The floor height of Yun Medical Emergency Department is 8 meters, and the area of ​​the reception hall is comparable to that of a high-end hotel lobby, and it is not crowded when people come and go.

When the leaders came to visit, the Cloud Medical Emergency Department has always been one of the projects to visit.

After all, leaders do not necessarily understand the difficulty of internal medicine or the specialty of surgery, but they must know the importance of emergency departments.

The eight open glass doors are all opened inward at this time, welcoming batches of emergency patients, including emergency rooms sent by ambulances and emergency rooms that come to the door by themselves, and there are also emergency rooms that think they are urgent.

Residents, regular trainees and nurses are busy dealing with patients, and they are still at ease.

The morning when nothing happens is sunny, and just prescribe medicine and get some intravenous drips, which is not considered a disease for hospitals like Yunyi.

A patient with lower right abdomen pain passed Dr. Zhou's hand and was given to other groups.

A patient with pain in the lower left abdomen was examined by Dr. Zhou, but he still shook his head in disappointment.

The patient's family was stunned at the time and asked Dr. Zhou blankly: "Why can't you take it to the hospital? You're still fine at home..."

"Who told you that it's not possible?" Dr. Zhou asked back, and quickly waved to the hospitalist to take over. As a senior salted fish, he had long been past the age of fighting with the patient's family.

In fact, when you reach the age of a senior attending or deputy director, you will generally not lose if you talk seriously. The patients' problems have not changed much in the past decade. It is just that different people have proposed them. The response plans can be said to be ready-made. If you are patient, because advanced doctors usually don't have much patience, so everyone still avoids talking.

The resident doctor quickly picked up the patient away. The patient's family glared at Dr. Zhou, but he didn't worry much.

"Don't you need to explain?" Ling Ran rarely contacts the patient's family. He spends most of his time in the operating room. The doctor-patient problem has only been taught by Director Huo.

"It's hard to explain." Dr. Zhou laughed twice and said, "Do you know that some doctors in our hospital have scalpers to make tickets?"

"Know."

"You may not have noticed it. Let me tell you a secret. Patients who buy scalper tickets to see a doctor are very obedient, not quarrel or behave. Do you know why?"

Pu Chou quietly came over and interrupted, "Because you have money?"

"No matter how rich a person is, he will have to be poor after a while of illness." Dr. Zhou curled his lips and said, "This is actually different demands. Do you know? The demands are different."

Ling Ran asked: "What are the requirements?"

"People who spend 200 yuan or 300 yuan to buy scalper tickets have the demand to see a good doctor, and experts who can make the registration fee at this price can solve some problems even if they cannot see a good doctor, so there are few contradictions. However, many patients who come to our emergency department or who have an expert have minor illnesses, and some may not even be sick. So, their demand is medical services. Do you understand? You need to observe your expressions, speak nicely, and have a better attitude. Our experts have not received training in this area, which creates a contradiction." Dr. Zhou proudly summarized the experience he had obtained.

Pu Chou listened very seriously: "So we will be trained in the future, right?"

Dr. Zhou immediately changed his face: "You are stupid, are you?"

"One more." Ling Ran pointed to the patient who was sent to the car passage, changing the attention of the two of them.

"The abdominal pain looks very serious." Dr. Zhou stood up excitedly and went to pick up the car.

The inhabitant who was originally in charge immediately gave in when he saw Dr. Zhou coming. Emergency abdomen is considered a major disease in the emergency department, and the inhabitants dare not rush to do it.

"Have you had surgery recently?" Dr. Zhou pressed it twice before asking.

The family members who followed him quickly said: "My mother had acute appendicitis last week, right here in our Yun Doctor..."

"Have you defecated?"

"At first, it was gone, and we didn't pay attention. My mother used to have a little constipation..."

“Did you vomit?”

"No." After saying that, the family turned around and asked, "Mom, have you vomited?"

The old lady shook her head with difficulty and said, "No."

"The intestinal rumbling sound is very weak, just do a CT. Add a flat film and get it first after doing the B-ultrasound." Dr. Zhou asked on the surface, but in fact he had brought the cylindrical cart.

Seeing him fill in the article, the family asked anxiously: "What is the specific disease? Can we stop making people feel so painful..."

"It is suspected that it is an intestinal obstruction." Dr. Zhou wrote the order and said: "Intestinal obstruction may cause serious consequences. Send the patient to check first."

After the old lady was sent away, Dr. Zhou continued to ask about his past history and gave the patient's family a notice of surgery, etc., and instantly injected him into a state of dizziness.

"Why is it so serious..." The family clamped the operation notice, as if they were disbelieving.

Dr. Zhou ignored this and handed over the follow-up to a resident doctor, asking him to leave with the patient's family, and then turned to Ling Ran and said, "This is an intestinal obstruction in the elderly, and it is probably not easy to deal with. Let's see if surgery is needed. If necessary, you should be an assistant."

Ling Ran heard that it was a problem with the intestinal tract, and immediately thought of Yu Yuan and said, "Then I will call me again."

Dr. Zhou doesn’t care. As long as you can stand down on the operating table, it doesn’t matter if you have more doctors. If surgery is not needed, it doesn’t matter.

Yu Yuan ran downstairs quickly, with the rosy after running on her face: "Who has the intestinal obstruction?"

Dr. Zhou recognized Yu Yuan and raised his thumbs up to Ling Ran: "Good idea, why didn't I expect that before... Your idea has great potential."

Ling Ran explained: "If I consider that if Yu Yuan has some understanding of the proctology, she can also watch..."

"I didn't say that, if surgery is needed, I will try my best to give her a chance to get started." Dr. Zhou said with a firm tone.

Ling Ran looked at Dr. Zhou suspiciously and asked, "Have you ever seen Yu Yuan have surgery?"

Dr. Zhou asked back: "Have you ever seen an intestinal obstruction surgery?"

Ling Ran met him soon.

After the CT showed that it was a stenotic intestinal obstruction, the old lady was pushed into the operating room as soon as possible. This is the most dangerous type of intestinal obstruction.

Dr. Zhou handed Ling Ran two masks in one hand, saying sadly: "Put them all."

Ling Ran hesitated and put on a mask.

Yu Yuan happily put it on and asked, "Am I Nisuke?"

"Let's decide after the operation." Dr. Zhou walked into the operating room solemnly.

In the operating room, the nurse and anesthesiologist were present, with all of them showing serious expressions.

"Intestinal obstruction. Stenosis." Dr. Zhou paused for a moment, looked at Ling Ran again, and said: "The patient has not defecated for several days. It is said that he has eaten quite a lot. The 64-year-old lady can eat two big bowls at a meal. The family is very proud. Let's open it and look at it."

Everyone showed unbearable expressions.

Ling Ran finally woke up, and a thought came to his mind:

What am I doing?

I just know a little bit of inverted suture and tension suture.

Why am I curious about abdominal surgery?

Dr. Zhou opened his abdomen silently...

Magnificent...

The airflow rises...

The smell is long...

Laminar flow operating room, nothing is used for nothing.

Dr. Zhou looked at Ling Ran's face and smiled: "A good news, a bad news. Which one do you want to hear?"

"Good news!" Yu Yuan's unexpectedly active cooperation, with curious light shining under the black round glasses.

Dr. Zhou said: "The good news is not serious, it should be easier to deal with."

"Where is the bad news?" Yu Yuan asked again.

Dr. Zhou said, "Why didn't you see you so well-behaved before? Bad news... The bad news is unreasonable to ask for a general surgery consultation, so we have to deal with it ourselves."

"Why is it called bad news?" Yu Yuan was puzzled.

Dr. Zhou smirked twice and said, "You wait a moment, I'll tell you later."

Dr. Zhou then continued to do an intestinal examination. After completing the pre-work, he raised his neck and moved it, and smiled and said, "Yu Yuan, do you know what the next steps are?"

Yu Yuan kept staring at the operation and said without hesitation: "Now we should be emptying the proximal feces."

Dr. Zhou laughed: "That's right, the savings of a week may be enough, how much old feces do you have from the past? Are you happy?"

"Happy." Yu Yuan nodded vigorously, and the round glasses behind the black-framed glasses were shining.

Not only Dr. Zhou, but also everyone, including Ling Ran, looked at Yu Yuan.

"We are going to take out the feces now." Dr. Zhou said word by word when facing Yu Yuan.

"I understand, by the way, I have read a document that specifically talks about this." Yu Yuan almost danced and said, "Don't the abdominal cavity and incisions often contaminate the abdomen and incisions when taking feces? We can put a plastic bag of optical cables on one end and then insert a plastic bag into the intestine tube into the plastic bag in the front, so that the things in the intestine can be discharged into the plastic bag. If there are too many, change to the plastic bag..."

"You can do it." Dr. Zhou silently gave up the position of the principal surgery.

"I... come and operate it?" Yu Yuan was stunned for a moment.

"Yes, I'll do it for you." Dr. Zhou only felt that this operation had lost its only appeal.

Yu Yuan's hands were trembling with happiness. She took over Dr. Zhou and stood on the main surgery position before she noticed Ling Ran. She quickly gave in: "Doctor Ling, why don't you do it..."

"No, come on." Ling Ran's tone was very modest.

"Thank you, Dr. Ling." Yu Yuan took a deep breath as if she had survived the disaster, her face slightly dark, but she didn't care.

After a moment.

Yu Yuan prepared the plastic bag as she said just now, and then took out the feces stuffed into the intestines bit by bit along the intestines.

The plastic bag with a length of slap and a wide slap was soon filled with the capacity of two mobile phones...

The nurse on the tour could not help but ask, “How many more?”
To be continued...