Chapter 180 Difficult choice! (Please subscribe)

After Cai Dongfan and Luo Yun arrived in the lounge, they immediately lit a cigarette and stuffed betel nuts into their mouths.

The irritation of betel nut immediately gave rise to a hiccupping and nauseating feeling that was very uncomfortable. However, the painful stimulation in the mouth and the choking feeling in the throat also made Cai Dongfan and Luo Yun instantly sober.

The eyes of both of them were quite dim, not because they were desperate for life, but because they were really tired.

However, not long after Luo Yun sat down, the phone on the table vibrated. When he picked it up, he saw that it was the hospital's internal landline number.

"Hey!~"

"Are you Dr. Luo Yun from the Department of Orthopedics? I'm the outpatient guide. It's already past 8:40. Doctor Luo, why haven't you come to the outpatient clinic yet? The patients here are almost noisy." Another phone call

At one end, an urging female voice sounded.

Luo Yun's brows froze tightly at that time: "Didn't I call the general manager of the hospital yesterday and cancel my outpatient clinic today?"

"I don't know. It hasn't been cancelled. We haven't received a notice. Now the outpatient patients have arrived at the door of the clinic. There are more than 20 of them. I just said that Dr. Luo, you are doing rounds and you have to wait for a while, but this is all

It’s almost nine o’clock.”

"I can't hold you back any longer." The person on the other side was complaining to Luo Yun, hoping that he would hurry over.

Today is Sunday, and it is also Luo Yun’s second outpatient visit.

Luo Yun felt that his balls were hurting.

He knew about today's outpatient clinic, but something special happened yesterday, so he called to say he wanted to cancel the outpatient clinic, but it hadn't been arranged yet. Now, the operating room has been opened.

The patients from the outpatient clinic have already arrived. Isn’t this nonsense?

"Don't the patients who come for treatment know what happened yesterday?" Zhou Cheng lowered his voice and asked.

"I know, but they said that after they registered, they had to see a doctor. What happened yesterday was the hospital's problem. Isn't it possible that such a big hospital can't even arrange this?"

"Doctor Luo, what do you think we should do now?" The outpatient guide was cautious and did not dare to threaten Luo Yun directly.

But if Luo Yun never goes, then they won't keep delaying it, and it's not their fault.

"Alas!~~~"

Cai Dongfan's eyelids were twitching. After taking a deep breath, he said: "Go to the outpatient clinic. Luo Yun!"

"What about this operating room? What to do?" Luo Yun looked at Cai Dongfan in embarrassment.

Although this is not Luo Yun's problem, it is because the incident happened suddenly, but today, three operating rooms have been arranged for their team to perform emergency surgeries as soon as possible. If he is missing a surgeon, the operating rooms will be taken back.

Not to mention, I don’t know how long it will be postponed after today’s surgery is over.

However, when the emergency rescue in the general department was carried out yesterday, someone from his team was not present, namely Zhou Cheng, who went to the on-site emergency team. Yan Haihan had some words to say, although he did not say it in person.

If Luo Yun had slipped away today, I don't know what Yan Haihan would have said.

"The number for the outpatient clinic has been released. I'll think of a solution!" Cai Dongfan's little eyes kept moving, obviously thinking about what to do.

There are still too many patients and too few doctors!

Moreover, Luo Yun had already said in advance that he would cancel the outpatient clinic. Either the medical department was not good enough, or the outpatient office was sneaking around. What could be done?

Can I go to the outpatient clinic or medical department to make a noise?

Doctors also have the human sophistication that they should have. It is not that people are sophisticated, but that sophistication will find you unconsciously.

Luo Yun had no choice but to put out the cigarette butt, and then hurried towards the clinic.

After registration, there is no official notice from the hospital and the hospital communicates with the registered patient about changing the number or refunding money. Then a diagnosis and treatment relationship is established, and one report is accurate.

At that time, the outpatient department and medical department will not tell you any other reasons. Once you have released your number, you will have to see it.

However, in order to reduce time, Luo Yun still called the outpatient department immediately and asked them to stop his number. He also asked them to notify registered patients that they should come to the clinic in the morning.

This is the only solution Luo Yun can think of.

Shortly after Luo Yun walked out, Cai Dongfan spit out the betel nut residue, put out his cigarette butt, and re-entered the operating room where Zhou Cheng was.

When he entered the operating room, he saw Zhou Cheng alone, so he asked: "Xiao Zhou, where is Du Yanjun? Has he escaped?"

He thought Du Yanjun had sneaked back and was lazy.

The tone and mood are a bit off.

Zhou Chengdao: "I asked Yan Jun to go down and rest for a while. After the patient is brought in, he will return to the operating room. I guess he has only arrived in the lounge not long ago. Teacher Cai, do you want to see Yan Jun?"

Cai Dongfan's previous arrangement was that Du Yanjun followed Zhou Cheng, who led him to the seaside, and then Luo Yun led Zhang Zhengquan.

But now that Luo Yun has gone to the outpatient clinic, the surgery schedule has to be readjusted.

"Well, he can't go to rest! Luo Yun has gone to the outpatient clinic, and he has to go to the 19th surgery room. Then I will ask Zhang Zhengquan to come to your place to help."

"Damn. What's going on today?" Cai Dongfan cursed and walked out of the operating room, took out his cell phone, and dialed Du Yanjun.

Du Yanjun just lay down. After hearing this, he quickly stood up again, dragging his tired body, and started fighting intensively again.

Moreover, because there was no one to help, he had to go to the 17th room first, and then asked Zhou Cheng to go to the 19th room to help lift his legs, disinfect and spread the towels.

When there is no one around, one person can only support several people.

After doing this, Du Yanjun had time to look at the patient.

This is an open injury to the knee joint with exposed blood vessels. It is a rather complicated debridement surgery!

Du Yanjun's scalp was beating, and he was a little at a loss when looking at the patient.

However, the anesthesiologist and circulating nurse all looked at him.

There is no hand-washing nurse in this operation. Yesterday's hand-washing nurse was exhausted and went back to rest. Most of the nurses who came to work today are on duty!

Although I can wash my hands, when I get on stage, there is no one to take things or help me off stage.

Zhou Cheng walked out of the door and looked at the operating room in Room 17 which was still empty. Then he turned back and gave instructions to the people in Room 19: "After the patients in Room 17 are anesthetized later, ask me to come on stage."

"Let me take the stage here first."

Debridement and suturing are also very particular. Strictly speaking, simple debridement and complex debridement should not belong to the same level of surgery. However, when grading operations, they are all classified as debridement and suturing.

Just a technique.

Zhou Cheng knew that such a third-degree open knee injury was not something Du Yanjun could handle.

This kind of open injury of the knee joint is a completely minor case in an emergency scene, because the task of the emergency scene is to transfer the patient to the hospital to save his life.

When you get to the emergency department, it's just a bit tricky. The emergency doctor's purpose is to bandage it, stop the bleeding, and then transfer it to a specialist.

After entering a specialist, the real treatment actually begins!

The most basic principle is to save lives first and then treat patients.

However, just saving lives is obviously not the ultimate purpose of medicine, it is only the most basic purpose.

It's like an open trauma to a joint.

Open bones and joints can be divided into three grades according to the severity of the injury:

First degree: The skin is punctured from the inside to the outside of the fracture. The soft tissue is slightly damaged or the joint capsule is pierced by a sharp instrument. The wound is small, and the articular cartilage and bone path are not damaged.

Second degree: The skin is cut or crushed. The subcutaneous tissue and muscle tissue are moderately damaged or the soft tissue around the joint is extensively damaged. Articular cartilage and bones are partially destroyed, and there are foreign bodies in the wound.

Third degree: There is extensive and severe damage to the skin, subcutaneous tissue, and muscles or damage to the soft tissues around the joints, ligament rupture, severe damage to articular cartilage and bones, foreign bodies in the wound, combined with blood vessels, nerve damage, or joint dislocation.

If it is a first-degree injury, it can be treated as septic arthritis without excessive debridement.

Du Yanjun gritted his teeth and tried debridement of the second-degree open joint injury. However, debridement and suturing of the third-degree joint injury required not only the removal of necrotic tissue, but also the reconstruction of muscles and ligaments.

Anastomosis of blood vessels and nerves may even be required, and such debridement is not simple.

And this kind of patient, at the emergency scene and among the open trauma, is relatively minor!

When Du Yanjun heard Zhou Cheng's words, he felt as if he had been amnesty and had met a savior. Just now, when Cai Dongfan asked him to come on stage, he was a little happy. He thought that he had been recognized by Cai Dongfan and felt that he could be the chief surgeon.

Had surgery.

But after entering the operating room and seeing the patient's condition, I immediately felt at a loss.

Zhou Cheng washes his hands, dresses and wears gloves!

"Tourist, please apply the tourniquet. The pressure of the tourniquet should not be too high!" Zhou Cheng ordered.

Open joint injuries are accompanied by vascular injuries. If the pressure of the tourniquet is too high, the open vascular injuries may not be discovered, making the debridement surgery incomplete, or the vascular injuries that should be discovered cannot be discovered.

This is ridiculous.

"Open another lower limb fracture bag." Zhou Cheng gave another order after glancing at it for a few times.

The instruments in the lower limb debridement package and the fracture package are different. Although some of them are repeated, if you have some of the instruments in the fracture package, the operation can be carried out more smoothly!

"Yan Jun, let's explore together. You look for foreign objects, and I'll look for blood vessels!"

For injuries of a destructive nature, the blood supply must first be found out. This is the first prerequisite for judging whether the limb can be salvaged.

If the blood vessel damage is serious, don’t even think about it. Either a blood vessel transplant or amputation!

If he leaves simple matters to Du Yanjun, there will definitely be no problem.

It was complicated that Du Yanjun couldn't handle, so Zhou Chenggong picked it up by himself.

Otherwise, if I keep procrastinating, I will waste a lot of time loving you.
To be continued...