One day passed, Zhao Yilin looked at Liu Miqiao with a scrutinizing gaze.
"Don't look at me like this. I've been talking for two days, it's only been more than one day." Liu Maqiao said to Zhao Yilin seriously after finishing a brain stem puncture.
"Did you sleep soundly last night?"
"It smells good."
"No one is knocking on the door?"
"Yes, I smashed it once in the middle of the night."
"Then you made another phone call and everything went quiet?"
"Yes."
"Are you sure there won't be any more door-breakers tonight?"
"It shouldn't happen anymore."
"Oh! I didn't expect that you have another skill."
Just as he was talking, Liu Maqiao's cell phone rang.
Sima Lin Yi's voice came from the phone. He said: "Classmate Mu Qiao, I haven't seen you for a long time. How are you lately?"
Liu Muqiao smiled slightly.
"Professor Sima, are you at work?"
"How should I put it? Half working and half resting."
"Come to see you someday?"
"How long do you have to wait? Let me treat you today."
"Today?"
"Yes, today, are you free now? I'll treat you to dinner, and I'd like to ask you to see a patient. The consultation fee will be according to your rules."
"Ha, Professor Sima, to tell you the truth, do you know that my consultation fee has increased?"
"How much?"
"Thirty thousand."
I only heard a "hiss" sound from the other side, and a long breath of cold air.
As a provincial expert, Sima Linyi has made frequent visits to the clinic for 3,000 or 5,000. Even Professor Hao from the affiliated hospital is priced at 5,000. And the price of a big professor from the capital is also 10,000, which is much more
12,000. Surgery is a bit more, 15,000.
And you, Liu Muqiao, have a consultation fee of 30,000 yuan, which is the operation fee of a first-class expert.
How long has it been?
It has only been a few months since the last academic conference in Beijing, and you, Liu Miqiao, have become a first-class expert in the country?
Not calm.
After a while, I came back to my senses.
"What about the friendship price?"
"Friendly price, half discount."
"Fifteen thousand? I still can't afford it."
"Then tell me a price."
"Or you said, I am a thin-faced person and I am embarrassed to speak."
Liu Muqiao laughed and said, "That's okay. I'll make a friendly visit and won't charge you a penny."
"What about the conditions?"
"I drove it yesterday."
"What if they don't agree?"
"That's easy to say, I'll turn around and leave."
The phone hung up.
Zhao Yilin said doubtfully, "What the hell are you doing? And you hooked up with Sima Lin Yi?"
Liu Muqiao laughed and said: "Sima Lin Yi is not a good bird, so it's not a big deal to catch him."
"Liu Muqiao, let me remind you that when a doctor fights, he must take off his white coat before fighting. You must remember your identity."
Liu Muqiao laughed and said, "You actually lecture me on morality? Don't worry, I will cure the disease by treating the disease, and revenge by revenge."
Zhao Yilin looked at Liu Muqiao's back, sighed, shook his head, and said to himself, "The waves behind the Yangtze River push the waves in front, and the waves in front die on the beach. It's so vivid."
Then he took out his phone, dialed a number, and said, "Don't worry about that. From now on, you will also change your mind. Don't interfere in the world anymore. Liu Muqiao hopes that you will become a real entrepreneur. What will happen to you in the future?"
Do it, you don’t need me to teach you more, right?”
The other side said, "I understand, don't worry, I will follow Sima Yue's example and be an outstanding entrepreneur."
Liu Muqiao left the hospital gate and came back. He was not in a hurry to go to the provincial hospital. He went to the general surgery department and took two apprentices to examine 30 patients with non-healing wounds.
Today is only Wednesday, so it’s still early for debridement and suturing at the weekend.
Liu Miqiao deliberately delayed the time and decided to play with a few wounds.
Thirty patients may not all stay for a week and wait for surgery on Saturday. See if there are any ripe peaches. Pick a few and taste them first.
When Jiang Weiwei heard that Liu Muqiao was going to perform debridement and sutures in advance, she quickly stopped what she was doing and followed her.
She wants to learn.
She wants to learn from Liu Muqiao.
This is a good craft.
Recently, Antai Hospital has become famous. Patients with non-healing wounds from far and near come to the hospital for treatment. However, the regulations are very strict and can only accept 30 patients a week.
There is a contradiction between supply and demand, and general surgeons become the most popular ones one by one, and there are a lot of people asking for mercy.
In the past, surgeons did not pay much attention to this skill. They felt that changing dressings and treating wounds were too common skills, and few people delved into this skill in depth.
Now I see that it is wrong. The past concepts were wrong. It turns out that a small skill can lead to great achievements. Therefore, many people want to learn from Liu Muqiao.
Jiang Weiwei's group did not have any surgery scheduled today, so they just happened to learn dressing changes, debridement and suturing from Liu Miqiao.
Liu Miqiao selected a few patients, one of whom had a back infection and deep abscess and was admitted to the hospital last week.
When you open a wound, the first thing you do is smell it.
Smell is a skill. You have to know what to smell, what smell indicates which infection, and what smell indicates that suturing is possible.
This level stumps many people.
It is indeed difficult to remember the smell of common bacterial infections. Bacillus aeruginosa and Staphylococcus aureus have different tastes and are easy to distinguish, but Candida albicans and Staphylococcus epidermidis are difficult to identify. It must be accumulated through long-term experience.
The second is to look at the color.
This level is not easy either.
Pseudomonas aeruginosa is copper-green, Staphylococcus aureus is golden yellow, and Streptococcus is white. Mixed infections are difficult to distinguish.
The third is to distinguish between necrotic tissue and normal tissue. This level is also easy to make mistakes. This is also the difficulty in dressing changes and debridement and suturing.
Liu Muqiao mastered this technology, not only in practical operation, but also in theory. When he explained it, he was very patient.
To put it bluntly, Liu Muqiao likes to operate, trim necrotic tissue, remove dirt, and then sew up the wound. This process is very enjoyable.
And it’s not a bad feeling to explain it to everyone and have people around you listen attentively.
Normally, Liu Muqiao doesn't talk much. He likes to be a quiet person. However, when it comes to explaining the knowledge of debridement and suturing, he talks non-stop for half an hour, an hour, or even a few hours. He is also very interested.
Very enjoyable to talk about.
Sometimes I feel so good that I can’t stop.
"This patient's wound is very special. It is very deep and narrow. It is difficult to trace the mechanism of its formation. However, it does not matter. We will carefully analyze his wound and the level of ulceration. When dealing with it, each person must have his own strategy and plan."
Then, he began to debridement, deliberately slowing down his movements so that everyone could see clearly.
The muscle layer is first, followed by the subcutaneous fat layer after cleaning, and then the fascia layer and epidermis.
After removing the necrotic tissue and dirt, apply it with alcohol many times, several times more than the average doctor.
"Many of you like to use complex iodine and hydrogen peroxide, but I don't like it. I think 75% alcohol is better. It can remove oily dirt, and bacteria and fungi are most likely to adhere to this oily dirt."<
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Then, start sewing.
"Don't leave dead space. This is a very important point. Many unsuccessful debridement and suturing methods leave dead space. You see, I sewed muscle - fat. I can also sew one or two stitches - fascia, which must be connected.
Up, reduce skin tension - finally, skin. Skin, pay attention to alignment."
"Is it okay if we don't put the drainage strip?" Jiang Weiwei still raised an objection.
"Yes, if you are not confident, you can let it go, but in that case, the wound will take longer to heal. I suggest that you resolutely suture such a wound thoroughly without hesitation. In this way, your level will be improved.
Called a step up."
This chapter has been completed!