Chapter 793: Healing and Conversation Skills
The situation in front of Liu Hongsheng and these emergency doctors could see at a glance that it must be a pneumothorax, and Chen Jinzhou was the first to shout: "Pingche, prepare for thoracostomy drainage, quickly." ”
Su Hongwen shook his head and said, "It's too late." After speaking, he walked up to Liu Ning and turned his head to Jin Hao and shouted, "Don't be stunned, pull the family aside first, help me press him." ”
Liu Ning's eyes were full of fear, drowning and pneumothorax will bring people the fear of dying, this fear cannot be described in words, people who have not experienced it will never be able to understand this fear, just like that, after a while, Liu Ning's clothes were wet with sweat, he reached out and grabbed Su Hongwen's hand and said with difficulty: "Help, save me." ”
At this time, Jin Hao had already pulled Liu Ning's mother aside, and rushed over to hold him down with Zhuang Ying, Su Hongwen said to Liu Ning: "You'll be fine, believe me." After speaking, he ripped off Liu Ning's clothes, and stabbed the broken pen in his hand without thinking about it.
Su Hongwen's movements were too fast, so fast that people couldn't react at all, and when Liu Hongsheng reacted, the broken pen had already pierced into Liu Ning's chest wall and made a "bang" sound, and a large stream of gas spewed out along the pen cavity, and at the same time, Liu Ning's feeling of being out of breath was instantly relieved.
This kind of emergency surgery Su Hongwen did it for the second time, the first time was to save Xia Lingxue's grandfather, this kind of small surgery was not difficult for him at all, he stretched out his hand and put it on Liu Ning's shoulder and said: "You are fine, I will have to give you a small operation in a while, it will be a little uncomfortable." ”
Liu Ning's eyes were no longer angry at this time, and some were just grateful. He took Su Hongwen's hand and said, "Thank you, doctor, I, I ......"
Su Hongwen knew what he was going to say later, so he interrupted him and said, "Don't talk now, you need to rest, don't worry, you're really fine." ”
At this moment, the flat car was pushed over, Su Hongwen and others carried Liu Ning into the car, and saw that he was pushed in by the nurse, Chen Jinzhou, as a hospitalist, naturally had to follow, but he glanced at Su Hongwen deeply before leaving, and there was no jealousy in his eyes. Some are just curious. He was curious about how Su Hongwen could see at a glance that Liu Ning had a late-onset pneumothorax, could he really have clairvoyance?
Liu Ning's mother also knew that she had misunderstood Su Hongwen, so she threw a grateful look at him and immediately followed the flat car into the emergency department.
The people around them all felt a fever on their faces at this time, and they knew that they had misunderstood Su Hongwen. I wanted to say sorry to him. But I can't say it.
Su Hongwen didn't take everyone's words to heart at all. He knew that these people were ordinary people who didn't understand medicine, and when he saw Liu Ning's situation just now, he must have believed Liu Ning and not himself.
Exhaling slightly, he said to the people around him: "Everyone saw the scene just now, and it's normal that everyone doesn't understand. But I hope that everyone can learn something from this incident, if everyone is injured in the future, even if they feel fine, but they should also listen to the doctor's good examination, this is for everyone's life safety, trauma will lead to a lot of delayed diseases, at first I didn't feel anything, but when the symptoms really appeared, it was too late to think about it, okay, it's all gone. ”
After Su Hongwen finished speaking, he walked to the emergency room, Jin Hao and Zhuang Ying, the two little tails, immediately chased after him, and the two nurses in front of the triage table glanced at one of them and said, "It's so handsome." ”
The other said, "That's great! ”
Liu Hongsheng was also very curious about why Su Hongwen concluded that Liu Ning was a late-onset pneumothorax without a chest X-ray, and he caught up with Su Hongwen and said, "Dean Su, how did you do it?" ”
Su Hongwen smiled bitterly and said, "Experience." He couldn't tell Liu Hongsheng that he had see-through glasses and knew what kind of disease Liu Ning was suffering from, so he could only vaguely come up with such an excuse.
Liu Hongsheng looked at the back of Su Hongwen leaving and smiled bitterly: "No wonder he can be the dean at such a young age, this business level is too powerful." ”
The emergency department has been busy with a pot of porridge, very messy, Su Hongwen does not regard himself as the dean and takes Jin Hao and Zhuang Ying to help other doctors treat patients, the emergency these first aids are very simple for him, his action immediately reduced the pressure on other doctors, it is really that the speed of his disposal is too fast, and there is no difference at all, other doctors see three patients in half an hour, and he can deal with ten patients in half an hour.
While dealing with the patient, Su Hongwen explained to Jin Hao and Zhuang Ying the steps of first aid and why they were treated in this way, and Jin Hao and Zhuang Ying were so excited that their faces turned red, and the two of them wrote it in their notebooks while listening.
The last patient is a frontal skin laceration, this kind of injury should be sutured by an ophthalmology doctor, but the ophthalmology doctor is very busy today, and he can't distinguish the manpower, Su Hongwen doesn't want the patient to start suturing by himself, the suture of facial trauma is different from the suture of other parts, the first is online, in contemporary people, regardless of gender, young and old, they love beauty, and they don't want a big scar on their face, so beauty sutures came into being, this kind of line is quite thin, more washed than hair, Doctors in the ENT department use this thread when suturing facial trauma, while other departments use other thicker silk threads.
This kind of cosmetic suture is integrated, that is, the needle and thread are connected together, the thread is so thin, and the needle is naturally very small, which increases the difficulty of suturing, and the needle will be bent if the force is slightly too large, and the doctors of other departments are really not good at using this kind of needle for the first time, but this kind of is not difficult for Su Hongwen, if he wants to, he can use the thinner thread of the anastomotic blood vessel to suture.
The patient is a girl in her twenties, as soon as Su Hongwen came in, she asked if there would be a scar, as a doctor, there is no way to guarantee that there will be no scars at this time, but the doctor has no way to judge whether the patient has a scar constitution, even if it is not a scar constitution, the doctor can ensure that there is no scar at all.
At this time, the conversation skills are very important, saying that the patient with a scar must be nervous, or even refuse to suture, shouting to go to the beauty hospital, saying that there is no scar but the doctor can't confirm it, a dilemma, but what Su Hongwen said to the patient is very interesting, he does not talk about the problem of scarring, but asks the patient if he has left a large scar from a previous injury, which is to confirm whether the patient has a scar constitution.
Then Su Hongwen also looked at the girl's hand, she had a scar on her arm from a previous injury, it has been several years, and it is not too obvious now, and other doctors will definitely say that there will be no big scars in the future, because you are not a scar physique.
But Su Hongwen didn't say that, and said directly to the patient: "I don't dare to guarantee that there will be no scars at all, but what I can guarantee is that as long as you cooperate, I will try my best not to leave you with scars, okay?" ”
Zhuang Ying frowned when she heard this, what kind of answer is this? Too vague, right? She really wanted to ask Su Hongwen why she said this, but there would be a patient, and she couldn't ask, so she could only hold the question in her heart.
What surprised Zhuang Ying even more was that Su Hongwen actually started chatting with the patient after obtaining the patient's consent to cooperate with the start of stitching? Other doctors wouldn't do that, just stitch it up, what is there to talk about with the patient? If that sentence is inappropriate, what if the patient is making trouble?
Judging from Zhuang Ying's worries, she has some understanding of the medical environment, but on the other hand, Jin Hao, he only knows that he stares at Su Hongwen and looks at Su Hongwen's stitches carefully, and he doesn't care about other things at all, this kid is still too wooden.
The stitching was very smooth, and when Su Hongwen took off the mask and came out, Zhuang Ying couldn't help it, and said directly: "Teacher Su, why did you just tell the patient so much?" And your answer is too vague, as if you didn't say it. ”
Su Hongwen Bai Zhuangying said with a smile: "The doctor is not just to treat the disease and save people, but also to communicate with the patient, although the patient just now is a simple skin laceration, but as a doctor, you also have to consider the patient's mood, what she cares about most is the problem of scarring, I said definitely not to leave a scar, in case she really has a scar in the future, she will definitely not be able to accept it, I said that she must have a scar, she can't accept it even more, so at this time a vague answer is needed, so that the patient can relax, so that she has confidence in the doctor, At the same time, you should also be mentally prepared to leave a scar, in short, you have to put yourself in the patient's shoes, give them confidence and mental preparation to accept the facts, only then can it be considered a successful treatment, understand? ”
Zhuang Ying nodded first, then shook her head again, and complained: "Why is it so troublesome to be a doctor?" It's not enough to be able to heal the disease, but you have to be able to talk to the patient, which is annoying. ”
Su Hongwen said with a smile: "You have to endure the annoyance, you remember that you are a doctor, you are saving people, not just curing the disease, you also have to consider the patient's feelings, so that they have confidence, and also have to accept the situation after treatment, if the patient does not accept the situation after treatment in his heart, the treatment is a failure." ”
Jin Hao was still remembering what Su Hongwen said, Su Hongwen took his notebook and looked at it and said: "Medical knowledge can be memorized, but the conversation skills with patients don't need to be memorized, you need to use it here." After Su Hongwen finished speaking, he patted the position of his heart.
Jin Hao scratched his head and nodded as if he understood.
Su Hongwen knew that it was impossible to let these two guys have the supremacy and cultivation of a doctor immediately, and they still needed time to grow, but today they had a good start, which was still good.
When it was time to get off work, Su Hongwen left homework for Zhuang Ying and Jin Hao, asking them to read the information on late-onset diseases first at night, and then carefully think about what they said to the patient today, and write a report tomorrow, with no limit on the number of words.
For this reason, Zhuang Ying was a little unhappy, but Jin Hao was very obedient and said that he would definitely complete these homework.
Su Hongwen changed his clothes and rode his bicycle to the outside of the hospital, and before he could get out of the hospital, the phone rang: "Old Su, where did you go today?" Why don't you answer the phone? Hurry up, Zhong Ting invites us to dinner today. (To be continued......)
PS: Three more send, at the end of the month, everyone see if there is a monthly pass in your pocket, still give it to Lao Bai, it was blown up to the 11th, so depressed!