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Chapter 441 Intussusception

"Go and call Yu Yuan over." Ling Ran ordered and then said: "Let the pediatricians prepare the air intestinal enema machine. If there is a free doctor, send one over to take a look.

Intussusception, about four hours."

Intussusception is a standard emergency, and it can progress quickly and lead to death in less than 24 hours. However, four hours is the most basic state, and the child is still crying, so there is sufficient time to deal with it.

Of course, given how busy pediatricians are, it is likely that they will have to wait a long time for such a non-urgent emergency to come. Rather than waiting, it is better for the emergency department to do it themselves.

On this point, Huo Congjun and Ling Ran have the same idea. Why do you have to go to a specialist clinic for symptoms that can be treated in the emergency department? Specialist clinics are so busy, and they will shirk from time to time. Sometimes, they dislike emergency referrals.

Some of the patients had mild symptoms and were too lazy to admit them, so the emergency department had to beg them to do something.

The reason why the emergency department cannot treat minor cases is not only hospital policy, but also hospital policy.

As long as the hospital policy is passed, it will be natural for the emergency department to expand at will, hire more doctors, and treat minor cases.

The emergency departments of Chinese hospitals are different from those of foreign hospitals. Because foreign hospitals have to bear the burden of patients for whom no one is responsible, the emergency departments cannot make ends meet. Many hospitals have been forced or voluntarily to cancel emergency departments.

The long waits in the emergency department in European and American movies also originate from this.

However, emergency departments in Chinese hospitals do not have this kind of trouble. Of course there are patients and their families who evade the bill, and there are also patients who cannot afford the medical bills, or who are unwilling to leave due to various reasons, but in general

It is said that hospital emergency departments can at least be responsible for their own profits and losses.

If you can be responsible for your own profits and losses, you can naturally expand as much as you want, except for the restrictions of hospital policies...

Ling Ran wants an emergency pediatrician right now.

Even the trouble of borrowing an air filling machine is saved.

The intern was a little confused about the situation and asked in a low voice: "Aren't you waiting for the confirmed B-ultrasound order to come back?"

It's not his first day working, and he knows some of the complexities of inter-department consultations. The most obvious part is not to waste other people's resources.

If the patient really has intussusception, it goes without saying that the pediatrician will have to find a way to prepare the machine.

Compared with those emergency patients who are prescribed bottles to treat colds and medicines to treat constipation, the young patients here in Lingran obviously need more medical resources.

However, if someone prepares a machine and you say they made a mistake, it will not only be a joke, but the pediatrician will also blame the emergency doctor.

Ling Ran quickly replied: "No, hurry up and make arrangements."

The intern showed no intention of struggling and hurriedly ran to make a phone call.

After everything was settled, the intern put down the phone, breathed a sigh of relief, and said with a smile: "Doctor Ling is quite happy with his work."

"That's why he's Dr. Ling." When the young lady at the nursing station heard him talking about Ling Ran, she immediately gave some of her attention to the sweaty intern.

The intern nodded in agreement and showed an expression full of imagination.

The young lady at the nurse station could tell what was going on in the intern's head with just a glance from the corner of her eye. She had seen more interns than the interns had seen patients, and most of the interns were basically the same model.

.

"Doctor Ling said you don't have to wait for the B-ultrasound diagnosis, right?" The nurse decided to be a good Samaritan.

The intern said "Yes" and said: "In this way, the patient can be treated directly when he comes back..."

"Doctor Ling said there's no need to wait, do you know why?" the nurse asked again in a low voice.

The intern noticed the underlying meaning and shook his head blankly.

"Dr. Ling is the head of the treatment team. Moreover, he is a nice person and has good skills. Everyone likes him." The nurse smiled and said: "You make the order yourself. If you don't wait for a diagnosis, be careful."

Interns understand instantly that people with the same fate have different fates. After more experience, they will naturally understand.

"I wonder when I will be able to place an order without waiting for a diagnosis." The intern laughed at himself.

The nurse lady casually said: "When you don't ask this question, you will probably know how many more years of struggle you will have."

Yu Yuan and the patient came to the treatment room at the same time.

Ling Ran got the B-ultrasound image, looked at it carefully for a while, and then handed it to Yu Yuan and said, "Concentric circles were found in the scan, but it's not very deep. You can do air enema."

Among Ling Ran's treatment group, only Yu Yuan had used the air intestinal enema machine, so naturally she left it to him, and Ling Ran himself had to observe it first.

Yu Yuan watched the B-ultrasound directly on the pad, made the same confirmation, and then asked: "Where are the patient's family members?"

"Here, here." The child's father, who was right in front of him, agreed repeatedly, his face full of anxiety and guilt.

The worry and self-blame he felt after spoiling his child made his palms sweat constantly, and his pants were soaked with sweat after wiping them off.

"Are you the only family member? Is there anyone else at home?"

"The child's mother will be here soon." The father became even more worried.

Yu Yuan said "yes" and said: "The air intestinal enema machine must be used under X-ray. We are going to the radiology department now. If the family members are here, they can come directly."

Hearing the X-ray, the child's father couldn't help but feel uncomfortable, and whispered: "The X-ray has radiation, do I have to use it?"

"There are two solutions for intussusception, one is air enema, and the other is surgical treatment. If it takes too long, the only solution is surgical treatment." Yu Yuan has been a hospital chief for so long,

His speech also started to become fierce.

The little animals became even more frightening when they became more ferocious. At this moment, the child started crying again, and the father suddenly started to scramble.

"Let's go over there. The machine should be ready." Ling Ran raised his chin and headed to the radiology department first.

After a while, the child's mother also ran over.

Yu Yuan, who had already received the informed consent form, looked at the frightened, sad and frightened expression of the child's mother and said: "Intussusception is a serious disease that can lead to death within 24 hours. Fortunately, you sent her in time, and it was still possible."

It has not developed to the point where surgical treatment is necessary, so I recommend starting treatment now to avoid losing the best opportunity for treatment."

The child's mother was trembling with fear at the words that could lead to death. She didn't want to hit her husband again, so she asked: "What should I do now?"

"You hold the child down while I do it." Yu Yuan paused and said, "Children are not suitable for anesthesia, so you must hold them steady."

After a while, the 3-year-old child was put on the desk.

I saw Yu Yuan pick up a rubber tube and stuff it into the child's buttocks. The child started crying, forcing the parents to hold the child down with all their strength.

"Okay." Yu Yuan completed the enema in the smallest amount of time, then pulled the hose and was sprayed with a hand full of poop.

Ling Ran nodded happily. He had heard that this was the case. Now it seems that it is necessary to observe in advance.

"You can't eat for 8 hours after the operation..." Yu Yuan calmly gave the doctor's instructions while cleaning up the mess.

The child's mother apologized profusely and stepped forward to help.

"Dr. Ling, thank you." The child's father held the child in his arms and was frightened for a while: "If you hadn't found out, we would have been in trouble."

While waiting, he had suffered multiple intussusceptions and was deeply frightened.

"It's okay." Ling Ran nodded, looking at the child's calm expression, he was in a good mood.

If there is any advantage to being a pediatrician, it is that pediatric patients have a high chance of fully recovering. This is a situation that is not always seen in oncology departments and various general thoracic surgeries.

"Ling Ran." Doctor Zhou put his hands in his hands and walked over leisurely from outside.

"Dr. Zhou?"

"Oh, I just happened to meet him. Let me tell you, I got a call here. He was in a car accident and seemed to have injured his liver. Would you like to come over and have a look?" Dr. Zhou's back was straight, as if he was just strolling by.

Ling Ran looked up at the door card of the Department of Surgery and said naturally: "Okay, I just want to do a liver resection."

"That's it, I guess that's what you want to do." Dr. Zhou immediately pulled Ling Ran away with a smile on his face.

The two of them were still chatting as they walked:

"Emergency pediatric patients?"

"kindness."

"What was cut?"

"Nothing was cut."

"Nothing has been cut, and you gather a bunch of people around?"

"intussusception."

"Isn't it necessary to cut off the intestines for intussusception? Why, was it robbed by a general surgeon?"

“I discovered in the early stage that it would be cured just by filling the intestines with air.”

"It's a bit boring."

Behind, the little patient's mother hugged her son tightly, shivering, terrified, and whispered: "Doctors are scary."

"It's a bit." My husband also felt a chill running down his spine.

Listening to her husband's voice, the little patient's mother relaxed a little, but old hatred surged up. She pinched her husband's lower back with one hand and said viciously: "If you dare to mention my son's hind legs again, I will cut off your life."

I dug out your eyes, pulled out your tongue, took out your intestines, tied the tongue and intestines together to make a slingshot, and shot out your lifeblood, eyeballs, heart, liver, spleen, lungs and stomach one by one.
Chapter completed!
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