Chapter 378 Acute Appendicitis
The next day.
Ling Ran delayed his return to the hospital until noon.
The ward of the emergency center is overcrowded, and the treatment room and emergency room downstairs are also at their busiest time of the day. There are indispensable car accident patients, acute abdomen patients every day, and cold and fever patients who just want to hang out.
, as well as the bustling, hurried, impatient, headless family members of patients...
Doctors and nurses in white coats are the tiniest waves in the emergency room. Sometimes they hit the south wall, sometimes they hit the north wall, sometimes they are pushed up by the crowd, and sometimes they are buried by the crowd.
Ling's treatment team's territory wasn't much better.
Five beds were crammed into the room reserved for three people, and the ward reserved for two people became a three or even four-person ward. The rows of hospital beds in the corridor made the passage even narrower.
.
Seeing such a scene, Ling Ran couldn't help but frown.
"It's too confusing." Ling Ran muttered a few words to himself, but he still went into his small office, took out his white coat, and then went into the big office and said, "I'm going for ward rounds."
Zuo Cidian seemed to bounce up from his seat, and quickly came to Ling Ran, smiling: "Doctor Ling, have a cup of tea first. The cups have been scalded with boiling water."
The tea cup he brought to Ling Ran was actually specially given to Ling Ran, but he still heated it every time and was never lazy.
Zuo Cidian, who has been working in the town health center for 20 years, if he has any experience, he knows that in this kind of unit environment where we work together for a long time, any little cleverness will not last long. Make tea for the leader 200 times,
It may be of no use, but as long as you let the leader know that his cup is unclean because of you, 200 tons of tea may be poured over his head.
Zuo Cidian especially knew Ling Ran's definition of clean, so the cabinets where he stored Ling Ran's teacups were all locked.
Ling Ran took the tea cup with confidence, sniffed it, took a sip, nodded to Zuo Cidian, and asked, "Who was on duty yesterday and how was the situation?"
"Normal. The anesthetic in bed 17 was not enough, and the pain was unbearable, so I prescribed celecoxib. Bed 68 had diarrhea, collected samples for stool routine, and gave montmorillonite powder to be soaked in water, and there was no more diarrhea.
Symptoms. There are three other patients with fever..." Yu Yuan answered casually and yawned greatly at the same time.
She had been working all day yesterday, and if the night shifts were added up, she had stayed in the hospital for more than 24 hours. Of course, the actual working hours are not that long, and doctors on night shifts can often sleep. With luck,
If so, he can still get a good night's sleep. Whenever this happens, the doctor on duty will even feel as if he has earned something.
However, most of the time, the doctor on duty will be called up for various reasons, especially when there are hundreds of patients hospitalized in the ward. As long as 2% of the patients have emergencies, it will become fragmented in one night.
.
Yu Yuan got a standard 5% last night, which is not good luck or bad luck. Especially compared to other colleagues in the emergency department, it is still easier.
If you are a doctor with an ordinary position, you can leave at this time to catch up on your sleep and come back to work tomorrow. However, there is no such preferential treatment for hospitalization, and you have to continue to endure it.
Ling Ran nodded in approval, took a few sips from the tea cup, and then said: "The main task today is to perform surgery. After the ward rounds here, we will go to the special needs building for ward rounds... Well, how many surgeries are scheduled today?
"
"Six units, three units need beds, and patients in three units bring their own beds." After Zuo Cidian finished speaking, he added: "The Special Needs Medical Department said that we have had too many patients recently, and they are still occupying the wards.
There were more than 20 people asking us to speed up the turnover rate, but I ignored them."
Ling Ran said "Yes".
"If patients bring their own beds, the Special Needs Medical Department will not be able to accommodate anyone."
"Don't they require reservations?" Yu Yuan interjected.
Zuo Cidian smiled bitterly: "Some people come, do they dare not to make an appointment?"
Yu Yuan suddenly realized, and then said in a flash: "But there are always benefits to them by giving them so many patients."
"That's why it's just a shout." Zuo Cidian said with a smile and said, "It will be interesting if the special needs building is really full of people later."
"They must have secretly reserved a few beds."
"A few beds are enough for what they can do. They secretly reserved a dozen beds and they all were fucked quickly." Zuo Cidian looked a little proud at this time: "They don't know what they are about to face."
The office became quiet, and there was no one to comment on.
Zuo Cidian looked both ways and curled his lips helplessly. He came from the town health center to Yun Medical Hospital. It was so bad that even the interns couldn't praise it. It was really a pill.
Zuo Cidian coughed twice, and then he cooperated and said: "Those who can bring their own wards are special needs buildings that need to be dealt with carefully. Dr. Ling's reputation is getting bigger and bigger, and more and more people will come to him.
At the current rate, new patients who don’t want to live in the corridor of our emergency center will find a special needs building. What do you think they should do?"
Yu Yuan and several interns looked at Zuo Cidian blankly.
Ling Ran finished drinking the tea and put it on the table. When he was about to pour more water, Zuo Cidian stepped forward quickly, picked up the kettle, filled Ling Ran's cup with tea, and then said: "That's our Doctor Ling."
With this speed and the ability to attract so many patients, the hospital should provide hospital beds, right?"
At this moment, there was a clear question, and all the doctors finally came to their senses and praised them one after another:
"You're right."
"We have too few hospital beds."
"The patients treated by Dr. Ling were discharged early enough. We just didn't rush them to check in again."
Management departments at all levels and the hospital itself have turnover rate requirements to shorten the admission time of patients. In order to meet the standards, some departments will advise patients with mild symptoms to be discharged first and then admitted to avoid the turnover rate problem.
The emergency center does not have such a requirement for the time being, which saves Ling Ran a lot of effort.
Of course, Ling Ran had no time to care about these requirements. For him, performing the surgery was the best solution. As for other things, he could completely transfer them to other people in the department.
"Schedule." Ling Ran blew the cup and drank water, glanced at the printing paper delivered by Guan Fei, and said immediately: "Lu Wenbin is doing Tang surgery and arthroscopic surgery with me, and Yu Yuan and Zuo Cidian are with me.
Do an Achilles tendon repair.”
"Yes." The three assistants agreed quickly.
"Okay, let's go on a ward round." Ling Ran led everyone on a grand tour.
Yu Yuan was so tired that she could only support herself. The resident doctor must understand the situation of the inpatients, otherwise there would be no time to deal with the situation when he was on duty at night. The resident doctor was still a resident doctor, but he only worked longer hours.
.
Yu Yuan could only hope that when the ward rounds were over and Ling Ran and Lu Wenbin were doing the Tang method, she could get two hours of sleep.
Ling Ran walked steadily along the ward, looking at the beds one by one.
From time to time, a treasure chest of heartfelt thanks floats in.
Ling Ran took it calmly.
Although the energy potion was good, he didn't use it urgently. It didn't matter if he had one more bottle or one less.
However, Ling Ran will still pay special attention to the proportion of sincere gratitude produced by each ward.
Different wards are managed by different bedside doctors and nurses.
According to Ling Ran's observations in the past year, the management effectiveness of bedside doctors and bedside nurses will obviously affect the generation of sincere gratitude.
In other words, even if the surgeon's surgery is good, if there are management problems with the bedside doctors and nurses, it will still affect the delivery of heartfelt thanks.
This is also easy to understand. Patients do not accurately distinguish between hospitals, administrative leaders, treatment team leaders, chief surgeons, bedside doctors and nurses.
If any link is not done well enough, the patient will have reason to be less "sincerely" grateful.
Although Ling Ran doesn't pay attention to the output of one or two treasure chests now, he does care about the decrease in output.
Therefore, Ling Ran's Ling treatment team adopted a cross-management plan, that is, the management scope of the bed doctor and bed nurse did not completely overlap. In this way, if anyone in the ward felt dissatisfied, Ling Ran could
It's easy to notice weak points.
The residents and nurses in Ling's treatment team also knew that Ling Ran had such discerning ability, so they became more serious in doing things, even a little uneasy.
Finally, after completing the circle, Ling Ran received 14 treasure boxes of sincere gratitude. There were 4 wards that had not sent out treasure boxes within three days. Excluding Xu Yongchang himself who lived in a single ward, Ling Ran turned to Lu Wenbin: "Your
The management of the ward must be strengthened, not only to sort out the symptoms, but also to pay attention to the patients' emotions."
"Yes." Lu Wenbin could only accept the order.
"Please tell me how the preparations for the operating room are going." While Ling Ran was speaking, his cell phone rang.
The phone vibrated desperately and screamed heartbreakingly: "The king asked me to patrol the mountain..."
Ling Ran looked at the phone screen, answered the call, and asked, "Doctor Zhou?"
"Ling Ran, didn't you ask before if we have any patients with appendicitis?" Dr. Zhou's voice was kind and lazy.
"Do you have it now?" Ling Ran's curiosity suddenly aroused. He had had a master-level resection surgery for some time, but he still hadn't had the chance to use it.
Dr. Zhou's voice was filled with a friendly and gentle smile: "Yes, and two of them came at once. The young couple had a buffet together the day before yesterday, and came to the hospital together today. I also considered parasitic diseases, and the result was
I have appendicitis, do you want to do it?"
Chapter completed!