"Awoo ~ Awoo ~"
When the siren of the ambulance was heard, Juan Zi first pushed the wheelchair to the door and prepared to receive the patient.
This was the third cart of patients sent by Lu Jinling, and the patients in the previous cart were still receiving fluid transfusions.
Ling Ran also stretched and prepared to receive the ambulance.
He was not unhappy about suturing on his days off. When he was in school, he could do boring knots thousands of times as training. Now, he could do boring debridement and suture thousands of times.
Medicine had always been a skill of "selling oil". Theory was important, but the value of experience could not be ignored.
For Ling Ran, playing games was a form of relaxation, and debridement and suturing could also be considered relaxation. The enjoyment of the two depended on whether the game started smoothly or the suturing was more interesting.
"Stab wound on the buttocks, the wound is deeper …"
"Back injury, not too serious. Lie down here for debridement."
"Foot injury is contaminated. Doctor Xiong, you do the debridement."
Ling Ran did not start with one patient. Instead, like in the Emergency Department, he looked at the patients one by one and secretly categorized them.
This was also a new thing he learned after he started his internship.
Even in Yun Hua Hospital's Emergency Department, the number of patients they received was also in a pulsating manner. It was common for an ambulance to send four to five patients in one go, and there were not that many doctors who were free. The order of treatment naturally could not be based on first come, first served. It was necessary to prioritize.
After two rounds of cooperation, Doctor Xiong and Juan Zi slowly became familiar with Ling Ran's rhythm. When they worked together, Ling Ran felt more comfortable than when he was in Yun Hua Hospital.
No matter how good the doctors in Yun Hua Hospital's Emergency Department were, it was impossible for them to be his assistants. At most, they would help him a little. Instead, Doctor Xiong and Juan Zi worked together seriously, and the effect was better.
When suturing, Ling Ran only needed to thread the needle. Doctor Xiong could do the work of leading the thread and tying the knots. It was not just a little easier.
In the hospital, ordinary Level 2 surgeries only had this kind of configuration.
"Alright, these three are done. How are you going to suture the last one?" Doctor Xiong finished bandaging the last patient and said to Ling Ran worriedly, "Girls like to look pretty, and the injury is on the shoulder. If it's not easy to suture, send her to the hospital."
After he finished speaking, Doctor Xiong asked half-curiously, "Young Lu, where did you get this patient from? She's a woman, and she's fighting?"
"Drunk at KTV." Lu Jinling had been watching from the front. No one knew whether she was looking at the patient or Ling Ran, but her answer was short.
Doctor Xiong came to a sudden realization, but in the next instant, he shook his head in confusion. "What time is it? They're already drinking in a karaoke bar."
"KTV nowadays is cheap in the afternoon. Many people go to eat skewers at night after they've had their fill," Lu Jinling revealed.
The patient was a girl whose age could not be determined. She wore heavy makeup, and her previous drunkenness had gradually disappeared. At this time, she looked at her wound and asked, "Can you stitch it up? How much longer? "
"Ten minutes." Then, he said to Juan Zi, "Give me a 5-0 thread. Do you have catgut?" "Yes," Juan Zi said, "Give me the 5-0 thread. Do you have catgut?"
"Wait a minute." Doctor Xiong quickly interrupted Ling Ran and said, "It's expensive to suture it with cosmetic thread."
"What else?" Ling Ran's judgment was very simple. If he wanted to make the wound look beautiful and have fewer scars, he would have to use thin threads and absorbable sutures.
Doctor Xiong had been in the clinic for a long time, so he had more considerations. He pulled Ling Ran a few meters away from him and asked, "Have you thought about it? Can you suture it?"
"Yes," Ling Ran answered firmly.
He was a Master Level Suturing Surgeon. If he could not even handle such a small wound, it would be too embarrassing.
Doctor Xiong nodded as if he believed Ling Ran and said, "The scar left by the cosmetic thread is shallow. If you suture it well, our small clinic can really make some money. But isn't it too thin to use a 5-0 thread? Should we use a 0-0 thread? "
The diameter of a 5-0 thread was 0.1mm, which was the thickness of two or three strands of hair. A 0-0 thread was 4-0, which was one and a half times thicker, and it was less likely to loosen or split.
From Doctor Xiong's point of view, it was easier for Ling Ran to control a thicker thread. He could not change the thread halfway through the suture. That would be self-defeating.
Ling Ran calmly said, "Both are fine, but the effect of a 5-0 thread is better."
For him, any kind of thread could ensure a smaller scar. Since the patient's behavior was unknown, it was fine to use a slightly thicker thread to ensure the effect of the suture.
Of course, the thicker thread here was relative. The 0-0 thread was the thinnest thread commonly seen in the emergency room. Most doctors would not choose it because it was too troublesome.
Doctor Xiong looked at Ling Ran and was a little uncertain. A few seconds later, he shouted, "Old Ling."
Ling Jiezhou was drinking tea with his wife on the second floor. When he heard the sound, he put down his teacup and ran down. He asked, "Is it time to collect the money?"
"Almost. Young Ran is going to use a cosmetic thread to suture the patient. Talk to the patient. They usually charge by centimeters," Doctor Xiong said.
"I know. Absorbable thread, right? Some private hospitals are really unscrupulous." Ling Jiezhou entered the treatment room as he spoke and greeted the patient warmly.
After a while, Ling Jiezhou came out and said, "Alright, a wound of more than four centimeters is four centimeters. We'll give you a fifty percent discount. Son, suture well. You didn't study in vain. "
The patient in the treatment room was now completely awake. When she saw Ling Ran, she became even more nervous and asked, "You know how to suture cosmetic stitches, right? My shoulders are always exposed. I can't leave a scar. "
Juan Zi's left leg weighed twenty-five pounds, and her right leg weighed twenty-five pounds. She brought a 4-0 and 5-0 catgut thread over.
Ling Ran placed it in front of the patient and said, "These two kinds of thread won't leave a scar easily. The 5-0 is thinner, and there will be fewer scars. But you need to pay more attention to the movement of the wound …"
"I'll use the thinner one." The patient made her choice before Ling Ran finished speaking.
Doctor Xiong pursed his lips and said, "They're all very thin."
"I want a thinner one." The patient was very insistent at this moment.
Ling Ran did not like to talk after he gave the instructions before suturing. He waved his hand to let the patient leave and tore open the bag of sutures.
The thread below 0-0 was basically made with a needle head. Its characteristic was that the end of the needle did not have a needle nose. The thread was pressed directly into the end of the needle during production to reduce the damage to the skin during suture.
When it came to packaging, a normal suture could be packed in a bag of five or ten needles. Those with a needle head would be packed in a single bag. Its advanced attributes could be seen at a glance.
However, doctors did not necessarily like thinner sutures. If suturing was seen as an exam, using a 7-0 thread was equivalent to marking the passing mark at 30 points, and one could easily meet the requirements. A 0-0 thread was equivalent to marking the passing mark at 60 points, and one had to be a little more serious. A 5-0 thread was equivalent to marking the passing mark at 80 points. Some doctors needed to be fully focused to achieve that, while some doctors might not be able to do it even if they tried their best.
Of course, there were always people who could score a hundred marks in any exam paper.
For example, Ling Ran, who had mastered Master Level Simple Appositional Suture, could easily suture a 10-0 thread, much less a 5-0 or a 6-0 thread.
"Alright, you can open your eyes now. Don't let the wound get wet, and try not to move as much as possible …" Ling Ran habitually mentioned the things to take note of, and it felt no different from suturing other people.
Doctor Xiong, who was working as an assistant by the side, saw everything clearly. He only felt that Ling Ran's movements were extremely relaxed, and he was not affected by the thickness of the thread at all. He was shocked, but he forced himself not to show it.
The patient, on the other hand, was not used to it. He said nervously and uneasily, "We've agreed just now. If there's a scar, not only will you give me a refund, but you'll also have to compensate me. If … there's no scar, I'll introduce my sister to your clinic if there's another injury. "
Ling Jiezhou agreed immediately. He did not know any medical skills, but he knew many doctors, and in his opinion, Ling Ran's skills were not any worse than those high-priced doctors.
When he thought of this, Ling Jiezhou thought again. Based on the flow of patients, the clinic could hire another part-time doctor. When Ling Ran went to work at Yun Hua Hospital, the clinic could still operate as usual.
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