Ling Ran completed today's two severed finger replantation operations, changed into hand washing clothes, and left the operating area.

Lu Wenbin changed his clothes in a panic and returned to the office. He couldn't bear it anymore and asked Ling Ran: "Is the surgery not fun anymore? Or is there something inappropriate? Are we really going to have two surgeries today?"

He watched Ling Ran choose two surgeries, thinking that Ling Ran wanted to wait for the next one, but he didn't expect that Ling Ran even changed his hand washing clothes. Before that, when would Ling Ran take off his hand washing clothes?

"Let's use our own ward sparingly." Ling Ran looked at Lu Wenbin and said in a tone of experience: "There are only more than thirty hospital beds available now, and the maximum number of extra beds is only 80. We can't take more than one breath."

It’s done.”

Huo Congjun happened to enter the office from the outside with his hands behind his back. When he heard Ling Ran say "our own ward", he was so excited that he couldn't hold his right hand with his left hand.

"It's a little more difficult now. I'm currently applying for more hospital beds. There should be news soon." Huo Congjun couldn't help but leak a little information, which caused a lot of discussion among the doctors in the office.

The control of hospital beds is extremely strict within departments, hospitals and health systems, and is stepped up at every level.

For example, the hospital beds added by Huo Congjun are strictly speaking extra beds. However, the emergency department has a large area and built its own ward. The extra beds can be treated like normal beds. As long as it is explained to the hospital committee, the hospital will approve it.

From now on, they will be treated as normal beds during inspections, and the emergency department will only be required to limit the number of extra beds in corridors and wards.

However, when the provincial health department and other health systems inspect it, these extra beds will have to be cleared. Especially when the health commissioner inspects, all extra beds will not be recognized, or they will be included in the basic calculation.

beds, thus placing further demands on the number of doctors and nurses.

However, when Huo Congjun promotes the emergency center, he must add more people and beds. Otherwise, the basic conditions will not be met. How can it be called a "center"?

Ling Ran nodded in agreement and said: "The Orthopedics and Sports Medicine Center has 180 beds. This time we have fifty or sixty extra beds. It is not enough for circulation. Our department still has room for development."

Dr. Zhou next to him was horrified. He couldn't use the five beds every month. The patients were changed every five days and seven days, which already made Dr. Zhou feel tired.

Director Du also felt uncomfortable and said with a smile: "Ling Ran, our hospital's departments are considered large if they have 100 beds."

"We have almost 100 beds now."

"I mean, it doesn't count the extra bed."

"That's a total of 200 beds?"

"How can we double the number of extra beds?" Director Du said helplessly: "Ling Ran, think about it, you only used two beds today, and you are doing replantation of severed limbs. It can be done in 40 days at most.

Sending them out..."

Huo Congjun coughed twice, interrupted Director Du's retarded math, and said: "Ling Ran wants more beds. This needs to be encouraged. Young doctors are willing to do things, and we can't hold them back. Ling Ran, just do it

Do your surgery well and don’t worry about anything else. By the way, your thesis is pretty good, keep working hard and go to the finance department to get the money when you’re done.”

"Okay." Ling Ran agreed, took a sip of water, stood up and said, "Doctor Lu, let's go to the treatment room."

"Oh." Lu Wenbin quickly followed.

Huo Congjun watched Ling Ran disappear from the door with a smile on his face.

Deputy Director Du looked at his expression and whispered: "My liver was shaking just now."

"Ha...no...well, a little bit." Huo Congjun breathed a sigh of relief.

Deputy Director Du also said with lingering fear: "We have all seen Ling Ran perform six or seven amputated finger replantation surgeries in one day. How dare you give him an unlimited hospital bed? No one in our department has ever received an unlimited hospital bed..."

"Didn't you listen to what Ling Ran said just now?" Huo Congjun asked.

Deputy Director Du asked doubtfully: "Which sentence?"

Huo Congjun sighed: "He said "our, our, us, our, what does this mean?"

"Does it mean Ling Ran knows grammar?"

"It shows that Ling Ran regards our department as his home and is proud of the department." Huo Congjun corrected Deputy Director Du's words and then said: "You said unlimited hospital beds. We are an emergency department. Did you need unlimited hospital beds before?

Do I need unlimited hospital beds?”

Deputy Director Du fell silent.

One advantage of the emergency department is that patients can be transferred to other departments.

Of course, other departments must be willing to take you in.

Normally, patients who have been rescued by Huo Congjun and others will be classified into a certain department and can be taken away by themselves. Only a few patients, such as those with undiagnosed diarrhea and abdominal pain, headaches and vomiting, will stay there.

In the observation room of the emergency department for observation.

However, after Ling Ran started working as a hand surgeon, it would be impossible for the hand surgery department to take in Ling Ran's patients, unless Huo Congjun transferred all the billing to the hand surgery department.

In other words, major emergency hospitals must have their own beds, and they can only have more or less beds.

Deputy Director Du couldn't help but sigh again: "If Ling Ran continues to do it violently, we won't be able to endure it no matter how many hospital beds we have."

"Stop talking if you can't stand it anymore. There must be a road to the mountain." Huo Congjun noticed that the other doctors around him were also paying attention to what he said, so he emphasized his tone and said: "No hospital is afraid of having too many patients. A patient who has a severed finger replanted,

Including medical insurance payment, it's more than 20,000 yuan. Why do you think I went to the hospital meeting to make a fuss?"

Deputy Director Du immediately lowered his head.

If the department wants to be tough, it can't rely solely on trolls. The trolls also need bullets. In the past, Yun Yi's emergency department relied on the reputation of the burn surgery department and Yun Yi's own halo.

Shang Huo Congjun used his influence and power to cut off the share from the 120 emergency center. This year, there were more projects such as replantation of severed fingers and suturing with the Tang method. Doctors at the deputy director level can feel that life is getting better. At this time, no one can

If I say any more, it will obviously be inappropriate.

Think about it again, hospitals are trying their best to recruit mature doctors, isn't it just to do more surgeries, occupy more shares, and increase their influence?

Ordinary attending doctors complain about being tired after performing an average of twenty or thirty surgeries per month. Lingran can perform thirty or forty large-scale microsurgeries in a week. With such efficiency, only hospital beds are required, and he really can only provide unlimited hospital beds.

of power.

Otherwise, if there are no hospital beds, it means not being unable to retain people, but deliberately driving them away.

Not to mention the tangle in the office, after Lu Wenbin followed Ling Ran to the treatment room, he found that Ling Ran's goal was to debridement and suturing, and he felt helpless for a while.

"Doctor Ling, we are still fighting for the rations of interns. It doesn't sound good if we don't say it." Lu Wenbin looked at the eager eyes around him and felt like he had a fever on his face. He has already been a resident doctor, and by next year, he will not be qualified.

He is the most superficial resident doctor, which means that he has been in the hospital for four to five years. He has still performed one suture with the Tang method, one replantation of a severed finger, and suture repair of the Achilles tendon.

The resident doctor, Shu Yisuke, is a rising star who is respected among newcomers.

When Lu Wenbin stood in front of the interns and trainees, and when he stood in front of his fellow residents who were also young and had never pooped in the operating room, he had a strong psychological advantage.

Especially after going to Shanghai, receiving the influence of academicians, seeing China's first-class orthopedic technology, and participating in the operations of sports stars, Lu Wenbin was really asked to be in the treatment room, robbing debridement and suturing, and robbing the junior doctors of their work.

I feel like I can't do it.

Ling Ran just looked at Lu Wenbin strangely: "I am also an intern."

"You..." Lu Wenbin looked at Ling Ran's handsome face and was speechless.

"Let's sit in the second block. Please find someone with a big wound." Ling Ran said hello to the nurse on duty in the treatment room, then sat in the temporarily free cubicle and closed the curtain.

Lu Wenbin got in hesitantly.

He is a resident doctor, and his name will be signed for today's debridement and suturing.

Lu Wenbin felt deeply ashamed of this.

After a while, a patient with a thigh injury was pushed into the cubicle in a wheelchair.

"What's your name? How old are you?" Lu Wenbin habitually picked up a pen and paper and started writing medical records.

Ling Ran asked Lu Wenbin to ask, and at the same time asked his family members to help, and together they put the patient on the treatment bed. Then, Ling Ran looked at the patient's wounds and thought about it silently.

"Call a nurse over here." Ling Ran said again after watching Lu Wenbin write out the medical record.

Lu Wenbin glanced at Ling Ran in confusion and went out to call someone.

Normal debridement and suturing can be done by one doctor and a nurse, or it can be done by a single doctor struggling to do it by himself. Currently, there are two doctors present, and Lu Wenbin doesn't understand the purpose of calling the nurse.

However, Ling Ran's nurse came as soon as he was called, so Lu Wenbin didn't need to bother him.

After a while, two nurses came together.

Lu Wenbin muttered some difficult words in his mind, such as "unequal sharing of spoils", and gave up his position.

"The wound is relatively large and there is a small amount of skin defect. I am going to do subcutaneous hidden tension-reducing sutures. The scar will be smaller after healing. I want to use Johnson & Johnson's absorbable suture No. 0, is that okay?" Ling Ran followed.

A handbook guide for emergencies that explains and asks questions to patients and their families.

The patient and his family looked at each other, asked about the price, and reluctantly agreed.

The two nurses with strange expressions went to take out the sutures, threaded them and handed them to Ling Ran. They saw Ling Ran, who had just finished debridement and sutured the deep wound, inserting a needle into the skin on one side of the incision...

Lu Wenbin was greatly surprised and couldn't help but said: "Doctor Ling, the wound is 8 centimeters. Do you need to suture it under the skin?"

The patient's injury is on the leg. Subcutaneous sutures look good, but the suture strength of subcutaneous sutures is lower than other suture methods. If an 8 cm opening is sewn, it may break in a few days, and then it will not be possible.

Looks good.

Ling Ran guessed Lu Wenbin's thoughts and said: "Reducing tension and suturing."

Tension reduction is to reduce tension, and tension is the culprit of skin bursting.

While he was talking, Ling Ran's sutures had penetrated into the dermis. After four consecutive stitches, he tied a knot outside the skin where the first stitch was inserted. Then he started all over again. After three consecutive times, he dropped the No. 0 thread and told the nurse.

Said: "5-0 regular line."

Lu Wenbin suddenly realized that the tension reduction had been completed. It was equivalent to saying that Ling Ran had just used 12 needles to pull up the burst skin.

"Has the skin tension spread to the dermis and subcutaneous fascial layer?" Lu Wenbin asked half-inquiry.

"Well, although the wound is 8 centimeters long, tension-free suturing can be done after the tension is taken care of." Ling Ran explained and continued working.

The two young nurses seemed to understand, and praised in unison: "Doctor Ling is so amazing!"

Lu Wenbin's mentality felt a little more balanced. Although it was debridement and suture, it seemed that the debridement and suture were so high-end that he was not so ashamed.
Chapter completed!