"Well, I think it's better for me young people to go out and have a little bit of adventure. Ruan Bin said in his heart. In particular, the salary in this county hospital is three or four thousand. There is no oil or water either

It's different when he goes to the magic capital, Niu Fork can earn tens of thousands of extra money a day, can it be compared?

"Ruan Bin, it's good for young people to go out, but the metropolis is not so easy to wander. Let me ask you, how much is the monthly salary given to you by the First Affiliated Hospital of the Demon Capital?" asked Shen Long.

"15,000 basic salary, five insurances and one housing fund, performance bonus, year-end bonus. Ruan Bin replied truthfully.

As soon as this salary was exported, Shen Long was slightly surprised, this must be a hospital employment contract, but he was also given a year-end bonus and five insurances and one housing fund, and the basic salary was quite a lot.

It seems that the First Affiliated Hospital of Modu has also made a lot of money.

However, he felt that there was nothing that he could not do with his incorruptible tongue!

"Although the monthly salary of 15,000 is quite high, the consumption of the magic capital is also high, and the housing prices are even more terrifying! In fact, your monthly salary of 15,000 is about the same as your salary in the county now. Shen Long's face was not red and he was out of breath.

"Dean, but I think my fifteen thousand looks a little more expensive!" Ruan Bin pouted.

"It looks good, but you can't afford to buy a house. Xu Zhijian interjected.

"At present, my salary of three or four thousand can't afford to buy a house in the county. Ruan Bin pouted.

“......”

I was speechless.

"In this way, since Ruan Bin has created the first pre-hospital REBOA in China, you will take the time to train our hospital's surgical techniques every week. How about I approve an extra 1,000 yuan a month for your training? Shen Long gritted his teeth and said.

At present, Ruan Bin is only a resident doctor, and it is impossible for him to prescribe a small stove for Ruan Bin on top of his basic salary. Otherwise, what do other residents think?

So you can only increase Ruan Bin's salary in disguise in this way!

"I still feel comfortable with a base salary of 15,000. Ruan Bin said in a low voice. If you want to keep Lao Tzu and be so stingy, you will lose your baby.

This sentence almost made Shen Long angry and glared at him!

Although he is the director, he can't indiscriminately destroy the hospital's salary system!

This kid is not satisfied!

At this time, when they saw that Ruan Bin was so determined to leave, Shen Long and Xu Zhijian both glanced at each other, as if they understood each other's thoughts.

At this time, they unanimously felt in their hearts that this exhortation should not be rushed, and they would speak slowly first. Isn't there still a month?

In the end, this conversation could only end in this depressing way.

Ruan Bin also returned to the emergency department to continue working.

In fact, he was not afraid that Shen Long would not sign and let himself go.

It's a big deal that he has already submitted his resignation letter by the time of the legal process. At most, he will pay 10,000 liquidated damages.

You can't stop it!

As soon as Ruan Bin and Lu Jingping returned to the emergency department, they saw Xie Da and hurriedly looked for him.

"Director Lu, the latest test results of the old man in bed No. 4 have come out, and the situation is not good!" Xie Da reported to Lu Jingping.

"Oh, the conservative treatment hasn't improved?" Lu Jingping frowned slightly.

"Yes, the body temperature is still very high, it has not come down, the pulse rate is slightly increasing, the local signs have not improved significantly, and the white blood cell count has not decreased but has risen a little. CT shows marked gallbladder enlargement, extensive rigidity of the abdominal wall, and pronounced rebound tenderness. However, the good news is that there are no complications such as gangrene and perforation of the gallbladder. Sheeda continued.

"It seems that after a day and a half of conservative treatment, there is no obvious improvement, and even the condition has worsened slightly! Let's go, go and see. Lu Jingping walked in front with a sullen head.

"What's going on?" Ruan Bin couldn't understand.

"One day ago, an 80-year-old man was admitted to the hospital for acute cholecystitis, but it was just a simple acute cholecystitis, and there was no gangrene or perforation of the gallbladder. We think that the old man is 80 years old, and it is taboo to have surgery at this age, for fear that he will not be able to get off the operating table. In addition, his condition is not very serious, so we take conservative treatment. But now after a day and a half of treatment, the situation has not improved, and some have slightly worsened. Lu Jingping explained.

"I see. Ruan Bin nodded with relief.

Treatment of acute cholecystitis is considered to be individualized and not uniform. In most cases, the condition can be improved after medical treatment, and it can also be treated with a combination of traditional Chinese and Western medicine. In general, except for gangrenous cholecystitis or perforation, emergency surgery is not considered, and adequate preparation should be made before surgery to correct the water-electrolyte imbalance.

In fact, medical treatment is medication treatment, which is conservative treatment. In fact, it is recommended for patients who are not very seriously ill. It is gastrointestinal decompression, reducing bile and pancreatic juice secretion, antispasmodic and analgesic, intravenous fluids, antibiotics, traditional Chinese medicine, acupuncture and other means.

However, if there is no significant improvement or aggravation after a few days of treatment, surgery must be considered immediately.

Soon, Ruan Bin followed the two to ward 4 and checked on the old man.

The situation is not very rosy, but it is not the worst time either.

"It's only been about 36 hours since the treatment, and the current condition can be operated on or without surgery. In this way, continue to take the medicine, wait until tomorrow morning to see the situation, if it still does not improve tomorrow or the condition continues to worsen, immediately send it to the city hospital for surgery. Lu Jingping sighed and said.

The other party is 80 years old, and it is definitely a forbidden area for surgery!

If conservative treatment can be cured, that's the best news.

However, if conservative treatment does not work, the 80-year-old man has a high risk of surgery!

As their county hospital ruled, patients over the age of 75 are generally not recommended for surgery.

If the family insisted on doing it, they did not dare to do it, and directly suggested that it be sent to the city hospital or even the provincial hospital.

"I don't think I need to be sent to the city hospital even if I have surgery, right?" Ruan Bin said.

In the next second, Lu Jingping and Xie Da both looked at Ruan Bin in unison.

"Ruan Bin, what do you have to say?" Lu Jingping had already guessed in his heart that this kid had also undergone a similar operation?

"Actually, even if the old man has to have surgery tomorrow, I can do it!" Ruan Bin said lightly.

If someone else said this, Lu Jingping would have started spraying.

But when Ruan Bin said it, he couldn't help but believe seven points!

The strength shown by Ruan Bin today was so amazing that he didn't dare to doubt it.

"Are you sure you can? If you think it's okay, if you need surgery at that time, can you do the surgery?" Lu Jingping said. He thinks it's a second-degree operation!

is still an 80-year-old man, but when he thinks that Ruan Bin can even perform interventional surgery, it seems that a second-level operation is nothing.