Chapter 1398 Rigidity
Yu Yuan walked lightly, like a cowherd who had been out for a long time. He finally came home. He couldn't wait to see his cow, see if it had lost weight, see if it was hungry and thin, see if it was eating grass, see if it was sleeping steadily, and see if it had accumulated a lot of cow dung.
"Have Dr. Zang ever had an emergency department?" Yu Yuan asked as she walked.
"When we were rotating, we would have been around for about a month. The emergency department of our hospital is not very large, and the beds are tight, and the average level is normal." Zang Tiangong followed Yu Yuan inexplicably. To be honest, he was writing a report at Taiwu Central Hospital this morning. Now he has arrived in Yunhua and has become a low-ranking doctor. It is really difficult to adapt to it. However, the director arranged a job and what can he do? Not to mention that he is eager for cancer and thrombosis surgery, he doesn't have the desire to force a good person to become a prostitute?
And when boarding Yun Medical's pirate ship or private jet? Zang Tiangong couldn't adapt. It can only be said that Zuo Cidian is really a bit fierce, and the little thing in front of him... Legend of the world, small and strange female characters are huge and extremely dangerous, and Zang Tiangong dared not challenge them.
Surgeons have this contradictory personality. On the one hand, they will take risks in order to gain some benefits. On the other hand, they are extremely careful when facing some things that ordinary people are accustomed to. Just like some surgeons dare to hide secretly in the office next to their wife during the afternoon tea break, but if ** says "no condom", they will immediately become timid.
Zang Tiangong looked at Yu Yuan's back and had a good relationship, so he said, "I often go to the emergency room at the General Usage. The main subjects of our hospital are to schedule on duty with the hospital. I am really tired, but I can do surgery..."
According to the general situation, it is more common to talk about on-duty and surgery between doctors than to chat about weather. Especially for doctors who have been in the hospital for a long time, they enjoy a constant temperature and humidity environment day after day, and they don’t remember what the weather is like.
Yu Yuan leaned back and asked lightly: "Shouldn't the attending officer be on duty?"
Zang Tiangong suddenly felt panicked. The little thing that led me to the point is not even the main subject? My status is so low?
"You have no problem with common gastrointestinal surgery, right?" Yu Yuan asked again.
"Yes. No problem." Zang Tiangong responded quickly. If he was in this hospital, he would rather say that he could not do anything, so as not to be suppressed by others. However, if he left his hometown, he would be despicable, and he would be despicable and sweet-mouthed.
"It depends on you later." Yu Yuan raised her hands back and walked two steps faster.
Zang Tiangong slowed down a little bit to avoid the former's efforts being wasted.
...
"Which patient is?" Yu Yuan arrived at the clinic guide desk, squeezed some alcohol gel and rubbed it, and asked the nurse.
"No. 8." The nurse replied, and said, "There are interns coming today, how many of them are you going to pick them up?"
"Don't be tall, it's tiring to look at it." Yu Yuan responded. Although she was the main treatment, Ling's treatment team has a large scale of business, and the number of interns that need to be accepted will also increase. Moreover, Yu Yuan does not want special treatment for the main treatment now.
The nurse smiled gently and said, "I have prepared it for you a long time. The six people are the highest, 1.61 meters tall, and I will report it yourself. You go to see a doctor first, and I will ask them to come to find you."
"good."
"Doctor Ling is here." The nurse reminded again.
"I haven't even gone home. However, his house is filled with patients, so the patients here may be a little more interesting." Yu Yuan joked for a few words, gave Zang Tiangong a temporary work sign from Yun Doctor, and then went into the emergency room.
When I pushed the door open, a breath that looked like a market vegetable market came to me.
The injured patients, decadent family members, and the old man and the old lady carrying a thermos are flashing all over the world, which is exactly what the emergency room originally looked like.
Yu Yuan curled her lips and said to Zang Tiangong as if she was explaining: "Doctor Ling requires neatness and tidyness. Therefore, the emergency room and the critical room inside should be much better, and the outside is the most messy, and the patients and their families do not listen to you."
"Everyone thinks that their illness is the most important." Zang Tiangong made an understanding voice and said, "The patients in the emergency department are much more difficult than those we choose. Sometimes I don't like to go to the emergency department for surgery and treatment. The same patient has different attitudes in our ward and the ward of the emergency department."
"Believe me, we have seen more people with Yin-Yang faces. Dr. Ling has his own attributes of Liangyi." Yu Yuan said and came to bed No. 8.
When I arrived, I saw a thin middle-aged man leaning against the head of the bed, his eyes closed.
"Li Tanmo?" Yu Yuan confirmed her name.
"Yes." The thin middle-aged man opened his eyes and smiled as if he had only lost the cute stray dog.
"Abdominal pain? Where else is there to feel uncomfortable?" Yu Yuan came to the bed and gave Zang Tiangong a wink.
Zang Tian Gong wanted for a few seconds and tried to pull up the curtain surrounding the bed, forming a relatively private space.
Yu Yuan nodded with satisfaction. When it comes to the attending doctor, his IQ is basically online.
The patient was encircled into an independent space and his mood became more relaxed. He frowned and said, "I still have a fever... I suddenly felt a lot of stomachache after dinner today. It felt different from my usual stomachache."
"I often have stomachache?" Yu Yuan asked.
"That's not."
Yu Yuan looked up: "Then you said just now is different from your usual stomachache?"
Patient: "It's different from the stomachache before. I said it's different. It's a description..."
Yu Yuan rolled her eyes that no one could see and said, "I'll check the individual. Are the family members here?"
"It seems like there is a traffic jam on the road. You can call them..."
"What should I do to call my family?" Yu Yuan saw that the person's IQ was not too rich. She directed the patient to adjust his posture, and then pressed his hand to the lower right side of the patient's aura: "If it hurts, shout..."
"It hurts, it hurts..." the thin man shouted immediately.
"Don't shout too exaggeratedly, what about here?" Yu Yuan put his hand to the left again.
"pain."
"It's lighter than just now, right?"
"You didn't listen carefully. The three were hurt just now, and one is now."
Yu Yuan was stunned by the words, then laughed and took her hands away: "How many now?"
"It hurts, it hurts, it hurts, it hurts, it hurts..."
Yu Yuan nodded, basically sure it was appendicitis. Although his brain seemed to be broken, it was still very easy to judge a patient with such obvious rebound pain. However, appendicitis that requires surgery is a bit sloppy in such a simple judgment.
"You need to be prepared for the operation. Wherever your family is going, urge me. I will give you a few more tests. After the diagnosis is confirmed, we will talk about it..." Yu Yuan advised procedurally. General anesthesia surgery requires family members to be present. Just like abroad, you run to the hospital alone for major surgery. There are several procedures in China.
"What is the diagnosis?" asked the patient Li Tanmo.
"It is initially suspected that it is inflammation. You go check first, and let's talk about it when you come back." Yu Yuan paused for a moment and said, "It should be no big problem, you don't have to worry too much."
The patient said uneasy: "You didn't even listen to the pulse, the stethoscope is useless, and the temperature is not enough. You can't use the good things you used in the past. You just use instruments for diagnosis, and the charges are expensive..."
He was complaining, and someone said outside the curtain: "Doctor Yu, we are new interns..."
"Come in."
Yu Yuan replied, and a few short interns opened the curtain and came in.
"Dr. Yu."
"Dr. Yu."
Several people bowed their heads and greeted each other, and strange thoughts arose in their minds.
"It just so happens that this patient will give you some touches." Yu Yuan finished speaking and said to the patient: "These are interns from our hospital, so let them do a physical examination for you."
"Not even a stethoscope." The patient complained.
Yu Yuan was silent for two seconds: "In this way, let them touch first. After touching, I will use a thermometer to measure it for you, and it should be confirmed."
"No instruments are used?"
"You can do two less to facilitate preoperative diagnosis." Yu Yuan completed the bargaining and signaled the interns to get started one by one.
The interns who had just arrived at the hospital were a little confused and a little conscious, touching the man on the bed randomly with a little sensible understanding.
Li Tanmo lies from half to full, then lie down flat, and gradually calms down.
"Come on, put a thermometer." In a trance, Yu Yuan stuffed a thermometer into Li Tanmo's mouth.
"Hmm." Li Tanmo subconsciously held it in his arms.
"Let's get up again and measure your anal temperature." Yu Yuan put on gloves, reconfirmed the thermometer, and said to herself: "No mistake."
Li Tanmo started to make one word and wanted to say something, but he couldn't say it because of the thermometer in his mouth.
Yu Yuan slowly and firmly put Li Tanmo into the correct position, firmly and slowly poked the thermometer into the correct position.
"Do you know why this amount is used?" Yu Yuan took off her gloves, threw them into the trash can, and asked a few interns questions.
"Because the patient asked?" an intern said timidly.
"Because the test is accurate?" Another intern began to think deeply.
Zang Tiangong next to him frowned deeply: "Yes, why?"
The patient was lying on the bed, holding a thermometer in front and a thermometer in the back, with a question on his face.
"Before there are various advanced instruments, using this method can be used to diagnose appendicitis safely and accurately." Yu Yuan patted the edge of the bed and said: "You can check it later. If the anal temperature is significantly higher than the oral temperature, you can confirm the diagnosis."
"It's so miserable? Is it heavy?" the thin man spoke in a vague way.
"It's not serious, just remove it." Yu Yuan paused for a moment, then said "Oh" again, saying: "Ectomy is not a cecum, just remove the appendix."
"Isn't that appendicitis?"
"That's what the people call, but I tell the interns that I have to say it's more academic." Yu Yuan said seriously and called Zang Tiangong again, asking him to pull the curtain and go out.
Left six interns, staring at the patient's two thermometers, his thinking gradually broadened:
"The anal temperature is significantly higher than the oral temperature, how many degrees is it more obvious?"
"Check it out?"
"By the way, do you want to poke it deeper and don't fall out."
"Just let the patient clamp it."
Li Tanmo's patient's expression gradually became hard.
Chapter completed!