2974 The sun is shining(2/3)
Su Yun left, Zheng Ren looked at Xiao Shitou lying on the hospital bed, and a smile appeared on the corner of his mouth. The 912 iu was still relatively backward, saying it was a transformation, and it was probably not possible to start construction until spring was in full bloom.
Will you be able to use the new iU at this time next year? Zheng Ren looked at Xiao Shitou and thought about the new laminar iU in a critically ill patient's ward.
If it is a ward, it can reduce the amount of antibiotics used by patients after surgery and reduce cross-infection. It is estimated that severe patients will take antibiotics for one day after surgery and will generally not use them.
After going to Mayo, I can have a first-class diagnosis and treatment machine, and I don’t have to piece together a machine for intraoperative liver dialysis before surgery.
But that could be the same.
Zheng Ren never considered this matter at all. The main body of medical treatment lies in patients, not machines.
If he had been polite in his mouth and business in his heart, Zheng Ren had already gone to Hopkins, and the conditions on that side were not worse than Mayo.
But Zheng Ren looked down on the United States' medical methods from the bottom of his heart, and even countries like Sweden that claim to be universal medical insurance and free medical treatment can't be looked down on.
Logically, the number of doctors determines everything. Can their doctors do all the imagined work hours? Just kidding.
Uncle Ning's fish bones were not done with Wu Hui's appendix perforation. Zheng Renneng came into contact with conservative treatment and waiting for the second phase of surgery.
The medical level on that side is high, but that is... In Su Yun's words, it is for capital services. Mayo's door is often opened, and rich people are taking physical examinations in a constant stream, and there are many domestic capital tycoons.
Indeed, that's a top resource.
But all this has nothing to do with ordinary people. People like Wu Hui were misdiagnosed and mistreated...
Just as I was thinking, my shoulders trembled and a bang.
"Boss, what are you thinking about?" Su Yun asked.
"Looking at the little stone."
"I'll ask you what's in your mind."
"emmm, I'm thinking about rejecting Dr. Charles." Zheng Ren said with a smile.
"Boss, have you ever thought about it before? The doctor has never communicated with you. What you refused was too straightforward and there was no room for maneuver."
"I never thought about it." Zheng Ren said calmly, "Maybe it's an instinct."
"I guessed that with your fucking, I would definitely refuse, but I didn't expect you to refuse so simply." Su Yun said, "What does instinct mean?"
"Do you remember the day when the emperor felt shock?"
"Well, I remember Fuguier standing under the car and asking what to do if we can't come back." Su Yun said with a smile, "What should I do, what else can I do."
"Yes." Zheng Ren said, "I feel like all kinds of voices on the Internet are done. When things happen, they will naturally come together. Maybe this is the kind of fucking."
"Ha." Su Yun laughed in his voice, "What did you think at that time?"
"I didn't think about anything, I just felt that even if I die, I would die in Rongcheng." Zheng Ren smiled, "But it would be great to come back alive. I hope the weather will be good, the country will be prosperous and the people will be safe. But if there is another time, I will not be able to go to the front line if I am not in China."
"I thought you were going to say the old thing again, the same medical conditions in China are the best, and what is the truth. Let me tell you, it is easy for people to beat you to death if you say this."
"Medical resources are scarce resources. If you want fairness, you still need technological progress. There are too many reasons for this and you can't think of it." Zheng Ren shook his head slightly, "And doctors are all taking the blame. No matter how many grievances you suffer, you see if there is another time, there will definitely be countless doctors and nurses rushing forward."
"I remember what a netizen named Xianyun Yehe Crane said was very reasonable. Every time there was a major disaster, there was a medical staff. This was a group of heroic groups. But this group had no sense of existence like a painting fan, like a dog that was strayed or a rat crossing the street."
"Hey, this is quite appropriate." Zheng Ren smiled disconcertedly, "It's as anxious as a dog that is strayed, and it's as anxious as a fish that is missing the net."
"Why did you say?"
"I'll take the blame, and everyone thinks... emm, do you still remember an old professor in Tsinghua University who was cheated of more than 10 million yuan. What do you say?" Zheng Ren suddenly asked.
"Well, why did a teacher have so much money at that time?" Su Yun shrugged and said helplessly.
"Yes, isn't this supposed?"
"Later, an old Tsinghua professor went to Maryland, and the trend of public opinion became to increase treatment and retain high-tech talents. I think the two groups of people were similar, and turning against each other was faster than turning over books."
"Everyone hopes that they are the best one they have ever lived, it's easy to understand. Just like medical treatment, Uncle Ning took root in Sweden and couldn't get it for 24 hours. Most of the sounds in China are that a fish bone costs dozens of medical treatment fees?"
"Boss, I think you have not respected Uncle Ning since the fishbone incident." Su Yun said with a smile.
"Don't talk nonsense." Zheng Ren slowly looked at the various values on the instrument and chatted with Su Yun.
"I think the charges of the US medical system are very reasonable. For example, let's make a ureter hose gravel, which costs several hundred yuan. The United States costs tens of thousands or more, or US dollars. I don't know if it's not good. I'm shocked."
"Don't compare, it's meaningless." Zheng Ren said lightly.
"That's all I'm talking about. Isn't it because our domestic medical system can hold on? As more and more private hospitals, we will use the economic siphon effect to suck people into private hospitals, hey!" Su Yun sneered.
"The reason why universities are called universities is not because of the school itself, but because of the masters." Zheng Ren said slowly, "What Mr. Mei Yiqi, the old president of Tsinghua University, said makes sense. The reason why the hospital is a hospital is also here."
"When it comes to this, Mr. Yan Ning resolutely decided to resign from Tsinghua University and switch to the University of Houston, Princeton, USA, and was hired as a tenured professor of Shirley Tillman in the Department of Molecular Biology at the school. According to this logic, it is natural for you to go to Mayo."
"It's not natural. How many years have the saying "Please try to thunder" in the sky?"
"I forgot, it seems to have been popular for a long time."
"There are fewer and fewer children in clinical practice, and the pressure is getting bigger and bigger. There will always be a day of collapse. Although everyone's ability is limited, if I go to the emergency department, I can relieve the pressure on Mr. Zhou a little."
"Don't say so noble."
"It does not involve nobleness. When you go to school, you have to recite Hippokra's oath. Medical capitalization is a tear in itself. But facing the torrent of the times, it cannot be reversed by personal power. How can you say the tear of the times and the tear of cognition?"
"What are you saying? This is the best era and the worst era; or is despicable a pass for despicable people, and noble is the epitaph of noble people?" Su Yun asked.
Zheng Ren smiled. Su Yun was so smart that he could tell all his thoughts directly.
"Brother Yun."
The two were chatting, and a young nurse came over and whispered.
"Yeah." Su Yun narrowed his eyes and showed a smile, "What's wrong."
"We have some problems, can you see if there is any solution."
Zheng Ren saw several medical staff surrounding the patient in another iU bed, discussing what. His perspective was limited and he did not see the patient's system panel. The 912 severe illness was very strong, so Zheng Ren was unwilling to worry.
But taking the initiative to see what's going on is two different concepts and asking for help from others.
"The patient, 56 years old, was admitted to the department due to a car accident and was diagnosed with a severe craniocerebral injury, brain hernia, and a right frontotemporal subdural hematoma at the paradural hematoma at the paradural hematoma at the paradural hematoma at the paradural hematoma at the paradural hematoma of the right frontotemporal and intracranial hematoma removal + decompression of the skull flap." The young nurse began to report her medical history softly, and was professional and skilled.
"The gastric tube was not injected before the operation. We wanted to do it after the operation, but the shutdown time for one minute was too short and it was too difficult!"
Uh... Zheng Ren was a little helpless when he saw the girl who was a little coquettish when he was talking to Su Yun involuntarily.
It is normal for the gastric tube to not go into the drain. The patient is in a coma, and the swallowing and cough reflexes are weakened or disappeared, and cannot cooperate; the indwelling tracheal intubation and airbag compress the esophagus, reducing the diameter of the esophagus and affecting the insertion of the gastric tube; the indwelling tracheal intubation time is removed for too long, resulting in laryngeal edema, esophageal spasm or esophageal mucosal edema.
These are the reasons why the gastric tube cannot be penetrated.
"How much paraffin oil have you touched?" Su Yun asked.
"Many..." the young nurse said a few words and her face turned red.
"Go and take a look." Zheng Ren glanced at Xiao Shitou's vital signs, reducing the pump speed of dopamine micro-pump by 1ml.
After coming to the patient after cerebral hemorrhage, he paused the ventilator and took a look with a laryngoscope. Sure enough, the esophageal spasm and edema were very serious, much heavier than expected.
Because the gastric tube is soft, no matter how well lubricated it is, it will pleat when it encounters a spasm and cannot go in at all.
Su Yun pondered for a moment, Zheng Ren said, "Deep vein puncture..."
"Huh? You think so too?" Su Yun asked.
IU's hospitalization was always stunned for a moment, what is the relationship between lower gastric tube and deep vein puncture?
"Try it." Zheng Ren had no intention of reaching out, but just said calmly.
"Does the guidewire for deep vein puncture be kept?" Su Yun asked.
"It has been thrown away." iu's hospitalization center.
"Try another one." Su Yun said, "If we use our guide wire, it will be more expensive."
IU's hospitalization was always a little confused, but Su Yun was already very clear about what he said. He was planning to use a slightly harder guidewire to enter first, and then put the gastric tube in smoothly.
This is a typical interventional physician's idea, but I didn't expect it to be used in nursing work.
Seeing that the hospitalized iu was going to prepare the wire guide, Su Yun smiled and said, "Boss, if you were in Mayo, there would be professional equipment to solve this problem."
"It's okay, in our 912, we can solve it even if we deal with it." Zheng Ren smiled, "The principle is similar, it's just a little more troublesome."
Su Yun raised his eyebrows and said nothing.
Soon, the hospitalized officer prepared a gastric tube and a nasal feeding bag, which contained paraffin oil, cotton swabs, gauze, 20ml syringe, a guidewire in the deep vein canal; and a stethoscope.
Su Yun did not explain, but applied the gastric tube with paraffin oil, measured the length of the gastric tube, then inserted the guide wire into the gastric tube, folded the tip into a small round shape, inserted it from one side of the nostril, and inserted the gastric tube from the nostril to a position 14 to 18m.
When he reached the throat, before Su Yun could speak, Zheng Ren had raised the patient's head, making the lower jaw close to the sternum stem, and placed his position.
The assistant was very skillful, and Su Yun complained in his heart. Then he made the gastric tube smoothly through the edema of the laryngeal, inserted into a predetermined depth, and then pulled out the guide wire.
Fix the gastric tube, extract the contents of the stomach or inject air into it, and hear the sound of air passing through water, indicating that the tube is successfully placed.
"Here, it's over." Su Yun said easily.
IU's hospitalization was always stunned.
She and the nursing team took the patient's gastric tube six times, and they were wandering around the patient and the gastric tube almost this day.
But unexpectedly, Su Yun got started and solved the problem immediately.
This time I really opened my eyes. Not only can I do lung transplants, but I can even do this kind of unpopular small operation. A guidewire with deep vein puncture solved a problem that troubled me for a day. I can't believe it when I was hospitalized.
To be continued...