Yu Yuan sat on a round stool. Her legs were placed together, and she swung them in the air. Her hands were on her knees, her upper body was straight, and her neck was high. She looked like a small or medium-sized cat crouching on a chair.
The collars of her clothes were spotted.
Ling Ran looked at Yu Yuan, the patient, and the light bulb on the tray in surprise.
The light bulb was indeed very big, which was surprising.
Similarly, the doctor and the patient were very surprised.
"It's been taken out. The damage to the intestinal wall is controllable. After the anesthesia is over, the patient can go home after one night of observation." Yu Yuan made a victory sign. Her knuckles were slightly long and thin, and her entire hand was small.
"It's good that it's taken out." Ling Ran was also relieved. Even though it was just a small light bulb, if it could not be taken out, it might turn into a major surgery, because the foreign object had to be taken out. If it could not be taken out from below, it could only be taken out from the intestine through laparotomy. But the recovery of intestinal damage was extremely slow, and it was very expensive.
If it were in a European or American hospital, emergency doctors might take it out through laparotomy for safety reasons. They did not care about how many days after the surgery, they would have to rely on nutrient fluids that cost thousands of RMB a day to live. They would not even consider the increase in insurance premiums or how much the patient had to pay for his own expenses.
"Don't you want to know how to take it out?" Yu Yuan suddenly had a need to talk.
Ling Ran was a little curious. "How?"
"First of all, the most important step is general anesthesia. This is something that many doctors do not notice. I even went online to check the medical records of some doctors. Many doctors choose to take out the foreign object after local anesthesia, but they failed after trying for many hours. Local anesthesia is too limited. It's fine if it's a small thing like a radish or a loach, but when it's as big as the diameter of a light bulb, general anesthesia is needed. This is the highest success rate … "
Yu Yuan then described the process of taking out the foreign object. In fact, the main difficulty of the problem was that the foreign object was slippery. When the forceps could not hold it, extraordinary measures had to be taken.
In short, there were two steps: grab it and drag it out.
However, if it was easy to grab and drag it out, the patient could solve the problem at home. They were all experienced people, and they did not need to come to the hospital to suffer, spend money, and be surrounded by people.
In a situation where the foreign object was not easy to catch and drag, it was not easy to solve this problem.
In the end, Yu Yuan relied on her small and nimble hands to complete the process of removing the foreign object. But when she talked about the process, Yu Yuan was still very proud. "It's not just about having small hands. There are also some small details that you need to pay attention to …"
Ling Ran did not want to listen to her anymore. He said with certainty, "In short, you should be at Specialist Level when it comes to retrieving foreign objects …"
"Rectal foreign body removal," Yu Yuan corrected.
Ling Ran said, "Huh?"
Su Jiafu, who was at the side, was also stunned. "This job actually has a name?"
Yu Yuan glared at him. "Of course. This is an important skill of the Emergency Department! "
"Alright, Specialist Level in the Removal of Rectal Foreign Body." Ling Ran nodded and thought, 'Zuo Cidian did not lose in vain.
Dong dong.
Someone knocked on the door of the debridement room twice.
"Please come in." Yu Yuan looked around and stood beside the tray with the light bulb. Then, she raised her head a little.
The person who opened the door was He Yuanzheng.
"Oh, so many people." When He Yuanzheng saw the room full of people, he could not help but laugh. "Did you perform a debridement surgery? I'm here to send — "
"Rectal foreign body removal!" Yu Yuan immediately corrected He Yuanzheng.
Su Jiafu was annoyed and depressed when he heard that. "Don't always say that word."
"That word?"
"Rectal foreign body removal."
"You're the one who said it this time." Yu Yuan looked victorious and put up a victory sign.
Su Jiafu looked at her small hands and thought, 'You have small hands, but you're also narrow-minded. You even sat on my stool. If anesthetists don't seize all the time to rest, it's very easy for them to die suddenly …'
Su Jiafu shook his head and said, "You just took out a light bulb."
Yu Yuan chuckled and nodded. "Two fist-sized light bulbs."
He Yuanzheng was a little confused when he heard that. He lowered his head and looked at his fists. 'Two fist-sized light bulbs? Rectum? '
Su Jiafu sighed. "It's Yu Yuan's fist."
"My hands are small." Yu Yuan was proud. "I took out the light bulbs with my hands."
He Yuanzheng breathed a sigh of relief. He looked at Yu Yuan's hands again and felt relieved. Then, he looked at the light bulbs on the tray and frowned slightly. He said, "That's amazing. “
Yu Yuan was waiting for such an evaluation. She had been a doctor for so many years, but she had never received any praise for her surgeries. In her excitement, Yu Yuan immediately said happily, "Department Director He, in the future, if you have … um … friends who need me, just call me …"
After she said that, Yu Yuan knew that she said something wrong. She took the tray and slipped away.
He Yuanzheng moved a little and put on a smile again. "Doctor Ling, I heard that you're interested in the patient with clonorchiasis and hepatolithiasis."
"Yes." Ling Ran did not say much, and he did not explain.
He Yuanzheng smiled. "I rushed over to take a look when I received the news. Um, Doctor Ling, this case is actually quite special."
"Oh?"
"First of all, the patient's liver reserve is not good. The indicators of bilirubin, albumin, and PTA are all relatively low. The Child-Pugh score can barely reach B … In addition to liver cirrhosis, clonorchiasis, and other problems …" He Yuanzheng said for a while and said, "We're currently considering whether to operate on this patient."
A Child-Pugh score was preferred by doctors. When a patient's score was B, they usually had to consider many aspects. If their skills were not very good, they would basically give up.
Ling Ran did not look worried. He said, "Send him to the Emergency Department."
"Um …" He Yuanzheng hesitated and said, "The Child-Pugh score is very subjective. If we make it more strict, this patient's score will only be Level C."
"We'll see how it goes." Ling Ran was very calm right now. Perfect Level Tissue Separation could be said to be very helpful for hepatectomy. Correspondingly, the liver function could still be adjusted. Ling Ran did not hear many problems from Zhang Anmin, so he was not in a hurry to make a decision.
He Yuanzheng smiled and said, "I'm worried that you'll say that I'm shirking my duty. Alright, I'll tell the patient …"
When he saw that Ling Ran still insisted, he did not say much. He Yuanzheng felt that he had said what he needed to say. If the surgery could not be performed, it would not be his problem.
Ling Ran nodded. After He Yuanzheng left, he opened the Intermediate Treasure Chest he had just obtained.
A thick golden light shone, and a blue test tube appeared in the air.
[Skill Serum: + 1 to all skills for two hours.]
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