Chapter 13 Can't pick out a single fault!
Qingshui First People's Hospital, Emergency Department.
"Today, Friday, we will hold a regular meeting as usual. First of all, I want to praise Dr. Chen Weiche..." In the conference room, Huang Yunhua, director of the emergency department, highly praised Chen Weiche in front of everyone with a smile. Everyone had expected this and laughed kindly. Chen Weiche waved his hand embarrassedly and said a few words of modesty. This made Liu Hongnan very unhappy!
"Isn't it just a lucky person to leave? This kid is embarrassing me and I have to deal with him well!" Liu Hongnan sat behind, gritted his teeth, and when he thought of what happened the day before yesterday, he felt his face burning and as if someone had been peeled off!
In fact, everyone didn’t think too much about this. After all, it was a special situation. If any doctor had changed, it would probably be the same. Didn’t we see that Dean Zhang and Professor Tang Shao come up with the best of both worlds? It’s just that Liu Hongnan couldn’t overcome this hurdle himself!
As for Chen Weiche who was arrested and went to the police station last night, not many people knew about the hospital. No matter President Zhang, Sang Yu, or his classmates, they would not talk nonsense in the hospital.
"In addition, I want to inform you of good news. Our position as deputy director of the emergency department has been empty for a long time. The hospital originally planned to recruit experienced experts from the society, but there was no suitable candidate. Now I decided to promote it from our emergency department. As long as you have a resident or above title and have worked for three years, you can compete for the job. It lasts for one month, which depends on your performance this month!"
Director Huang Yunhua is in his forties and is a very amiable middle-aged woman. As soon as the news was released, many doctors were very happy, at least it was not an opportunity, and the limitations on professional titles were not very high.
Liu Hongnan's eyes lit up, and the gloom in his heart immediately disappeared, and he became full of confidence. Although he lost some points about the pregnancy and the woman the day before yesterday, the pregnancy and the fetus were both safe and should not have much impact! It was Chen Weiche who was so hateful.
"Okay, everyone is gone. Our emergency department has always been busy, and everyone is working hard!" Huang Yunhua stood up and waved his hand, announcing the end of the regular meeting, and everyone returned to their respective positions.
Chen Weiche still followed Liu Hongnan and did some tricks next to him, but Dr. Liu was very disliked by the way. He always had a stern face, and Chen Weiche was too lazy to flatter him.
When a patient was sent off, a man came in with a woman in his arms. The man was not very good-looking, short, fat and ugly, but the woman was very conspicuous. He was beautiful and smooth. The man hugged the beauty and put it on the hospital bed when he came in and said hurriedly: "Doctor, she fell down on her bicycle, and her calf was cut by broken glass!"
Chen Weiche immediately went to check the wound, and the wound was stitched randomly with cloth. It was probably cut from the clothes. It had been stained with blood and began to condense. The beauty's lips were a little blue, her complexion was slightly pale due to excessive blood loss, and she moaned softly, looking very delicate.
Chen Weiche helped her untie the cloth, and the other party's wound might have been involved, so she couldn't help but scream: "It hurts~, it hurts~, it hurts~, handsome guy, can you be gentle?"
Chen Weiche thought to myself, I was already light enough, and then after a little check, he comforted him: "It's okay, the wound is not deep, there is no fracture, just two stitches will be cured."
To comfort patients, of course, you have to talk about ordinary diseases in a mild way. Only those bad doctors will speak hard to the serious way, deliberately scaring the patient so that it is easier to slaughter!
But Chen Weiche never did such a thing. Liu Hongnan was a little unhappy when he heard this. He seemed to be a doctor. You are just an intern. OK, so he stood up and said, "It's really not a big problem. Chen Weiche, you are responsible for doing it well. I have another surgery!"
Chen Weiche opened his mouth and Liu Hongnan taught a lesson without saying a word: "Whatever you are afraid of is that you are about to graduate. You don't even dare to do such a minor operation. What kind of doctor will you be in the future!" After that, he left.
Next to him, Sha Yujuan was stunned. Why did you do this? Even though you knew that Brother Weiche had never sewed the wound on someone, you obviously deliberately slap people! But then you thought about it and comforted Chen Weiche and said, "Brother Weiche, you have such good medical skills, you will definitely be able to do it!"
As soon as these words came out, the patient next to him was stunned, and the man was also stunned. Only then did he notice that the sign on Chen Weiche's chest was "Intern Doctor".
The man complained: "If you don't bring this kind of thing, how can you use an intern for such a big wound? You're so irresponsible! What if you get infected?"
The beauty just kept moaning and screaming.
Chen Weiche smiled coldly in his heart, "You Liu Hongnan, you mean it, right?" It's nothing to ask me to do, but as a teacher, you have to look around and give me some guidance at any time. But his arrogance has also arisen. Isn't it just a small debridement and suture surgery? Am I not competent? Who hasn't had the first time?
Although he is more powerful in traditional Chinese medicine and practices a lot, he is indeed a novice in Western medicine.
"Mr., the wound is not deep. After cleaning it, it will be fine if it is slightly sewn. Don't worry, although I am an intern, there is absolutely no problem in being able to perform this minor operation. If you can trust me, just look at me. If you can't trust me, I will react with the leader and arrange a doctor for you!" Although Chen Weiche was determined to give it a try, he must first explain it to the patient. If you communicate well, it will reduce a lot of trouble.
The man asked the beauty, who was so painful that she was taking a breather. She thought that if she changed the doctor, she might have to queue up, and maybe she was an intern. Last time she went to a hospital. There were more interns than patients. It was common for intercourse to interfere, and she was unwilling to make trouble. She looked at Chen Weiche and saw that he had a beautiful face, a bright smile, full of sunshine and confidence. She couldn't help but feel relaxed and said, "Let him show it to me!"
Sha Yujuan was a little jealous and couldn't help but mutter to herself, "You are looking at Brother Wei Che's handsome, right?" She is sexy and charming!"
"Okay, I'll help you clean up the wound first." Chen Weiche squatted down and started to act, while Sha Yujuan cooperated on the side.
Debridement is indeed a technical job, very complicated. It is not like the usual movies that you can use liquor to sew it directly, which is easy to get infected. Only by confirming that a clean and sterile wound can you suture it in one phase. Moreover, it is generally necessary to expand the wound when sewing, that is, contaminate the wound and remove part of the invigorating tissue. If there is active bleeding, you must first ligate and stop the bleeding. If the wound is deep, you must suture the subcutaneously. There are tips for using needles and threads. Different needles should be selected when suturing different tissues and different parts.
The most important point is to determine whether there are deep and important nerves, blood vessels or important tissue damage.
Chen Weiche first covered the beauty's wound with sterile gauze, then wiped off the oil stains on the skin around the wound with ether, then washed his hands, put on gloves, replaced the gauze covering the wound, used a soft brush to dip disinfectant soapy water to brush the skin, and rinsed it with cold boiled water. Then, changed to another brush and brushed it again, and wiped the skin with disinfectant gauze. The two brushes took about 10 minutes.
Then clean the wound, remove the gauze covering the wound, rinse it with normal saline, and use disinfection tweezers and small gauze balls from time to time to gently remove dirt, blood clots and foreign objects in the wound.
The beauty screamed in pain, and her tall and soft breasts even fluctuated with the cry, with a special sense of rhythm. While the man next to her felt distressed, a strange feeling surged in her heart. Just looking at his color, Xixi's eyes knew. Chen Weiche glanced at the man and couldn't help but despise him. What, you are so distorted! Can this make you excited? However, the beauty's screams were indeed too upset, but Chen Weiche was not affected at all.
"Okay, OK, it's OK! I'll perform local anesthesia on you now."
"You still need to get anesthetic?" The woman was scared, but she had heard that it was very painful to get anesthetic injection.
Chen Weiche was speechless, erectile stitches, can you bear it if you don’t give you anesthesia? Then the whole hospital will hear it?
"Okay, then you have to be gentle~" the beauty begged, with a coquettish tone, and she also threw a charming look at Chen Weiche with her man on her back, which made Sha Yujuan beside her so angry that she was so angry that she cursed in her heart. She was so slutty that she cursed.
Chen Weiche shook his head, raised the needle, and was about to insert it. When he went in, the woman acted exaggeratedly and said, "Handsome guy, you must be gentle!"
Chen Weiche was so scared that he shook his hands.
Sha Yujuan couldn't bear to see it anymore and pouted and muttered in her heart: "Slutty, charming, you will act coquettishly at the man and act coquettishly. This is the case when your man is present. If there is no one, you might as well hook me. Brother Weiche! It would be better to hurt you with a heavy needle later!"
Chen Weiche gently stabbed it in with a needle. The beauty immediately stretched her neck and screamed, but she stopped halfway: "Why didn't you still beat me? Is it so useless?"
Chen Weiche shook the anesthesia needle: "It's over, it's been pulled out long ago. It's time to have the surgery!"
The beauty smiled awkwardly and said, "You are quite good at taking injections!"
"Haha, that's OK. This thing makes perfect." Chen Weiche smiled and began to clean the wound for the other party, remove the inactivated fascia and muscles, and remove the uneven skin edge around the wound about 0.2cm, stop bleeding, eliminate blood clots and foreign objects, and then suture it.
In Western medicine, wounds are generally divided into skin needles and round needles. Skin needles, or horn needles, are used to suture the skin. The needle tip is triangular and easy to penetrate tough tissues such as the skin. The round needles are used to suture subcutaneous soft tissues (such as connectives, blood vessels), internal organs, etc.
The damage of the horn needle is greater, but the penetration ability is strong, and the damage of the round needle is relatively smaller. Generally, the conventional method is called large, medium and small needles. The suture locations are different, and the needles used are also different. For example, the scalp needs to be fully sutured; while the maxillofacial and hands use small triangle needles to leave small scars; other parts can be used for medium triangle needles.
Chen Weiche has the foundation of traditional Chinese acupuncture. His technique is very stable and the sewing is fast. He finishes the work perfectly in less than five minutes. At this time, Liu Hongnan walked over slowly.
Chen Weiche was too lazy to pay attention to him. He didn't come to guide him just now, so he ran over to see what he saw. He just bowed his head and bandaged the beauty. He quickly bandaged it beautifully!
The beauty felt much better. Looking at Chen Weiche's handsome face, water was dripping from her eyes and said charmingly: "Doctor Chen, is that good?" But her feeling was still unsatisfied and reluctant to leave made Xiaosha feel whisper again.
"Well. There is no need to remove the stitches for this. I will check it in two days and just change some medicine." Chen Weiche didn't notice the beauty's secret send-off. He looked at his masterpiece and nodded with satisfaction. He thought to himself that if he used the pure Chinese medicine method, it would probably not be so fast. Western medicine does have unique features in this regard. No wonder the master said that if he wants to succeed and become a famous doctor, he must be able to understand hundreds of schools of thought.
Liu Hongnan was very depressed and walked away in shame without saying anything.
He originally wanted to leave on excuses and make Chen Weiche look ugly. Or he would teach him a lesson after making a mistake. Even a simple debridement surgery cannot be done well, so why should he become a doctor in the future?
In his opinion, Chen Weiche, an intern, although traditional Chinese medicine has a few tricks and can play acupuncture, so what? Isn’t Western medicine yet I am a teacher?
But unexpectedly, Chen Weiche had such a surgery for the first time, and he did so beautifully and perfectly, so that he could not find any fault and his wish was disappointed!
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Dear handsome guys and beauties, do you have any votes to give me one? Thank you!
Chapter completed!