When it was approaching eight o'clock, the doctors on duty were not too busy. Several people gathered next to Dr. Lin and talked. Dr. Lin obviously enjoyed this atmosphere.
Whether you are a doctor or working in a company, everyone is striving to climb up the ladder and study hard, isn't it just to make more money, get a high position, and enjoy material and spiritual enjoyment?
Being sought after and flattered by others is also part of the spiritual enjoyment.
The resident doctors who were talking and Dr. Lin who was enjoying themselves also heard the siren of the ambulance outside.
"Okay, I'm in the emergency room. I hope it's easy to handle."
Dr. Lin stood up and complained: "If this causes big trouble, we won't be able to let it go tonight."
"It must be a little trouble. Maybe it's a bad stomach, or maybe it's trauma."
A resident doctor said with a smile: "I stay with Dr. Lin all night, and I feel that I am very lucky every time."
"Yes, we all like to work night shifts with Dr. Lin. Dr. Lin has good luck, and everyone benefits from it too."
Other residents also flattered him one after another.
"Okay, get ready to pick up the car."
Dr. Lin gave the order with a smile, and walked out as he spoke. In addition to the resident doctor who went out before, there were three more who followed Dr. Lin.
When I walked to the door of the duty room, Huang Xiaolong also rushed over.
In addition to the doctors, the nurses on duty were also moving, and the flat cart was already being pushed toward the emergency passage.
Fang Le was not a staff doctor tonight, but he followed him there. Normally no one would greet the interns at all. Unless they were too busy, most of the interns would just go and look for opportunities on their own.
Fang Le and Cheng Yunxing followed, but no one said anything.
The ambulance stopped, the door opened, and a young couple got out of the car holding a two or three-year-old child.
When the doctors and nurses pushing the flat cart approached, Huang Xiaolong glanced inside the cart. Except for the medical staff following the cart, there was no one else there.
And the medical staff on the car actually looked relatively calm.
"Doctor, look at my child quickly."
Just when Huang Xiaolong was a little confused, the young couple holding the child had already spoken anxiously.
"Is the child feeling uncomfortable?"
Dr. Lin stepped forward and asked.
While asking, Dr. Lin also took a look at the child. The child seemed quite well-behaved and did not appear to be in pain.
To be honest, Dr. Lin has been working in the emergency department for so many years and has taken many calls. However, in all these years of working in the emergency department, there are only two times that are most surprising or unaccustomed to him, and one is Fang Le's time.
, Dr. Lin was also present at the time, and watching from a distance was a bit unbearable.
And this time.
It's not that the emergency department doesn't have some patients who don't look dangerous or serious. It's just that there aren't many people who come in ambulances and don't look very dangerous.
Ambulances cost money, they are not free, and they are very expensive. Ambulances are not cheap these days.
Of course, if someone likes to scream, Dr. Lin can't say anything.
And some situations that don’t seem serious, do you know whether they are serious or not?
Doctor Lin did not dare to neglect and asked: "What's going on?"
"My child swallowed a coin and was so scared."
The child's mother looked anxious: "We have been digging for a long time, but we still can't get it out. It must have been swallowed. Such a big child, such a big coin."
While talking, the child's mother was still gesticulating.
"Come, put the child down, let me check first."
After saying that, Dr. Lin asked the child to be put on the flat car first, and then sat there, checked the child's throat, and then listened with a stethoscope. While listening, Dr. Lin asked: "How big is the coin and what denomination is it?"
"
"Two cents, it should be two cents."
"No, it's Wufen."
The child's mother hurriedly corrected her.
"How do I remember it was two cents?"
The child's father has low self-confidence.
"For the five-cent piece, I checked it specifically, and there is one five-cent piece missing."
The child's mother is quite determined.
"Okay, I get it."
Dr. Lin continued to listen.
The five-cent coin is slightly larger than the two-cent coin, but judging from the throat just now, it should have been swallowed, and there is no damage to the throat, indicating that it has entered the esophagus.
"It sounds like there's nothing wrong with it. It must have entered the esophagus. Let's do an ultrasound first to check the situation?"
Dr. Lin said to the child's parents.
"B-ultrasound?"
The child's parents looked at each other.
These days, there are quite a few people who don’t know what a B-ultrasound is.
"Xiao Huang, please explain and arrange for a B-ultrasound examination."
Dr. Lin said to Huang Xiaolong.
After examining the child, there is currently no danger. Dr. Lin, as the second-line doctor, does not need to follow him all the time. He will just wait for the results.
Huang Xiaolong explained to the child's parents what a B-ultrasound was, and then took the child to have a B-ultrasound.
"Fang Le, I swallowed this coin, what should I do?"
Cheng Yunxing asked Fang Le.
"There are many ways."
Fang Le said: "It can be passed through an esophagoscope, it can be operated on, and it can also be excreted by oneself."
At this time, some top tertiary-level hospitals already had endoscopes. It was not widely available. Basically, only the top hospitals in each province had them. Some backward provinces did not even have hospitals equipped with endoscopes.
.
An endoscope is a testing instrument that integrates traditional optics, ergonomics, precision machinery, modern electronics, mathematics, and software.
Through the development of endoscopes and imaging structures, they can be roughly divided into rigid tube endoscopes (lamenoscopes), optical fiber (flexible tube endoscopes), electronic endoscopes, ultrasonic endoscopes, allantois endoscopes, etc.
The development of endoscopes has also experienced four major basic innovations, from the initial rigid tube endoscope, to the semi-curved endoscope, to the fiber endoscope, and now to the electronic endoscope.
Rigid tube endoscopes appeared quite early, in the early 19th century. It was not until the 1930s that they were gradually replaced by semi-curved endoscopes. Fiber endoscopes appeared in the 1950s.
In the 1960s and into the 1980s and 1990s, many hospitals were still using them.
Electronic endoscopes appeared after 1983. Compared with fiber optic endoscopes, electronic endoscope images are clearer, brighter, more vivid, and have a higher signal-to-noise ratio. Until the 21st century, that is, in 2006,
Before Olympus withdrew from the 1080i high-definition electronic endoscope, electronic endoscopes had always been the mainstream. In 2007, Pebtax launched a megapixel high-definition electronic endoscope.
It can be said that the endoscope industry is greatly affected by the development of medical technology. There will be demand only after the corresponding medical level is reached. The development of minimally invasive endoscopic medical technology in China is relatively late. At this time, minimally invasive medical treatment is still
The experimental fields of individual hospitals are far away from promotion, so the domestic endoscope industrialization process and manufacturing technology level are still quite backward.
Like electronic endoscopes, some top hospitals have to import them through foreign channels, and the cost is quite high.
Qinzhou Province currently has only one hospital with electronic endoscopy, Xijing Hospital.
The field of endoscopy is actually an area that Fang Le is preparing to touch in the future. According to the normal process, the 1080i high-definition electronic endoscope launched in 2006 and the megapixel high-definition electronic endoscope launched in 2007.
Zhong Fanngle is confident that if it is released in advance, it will be able to eliminate the backwardness of domestic endoscope manufacturing technology and industrialization process.
As a reborn person, Fang Le is very clear that in the future, minimally invasive surgery will gradually replace large-incision surgeries such as thoracotomy and laparotomy, which is the development trend of the medical industry. It cannot be said that thoracotomy and laparotomy surgery have been completely eliminated. It can only be said that unnecessary surgeries have been eliminated.
No need for thoracotomy or abdominal dissection.
A B-ultrasound and an endoscope, these are the two areas that Fang Le plans to get involved in first.
"It depends on luck to get it sorted out, right?"
Cheng Yunxing continued to ask Fang Le.
"It can also be prompted artificially."
Fang Le smiled and said, "Let's wait for a while until the test results come out."
If the coin has entered the esophagus, it depends on where it is now. A five-cent coin is not small in the esophagus of a two-year-old child. It is very difficult for even an adult to expel it, let alone a child.
Fortunately, the periphery of the coin is smooth, there are no sharp edges, and there is no blockage in the trachea. This is very good luck. Judging from the child's situation just now, the danger is not great at the moment.
If it’s not big, it won’t be big, but it still needs to be pushed out.
"So you have an idea?"
Classmate Xingxing continued to ask.
Listening to what Fang Le means, there are three options. It is obvious that Fang Le has the safest way to let the child pass.
"You are also a doctor yourself. What do you think you should do if you were the attending doctor?"
Fang Le turned around and asked Cheng Yunxing.
"I......"
Cheng Yunxing was stunned, why did the question come to his head?
"As a doctor, when encountering something, the first thing that comes to mind is how to solve the problem. Even if you don't have a clue, you have to think about it instead of asking people. How do you grow like this?"
Fang Le's face became a little more serious: "Your father asked you to follow me, didn't he ask you to ask a hundred thousand whys? You don't have any brains yourself?"
"I......"
Cheng Yunxing opened his mouth again, thinking to himself, aren't everyone just watching the fun?
Then let’s discuss it?
How come...
But what Fang Le said makes sense.
Cheng Yunxing pondered slightly, and then asked for a long time: "What should I do if it's my case?"
Fang Le: "..."
"Three options, you definitely don't know how to operate an esophagoscope, and you don't know how to operate, but what about defecation?"
Fang Le reminded patiently: "Now think carefully, in this case, what can be done to promote defecation and facilitate the discharge of coins?"
"Promote bowel movements?"
Cheng Yunxing pondered slightly.
Fang Le ignored Cheng Yunxing and walked towards the B-ultrasound room.
In the past few days, Cheng Yunxing has been following behind and watching without thinking. If this continues, this child will become useless.