Compared to ordinary surgeries, the preparation for transplant surgery often took a longer time. The cooperation and organization of multiple medical teams would take up a lot of effort.
If it were a transplant center that was familiar with similar work, similar surgeries might only take a few hours. But for Yun Hua Hospital, which rarely had similar opportunities, it was necessary to prepare in advance.
Wei Jiayou even wanted to train the transplant team of the General Surgery Department to make sure that there were no problems before he tried to contact and obtain a donor.
He came all the way to Yun Hua to make a big move, and he could not just skim over it like he did with a freelance surgery.
Everyone in the General Surgery Department was seriously and enthusiastically preparing for the surgery.
Even the department director of the General Surgery Department rarely showed up a few times. He treated the patients to meals outside the hospital and cared about their lives. He also visited the hospital and cared about their work. As one of the committee members of the surgery branch of the Chinese Medical Association, the department director of the General Surgery Department was usually not so approachable.
However, regardless of the attitude of the General Surgery Department of Yun Hua Hospital, it was also a reality that they could not carry out liver transplantation quickly and smoothly.
For two consecutive days, Wei Jiayou organized the staff to do basic training, preoperative diagnosis, and multi-disciplinary meetings. He gradually built up his momentum.
On the third day, Wei Jiayou pretended to be careless and strolled to the Emergency Medical Center.
"Can't stand it anymore?" A cold question seemed to come from underground.
Wei Jiayou had expected it. He lowered his head and looked at Yu Yuan, who was bulging, and said, "I'm just strolling."
"If you have the time, why don't you do surgery?"
"Sharpening the axe will not delay the work of cutting firewood. Your skills are not at this level, so you won't understand." Wei Jiayou now understood the situation of Yu Yuan and the others. He could make Yu Yuan's veins bulge with just one sentence.
In the past few years, Yu Yuan had despised others most of the time. Especially when she was studying, she held deep disdain for those students who used nutrition for cartilage growth.
Wei Jiayou was tall and long. His facial features were not bad, but his skills were good …
Considering that he was the academician's disciple, his theoretical foundation was probably not bad.
Yu Yuan was not that kind of stubborn person. She only said, "The operating theater of the Emergency Medical Center does not allow people from other hospitals to visit."
"It's fine if I don't visit the operating theater." Wei Jiayou paused for a moment and deliberately teased Yu Yuan. "I know that the Emergency Medical Center has spent a lot of money to build a visitation room. Does Department Director Huo know that you refuse visitors from other hospitals?"
"There are people applying to visit the visitation room every day. You won't make a difference." Yu Yuan's words were a little aggressive, but she soon realized that it was not appropriate. She immediately stopped and said, "I'm going to do something. You should also go to the General Surgery Department."
"There's no hurry." Wei Jiayou put his hands behind his back. He swayed the smell of ginseng and slowly caught up to Yu Yuan.
Like most tertiary Grade A hospitals, the Emergency Medical Center of Yun Hua Hospital also started to become crowded.
The large number of patients and their family members, especially the patients who could not leave, caused the Emergency Medical Center to have more and more extra beds, and the width of the beds gradually narrowed.
Fortunately, Huo Congjun and Ling Ran were very concerned about the separation of the functional areas, so the space in the resuscitation room, treatment room, and other small halls was still reasonable. When Yu Yuan walked in, she felt that it was even more spacious.
Since Wei Jiayou was from the capital, he naturally felt more comfortable.
In this era where the people in the country felt that the medical resources in Beijing, Shanghai, and Guangzhou were great, the doctors in Beijing, Shanghai, and Guangzhou were extremely uncomfortable.
Not to mention the exaggerated number of consultations he had to see forty or eighty patients a day, but the patient he saw with his Khorium Gold Vision, which he had been practicing for thirty years, was suffering from indigestion. He was so angry that he wanted to dig out the patient's intestines and tie them around his neck.
As for the environment of the emergency room, it was even worse. The conditions of many hospitals were not as good as the siheyuan before it was renovated, and the hospitals with good conditions could only compete with the siheyuan after it was renovated.
Of course, the patients would not feel much better. The patients who registered for a normal consultation obviously could not get the high-quality medical resources in the capital, but if they wanted to register for a specialist consultation, the waiting period of ten to twenty days was really the style of the British Empire.
From this point of view, the high-quality medical resources in Beijing, Shanghai, and Guangzhou were also half a false proposition. Moreover, as high-speed rail and planes became more and more convenient, it would become more and more false.
In contrast, the top-notch medical resources in a place like Yun Hua Hospital were closer to the local needs. If a normal patient did not have any tricky diseases, a hospital like Yun Hua Hospital would be able to handle them easily.
In fact, it could even perform better in certain types of diseases. For example, Huaxi Medical College's research in colorectal medicine and Xiangya Medical College's clinical practice in oral cancer were better than those in Beijing, Shanghai, Guangzhou, and Shenzhen.
However, the Emergency Department and cardiovascular surgery were common clinical disciplines. Wei Jiayou looked around, and it was basically a familiar scene, until …
"Doctor Yu, you're here." An ordinary-looking resident doctor saw the hair bun on the horizon from afar, and he was so happy that he wanted to kill two slaves to celebrate, just like a sailor who saw land after a long voyage.
"What's wrong?" Yu Yuan's expression became serious, and there was a little joy in it.
She was rarely needed like this in the Emergency Department, unless …
"Fecal impaction has been four to five days, and we can't handle it," the ordinary-looking resident doctor said in a low voice.
For an Emergency Department doctor, not being able to handle fecal impaction was actually a slightly metaphysical thing. The technical threshold for this kind of work was not very high, and the lower limit was especially low. Even the upper limit was not very high, but many doctors in the Emergency Department were usually not willing to do this kind of work.
In the past, the Emergency Department transferred such patients out.
But since Yu Yuan became the chief resident, the Emergency Department rarely transferred patients with fecal impaction out.
Most of the time, such patients were naturally handed over to Yu Yuan.
Wei Jiayou frowned at this time, and before Yu Yuan could speak, he said, "Yun Hua Hospital is really funny. Why can't you handle fecal impaction? You don't know how to perform surgery, but you can't even dig up feces? "
"Don't look down on fecal impaction!" Yu Yuan turned and glared at Wei Jiayou. Her serious expression made it seem like she was doing damage control for an ocean-going warship. "Severe fecal impaction will lead to meningitis and death."
Wei Jiayou thought, 'How am I looking down on fecal impaction? I don't want to treat it well at all.'
He opened his mouth, and in the end, he simplified the story of Lu Dongbin and the dog into one word: dog.
Yu Yuan walked forward quickly.
Wei Jiayou thought about it and still followed her.
The patient was an old man. He looked lean, and his abdomen was not protruding. It was impossible to tell that he was a man with a lot of savings.
Yu Yuan had already done a simple examination and began to introduce the specific steps. "I handle many patients with fecal impaction every year. For your current situation, I suggest that you don't use your bare hands to dig it out. You can use a medium-sized anoscope and use the oval forceps to clamp out the impaction. It will be less painful this way, and you don't need to use anesthesia …"
She also explained to the young doctor beside her, "If you dig out the stool directly with your fingers, the patient will feel very uncomfortable, especially this kind of patient who has been impaction for a long time. It's better to use your fingers to dig out the stool, but leave it in the anus. Then, you can use the oval forceps to clamp it clean … Finally, you can inject glycerol through the anal tube. You have to pay attention to this. Only let the patient do it when he really wants to defecate. This way, the stool that has not been dug out can be drained out. Finally, you can insert metronidazole suppositories and use anti-inflammatory drugs … "
The young doctors beside her had different expressions. Some of them could still hold it in, but those who could not help it had fear in their eyes.
At this time, the patient moaned, "Doctor, how much does it cost to do this?"
"You have medical insurance, right?" Yu Yuan asked.
"I have the resident medical insurance," the family member quickly answered.
Yu Yuan deliberately looked at the family member and the old man's attire. She had an idea in her heart and said slowly, "There are two main parts to this treatment. The first part is medication. You need to use anti-inflammatory drugs and oral laxatives. You need to use Glycerol for five days after the surgery … As for the surgery fee, I will calculate it according to the method of fecal impaction. It will be five RMB each time, is that okay?"
The old man hesitated for a moment. "Five RMB is not expensive."
Yu Yuan smiled and nodded.
The young doctors beside her had not experienced it before. One of them could not help but complain, "Repairing the sewers in my house costs one or two hundred RMB."
Yu Yuan's eyes flashed coldly. "In the price of medical treatment in Changxi Province, it only costs two hundred RMB to perform an enucleation surgery in a tertiary Grade A hospital. Do you want to take advantage of it?"
The young doctors clamped the anal tube tightly.
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