Chapter 396: Stopping the Bleeding (Three Watches)
The patient is sent to the emergency department, and then other departments are notified to come for consultation, and finally whether the patient stays in the emergency department for treatment or goes to a specialized department for treatment, it is a process to go through a process.
Now there are performance evaluations in each department of each hospital, and whether the patient is transferred to the outpatient department or the emergency department is transferred, these are all to be recorded.
The acupuncture and massage department is a resident doctor about 27 or 8 years old, who looks average, not tall, about 1.65 meters.
"Doctor Fang, I am Liu Haiquan from the Department of Acupuncture and Tuina. The resident doctor reached out very politely.
Fang Han stretched out his hand and simply shook it to the other party, and asked straight to the point: "Mr. Ye has already told you about the situation, right?"
"Well, I've already said it, I probably already know the situation, Doctor Fang, do you have anything else you need to explain?"
The doctor of Niu Break is not just Niu Break in his own department, he is the existence of Niu Break wherever he goes, and this resident doctor from the acupuncture and massage department really does not have the capital to be presumptuous in front of Fang Han.
As the bridgehead of the hospital, it is common for the emergency department to notify the major departments to consult, and if the emergency department has a consultation order, other departments will send people over anyway.
When I got to the emergency department, the doctors in the emergency department really had to make it difficult, and there were ways to do it.
In particular, if the doctor wants to make things difficult, there are more ways.
For example, if Fang Han wants to make it difficult for the resident doctor of the acupuncture and massage department, throw out a few questions, and if the resident doctor Liu can't answer or has no countermeasures, Fang Han can have a "debate" from a theoretical point of view.
Not only the acupuncture and massage department, but also other departments.
The reason why the bigwigs are bigwigs is precisely because the bigwigs can stand on the commanding heights of theory and criticize all the doctors below.
Don't say that you are a resident doctor, even if you are the chief physician, the level is not as high as that of others, you still have to be cowardly when you should be cowardly.
It is still a trivial matter to be debated in your own department or in your own hospital, and the most feared thing is that at some kind of medical summit, or the paper you wrote will be pulled out by other bigwigs.
In front of many people, it would be a shame to be criticized in public for their papers or a medical case for being useless.
"I have already explained the specific situation to Ye Kai, and there are also remarks in the patient's treatment, you can treat according to the plan at that time. Fang Han said a few words simply, and there was nothing to explain.
"Well, okay. Liu Haiquan nodded again and again.
Fang Han didn't say much, and strode away.
When Fang Han walked away, Liu Haiquan looked at Ye Kai and said in a low voice, "You Doctor Fang are really getting more and more stylish. ”
"Anyone who has the ability has a style. Ye Kai couldn't help but sigh a little.
Miao Dalong is the attending doctor, and he was not very embarrassed in the rescue room just now.
In a place like a hospital, it can't be said that the relationship is completely useless, but only if you have mastered the real skills, then you really have confidence, and you need to be hard to strike iron.
At least Fang Han is not afraid of difficulties from senior doctors.
Not to mention Fang Haoyang's maintenance, your senior doctor can't make things difficult for no reason, there must always be a reason.
Or Q&A, or a problem, Fang Han is not afraid of the problem, and even some attending doctors are worried that Fang Han will be made difficult by Fang Han in turn, and it will really be a joke at that time.
Of course, the maintenance of the superiors is also very important, if it weren't for Fang Han's care and Guo Haoyang's care, and Guo's identity as an old student, Fang Han's temperament might not be able to eat.
Some senior doctors don't like showy doctors very much.
Chen Yuan: That's a very realistic example, a high-achieving student who graduated from a first-class medical university, went to the county hospital but was suppressed for more than ten years.
Of course, that is also Chen Yuan's ability to not have Fang Han, with Fang Han's current ability, even if a hospital wants someone to make things difficult, people can slap their butts and leave.
Why did Fang Haoyang mostly accommodate Fang Han, wasn't he afraid that Fang Han would fly?
"Yes, if people have real skills, they will naturally have a style. Liu Haiquan nodded, agreeing with Ye Kai's words.
Standing in front of Ye Kai, Liu Haiquan could still be very natural and calm, but in the face of Fang Han, he couldn't help but feel that he had been hit by it.
......
Fang Han had already arrived at the operating room at this time, and Kuang Mingzhuo had another operation in the afternoon.
This operation is for the treatment of liver and spleen injury, and the patient belongs to Kuang Mingzhuo's own patient.
It is commonly said that the reason why the patient chose to come to Jiangzhong Hospital was because of Kuang Mingzhuo, and some of the patient's relatives knew Kuang Mingzhuo's fame, so they chose Jiangzhong Hospital.
This kind of thing is very common in the medical industry, and the benefits brought by a well-known doctor to the hospital are immeasurable, in addition to enhancing the popularity of the hospital, the resources brought by the doctor himself to the hospital are also very valuable.
For medical representatives, the hospital is their resource, for the home seller, the customer who buys the house is their resource, and similarly, for the hospital, the patient is the hospital's resource.
As in the past, patients with liver and spleen injury were the first choice of provincial hospitals and military medical universities, followed by medical hospitals or central hospitals, and Jiangzhong Hospital was completely excluded.
If the patients are classified into a level, the more difficult the disease or the severe external injury, the more scarce the resource.
Scarce resources are naturally scramble for everyone.
Fang Han came to the operating room, Kuang Mingzhuo had already arrived, and Jiang Feng, Wen Xueyi, and Chen Yuan were also preparing.
"Hello Director Kuang. Fang Han said hello with a smile.
"Doctor Fang is here. Kuang Mingzhuo also nodded to Fang Han kindly, and said with a smile: "I said it all, there is no need to be so polite, Doctor Fang still treats me as an outsider." ”
Nominally, Kuang Mingzhuo is the deputy director, Fang Han is just an intern, and Kuang Mingzhuo is Fang Han's leader.
But in fact, Kuang Mingzhuo himself knew that in terms of extrahepatic aspects, he needed to learn from Fang Han.
Although because of his own high position and being older, he doesn't need to be like Jiang Feng, Ye Kai and others, but he still needs to have the politeness he should have.
Learning things from others is half of someone else's student, in another situation, if Fang Han's position is higher, or if the two are at the same level, he Kuang Ming Zhuo Ke will really have to perform the disciple ceremony.
Although he doesn't need to be like Ye Kai and the others now, Kuang Mingzhuo has never put up a fight in front of Fang Han, in Kuang Mingzhuo's definition, he and Fang Han can be teachers and friends, not superiors and subordinates.
Fang Han gave Kuang Mingzhuo a polite smile, and he didn't be polite in this regard, and asked, "What's the patient's condition?"
"There was a car accident, and the preliminary judgment was liver and spleen injury, internal bleeding, but there was no need to do excision, this time we only needed to treat the injury and perform hemostasis sutures. ”
Fang Han nodded, in this case, the operation would be relatively simple.
"This time Doctor Fang is in charge?" Kuang Mingzhuo asked Fang Han.
"Let's come on, Director Kuang. Fang Han said politely, Kuang Mingzhuo has enough skills, and he is the deputy director, generally speaking, Fang Han is unwilling to steal the limelight from Kuang Mingzhuo.
Let the senior doctor be his assistant, this is a case-by-case situation.
A kind of senior doctor really has no ability to take charge, similar to the situation where Li Wenjun and Fang Haoyang are fighting, in this case, the senior doctor naturally has no opinion, what is it if there are not enough people, the chief physician is on the field, and there are more deans on the field.
The second type, similar to Fang Han and Liang Qunfeng, belongs to the learning stage, not to mention that.
The third is that the junior doctor is better than the senior doctor, and the senior doctor can only be reduced to the point of being an assistant.
In this third case, the senior doctor will be a little uncomfortable.
Fang Han didn't know Kuang Mingzhuo very well, so there was no need to have a pimple with this new deputy director.
"It's still Dr. Fang's surgery, to be honest, I've never seen Dr. Fang's surgery for so long, so let me open my eyes." Kuang Mingzhuo said with a smile.
Kuang Mingzhuo came to Jiang Intermediate Hospital for several purposes, one of which is to improve his own level, these days Fang Han has been operating on the ground, Kuang Mingzhuo has also gained, but the operation and watching Fang Han operate in person are two completely different gains.
"That'll do. Fang Han nodded, since Kuang Mingzhuo said so, he didn't have any opinion.
Dealing with liver and spleen injury is much simpler than doing left and right hemiliver resection, and coupled with the advanced sutures mastered by Fang Han, it is more convenient to deal with.
Fang Han and Kuang Mingzhuo were talking Li Wenjun also came, and asked with a smile, "What's the situation today?"
"Liver and spleen damage. Kuang Mingzhuo said with a smile.
When Li Wenjun arrived, everyone was counted, Kuang Mingzhuo made a simple preoperative introduction, so that everyone could understand the patient's situation and the surgical process, and then everyone changed their clothes, walked into the operating room with gloves and raised their hands, and Fang Han naturally walked to the main surgical position.
Fang Han made an incision, and opened his abdomen very naturally, with Kuang Mingzhuo's hand, everything was even more orderly.
Kuang Mingzhuo was helping while staring at Fang Han's operation, and he couldn't see much for the time being, but he could probably see that Fang Han's level was indeed very good.
"Suffocate!"
The patient's liver and spleen were injured and a large amount of fluid accumulated in the abdominal cavity, and Li Wenjun, Jiang Feng and Chen Yuan hurriedly helped to suction and expose the surgical field.
"It's a lot of bleeding. Kuang Mingzhuo couldn't help frowning.
"It's a bit much, it's almost 1000CC. ”
Fang Han's face remained unchanged, but his eyes were checking the bleeding spots.
"The location is a bit not so good. Kuang Mingzhuo also made a judgment.
"The bleeding must be stopped as soon as possible, otherwise it will be dangerous to continue like this." Li Wenjun's face was also a lot more solemn.
Fang Han didn't say anything, but he communicated with the system in an instant: "Exchange for high-level bare hands to stop bleeding (temporary)"
Fang Han's exchange of skills was only for a moment, at this moment Kuang Mingzhuo had already looked at Fang Han, after all, Fang Han was the main knife, Fang Han didn't say anything, and he didn't rush to take measures again.
"I'm here to stop the bleeding, and Director Kuang is in charge of suturing it. ”
Fang Han spoke slowly, as he spoke, Fang Han had already taken off his gloves, his hands were quickly disinfected, and then his white palm stretched into the patient's abdominal cavity.
"The amount of bleeding is starting to decrease!"
As Fang Han made a move, everyone quickly felt the change, and Kuang Mingzhuo looked at Fang Han's pupils and subconsciously shrank.
This Doctor Fang is really good!
PS: Three changes for several days in a row, ask for tickets, ask for subscriptions!