Great Doctor Ling Ran

The third example of the tang method was very successful.

Not only did Huo Congjun and Lu Wenbin think so, Ling Ran also felt very good.

Just like a student doing an exam, the doctor often feels how to do it when performing an operation. When this feeling comes out, the result of the operation will be better than expected, often much better than expected.

Investigating the reason, the high probability is because the condition of the patient is in line with expectations.

Students often guess and quiz when preparing for an exam. This is often the case before a doctor performs an operation.

MRI, X-ray, CT, or B-mode ultrasound, or more expensive positron tomography, all the imaging information, plus a variety of tests, even biopsies, endoscopes, are in To add information to the doctor's diagnosis, it is also used to pre-diagnose the doctor. If the doctor's questions are all pressed, the operation will be smooth and comfortable, if not, then you must Look at the usual accumulation and preparation.

Modern medicine seems to be developed, but it is still extremely weak compared to the complex human body. Once there was a Chinese Xeon-level Dr. Daben who had a wife with cancer. He took a full disciple to conduct a comprehensive diagnosis. The preparation was inadequate, but the abdominal cavity opened and the cancer cell infiltration completely exceeded expectations. Self-blame and pain, to clear the cancer cells and complete the surgery as little as possible, even if there are a few other rational choices, the doctor is unwilling to come out of this situation.

I can say that it is unexpectedly the greatest enemy of doctors.

Suddenly, it is the prelude to success.

的 The development of modern medicine, constantly setting up typical cases and expanding.

The most important diagnosis that doctors need to make is what kind of typical case the disease belongs to, whether it can be treated, and how to treat it.

Ling Ran's diagnostic ability is still weak, but it is equivalent to a complicated medical disease, and the diagnosis environment faced by the surgeon is relatively simple. For patients with flexor tendon rupture, you can use the tang method. As for the tang method, how to operate, how to judge, and how to continue, you need to ask questions and play temporarily.

Perhaps the patient's deep and shallow tendon ruptured at the same time, which stimulated Ling Ran, or maybe the first two tang sutures deepened Ling Ran's understanding of the operation. In short, the originally planned four hours may actually require three and a half hours of surgery It only took two and a half hours to complete the announcement.

During this period, Ling Ran did not deliberately speed up and did not try any measures to speed up the surgical process.

When Ling Ran dropped his scissors and announced the completion of the operation, Lu Wenbin stupidly picked up his things, but Huo Congjun was sitting on a round stool, looking up at the clock, and lost in thought.

嘉 The anesthesiologist Su Jiafu trembled with two strands and consciously lost more than two pounds.

用 He vowed with his memory of more than 600 points in the college entrance examination, next time he will participate in Huo Congjun's surgery, he must bring a round stool.

"Can you go back?" Ling Ran checked again, and then confirmed that all the medical equipments were intact, then he relaxed.

What the surgeon can do is almost done. The next rehabilitation and recovery mainly depends on the patient himself.

With an enlightenment from the army, Huo Huo kicked the round stool and said, "Go back and take a good rest. Today's surgery is long enough."

Although the six-hour and eight-hour surgery often appear in media reports, in the hospital life, two and a half hours of surgery is enough to torture people.

Ling Ran took off his gloves and looked at the monitoring equipment in sequence before he followed Huo Congjun out of the operating room.

In most operations in most operating rooms, doctors actually don't look at the monitors very much, and now the monitors are too automated, which usually proves okay if you don't call them.

Sometimes, no one cares about it.

But Ling Ran didn't like this. He had more suspicions about automatic instruments than artificial intelligence.

"Lü Wenbin, remember to pay attention to the patient's anesthesia." Before leaving, Huo Congjun ordered more.

"Yes." Lu Wenbin agreed obediently. As a junior resident, he needs to do all the rest of the chores. If he is busy during the operation, he will occasionally be urged by a visiting nurse.

Fortunately ... habits become natural.

Xi Lingran left the operating room, greeted Huo Congjun, and entered the shower room.

The operating room of the emergency department is configured according to the standard. Although there are currently only four operating rooms, there are eight compartments in the shower room. Ling Ran poured hot bath water on himself and then carefully recalled the talented surgery.

This is the coolest operation he has done. The previous debridement and suture were also very cool, but the operation was too small and the time was too short, and it ended without much experience.

Today's two and a half hours of surgery, there are two hours in the busy, nervous and excited heart flow time, after refreshing the process, cool results, you will feel refreshed when you look back.

I wiped it out, and Ling Ran was still thinking about where to go, so I saw Dr. Zhou waiting at the corner of the room, looking like he was asleep.

"It's okay to wash in the rain, I'm sleepy when I wait." Dr. Zhou yawned.

Ling Ran looked at Dr. Zhou, who was guarding his own bath, and asked, surprised, "Don't you need work?"

"Why wouldn't I need work?" Dr. Zhou shot against the wall and said, "I'm looking for someone to take over."

Ling Ling nodded.

虽然 Although he left the treatment room and lost interest in debridement and suture, in the lounge of the emergency department, there are also resident doctors, doctors, trainees and interns who are waiting for the opportunity.

Dr. Zhou Zhou hummed and said, "I'm here to share your money today."

"Is the operation cost?" Ling Ran asked.

Dr. Zhou froze and smiled, "Say you mum, you're pretty smart. Director Huo asked me to come over and tell you, first of all, to give you the cost of surgery, it should have been for Director Huo, he It's his job to give you, and you don't have to think about the others. "

If you want to share the cost of the surgery, Dr. Zhou will not let the other person do the surgery.

The operation fee is to be paid to the doctor in charge, and it is impossible to hand it over to the intern. However, the money passed from Huo Congjun's card. He was also worried about misunderstanding, but it was not beautiful.

Because of the money involved, Dr. Zhou found an empty conversation room and closed the door. He said, "Our hospital currently implements the standard of charges for tertiary hospitals. The cost of surgery is approved by the Price Bureau and cannot be changed. It is allocated once. The new regulations give 50%, which means that medical staff can get 50% from the cost of surgery, which is double that of many hospitals. The second allocation is determined by our department ... "

Taking a look at Ling Ran, Dr. Zhou reiterated: "For the second allocation, our department has a two-to-one ratio, which means that the surgeon takes two-thirds of the surgery fee, and assistants, nurses and anesthesiologists divide the remaining one-third. "

"Most of the surgeries in our hospital are like this. Specifically, for example, the surgery you performed today ..."

Dr. Zhou took out the list and said: "You have done a flexion function reconstruction, the number is 331521014. Here you can see that the operation cost of the second-level hospital is 1210, and the fee of the third-level hospital is 1344. Yuan, we are at the third level, and it is charged according to 1344. In addition, every additional finger means 210 yuan, so today's total is 1554 yuan. Once allocated to your emergency department is 777 yuan, and the main surgeon is two-thirds. So the last thing you got was 518 yuan. Do you understand? "

"I see." Ling Ran didn't react too much, he was not too sensitive to money.

Dr. Wu Zhou smiled and said, "You have a high income in our hospital now, and you have the money of senior management."

Ling Ran asked: "Is there a difference between different titles?"

"The difference is big ~ www.wuxiaspot.com ~ Dr. Zhou said:" If you follow the rules strictly, the residents with low seniority can only perform primary surgery, and the secondary surgery with high seniority can only be performed by primary care with lower seniority. At the third level, you must have the guidance of a senior doctor at this step. Now you are performing third-level surgery, so the primary knife must be a senior doctor. "

Hospitals, like all public institutions, have always been double-marked. The so-called strict regulations are equivalent to on-demand regulations. Also strictly regulated are the consultation system, the prohibition of acupuncture, the prohibition of eating and so on ...

Ling Ling nodded slowly.

"Ordinary resident doctors perform a first-level operation, and the operation cost is about 100 yuan. A lesser amount is only 70 or 80. For example, debridement and suture. If you do three or four a day, the operation cost is more than 100 yuan. Dr. Zhou paused and said, "You ca n’t get much help as an assistant. Like Lu Wenbin of your group, he can divide the big head from the remaining ... 259 blocks, about 150 or so, and the remaining 100 blocks. For two nurses, one anesthesia point ... so the doctor makes really little money ... "

Ling Ling looked at Dr. Zhou suspiciously and said, "If three operations are performed a day, Lu Wenbin can divide into 500 pieces. In this case, it can be divided into 15,000 pieces in a month?"

"Nerve disease, the doctor has enough 20 operations a month, and 30 can be tiring, okay. Whoever has 90 operations a month ..." Dr. Zhou said more and more, because he saw Ling Ran's eyes Obviously wrong.

In Ling Ran's mind, he was brushing the system to prompt:

Task: Experience the Tang Method

Task content: every 10 tang operations performed in a single month are considered to be completed once

Quest reward: Junior treasure chest

Current progress: (1/10)