The emergency department was a little messy at night.
Discarded clothes and trash could be seen on the floor. The position of the infusion rack, the bench, and even the hospital bed had become random. A rag soaked in disinfectant could be seen at the trash can in the corner, and it was covered with what looked like vomit.
Ling Ran walked quickly to the treatment room and saw that the patient had been pushed into a curtained cubicle. From the outside, he could see his upper body lying on his back, and his eyes were staring blankly at the ceiling.
"Doctor Ling, come in." Nurse Liu let Ling Ran in and pulled the curtains up.
The patient heard the movement, but he still did not move.
"Concussion?" Ling Ran chose a better guess. If it was any more serious, it did not matter whether the scrotum was sutured or not.
"It was a scare." Zheng Pei, a senior resident doctor who was squatting at the end of the bed and looking at the wound, raised his head.
"Oh." Ling Ran glanced at the messy condition of the patient's crotch, and he understood the patient a little.
Zheng Pei wore glasses and had a short beard on his chin. The length of his hair was about the same as his beard. After this year, he would become a chief resident. If he survived, he would be promoted to an attending physician. He was also the most experienced among the first-string doctors on duty today. He had been a resident for three years and a housemanship for three years. He had sutured thousands of times.
Zheng Pei knew that Nurse Liu had sent someone to call Ling Ran. At this moment, he asked with the intention of testing him, "What information can you get from your current observation?"
When senior doctors were in a good mood, they would test junior doctors. When senior doctors were in a bad mood, they would also test junior doctors. Regardless of whether they were interns or resident doctors, they could be embarrassed at any time.
Of course, this was the kind of life medical students lived in school. Ling Ran was not surprised. He looked at the wound under sufficient light and pondered.
He had only obtained Specialist Level Interrupted Vertical Mattress Suture, which was suitable for suturing stomachs and scrotum. But in terms of observation, diagnosis, and other aspects, he still needed to rely on himself.
Fortunately, Ling Ran had learned this knowledge independently a long time ago. He carefully looked at the patient's bloody wound and answered, "The right side of the scrotum is torn, and the testicles are exposed. There are obvious dust and fine gravel on the surface of the scrotum and in the soft tissues. The wound has reached the sheath, but the sheath should be intact."
With every sentence he said, the patient on the bed trembled.
It was not easy to be a patient who could take it in stride.
Zheng Pei glanced at Ling Ran in slight surprise. He hummed in acknowledgment and said, "You're very observant. You learned a lot. "
Ling Ran smiled.
Zheng Pei waited for a few seconds, but she didn't say anything modest. She slapped her forehead and smiled at Nurse Liu. "Look at who I'm talking to."
Following that, Zheng Pei stepped aside and said, "Come and examine it. Explain your deductions one by one."
Ling Ran put on gloves and fiddled with the wound. The patient's eyes became even more intense.
"I don't see any associated injuries. The non-linear wound has a certain degree of contamination. Was it on the road? It doesn't look like it … "Ling Ran had specially memorized it from books, but when it came to actual practice, it was very difficult for him to make an accurate analysis.
Zheng Pei chuckled and said, "I asked around when I was outside. He got hurt while skateboarding in the park. Isn't there such a move on skateboarding? Jump onto the metal handrail and slide down. Guess what happened?"
"He went up, but the skateboard didn't." Ling Ran felt like he had found the answer to a riddle.
Zheng Pei snapped his fingers and said with a smile, "You guessed it right. He rode on the metal handrail, but they didn't find a round handrail, so …"
"So, we have to consider the possibility of tetanus and give him a tetanus antitoxin." Ling Ran finished Zheng Pei's sentence.
Zheng Pei was speechless. They were just having a good chat, but why was he suddenly dragged back to the topic?
"The bleeding is not serious. As for the spermatic cord …" Ling Ran recalled the content of the anatomy class, but he asked hesitantly, "What should a normal spermatic cord look like?"
If he were given a complete male sac, he could cut it with a knife and extract the spermatic cord. He would still be able to distinguish between a normal and a pervert. However, the current situation was a little special. Ling Ran did not dare to make a firm conclusion about an anatomical structure that he was not very familiar with.
Zheng Pei did not examine the patient to this extent. When he heard what Yang Rui said, he began to observe carefully. At the same time, he muttered to himself, "If it's not normal, we should first consider spermatic cord torsion …"
"You're still talking about My Fair Princess?" The patient finally could not stand it anymore. He asked in a hoarse voice.
Zheng Pei was confused. "What do you mean by My Fair Princess?"
"You just said … Jin Suo. You mean the Jin Suo from My Fair Princess, right?" The patient's cheeks twitched a few times. He looked at the ceiling indignantly and said, "I'm so seriously injured, and the doctor is still talking about TV dramas. Who the hell sent me to this hospital? I …"
Zheng Pei was angry and amused at the same time. "What do you mean by My Fair Princess? What era is My Fair Princess from? Do you know why other people are not easily injured in skateboarding accidents, but you are easily injured? It's because you're too old … "
Nurse Liu quickly said, "Doctor Zheng, what medicine should we use now?"
For doctors and nurses, quarreling with patients was not worth it, and it was easy for accidents to happen.
Zheng Pei shook his head and said, "Ling Ran, explain the spermatic cord to the patient first."
"The spermatic cord is a structure that holds the spermatic cord in place and delivers nutrients. It includes arteries, veins, vas deferens, lymphatic vessels, nerves …" Ling Ran answered as if he was reciting from a book. He then said to the patient, "We're checking whether your spermatic cord is normal. If there's a problem here, such as a spermatic cord torsion, we'll have to perform surgery to recover. We might also have to remove the testicles, and there's no need to suture it."
When he said the last sentence, Ling Ran looked a little regretful.
The patient did not say a word. He stared at the ceiling with lifeless eyes and trembled all over.
"There's a slight drop in the testicles." Zheng Pei paused for a moment and said, "There's no torsion. The position itself is relatively rare."
Ling Ran followed the direction of his finger and nodded in confirmation.
"Debridement and suture. Be careful not to overseparate the wound when you debridement." Zheng Pei confirmed that there were no other problems, so he did not plan to do it himself. He took off his gloves and gestured for Ling Ran to do it.
Ling Ran originally wanted to suture. At this time, he did not hesitate to sit in the center seat and did the unfamiliar yet familiar work.
The Specialist Level Interrupted Vertical Mattress Suture Technique was finally put to use.
A few minutes later, the eggs were still in the nest.
Ling Ran left the small cubicle in satisfaction. He felt that his shift today was not in vain.
Lu Wenbin also saw Ling Ran at a glance. He quickly walked over and said, "Doctor Ling, the edema of the patient in Bed 5 has subsided."
"Did you go for a ward round just now?" Ling Ran looked at his watch. It was already midnight.
Lu Wenbin was in high spirits and said, "I wanted to take a look while I was at it. I didn't expect the edema to disappear so quickly."
At the same time, a system notification also appeared in front of Ling Ran.
[Mission Completed: Treat the Patient]
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