Chapter 241 Tension Reduction Suture

After Ling Ran completed today's two severed finger replantation operations, he changed into his hand washing clothes and left the operation area.

Lu Wenbin changed his clothes in a panic, and then returned to the office. He couldn't bear it any longer, and asked Ling Ran, "Is the surgery not fun? Or is it inappropriate? Are you really going to do two surgeries today?"

He watched Ling Ran choose two surgeries, only thinking that Ling Ran wanted to wait for the latter, but he didn't expect that Ling Ran even changed his hand washing clothes. Before that, when would Ling Ran take off his clothes?

"Let's use our own ward sparingly." Ling Ran looked at Lu Wenbin, and said in the tone of a person who has experienced it: "There are only more than 30 vacant wards, and there are only 80 extra beds at most. It's over."

Huo Congjun came into the office with his hands behind his back, and when he heard Ling Ran say "our own ward", he was so excited that his left hand couldn't hold onto his right.

"It's a bit difficult now. I'm applying for an increase in hospital beds recently, and there should be news soon." Huo Congjun couldn't help but leak a little information. The doctors in the cited office were talking about it.

The control of hospital beds is extremely strict in departments, hospitals and the health system, and it is increased layer by layer.

Strictly speaking, the hospital beds that Huo Congjun has added are all extra beds, but the emergency department has a large area, and the wards are built by themselves, and the extra beds are made like normal beds. As long as they explain it to the hospital committee, the hospital will approve it. In the future, it will be checked as a normal bed during the inspection, and only the emergency department is required to limit the number of extra beds in the corridors and wards.

However, when the Provincial Department of Health waits for the inspection of the health system, these extra beds will be emptied, especially when the health commissioner inspects, all extra beds will not be recognized, or they will be counted as basic Among the beds, further requirements are placed on the number of doctors and nurses.

However, Huo Congjun's promotion of the emergency center must add people and beds, otherwise, the basic conditions will not be met, how can it be called a "center".

Ling Ran nodded in agreement, and said, "The Orthopedics and Sports Medicine Center has 180 beds, and this time there are 50 or 60 extra beds, which is not enough for circulation. Our department still has room for development."

Dr. Zhou next to him was horrified. He couldn't use 5 beds every month. The patients were changed every five days and seven days, which made Dr. Zhou feel tired.

Director Du also felt uncomfortable, and said with a smile: "Ling Ran, a department in our hospital can be considered large if it has 100 beds."

"We've got almost 100 beds now."

"I mean it doesn't count as an extra bed.

"

"That's 200 beds in total?"

"How can you double the number of extra beds?" Director Du said helplessly, "Ling Ran, think about it, you have used two beds today, and what you are doing is replanting amputated limbs. You can do it in 40 days at most. sent them out..."

Huo Congjun coughed twice, interrupted Director Du's mentally handicapped mathematics, and said, "Ling Ran wants more beds, this is something to be encouraged, young doctors are willing to do things, we can't hold back, Ling Ran, you just Do your surgery well, and don’t worry about anything else. By the way, the thesis is pretty good, keep working hard, and go to the finance department to get the money.”

"Okay." Ling Ran agreed, drank two sips of water, got up and said, "Doctor Lu, let's go to the treatment room."

"Oh." Lu Wenbin quickly followed.

Huo Congjun watched Ling Ran's back disappear through the door with a smile on his face.

Deputy Director Du looked at his expression and said softly, "Did your liver tremble just now?"

"Ha... no... well, a little bit." Huo Congjun hissed.

Deputy Director Du also said with lingering fear: "We have all seen Ling Ran perform six or seven severed finger replantation operations a day. How dare you give him unlimited beds? No one in our department has ever had unlimited beds..."

"Didn't you listen to Ling Ran just now?" Huo Congjun asked back.

Deputy Director Du asked suspiciously: "Which sentence?"

Huo Congjun sighed: "He took ours and ours one at a time, what does that mean?"

"Did you explain that Ling Ran knows grammar?"

"It means that Ling Ran regards our department as his home and is proud of the department." After correcting Deputy Director Du's words, Huo Congjun continued: "You said unlimited beds, we are an emergency department, did you need unlimited beds before? Do I need unlimited hospital beds?"

Deputy Director Du fell silent.

One advantage of the emergency department is that patients can be transferred to other departments.

Of course, other departments are willing to take in.

Under normal circumstances, patients such as Huo Congjun and others who have rescued them will be classified into a certain department and they can be taken away by themselves. Only a small number of patients, such as patients with undiagnosed diarrhea and abdominal pain, and patients with headache and vomiting, will stay in the observation room of the emergency department for observation.

However, after Ling Ran started working in the hand surgery department, it would be impossible for the hand surgery department to take in Ling Ran's patients, unless Huo Congjun transferred all the bills to the hand surgery department.

In other words, a major emergency department must have its own hospital bed, and it can only be more or less.

Deputy Director Du couldn't help but sighed again: "If Ling Ran acts aggressively again, no matter how many hospital beds we have, we won't be able to last."

"If you can't take it anymore, there must be a way for the car to reach the mountain." Huo Congjun noticed that other doctors around him were also paying attention to his words, so he emphasized his tone, and said, "There is no hospital that is afraid of many patients. A patient with a severed finger replanted, Counting the medical insurance payment, it's more than 20,000 yuan, what do you think I went to the academic meeting to make a fuss about?"

Deputy Director Du bowed his head immediately.

If the department wants to get tough, it can't just rely on spraying. Sprayers have to have bullets to do it. Before Yunyi’s emergency department, they relied on the reputation of the burn surgery department and Yunyi’s own halo. In addition, Huo Congjun used his influence and spray power to change from 120 to 120. The shares cut by the emergency center, this year there are more projects for amputated finger replantation and tang suture, doctors at the deputy director level can feel that life is better, so it is obviously inappropriate to talk about it at this time.

Think about it again, isn't the hospital trying its best to recruit mature doctors just to perform more operations, occupy more shares, and increase its influence?

Ordinary attending doctors are exhausted after performing 20 to 30 operations per month on average. Ling Ran can perform 30 to 40 large-scale microsurgeries a week. With such efficiency, only hospital beds are required, and it can only be given to unlimited hospital beds. of power.

Otherwise, if there is no hospital bed, it means that people cannot be kept, but they are deliberately driven away.

Leaving aside the entanglement in the office, after Lu Wenbin followed Ling Ran to the treatment room, he was helpless to find that Ling Ran's goal was still debridement and sutures.

"Doctor Ling, we are still robbing the interns of their rations. It doesn't sound good if we can't say it." Lu Wenbin looked at the eyes all around, and he really felt like his face was burning. He is already a resident doctor, and next year, he will not be qualified The most shallow resident doctor, it means that he has been in the hospital for four to five years, and he has done tang method suture, replantation of severed finger, and Achilles tendon suture repair The resident doctor of Shu Yizhu is a rising star who is admired among the newcomers.

When Lu Wenbin stood in front of interns and regular trainees, and in front of fellow residents who were equally young but had never shit in the operating room, he had a very strong psychological advantage.

Especially after going to the Shanghai stock market, receiving the influence of academicians, seeing the first-class orthopedic technology in China, and participating in the surgery of sports stars, let Lu Wenbin be in the treatment room, rushing to debride and suture, and grab the jobs of the little doctors. I feel like I can't do it.

Ling Ran just looked at Lu Wenbin strangely: "I'm also an intern."

"You..." Lu Wenbin looked at Ling Ran's handsome face and was speechless.

"Let's take the second block, please find someone with a serious wound." Ling Ran greeted the nurse on duty in the treatment room, then sat in the temporarily vacant cubicle, and closed the curtain.

Lu Wenbin hesitantly got in.

He is a resident doctor, and his name will be signed for today's debridement and suture.

Lu Wenbin was deeply ashamed of this.

After a while, a patient with a thigh injury was wheeled into the compartment.

"What's your name? How old are you?" Lu Wenbin habitually picked up a pen and paper and began to write his medical records.

Ling Ran asked Lu Wenbin to ask, and at the same time asked his family members to help, and put the patient on the treatment bed together. Then, Ling Ran looked at the patient's wound and thought silently.

"Call a nurse over here." Ling Ran watched Lu Wenbin finish writing the medical records, and said again.

Lu Wenbin looked at Ling Ran in confusion, and went out to call for someone.

Normal debridement and sutures can be done by a doctor and a nurse, or a single doctor can force him to do it by himself. Currently, there are two doctors present, so Lu Wenbin doesn't understand the purpose of calling a nurse.

However, calling Ling Ran a nurse came as soon as he was called, so there was no need for Lu Wenbin to trouble him.

After a while, two nurses came hand in hand.

Lu Wenbin muttered difficult words like "unequal distribution of spoils" in his heart, and gave up his position.

"The wound area is relatively large, and there are a small amount of skin defects. I am going to do subcutaneous invisible tension-reducing sutures. The scars will be smaller after healing. I want to use No. 0 Johnson & Johnson absorbable sutures. Is that okay?" Ling Ran followed. A manual guide for emergency departments, asking questions while explaining to patients and family members.

The patient and his family looked at each other, asked about the price, and reluctantly agreed.

Two nurses went to take out the sutures with strange faces, put them on and handed them to Ling Ran. Ling Ran, who had just finished debridement and sutured the deep wound, inserted the needle into the skin on the side of the incision...

Lu Wenbin was greatly surprised, and couldn't help saying: "Doctor Ling, the wound is 8 centimeters long, should we suture it under the skin?"

The patient was wounded on the leg. Subcutaneous sutures are certainly attractive, but the suture strength of subcutaneous sutures is lower than other suture methods. If the 8 cm incision is sewed, it will break after a few days. It looks good.

Ling Ran guessed what Lu Wenbin was thinking, and said, "Reduce the stitches."

Tension reduction is reducing tension, and tension is the culprit that makes the skin crack.

While speaking, Ling Ran's sutures had penetrated into the dermis. After four consecutive stitches, they were knotted outside the skin where the first stitch was inserted, and then started all over again. After three consecutive stitches, the zero-gauge thread was dropped, and the nurse Said: "The regular line of 5-0."

Lu Wenbin suddenly realized that the reduction had been completed. It is equivalent to saying that Ling Ran has pulled up the cracked skin with 12 needles just now.

"Did the skin tension spread to the dermis and subcutaneous fascia?" Lu Wenbin asked half-inquiringly.

"Well, although the wound is 8 cm long, after the tension is dealt with, it can be sutured without tension." Ling Ran explained and continued to work.

The two little nurses seemed to understand, and praised in unison: "Doctor Ling is amazing!"

Lu Wenbin's mentality was a little balanced. Although it was debridement and suture, but the debridement and suture were so high-end, it seemed that he was not so ashamed.

...