The Emergency Department of Yun Hua Hospital was eight meters tall, and the reception hall was as big as the lobby of a high-end hotel. It was not crowded even when people came and went.
When the leaders came to visit, the Emergency Department of Yun Hua Hospital was always one of the things they visited.
After all, the leaders did not necessarily understand the difficulty of internal medicine or the specialties of surgery, but they definitely knew the importance of the Emergency Department.
The eight glass doors were all opened inward at this time, and they welcomed batch after batch of emergency patients. Among them, there were emergency patients sent by ambulances, emergency patients who came to them on their own, and there were also emergency patients who thought that they were very urgent.
The resident doctors, housemen, and nurses were busy dealing with the patients, but they were still able to handle it with ease.
If there were no accidents in the morning, it would be a sunny day. Illnesses such as prescribing medicine and administering intravenous drips were not considered illnesses in a hospital like Yun Hua Hospital.
A patient with pain in his right lower abdomen passed through Doctor Zhou's hands and was sent to another group.
A patient with pain in his left lower abdomen was examined by Doctor Zhou, but he still shook his head in disappointment.
The patient's family was stunned and asked Doctor Zhou in a daze, "Why can't he be sent to the hospital? He's still fine at home … "
"Who told you that he can't be treated?" Doctor Zhou asked as he quickly waved his hand to call the resident doctor to take over. As a senior salted fish, he had long passed the age of arguing with the patient's family.
In fact, when a senior attending physician or associate chief physician reached the age of a senior attending physician or associate chief physician, if they were to engage in a serious argument, they would usually not lose. The patients' problems had not changed over the past ten years. It was just that different people were asking different questions. The solutions could be said to be ready-made, as long as they were patient. Because high-ranking doctors usually did not have much patience, everyone still avoided arguing.
The resident doctor quickly took the patient away. The patient's family glared at Doctor Zhou, but they did not argue.
"Don't you need to explain?" Ling Ran rarely came into contact with the patient's family. He spent most of his time in the operating theater. Department Director Huo had only taught him about doctor-patient issues.
"It's hard to explain." Doctor Zhou chuckled and said, "You know that some of the consultations in our hospital have scalpers, right?"
"I know."
"You might not have noticed it, but let me tell you a secret. The patients who buy scalpers' tickets are very obedient. They don't make any noise. Do you know why?"
Plain Ugly quietly came over and interrupted, "Because you have money?"
Doctor Zhou pursed his lips and said, "No matter how rich a person is, he or she will have to be poor before he or she can afford to be sick for a period of time. This is actually different, you know? Our needs are different. "
Ling Ran asked, "What is it?"
"People who spend 200 RMB or 300 RMB on scalpers' tickets want to see a doctor. But for the specialists who can charge such a high registration fee, even if they can't cure the patient, they can still solve some problems, so there are fewer conflicts. However, most of the patients who come to the Emergency Department or register with specialists are suffering from minor illnesses. Some of them might not even be sick. Therefore, they are asking for medical services, understand? You have to be observant, say nice things, and have a good attitude. But our specialists have never been trained in this area. This creates a contradiction. "Doctor Zhou concluded his experience with a smug expression.
Plain Ugly listened very seriously. "So, we will be trained in the future, right?"
Doctor Zhou's expression immediately changed. "Are you stupid?"
"Here comes another one." Ling Ran pointed at the patient who was sent over from the ambulance lane and diverted their attention.
"His abdominal pain seems to be very serious." Doctor Zhou stood up excitedly and went to receive the ambulance.
When the resident doctor who was originally in charge saw Doctor Zhou, he immediately gave up his position obediently. Acute abdominal pain was considered a relatively serious disease in the Emergency Department, and the resident doctors did not dare to rush to do it.
"Has she performed any surgery recently?" Doctor Zhou pressed a few times and asked.
The family member who followed quickly said, "My mother came for acute appendicitis last week in Yun Hua Hospital …"
"Did she defecate?"
"She did at first, but then she stopped. We didn't pay attention to it. My mother used to be a little constipated …"
"Did she vomit?"
"No." After the family member finished speaking, he turned and asked, "Mother, did you vomit?"
The old lady shook her head with difficulty and said, "No."
"Her bowel sounds are very weak. Let's do a CT scan. Do a plain scan and do an ultrasound too. Bring it over first. "Doctor Zhou seemed to be asking, but in fact, he had already brought the form over.
As he watched him fill in the form, the family member asked anxiously, "What disease is it exactly? Can we not let her feel so much pain first …"
"I suspect it's intestinal obstruction." Doctor Zhou wrote the form and said, "Intestinal obstruction may cause very serious consequences. Send the patient for examination first."
After the old lady was sent away, Doctor Zhou continued to ask about the patient's medical history. At the same time, he gave the patient's family the surgical notice and other things, instantly making them faint.
"Why is it so serious …" The family member held the surgical notice and did not seem to believe it.
Doctor Zhou did not care about this. He handed over the follow-up to a resident doctor and asked him to leave with the patient's family member. He then turned and said to Ling Ran, "This is intestinal obstruction in the elderly. I don't think it's very easy to handle. Let's see if surgery is needed later. If it is, you can be the assistant."
When Ling Ran heard that it was an intestinal problem, he immediately thought of Yu Yuan and said, "Then, I'll call another person."
Doctor Zhou did not care. As long as there was enough space on the operating table, it did not matter how many doctors there were. If there was no need for surgery, it would not matter even more.
Yu Yuan quickly ran down the stairs. Her face was flushed after running. "Which intestinal obstruction?"
Doctor Zhou recognized Yu Yuan and gave Ling Ran a thumbs up. "Good idea. Why didn't I think of it before … Your idea has a lot of potential."
Ling Ran explained, "I thought that if Yu Yuan has some understanding of colorectal surgery, she can also be an observer …"
"There's no need to say anything. If surgery is needed, I'll try my best to give her a chance to perform." Doctor Zhou's tone was firm.
Ling Ran looked at Doctor Zhou doubtfully and asked, "Have you seen Yu Yuan perform surgery before?"
Doctor Zhou asked in return, "Have you seen an intestinal obstruction surgery before?"
Ling Ran soon saw it.
After the CT scan showed that it was a narrow intestinal obstruction, the old lady was immediately pushed into the operating theater. This was the most dangerous type of intestinal obstruction.
Doctor Zhou handed two masks to Ling Ran and said in a sorrowful tone, "Put them on."
Ling Ran hesitantly put on the mask.
Yu Yuan put on the mask excitedly and asked, "Am I the second assistant?"
"You can decide after the surgery." Doctor Zhou walked into the operating theater with a solemn tone.
In the operating theater, the nurses and anesthetist were already there, and all of them looked serious.
"Intestinal obstruction. It's a narrow intestinal obstruction. " Doctor Zhou paused for a moment and looked at Ling Ran before he said, "The patient hasn't had a bowel movement for a few days. I heard that she ate quite a lot. A 64-year-old old lady can eat two big bowls of food in one meal. Her family is very proud of her. Let's open it and see."
Everyone looked like they could not bear to see it.
Ling Ran finally came to a realization, and he could not help but have a thought in his mind.
'What am I doing?
I only know a bit of the inverted suture method and tension suture method.
'Why am I curious about abdominal surgery?'
Doctor Zhou quietly performed the laparotomy …
It was magnificent …
The airflow rose …
The smell lingered …
The laminar flow operating theater was useless.
Doctor Zhou looked at Ling Ran's face and smiled. "I have good news and bad news. Which one do you want to hear? "
"Good news!" Surprisingly, Yu Yuan was very cooperative. Her eyes shone with curiosity under her round black glasses.
Doctor Zhou said, "The good news is that it's not serious. It should be relatively easy to handle."
"What about the bad news?" Yu Yuan asked again.
Doctor Zhou clicked his tongue and said, "Why weren't you so obedient in the past? The bad news … The bad news is that there's no reason for us to consult the General Surgery Department. We have to handle it ourselves. "
"Why is it bad news if we do it ourselves?" Yu Yuan did not understand.
Doctor Zhou smirked and said, "Wait a moment, I'll tell you later."
Doctor Zhou then continued with the examination of the intestine. After he was done with the preoperative work, he raised his neck and moved it a little. He smiled and said, "Yu Yuan, do you know what the next step is?"
Yu Yuan kept staring at the surgery and said without hesitation, "Now, we should be emptying the feces near the end."
Doctor Zhou laughed out loud. "That's right. A week's worth of savings, and who knows how much feces from the past. Are you happy?"
"Yes." Yu Yuan nodded vigorously, and the round glasses behind her black-rimmed glasses shone.
Doctor Zhou was not the only one who looked at Yu Yuan. Everyone, including Ling Ran, looked at her.
"We're going to remove the feces now," Doctor Zhou said to Yu Yuan, enunciating each word clearly.
"I know. By the way, I read a research paper that talks about this." Yu Yuan almost danced with joy. She said, "Won't the abdominal cavity and the incision often be contaminated when we remove the feces? We can use the plastic bag with the optical cable of the laparoscopic surgical sheath. Then, we can insert a plastic bag into the intestine and put it into the plastic bag in front of the intestine. This way, the contents of the intestine can be discharged into the plastic bag. If there's too much, we can change the plastic bag … "
"You do it." Doctor Zhou quietly gave up the position of chief surgeon.
"I … do it?" Yu Yuan was instantly stunned.
"Yes, I'll do it for you." Doctor Zhou felt that this surgery had lost its only attraction.
Yu Yuan was so happy that her hands were trembling. She took over Doctor Zhou's position as chief surgeon before she noticed Ling Ran. She quickly declined modestly. "Doctor Ling, why don't you do it …"
"No need, you do it." Ling Ran's tone was very humble.
"Thank you, Doctor Ling." Yu Yuan took a deep breath as if she had just survived a disaster. Her face was slightly dark, but she did not mind.
After a while …
Yu Yuan prepared the plastic bag according to Doctor Zhou's instructions. Then, she removed the feces that were stuffed in the intestine bit by bit.
The plastic bag that was the length of a palm and the width of a palm was soon filled with the capacity of two mobile phones …
The circulating nurse could not help but ask, "How much is left?"
"It's still early. These are the digested parts. The old lady likes to eat rice." Yu Yuan smiled and said, "Let's deal with the bottom part first. I'll remove the top part of the intestine later. It should be clean. Is this okay? Doctor Zhou. "
"Yes." Doctor Zhou's face was stiff.
Yu Yuan then changed to another plastic bag and continued to remove the feces.
The full feces bag was placed into an aluminum basin. A partially saturated solution flowed out, and the smell was pungent.
"There are still undigested bamboo shoots in this bag. It's not appropriate for the old lady to eat this right after her surgery." Yu Yuan filled half the bag again. She stopped and looked at it for a few seconds before she answered her own question, "Maybe she's constipated and wants to eat bamboo shoots to solve the problem. Doctor Zhou. "
"Yes." Doctor Zhou did not want to talk. His eyes were straight.
Yu Yuan maintained her smile. "Alright, another bag."
There was an obvious sense of joy in his tone.
"Hurry up." After all, Doctor Zhou was not a professional general surgeon.
He now regretted not asking the people from the General Surgery Department for a consultation or simply referring the patient to another department. If they were doctors from the General Surgery Department, they would be more used to the situation in front of them.
"Alright. I'll fill the third bag now. "Yu Yuan was very obedient and obedient.
"The fluid accumulation here is more serious," Yu Yuan reported as she worked.
"She's actually eating such a big piece of meat. It's very difficult to digest."
"Oh my, there's gas coming out."
"I'm filling the fourth bag!"
Yu Yuan's energetic voice was the only thing left in the operating theater. The big aluminum basin was also full.
Ling Ran's expression was serious, dignified, steady, and calm as he stood in front of the operating table. He held his breath and stared ahead …
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
