"Doctor Ling, you're here." Qi Zao was guarding the screaming patient. When she saw Ling Ran, she quickly walked over and said, "The patient's wound seems to be quite deep, and it's very painful."
"Did you find the dog?" Ling Ran asked the moment he saw her.
Qi Zao nodded dumbly and said, "It's their pet dog, a German Shepherd. They say that German Shepherds are quite obedient. I don't know why, but it bit him. "
Ling Ran nodded. He already had a judgment in his heart.
Ling Ran was also very experienced in animal bites. For example, in Yun Hua Emergency Medical Center, there were patients who came to get rabies vaccines every day. The most common ones were bitten or scratched by dogs and cats. Rabbits, mice, or hamsters were also common. Occasionally, there were hedgehogs, foxes, ferrets, crocodiles, lynxes, and pigs. It fully showed the boredom and lack of love of humans in the new era.
Of course, it also fully showed the progress of medical technology in the new era. If it were not for the fact that hospitals were cheap and easy to use, the ratio of humans who were injured and killed by animal bites would be so high that people would want to slaughter all pets.
However, after working as a doctor for a long time, his mentality would actually become calm. The emergency room could be said to be a great reward for humans seeking death. Compared to activities such as parkour and extreme sports, raising a pet could be considered a form of health.
"Has the domestic dog ever been infected or gone berserk?" Ling Ran asked questions in a race against time.
"No." Qi Zao quickly answered, "I asked carefully."
"Then go and get a suture kit." Ling Ran was extremely calm.
For doctors, the first thing they had to determine was the type of animal. Wild animals and stray animals were high-risk animals. Domestic animals were slightly better, but they still had to determine whether they were healthy.
Needless to say, the bite of a large dog was much more dangerous than a small dog. If it was on the limbs, tendons would often be exposed, and it could be said to be quite serious.
Ling Ran quickly came to the patient, squeezed some alcohol-based hand sanitizer, and scrutinized the patient while he wiped his hands.
The patient looked like a thirty-seven-year-old white-collar worker … not a young man. He twisted his waist on the bed, and he looked very uncomfortable. He held his phone with one hand, but he could not look at it even if he wanted to.
"Are you a doctor?" The patient's family member was a young woman with a good figure. She looked much younger than the patient. She looked at Ling Ran carefully, and the camera function in her phone was already turned on.
"I'm Doctor Ling Ran." Ling Ran nodded at the man, then beckoned Wang Jia over and said, "Cut the clothes."
Wang Jia picked up the scissors and glanced curiously at the young nurse who was already in the room.
The young nurse said hopefully, "It has nothing to do with me. The patient didn't allow me to cut it."
"I mean find a male doctor to cut it." The white-collared young man looked at the young woman on the bed and said, "My wife and I just got married not long ago. I want to be alone and intimate for a little longer …"
Wang Jia curled her lips and thought, 'The doctor can't be bothered to cut your clothes.'
"Let me do it." Ling Ran did not feel any psychological burden. He took the scissors and cut off the patient's clothes and pants.
The patient's injury was at the waist and buttocks. Due to the adhesion of blood, Ling Ran only managed to cut the wound thinner at this point.
Kacha kacha.
The young woman's eyes were fixed on the scissors, her concern evident in her words.
The young white-collar worker's spirit was lifted. He endured the pain and smiled. "I'm fine. Don't worry."
The young woman trembled and quickly flashed a sweet smile at her husband. She said, "I just think it's quite manly."
"Is that so?" The young white-collar worker could not help but laugh. He touched his head in embarrassment, and the fat on his belly shook happily. He was in pain, but he did not dare to make a sound.
"Let's clean it." Ling Ran threw the scissors away and applied alcohol-based hand sanitizer again. Then, he put on gloves and started to look at the patient's wound.
Under the clear teeth marks, the wound was slightly deep, and there were obvious signs of contamination.
Ling Ran frowned and recalled the latest Expert Consensus on Animal Injury. He then raised his head and said, "I suggest that we don't suture it. I'll debridement and open the wound. We'll make a decision after the wound tissue has been there for a long time."
No matter how high a doctor's level was, when faced with things that did not belong to their field of expertise, they still had to look at the guidelines, standards, or expert consensus.
This was also one of the reasons why doctors were very keen on holding conferences and writing articles after they entered the higher ranks of the field. Once they established the status of their profession, the things they produced would become the foundation for guiding other doctors in their work. Regardless of whether it was from the perspective of fame or profit, this was extremely tempting.
Ling Ran previously argued against the expert opinion on the Choice of Surgical Suture Materials because he was familiar with sutures and was an expert in this field. He also confirmed that the expert's opinion was contrary to his understanding.
However, Ling Ran did not specialize in the field of animal injury. He had also read the latest Expert Consensus, so he naturally used it as a standard.
The patient and his family members looked at each other and asked hesitantly, "Can I do it without suturing?"
"The main concern is that there are too many bacteria in the wound, and it will easily become inflamed and suppurated. In addition, we also have to consider the risk of rabies. Although your wound is deeper, there is less active bleeding, and it did not touch the nerves. Besides, the wound is covered by clothes. My suggestion is to only debridement and not suture. What do you think? "
"What will happen if it becomes inflamed and suppurated?"
"We'll need to cut it open and debridement before suturing it," Ling Ran said, "This possibility still exists, and it's difficult to completely avoid it."
"What if we don't suture it?"
"The scar will be bigger after it's healed, and it's easy for it to be infected again. The healing speed will also be slower. If the nerves are damaged, the situation will be more complicated." Ling Ran gave a simple explanation. If the patient continued to ask questions, he would call Zuo Cidian over.
At this time, the patient made a decision. "It's okay if there's a scar, then I'll listen to you. Also, you know how to get a rabies vaccine …"
"Yes." Ling Ran nodded and said, "Qi Zao, go and ask Zuo Cidian for an informed consent form, then let the patient's family member sign it."
He had always been strict in his work, so much so that he was a little rigid. However, everyone just thought that this was part of his charm.
Then, Ling Ran turned to Wang Jia and said, "Local anesthesia, 1% povidone iodine, a lot of saline …"
After a while, Qi Zao came back with the informed consent form and let the patient's family member sign it.
At this time, the young woman grabbed Qi Zao, who was about to leave, and asked in a low voice, "Doctor, I have another question."
"Go ahead." Qi Zao still enjoyed the respect from the doctor.
The young woman said softly, "My husband is like this, after he goes home … can he still have children?"
Qi Zao shook her head in puzzlement and said, "He was just bitten by a dog, it won't affect his fertility."
"What I mean is … after he goes home, can he immediately have children?" the young woman said seriously, "I just got an ovulation injection."
Qi Zao was stunned, and her face was a little red. She had only been a campus reporter before, and she had never come across such a direct question. Fortunately, when she took the things out just now, Qi Zao used her phone to read a few articles. At this time, she thought hard and said firmly, "Theoretically, he can, but the patient has a wound, and he shouldn't be too tired. It's best to wait for two months, it'll be safer …"
"That's okay, he'll be very fast." The young woman smiled.
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