Yun Hua Hospital.
Department of Neurology.
Cao Yue, the female doctor in charge of the electromyography room, sat on the chair with a faint smile on her face. She watched Lu Wenbin push the gurney against the wall and said, "Alright, it's done. I'll do the rest."
Lu Wenbin looked at Li Huamin, the patient on the gurney, and said, "You don't need my help?"
"No need." Cao Yue chuckled and said, "You can just wait outside."
"This … the patient has quite a personality. You should be careful."
"It's okay. I've seen many patients." Cao Yue glanced at him.
Lu Wenbin saw that she was getting impatient. He hesitated for a moment and left the consulting room. He found a bench, sat down, and let out a long sigh. He had not had the chance to suture skin for the past few days, and his hands were itching.
In the consulting room.
Cao Yue snorted lightly and thought, 'There are many patients with personalities. Who hasn't seen them before?'
What she despised the most was the group of resident doctors in the Department of Surgery. They did not have any skills or expertise, but they were all extremely arrogant. It was as if they could become experts in technology at any time, and they were always lecturing others.
In Cao Yue's opinion, these resident doctors in the Department of Surgery were all stubborn when it came to doing dirty work.
The environment in the operating theater might seem clean, but in fact, some kind of virus would spread in the operating theater every once in a while. The white coats of surgeons were often only clean in the morning, and the blood they came into contact with every day was probably more than what the average person would come into contact with in their entire life …
In comparison, Cao Yue's working environment was much more comfortable.
The electromyography room was an ordinary office. The instruments were connected to the computer. As long as the patient's skin was covered, the rest of the operation would be done by the computer.
From the outside, it was just a slightly more complicated examination than electrocardiogram.
This position could be said to be the most relaxed position in the entire hospital. Without some connections, it was impossible to even think about it. The working environment of a surgeon could be said to be two different worlds.
Whenever Cao Yue thought of this, she would sing in her heart, 'We are different, different …'
"Are you a doctor who specializes in nerve testing?" Li Huamin lay on her side, revealing half of her arm with a red silk sleeve. It was very bright and beautiful.
Cao Yue stopped singing in her heart and chuckled. She raised the patch and said, "I specialize in electromyography, not nerve testing. Come, roll up your sleeves. "
As Cao Yue spoke, she rolled up the patient's sleeves and said, "You have external fixation on your hands, but are you still able to put both sleeves on?"
"There's a button at the back," Li Huamin replied. She then asked, "Then, are my nerves good?"
"I don't know yet." Cao Yue was a little annoyed. "It hasn't been tested yet. Who knows?"
"If the nerves aren't right, then it's a stroke, right?"
"It's a stroke if there's something wrong with the cranial nerves."
"Is there anything wrong with my brain?"
"I didn't test it. I don't know either."
"Doctor, don't lie to me. I'm not afraid of death," Li Huamin said seriously. "I asked my family, but they didn't say anything. I know, everyone is hiding it from me. That's for my own good, but I want to know. "
Cao Yue frowned. "But I really don't know."
"Doctor!" Li Huamin was anxious. She lifted the small quilt covering her body and said loudly, "Doctor, I'm not afraid of death. I just want to know why I'm dying. Why would normal people test their nerves for no reason? I'm not crazy!"
Cao Yue stared at Li Huamin's red silk Tang-style top for a few seconds. She felt that it was a little familiar and strange.
When the clothes on her body were noticed, Li Huamin's expression immediately softened. She asked, "Do I look good? I designed this myself. The old people said that shrouds have to be bright red to be auspicious, but my Five Elements are pink, so I used pink for embroidery, bright red for the cloth, and gold for the five blessings in the middle … "
"What are you wearing?" Cao Yue was shocked.
"Shroud!" Li Huamin said seriously, "Test my nerves later. If there's something wrong with my brain, I'll wear this and jump off the roof, so that my family won't be implicated!"
Li Huamin looked at Cao Yue very seriously and said, "Test properly. See if there's anything wrong with my brain!"
"Wait a moment …" Cao Yue stood up shakily, opened the office door, and shouted, "Doctor … Doctor Lu, um … please come and help."
…..
The next day.
Lu Wenbin stood outside the ward, and the chief physician who always made ward rounds reported, "The patient's nerve anastomosis is good …"
Li Huamin lay on the bed and waved at the doctors outside the ward.
"Old Du, go in and take a look. We'll go to the next ward. Continue. "Huo Congjun passed the door but did not enter. He sent the associate chief physician in.
Lu Wenbin said, "There's no problem with the tendon suture, and the strength is high. Doctor Ling's advice is that we can start early rehabilitation …"
"Just follow Doctor Ling's advice." Huo Congjun cut off Lu Wenbin's words without listening. He did not know anything about the Hand Surgery Department before, and now, he was even more open to Ling Ran.
In any hospital, if a doctor could perform more than a hundred cases of a certain surgical method, and if the excellence rate reached the local average for that type of surgery, then he would be considered a specialist in that field. This was because the more surgical methods you performed, the more strange situations you would encounter. Not to mention that Ling Ran's excellence rate was more than 90%.
Of course, doctors in ordinary hospitals might need to spend a few years or even more than ten years to be qualified to perform a certain surgical method.
To perform a certain surgical method repeatedly, not only did the hospital and the department need to cooperate, but the environment also needed to be compatible. Most doctors in most hospitals were already considered good if they could perform two or three main surgical methods every day. If they wanted to perform a certain surgical method to one hundred cases, they would need a few years.
Only when they reached the level of a senior attending physician, had more choices, and had more influence in the department, could they perform more surgical methods they wanted to perform. They could even use the surgical methods they liked and were good at as the main surgical methods of their department.
Huo Congjun was an Emergency Department doctor who used to be a military doctor. He valued talent far more than experience, and his trust in Ling Ran was also growing with each passing day. Therefore, even though he was serious when he made ward rounds, he rarely changed Ling Ran's medical advice. He would only adjust the medication when the patient had postoperative complications or other associated symptoms.
Lu Wenbin was so envious that his feet turned inward.
In the hospital, the department director interfered with the junior doctors in all aspects. They could give the junior doctors a day off today so that they could work hard and have a child with their wife. They could also ask the junior doctors to work overtime tomorrow to see if the color of the patient's feces was authentic. Doctors like Huo Congjun, whose advice was fully respected were basically the leaders of treatment groups.
In Yun Hua Emergency Department, there were only two chief physicians and two senior associate chief physicians.
After a while, Department Associate Director Du returned to the medical group chat.
"Can Ling Ran perform the cases with combined nerve damage?" Huo Congjun and Department Associate Director Du discussed in a soft voice.
Department Associate Director Du hesitated for a moment and asked, "The patient just now performed well, but isn't it too hasty?"
"There are many cases with combined nerve damage, and it's easy to find them. We don't have to keep making phone calls," Huo Congjun said. He then said in a low voice, "As far as I know, there are only a few doctors who can perform flexor tendon sutures and perineurium anastomosis independently in Changxi Province. There are even fewer who specialize in this. "
Department Associate Director Du chuckled.
There were indeed not many doctors who could perform flexor tendon sutures and combined perineurium injury, and there were even fewer who specialized in it. But this was just a rhetorical trick. If you wanted to find a pine tree in a forest, there had to be a locust tree next to it, and then there had to be an elm tree next to it, and there couldn't be any plants in between.
There were many pine trees, elm trees, and locust trees. What was the point of having three trees next to each other?
Of course, it was still meaningful in the hospital.
Those who could perform flexor tendon sutures, perineurium anastomosis, and orthopedic surgeries were all doing finger replantation surgeries all day long. How could they have the time to perform flexor tendon sutures and combined nerve rupture alone?
There were also many doctors who could perform perineurium anastomosis alone, but most of them were doctors from the Neurosurgery Department. They could not finish cranial surgeries, and once they did, they would do it for the whole night. They were also too lazy to ask for external consultation.
Of course, hand surgeons who could perform flexor tendon sutures alone were also very good, and they were too lazy to take care of the temper of the Neurosurgery Department.
Hand surgeries could be completed within twenty-four hours, and the earlier they were treated, the better the effect would be. Many patients who suffered from flexor tendon rupture and combined nerve damage without severed fingers could only receive good flexor tendon sutures and mediocre epineurium anastomosis. The prognosis basically depended on the patient's life.
Some big hospitals were too busy, and they would ask the patient if they were willing to amputate …
The rate of finger replantation in the United States was only two percent, and it relied on a strict review system. People who smoked, drank, and did not have good living habits might not get two hours of full help from an elite doctor, even if they had insurance.
Therefore, it was meaningless whether pine trees, elm trees, and locust trees were next to each other, unless they were cut down together.
"I don't object to it, but the recovery period for patients with flexor tendon injuries is too long, and the recovery period for nerves is even longer, right? Our wards are not enough." Doctor Du reluctantly offered an opinion.
"If it's not enough, just add more." Huo Congjun waved his hand. The big Emergency Medical Center in his dream should have more than two hundred hospital beds. He would not mind if there were more than five hundred hospital beds like the Chongqing Emergency Medical Center.
"There are a lot of patients. Don't let Ling Ran work too hard. Young people have to lower their heads and charge forward, but they also have to look up." When Doctor Du said this, he asked Lu Wenbin, "Is Ling Ran still performing surgery?"
"Yes, he's halfway through the surgery, and something unexpected happened." Lu Wenbin casually made up an excuse for not joining the ward rounds.
If other young doctors did not join the ward rounds of the chief physicians, they would most likely suffer from fatigue. However, the explicit and implicit rules of the hospital had always been aimed at normal doctors. Skilled doctors were always special cases.
It was as if what bad students did was wrong, and what good students did was right. Huo Congjun was full of smiles when he mentioned Ling Ran. He said, "You have to let Ling Ran take care of his body, and not just work. What time did he come today? "
"Four o 'clock. He has already performed three surgeries, and now he's performing the fourth. "Lu Wenbin's liver trembled as he spoke. If the chief surgeon came at four o 'clock, he had to come at three o' clock. There was no reason for that. In the entire Yun Hua Hospital, there were only three or four doctors who would do this. But he ran into one.
Huo Congjun did not think that there was anything strange about performing surgeries at four o 'clock in the morning. He only nodded and said, "No wonder he told me that the afternoon was a waste of time. But if the number of cases with neurological injuries were added up, I'm afraid that there would be too many referrals from the lower hospitals … "
As he spoke, Huo Congjun's phone rang melodiously. 'There's an injured goshawk, an injured goshawk, it passed, passed through the valley …'
All the doctors held their breaths and looked at the chief physician.
"Okay, I understand. I will gather the best strength of the department … I will do my best to ensure safety and medical quality …" Huo Congjun put down his phone, and his gaze was as sharp as an eagle's. He said, "Chief Hao's daughter was burned. Burn Group, go and prepare. Other doctors, don't let your guard down. Hand over your work quickly and be ready to provide support. "
At this time, there was no time to continue the ward round. The group of doctors scattered and busily made preparations. Those who should tidy up medical records did so, those who should give medical advice quickly gave medical advice, those who should adjust the surgery time quickly adjusted it, and those who should go to the toilet quickly grabbed a spot …
Department Associate Director Du approached Huo Congjun with a worried expression. "Let's talk in private. Why didn't she go to the General Hospital when she was burned?"
The Emergency Department of Yun Hua Hospital was famous for treating burns, but in the medical circle, its actual level and influence were not as good as Department Associate Director Liu of the People's Liberation Army General Hospital. The latter was ranked among the top in the field of burns in the country.
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