Chapter 1223: Chapter 1222 clamping (book on sale)
Translator: 549690339
Compared to ordinary surgeries, the preparation for transplant surgeries often took longer. The coordination and organization of multiple medical teams required more effort.
If it were a transplant center with similar skilled work, similar surgeries might only take a few hours to open. However, for Yun Hua Hospital, which rarely had such opportunities, it was necessary to prepare in advance.
Wei even wants to do some training for the transplant team in general surgery. After making sure there are no problems, he will try to contact the donor.
He came all the way to Yun Hua to do the big action, can not be like open a throwing knife, like an understatement of the past.
General surgery up and down, and is indeed serious and enthusiastic to do the preparation.
Even the chief director of the General Surgery Department has made a few rare appearances. He has invited guests outside the hospital to eat and care about life, and also visited the hospital to introduce and care about work. As a member of the surgery branch of the Chinese Medical Association, the Chief of general surgery is not usually so approachable.
But regardless of the general surgery department’s attitude, it’s realistic that they won’t be able to perform a liver transplant quickly and cleanly.
Wei Jiayou two days in a row to organize staff to do basic training, pre-operation diagnosis, but also multi-disciplinary meetings, gradually build up momentum.
On the third day, Wei Jiayou pretended to be casual and strolled toward the Emergency Medical Center.
“Can’t hold it in anymore?”A cold question sounded as if it came from underground.
Wei Jiayou had expected this. He looked down at the protruding yu yuan and said, “I’m just strolling around.”
“You have the time. Isn’t it good for you to perform surgery?”
“Sharpening a knife doesn’t delay chopping wood. Your skills aren’t up to this level, so you don’t understand.”Wei Jiayou now understood the situation of Yu Yuan and the others quite well. One sentence was enough to make Yu Yuan’s veins bulge.
Speaking of which, in the past few years, Yu Yuan had spent most of her time looking down on others. Especially when she was studying, she held a deep disdain for those students who used nutrition to grow cartilage.
Wei Jiayou was tall and long. His facial features were not bad, but his skills were good..
Considering that he was the student of an academician, his theoretical foundation was probably not bad.
Yu Yuan was not a stubborn person. She only said, “The operating theater of the Emergency Medical Center is closed to outsiders.”
“I don’t need to visit the operating theater.”Wei Jiayou paused for a moment, he deliberately teased yu yuan and said, “I know that your emergency medical center has spent a lot of money to build the visiting room. You’re refusing to let outsiders visit the operating theater. Does department director Huo Know About This?”
“There are people who apply to visit the visiting room every day. There’s no difference between you and them.”Yu Yuan’s words were a little heated. Then, she realized that something was wrong and immediately put it away, she then said, “I have to go do something. You should go to the general surgery department now, right?”
“There’s no rush.”Wei Jiayou put his hands behind his back. He swayed the smell of ginseng as he slowly followed Yu Yuan.
Like most tertiary grade A hospitals, Yun Hua Hospital’s emergency medical center began to become crowded and cramped.
The vast number of patients and their family members, especially the patients who could not leave, caused the emergency medical center to have more and more additional beds. The width of the beds and the beds were slowly shrinking.
Fortunately, Huo Congjun and Ling ran were very concerned about the separation of the functional areas, so the space in the small halls such as the resuscitation room and the treatment room was reasonable. Yu Yuan felt even more spacious when she walked in.
Wei Jiayou came from Beijing, so he naturally felt even more comfortable.
In this era where the people of the whole country thought that the medical resources in Beijing, Shanghai, and Guangzhou were great, the doctors in Beijing, Shanghai, and Guangzhou themselves felt extremely uncomfortable.
Putting aside the exaggerated number of patients who saw 40 or 80 numbers in a day, the patients who were able to use their kryptonite eyes to hold their urine for 30 years were actually suffering from indigestion. They were so angry that they wanted to pull out the other party’s intestines and rub them together, they would dance around their necks.
As for the environment of the emergency room and so on, there was no need to mention it. The conditions of many hospitals could not compare to the courtyard house before the renovation. The hospitals with good conditions could only compete with the courtyard house after the renovation.
Of course, the patients would not be much more comfortable. The patients who registered with the ordinary number obviously could not get high-quality medical resources from the capital. But if they wanted to register with the expert number, the waiting period of ten days and twenty days was really out of the style of the British Empire.
From this perspective, the high-quality medical resources in Beijing, Shanghai, and Guangzhou were also half a set of false propositions. Moreover, as the high-speed rail and plane became more and more convenient, they would become more and more false.
In contrast, the top-notch medical resources in a place like Yun Hua hospital were closer to the local needs. If the average patient did not have a tricky disease, a hospital like Yun Hua Hospital would be able to handle it easily.
They could even perform better in certain local diseases. For example, Huaxi Medical College’s research in anorectal medicine and Xiangya Medical College’s clinical practice in oral cancer surpassed that of Beijing, Shanghai, and Guangzhou.
However, emergency medicine and heart surgery were rather common clinical medicine subjects. Wei Jiayou looked around and basically saw familiar scenes, until..
“Doctor Yu, you’re here.”An ordinary-looking resident doctor saw the bun on the horizon from afar, as if a sailor on a long voyage had seen land, he was so happy that he wished he could kill two slaves to celebrate.
“What’s Wrong?”Yu Yuan’s expression became serious, and there was even a hint of joy on her face.
It was rare for her to be needed like this in the emergency department, unless..
“Fecal incarceration has been going on for four to five days. We can’t handle it,”the ordinary-looking resident doctor said in a low voice.
To an emergency department doctor, not being able to handle fecal incarceration was actually a little metaphysical. The skill threshold for this kind of work was not very high. The lower limit was especially low, and even the upper limit was not much higher. However, many doctors in the emergency department were usually unwilling to do this kind of work.
In the past, the emergency department would transfer similar patients out.
However, ever since Yu Yuan became the chief resident, the emergency department rarely transferred out patients with fecal incarceration.
And most of the time, such patients were naturally handed over to Yu Yuan.
At this time, Wei Jiayou furrowed his brows first. Without waiting for Yu Yuan to speak, he said first, “Your Yun Hua Hospital is really laughable. What’s so difficult about fecal impaction? If you don’t know how to perform surgery, can’t you even dig out feces?”
“Don’t underestimate fecal impaction!”Yu Yuan turned her head and glared at Wei Jiayou. Her serious expression was as if she was doing a damaged tube for an ocean-going warship. “Serious fecal impaction can lead to meningitis and death.”
Wei Jiayou thought to himself, ‘How am I underestimating fecal impaction? I don’t want to see it at all.’.
He opened his mouth and finally simplified the story of Lu Dongbin and the dog into one word: dog.
Yu Yuan walked forward quickly.
Wei Jiayou thought for a moment, but he still followed her.
The patient was an old man. He looked thin and lean, and his abdomen was not protruding. It was not obvious that he was a man with a lot of savings.
Yu Yuan had already done a simple check-up, she began to introduce the specific steps. “I deal with a lot of patients with fecal impaction every year. For your current situation, I suggest that you don’t dig with your bare hands. Instead, you use a medium-sized anal mirror to insert the fecal impaction into the fecal impaction. Then, you use the elliptical forceps of your fingers to clip the fecal impaction out. This way, it will be less painful and you don’t need to be anesthetized…”
She also explained to the young doctor beside her, “If you use your fingers to dig out the feces directly, the patient will feel very uncomfortable, especially for patients who have been stuck in the feces for a long time. “It’s better to use your fingers to dig out the feces, but leave it in the anus, and then use the straight-headed oval forceps to clean it up… finally, through the anal canal, inject the cortisone. You have to be careful here. When the patient really wants to relieve the feces, let him do it again. “This way, the feces that haven’t been dug out can be excreted. Finally, put in metronidazole suppository, and then use anti-inflammatory drugs…”
The young doctors at the side had different expressions. Some could still hold it in, but they could not help but show fear in the corners of their eyes.
At this moment, the patient moaned, “Doctor, how much will it cost to do this for me?”
“You have health insurance, right?”Yu Yuan asked.
“I have that resident’s medical insurance,”the family member quickly answered.
Yu Yuan deliberately looked at the family member and the old man’s attire, and she had an idea, slowly, she said, “This is mainly handled in one or two parts. The other part is medicine, anti-inflammatory drugs, and oral laxatives. After the surgery, we have to use cortisone for the next five days… If you want to calculate the cost of the surgery, I’ll give it to you according to the fecal incarceration method. It’s five Yuan each time, is that okay?”
The old man hesitated for a moment. “Five Yuan is not expensive.”
Yu Yuan smiled and nodded.
The young doctors beside her had not experienced it before, so someone could not help but complain, “My house costs one to two hundred yuan to repair a sewer.”
Yu Yuan’s eyes shot over coldly. “In Changxi Province’s medical pricing, a grade-3 a hospital only costs two hundred yuan to perform an eye extraction. Do you want to take advantage of it?”
The young doctors all clamped their anal tubes tightly.
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