Chapter 26： sincere thanks (1/2)

in the morning.

Director Huo Congjun came to the emergency department, brewed a cup of strong tea, discarded the first bubble, sat down, and slowly drank the second bubble of tea.

After a while, he walked out of the director's room on his back and began inspections from the observation room.

霍 Behind Huo Congjun, there are three deputy chief physicians and six serving physicians.

Meet everyone, forming a sharp arrow, like a lion on the grassland, and hunting with lionesses.

The resident doctors on duty waited quietly in front of the bed under their control, like walking dogs on the grassland, waiting for the debris left in the gap between the lions' teeth.

Interns are seemingly free vultures. They have no fixed position and are not valued by patients. They can only wait quietly to clean up the residue left by lions and walking dogs.

The territory of a department is not large. For example, there are usually dozens of beds in the observation room of the emergency department. However, the order is still maintained by the lions and the dogs.

霍 Besides Huo Congjun, the emergency department of Yunhua Hospital and two other chief physicians do not need to follow him for rounds.

Although they are all named directors, Huo Congjun, the chief of the section, is the owner of the territory because of his administrative powers. The other two chief physicians have just obtained senior titles, just like stray male lions. Efforts to maintain their freedom.

7 Every morning at 7 am, this is the moment when the hospital demonstrates order.

Ling Ran put on a white coat, put 30 pieces of Hetian Jade Buddha in a bag, and then came to the rescue room, silently observing everything around him.

He already has some hunting skills that can kill certain diseases, but in the realm, that's not enough.

”Xiao Ling ...” Huo Congjun suddenly called out, beckoning Ling Ran over.

”This is your patient, please introduce it.” Huo Congjun stood in front of the 12-bed patient, looked at the medical record, and handed it to Ling Ran who came quickly.

According to the bed system, the patient should actually belong to the attending doctor Zhou, even if everyone at the scene knew that Ling Ran had done more than 50 sutures the day before yesterday, he should first ask the attending doctor.

However, the director of the department is the king of the territory. He can do whatever he wants to do. Even if the director wants to remove a seemingly healthy patient from the kidney, other doctors can only disagree verbally and cannot obstruct it.

Of course, patients and their families can refuse to operate, but in a hospital environment, the authority of the department director is still very high.

Ling Ran, while recalling the patient's condition, opened the medical records and said: ”The patient was a 19-year-old female who had been in good health. This time, she was debrided and sutured due to the elbow tear caused by falling from the stairs ...”

半 He said to himself, he finished his first examination.

After waiting for Ling Ran to take a breath, Huo Congjun suddenly asked, ”Why line 0?”

The 0th suture is much smaller than the 4th suture commonly used in emergency room sutures. Line 4 is expressed in the United States Pharmacopeia standard as 2-0 with a diameter of 0.3 mm. Line 0 is 4-0 with the USP standard and has a diameter of only 0.15 mm, which is exactly half of line 4.

一 The diameter of the two wires is doubled, and the cross-sectional area is four times, similar to the gap between the little finger and the thumb.

Correspondingly, the tensile strength, which is the resistance to stretching, is much weaker.

In other words, wounds sutured by line 0 are more likely to rupture than larger lines 2, 4 and even 7.

Ling Ling was asked for a moment, and the girls and relatives in the hospital bed did not know why they looked at the young doctor.

”I think the 0th line can meet the needs of suture.” Ling Ran responded quickly, but some of the answers were too simple, too concise.

小 Small doctors such as interns, registrars, and resident doctors are asked questions during rounds, and it is a daily routine in hospitals, but generally speaking, everyone will say at least two more.

Even if it is difficult, it is hard to come by.

Wu Huocong shook his head and continued to ask, ”Why not choose the conventional thread? With the No. 0 thread, what should I do if my wound is cracked?”

”If it breaks ... re-sew it up again?” Ling Ran personally felt that this question was still stupid, but he was not an unreasonable person, so that the superior doctor would not come to Taiwan on the spot ... Although he had done it, he did not have to do it every time. do all.

Ling Ran gave a kind and caring smile, very handsome and sunny.

He Huo Congjun didn't keep up with Ling Ran's thinking. He checked the room every day and checked for decades. Such a clever little doctor has never seen him.

的 The chief physician, deputy chief physician, attending and resident doctors accompanying the rounds also fell into a long silence.

Dr. Zhou, the good old man, secretly sighed and coughed. ”I saw the wound was not very serious at that time. It is estimated that Line 0 can guarantee the effect, and Ling Ran was allowed to use it.”

”Don't defend him, you are also wrong.” Huo Congjun said in front of the patient's family, ”Ling Ran's choice of Line 0 is unconsidered and must be pointed out.”

The family members of some patients who didn't understand were suddenly anxious. The mother standing beside the bed asked: ”Doctor, is there a problem with my daughter's arm?”

”There is no problem now, but more careful care is needed to avoid activities. We mainly consider the tensile strength of the suture, just because it is not strong, and it will not heal if it cracks.” Huo Congjun treats the patient and Yan Yuese, and There was no seriousness at the meeting, and the patient's symptoms did not change.

The patient's family members looked at each other, and they all showed some anxiety.

Ling Ran only understood the focus of Huo Congjun's question at this time, and immediately said: ”The tension of line 0 is sufficient. Avoiding activities and careful care should be, but I don't think you should worry too much.”

Xiu Huo said from the junior doctor who educated the military: ”Don't you worry about using line 4?”

”The patient is only 19 years old. The area of ​​the wound is large, but not deep. If thick lines are used, the scars left will be too large, which will affect future life.”

They just said on line 0 and line 4 that the patient didn't quite understand. Ling Ran talked about the thickness. A few people knew it instantly.