Xiaotie was waiting impatiently in front of the emergency room, frequently raising his hand to look at his watch.

About two hours later, an ambulance with a "Golden Deer" logo pulled into the reception channel.

Xiaotie glanced at the license plate and breathed a sigh of relief. Then he became nervous again and rushed to the front.

The nurse and doctor who picked up the car from the emergency department glanced at Xiaotie and thought he looked familiar but didn't say anything.

Xiaotie was humble and childish in front of Director Pan, and he would still be a thirty-five-six-year-old outsider. But in the hospital, there is no threshold from hospitalization to attending treatment. It is just a difference between sooner or later, but no matter how late, he becomes mature.

In this way, they are all in charge.

"Patient Zheng Qi, 51 years old, suffered cuts on the thumb, index finger, middle finger of his right hand..." A young man who looked like a student in a white coat came out of the ambulance. He reported nervously, but his words were unclear.

The patient's condition was reported to the emergency center when the ambulance was on the way and transferred to the Yunyi Emergency Department. Reporting it again at this time is just for verification.

"Hand trauma, call Dr. Lu." The young doctor who picked up the car quickly pulled the patient out while making a quick judgment.

The work of the emergency department can be said to be complex, but it can also be said to be simple.

In general, the main task of the emergency department is to ensure that the patient survives. On this basis, what the emergency doctor needs to do is to avoid brain death, cardiac arrest, respiratory arrest, excessive blood loss, and organ damage.

damage……

Under the premise of ensuring that the patient will not die immediately, the emergency department can consider whether to handle the patient itself or make a referral.

Theoretically, if you have a cut on your arm, you can do it yourself, or you can send it to a medical aesthetics department to make it more beautiful. If you have a hand injury, you can send it to an orthopedics department or hand surgery. You can also treat it yourself, or you can ask doctors from other departments to come to the emergency department for diagnosis and treatment.

This judgment is usually made directly by the on-site doctor, which is also the purpose of Xiaotie's visit.

He quickly called Dr. Zhou, whom he was familiar with, and explained the situation at the scene while waiting anxiously.

Xiaotie himself can wait for the patient outside the emergency building. It is impossible to ask Dr. Zhou to come and wait. At this time, he can only hope that Comrade Zhou is not in a hurry.

Of course, Comrade Lao Zhou was not in a hurry. With his skills, he could just bring a few interns and residents over, and he would receive a lot of thanks and be freed as an instructor.

In comparison, Dr. Zhou prefers colleagues to praise him for his eagerness for justice and justice.

As soon as Xiaotie entered the treatment room, he saw Dr. Zhou coming up to him, and he breathed a sigh of relief.

"Your relative?" Dr. Zhou asked.

"Yes." Xiaotie nodded in recognition and said, "I went to the construction site to do some work, and just in time the debt collector came..."

Dr. Zhou interrupted him and said: "Let's not talk about it now. The patient's symptoms are basically stable and the blood loss is not too much. The core problem is the cut injury on the finger. Let me tell them, don't open the emergency gauze first and transfer it to you directly.

Go to hand surgery?"

"Ah... no." Xiaotie panicked and said quickly: "That's not what I meant."

"No?" Dr. Zhou is a little strange. He and Xiao Tie are pseudo-contemporaries. They were admitted to the hospital one after another. They were among the trendsetters in the reform of public institutions at that time, so they are familiar with each other. It's just that as everyone grows older, their social circles become more complicated.

He was reserved and had not been in contact for some days. Considering Director Pan’s eye-catching further studies, Dr. Zhou’s eyes were filled with suspicion.

A good man is a good man, and he is a fool to be deceived.

Xiaotie murmured: "What I mean is that I hope Zheng Qi can be sent to the emergency department for treatment nearby. Well... the hand surgery department is very busy today. There are two special needs patients in front of us. It's not good to jump in line. Don't jump in line."

If so, it will delay treatment."

This is the best excuse Xiaotie has found.

In hospitals, special needs patients in a broad sense refer to special needs outpatient clinics. Most tertiary hospitals have special needs outpatient clinics or more privileged cadre wards.

It meets patients' needs other than medical services at an expensive price. In contrast, the cadre ward is based on rank and relationship, while the special needs clinic can be based on rank and relationship, as well as money, and provides special services with clearly marked prices.

For example, many large hospitals are criticized for their registration. In special outpatient clinics, you don’t have to worry about it. You only need to pay the outpatient fee according to the standard of 388 yuan for the attending doctor and deputy chief, and 500 yuan for the director. Patients and their families can order whoever they want. Speaking of which, there are

It may be cheaper than scalper tickets. If a doctor can't figure it out, he can initiate a consultation with experts in the hospital for only 500 yuan, and get a consultation with experts outside the hospital for 1,000 yuan. In theory, he can also seek remote consultation from foreign doctors... The most important thing is

Yes, patients can stay in the ward that costs 1,000 yuan a day to rest most of the time, and let the doctors and nurses run around. It is a compromise standard.

Such a patient fasted the day before and wore no make-up that day. Before going into battle, it would definitely be unpleasant if you told people that they were jumped in line.

Dr. Zhou reluctantly accepted this reason, but still kindly explained: "If you refer him to Director Pan, the curative effect will definitely be better. If you stay in our emergency department, Ling Ran can only do it. His patient is

The recovery is going well, and the surgery was done meticulously, but after all, you are a young person with little experience, so you have to think carefully."

"I've thought about it carefully." How could Xiaotie reply?

In fact, if he had to make a judgment, he also felt that Ling Ran's skills were far inferior to Director Pan. Apart from other things, just based on his experience, Ling Ran had only had surgery for a few months, how could he compare with it?

Comparison of Comrade Pan Hua who has been undergoing surgery for 20 years.

However, Dr. Tie understands that Director Pan is unwilling to perform the surgery himself.

After all, they are all familiar brothers-in-law. Director Pan spends one-third of his time in the country in hotels, one-third in hospitals, and one-third at his brother-in-law's home. After spending time together day and night, clinical decisions can easily go awry.

It was just handed over to Ling Ran. Although Xiaotie didn't agree with it, he still did it.

Doctor Zhou looked at his expression, nodded, and said, "Okay, you call the family members over, and I'll give you a few explanations."

"Can't I take my place?" Xiaotie became anxious again.

Dr. Zhou shook his head: "You also know the rules of our hospital. Without the signature of a relative, we will definitely not perform his surgery."

"That...immediate family members haven't come here yet." Xiaotie was worried that when Director Pan's sister was signing, the surname Pan came out and people could guess it.

"Someone has to sign it. If you can't do it, I'm doing it for your own good." Dr. Zhou's good nature has gone away. The operation is not 100% successful. If it is performed improperly, Xiaotie's identity will be embarrassed.

Fortunately, Zheng Qi's son arrived in time, and Xiaotie finally solved the problem.

At this time, Dr. Zhou called out: "Xiao Lu, we are here to pick up the guest."

"Here we come." Lu Wenbin had been waiting for a long time. He ran over and took Zheng Qi's medical records. He untied the gauze and looked at the wound. He looked at Xiaotie again. He was a little strange, but he didn't say anything.

He said: "There are three surgeries ahead, and this one is scheduled to be the fourth one."

"Um, Doctor Lu, can you make arrangements a little earlier?" Xiaotie spoke in an arrogant voice, even in a low voice.

Lu Wenbin shook his head firmly: "I can't come in advance."

Xiaotie was getting angry again and said anxiously: "No, I..."

Dr. Zhou quickly suppressed him, coughed twice, and said: "Dr. Lu, Dr. Tie is confused when he cares. This patient does delicate work. The suturing of the hand is very important, so I just want to do it as soon as possible..."

"It can't be done as soon as possible." Lu Wenbin sighed, stretched out his five fingers, and said: "Preoperative preparations, blood tests, skin tests, skin preparations, and intestinal preparations are all required. The anesthesiologist must inform and arrange them. These rings

We need to take care of the necklaces, Wenwan beads, etc. Once they are done, the first three operations will be almost completed. If there is a slight delay, the time for the three operations will not be enough. By then, the operations will be interrupted... In short,

I will not tolerate this."

Everyone present was a doctor, and they all understood what Lu Wenbin meant. It meant that the time spent on preoperative preparation was equivalent to the time of two operations, and the time of one operation was left as a margin. No matter how it sounded, it seemed correct.

.

However, Lu Wenbin's words sounded like nonsense to Xiao Tie.

Xiaotie didn't care about offending anyone and said slowly: "As far as I know, Dr. Ling only performs flexor tendon surgeries. One flexor tendon surgery will take more than two hours. After three surgeries, it will take more than two hours."

Seven or eight hours have passed..."

"If you do this, you can only perform several surgeries in a day." Lu Wenbin didn't say much, took out a surgery schedule from his pocket and handed it to Xiaotie.

The surgical schedule includes the time, the name of the surgery, and the personnel involved in the surgery.

Xiao Tie looked around and saw that three surgeries in the seven cells had been crossed out, and two more had been added.

"Dr. Ling planned to do 7 surgeries today, but two were temporarily added. Counting you, the total is 10. Doing one surgery in two hours? Do you really think people can go without sleep?" Lu Wenbin said, and started to do it.
Chapter completed!