Hu Bolong is the director, in charge of this department, but he is also in charge of a treatment group. He has a deputy chief physician, an attending physician, and two resident physicians. They have a total of 16 beds, that is, each resident physician is in charge of it.
8 beds.
These are his direct descendants, and most of the patients who were operated by Hu Bolong were managed by them.
Deputy Chief Physician Tang Yilong is a senior deputy chief physician. Since there is no quota, he doesn’t know which year he will be promoted to become chief physician.
Therefore, in order to take care of him, Hu Bolong assigned a treatment group to him.
But he was not the only deputy chief physician. In order to balance the relationship, Hu Bolong personally led their group. In this way, others would not have much to say.
The attending physician Li Xiaolong graduated with a Ph.D. and majored in researching hepatobiliary diseases, and was Hu Bolong’s key training target.
Resident doctor Jiang Weiwei is the only female doctor in general surgery. She is not tall, only about 1.55 meters tall, and wears a pair of large myopic glasses that take up half of her face. She is only 28 years old this year, and her two front teeth are extremely large.
Rabbit, her nickname is White Rabbit.
She also likes to wear a hat with two rabbit ears.
Resident doctor Tang Shaohua is 30 years old this year, has a master's degree, and is old enough to become an attending physician.
From now on, they will be a group.
Of course, there are also a few intern doctors.
It just so happened that Hu Bolong was checking the houses in his group today, and Liu Maqiao followed behind, very interested.
One is the new environment, and the other is the new department, where you will be exposed to many new diseases.
"Liu Miqiao, this patient has appendicitis, which was perforated and was 3 days after the operation. Please tell me the characteristics of appendicitis." Hu Bolong asked Liu Miqiao with a smile.
He intended to let Liu Muqiao learn more knowledge, a key figure cultivated by the hospital. How could Hu Bolong, our surgeon, be successful without any contribution?
Liu Muqiao thought for a while and said: "Transferred abdominal pain, the final pain point is in the right lower abdomen. There is tenderness and rebound pain in the right lower quadrant. And..."
"Well, that's roughly it. Can you tell me, what diseases should it be distinguished from?" Hu Bolong asked again.
"It needs to be differentiated from cholecystitis, enteritis, ureteral and kidney stones, gynecological diseases, etc." Liu Muqiao found it difficult to answer.
"Well, it's generally good. There are still many diseases that need to be identified. After I go back, I will review it and combine it with the patients, and the impression will be deeper."
In this way, he checked one by one, and every time he checked a patient, Hu Bolong would ask some questions.
Liu Muqiao's answer was relatively unfamiliar, but Hu Bolong always said the same thing, "That's a pretty good answer. It's roughly like this. Go back and review it, and you'll remember it next time."
"This patient had a colon surgery. The wound did not heal. The main cause was fat liquefaction. Liu Miqiao, wait a minute. You can change the dressing with Jiang Weiwei. Surgery requires more hands-on practice. Practice makes perfect. Oh, by the way, there are 27 beds.
, it’s also because the wound has not been treated properly, so changing the dressing is your responsibility, Liu Muqiao. Jiang Weiwei, you are responsible for taking care of Liu Muqiao.”
Liu Muqiao turned to look at Jiang Weiwei, and she just turned to look at him.
Jiang Weiwei raised her head slightly and pursed her lips, with a slight smile on her lips.
Soon, 16 beds were checked.
Hu Bolong wanted to see several special patients from another group, all of whom were post-surgery. He had to check their post-surgery conditions.
The medical orders are very simple and are obviously different from the internal medicine system. Surgeons rarely waste time on prescribing medical orders. Except for anti-inflammatory drugs, everything else is routine and rarely changes from postoperative to discharge.
"Liu Muqiao, can you change the dressing?" Jiang Weiwei adjusted her glasses, "All interns should be able to change the dressing. You don't necessarily need my guidance, right?"
Liu Muqiao grinned and said, "Teacher Jiang, just rest and change the dressing. That's no problem."
Jiang Weiwei said: "Okay, you go and change the dressing, and I will write the medical records. Yesterday's admission record has not been written yet. If it is discovered, quality control points will be deducted."
She pointed at the two interns and said: "You two classmates go and help. Although he is also an intern, he is different. He is Liu Miqiao, and you have to treat him as your teacher. However, this is Liu Miqiao's first internship in surgery.
When changing the dressing, you guide him to change it."
These two classmates are Liu Miqiao's classmates. They are not in the same class. They have known each other before. Of course, they know about Liu Miqiao's legend.
These two interns were familiar with each other, so it was naturally their job to prepare the medicine change items. In a few minutes, they had already prepared the medicine change truck.
Liu Muqiao wanted to laugh.
I am already a master in debridement and suturing.
Wound dressing change is also included in debridement and suturing.
No big deal.
At the master level, in the entire general surgery department, it is difficult to say whether there are masters of debridement and suturing. Ordinary doctors are not pursuing debridement and suturing, which is the basics. Often, the basics are more easily ignored.
Surgeons pursue high-end operations. Everyone likes to delve into radical resection of colon cancer, and they prefer to perform operations on the pancreas, liver and stomach.
Who will study the most common debridement and suturing techniques?
Liu Miqiao came to the hospital bed, took off the gauze, looked at the wound carefully, smelled it again, nodded and said, "Uncle, how long does this wound last for you?"
"It's been more than two months."
"Well, it doesn't matter. I'll help you treat the wound thoroughly today. It should be fine in a few days." Liu Miqiao straightened up and prepared to debridement.
"Can you do it?"
The patient is highly suspicious.
In the past, Jiang Weiwei helped him change it, but now it’s a little brother. Have you ever seen such a wound?
"Don't worry, I will help you debridement today, then sew it up, and the stitches will be removed in a few days."
"Are you really sure?"
"Don't worry, if you're not sure, I'll help you debridement?"
"Does it hurt?"
"It doesn't hurt. Just take a nap and everything will be done."
"You mean anesthesia? General anesthesia?"
"No need, go to sleep, go to sleep."
Liu Muqiao shook the horse drunken wood in front of the patient's nose a few times. He struggled a few times and fell asleep deeply.
The two interns looked at the scene in horror, but did not dare to ask, "You look at me, I look at you, is this true?
Liu Miqiao ignored the person at all, picked up the forceps, picked up an alcohol cotton ball, and rubbed it on the patient's wound.
I wiped a few alcohol cotton balls, picked up the scissors, and trimmed the wound. Two small pieces of necrotic tissue were cut off, and I wiped it with alcohol cotton balls a few more times.
Then, pick up the needle pliers, clamp the curved needle, and start sewing the skin.
The two interns were surprised and felt something was wrong.
Jiang Weiwei repeatedly taught them that the focus of this wound is drainage!
You are suturing, how do you drain the inflammatory secretions from the wound?
Won’t the wound get worse and worse?
"Wait a minute, Liu Muqiaotong——teacher, you shouldn't sew."
Liu Miqiao continued to hold his hands and said: "The inflammation in this patient's wound is not serious. I have debrided it and it is very clean. It can be sutured in the first stage."
"That's not what Teacher Jiang said."
"Yes, Teacher Jiang is not good enough. From now on, you will listen to me, Teacher Liu."
This chapter has been completed!