Chapter 13: Can't Fault the Thing! (Ask for a collection recommendation.)
Qingshui First People's Hospital, Emergency Department.
"Today, Friday, we have a regular meeting as usual. First of all, I would like to praise Dr. Chen Weiche ......" In the conference room, Huang Yunhua, director of the emergency department, spoke highly of Chen Weiche with a smile in front of everyone. This made Liu Hongnan very unhappy!
"Isn't it just a shit luck, this kid, let Lao Tzu lose face, you have to clean him up!" Liu Hongnan sat in the back, gritted his teeth, and when he remembered the incident the day before yesterday, he felt that his face was hot, as if he had been skinned!
In fact, everyone didn't think too much about it at all, after all, it was a special situation, and if you change any doctor, I'm afraid it's the same, didn't you see that Dean Zhang and Tang Shao didn't come up with a plan to get the best of both worlds? It's just that Liu Hongnan can't get over this hurdle by himself!
As for last night, Chen Weiche was arrested and taken to the police station, but not many people in the hospital knew about it, whether it was Dean Zhang, Sang Yu, or his classmates, they would not talk nonsense in the hospital.
"In addition, I would like to inform you of the good news, the position of deputy director of our emergency department has been vacant for a long time, the hospital originally planned to recruit experienced experts from the society, but there has been no suitable candidate, and now it has been decided to promote from within our emergency department, as long as it is a resident doctor or above, and has worked for three years, you can compete for a post for a period of one month, it depends on everyone's performance this month!"
Director Huang Yunhua is in her forties, she is a very amiable middle-aged woman, as soon as the news was released, many doctors were very happy, at least it was an opportunity, and the limit on the title was not very high.
Liu Hongnan's eyes lit up, and the haze in his heart was immediately swept away, and he became full of confidence. He lost a little bit of the woman's thing, but eventually got pregnant. The woman and the fetus are all fine, and it should not have much impact! It's that Chen Weiche who is too hateful.
"Okay, let's all disperse, our emergency department has always been busy, everyone has to work hard!" Huang Yunhua stood up and waved his hand, announcing the end of this regular meeting, and everyone went back to their respective posts.
Chen Weiche still followed Liu Hongnan, doing chores on the side, and learning something by the way, but Dr. Liu is very unpleasant to see Chen Weiche now, and he has always kept a straight face, and Chen Weiche is too lazy to pat his ass.
Sending away a patient, a man came in with a woman, the man was not very good-looking, short, fat and ugly, but the woman was very conspicuous, beautiful and smooth, the man hugged this beauty, came in and put it on the hospital bed, and said urgently: "Doctor, she fell down on a bicycle, and her calf was scratched by broken glass!" ”
Chen Weiche immediately stepped forward to check the wound, the wound was tied with a cloth indiscriminately, it was estimated that it was cut from clothes, it had already been stained red by blood, and it began to coagulate, the beauty's lips were a little blue, her face was slightly pale due to excessive blood loss, and she moaned softly. Moaning, very delicate.
Chen Weiche helped her untie the cloth, and the other party's wound might be involved, so she couldn't help screaming: "It hurt~, it hurt~, it hurts~, handsome guy, can you light it?" ”
Chen Weiche said in his heart, I am already light enough, and then after a little inspection, he comforted: "It's okay, the wound is not deep, and there is no fracture, just two stitches." ”
Comfort the patient, of course, the general illness should be said lightly, only those bad doctors will be ruthless and heavy, deliberately scaring the patient, so that it can be slaughtered!
But Chen Weiche never did this kind of thing, Liu Hongnan was a little unhappy when he heard it, as if he was a doctor, you are just an intern, okay, he immediately stood up and said: "It's really not a big problem, Chen Weiche, you are responsible for getting it right, and I have another operation over there!" ”
Chen Weiche opened his mouth to speak, and Liu Hongnan couldn't help but teach him a lesson: "What are you afraid of, people who are going to graduate, they don't even dare to do such a small operation, what kind of doctor will they be in the future!" With that, he left.
Next to her, Sha Yujuan was dumbfounded, why is this happening? Knowing that Brother Wei Che has not stitched up the wound of someone, you are obviously deliberately fixing people! But after thinking about it, he comforted Chen Weiche and said, "Brother Weiche, your medical skills are so good, you will definitely be able to do it!" ”
As soon as these words came out, the patient on the side was dumbfounded, and the man was also dumbfounded, only then did he notice that the sign on Chen Weiche's chest read "Intern Doctor".
The man complained: "If you don't play like this, how can you use an intern with such a big wound?" It's so irresponsible! What should I do if I get infected? ”
Beauty just moans hard. Moaning, screaming pain.
Chen Weiche smiled coldly in his heart, okay, you Liu Hongnan, did it on purpose? It's nothing for me to do it, but as a teacher, you have to watch from the side and give guidance at any time, but the arrogance in his heart has also risen, isn't it just a small debridement and suture surgery, can't I be competent? Who doesn't have a first time!
Although he is more proficient in Chinese medicine and has more practice, he can only be regarded as a novice in Western medicine.
"This gentleman, miss, this wound is not deep, after cleaning it up, it will be fine with a little stitching, and it will not leave much scar, don't worry, although I am an intern, there is absolutely no problem with being competent for this minor operation. If you can trust me, just look at me here, if you can't trust me, I'll go and react to the leader, and help you arrange a doctor! Although Chen Weiche has the heart to give it a try, he must also make it clear to the patient first, and if the communication is good, it will reduce a lot of trouble.
The man asked the beauty, the beauty swished in pain and inhaled the cold air, and the heart said that if you change the doctor again, maybe you have to queue up, maybe it is still an intern, last time she went to a hospital, there are simply more interns than patients, and it is not uncommon to do things on behalf of others, and I don't want to toss anymore, I glanced at Chen Weiche, and saw that he had clear eyebrows, a bright smile, full of sunshine and confidence, I couldn't help but feel wide in my heart, and said: "Just let him show me!" ”
Sha Yujuan was a little jealous, and couldn't help muttering to herself, do you think Brother Wei Che is handsome? Scratch. Flatter. Child!
"Okay, I'll help you clean up your wound first." Chen Weiche squatted down and began to act, while Sha Yujuan cooperated on the side.
Debridement is indeed a technical work, very complicated, and it is not like the performance in general movies, where you can directly sew it with liquor as soon as you pour it, which is easy to infect. Only the wound that is confirmed to be clean and sterile can be sutured in one stage, and the suture is generally expanded, that is, a part of the contaminated and non-viable tissue around the wound is removed. The use of needles and threads is particular, and different needles should be used when suturing different tissues and different parts.
The most important point is to determine whether there is deep damage to important nerves, blood vessels, or vital tissues.
Chen Weiche first covered the wound of the beautiful woman with sterile gauze, then wiped off the oil stain on the skin around the wound with ether, then washed his hands, wore gloves, replaced the gauze covering the wound, brushed the skin with a soft brush dipped in disinfectant soapy water, and rinsed it with cold boiled water, and then changed to another brush to scrub again, and wiped the skin with sterilized gauze. It took about 10 minutes to scrub twice.
Then the wound is washed, the gauze covering the wound is removed, rinsed with normal saline, and from time to time the dirt, blood clots, and foreign bodies within the wound are gently removed with antiseptic forceps and small gauze balls.
The beauty screamed in pain, towering crisp. The chest rises and falls with the call, and there is a special sense of rhythm, which makes the man on the side feel distressed at the same time, and there is also a strange feeling in his heart. I know it with a look of care. Chen Weiche glanced at the man, and couldn't help but despise in his heart. Ahh Does that excite you? However, the cry of the beautiful woman was indeed too subdued and frustrated, but Chen Weiche was not affected at all.
"Okay, okay, right away! I'm going to give you a local anesthetic now. ”
"Do you still need to take anesthetics?" The woman was scared, but she had heard that it was painful to get an anesthetic injection.
Chen Weiche was speechless, stitches uh, don't give you anesthesia, can you stand it? When the time comes, you can't scream so that the whole hospital hears it?
"Okay, then you have to be lighter~" The beauty begged, her tone was coquettish, and she threw a hook to Chen Weiche behind her back. The charm of the soul. eyes, so that Sha Yujuan on the side hated her teeth, and scolded in her heart. Scratch. Fox.
Chen Weiche shook his head, raised the needle, and was about to insert it. When she entered, the woman exaggerated and coquettishly said, "Handsome guy, you must be lighter!" ”
Chen Weiche's hand shook in fright.
Sha Yujuan couldn't stand it anymore, pouting and muttering in her heart: "Scratch. Flatter. Son, he will use the man to be coquettish, and he snort, this is still the case of your man's presence, if there is no one, I don't know how to hook. Introduce my brother Wei Che! It's better to kill you with a heavy needle later! ”
Chen Weiche pricked it lightly and skillfully, and the beauty immediately stretched her neck and shouted, but she stopped abruptly halfway through the call: "Why don't you fight yet?" Let people scream in vain? ”
Chen Weiche shook the anesthesia needle: "It's already finished, it's been pulled out a long time ago, and the operation will be done later!" ”
The beauty smiled awkwardly: "Your injection technique is quite powerful!" ”
"Hehe, it's okay. Practice makes perfect. Chen Weiche smiled and began to clean the wound of the other party, excising the inactive fascia and muscles, and removing about 0.2cm of the uneven skin edge around the wound, and stopping the bleeding, eliminating blood clots and foreign bodies, and then suturing.
In Western medicine, there are generally skin needles and round needles, skin needles are also horn needles, as the name suggests, they are used to suture the skin, the tip of the needle is triangular, easy to penetrate the skin and other tough tissues, and the round needle is used to suture subcutaneous soft tissues (such as connectors, blood vessels), internal organs and other organs.
The damage of the angle needle is greater, but the penetration ability is stronger, while the damage of the round needle is relatively smaller. Generally, the conventional name is called large, medium and small needles, and the needles used are different for different suture parts, such as scalp needs a large triangular needle for full-thickness suture; The maxillofacial and hand areas are made with small triangular needles and fine threads, leaving small scars; For other areas, a triangular needle can be used.
Chen Weiche has a foundation in traditional Chinese medicine and acupuncture, his technique is very stable, and he sews quickly, and he finishes work perfectly in less than five minutes. At this time, Liu Hongnan walked over slowly.
Chen Weiche didn't bother to pay attention to him, he didn't come to guide him just now, but now he came over to see something, just lowered his head to bandage the beauty, some finishing work, and soon, he was bandaged beautifully!
The beauty feels much better, looking at Chen Weiche's handsome face, her eyes are dripping. Said coquettishly, "Dr. Chen, is this good?" But there was some unfinished and reluctant looks, which provoked Xiaosha to slander again.
"Hmm. There is no need to remove the stitches. Come back in two days and recheck it, just change a little medicine. Chen Weiche didn't notice the beauty's secret send-off at all, looked at his masterpiece, and nodded with satisfaction. I secretly thought to myself, if I used the method of pure Chinese medicine, I am afraid that it would not get better so quickly, and Western medicine is indeed unique in this regard. No wonder the master said that if you want to become a famous doctor and become a generation of famous doctors, you must go through hundreds of schools.
Liu Hongnan was very depressed, didn't say anything, and walked away.
He originally wanted to leave under the pretext of leaving and making Chen Weiche a big ugly, or after he made a mistake, he would teach him a good lesson, a simple debridement operation would not be done well, and he would be a doctor in the future!
In his mind, Chen Weiche is an intern, although Chinese medicine has two strokes and can play acupuncture, but so what? Western medicine is not Lao Tzu a teacher?
But he didn't expect that Chen Weiche did this kind of surgery for the first time, and it was so beautiful and perfect, so he couldn't find any fault with it, and his wish was disappointed!
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Ladies and gentlemen, do you have a ticket, thank you!