"Go and call Yu Yuan over." Ling Ran ordered and said, "Tell the Pediatrics Department to prepare an air infusion machine. If there are any doctors who are free, send one over to take a look. Intussusception, about four hours."
Intussusception was a standard emergency case, and it would develop so fast that it would die in less than 24 hours. However, four hours was the most basic condition. The child was only crying, and there was enough time to deal with it.
Of course, with the busy schedule of pediatricians, it was very likely that they would take a long time to come over for such non-emergency cases. Instead of waiting, it was better for the Emergency Department to do it themselves.
In this regard, Huo Congjun and Ling Ran shared the same thoughts. If the Emergency Department could handle the symptoms, why must they look for a specialist consultation room? The specialist consultation room was very busy, and they would sometimes shirk their duties. Sometimes, they would think that the symptoms of the patients transferred by the Emergency Department were light, and they were too lazy to accept them, so the Emergency Department had to beg them to do things.
And the reason why the Emergency Department could not handle minor cases on its own was because of the hospital's policies.
As long as the hospital policy was passed, the Emergency Department could expand at will, hire more doctors, and handle minor cases independently.
The Emergency Department in China was different from foreign hospitals. Because foreign hospitals had to bear the burden of unattended patients, the Emergency Department could not make ends meet. Many hospitals were forced or voluntary to cancel the Emergency Department.
The long wait in the Emergency Department in European and American movies was also because of this.
However, the Emergency Department in China did not have this kind of trouble. Of course, there were patients and their families who refused to pay their bills. There were also many patients who could not afford the medical fees or refused to leave for various reasons. But in general, the Emergency Department in a hospital could at least bear its own profits and losses.
If they could bear their own profits and losses, they could naturally expand as much as they wanted, except for the restrictions of the hospital policy …
Ling Ran wanted an Emergency Pediatrics Department now.
He could even save the trouble of borrowing an air infusion machine.
The intern was a little confused about the situation. He asked in a low voice, "Don't we wait for the ultrasound report to come back?"
It was not his first day working, and he knew some of the complicated situations of inter-department consultations. The most obvious part was not to waste other people's resources.
If the patient really had intussusception, there was no doubt that the Pediatrics Department would find a way to prepare a machine.
Compared to the patients in the Emergency Department who needed an IV drip to treat colds and medicine to treat constipation, the young patients in Ling Ran's clinic obviously needed more medical resources.
However, if the other party had already prepared the machine, and you said that you made a mistake, it would not just be a joke. The Pediatrics Department would also blame the emergency doctor.
Ling Ran quickly answered, "There's no need. Hurry up and make the arrangements."
The intern had no intention of struggling and quickly ran to make a phone call.
Once everything was settled, the medical intern put down the phone, sighed, smiled, and said, "Doctor Ling is quite efficient."
"That's why I'm Doctor Ling." When the young lady at the nurses' station heard him mention Ling Ran, she immediately diverted some of her attention to the intern, whose forehead was full of sweat.
The intern also nodded in agreement and revealed an expression full of imagination.
From the corner of her eyes, the nurse at the nurse's station knew what the intern was thinking. The number of interns she had seen was more than the number of patients the interns had seen, and most of the interns were basically the same.
"Doctor Ling said that we don't have to wait for the ultrasound to confirm the diagnosis, right?" The young nurse decided to be a kind-hearted person.
The intern hummed in acknowledgment and said, "In this way, we can directly deal with the patient when he comes back …"
"Doctor Ling said that we don't have to wait. Do you know why?" the young nurse asked again in a low voice.
The intern understood the underlying meaning and shook his head in confusion.
"Doctor Ling is the person in charge of the treatment group. Moreover, he's a good person and has good skills. Everyone likes him. " The young nurse smiled. "You can write the list yourself. If you don't wait for the diagnosis, you have to be careful."
The intern immediately understood. Different people had different fates. He would naturally know this after experiencing more.
"I don't know when I can write the list without waiting for the diagnosis." The intern laughed self-deprecatingly.
The young nurse casually cut him off. "When you stop asking this question, you'll probably know how many more years you'll have to work hard."
Yu Yuan and the patient came to the treatment room at the same time.
Ling Ran got the ultrasound scan and carefully looked at it for a while before he handed it to Yu Yuan and said, "There are concentric circles in the scan, but the degree is not very deep. Go and perform air enema."
In Ling Ran's treatment group, only Yu Yuan had used an air enema machine before. Naturally, she was given the task. Ling Ran himself had to observe by the side first.
Yu Yuan directly looked at the ultrasound scan on her tablet. She also confirmed it before she nodded and asked, "Where's the patient's family member?"
"Here, here." The child's father, who was right in front of her, quickly answered. His face was full of anxiety and guilt.
He had played with his own child. The worry and self-blame made his palms sweat non-stop. After wiping his hands, his pants were sweaty.
"Are you the only family member? Is there anyone else in the family? "
"The child's mother will be here soon." The father was even more worried.
Yu Yuan hummed and said, "The air enema machine needs to be used under X-rays. We're going to the Radiology Department now. When the family member arrives, he can come over directly."
When he heard about X-rays, the child's father could not help but feel uncomfortable. He whispered, "That X-ray has radiation. Do we have to use it?"
"There are two solutions for intussusception. One is air enema, and the other is surgery. If it takes too long, surgery is the only option. "Yu Yuan had been a chief resident for a long time, and her tone had started to become fierce.
When a small animal became fierce, it was even more terrifying. At this moment, the child started to cry again, and the father immediately became flustered.
"Let's go. The machine should be ready." Ling Ran raised his chin and took the lead to go to the Radiology Department.
After a while, the child's mother also rushed over.
Yu Yuan, who had already obtained the informed consent form, looked at the child's mother's frightened, sad, and fearful expression, and said, "Intussusception is a serious disease that can lead to death within twenty-four hours. Fortunately, you sent him here in time, and it has not developed to the extent that surgery is needed. I suggest that we start the treatment immediately, so that we won't miss the best treatment time."
The child's mother was so shocked that she trembled. She did not care about hitting her husband again and asked, "What do we do now?"
"Hold the child down, I'll do it." Yu Yuan paused for a moment and said, "Children are not suitable for anesthesia. You must hold him steady."
After a while, the three-year-old child was placed on the operating table.
Yu Yuan picked up a rubber tube and stuffed the end of it into the child's anus. The child started crying, and the parents could only try their best to hold the child down.
"Done." Yu Yuan completed the enema in the shortest time possible. She then pulled the rubber tube, and feces sprayed all over her face.
Ling Ran nodded in relief. He heard that it was like this. Now, it seemed that it was still necessary to observe in advance.
"He can't eat for eight hours after the surgery …" Yu Yuan calmly gave medical advice as she cleaned up the mess.
The child's mother apologized profusely and went forward to help.
"Doctor Ling, thank you." The child's father held the child in his arms, and he felt a lingering fear. "If you didn't find out, we would be in trouble."
During the time he waited, he had already survived the intussusception, and he was deeply afraid.
"It's good that you're fine." Ling Ran nodded. He looked at the child's calm expression, and his mood was quite good.
If there was an advantage of being a pediatrician, it was that pediatric patients had a high chance of complete recovery. This was something that could not always be seen in the Oncology Department, various thoracic surgeries, and general surgeries.
"Ling Ran." Doctor Zhou put his hands in his pockets and walked over leisurely from outside.
"Doctor Zhou?"
"Oh, I just happened to run into you. Let me tell you, I received a call about a car accident. It seems that the patient's liver was injured. Do you want to come over and take a look?" Doctor Zhou straightened his back, and he really looked like he was just passing by.
Ling Ran raised his head and looked at the door card of the Radiology Department. He said naturally, "Sure, I happen to want to perform hepatectomy."
"I know, I guess you want to do it." Doctor Zhou immediately pulled Ling Ran away with a smile on his face.
Both of them were still chatting as they walked.
"A patient from the Pediatric Emergency Department?"
"Yes."
"What did you cut?"
"I didn't cut anything."
"You didn't cut anything, and you surrounded a bunch of people?"
"Intussusception."
"Don't we have to cut out the intestines for intussusception? What happened? Was it snatched by the General Surgery Department? "
"If we found it in the early stage, we'll just need air enema for seven minutes."
"It's a little boring."
Behind them, the young patient's mother hugged her son tightly. She trembled and was terrified. She said in a low voice, "Doctors are so scary."
"A little." Her husband also felt a chill down his spine.
When the young patient's mother heard her husband's voice, she relaxed a little, but old hatred welled up in her heart. She grabbed the back of her husband's waist and said fiercely, "If you dare to mention anything about my son again, I'll cut off your manhood, dig out your eyes, pull out your tongue, and dig out your intestines. I'll tie your tongue and intestines together to make a slingshot, and I'll shoot out your manhood, eyeballs, heart, liver, spleen, lungs, and stomach one by one, understand?"
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