Five o'clock in the afternoon.

The old lady, mother and son came to the consultation room again.

"Doctor, the results of the examination are out, you can take a look."

The old lady's son handed the test results to Zhao Sheng and said.

"Okay."

Zhao Sheng nodded, took the report, and saw that the MRI showed that a T1-weighted medium signal could be seen at the end of the left thumb.

Among the various examination methods, MRI is highly sensitive to the diagnosis of subungual glomusoma, so this examination result can basically determine that the old lady's disease is subungual glomusoma.

"It can be determined that the condition of the old man is a subungual glomusoma."

Zhao Sheng put it on the report sheet and said to the old lady mother and son with certainty.

"I'm ready to stay in the hospital for surgery."

After a pause, Zhao Sheng said again.

"Doctor, is this surgery dangerous, will it be amputated if it is not done well?"

The old lady heard that it was indeed diagnosed, but she still asked very worriedly.

"Old lady, this operation is very simple, it is to first apply anesthesia, remove the entire nail, then cut the nail bed, and then peel off the hemangioma. In the future, because you are older, your nails may grow more slowly. ”

"Old man, it is impossible to amputate a limb, and it is impossible to amputate it."

Hearing that the old lady was already obsessed with amputation, Zhao Sheng said again with some tears and laughter.

Although there are risks in clinical surgery, surgery like subungual hemangioma is at most slower to heal after surgery, which is still because the old lady is old.

Even if you want to talk to the patient about the risks, you can't exaggerate them infinitely.

"Thank you, little doctor."

The old lady nodded, she was finally convinced that she didn't have to amputate her left thumb, although she was old and didn't have to work, even if she cut off her left thumb, it wouldn't have much effect.

But the older generation pays attention to a full beard and a full tail, even if it is a hundred years later, it will be completely buried.

"Doctor, when will this surgery be done and how long will it take?"

The old lady's son is very happy, and now that he has finally been diagnosed, he is waiting to be hospitalized for surgery, and this matter is finally going to be solved.

Now the old lady's son feels that he is in a much lighter mood.

"If you live today, the surgery will not be done until tomorrow at the earliest."

"This operation is not complicated, and an hour before and after is enough."

Zhao Sheng thought for a while and said.

Although subungual hemangiomas are very rare, they are not difficult to operate, and they are even easier than other hemangiomas.

"Okay, doctor, we're going to be in the hospital."

The old lady's son said very happily, he thought he would have to wait for a bed or something, and he didn't think that he could be hospitalized for surgery now.

Next, Zhao Sheng opened a hospitalization order for the old lady, and the old lady's son took the old lady to the hospital happily.

After the mother and son left, Song Wei asked Zhao Sheng with some doubts: "Doctor Zhao, this subungual hemangioma belongs to hand and foot surgery, right?" ”

"You don't think I can do this surgery?"

Zhao Sheng glanced at Song Wei and asked rhetorically.

"That's not it, with Dr. Zhao's level, I'm afraid it's better than the doctors of hand and foot surgery."

Song Wei shook her head slightly and said.

"Isn't this enough, such a patient, the operation is simple, the operation time is not long, and the infusion is changed every day, and if you receive our department, it can be regarded as a high-quality case."

Zhao Sheng said at this time.

The current situation in the emergency department is really not optimistic.

Most of the patients were triaged to major departments after being seen in the emergency department.

As for those who stay in the emergency department, they will stay for 24 hours, at most 48 hours, and those who are heavier will be transferred to the ICU.

Therefore, in fact, in terms of creating benefits, the emergency department can do very limited, which is why everyone is reluctant to come to the emergency department.

Forget about the hardship and tiredness, there is no money to earn.

Everyone comes out to work, tired and tired, who is not for a few taels of broken silver?

In the case of an old lady, with Zhao Sheng's level to do this surgery, she may not want it for an hour.

After the surgery, the care is also simple, which is considered a "high-quality" patient in the department.

In hospitals, there is no such thing as subsidy, because the benefits of emergency are not good, and what subsidies will be given to emergency departments.

It's like pediatrics, the benefits are not good, and the same hardship and tiredness are all supported by themselves.

"Doctor Zhao, you have already started to think and deal with problems in the way of a deputy director."

Song Wei looked at Zhao Sheng and said.

The issue of department efficiency has always been a concern only for deputy directors and directors.

Zhao Sheng has begun to think about this kind of problem, which shows that he has begun to think about the problem from the perspective of the entire department.

"If you are poor, you will change, and if you change, you will be able to pass, and you will be able to last for a long time."

"If this continues, the emergency department will be a process of slow death."

Zhao Sheng said with a sigh.

He can endure suffering and tiredness, and he can generate electricity for love, but what about the others?

Especially the question of new blood coming in.

No matter where the hospital emergency department is, I have never heard of a special policy tilt, which makes the status of the emergency department more and more embarrassing.

"In fact, the current model can be changed, the emergency department is still the emergency department, and it is also responsible for the initial visit and triage, but it can also admit some patients, such as the patient with the subungual hemangioma just now. In this way, the benefits can be much better. ”

After a pause, Zhao Sheng couldn't help but say again.

"Uhhhh Dr. Zhao, your idea is good, I'm afraid that the hospital will not agree. ”

"Besides, isn't this just a meal grab with other departments?"

Song Wei said.

"That's what I said."

Zhao Sheng shook his head slightly.

Sometimes, it's not necessarily a good thing to divide the subjects too finely.

The human body is very complex, and sometimes the diagnosis of a certain disease does not necessarily mean that the patient only has a problem in the part of the diagnosis.

Sometimes, seeing a doctor still requires comprehensive thinking and holistic thinking.

Next.

Eleven a.m.

Inside the hospital room.

At nine o'clock in the morning, Zhao Sheng operated on the old lady on time, which can be said to be very fast.

In fact, the old lady's surgery is not complicated, the same day check-in, the evening related preoperative examination, basically the next day can be done.

By this time, the old lady had returned from the operating room, and the effect of the anesthesia had passed.

Zhao Sheng came to the old lady's hospital bed, and looked at the old lady lying on the hospital bed at this time, her expression was completely different from when she was first admitted to the hospital.

The old lady now looks like a kind and kind old man, and she no longer looks like she was tormented by illness when she was admitted to the hospital.

Therefore, the fastest way to torture a person and destroy a person is to be sick.

There is a saying that illness comes like a mountain, and illness goes like a thread.

(End of chapter)