Great doctor starts with adding points

He Ling is not tall, about 1.6 meters, with a broad and steady figure, a round belly, and looks naive and amiable.

But at this moment, under Lu Junyin's four eyes like a demon mirror, he is ashamed as if he can't hide: "Director, we haven't had contact with this orthopedics department for many years. During the internship before, we didn't have much contact with it."

"After coming to work here, except for the rare Kirschner wire internal fixation for fractures, all other patients have been treated by Dr. Xiong Lao. They really don't have much experience, and they have to see the younger generation."

He Ling is forty-three this year, the old attending doctor, and he is still short of aptitude for promotion to deputy high school.

It is basically waiting for Lu Junyin to step down as a successor to the pension family, and it is not easy to open up any new business fields, because if you want to open up, you must study.

He Ling didn't even think about going to the county seat, otherwise, he would have gone out to study a long time ago, after all, his education is better than Liu Chengshan's!

Zhong Yusheng immediately became a little nervous, but looked at Wu Xie standing next to him with sideways eyes, and heaved a sigh of relief. At this moment, the nostrils under his wine-grooved nose were wide open, and he smiled: "Director Lu, this should be related to Dr. Wu. .”

"Doctor Wu has a master's degree in orthopedics, and he is also a subspecialty in trauma surgery." When the smile piled up, the acne marks on his face jumped, and the smile was sincere.

He is older than Wu Xie, and he calls him Xiao Xie in private, but at work, he calls him Xiao Wu or Doctor Wu. He used to call him Xiao Wu, but now he only dares to call him Doctor Wu.

Guo Lixiang didn't dare to speak any more when he heard the words, and he, who seemed to be smarter and more capable, silently took another half step back.

At this point, Wu Xie took the initiative to speak: "Director Lu, I have been in contact with trauma-related diseases, but my qualifications are low, and I have never directly received treatment before."

"So it is definitely not possible to digest it all directly. You have to take your time and accumulate experience little by little."

"Besides, our department currently doesn't have MRI. When joint injuries occur, we can't characterize organic injuries. I'm sure I'm not as experienced as Dr. Xiong, and the same goes for soft tissue injuries."

"So? It's still difficult to take over." Wu Xie said bluntly.

One is that he really doesn’t know it. If he didn’t have the experience of ‘retrograde amnesia’ before, he might still have accumulated a lot of experience, but now his knowledge reserve is indeed not enough to support direct consultation.

The second is that Xiong Yao's quality of diagnosis and treatment when he received similar patients before was a bit high.

"This is for sure. The only CT in the hospital has just been introduced. It is definitely impossible to introduce MRI in the short term."

"Joint dislocation is too complicated a disease, so we have to be cautious, so let's arrange it like this first."

"He Ling, for emergency trauma in the future, what our hospital can handle will mainly be handed over to you. If you encounter a patient with joint dislocation, it is recommended to transfer to another hospital as soon as possible. If the patient is willing to transfer, he will be transferred immediately."

"If there are people who are in the hospital, all the receiving doctors must explain that they need to judge before deciding whether it can be dealt with, and then let Dr. Wu from our department come to diagnose and evaluate."

"Dr. Wu suggested transfer to another hospital, and he will be transferred immediately."

"Wu Xie, do you have a problem? The location of your accommodation is not far from the hospital! You may have to work hard!"

He Ling nodded quickly: "Director, this arrangement is quite good."

"But there is a problem, that is, patients with soft tissue contusions, no broken skin, no trauma, no fractures and dislocations, how should we deal with them?" He Ling said, narrowing his small eyes slightly, touching his belly Extra sharp.

Lu Junyin looked at Wu Xie.

Wu Xie said: "Dr. He, in fact, the relatively troublesome thing is the soft tissue contusion. Without MRI assistance, it is difficult to directly judge the severity only through physical examination."

"Extremity contusions are fine, but thoracic and abdominal contusions and head contusions are issues that may involve internal organs."

"My suggestion is that if it is a contusion of the head, it can be directly transferred to the hospital as appropriate. For thoracic and abdominal contusions, a strict physical examination of the chest and abdomen should be performed before diagnosis and treatment."

"In this regard, Director Lu has more experience..."

Xiong Yao left and quit, and the remaining problems must be dismantled and dealt with. Wu Xie can't support the entire Xiong Yao by himself.

For limbs with unbroken skin contusions, the worst is amputation. The probability of death due to rhabdomyolysis is not particularly high.

...

In this way, it can be regarded as roughly setting the rules.

Dislocation of joints and contusions of limbs were handed over to director Wu Xie, emergency department of trauma was handed over to director He Ling, and contusions of the chest and abdomen were assessed by Lu Junyin himself in the department. When Lu Junyin was away, He Ling would be on duty instead See a doctor.

Brain injury, all transferred to another hospital.

If it is uncertain whether there is visceral injury, first ask the patient whether he is willing to have a CT diagnosis.

The volume of the department is limited, so it can only be arranged in this way.

After the confession, everyone dispersed. There were four hospitalized patients and no surgical patients. It is enough for you to take care of your own ward rounds, there is no need for unified ward rounds.

Zhong Yusheng is on duty today.

Zhong Yusheng is 1.76 meters tall, with a slightly fat body, fair skin, red face with acne marks, and a rosaceous nose. After He Ling and Lu Junyin went to make rounds, he smiled and said: "Congratulations, little crab, you all belong to yourself." It's a single-handed disease."

Zhong Yusheng's smile and envy were sincere, and his tone was not eccentric.

No one else in the department could take over the trouble that Wu Xie took over, and this was earned by his ability.

Wu Xie smiled bitterly when he heard this, "Brother Yu, just make fun of me."

"It's not that I can't help it. You say that young residents like us don't have much experience. We can only bite the bullet. It would be great if Dr. Xiong was still around."

Wu Xie couldn't push it, the master's degree in trauma surgery was here.

The second is that Wu Xie can continue first, and then slowly increase the level of diagnosis and treatment skills for joint dislocation and soft tissue injury.

Third, the worst thing is to transfer to another hospital. Isn't it common for town hospitals to be transferred to other hospitals? There are many ways to retreat.

Zhong Yusheng also nodded. It sounds good to treat a disease, but in fact, he has a heavy responsibility on his shoulders.

Although Wu Xie has a professional master's degree, but the gap between the master's degree and the residency training, there is not much in clinical work, and he only does ward rounds, writes medical records, and assists in operations.

The only difference lies in whether there is a teacher to teach and the number of mobile phone opportunities.

"Yeah, it's good that Old Doctor Xiong is still here, okay?"

"At old doctor Xiong's age, he is neither short of money nor fame. All he wants is something to do, and he doesn't want to waste all his time. This is what happened to Lin Lao in the end."

"If it were my father, I would never let him work anymore. If it were me, I would have retired to play a long time ago. Why bother?"

"But you can do it, Xiaoxie. I believe you can stand up. Your foundation and theory are so solid, and your operation is also good." Zhong Yusheng was encouraging Wu Xie.

If Wu Xie can stand up, he will be able to learn more diseases, come into contact with more diseases, and have more opportunities in the future. This is a win-win situation.

"Hanging the pot to help the world. These four words of traditional Chinese medicine may be the reason why Mr. Xiong persisted before." Wu Xie said this, and then immediately said: "Brother Yu, there is nothing wrong here, so I will go back."

"Call me anytime you need anything!"

"good!"