Chapter 12 Propose a suture plan
After all, when a patient has obvious symptoms of alcohol poisoning and carbon monoxide poisoning, normal people will ignore the inconspicuous nitrite poisoning.
The incidence of acute nitrite poisoning has dropped significantly in recent years, and can still be associated with simple food poisoning.
"It's too risky, Xiao Tang, you are really lucky. But today is really thanks to you." Li Fan leaned on the back of his chair and raised his head, "I heard that a few days ago, you had no intention I reminded Director Shen. You are truly a blessing to our emergency department!"
"Luck, luck, I just happened to encounter it when I was in class before."
Tanglou could only blame the case class at school.
In his heart, he looked calm: "Don't do anything bad!"
"Which school did you graduate from?" Li Fan was a little curious.
"The Second Medical College of Jiangxia Province."
"Well, 211, although it's not as good as top universities, it's not bad at all. But, are the current university courses so practical? I remember that after I graduated, I went to the emergency department confused and didn't know anything. "Li Fan has some doubts about life.
But when I think about it carefully, I am still a bit of a loser after so many years. Maybe this is the difference between a top student and a bad student.
"Tanglou, you are very good!"
Li Fan sighed. Although he had always been looked down upon by other departments, Tanglou could now be regarded as his direct disciple. The more awesome Tanglou was, the more glory he had on his face.
"Tanglou, if you have any requests in the future, just ask! Master will support you!"
Li Fan was in a good mood and patted his big belly.
...
...
The next day, emergency department.
"Zhang Nannan, the patient has basically recovered and will be discharged from the hospital after one day of observation."
Li Fan looked at Wu Weibing's latest inspection data and checked it again, feeling relieved.
"Thank you doctor."
Wu Weibing was lying on the bed, he had regained his energy, but was just a little weak.
"Well, your situation is very special. Fortunately, you are lucky. The experienced doctors in our department immediately noticed that you were suffering from nitrite poisoning. Otherwise, the consequences would be disastrous. Do not eat charcoal hot pot in a sealed environment in the future, and pay more attention to the ingredients. The source is hygienic and safe.”
Li Fan gave some instructions, and he really looked like a great doctor.
"Okay, thank you doctor."
Wu Weibing's face was a little red, he was really embarrassed, but he was also a little grateful.
"Xiao Tang, please continue patrolling with me."
Tanglou followed Li Fan like an emotionless ward round machine.
"System, after all, I diagnosed and treated a patient, aren't you going to reward me with a few gold coins?"
[The task is clearly a suturing case, and this patient does not meet the requirements.]
"..."
Tanglou's face was very ugly, and he felt unhappy and disappointed.
Li Fan also noticed Tang Lou's depressed mood: "Why does Xiao Tang feel so low?"
"Oh, Dr. Li, I'm just a little disappointed. I really wish I could have a few suturing cases for me to do."
Li Fan looked at Tanglou's serious look and was suddenly stunned.
"Xiao Tang, it seems that you were able to think of patient cases twice before. It's really not luck. You really love medicine. You are always thinking about improving yourself, and you feel sad because there are no cases. Your realm , makes me very ashamed.”
Li Fan is a person with no big pursuits, otherwise he would not be still dawdling in the county hospital in his forties.
Tanglou's motivation and focus shocked him deeply.
He patted Tang Lou on the shoulder: "Xiao Tang, don't worry, as long as there is a suitable case, I will let you perform the operation as soon as possible."
"Doctor Li, Dr. Li, a patient has just been sent in with a big wound on his neck. It needs to be treated quickly!"
Xu Lanlan rushed over in a hurry.
"Walk!"
Li Fan looked solemn and had no time to communicate with Tanglou again.
The emergency department is so busy. If it weren't for the excellence of Director Shen and Tanglou itself, normal interns would be soy sauce at this time, and the resident doctors would not pay attention.
"Xiao Tang, why don't you keep up?"
Li Fan turned around and shouted again.
"Okay!"
Tanglou also followed quickly.
Soon several people came to the patient.
"Doctor, look at my daughter quickly. Her neck was scratched by a piece of glass. Is it serious?"
The patient is thirteen or fourteen years old. He has a very well-behaved appearance and a soft body. His neck is like a swan's neck, slender and white. He has been wrapped in gauze and the blood flow has been stopped under the treatment of the nurse.
"What's going on?"
Li Fan asked while observing the patient.
Lina, the girl's mother.
He was in his forties, well maintained, and his living conditions were good at first glance. He was sobbing a little at the moment: "Today at school, two male classmates had a fight. I don't know what happened. One of the little bastards took an ink bottle and smashed the glass. A piece of glass that long stabbed directly into my daughter's neck. She was bleeding profusely. The school hospital applied an emergency bandage to stop the bleeding..."
"I understand. It's just a scratch. The bleeding has stopped. It's not life-threatening. Now I just need to clean the wound and suture it." Li Fan also relaxed. It was basically not a serious illness.
When he heard about stitching, Tanglou's eyes lit up!
"Doctor, my daughter wants to be a dancer in the future. She can't leave any scars on her neck. If you sew it up, it won't leave any scars!" Lina calmed down after hearing that there was no big deal. She just thought about her daughter's future. , there are still some questions.
"That's it."
Li Fan frowned. It is true that sutures can be done in the emergency department, but it is relatively difficult to achieve scar-free recovery.
"Ms. Li, the child's condition has stabilized. Due to the requirement of scarring, the suturing plan requires department consultation. In this case, I will go to a meeting to discuss a plan first, and then proceed with the suturing surgery after confirmation."
Li Fan was a cautious person and was already considering letting a surgeon perform the suturing.
"Okay, let's trouble the doctor." Lina nodded gratefully and touched her daughter's head, "Xiaowen, don't worry, there will be no scars on her neck in the future."
"Yeah." Xiaowen's lips were a little white, and she was lying on the bed looking pitiful.
...
...
"Dr. Li, leave this case to me, I can do it." Tanglou insisted.
"No, the scar-free requirement is too high, and since it's on the neck, it's better to leave it to the surgeon." Li Fan thought about it and felt it was inappropriate.
"Dr. Li, I can really do it. My skills are no worse than those of surgeons."
How could he miss the first case of the mission?
"Xiao Tang, I know your suturing skills are good, but last time you demonstrated simple suturing, and the sutures were just ordinary silk surgical sutures. In this case, I am not suitable for it, even if you are best at suturing It’s not enough either!”
Li Fan looked at the persistent Tang Lou and didn't want to undermine his self-confidence, but doctors are a rigorous profession and must be responsible for patients!
"Dr. Li, of course I know. If you want to sew the neck without leaving any scars, simply suturing it won't work."
Under the two-star suturing technique, Tanglou has reached the level of a provincial master, so he can naturally talk eloquently.
"Oh, then you should talk about your understanding of suturing and the surgical plan for this case."
Since the patient's condition was not very urgent, Li Fan also wanted to see Tanglou's countermeasures.
"There are three main purposes of suturing: to align the wound edges, eliminate dead space, and promote healing. Of course, it also has the functions of stopping bleeding, reconstructing organ structure, or plastic surgery. In addition, anastomosis also belongs to the category of suturing..."
Li Fan nodded, slightly surprised, this guy has something!
"Sutures are mainly divided into three categories: simple sutures, varus sutures and valgus sutures. Each type has discontinuous and continuous..."
Tanglou talked about it, his whole temperament changed, he really looked like a gentleman, and with his handsome appearance, he really looked like a character from a TV series:
Chapter completed!