However, when Fang Ziye was just about to go out, Li Yuanhong trotted over, watched Fang Ziye push the box and walked out, and stopped talking.

He changed his words and asked, "Dr. Fang, are you planning to go back?" ”

Fang Ziye said: "Brother Hong, a brother just came and said that he couldn't be busy here, so I thought about not getting in the way." Need my help? ”

"Why don't you be a little late? To be honest, we're a little stretched out on plaster casts. ”

"The number of patients this time is really a bit too much, several buses, a total of hundreds of people are more or less injured, and the total number of small debridement and sutures is at least 300 people, and each hospital is divided, and the influx of patients is too much." Li Yuanhong was a little embarrassed.

When Fang Ziye heard this, he immediately and decisively stuffed his suitcase into the doctor's lounge, and then twisted up a white coat and said, "It's okay, Brother Hong, where can I get a mask and a hat?" ”

"There's a nurse's station, it's hard work." Li Yuanhong is embarrassed.

After Fang Ziye went out, he saw that the number of patients was really concentrated all at once, although the patients who came to the ward were not major traumas, after all, major traumas were directly taken from the emergency department to the operating room or emergency operating room.

There are seven or eight patients who need to go into the operating room for minor debridement. Everyone was wearing bandages, and the surface of the bandages was more or less bloody.

In the office, a doctor on duty and another doctor who came to help were surrounded by eight or nine patients who needed to go through hospitalization procedures and more than a dozen family members, and the arms and calves of the family members were also slightly bloodstained.

It's just that there is no fracture, but the skin is scratched and scratched.

It's also inextricable.

Li Yuanhong was doing a plaster cast for some other people in the nurses' station, and if the fracture was simple, he would wait for a slightly complicated fracture, and he would wait in line to take him to another operating room for manual reduction, and he would also have to put a plaster.

In the operation room, there is already a little friend who is starting to get busy.

On the cart on his right, there were at least twenty or thirty plasters of various types.

At the same time, at the nurse's station, several nurses began to operate at the same time, scanning the code, issuing medical orders, and explaining to patients.

A big mess.

After Fang Ziye grabbed two masks, two hats, and two pockets of inspection gloves, he tore open the outer packaging of the mask and hat and put them on first.

Although I am in a hurry, I must also pay attention to protect myself, and it is very necessary to wear a hat and a mask.

Plaster cast, Fang Ziye was also often on duty in the orthopedic department of Zhongnan Hospital, and the knowledge points obtained from a case were only a few tenths, but it was better than entering the practice room.

Fang Ziye said to Li Yuanhong, who was explaining to the patient, that he would go to the plaster cast first, and the other party nodded, still reassuring: "Don't worry, everyone must be standardized and procedural, so that the speed can be improved." ”

"I know you're all in pain, but in our eyes, we all have to solve problems for you, so we don't call acquaintances or anything, and we won't answer any calls now."

"Now is a more critical period, don't say it's the phone call of the hospital leader, and the city leaders won't call. Everyone is treated equally, go to line up, and come one by one. ”

"None of us are playing, including our director, who is still seeing patients in the emergency department, or doing surgery in the operating room, and I think you know better than me what the specific situation is."

"Although there is a bad sentence, but you can come here, or walk or push, and are not left by the emergency department, this is a kind of luck, everyone understands and understands each other, our hospital is a very regular hospital, will not give up on anyone, but also according to the priority of the disease, to deal with one by one."

Li Yuanhong is still very calm.

After Fang Ziye arrived at the operation room, he began to help first.

The person who put on the plaster inside was an attending officer under Wu Guonan's chief physician group, named Wang Zhongxing. Fang Ziye briefly explained his intention and identity, and he nodded.

"That's right, brother, you can help me with my leg, this patient's family can't help my leg, this little nurse is an intern. You should know how to pull the leg, right? Wang Zhongxing saw that Fang Ziye was not very old and asked.

"No problem, Dr. Wang." Fang Ziye replied to Wang Zhongxing.

The aunt who was lying on the operating bed said in a local accent: "Doctor, it hurts, you can be lighter." ”

This should be a native of Enshi, not necessarily in Enshi, with a dialect accent.

Fang Ziye also spoke in the local dialect: "Don't be afraid (don't be afraid), I will do it lightly, and it won't hurt." (Tap to...) It won't hurt)"

As soon as the aunt heard Fang Ziye's accent, she said, "You should be from Ba County, right?" I hear you have an accent similar to my brother-in-law. ”

Fang Ziye didn't reply, just calmed his emotions, and the next thing is to look at the operation.

The traction leg support method mentioned by Dr. Wang Zhongxing is actually to use the force of traction to form a certain separation of the broken end of the fracture without friction.

In this way, even if you help the patient to cross the bed, or get on the cart, move, etc., it will not produce a sharp pain, if you are not a professional person, do not know the appropriate traction technique, then the fracture patient's bed transfer, it is a pain.

This aunt has a type A fracture of the middle fibula, and the broken end is anastomosed, and only needs to be temporarily fixed with a plaster.

Wang Zhongxing has already begun to lay plaster with polymer materials, which is about 120 centimeters long.

For the fracture of the middle fibula, the plaster cast must be long enough, and if it is the lower fibula, it only needs to go to the knee joint, which Wang Zhongxing is still very professional.

If you want to lift your leg after a fracture, you must keep the patient's fracture lines very parallel, otherwise it will cause pain due to various effects such as gravity or muscle stretching.

However, this is not difficult for Fang Ziye.

Fang Ziye exerted the traction force in the direction of the soles of his feet, while carefully holding the patient's popliteal fossa, and said, "It doesn't hurt, Aunt Xian (Auntie), you have to endure the slightest pain!" ”

If you want to say that it doesn't hurt at all, it's as comfortable as a normal person, then don't think about it, there will definitely be a slight pain point, but the aunt didn't hum anymore.

"Alas! ~Yo. She sighed.

"That's good, I felt like my leg was ......broken when I got into this cart and ambulance," she sighed.

Fang Ziye did not reply, but waited for Wang Zhongxing to hurry over to operate the plaster external fixation.

Plaster external fixation requires the gypsum made of polymer materials to be soaked in water and wetted, then shaped, and finally wrapped with a bandage to form a good external fixation.

Soon, Wang Zhongxing came over and pasted the plaster on the back of Fang Ziye's hand, and Fang Ziye wrapped it around slightly, holding the plaster into the palm of his hand and pressing it under the patient's woolen pants.

At the same time, Fang Ziye also helped to curl the ends of the plaster cast to prevent diaphragmatic pressure on the patient's skin after coagulation.

Wang Zhongxing looked at Fang Ziye's skillful cooperation, and also nodded slightly.

I secretly said in my heart that this doctor is still decent, not the kind of all-academic type, and I don't understand clinical at all.

After quickly winding and fixing the patient's plaster, Fang Ziye put a small piece on her popliteal fossa, and then watched Wang Zhongxing go elsewhere, he explained: "Don't straighten your legs, your curvature here will not stay, and you will be very painful during the period when the plaster continues to be fixed in the future." ”

"Leave a little arc here so you can sit down later."

Unless the knee joint is fractured, the popliteal fossa position must have a little curvature, otherwise it is the stiffness of the whole lower limbs, which is not only inconvenient to go to the toilet, but also difficult to sit down normally.

Seeing that Wang Zhongxing was already very proficient in reading another patient who was about to put on a plaster, Fang Ziye continued to explain: "There is also a higher stool after I go back, give me your medical record, and I will help you write it." ”

Although there are two operating beds, they cannot be operated on both sides at the same time.

Because it takes time to prepare the plaster, and it takes time for the plaster to solidify, it can only be said that the rotation of both sides is just right, and the plaster cannot be started at the same time, otherwise the rest will still wait.

Fang Ziye habitually took a pen from his pocket, but there was no pen, so he turned around and took it out of Wang Zhongxing's pocket.

"Huh; Remember to give me back. Wang Zhongxing subconsciously came to a sentence, as if it was instinct.

"Okay, Dr. Wang." Fang Ziye nodded.

Then he began to write: "After you go back, you still have to pay more attention, do not do physical activity and strenuous exercise, and also have to review and decide when you will take off the cast." ”

"Don't sit for a long time, you can walk without weight on crutches, and if you have crutches, you can go out and buy one."

"Doctor, where is it?" Auntie asked.

"There are general pharmacies, but there are no pharmacies in Enshi, and there are also pharmacies in your hometown, so if you can't let the carpenter make one, I don't know where to find this."

"Originally, there were some in the department, but now I guess I can't get busy, and this crutch is cheap. All right. Fang Ziye took notes while reading the previous doctor's orders.

It is recommended to rest, avoid weight-bearing and heavy physical labor, and avoid strenuous exercise.

It is recommended to sit on a high stool to avoid pressure ulcers caused by excessive skin compression.

After writing like this, Fang Ziye read the film again, and after finding no problems, he handed her the emergency medical record book.

As for her family, they will have to wait a while to come in.

No way, the operation room is so big, and the plaster cast has to be applied on both sides, if the family members rush in, then the plaster will not be played, and the crowding will be counted.

"Doctor, can you hurry up, I can't stand still." Someone outside was urging.

"Come one by one, her plaster will also be fixed, if it is not fixed, it will be in vain." After Fang Ziye replied to the outside, he hurried to the direction where Wang Zhongxing was and helped to carry out the next special plaster cast for ulnar fracture.

At the same time, looking at the 0.3 knowledge points in the account, Fang Ziye was very pleased, the operation room was less than ten minutes, and it was enough to catch up with the practice room for 3 hours.

Of course, Fang Ziye quickly accepted such thoughts and honestly became an assistant.

The patients went out of the operation room one by one, and the few but many knowledge points were collected by Fang Ziye little by little, although it was said that the assistant who put on the plaster cast had fewer knowledge points than the operation position, but there was no need to grab it.

Solving the problem for patients, allowing them to leave the hospital early, and clearing the congestion that is now piling up patients, is the first priority.

However, just as the seventh patient was progressing, Fang Ziye finished watching the patient's plain film, and his brows furrowed slightly.

"Dr. Wang, isn't it a bit inappropriate for this patient to be put in a plaster cast? His fracture is an unstable fracture, and it may need to be surgically treated, which will be better, otherwise the remaining scar at the end of the fracture will be a little large in the future. Fang Ziye thought about it for a while, and still suggested so.

"Huh?" Wang Zhongxing is going to prepare the plaster.

Because this patient needs to be treated with a plaster cast, it is the intention of the superiors, and now Fang Ziye pointed it out, which made him a little uncomfortable.

"I think I can ask Dr. Li again what he means, and this patient may be better off when he is admitted to the hospital." Fang Ziye continued to suggest.

"Huh? I'm going to be hospitalized, huh? The person who came in was an uncle who was nearly fifty years old and had a good look, but when he heard Fang Ziye's suggestion at this moment, he couldn't help but get nervous.

"Hospitalization will be better, if you put a cast directly, your leg in the future, the stress is not good, walking, working, there will be a lot of problems, and the scar is also large."

"There is even a chance that the fracture will be misaligned, resulting in non-union." Fang Ziye said.

His fracture is indeed a fracture of the middle tibia, but it belongs to the B2.3 classification, and the current level of this fracture is generally not treated with manual reduction and direct cast, although it seems that the fracture line is better aligned.

Fang Ziye has read a lot of articles, and he can't say it to death, after all, it's just statistical data.

"That Doctor Li from before?" The flat-headed man's forehead wrinkled.

"Uncle, there are too many patients now, a cursory glance may not be so accurate, only slow work and careful work, the advice we give you must be flexible according to your actual situation."

"Being a doctor is not an assembly line, and when a patient comes, he will go directly with a plaster." Fang Ziye still looked at Wang Zhongxing.

Wang Zhongxing was already rushing out with his film at this moment.

About two minutes later, Wang Zhongxing came back in, he gave the film to the middle-aged uncle, and then said: "Uncle, you are going to be hospitalized, Director Xue of our department has seen it, and I am sure that it is best for you to be hospitalized." ”

"Plaster external fixation with plaster cast does not meet the requirements of fixation. You can understand this, after all, there are too many patients this time. ”

"But we're still responsible for you." Wang Zhongxing is very sincere.

"Well, I thought I could go home with just a plaster cast. This came out to play, why did you still live in the upper house. He complained a little and said that he looked quite honest and simple, as if his family was quite wealthy.

"Uncle, we can only respect the facts, right? You go to the doctor's office first, and then go through the hospitalization procedures, we are really too busy, we have a total of six doctors in our department, and we still can't accept the treatment, there is a slight mistake, please understand. ”

"Come and help this uncle to the doctor's office to go through the hospitalization procedures...... Wang Zhongxing beckoned and called the next patient to come in, not daring to delay the time at all.

"Next, Aunt (Auntie) ......"

It's just that when he shouted like this, Wang Zhongxing's expression changed slightly when he looked at Fang Ziye.

To be honest, he didn't even think about this aspect in the past, but Fang Ziye was not in his position, but he could put forward his own ideas, which from the thinking level, Wang Zhongxing felt that he was weaker than Fang Ziye.

He only thinks about doing things and completing the operation of plastering, while Fang Ziye is thinking about curing diseases, and the level is still a little high.

It may be that the number of patients has piled up all of a sudden, so the uncle and his family are not noisy.

But if it's just him and you get the diagnosis wrong, you're probably in trouble.

If you see a lot, there will also be a certain degree of empathy.

When the next patient came in, he quickly asked, "Doctor, can I be cured with this cast?" ”

Including the patient lying on the bed next to him, he also asked, "Doctor, am I not mistaken?" ”

When Fang Ziye heard this, he hurriedly explained: "No, no, big brother, auntie, where are there so many mistakes, the fractures of the two of you are simple, it should be when you are injured, the stress is relatively simple, and you can deal with it with a plaster." ”

"We're not hospitalizing anyone for the sake of hospitalization, and we're sure to advise you on the best way to deal with it."

Wang Zhongxing had an extra heart this time, he felt that Fang Ziye, a young student, would think, and if he didn't take the decision of his superiors as the only criterion, he had to learn to think about it.

Time is like water!

Fang Ziye and Wang Zhongxing completed nearly 20 plaster external fixation operations in three hours, and only then did they empty the number of simple fracture patients at the door of the operating room.

Halfway through, Fang Ziye and Wang Zhongxing changed positions slightly, after all, Fang Ziye was always asked to do the reset traction, and no one had such a long staying power.

After coming and going, Fang Ziye and Wang Zhongxing are still relatively familiar.

After tying the plaster bandage of the last patient into a bow, Wang Zhongxing stretched out half of his body and went out, and after not seeing any patients, he sat down directly on the ground.

Although it's just a plaster, but a cast for more than three hours in a row, do you try?

Not tired is fake.

Fang Ziye considered that the white coat was not his own, and he needed others to wash the white coat, so he was not so casual, but he also stuck to the wall, and while writing medical records, his mouth was dry and said: "You this, you can sit on a low stool when you go back, because you have broken your phalanges." ”

"So I don't pay so much attention to it, but be very careful not to kick something, this phalange bone is already brittle, and now it is fractured, in case you kick something again, it will be easy to fracture it twice."

"Okay, okay, thank you, doctor." The patient and his family quickly nodded their heads in thanks, and then the family helped them, and the patient jumped out on one foot.

When I got to the door, I didn't forget to turn around and say, "Thank you, two doctors, you have also worked hard." "They were the last in line, and they actually saw two white coats, and they didn't even have time to drink water, so they kept spinning here and on.

After the patient left, Wang Zhongxing looked at Fang Ziye and gave a thumbs up: "It's worthy of a doctor, this theory is really strong." Say that two are not suitable for plaster, so don't put on plaster. ”

Fang Ziye has no shelf, and his title has also changed from Doctor Wang, to Brother Wang, and then to the current Brother Xing.

Wang Zhongxing naturally couldn't put up any more shelves by himself.

A down-to-earth doctor friend, he won't refuse.

"Brother Xing, just laugh at me, I don't care, in fact, it's okay to call me Ziye." Fang Ziye rubbed his wrist.

Rub your thumbs.

In particular, my thumb hurt, and then I stretched and looked outside. said: "Brother Xing, I'll go drink saliva first, will you go?" ”

Wang Zhongxing took out a cigarette: "Do you want to be happy?" ”

Fang Ziye politely refused.

Wang Zhongxing said: "Then I'll go to the lounge to drink water, and you can go to the office......

The two separated.

Ask for a monthly pass on the last day, to 6,000 plus more. Fellow book friends think it's okay to vote.

(End of chapter)