Rebirth 90: I opened a hospital in Shencheng

Chapter 43 Home Care!

Nie Chen, who got up at [-] o'clock, finished washing, had breakfast, and drove Jialing motorcycle to Zhou Caifeng's house in Yinhu villa area, it was [-]:[-] in the morning.

Nie Chen had already made an appointment with Chen Chunmei yesterday, and today he must complete the home nursing rounds of the two patients before 08:30 in the morning.

Nie Chen, who is not used to getting up early, checked the temperature of Zhou Caifeng's bedroom environment, and was checking the situation of the dilated sac on her cheek and the entrance flap.

During the implantation process of the dilator, apart from the difficulty of cutting the cavity of the skin flap where the diffuser is implanted, other difficulties are not very difficult.

The biggest difficulty in the whole treatment process is that after the dilator is implanted, the skin flap that has been expanded by the dilator and left the cortical tissue needs to rely on the tiny blood vessels on both sides to supplement nutrients to keep the flap alive.

The first day after dilator implantation is very important. Once there is irregular hair loss on the surface, or in the area where the flap is propped up, there are vascular crises with tiny blood vessels, or flap tissue atrophy, etc. in emergencies , the implantation of the dilator must be stopped immediately, and the dilator is taken out of the flap space, declaring that the implantation of the dilator has failed.

Nie Chen held a small flashlight in his left hand, and carefully inspected the expansion range of the palm-sized skin flap supported by the dilator with the tweezers in his right hand.

The epidermis and fine hair of Zhou Caifeng's skin flap after surgery did not fall off irregularly.

In the skin flap, the tiny blood vessels visible to the naked eye were purple-blue against the white flesh color, which proved that the blood supply of the blood vessels was normal and did not cause vascular crisis.

"It's good if you don't have insomnia. Did you take the medicine I prescribed for you before going to bed, so you slept soundly?"

Nie Chen turned off the small flashlight in his hand, put away the cotton swabs and tweezers in his hand, smiled and asked Zhou Caifeng, who was full of energy and much more relaxed than before the operation.

"No, my dad said that if the child can sleep by himself, try not to take supplementary medicine...I just drank a glass of milk last night, and then fell asleep when I went to bed."

When Nie Chen lowered her head and held the iron clip, and was writing her medical progress records on the medical record sheet, Zhou Caifeng chatted to Nie Chen about her feelings from last night to this morning, for fear of missing something. Nie Chen didn't remember enough details.

"A while ago, Dr. Nie, when you implanted that small particle in my arm, I was really miserable. But when you implanted this big one in my cheek, it seemed like nothing happened. "

Chen Chunmei injected about [-] milliliters of normal saline into the barrel of the glass syringe.

This will be the routine nursing care that Chen Chunmei will do when she comes to Zhong Caifeng's place every day.

That is, in the base of the dilator that has been filled with physiological saline, the amount is increased by [-] milliliters per day.

The dose was increased according to the blood supply of the skin flap supported by the expansion sac on Zhou Caifeng's cheek and the survival degree of the flap tissue.

Based on Zhou Caifeng's skin flap tissue health level today, adding [-] milliliters is already relatively conservative.

The syringe in Chen Chunmei's hand was inserted into the base, and slowly pushed into the syringe bit by bit.

Nie Chen dipped his fingers in the ointment, and gently applied a thin layer of ointment on the epidermis of the skin flap above Zhou Caifeng's dilated sac.

"Hee hee, it's so itchy..." When Zhou Caifeng expanded her flap like an inflatable ball, she felt a little pain when the skin flap that had already stretched out the tiny blood vessels was clearly visible. Instead, I twisted my shoulders and felt very itchy.

"Doctor Nie Chen, this is the legal project for Aihua Clinic that I drafted yesterday."

Nie Chen walked down the hall on the first floor of the villa, sat down on the sofa in the dome reception area of ​​the hall, and drank a cup of tea made by rough lawyer Zhou De. Zhou De presented a thick kraft paper portfolio at this time.

"Uncle Zhou is interested, I will give you an answer before the weekend." Nie Chen squeezed at least one hundred printed portfolios, expressing his admiration for Zhou De's attitude and speed in doing things.

"The things you told me yesterday morning that bothered you, I have asked the customer informant at Huaqiang to start collecting information, and I can also give Dr. Nie Chen an answer before the weekend."

Zhou De, who politely put away the big gold chain and tiger head tattoo, was completely different from the rough Zhou De he saw outside.

"Have you pricked it? Doctor Nie, have you pricked it?"

Lying on her side on the soft bed of Simmons, Lin Qingya, who exposed the side of the lotus root buttocks, closed her eyes tightly.

She was extremely nervous and asked Nie Chen, who was holding a syringe in his right hand and pinching a small ball of alcohol cotton in his left hand, to sterilize the site where she was about to get the injection, if he had the injection.

Nie Chen didn't say a word, the syringe needle in his right hand suddenly plunged into the buttocks, and then slowly pushed the needle water in the syringe little by little.

"Oh."

Lin Qingya's whole body was stiff, and her beautiful face was raised upwards, as if she had been stabbed in the back.

"Miss Lin, you are usually so strong and brave, how can you be so afraid of injections?" Turned around early, not daring to see Nie Chen perform the needle surgery to nurse Comrade Chen Chunmei, but still have the face to tease Lin Qingya at this moment .

Originally, Nie Chen planned to arrange for Chen Chunmei to receive an injection at Lin Qingya's side, at least half a day of nursing care, just like the nursing care for Zhong Lanlan before.

But when Lin Qingya saw that Nie Chen took out the needle of the IV syringe hose, she was desperately unwilling to let Nie Chen have the needle.

In the end, Lin Qingya decided to settle for the next best thing, and begged Nie Chen to just get the injection instead of getting the needle, that's why it happened now.

Nie Chen has gotten used to it. After [-], basically all injection methods are injected by drip.

He also arranges his own patient care in a drip-by-drip manner.

After all, an injection is a direct injection of undiluted needle water into the blood, which will cause the blood drug concentration of the patient to exceed the dose several times or even dozens of times in a very short period of time.

However, in hospitals in 1990 with a serious shortage of medical personnel, the mainstream injection method was still injection.

Intravenous drip, a relatively safe injection method after dilution, has not been fully promoted yet.

"How is my recovery, Doctor Nie?"

Silently put on her pants, Lin Qingya, who was blushing and twisting her waist from time to time, after Nie Chen took off the gauze and bandages on her cheeks, her whole body became tense again and became tense.

I saw that the scar on her cheek was re-excised from the horns to the nasolabial folds, and then a whole skin flap was transplanted and sutured. The sutures running under the skin were still visible to the naked eye.

Because the width of the old scars removed is about two millimeters on average.

So after the double-layer suture, the entire epidermis of Lin Qingya's left cheek was very tight.

Even this tightness is even tighter than Zhou Caifeng's epidermis, which has been implanted with a dilator, and the highest expansion height of the dilation sac is already [-] cm.

pat.

Chen Chunmei skillfully turned on a roasting lamp brought from the Aihua Clinic. When Lin Qingya put her cheeks in front of the roasting lamp, Nie Chen first applied a thin layer of ointment to Lin Qingya's extremely tight cheek skin .

The technical content of the ointment, whether it is in the 90s or 30 years later in [-], there is not much technical reform.

Some post-operative care ointments that were originally kept secret in the cosmetic surgery industry and became god plasters, will also become standard ointments on the bad streets in the era of Internet information explosion in the next 30 years.

These ointments prepared by Nie Chen can relax and soften the epidermis and maintain normal blood flow of the microvessels under the epidermis. In terms of post-operative care in 1990, they can be called miracle skin medicine.

If he wanted to, he could post some street stickers and compete with those [Bao Shiyi] who posted telephone poles to sink the market.

"The current situation is not bad, but it needs to be observed for a few days. After all, the goal I set for you in this operation is that there will be no traces of surgery after recovery."

After Nie Chen finished applying the ointment, he handed the ointment to Chen Chunmei.

"Last night, after taking the medicine prescribed by you, Dr. Nie, I didn't feel any pain the whole night...but I still had an uncomfortable feeling like a needle touching the flesh, it's a burr, uncomfortable."

"This feeling is normal. The first layer of sutures sewn into the subcutaneous tissue is absorbable biological thread. In the first few days, during the process of wound healing, the absorbable biological thread will also be metabolized by the human body... The faster the metabolism speed The quicker it is, the easier it is to feel the strangeness of the stitching position."

Nie Chen cheerfully gave Lin Qingya a science popularization.

It was Chen Chunmei who looked at the bookshelf in Lin Qingya's bedroom while Lin Qingya was lighting the oven lamp.

Good guy, Miss Lin seems to be a really good guy.

"Lan Lan, don't touch this book or open it."

At [-]:[-] in the morning, Chen Chunmei stopped in a panic at the Aihua Clinic, and was about to open Zhong Lanlan, a foreign publication covered in a beautiful book cover.

(End of this chapter)