Chapter 378 Acute Appendicitis

the next day.

Ling Ran didn't come back to the hospital until noon.

The ward of the emergency center is overcrowded, and the treatment room and emergency room downstairs are also at the busiest time of the day. There are essential car accident patients, patients with acute abdomen every day, and patients with cold and fever who just want to get a drink. , as well as the bustling, hurried, impatient, headless family members of the patients...

Doctors and nurses in white coats are the tiniest waves in the emergency room. They bump into the south wall and the north wall for a while, float up and are buried by the crowd.

The territory of Ling's treatment group is not much better.

In the room reserved for three people, five beds were stuffed, while the room reserved for two people became a room for three or even four people. The hospital beds lined up in the corridor made the passage even narrower. up.

Seeing such a scene, Ling Ran couldn't help frowning.

"It's too confusing." Ling Ran muttered a few words to himself, but he still went into his small office, took his white coat, and then went to the big office, saying, "I'm going to check the ward."

Zuo Cidian seemed to have bounced off his seat, and quickly came to Ling Ran, and said with a smile, "Doctor Ling, have a cup of tea first. The cups have been scalded with boiling water."

The teacup he brought to Ling Ran was actually specially for Ling Ran, but he still ironed it every time, never being lazy.

Zuo Cidian, who has been in the town health center for 20 years, if he has any experience, he knows that in this kind of long-term work unit environment, any cleverness will not last long. It may not be of much use to make tea for the leader 200 times, but as long as you let the leader know that his cup is not clean because of you, there may be 200 tons of tea poured from his head.

Zuo Cidian especially knew Ling Ran's definition of cleanliness, so the cabinets where he stored Ling Ran's teacups were all locked.

Ling Ran took the teacup quite reassuringly, sniffed it, took a sip, nodded to Zuo Cidian, and asked, "Who was on duty yesterday, and how is the situation?"

"Normal. The anesthetic in bed 17 was not enough, and the pain was unbearable. I prescribed celecoxib. Diarrhea occurred in bed 68. Samples were collected for feces routine, and montmorillonite powder was given to soak in water. Symptoms. There are three other patients with fever..." Yu Yuan answered casually and yawned a lot at the same time.

She had been working all day yesterday, and if the night shifts were added up, she had been in the hospital for more than 24 hours.

Of course, the actual working hours are not that long, and doctors on night shifts can often sleep, and if they are lucky, they can even get a good night's sleep. Whenever this happens, the doctor on duty will even feel as if he has made a profit.

However, most of the time, the on-duty doctor will be called for various reasons, especially when hundreds of patients are hospitalized in the ward, as long as 2% of the patients have emergencies, one night will become fragmented up.

Yu Yuan got a standard 5% last night, which is neither good luck nor bad luck, especially compared to other colleagues in the emergency department, it is still a little easier.

If it is a doctor with an ordinary position, he can leave at this time and go back to catch up on sleep, and come back to work tomorrow. The only thing is that there is no such preferential treatment in the hospital, and you have to continue to suffer.

Ling Ran nodded in approval, took two sips from the teacup, and said, "Today's main job is to perform surgery. After the ward rounds here are over, I will go to the Special Needs Building for ward rounds... Well, how many surgeries have been arranged today? "

"Six units, three units need hospital beds, and patients in three units have their own beds." After Zuo Cidian finished speaking, he continued: "The special needs medical department said that we have brought in a lot of patients recently, and they still occupy the wards now. There are more than 20 people who asked us to speed up the turnover rate, but I ignored them."

Ling Ran said "Yes".

"If there are patients with their own beds, the special needs medical department will not be able to let them go."

"Aren't they reservation-only?" Yu Yuan interjected.

Zuo Cidian smiled wryly: "Some people are here, do they dare not make an appointment?"

Yu Yuan was stunned, and said in a flash: "However, if you give them so many patients, they will always benefit."

"That's why it's just called." Zuo Cidian said with a smile, "After a while, if the special needs building is really full of people, it will be interesting."

"They must have secretly reserved a few beds."

"What are a few beds enough for? Even if they secretly reserved more than a dozen beds, they quickly got rid of them." Zuo Cidian's expression was a little smug at this time: "They don't know what they are about to face yet."

The office tends to be quiet, and there is no one who makes fun of it.

Zuo Cidian looked to both sides, curled his lips helplessly, coming from the town health center to Yun doctor, it's just such a bad thing, the interns don't know how to praise people, it's really a pill.

Zuo Cidian coughed and coughed twice, and cooperated with himself and said: "Those who can bring their own wards are all special-needs buildings that need to be handled carefully. Dr. Ling's reputation is getting bigger and bigger, and more and more people must come here. At the current speed, if the patients who come again do not want to live in the corridor of our emergency center, they will find the special needs building, what do you think they will do?"

Yu Yuan and several interns looked at Zuo Cidian blankly.

Ling Ran finished drinking the tea, put it on the table, and when he was about to pour some more water, Zuo Cidian hurried forward, grabbed the kettle, filled Ling Ran with tea, and then said: "That's our doctor Ling. With this speed and attracting so many patients, the hospital should provide beds, right?"

Now, with a clear interrogative sentence, all the doctors reacted and cheered one after another:

"That's right."

"Our hospital beds are too few."

"The patients Dr. Ling has been discharged from the hospital early enough, we just didn't rush people to check in again."

Management departments at all levels and the hospital itself have turnover rate requirements to shorten patient admission time. In order to meet the standard, some departments will persuade mild patients to be discharged first and then admitted to avoid the problem of turnover rate.

The emergency center does not have such a requirement for the time being, which also saves Ling Ran a lot of effort.

Of course, Ling Ran didn't have time to deal with these requirements. For him, doing the surgery well was the best solution. As for other things, they could be transferred to other people in the department.

"Schedule schedule." Ling Ran blew on his cup to drink water, glanced at the printing paper delivered by Guan Fei, and said, "Lu Wenbin will perform tang method and arthroscopic surgery with me, and Yu Yuan and Zuo Cidian will follow me." Get an Achilles tendon repair."

"Yes." The three assistants quickly agreed.

"Okay, let's start the ward rounds." Ling Ran led the crowd on a mighty tour again.

Yu Yuan was so tired that she could only support her with all her strength. Resident doctors must understand the situation of inpatients, otherwise, when they are on duty at night, there will be no time to deal with them on the fly. Hospitalization is always a resident doctor, but the working hours are longer.

Yu Yuan could only hope that when the ward rounds were over and Ling Ran and Lu Wenbin were doing the Tang method, she would be able to snatch two hours of sleep.

Ling Ran walked steadily, walking slowly along the ward, looking at each bed one by one.

From time to time, treasure chests of heartfelt thanks float in.

Ling Ran took it calmly.

The energy potion is good, but he doesn't rush to use it, and it doesn't matter if there is one more bottle or one less.

However, Ling Ran will still pay special attention to the ratio of heartfelt thanks to each ward.

Different wards are in charge of different bed doctors and nurses.

According to Ling Ran's observations in the past year, the management efficiency of the doctors and nurses in charge of the bed will obviously affect the generation of heartfelt thanks.

In other words, even if the chief surgeon does a good job, if there are management problems with the bed doctors and nurses, it will still affect the production of sincere gratitude.

This is also easy to understand. Patients cannot accurately distinguish between hospitals, administrative leaders, treatment team leaders, chief surgeons, bed doctors, and nurses.

If any link is not done well enough, patients have reasons not to be so "sincerely" grateful.

Although Ling Ran doesn't pay much attention to the output of one or two treasure chests now, he cares about the reduction of output very much.

Therefore, Ling Ran's Ling treatment group adopts a cross-management plan, that is, the management scopes of the bed doctor and the bed nurse do not completely overlap. In this way, if someone in the ward feels dissatisfied, Ling Ran can It is easy to notice the weak link.

The residents and nurses in Ling's treatment group also knew that Ling Ran had such a discerning ability, so they became more serious in doing things, even a little apprehensive.

In the end, after turning around, Ling Ran received 14 treasure chests that he was sincerely grateful for. There were 4 wards that did not send any treasure chests within three days. Excluding Xu Yongchang who lives in a single ward, Ling Ran turned his gaze to Lu Wenbin: "Your The management of the ward should be strengthened, not only to sort out the symptoms, but also to pay attention to the emotions of the patients."

"Yes." Lu Wenbin could only accept the order.

"May I ask how the preparations for the operating room are going?" While Ling Ran was speaking, the phone rang.

The phone vibrated desperately, and screamed heart-piercingly: "The king asked me to patrol the mountain..."

Ling Ran looked at the phone screen, and after answering the call, he asked, "Doctor Zhou?"

"Ling Ran, didn't you ask before, do we have any patients with appendicitis?" Doctor Zhou's voice was kind and lazy.

"Do you have it now?" Ling Ran's curiosity arose. He had obtained the master-level excision technique for some time, but he hadn't had a chance to use it yet.

Dr. Zhou’s voice was full of kind and gentle smiles: “Yes, and two of them came at once. The young couple had a buffet together the day before yesterday and came to the hospital together today. I was thinking about parasitic diseases, but it turned out that Two appendicitis, do you want to do it?"

"I'll come right away, in three minutes." Ling Ran hung up the phone, and said to the junior doctors in a room without blushing, "You do your work first, and I'll come as soon as I go."