Chapter 82: Texas Stitching (June 3 1/2 Subscription Update)
Because paronychia is not too much to be treated in the hospital - this kind of problem can actually be solved by pedicure masters all over the country in the early days. And even fewer people need to be hospitalized because of paronychia. For example, Feng Yiming is going to be hospitalized because of paronychia, and he may even have to worry about his life, not to mention Sun Lien, even Zhou Jun has never seen a few.
"His condition ...... Actually, in my opinion, it's mostly bad luck. When Sun Lien and Feng Yiming's family met, he had already dealt with more than 20 patients. The vast majority of these patients are only in a hurry to show symptoms, so they come to the emergency department for registration with grade 3 and 4 patients. Some have a fever, some have stomach aches and diarrhea. With the dual assistance of the status bar and detailed consultation, Sun Lien quickly sent them all out of the hospital.
Then he ushered in Feng Yiming's family.
"Paronychia generally does not progress to the point where it requires hospitalization unless the patient is immunocompromised or congenitally low. Facing Feng Yiming's parents, Sun Lien tried his best to explain in relatively simple language, "Did he have any congenital diseases before?"
Feng Yiming was given five infectious diseases in the rescue room, and the HIV test result was negative. But Sun Lien still asked one more question to prevent the possibility of a false negative test.
"He ......," Feng Yiming's parents looked at each other, then frowned, "He used to be sick a lot, but the hospital never found out that he had any serious problems. β
Frequent illness in the past may mean that you are born with low immunity. However, this is not an immediate problem to deal with, at least from the current situation, reversing bacteremia is more important than improving Feng Yiming's immunity.
"You go and hospitalize him, and I'll give you a hospitalization list. After thinking about it for a while, Sun Lien decided to hand over this patient to the infectious disease department for a headache. Anyway, in the face of various infections, they are much more expert than Sun Lien.
"This ...... Wouldn't it be serious?" Feng Yiming's parents asked with some hesitation after receiving the hospitalization form, "I heard about it when we came over...... I can't figure out the ...... to have my leg amputated."
"Huh?" Sun Lien was stunned for a moment, and then quickly shook his head and said, "What are you doing with a good toe amputation? As long as the infection is controllable and there is no necrosis, it will definitely not be amputated." β
The thumb bears most of the pressure when the human body walks, and if the thumb on the foot is amputated, the best case is that the person will have to limp when he walks in the future. If it's more serious, you may have to rely on crutches to walk all the time. So as long as there is a choice, doctors will not consider amputating a patient's thumb on the foot.
"That's good, that's good. "When people start with bad expectations, they relax a lot when they hear that the news is better than expected. "Then we'll go to the hospital now...... Thank you, doctor. β
Sun Lien was inexplicably thanked by someone, which made him cry and laugh a little, "You go to the rescue room first, he should be there to do nail extraction for paronychia, just so you go to accompany him." β
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"You've caused quite a stir today. During the lunch break, Brune showed up in Sun Lien's ninth consultation room. One morning passed, and Sun Lien looked at forty-eight patients in a row as if he were helped. This speed is already about the same as that of other senior attending physicians and even deputy chief physicians. Brunn, on the other hand, drew the blood of more than 100 people in a row at the diagnostic center, and was busy until noon before he found a free time to come over to see Sun Lien. "WOW, what's wrong with your arm? Someone stabbed you again?"
"I fell on my own. Sun Lien raised his arm embarrassedly, "There was a knock on the ground." He glanced warily at Brune, who was a little eager to try, and then warned, "My wound has been stitched up, and I don't have a chance for you to play!"
"How many stitches?" Brune didn't pay attention to Sun Lien's warning, but kept staring at his arm, his eyes glowing, "This wound has to be stitched for more than fifteen stitches, so that the wound will not leave too ugly scars." He stared at Sun Lien's vigilant gaze and asked with a smile, "When the time comes, there will be a big scar, how are you going to explain it to Hu Jia?"
It's not terrible to have a scar, but what is terrible is that Hu Jia is angry, and the two rows of white teeth that may appear on Sun Lien's arm after getting angry.
"I'm afraid of you......" Sun Lien sighed, "I just sewed it up this morning......"
"Then you have to hurry up and re-sew. Brune stood up and laughed, "A little later, the wound starts to heal and stitch it up, and you'll have to tear it all openβI guess you don't want to go through it again, right?"
Stitching is an indescribable pain. Sun Lien didn't want to have a third time in his life. At his strong insistence, Zhou Jun personally gave him an infiltration anesthesia, and after the anesthesia effect was satisfactory, Brune had the opportunity to get the needle holder and skin needle.
"According to my level, why can't I charge you thirty yuan for this stitch. Brune complained as he threaded a needle through Sun Lien's arm, "You still want to ask the head of the department to be your anesthesiologist? Who do you think you are?"
Brune has been working in the Fourth Hospital for more than a year, and the first thing he figured out was the administrative level of the hospital in China. In this respect, he was much more clever than Dr. Pascal.
After noon, the doctors in the emergency department began to gradually return to their posts. This made Zhou Jun, who had always been highly nervous, relax a lot - with enough doctors in the department, the department director would naturally not be too nervous. Under the relaxation of his emotions, Zhou Jun even had the interest of coming to Sun Lien to be an anesthesiologist.
Anyway, now that there are enough people, many doctors have simply put down their work and come to watch Brune's suturing techniques. After watching for about ten minutes, everyone nodded and praised - the old cloth sewing was really attentive.
Bruen uses continuous intradermal sutures, and the thinnest 0 line is used. He received a total of 25 stitches for a five-centimeter wound β five of which were needle holes left by Dr. Wang when he treated Sun Lien for emergencies.
Not the more stitches, the better. With Brunn's ability, it is not difficult to sew half a pound of thread in these five centimeters. But suturing itself is a medical treatment to "promote wound healing". If you can't achieve this method, then even if you can sew patients into rag dolls, you can't escape the word "quack".
However...... Meticulous stitches come at a price, and Brunn's slow sewing is a joyous look at the crowd of onlookers. And Sun Lien ...... He felt the effect of the local numb on his arm fade.
"Director Zhou, Director Zhou!" Sun Lien turned his head and begged Zhou Jun with difficulty, "After anesthesia, you can make it up for me again......"
Zhou Jun didn't raise his eyebrows, so he rejected Sun Lien's request, "It's going to be over soon, bear with me." β
"yes, soon. Bruin stopped what he was doing and showed a somewhat "hideous" smile to Sun Lien, "There is still a six-stitch, and it will be fine immediately." β