Yunhua Hospital.

Neurology.

Cao Yue, the female doctor in the electromyography room, sat on the chair with a half-smile, watching Lu Wenbin push the flat bed against the wall, and then said: "Okay, just get there, I will do the rest.

"

Lu Wenbin looked at the patient Li Huamin on the flat bed and said, "You don't need my help?"

"No need." Cao Yue smiled and said, "Just wait outside."

"This...the patient has more personality, please pay more attention."

"It's okay, I've seen a lot of patients." Cao Yue glanced at him.

Lu Wenbin became impatient when he saw other people's expressions. After a moment of hesitation, he left the consulting room, found a bench, sat down, and let out a long breath. He hadn't had any sutures in the past few days, and his hands were itchy.

no.

Inside the clinic.

Cao Yue snorted lightly and thought to herself: There are so many patients with unique personalities, who hasn't seen them before?

What he dislikes the most is the resident doctors in the surgery department. They have to be capable but not talented, and they have to be professional but not professional, but they are all very good at it. It seems that they can become a technical master at any time, and then they are constantly educating people.

In Cao Yue's view, these surgical residents are just a bunch of people who do dirty work.

Although the environment in the operating room is clean, in fact, every once in a while, some kind of germs will be prevalent in the operating room. Surgeons' white coats are often only clean in the morning, and the blood they come into contact with every day is probably more than

Most people are exposed to a lot of things in their lifetime...

In comparison, Cao Yue's working environment is much more comfortable.

The electromyography room is just an ordinary office. The instruments are connected to the computer. As long as the patch is applied to the patient's skin, all the remaining operations are performed through the computer.

From the appearance, it is a slightly more complicated examination than an electrocardiogram.

This position can be said to be the most relaxed position in the whole hospital. It has nothing to do with it. Don't even think about it. It can be said to be two different worlds from the working environment of a surgeon.

Whenever Cao Yue thinks about this, she sings in her heart: We are different, we are different...

"Are you a doctor who specializes in measuring nerves?" Li Huamin lay on his side, revealing half of his arm's red silk sleeves, which were very bright and beautiful.

Cao Yue stopped singing in her heart, laughed twice, raised the patch, and said: "I am a professional who does electromyography, not neurometry. Come and smooth out my sleeves."

While Cao Yue was speaking, she took it upon herself to push up the patient's sleeves and said, "You have external fixation on your hands, can you still put both sleeves in?"

"There are buttons at the back." Li Huamin replied, and then asked: "Is my nerve okay?"

"I don't know yet." Cao Yue was a little annoyed: "I haven't tested it yet, who knows."

"If the nerves are not right, it would be a stroke, right?"

"There is a problem with the cranial nerves that causes a stroke."

"Then is there any problem with my brain nerves?"

"I haven't tested it, and I don't know either."

"Doctor, don't lie to me. I'm not afraid of death." Li Huamin said seriously: "I asked my family, but they didn't tell me. I know that everyone is hiding it from me. That's good for me, but I just want to

Know."

Cao Yue frowned: "But I really don't know."

"Doctor!" Li Huamin became anxious, lifted up the quilt covering his body, and said loudly: "Doctor, I am not afraid of death, I just want to die. Normal people have nothing to do with nerve tests, and I am not a psychopath!

"

Cao Yue stared at Li Huamin's red silk Tang suit-style top for several seconds, always feeling strangely familiar.

When the clothes on his body were noticed, Li Huamin's expression suddenly softened and he asked: "Does it look good? I designed this clothes myself. The old man said that a bright red shroud would be auspicious, but my five elements are pink, so I used pink for the embroidery.

The fabric is made of bright red, and the five blessings and longevity in the middle are made of gold..."

"What are you wearing?" Cao Yue was shocked.

"Shroud!" Li Huamin said seriously: "You will test my nerves in a moment. If there is something wrong with my brain, I will jump off the rooftop wearing these clothes so as not to harm my family!"

Li Huamin looked at Cao Yue seriously and said, "Test carefully to see if there is anything wrong with my brain!"

"Wait a moment..." Cao Yue stood up tremblingly, opened the office door, and shouted: "Lu... Doctor Lu, um... please come and help me."

…

the next day.

Lu Wenbin stood outside the ward and reported to the director who came for ward rounds: "The patient's nerve anastomosis is in good condition..."

Li Huamin was half lying on the bed, waving to the doctors outside the room.

"Lao Du, go in and take a look. Let's go to the next room. You continue." Huo Congjun passed the door without entering and sent the deputy director in.

Lu Wenbin said: "There is no problem with the tendon suturing. It is of high strength. Doctor Ling has ordered that we can start early rehabilitation..."

"Just follow Dr. Ling's orders." Huo Congjun cut off Lu Wenbin's words without hearing a second sentence. He didn't understand hand surgery before, but now he let Ling Ran go.

In any hospital, if a doctor can perform hundreds of surgeries of a certain surgery, and the excellent and good rate reaches the local average for that type of surgery, then he is considered an expert in that surgery, because you can perform the same surgery.

The more formulas you have, the more strange situations you will encounter. Not to mention that Ling Ran’s excellent and good rate is far more than 90%.

Of course, it may take several years, or even more than ten years, for a doctor in an ordinary hospital to be qualified to perform a certain surgery.

To perform a certain surgical procedure repeatedly requires not only the cooperation of the hospital and departments, but also the cooperation of the environment. For most doctors in most hospitals, it is considered good if they can perform two or three main surgical procedures every day. If you want to accumulate a certain skill,

It will take several years to achieve 100 cases.

Only when you become a senior attending physician, and your doctor's right of choice increases, and your influence in the department increases, can you do more surgeries you want to do, and even make the surgeries you like and are good at the main surgeries in the undergraduate department.

.

Huo Congjun is an emergency physician with a background as a military doctor. He values ​​talent far more than qualifications. His trust in Ling Ran is growing day by day. Therefore, although he is serious when doing rounds, he rarely changes Ling Ran's medical orders.

Only when the patient develops postoperative complications or other combined symptoms will the medication be adjusted, etc.

Lu Wenbin’s envious feet were so twisted that they were pigeon-toed.

In the hospital, the senior director interferes with the junior doctors in all aspects. He can give you a day off today so that you and your wife can work hard to have a baby, or he can ask you to work overtime tomorrow to see whether the color of a certain patient's feces is authentic.

Anyone like Huo Congjun who can fully respect the doctor's orders is basically the leader of the treatment team.

In the Yunhua Emergency Department, there are two other chief physicians and two senior deputy directors.

After a while, Director Du returned to the medical team.

"Can Ling Ran handle cases with nerve damage?" Huo Congjun quietly discussed with Deputy Director Du.

Director Du hesitated for a moment and asked, "The patient just now performed well, but was he too impatient?"

"There are many cases of combined nerve injuries, and they are easy to find. We don't need to make phone calls all the time." Huo Congjun said, and then whispered: "As far as I know, in Changxi Province, flexor tendon suturing can be performed independently.

, there are countless doctors who perform perineurial anastomosis. There are even fewer who specialize in this."

Director Du chuckled twice.

There are indeed not many doctors who can perform flexor tendon suturing and perineurial injuries, and even fewer who specialize in it. But this is just a saying, just like there is a forest. If you want to find a pine tree, you must be next to it.

A locust tree must be next to an elm tree, and there cannot be any plants in between.

There are many pine trees, many elm trees, and many locust trees. What's the point of having three trees next to each other?

Of course, it still makes sense in a hospital.

Those who can do flexor tendon suturing, nerve anastomosis, and orthopedic surgery. People are doing replantation of severed fingers all day long. How can I have the time to do a single flexor tendon suturing combined with nerve rupture for you?

There are many people who can perform nerve anastomosis alone, but most of them are neurosurgery doctors. They can't finish cranial surgery, and they can do it all night long, and they are too lazy to go out for consultation.

Of course, the surgeon who can only perform flexor tendon suturing is also very good, and he is too lazy to rest his temper.

All surgeries outside the hand must be completed within 24 hours, and the earlier the treatment, the better the effect. Many patients who suffer from flexor tendon rupture, combined with nerve damage, and no broken fingers can only get good results.

Flexor tendon suturing technique and epineurial anastomosis are not too bad. The prognosis basically depends on fate.

Some large hospitals are really overwhelmed and will ask patients if they are willing to have their limbs amputated...

The rate of replantation of severed fingers in the United States is 2%, relying on a strict censorship system. People who smoke, drink, drink, or cannot maintain good living habits may not be able to get two hours of dedicated help from an elite doctor even if they have insurance.

.

Therefore, it doesn't matter whether pine, elm, and locust trees are close to each other, unless you cut them down together.

"I don't object to it. It's just that the recovery period for patients with flexor tendon injuries is too long, and the recovery period for nerves is probably even longer. Our wards are not enough." Dr. Du reluctantly offered an opinion.

"If it's not enough, add more." Huo Congjun waved his hand. The large emergency center in his dream should have more than 200 beds. He wouldn't mind if there were more than 500 beds like the Chongqing Emergency Center.

"There are many sources of disease, so Ling Ran shouldn't work too hard. Young people have to lower their heads and rush forward, but they also have to raise their heads to look at the road." When Dr. Du said this, he asked Lu Wenbin: "Ling Ran is still undergoing surgery?"

"Yes, we were just halfway through the operation and something unexpected happened." Lu Wenbin said casually, which was a reason not to accompany him for the ward rounds.

If other junior doctors often do not participate in the director's ward rounds, they may wear their shoes until they break their bones. However, the hospital's explicit and implicit rules have always been for ordinary doctors, and skilled doctors have always been special cases.

Just like what a poor student does is wrong, what a good student does is right. Huo Congjun smiled when he mentioned Ling Ran and said: "We need to make Ling Ran pay attention to his body, not just work. How many days did he have today?"

Ordered."
To be continued...