Chapter 32: Small appendix, big spirit
On this day, after handing over the shift, the head nurse Tian Xianglan suddenly said: "It's the end of the month, and our emergency department's performance this month is probably going to count down again. We have urged the patient's hospitalization fees during this period. Now many arrears have come in and have not paid the money yet. Our department's tasks will definitely not be completed, but we can't be criticized by the hospital leaders again, right?
And...Doctors, you all save some money for consumables. Can you not use one mask a day? One day, there is a mine at home? Also, don’t throw away those skins before they are used up. Besides, pour some alcohol in and use it!…That’s all money.”
"The end is the outpatient fee. In the future, one patient must be one number, not one number, dozens of patients. The hospital now needs to implement a policy of one ID card and one patient, as well as suture bags, remember to bill for dressing bags. This is not a welfare home, everyone... I won't say who is specific, everyone should pay attention..."
Well, the head nurse said as always that if you are not in charge of your family, you don’t know how expensive it is to eat, eat, eat, eat, eat, and eat, eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat, and eat
As the department manager and the family's financial supervisor, Tian Xianglan also has a great task.
Although the emergency department seems to be the largest department in the hospital, it is also the poorest department in the hospital.
The emergency duty system is quite unique, even every hospital is similar.
Work during the day is quite cumbersome. Writing medical records, checking rounds, handling patients, and changing the medicine has become a lifestyle of a surgeon. It is even like getting up to wash your face and brushing your teeth. If you don’t move a knife, gauze or something for a day, you always feel that you have shortcomings.
Wang Qian is back from marriage, and the vacation trip in Hawaii has made the sturdy young man lose a few pounds.
Chen Cang sighed with emotion, honeymoon seemed to be a physical job.
Chen Bingsheng looked at Chen Cang and said, "Today I have two appendix surgeries, and Dr. An has one. I said hello to him and asked you to do it. Come on."
Chen Cang's eyes lit up and he said with a smile: "Okay, boss! Thank you."
Having surgery is a happy thing for a surgeon.
How many surgeons cannot undergo a surgery ten or half a month after entering the hospital, and they can also do odd jobs when they go there, so opportunities are very important.
Chen Bingsheng gave Chen Cang a chance, and even "borrowed" An Yanjun's surgery.
Chen Bingsheng rolled his eyes: "Stop flattering, practice well, and strive to complete the appendix surgery during this period. When they come to check, you will have an appendix surgery, and you will have no problem!"
Chen Cang nodded and said with a smile: "Can appendix surgery make flowers?"
Chen Bingsheng sneered: "Do you think appendix surgery is simple?"
Chen Cang asked curiously: "Is it difficult?"
Chen Bingsheng couldn't help but shake his head: "Simple appendix surgery is very simple, it is true, but if the patient has various complications, and even the intraperitoneal condition is not ideal, how can you do?"
"They all we met with in the Second Provincial Hospital of our Provincial Hospital are ordinary patients. When I was studying in the Sixth Hospital of Shanghai, I saw dozens or hundreds of patients with difficult appendectomy."
"Routine appendectomy is suitable for appendicitis with relatively easy separation of mesangial appendicle root inflammation, but what do you do if there are special pathological changes such as abnormal swelling at the root, root gangrene perforation or even severe appendix adhesions, and inability to dissipate?"
Several questions puzzled Chen Cang's questions.
Because he had never considered these issues.
Chen Bingsheng sighed: "There are too many problems encountered in clinical practice, so you cannot relax your vigilance. What is the difference between our surgeons and pig killing? The purpose of killing pigs is to kill pigs. If you can't stab it to death, then you will get another one. But we are different. We are trying to save people."
"Why did you study medicine for five years and three years of graduate school are not enough. You still need to train after graduation, because you don't know how the patient wants to get sick!"
Chen Cang was stunned...
How do you want to get sick???
Chen Bingsheng sighed: "This disease is like a human being, each person looks the same. He will not get sick according to your textbook outline. Any disease will change due to the differences in the individual patients."
"A cold, some people will disappear directly, and some people will be cured without taking medicine? This person has a constitution, and the same disease is also a constitution."
"I'm talking to you so much, it's nothing else. I want you to calm down and learn technology steadily. Not to mention anything else, you can really do an appendectomy this year, and I'm thankful!"
Chen Cang couldn't help asking: "Boss, how is the appendix surgery done? I think you are similar to the appendectomy performed by our Director Li? Even Director Li is not as fast as you do."
Chen Bingsheng couldn't help but smile and looked at Chen Cang: "What do you think is the difference between an ordinary doctor and a famous doctor?"
Chen Cang: "Level?Technology?Details?Or..."
Chen Bingsheng said directly: "Do you know the function of car airbags?"
Chen Cang suddenly realized!
Chen Bingsheng: "The function of the airbag will not make the car more beautiful, nor will it even make the car faster. However, only when you encounter a situation, the function of the airbag can be truly reflected."
"There are basically no differences between experts and ordinary people in normal times. There are some details, but you can't see them either. But when something special happens, the gap between you and experts is obvious at a glance. Director Li is such a person!"
"This is to tell you how long you have in the future, think more, think more, and read the book. The surgeon is first a doctor, and then a surgeon. Do you know? The surgery has just begun now, and you haven't even understood the appendix surgery. Now ordinary appendectomy is rare, and it's laparoscopic surgery. You have to speed up your pace and keep up."
Chen Cang nodded and smiled: "Okay boss!"
In two years, Chen Cang basically handled some basic clinical operations, suture, debridement, first aid, etc., but he really rarely comes into contact with surgery.
Chapter completed!