morning.

Director Huo Congjun came to the emergency department and brewed a cup of strong tea. He poured out the first brew directly, sat down, and slowly drank the second brew of tea.

After that, he walked out of the director's room with his hands behind his back and began patrolling in the observation room.

Behind Huo Congjun are three deputy chief physicians and six on-the-job attending physicians.

Everyone formed a sharp arrow, like a male lion on the grassland, hunting with the female lions.

The residents on duty were quietly waiting in front of the bed they were in charge, like jackals on the grassland, waiting for the debris left between the lion's teeth.

The interns are seemingly free vultures. They have no fixed positions and are not valued by the patients. They can only wait quietly to clean up the residues left by lions and jackals.

The territory of a department is not large. For example, the observation room of the emergency department usually has only dozens of beds. However, the order of the lions and jackals still need to maintain.

In addition to Huo Congjun, there are two other chief physicians in the emergency department of Yunhua Hospital, so they don’t have to follow him to check in.

Although they are both named Director, Huo Congjun, the department director, is the owner of the territory because he has administrative powers. The other two chief physicians have only obtained senior titles, like wandering male lions, and need to make more efforts to maintain their freedom.

7 a.m. every day is the time for the hospital to demonstrate order.

Ling Ran put on a white coat, put the 30-yuan jade Buddha statue in his bag, and then came to the rescue room, silently observing everything around him.

He already has some hunting skills that can kill specific illnesses, but in the territory, that is far from enough.

"Xiao Ling..." Huo Congjun suddenly shouted and waved to Ling Ran to come.

"This is your patient, let me introduce it." Huo Congjun stood in front of the patient on bed 12, looked at the medical record book, and handed it to Ling Ran who was coming quickly.

According to the bed duty system, the patient should actually belong to the attending Dr. Zhou. Even if everyone present knew that Ling Ran had done more than 50 cases of suture the day before yesterday, he should first ask about the attendance.

However, the department director is the king of the territory, and he can do whatever he wants. Even if the director wants to remove a seemingly healthy patient's kidneys, other doctors can only verbally object and cannot obstruct him.

Of course, patients and their families can refuse surgery, but in a hospital environment, the authority of the department director is still very high.

While recalling the patient's situation, Ling Ran opened the medical record book and said: "The patient is 19 years old and has been healthy in the past. This time, he was debridement and suture due to falling from the stairs and causing a elbow torn..."

He half-read and half-sayed, completing his first bed check.

Before Yang Rui could take a breath, Huo Congjun suddenly asked, "Why choose Line 0?"

Compared with the commonly used line 4 in emergency room suture, the number 0 suture is much thinner. The number 4 is expressed by the USP standard of the United States Pharmacopoeia, with a diameter of 0.3 mm, and the number 0 is USP standard of 4-0, with a diameter of only 0.15 mm, which is exactly half of the number 4.

If the diameters of the two lines are twice the difference, the cross-sectional area is four times different, similar to the difference between the little finger and the big thumb.

Correspondingly, the tensile strength, which is the strength that resists stretching, is much weaker.

In other words, wounds sutured by Line 0 are more likely to break than larger Line 2, Line 4 or even Line 7.

Ling Ran was stunned for a moment when asked. The girl and her family on the hospital bed looked at the young doctor in an unknown way.

"I think line 0 can meet the needs of stitching." Ling Ran quickly answered, but some of the answers were not the same as they were too concise.

Interns, trainees, resident doctors, etc. are asked questions during rounds. Being troubled is a daily routine for the hospital, but usually, everyone will say at least a few more words.

Even if you are troubled, it is rare.

Huo Congjun shook his head and continued to ask: "Why don't you choose to use the regular line? Using Line 0, what should I do if the wound breaks down?"

"If it collapses... sew it again?" Ling Ran felt privately that this question was still stupid, but he was not an unreasonable person, so he could not get out of Taiwan on the spot... Although he had done it, he didn't have to do it every time.

Ling Ran gave a kind and caring smile, and she looked very sunny and handsome.

Huo Congjun didn't keep up with Ling Ran's idea. He checked rounds every day and had been inquiring for decades. He really had never seen such a smart little doctor before.

The chief physician, deputy chief physician, attending and resident physician who accompanied the rounds also fell into a long silence.

The good-looking man, Dr. Zhou, sighed secretly, coughed and said, "I saw that the wound was not very serious at that time. I guess Line 0 can ensure the effect, so Ling Ran was allowed to use it."

"You don't want to protect him, you're wrong." Huo Congjun said in front of the patient's family: "Lingran is not considering choosing Line 0, so you must point it out."

The family members of the patient who had not understood it were suddenly anxious. The mother standing on the side of the bed asked, "Doctor, is there any problem with my daughter's arm?"

"There is no problem now, but it requires more careful care and avoids activities. We mainly consider the tensile strength of the suture, but we are afraid that it will not be strong and will not heal if it cracks." Huo Congjun was kind to the patient, and did not feel serious when he was in the meeting, nor did he change because of the slight symptoms of the patient.

The patients' families looked at each other and they all seemed a little anxious.

Ling Ran understood the point of Huo Congjun's question at this time and immediately said: "The tension intensity of Line 0 is sufficient. It is appropriate to avoid activities and take care of it carefully, but I don't think you have to worry too much."

Huo Congjun used the tone of a lower-level doctor in education: "You don't have to worry about using Line 4?"

"The patient is only 19 years old, and the wound is torn apart, but not deep. If thick lines are used, the scars will be too large and will affect your future life."

They just said that the patient didn't understand very much. Ling Ran said that the thickness of the patient was very thick and thin, and a few people understood it in an instant.

The slightly fat girl on the hospital bed looked at Ling Ran’s gaze and was no longer suspicious, but thanked her completely.

Huo Congjun, who was a military doctor, was unmoved and said, "It is okay to consider scars, but you must understand that there are many reasons for scars, which are related to the patient's physical constitution and the condition of the wound. From this perspective, choosing Line 0 is not advisable."

The girl on the hospital bed became really nervous at this time and hurriedly looked at Ling Ran.

"Except for sutures, the tissues on both sides of the wound must be tightly connected and the skin is flat." Ling Ran raised his eyelids and said, "This can be achieved."

After pausing for two seconds, Ling Ran said again: "The distribution of suture tension should be concentrated in the subcutaneous tissue and the deep dermis. There is no tension in the shallow dermis and epidermis... This has also been achieved. I think there will be no excessive growth in scar tissue, so it is necessary to consider the thickness of the suture."

When Ling Ran spoke, Huo Congjun and the doctors behind him were all a little contemptuous.

From their perspective, Ling Ran obviously considered a small problem and forgot a bigger problem. He had seen such a young doctor who was indecisive in their careers.

However, the two questions Yang Rui mentioned later shocked everyone.

It’s not that the problem is so complicated, but that he can take it into account, which is really surprising.

"Is it time to change the dressing? Let's do it now." Huo Congjun found a reason and asked the nurse to take the gauze on the patient's arm.

All the doctors present bent down to observe the wound on the girl's arm.

Huo Congjun took it seriously.

After a long time, Huo Congjun raised his head, but recruited the other resident doctors and interns and said, "Ling Ran, let's talk about your thoughts when stitching."

Ling Ran has never been stage-tight. He mastered the master-level intermittent suture technology and said more easily: "Generally, debridement and suture sutures are intermittent sutures, and this time is no exception. During suture, the main thing is to pay attention to the angle and depth of the needle, and to make the knotted part bulge after suture, so that it can play a cushioning role before the scar forms."

Nearly 10 resident doctors and more than a dozen interns surrounded a bed, and the location was not enough, so someone simply stood on a chair to see the patients inside.

The patient's family now understood that the doctor's operation was excellent, so they all happily gave up the place.

Ling Ran's voice was not loud, but he said clearly: "The basic principle is to use the needle with a thick edge and a thin edge to enter the needle with a deep edge. In addition, because the patient has skin defects, the knot should not be too tight to avoid the blood circulation around the wound and delayed healing... After that, pay attention to removing the stitches, which should minimize the appearance of scar tissue..."

"It's very good." Huo Congjun took the lead in applauding.

When I stayed in the room, I suddenly burst into applause.

"Everyone has learned it." Huo Congjun looked at the young doctor.

“Learned.”

“Study.”

"Understood."

The resident and intern nodded quickly.

"Just learn it." Huo Congjun nodded slowly, and then his voice became stern: "But no one is allowed to learn!"

Everyone was stunned.

Huo Congjun said: "There are many ways to cover up scars. For example, you can wear long-sleeved clothes afterwards or use tattoos to cover them. As a doctor, the first thing you need to consider should be treatment."

"I don't want long-sleeved clothes, nor do I want tattoos." The girl shook her head quickly.

Huo Congjun ignored him and said to himself: "Ling Ran's consideration makes sense, but only by being good at skill can he be bold. If you don't have enough skills, don't think so much about other people. First sew the wound for me. Do you understand?"

"I understand." This time, the morale of the young doctors was not that high.

No one wants to admit that he is weaker than others, let alone a small intern.

However, Huo Congjun got angry in the army and shouted loudly: "I didn't hear clearly, didn't even eat?"

"I understand." The young doctors raised their voices and their answers were uneven.

After all, the hospital was not an army, so Huo Congjun did not force it. He turned to Ling Ran and said, "This time you passed the test. Let's help the patient change the dressing."

"Yes." Ling Ran was hit by Dr. Zhou and quickly answered.

"Will I have scars?" The girl looked at the patrol team going to leave and asked quickly.

"The scars will be shallower, and it is impossible not to leave any scars at all." Huo Congjun walked out several meters and even turned around and answered.

The girl said sensiblely, then smiled sweetly at Ling Ran: "Thank you, Dr. Ling."

"You're welcome." Ling Ran nodded slightly, and was about to change the medicine, but a white treasure chest flashed in front of him.

New achievements: Patient's sincere thanks

Achievement Description: The patient's sincere gratitude is the greatest compliment to the doctor
Chapter completed!