.

Xun Huo's army blocked the thunder for other departments, at this time it became his weight.

As he said to Wang Haiyang, patients can be picked out of hand, he can also not be referred, and each person holds his own word, so it doesn't matter whether it is right or wrong.

"The patient is this one." Wang Haiyang broke the topic and came to the bed.

The patient's family members got up to say hello, and Dr. Zhou was advised to the corner of the ward. A group of emergency doctors in white coats surrounded the bed.

Director Lu's tour is indispensable, and doctors can gain experience in this. Of course, what everyone is most curious about now is whether the tang suture made by Ling Ran can work.

"Patient Ma Wenhua, a 42-year-old man, was sent to our hospital for emergency treatment due to a car accident. Her skull CT was negative, and her cervical spine and limbs had fractures of varying degrees. She suffered from intra-abdominal hemorrhage. The first-stage operation was performed for 3 hours. Her left hand flexor tendon injury was performed concurrently Tang method suture ... "Zhao Leyi said here, looked at Ling Ran, and then continued to talk about his past history and medication.

King Wang Haiyang listened silently, without expression.

For him, these are all background factors. Huo Congjun invited him, mainly to see the stitches on his hands.

So, Wang Haiyang of UU Reading www.uukanshu.com quickly locked his eyes on Ling Ran.

He hasn't seen Ling Ran, but Huo Congjun said "the most handsome one", and Wang Haiyang also remembered. Looking at both sides at this time, it was easy to find the target.

乐 Zhao Le commented on this, so he just finished the introduction and retreated to Huo Congjun.

"How did you sew this? Let's talk about the steps directly." Wang Haiyang knew that Ling Ran had not been trained in the system, and he deliberately prevented him from saying prepared lines.

Ling Ran didn't think much about it. Two steps forward, he said, "The first ferrule suture, I chose 8 mm outside the dorsal side of the proximal end of the tendon, and locked it into the first ferrule. Later, the trocar is run through the tendon longitudinally, and the needle is placed 6 mm outside the dorsal side of the distal end ... "

说 He said while pointing at the back of the patient's hand.

In fact, Wang Haiyang has never done tang stitching. He usually uses Kessler and double kessler. He masters Wilms a little, and usually makes a broken hand and replants. The success rate is quite high. He is also full of personal A sense of accomplishment.

Relatively speaking, Wang Haiyang does not like the more complicated tang stitching. Although the data shows that the success rate has been increased by 10% to 20%, and the score of hand function assessment can be 10% to 20% higher, the burden on the doctor can be more than doubled.

However, Wang Haiyang's opponent surgery is well known for his famous tang method. He has even seen Tang Jinbo's on-site operation.

Wang Haiyang listened to Ling Ran's explanation, while corresponding to the knowledge points in memory, after listening for a while, I felt like I understood a little bit more.

After a while, looking at the handsome young intern, Wang Haibo suddenly came to his senses. Damn, Lao Huo called himself to find the difference, not to listen to the lecture ...