Rebirth 90: I opened a hospital in Shencheng

Chapter 259 Aihua Clinic's Exclusive Surgery Case!
"According to Uncle Liu's precious words."

In the consultation room, Nie Chen exchanged greetings with Lao Liu and the family members accompanying Lu Weifeng, and asked the operating room nurses Dai Erni and Li Lini to take Lu Weifeng, who had come to the nurse's station for pre-operative tests these days, to the operating room to prepare for the operation. Skinned.

Hush huh huh.

Chen Chunmei, who came from the outpatient clinic with Wu Xiuju, sat next to the money counter at the cash register, clattering through the entire operation fee of 15 yuan handed over by Lu Weifeng's father.

Chen Chunmei, who used to be careless about cash management, has systematically studied financial rules during this period, and almost every cash received will be put into the warehouse in time.

It's just that now the Aihua clinic has been split into three scattered locations.

The place where Chen Chunmei schedules shifts and conducts direct communication and training for nurses is the nurse station in the bungalow ward next to the Aihua Market.

The large safe for outpatient cash storage is next to the outpatient operating room.

And now the cash register for counting money is here in the consultation room of the new operating room from today.

"After the deposit and withdrawal this afternoon, let's find two strong ones to move the safe from the outpatient clinic to our consultation room."

After Chen Chunmei finished counting the banknotes, she gave Lu Weifeng's father, Lao Lu, the Aihua clinic receipt and invoice.

Then he rolled the fifteen stacks of cash in newspapers and put them in a black plastic bag.

Cai and Wu Xiuju, who was sitting next to her, said, "There are no security personnel in the outpatient clinic at night, so it is always a weak link. If the safe is kept there, it will be serious sooner or later."

Wu Xiuju nodded: "No problem, let Xiao Li drive the pickup truck in the afternoon and go to the clinic to move."

click!
Nie Chen's operation was not as usual. In front of the film reader in the consultation room, he analyzed the vascular CT images with Li Dayong, Lin Ronghua, Liu Yueqian, and Song Dongyang, who had not gone to the outpatient clinic in the morning.

Not only did Nie Chen fail to analyze the vascular CT images, but Nie Chen also did not distribute the surgery plan to be performed by the four of them.

Nie Chen pointed to the body test data that Lu Weifeng performed last week, which was posted on the blackboard. You have never done a similar operation with me, now tell me, if you arrange the operation case, how will you do it?"

Tell Nie Chen this.

Li Dayong, who was still eager to try and express his opinion, was immediately as quiet as a cicada on the consultation allowance. The chubby him quietly retreated behind Song Dongyang.

"This operation is not simple, mainly because the surgical field span is too large."

Song Dongyang, the attending physician of the Department of Five Senses at the People's Hospital, has seen many patients similar to Lu Weifeng in the first-line departments.

In the case of Lu Weifeng, the facial features surgery department is unwilling to give cosmetic surgery to patients in this area.

It's like Lin Qingya, the third patient in Aihua Clinic.

The hideous and ugly scar on her face was registered in the People's Hospital.

Moreover, Song Dongyang also personally consulted Lin Qingya, and gave a direct diagnosis: it is impossible for plastic surgery to restore her previous appearance.

Of course, Song Dongyang's diagnosis was slapped in the face by Nie Chen's surgery results.

For this kind of cosmetic surgery for scar treatment, the content that needs to be taken into account is too delicate and too cumbersome.

It is an unbearable burden for plastic surgeons in this era.

Therefore, before Lu Weifeng's scar removal operation, Nie Chen asked them, the interns of the Aihua Clinic, to express their opinions and put forward their personal lawsuits, and Song Dongyang's scalp was numb.

He continued: "In addition to the length, this scar has already spanned lip vessels, nasal vessels, lower eyelid vessels, sentinel vessels, and even supratrochlear vessels! If you want to perform whole-body flap transplantation, the most difficult What is repaired is the vascular network involved in the scar removal process, which is too difficult to suture."

What Song Dongyang said was nonsense, he didn't even bring up the clues of the case.

After he finished speaking, several people in the consultation room shook their heads and sneered.

"If this operation is performed by one person, it will indeed fail because the resection range is too long and too many blood vessels are involved, resulting in poor blood supply."

Liu Yueqian, No. 1 in Aihua clinic theory, while despising Song Dongyang, put forward her own idea, "Our Aihua clinic, including me, the training content of the three interns, from the first day of practice, is mattresses. Suture and double mattress suture, the starting point of this operation should be the double mattress blood vessel suture after scar excision."

Several people in the consulting room nodded.

"Yueqian is right."

Lin Ronghua narrowed his eyes slightly, and nodded. "Let's be realistic and deduce the plan from four people performing this operation... Dr. Nie is the chief surgeon, Dr. Song and I cooperate to suture, and Yueqian is the assistant. The simple idea of ​​the operation is that Dr. Nie is responsible for the initial wound debridement and dissection, and Song The doctor and I performed the second step of blood vessel suture while Dr. Nie dissected the operative field."

Having said this, Lin Ronghua's eyes became brighter, and he thought of some cooperation ideas that he hadn't done before.

He stood beside the mobile blackboard, picked up the chalk and drew a long line on the blackboard representing the scar that Lu Weifeng was going to remove.

"At the starting position, Dr. Nie completed the anatomical debridement, and Dr. Song and I performed the vascular network repair and suture cooperation at the starting end."

Lin Ronghua snapped the chalk again, pointing to the end of the line, "After Dr. Nie completes the scar removal and debridement of the entire scar, he can perform the vascular double-coordinated mattress pose with Yueqian from top to bottom. repair……"

The eyes of Li Dayong, Song Dongyang, and Liu Yueqian in the consultation room lit up.

"Ronghua's idea for this surgical case is applicable to the process of our four doctors working together in one operation, and it is feasible."

The chubby Li Dayong's face was flushed at the moment, and he greatly appreciated Lin Ronghua's idea of ​​the operation, "If the skin is stitched, the cooperation of four people will finally meet in the middle, and the skin flaps may not be aligned due to the uneven alignment. But there is no need to worry about the repair of the vascular network combined with suture, and the upper and lower rendezvous! I think this surgical case proposed by Ronghua is no problem."

Nie Chen made a final decision: "This operation will be performed according to Ronghua's procedure."

Everyone is smiling.

In fact, Nie Chen's original plan was not as radical as Lin Ronghua's plan, which was a combination of four people surrounded by two lines.

It was just that after he had done all the anatomical debridement, Song Dongyang and Lin Ronghua, who were waiting for the blood vessel suturing, completed half of the blood vessel suturing, and he and Liu Yueqian started the skin suturing from the starting position to finish it.

Judging from the overall speed, there is not much difference between the two cases.

"Didn't it mean that everyone went to the dining hall to eat alone like yesterday? Why did you switch to the mode of eating together around the table today?"

Lu Weifeng's operation adopted Lin Ronghua's technique, which was more than twice as fast as the usual operation in which at most two people would suture blood vessels. The entire operation was completed around 11:30.

Even Nie Chen, who was the chief surgeon, had time to change his clothes, took out a bottle of Mirinda from the refrigerator in the consultation room, and Chen Chunmei and Chen Chunmei finished their soda drinks and whispered a few words before coming over slowly Canteen for lunch.

It's just that the cafeteria didn't open the windows for meals today.

Switching back to the old mode of sitting around the table in the nurse's station, according to the current number of people in the Aihua clinic, two tables of dishes were set up, and all the staff came to eat together.

"I estimated that we don't have too many outpatients now. It's not warm to use the way of cooking. It's just cooking from the table. It's more convenient to make a few tables and let everyone come to eat together at the meal time. Well done."

Chen Dehai, who finished the two tables of dishes at noon, sat on the bamboo stool outside the cafeteria, smoking a hookah.

He puffed out a cigarette and said to Nie Chen, "Ah Chen, I know what you mean, let everyone eat separately, pay attention to scientific management, right? After our hospital is built on a big hut, there will be more people. , let’s divide the dishes for dinner, there is no rush now, do you think it’s okay?”

"Uncle, you are in charge, you have the final say."

Nie Chen waited for Chen Dehai to take a sip of the hookah, "Let's go, let's have dinner together, don't make my aunt wait for you."

"it is good."

(End of this chapter)