After Ling Ran completed two finger replantation surgeries for the day, he changed into scrubs and left the Operating Area.
Lu Wenbin changed into scrubs in a panic. When he returned to the office, he could not help but ask Ling Ran, "Is the surgery not fun anymore? Or is there something wrong? Are we really only going to perform two surgeries today? "
When he saw Ling Ran choose two surgeries, he thought that Ling Ran wanted to wait for more. He did not expect Ling Ran to even change into scrubs. Before this, when did Ling Ran ever take off his scrubs?
"It's our own ward. Let's use it sparingly." Ling Ran looked at Lu Wenbin and said with the tone of an experienced person, "There are only around thirty empty beds now, and we can only add up to eighty beds at most. We can't finish all of them in one go."
Huo Congjun just happened to enter the office from outside with his hands behind his back. When he heard Ling Ran say "our own ward", he was so excited that he could not even hold his right hand.
"It's a little difficult now. I've been applying for more beds recently, and there should be news soon." Huo Congjun could not help but reveal some information. It caused the doctors in the office to talk among themselves.
The control of hospital beds in the department, hospital, and health system was extremely strict, and the number of beds was increased.
For example, the beds that Huo Congjun added now were strictly extra beds. However, the Emergency Department had a large territory, so they built their own wards and made the extra beds look like normal beds. As long as they explained it to the hospital administration committee and got the approval of the hospital, they would also be examined as normal beds during examinations. They only asked the Emergency Department to limit the number of extra beds in the corridors and wards.
However, when the Provincial Department of Health and other health systems conducted an inspection, these extra beds would have to be cleared, especially when the Health and Welfare Committee sent people to conduct an inspection. All the extra beds would not be recognized, or they would have to be counted as basic beds. From then on, there would be further requirements for the number of doctors and nurses.
However, when Huo Congjun promoted the Emergency Medical Center, he definitely needed to add more people and beds. Otherwise, the basic conditions would not be met, and how could it be called a "center"?
Ling Ran nodded in agreement and said, "The Orthopedic and Sports Medicine Center has one hundred and eighty beds. This time, we added fifty or sixty beds, but it's not enough. Our department still has room for development."
Doctor Zhou was shocked when he heard this. He could not even use five beds a month, and the patients were changed every five or seven days, which already made Doctor Zhou tired.
Department Associate Director Du also felt uncomfortable. He smiled and said, "Ling Ran, a department with one hundred beds in our hospital is considered big."
"We have almost 100 beds now."
"I mean, it doesn't count as an extra bed."
"That's a total of 200 beds?"
"How can you double the number of beds?" Department Associate Director Du said in resignation, "Ling Ran, think about it. You only used two beds today, and you're performing limb replantation surgeries, right? At most, you'll be able to send them out in forty days …"
Huo Congjun coughed a few times and interrupted Department Associate Director Du's stupid math. He said, "Ling Ran wants more hospital beds, and this is something we should encourage. Young doctors are willing to work, and we can't hold them back. Ling Ran, just focus on your surgery and don't worry about other things. By the way, your thesis is pretty good. Keep up the good work. When you're done, go to the finance department to collect the money. "
"Alright." He then stood up and said, "Doctor Lu, let's go to the treatment room."
"Oh." Lu Wenbin hurriedly followed.
Huo Congjun watched Ling Ran's back disappear through the door with a smile on his face.
Associate Chief Physician Du looked at his expression and said softly, "Your liver was trembling just now, right?"
"Ha … No … Hmm, a little." Huo Congjun sighed.
Associate Chief Physician Du also said with lingering fear, "We've all seen Ling Ran perform six to seven finger replantation surgeries in a day, and you still dare to give him unlimited hospital beds? No one in our department has ever received unlimited hospital beds … "
"Didn't you hear what Ling Ran said just now?" Huo Congjun asked in return.
Associate Chief Physician Du asked in puzzlement, "What did he say?"
Huo Congjun sighed. "He kept saying 'our' and 'our'. What does this mean?"
"It means that Ling Ran knows how to use grammar?"
"It means that Ling Ran considers our department as his home, and he's proud of our department." After Huo Congjun corrected Associate Chief Physician Du's words, he said, "You mentioned unlimited hospital beds. We're the Emergency Department. Did you need unlimited hospital beds in the past? Did I need unlimited hospital beds? "
Associate Chief Physician Du fell silent.
One of the benefits of the Emergency Department was that they could transfer patients to other departments.
Of course, the other departments had to be willing to take them in.
Under normal circumstances, the patients who were resuscitated by Huo Congjun and the others would be classified into a certain department, and they could be taken away by themselves. Only a small number of patients, such as patients with undiagnosed diarrhea and abdominal pain, or patients with headaches and vomiting, would be kept in the observation room of the Emergency Department for further observation.
However, once Ling Ran started working in the Hand Surgery Department, it was impossible for the Hand Surgery Department to take in Ling Ran's patients, unless Huo Congjun transferred all the fees to the Hand Surgery Department.
In other words, large Emergency Departments must have their own hospital beds, and they could only have more, not less.
Associate Chief Physician Du could not help but sigh again. "If Ling Ran continues to work fiercely, we won't be able to hold on no matter how many hospital beds we have."
"We'll talk about it when we can't hold on any longer. We'll cross that bridge when we come to it." Huo Congjun noticed that the other doctors around him were also paying attention to what he said, so he emphasized his tone and said, "No hospital is afraid of having too many patients. A finger replantation patient would cost more than twenty thousand RMB, including medical insurance. What do you think I'm going to argue about when I go to the hospital administration meeting? "
Associate Chief Physician Du immediately lowered his head.
If the department wanted to be strong-willed, it could not just rely on scolding. Even a scolding could only work if there were bullets. In the past, the Emergency Department of Yun Hua Hospital relied on the reputation of the Burn Surgery Department and the glory of Yun Hua Hospital. In addition, Huo Congjun used his influence and scolding to cut the hospital shares from the first-aid center. This year, there were more finger replantation and M-Tang technique projects. Even doctors who were associate chief physicians could feel that their lives were better. It was obviously inappropriate to continue talking at this time.
When he thought about it again, did the hospital not think of ways to recruit experienced doctors so that they could perform more surgeries, occupy more hospital shares, and increase their influence?
Ordinary attending physicians would complain about being tired after performing twenty to thirty surgeries a month on average. Ling Ran could perform thirty to forty large-scale microsurgeries in a week. With such efficiency, if he only asked for hospital beds, the hospital could only give him unlimited hospital beds.
Otherwise, if there were no hospital beds, it would not be because they could not keep people in the hospital, but because they were deliberately chasing people away.
Forget about the conflict in the office, when Lu Wenbin followed Ling Ran to the treatment room, he found that Ling Ran's goal was still debridement and suturing. He also felt helpless.
"Doctor Ling, we're still snatching the interns' food. It won't look good if word of this gets out." Lu Wenbin looked at the hostile gazes around him, and he really felt like his face was burning. He was already a resident doctor. By next year, he would no longer be the most junior resident doctor. This meant that he had already been in the hospital for four to five years. He was also a resident doctor who had performed M-Tang surgery, finger replantation surgery, and Achilles tendon repair surgery. He was a rising star who was respected by the newcomers.
When Lu Wenbin stood in front of the interns and housemen again, and in front of his fellow resident doctors who were also young but had never pooped in the operating theater, he had a very strong psychological advantage.
This was especially so after he went to Shanghai, received the influence of the academician, witnessed the first-class orthopedic skills in China, and participated in the surgery of a sports star. Lu Wenbin really felt that he could not bring himself to fight for debridement and suturing in the treatment room, as well as the work of young doctors.
Ling Ran only glanced at Lu Wenbin strangely. "I'm also an intern."
"You …" Lu Wenbin looked at Ling Ran's handsome face and was speechless.
"We'll sit in the second block. Please find someone with a bigger wound." Ling Ran greeted the nurse on duty in the treatment room, sat in a small cubicle that was temporarily free, and drew the curtain.
Lu Wenbin went in hesitantly.
He was a resident doctor, and he had to sign his name for the debridement and suturing today.
Lu Wenbin felt deeply ashamed about this.
After a while, a patient with a thigh injury was pushed into the cubicle in a wheelchair.
"What's his name? How old is he? "Lu Wenbin habitually picked up a pen and paper and began to write the medical record.
Ling Ran asked Lu Wenbin to ask questions, and at the same time, he asked his family members to help him put the patient on the treatment bed. Then, Ling Ran looked at the patient's wound and thought silently.
"Call a nurse over," Ling Ran said again when he saw that Lu Wenbin had finished writing the medical record.
Lu Wenbin looked at Ling Ran, puzzled, and went out to call someone.
Normal debridement and suturing could be done by a doctor and a nurse, or it could be done by a lone doctor who was forced to do it alone. There were two doctors present at the moment, and Lu Wenbin did not understand the purpose of calling a nurse.
However, calling a nurse for Ling Ran was easy, and Lu Wenbin did not have to go through any trouble.
After a while, two nurses came together.
Lu Wenbin mumbled in his heart that words that were difficult to understand were not evenly distributed, and he gave up his seat.
"The area of the wound is relatively large, and there is a small amount of skin defect. I'm going to do a subcutaneous hidden reinforcing suture, and the scar will be smaller after the healing. I want to use a size 0 absorbable suture from Johnson & Johnson, is that okay?" Ling Ran explained to the patient and his family members according to the Emergency Department's handbook, and he asked questions at the same time.
The patient and his family members looked at each other, asked about the price, and reluctantly agreed.
The two nurses took the suture with strange expressions on their faces, put it on, and passed it to Ling Ran. Ling Ran, who had just finished debridement and suturing the deep wound, inserted the needle into the skin on the side of the incision …
Lu Wenbin was very surprised, and he could not help but say, "Doctor Ling, the wound is six inches long, are you going to use a subcutaneous suture?"
The patient was injured on the leg, and although it looked good to use a subcutaneous suture, the strength of a subcutaneous suture was lower than other suture methods. If he sutured a six inches long wound, the leg might break in a few days, and it would not look good then.
Ling Ran could guess what Lu Wenbin was thinking, and he said, "Heavy reinforcing suture."
Heavy reinforcing suture was to reduce the tension, and tension was the cause of the skin rupture.
As he spoke, Ling Ran's suture had already penetrated the dermis. After four consecutive stitches, he tied a knot outside the skin where the first needle entered the skin, and then he did it again. After three consecutive stitches, he threw away the size 0 thread and said to the nurse, "Regular 5-0 thread."
Lu Wenbin suddenly realized that the heavy reinforcing suture had been completed. In other words, Ling Ran had used twelve stitches just now to pull up the ruptured skin.
"Has the skin tension been distributed to the dermis and subcutaneous fascia?" Lu Wenbin asked in a questioning tone.
"Yes. Although it's an eight inches long wound, after we deal with the tension, we can perform a tension-free suture," Ling Ran explained and continued to work.
The two young nurses did not really understand, and they praised in unison, "Doctor Ling, you're amazing!"
Lu Wenbin felt a little better. Although it was only debridement and suturing, it did not seem that shameful to perform such a high-end debridement and suture.
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