Young Tie waited anxiously in front of the Emergency Medicine building, and he frequently raised his hand to look at his watch.
About two hours later, an ambulance with the "Golden Deer" logo stopped at the reception passage.
Young Tie glanced at the license plate and breathed a long sigh of relief. Then, he became nervous again and rushed to the front.
The nurse and young doctor from the Emergency Department glanced at Young Tie. They only felt that he looked familiar, but they did not know him, but they did not say anything.
Young Tie was humble in front of Department Associate Physician Pan, but he would be thirty-five or thirty-six years old if he was outside. In the hospital, there was no threshold for a resident to become an attending physician. It was just a matter of time. But no matter how late it was, he was still an attending physician with his age.
"The patient is Zheng Qi, fifty-one years old. Lacerations on his right thumb, index finger, and middle finger …" A young man in a white coat who looked like a student came out of the ambulance. He hurriedly reported, but his words were not very clear.
The patient's condition had been reported to the Emergency Medical Center when the ambulance was on the way, and it was transferred to the Emergency Department of Yun Hua Hospital. At this time, he reported it again just to verify it.
"Hand injury. Call Doctor Lu." The young doctor who received the ambulance quickly pulled the patient out and quickly made a judgment.
The work in the Emergency Department could be complicated, but it could also be simple.
In general, the main task of the Emergency Department was to ensure the patient's survival. On this basis, the doctors in the Emergency Department needed to avoid brain death, cardiac arrest, respiratory arrest, excessive blood loss, and organ damage …
Under the premise that the patient would not die immediately, the Emergency Department could consider whether to handle the patient themselves or transfer the patient to another department.
Theoretically, the patient with a cut on the arm could do it themselves, or they could send it to the Department of Aesthetic Medicine to make it look better. The patient with hand injury could be sent to the Orthopedics Department or the Hand Surgery Department, and they could also handle it themselves. They could also ask doctors from other departments to come to the Emergency Department for treatment.
This judgment was usually given directly by the on-site doctor, and it was also the reason why Young Tie came.
He quickly called Doctor Zhou, whom he was familiar with, and explained the situation while waiting anxiously.
Young Tie could wait for the patient outside the Emergency Medicine building, but it was impossible for him to ask Doctor Zhou to wait. At this time, he could only hope that Old Zhou did not have urgent work.
Of course, Old Zhou was not in a hurry. With his skills, he could just bring a few medical interns, housemen, and resident doctors over, and he would get a lot of gratitude. He could also be freed as a mentor.
In comparison, Doctor Zhou preferred his colleagues to praise him for his righteousness.
The moment Young Tie entered the treatment room, he saw Doctor Zhou coming up to him. He immediately breathed a huge sigh of relief.
"Your relative?" Doctor Zhou asked.
"Yes." Little Tie nodded in acknowledgment and said, "I went to work at the construction site. Coincidentally, the debt collectors came …"
Doctor Zhou interrupted him and said, "Let's not talk about this now. The patient's symptoms are basically stable, and he hasn't lost too much blood. The core problem is the cut on his finger. I'll tell them not to open the gauze for the emergency treatment just yet. Shall we transfer you to the Hand Surgery Department directly?"
"Ah … no." Little Tie panicked and hurriedly said, "I didn't mean that."
"No?" Doctor Zhou was a little puzzled. He and Young Tie were considered to be in the same batch. They were admitted to the hospital one after the other. They were the pioneers of the reform of public institutions that year, so they were familiar with each other. It was just that as they grew older, their social circle became more reserved, and they had not contacted each other for some time. When he thought about Department Associate Director Pan's eye-catching in-service training, Doctor Zhou's eyes were filled with suspicion.
He might be a good person, but he would be a fool if he was deceived.
Young Tie stuttered and said, "What I mean is, I hope that Zheng Qi can be arranged to be treated in the Emergency Department. Um … the Hand Surgery Department is very busy today. There are still two special patients in front of us. It's not good to cut the queue. If we don't cut the queue, it will delay the treatment."
This was the best excuse Young Tie could come up with.
In the hospital, the general term 'special patients' actually referred to the special patients' clinic. Most tertiary Grade A hospitals had special patients' clinics or the more prestigious cadre wards.
They could satisfy the patients' needs outside of medical services at an expensive price. In comparison, the cadre wards were based on rank and relationship. The special patients' clinics could be based on rank and relationship, as well as money. They could provide special services with a clear price tag.
For example, the registration system that many large hospitals criticized did not have to worry about in the special patients' clinics. They only needed to pay 388 RMB for attending physicians and assistant lecturers, and 500 RMB for department directors. The patients and their family members could order whoever they wanted. In fact, it might even be cheaper than ticket scalpers. If a doctor could not handle it, he only needed to pay 500 RMB, and he could initiate a specialist consultation in the hospital. If he paid 1,000 RMB for a specialist consultation outside the hospital, theoretically, he could also seek remote consultation from foreign doctors … Most importantly, the patient could stay in the ward that cost 1,000 RMB a day to rest most of the time. The doctors and nurses just had to run around, and this was the standard of Peking Union Medical College Hospital.
Such patients would fast the day before, wear no makeup, and be about to go to work. If you told them that they were cut in the queue, they would definitely be unhappy.
Doctor Zhou reluctantly accepted this reason, but he still kindly explained, "If you refer them to Department Associate Director Pan, the effect will definitely be better. If they stay in the Emergency Department, only Ling Ran can do it. His patients are recovering well, and their surgeries are performed meticulously, but they are still young and inexperienced. You have to think about it carefully. "
"I've thought about it carefully." How could Young Tie answer?
In fact, if he had to make a judgment, he also felt that Ling Ran's skills were far inferior to Department Associate Director Pan's. Forget about everything else, in terms of experience, Ling Ran had only performed surgeries for a few months. How could he compare to Pan Hua, who had performed surgeries for twenty years?
However, Doctor Tie could understand why Department Associate Director Pan was unwilling to perform the surgery himself.
After all, Department Associate Director Pan was familiar with his brother-in-law. Department Associate Director Pan spent one-third of his time in the country in the hotel, one-third in the hospital, and one-third in his brother-in-law's house. After spending so much time together, it was easy for his clinical judgment to deviate.
Young Tie did not agree with Ling Ran, but he still did as he was told.
Doctor Zhou looked at his expression, nodded, and said, "Alright, call his family over. I'll give him some instructions."
"Can't I do it?" Young Tie became anxious again.
Doctor Zhou shook his head. "You know the rules of our hospital. Without the signature of his family, we definitely won't perform his surgery."
"Um … the immediate family hasn't come yet." Young Tie was worried that when Department Associate Director Pan's sister signed, the surname Pan would appear, and people would be able to guess it.
"Someone has to sign, right? You can't do it. I'm doing it for your own good." Doctor Zhou's good guy attitude was shown. Surgeries did not have a hundred percent success rate. If it was done improperly, Young Tie's identity would be in an awkward position.
Fortunately, Zheng Qi's son arrived in time, and Young Tie finally solved the problem.
At this time, Doctor Zhou shouted, "Young Lu, you're here to receive the guest."
"Coming." Lu Wenbin had been waiting for a long time. He ran over, took Zheng Qi's medical record, removed the gauze, and looked at the wound. He then glanced at Young Tie. He was a little puzzled, but he did not say much. He said, "There are three more surgeries ahead of us. This is the fourth one."
"Um, Doctor Lu, can you make the arrangements a little earlier?" Young Tie said in a friendly tone, and he even sounded a little submissive.
Lu Wenbin shook his head firmly. "I can't come earlier."
Young Tie was about to lose his temper again. He said anxiously, "No, I …"
Doctor Zhou quickly held him back, coughed a few times, and said, "Doctor Lu, Doctor Tie is too worried. This patient needs to do delicate work, and the suturing of the hand is very important. He wants to do it as soon as possible …"
"It's not possible to do it as soon as possible." Lu Wenbin sighed and stretched out his five fingers. "Preoperative preparations, blood tests, skin tests, skin preparation, and bowel preparation must all be done, right? The anesthetist must be informed and arranged, okay? These rings, necklaces, antiques, and beads must be dealt with. Once they're done, the first three surgeries will be almost done. If there's a slight delay, there won't be enough time for the three surgeries. At that time, the surgeries will be interrupted … In short, I don't want to be ridiculed."
All the people in the room were doctors, and they understood what Lu Wenbin meant. He was saying that the time taken for preoperative preparations was equivalent to the time taken for two surgeries, and there was still time left for one surgery as a margin. No matter how it sounded, it sounded right.
However, Lu Wenbin's words were simply nonsense to Lil Tie.
Young Tie did not care about offending people anymore. He said slowly, "As far as I know, Doctor Ling only performs flexor tendon surgeries. A flexor tendon surgery takes more than two hours, right? If you perform three surgeries, seven or eight hours will pass …"
"If you do this, how many surgeries can you perform in a day?" Lu Wenbin did not say much. He took out a surgery schedule from his pocket and handed it to Young Tie.
The surgery schedule had the time, the names of the surgeries, and the people who participated in the surgery.
Young Tie looked at it and saw that three of the seven surgeries in the schedule had been crossed out, and two more were added behind them.
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