(Thank you for the 2000 starting point coin reward of the big guy, thank you!)

Generally speaking, there are more patients on Saturdays and Sundays, and also in the evenings.

In a large hospital like theirs, there is no need to work night shifts at the director level, unless there are special circumstances. Even the deputy director rarely works the night shift.

Like Director Qian's team, there are 2 attending doctors in this hospital. Usually, the night shift only requires one attending doctor, and then one resident doctor and one or two interns from the hospital can be arranged. When you can't get busy, you can ask someone from the general surgery inpatient department to help with the operation.

In some cases, there is no need for the attending doctor to work the night shift, and two resident doctors and one trainee doctor and intern are all that is done. After all, he is a resident doctor in the First Affiliated Hospital of Modu. There is basically no problem with first- and second-level surgery, and even third-level surgery can be done. If you really encounter a difficult problem in an unexpected situation, the surgical inpatient department will send a master to take charge of the surgery.

But now Jiang Yurong's newly established group has only three resident doctors from Ruan Bin for further study, so it is needless to say that the level is naturally high. Except for Ruan Bin, everything else is garbage. Can't get on the countertop of the rough blank.

Belch...... In this way, it is estimated that Huang Hongwen and Zhou Tianlei will be unconvinced, but they are indeed rough ......

In other words, when working the night shift, it is estimated that Jiang Yurong needs to be in charge in person. Otherwise, when the time comes, there will be a tricky patient, and the three resident doctors will rescue them?

In fact, Jiang Yurong was also a little angry at the moment, she just came in, and she didn't want to fight for anything, but these two directors targeted her everywhere, and she was not muddy.

"But I can't line up for two night shifts, at least they have to be separated. Otherwise, it would be impossible for me to work the night shift continuously. As you know, all three of them are resident doctors who come for further training, and I don't worry about letting the three of them sit on their own at night. Jiang Yurong said in a deep voice.

"Okay, otherwise, Friday and Sunday are your group's, how about it?" Director Qian also took a step back.

"Yes!"

So, this night shift schedule was set.

After the small meeting, Jiang Yurong asked Ruan Bin and the three to stay, and they held a small meeting alone.

"Tomorrow is Friday, and only 2 of the three of you need to be on night duty with me, which of you would like to?" Jiang Yurong asked the three of them.

"I'm willing!" Huang Hongwen was the first to raise his hand to sign up. Just kidding, what a happy thing it is to be on night duty with a beautiful woman? Besides, he is here to study, how can he miss the opportunity to learn from a beautiful woman?

"I'm willing too!" Zhou Tianlei was not far behind. On night shift, I will definitely be hungry in the second half of the night, and when the time comes, I can dedicate a supper to Jiang Meinu to eat, maybe I can brush up my sense of existence, right?

"What about you?" Jiang Yurong looked at Ruan Bin.

"I'm casual, I'm resting tomorrow during the day. Ruan Bin spread his hands and said it didn't matter. Although they are trainee doctors, they also have a day off every month.

"That's okay, tomorrow night's night shift will be Ruan Bin and Zhou Tianlei and me. Jiang Yurong said, she knew that Ruan Bin's level was higher than the other two, he said it himself, so she decided to let Ruan Bin go to the night shift first to see the other party's level.

"Deputy Director Jiang, what about me, I can too, I also want to learn more from you. Huang Hongwen was anxious when he heard that there was no himself. It's like losing a big daughter-in-law.

"It's okay, I'll line you up on Sunday. ”

Huang Hongwen: ......

Leave work.

The next day, Ruan Bin went out to eat after getting up because he was resting, and then spent 2 yuan to take a bus with the intention of taking a good look at this international metropolis.

Okay, I sat from the initial station to the last station, and sat back again, well, there are still 2 dollars left.

It's been a boring day.

He also wanted to have a better day off, but unfortunately his wallet was shriveled, so he forgot it.

On this day, he watched several internal surgical textbook videos in several hospitals, and also added several unstarted professional skills.

Back at the hospital, slept all afternoon, got up for dinner, because it was a night shift.

6 o'clock on time for the shift to be handed over.

There is only one anesthesiologist, 3 nurses, and 3 doctors including Jiang Yurong left in the entire emergency room. There are no patients at this point, so it seems a little deserted.

It wasn't until seven o'clock that a few patients came to the emergency department, but they were all minor illnesses such as fever, cold, and diarrhea, and they could be prescribed some medicine or infusion, and there were no patients who needed surgery.

At 8 o'clock in the evening, the emergency department finally welcomed the first patient who needed surgery.

The patient, a man in his mid-30s, presents with sudden onset of pain in the right upper quadrant radiating to the back of the right shoulder, tenderness in the right upper quadrant, nausea, vomiting and fever. I measured my blood pressure and found that my blood pressure was dropping!

Jiang Yurong is worthy of being a top student, and she has also been an attending doctor in a world-famous hospital for a year, so she quickly judged that this should be acute cholecystitis.

"Immediately give him a routine blood test, B-ultrasound and CT examination!" Jiang Yurong said.

When the test results came back, the patient was in shock.

Anyway, Zhou Tianlei was panicked, if he encountered this situation, it is estimated that he would have no master for a long time.

"Director Jiang, the patient is in shock, what should I do?" the nurse Zhao Yaxue asked anxiously.

"It's okay, it's just viral shock, sent to the operating room, ready to have a cholecystectomy!" Jiang Yurong said lightly after reading the examination report.

"Laparoscopy or traditional surgery?" Ruan Bin couldn't help but ask. There are three surgical options for cholecystectomy.

"You go and ask the patient's family and ask them to sign the consent form for the operation. ”

"Good. ”

Ruan Bin took a consent form for surgery and spoke to the patient's family.

This family member is a woman and is supposed to be the patient's wife.

"You're a family member of a patient, aren't you?"

"Yes, yes, is my husband okay?"

"He had acute cholecystitis and needed immediate surgery. There are three surgical options, the first is a traditional open cholecystectomy, the second is a small incision cholecystectomy, and the third is a laparoscopic cholecystectomy. Which one do you choose?" asked Ruan Bin.

"I don't understand this, which one is better?" asked the woman, panicking when she heard that she was going to have surgery.

"Of course, the third type of laparoscopy is the best, with a small wound and a quick recovery. However, the surgery fee is also the most expensive, costing 20,000 yuan. And this does not include hospitalization and post-operative medications, as well as other expenses. Ruan Bin patiently explained.

Cholecystectomy laparoscopic surgery charges differently in each place, like a metropolis like Modu, or this kind of big hospital, the fee of 20,000 yuan is basically about the same price.

If it is a second-tier city or even a third-tier city, some hospitals in their early 10,000s are fine.

"Ahh The 20,000 yuan is only the operation fee, not including the hospitalization fee, postoperative medication recovery, etc., which means that the total cost in the end must be more than 20,000, or even 30,000 or 40,000 yuan.