Rebirth 90: I opened a hospital in Shencheng

Chapter 108 Training Interns!
"A subsidy of [-] yuan for the first assistant position for one operation, and [-] yuan for the second assistant position."

Liu Yueqian read softly and put it in front of her, this is a list that belongs to her and Aihua's outpatient service allowance.

After finishing reading, she couldn't help but have the same surprised expression on her face as Lin Ronghua, "If the amount of this subsidy is known to the students in the medical school, there will probably be a lot of people trying to come to Aihua. Clinic."

It has to be said that the internship salary that Nie Chen gave them was indeed too high.

Recalling that before Nie Chen was reborn, after returning to Shencheng, he was led by the nose by his second uncle Nie Jisheng, and first mortgaged the outpatient clinic of his parents to pay off the debt.

Then I entered the No.1 civilian hospital for a full year and a half as an intern. Except for the canteen of the hospital, I spent a year and a half on rotation, and I didn't have a penny.

The treatment of medical students during this period of internship training has been criticized in China.

Even the standardized training after the new century, regardless of the salary or the duration, has discouraged most medical students.

Even medical students who had been studying for six years changed jobs during this period of standardized training.

so what.

Originally, they held Lin Ronghua and Liu Yueqian, who were only given the highest salary, including food and housing, and only hoped that they could produce results in their projects in Shencheng and then become regulars smoothly.

The two really didn't expect that Nie Chen would give them subsidies and allowances during the internship period according to the evil capital treatment.

"Our outpatient clinic is a bit small, but it is developing towards a hospital. It is expected that the transformation will be successful within this year. In the future, it will also be a workplace where everyone can work with peace of mind and take root."

Nie Chen could feel Lin Ronghua and Liu Yueqian's obvious panic and anxiety after he proposed the amount of money for each operation today.

Smiling to reassure the two of them: "Besides, the route of our hospital is focused on Oral and Maxillofacial Department of Oral and Maxillofacial Surgery, both of you are top students in this field. Six years of medical student career has given you enough foundation, plus Going to our clinic has enough financial resources to give you subsidies, so there is no need to have any psychological burden."

Zhong Lanlan blinked her beautiful eyes and looked at Nie Chen who was sitting on the short sofa with a handsome young face on her face. With his gentle voice, he spoke to Lin Ronghua and Liu Yueqian about the development route of the outpatient clinic, and arranged The two of them were waiting in the clinic, and the corners of their mouths could not help but turn up slightly.

Last night's broadcast of the Shenzhen Evening News made Zhong Lanlan's identification with Aihua Clinic rise to another level.

In fact, it is true.

In the atmosphere of Shencheng in 1990, people in Shencheng who went to sea to work alone had an inexplicable sense of superiority over those in the work unit who were still eating from the public.

Especially in the Aihua Clinic, this kind of self-employed person who has blown the horn of private system, individualization, and investment promotion in Shenzhen has become a symbolic self-employed bridgehead of the banner of investment promotion, which can really bring a deep sense of identity to the employees. .

This sense of honor was lacking in the Shencheng system of this period.

Also because of this sense of honor, Zhong Lanlan was willing to drive the Duke car with her father from the Jingtian villa area in Guannei to Zhang Jicheng's village in Bao'an County because she called Zhang Jicheng last night because she was not in place.

After a lot of hard work, I found the small tile-roofed house where Zhang Jicheng lived alone, and told Zhang Jicheng that the Aihua Clinic would not be able to perform surgery on him this week, and it would probably be postponed until next Wednesday before the appointment could be made.

"Then, is the operation of our project in the laboratory of Shencheng University, or is it placed in the Aihua Clinic? I heard from Professor Li that the location of our operation depends on Dr. Nie."

The honest and honest Lin Ronghua looked at Nie Chen with anticipation in his eyes after being shocked, "Doctor Nie, do you think we should also move around the Aihua clinic?"

Nie Chen pondered, nodded and said: "In the future, of course, the accommodation should be as close as possible to the Aihua Outpatient Clinic, whether it is the patients with vascular tumors and vascular malformations transported from the provincial research institute, or our Aihua Outpatient Clinic. For the relevant patients, the actual surgery will be performed in the operating room of the Aihua Clinic, and will not go to the laboratory of Shencheng University for surgery.”

When Nie Chen talked about this, Chen Chunmei also became energetic.

Since it was determined that the Aihua Village Committee will rectify the hut, Chen Chunmei's family will find a new place to build a tofu workshop around here.

Chen Chunmei is also paying attention to where the dormitory will be located after the outpatient clinic expands and recruits new nurses and doctors.

"Zhang Xiuxiu and Huang Chuyu may come to our outpatient clinic to report today. If Professor Li, Aqian, and Ahua are added, our outpatient clinic needs to find a dormitory for everyone to live in."

Chen Chunmei pointed to the sky above the glass door, pointing in the direction of Binhe Road, "Isn't my elder brother looking for a suitable place to make tofu for the family these few days? The tube building of the dormitory is being rented out in layers. Brother Chen, why don’t you go and have a look in the next few days, I think that place is suitable for dormitory.”

"Good morning Dr. Nie, good morning everyone."

Ten o'clock in the morning.

Huang Yumei's father, Lao Huang, who had already made an appointment in the operating room, led Huang Yumei to push open the glass door of the Aihua clinic and greet everyone in the reception area one by one.

Zhong Lanlan, who is long-sleeved and good at dancing, took the initiative to introduce Lin Ronghua and Liu Yueqian to Lao Huang and Huang Yumei who was a little stage fright: "These two are Dr. Liu and Dr. Lin, top students of our Provincial Medical Research Institute, and they are working as surgical assistants in our operation today. "

"Hello, Dr. Lin, and Dr. Liu." Lao Huang, who spoke in a correct manner, shook hands with Lin Ronghua and Liu Yueqian one by one with graceful movements.

In less than ten years, Lao Huang, who came to Shencheng from the sea with nothing, owned a fleet of earthmoving vehicles and became a rich man, his eyesight is not comparable to that of ordinary young people.

Lao Huang, who has a keen sense of policies, even after finishing work at the construction site last night, after returning from get off work, he would still watch the rebroadcast of the Shenzhen evening news as a routine.

Lao Huang came to the conclusion from last night's news that Aihua Clinic will be undergoing extensive construction in a short period of time.

And as the project that was able to win the renovation of the Aihua outpatient ward in advance, he has the advantage of being close to the water, and he will definitely be able to further seize the opportunity.

At this time, when Zhong Lanlan introduced these two young people to Lao Huang, they would follow Nie Chen into the operating room as assistants today.

Lao Huang was even more sure of one thing, that is, the upgrade of the Aihua Outpatient Clinic to the hospital and the construction of large-scale construction projects in a short period of time are already a certainty.

"It's not easy to be Dr. Nie Chen's assistant." Lao Huang's voice in the broadcast, full of sympathy, was like reciting a poem, which made Liu Yueqian, who was shaking hands with him, buzzing in his head.

"Both of you have read the case of Huang Yumei's operation. Now that everyone is here, let's have a simple consultation."

Nie Chen completed the last preoperative examination and skin preparation for Huang Yumei. After confirming that there were no problems, he gave Huang Yumei anesthesia.

While waiting for anesthesia, Nie Chen greeted Lin Ronghua and Liu Yueqian, who had already put on their hand-washing suits and finished seven-step hand washing, for a pre-operative consultation.

Huang Yumei was already lying on the operating table, her face was as clean and white as milk.

If it weren't for the early disfiguring scar on Huang Yumei's face, she would have been a top-notch beauty.

It is also because her skin is so fair and delicate.

It even more set off the horrifying scariness of her huge scar formed from the cheekbones to the nasolabial folds at the corner of her mouth due to the rough penetrating suture method.

Under the shadowless lamp.

The anesthetic begins to take effect.

Originally nervous and trembling all over, Huang Yu's winking eyes, which were tightly clenched on the surgical gown with both hands, turned white, and fell into a deep sleep under anesthesia.

"If it's only the flap transplantation of the main vertical scar, I think it can be done in one operation on the same day. But besides the vertical scar, we also have five horizontal scars that also need flap transplantation. If it is done according to the surgical plan The skin flap transplantation repair method given by the doctor, the tension of the epidermis is pulled by two forces, will it be overdrawn and tight?"

The first to ask questions was Liu Yueqian, who specializes in oral and maxillofacial specialists.

Liu Yueqian is different from Lin Ronghua, who specializes in vascular malformation and vascular tumors. Her specialty focuses on burn repair, skin flap transplantation, and cleft lip repair.

With a detached personality, she originally planned to follow her mentor to the new Department of Burns and Plastic Surgery in Shenhai Second Hospital, and skin flap transplantation is what she is best at.

Therefore, after seeing the operation plan given by Nie Chen, Liu Yueqian believed that this operation could not complete two flap transplantations in different directions at the same time.

Even if human tissue has plasticity, it is impossible to pull it at will like plasticine.

As Liu Yueqian said, she looked at Huang Yumei, who was lying quietly on the operating table, with the hideous scar on her cheek: "And what I don't understand is, Dr. Nie, why did you set the operation time for this operation?" , No more than two hours? This time is too short, too hard to imagine."

Lin Ronghua nodded: "Yes, I also think the time given in this case is unreasonable, and it is unreasonable to perform flap transplantation in two directions at the same time."

In the operating room, there are only the chief surgeon Nie Chen and the only surgical nurse Chen Chunmei. Outside the operating room, Lin Ronghua and Liu Yueqian, who are submissive like quails, suddenly become professional, and they will not give an inch when facing consultation problems.

Compared with students from other specialties in other fields, medical students in the field of medicine and surgery must be better than others and have the spirit of "I love my teacher but I love the truth even more."

"Since these two places are unreasonable, how do you think we should solve them, Ronghua, tell me first." Nie Chen was not in a hurry to perform the operation immediately, but smiled and tried to persuade the two to enter the operating room for the first time. He lays hands on medical students to ask questions.

Lin Ronghua with dark skin, his thin cheeks shone like the reflection of the metal's luster under the shadowless light, and the big eyes under the thick black eyebrows were shining and sparkling.

He clasped his hands together, kept his shoulders straight, looked straight at his eyes, and reported to Nie Chen: "If it is necessary to complete flap transplantation in two directions in this operation, the focus should be on releasing the internal pressure of the subcutaneous tissue, that is, The epidermis is held steady with penetrating sutures, while the interior is left hollow to allow maximum restoration of the cut vessel."

"It's not that bad." Nie Chen immediately rejected Lin Ronghua's plan. "According to your method, the final recovery of the skin flap transplant after the incision is no different from the patient's current scar. Then she will do this cosmetology machine What’s the use of surgery?”

Pfft, Chen Chunmei who was preparing the surgical equipment was amused.

"Liu Yueqian, tell me about your surgery plan."

Lin Ronghua was ruthlessly denied by Nie Chen and laughed loudly by Chen Chunmei, which put a lot of pressure on Liu Yueqian.

"I think it should be avoided to perform suturing of two horizontal and vertical whip grafts at the same time. It should be divided into two operations. After operation a is completed, after the recovery cycle is completed, operation b is completed, and divided into a clear time period. Otherwise, there will be great hidden dangers.”

"This is a normal way of thinking." Nie Chen nodded.

In fact, if Nie Chen hadn't worked hard in the field of facial surgery, oral maxillofacial and suture before rebirth, he would have worked hard.

And in the case of this one-time operation in both horizontal and vertical directions, many successful cases have been done.

I would never dare to give Huang Yumei this surgery with enough confidence like I am now.Proposal for one-time surgery.

Nie Chen shook his head to Liu Yeqian and said, "Our first principle of patient psychology in clinical medicine is to complete the operation in the fastest time at one time. The more operations are performed, the more prone to medical accidents. If there is a patient in the hospital bed who needs to be treated in the shortest time A public figure who can get rid of the scars on her face and return to normal work within a short period of time. Her request is a one-time operation, so your surgical case is still untenable."

"However, Dr. Nie, in the surgical plan you gave, in terms of suturing, it only says to perform multi-layered suturing of the skin flap, and there is no specific suturing method." Liu Yueqian was overthrown by Nie Chen because of her own surgical case. Convinced in a low voice.

"The transplantation of our flap in both vertical and horizontal directions is actually a repair method that will also be used in oral and maxillofacial cleft lip repair surgery."

Nie Chen spread his right hand to Chen Chunmei, and took the scalpel that Chen Chunmei handed over.

The tip of the scalpel that shone with sharp light pointed at the scar on the patient's cheek, where the fat on the top was bulging,
"This repair method of flap transplantation in both vertical and horizontal directions is also a unique repair method in our Aihua Clinic."

The scalpel in Nie Chen's hand began to slowly cut open the surgical field less than one centimeter long.

Then, as in the previous process of bilateral cleft lip repair, the tip of the knife in my hand carefully removed the fat in this small section of surgical field, so that the scar epidermis and the current cheek skin are kept on the same plane, neither bulging nor will be dented.

After completing the excision of this small section of scar bulging fat, the tiny blood vessels were directly removed, and the blood vessels were ligated without suturing the blood vessels.

this moment.

Standing outside the operating table and stretching their necks, Lin Ronghua and Liu Yueqian, who were watching Nie Chen's every move, showed unbelievably shocked expressions at the same time.

(End of this chapter)