Great doctor starts with adding points
Chapter 148 Brother, he is sure? Um? (Second update, please subscribe)
next morning.
Wu Xie got up at about seven o'clock and hurriedly brushed her teeth and washed her face. When she went downstairs, she saw Xiang Mei waiting at the door on the second floor. Seeing herself coming down, she was still asking, "Aren't your senior brothers coming to your house for breakfast this morning? I forgot to ask yesterday." .”
Wu Xie saw that Xiang Mei's hair was all combed, and she was dressed as if she was going to meet a foreigner, so she said with a smile, "Mom, you have been trying to find a partner for our brothers and sisters, thank you for your hard work."
"Brother and I went to the opposite door for breakfast. Uncle Wang Hai came to see the clinic yesterday and said that he invited us to have breakfast. I think he would at least increase the size." Wu Xie played a clever trick, quite the same.
Then hurried downstairs.
"Hey, you kid." Seeing Wu Xie running down, Xiang Mei wanted to stop him with disrespectful words, but Wu Xie moved even faster, swishing around and going downstairs.
"Slow down. Don't fall!"
"Mom, dad and you eat by yourself. We still have two surgeries today." Wu Xie's voice echoed far away, probably telling Xiang Mei what he meant.
Long before Long Yuan came, Wu Xie had said that when Senior Brother Long Yuan came, he would have a lot of opportunities to operate, and this was because of his ability to feed himself.
So Xiangmei and Wu Guonan were very happy, prepared a lot of gifts, and prepared to treat this feeder well at the right time and every other time. At least Wu Guonan did not know where to find a friend or a purchaser. I have bought a lot of well-known famous wines, such as national cellars, and kept them at home.
Wu Guonan even went to the third uncle and asked which family had found his daughter Honglai, who had been in a vat for twenty years. I really didn't know who he was looking for to get this kind of commemorative wine.
When Wu Xie arrived at the door of the dormitory, he saw Long Yuan just coming back from a morning run with a towel on his shoulder.
As he entered, he said, "Xiao Wu, go to the breakfast place first, I'll go wash up, and I'll come down right away, five minutes at most."
Longyuan's living conditions are quite healthy, but Wu Xie has given up on morning jogging for several years.
Then he looked at the time on his phone and said, "Don't worry, brother, it's only seven fifteen, it's still early."
"There will be an operation later, so be quick." Long Yuan said that he had already entered the door, and after entering, he seemed to have met an acquaintance, who might also be comrades from other departments of Tongji Hospital.
Wu Xie reported to Wang Hai first.
...
After eating, Wu Xie calculated the approximate amount of money in his mind, scanned the QR code and gave the money before leaving, leaving Wang Hai and Xu Huifang to mutter behind him: "You little crab, you are really skinny."
After chasing them across the street, Wu Xie and Long Yuan had already entered the compound of the hospital, so Wang Hai didn't come in. After all, the security guard was watching there, and said with a smile: "Old Wang, don't chase, you can chase again." In the department."
"I said I would invite Dr. Wu and Dr. Long to have breakfast, but he insisted on paying me. I wondered if I should tear up the QR code." Wang Hai joked.
"That's a good relationship. Next time I come to have breakfast, I won't pay any money." The security guard joked.
Wang Hai laughed and said, "It doesn't matter once or twice, why don't you come."
When going upstairs, Long Yuan said: "Xiao Wu, the human touch in your town is quite strong. If you want to be in Han City, no one will tell you not to give money."
"Brother, here we are, if you go to the countryside, where you want to call for a meal, as long as you don't stay for a few days, that's fine."
"In the past, my grandmother's family often lived in the countryside for businessmen. At that time, they offered a few dollars a night, but they didn't ask for it. The family ate rice grown by themselves, and vegetables were picked from the field." Wu Xie explained to Longyuan.
It’s different from Han City. Han City buys firewood, rice, oil, and salt by itself. Unlike rural areas, firewood is all carried down from the mountains by itself, and it just takes some effort.
"That's true, the customs are different." The two walked into the doctor's lounge after talking.
Then when going out again, Wu Xie was stopped by Mei Xiaoqing's mother, saying that Mei Xiaoqing wanted to be discharged from the hospital and go home to recuperate so that she could go to work as soon as possible, and asked Wu Xie if she could handle it.
As soon as Long Yuan heard that it was Wu Xie's peach blossom robbery, he quickly slipped away.
Wu Xie replied naturally: "Yes, Mei Xiaoqing's condition is very stable now, you take some oral antibiotics back home, pay attention to the wound, it's the same as changing the dressing and removing the stitches in the village clinic."
"Alright, thank you, Doctor Wu, help us with the discharge procedures!" Mei Xiaoqing's mother's eyes flickered, as if with complicated meanings.
Wu Xie nodded, and excused that he was going to take over the shift...
Today's shift is a little more formal than before. After all, there are two surgical patients today, and yesterday's outpatient clinic admitted three patients.
One is a patient with gluteal muscle contracture who needs surgery, one is a patient who went to Longyuan and suffered a new fracture yesterday, and the third is a patient with knee joint stiffness after surgery.
In this way, the things that can be handed over have become a lot more substantial.
After the shift was over, Long Yuan immediately went to the operating room with Luo Wei and Lu Junyin to prepare for today's operation. Then he told He Ling, Wu Xie, Zhong Yusheng and others to make ward rounds and handle chores in the ward.
Walking around quickly, Wu Xie had two patients discharged from the hospital, one was Mei Xiaoqing, and the other was Uncle Zhou whose wound was nearly recovered.
After agreeing on the discharge time, Wu Xie hurried back to the doctor's office to write a doctor's order to write the discharge medical record and discharge disease diagnosis certificate.
Zhong Yusheng, who was on duty yesterday, approached and said with a smile, "Brother Xie, do you know why Mei Xiaoqing, who is in bed 13, was discharged from the hospital today?"
Wu Xie glanced at him, and said angrily, "Take care of your 9th and 10th beds, don't gossip."
"Sister Rong took action in person yesterday!" After Zhong Yusheng finished speaking, he was afraid that Wu Xie would kick his ass, so he blinked.
Wu Xie didn't kick him, but hit him with his hand.
"Brother Yusheng, were you too leisurely on duty yesterday? How about I go talk to Director Lu and let you take care of my beds, you have a lot of time."
A frightened look flashed across Zhong Yusheng's face, and he quickly waved his hands: "No, Brother Xie, please don't, I was wrong!"
Zhong Yusheng believed very much that if Wu Xie suggested that the bed be allocated to him, Lu Junyin would definitely agree to it immediately, so what time would he have to prepare for studying and playing games at home?
Wu Xie was just making a joke! He was reluctant to hand over the bed.
After quickly adjusting all the relevant doctor's orders, I handed over the written discharge records and disease diagnosis certificates to Uncle Zhou's son and Mei Xiaoqing's mother, and confessed that Dr. Guo will change their medicines today. He immediately rushed to the direction of the operating room.
In the process of going downstairs, Wu Xie looked at the skill reserve on the panel he just added yesterday——
"Fracture Manipulation Reduction (Proficiency 0/50)"
"Experience in operating common internal fixation instruments (proficiency: 2/50)"
"That should be enough. I have a little foundation, but not much. I think the brother can teach me better, and then let myself learn more." Wu Xie nodded in satisfaction, and then walked, thinking Principles of fracture treatment.
The principles of fracture treatment are divided into three points.
Reset, Fix, Rehabilitate!
It looks very simple, but in fact, there are many things in it that need to be experienced in detail.
Reduction can be divided into manual reduction and open reduction.
Fixation can be divided into internal fixation and external fixation. Internal fixation can be divided into plate screw internal fixation, screw internal fixation, and intramedullary nail internal fixation. External fixation can be divided into plaster external fixation, small splint external fixation, etc.
As for recovery, there is no need to talk about it.
In addition, reduction is only used during treatment. Whether to use manual reduction or surgical open reduction, first of all, it is necessary to evaluate surgical contraindications and indications of manual reduction. The same way but the same result!
Only when you have realized so many things can you be qualified to comment on the treatment process of fractures, otherwise, you will not be able to understand the whole treatment process, what is strange or profound.
I thought that after a patient fractured, he would be pulled into the operating room, that was something that Putian hospitals would do.
While thinking this way, Wu Xie had already arrived at the sink at the door of the operating room and began to wash his hands strictly according to the steps. And I speculated that the first thing I did after going in was to review the radiographs of the fracture, and then find out the indications for surgery and the contraindications for manual reduction.
This fracture is a fracture of the middle part of the tibia, and the treatment method is internal fixation with plates and screws...
At this moment, the brother probably has already started to reset successfully, and then punched the steel plates and screws. What I have to do is to keep trying...
While many knowledge points kept coming out to Wu Xie, Wu Xie swept over them like a flop, capturing some of the key points.
But when Wu Xie walked into the operating room, he discovered that Long Yuan, Luo Wei, and Lu Junyin who were on the stage at the moment didn't seem to have a very good complexion!
They didn't talk or laugh, and the two itinerant nurses seemed a little nervous, while Dong Chun, the anesthesiologist, stood on tiptoe and looked inside without saying a word.
In the entire operating room, there is only the blinking sound of the anesthesia machine beeping.
Seeing this scene, Wu Xie didn't dare to go in the direction of the film reader. Instead, after quickly putting on the sterile gown and gloves, he slowly approached the operating table, and whispered Ask: "Sister Qingqing, what's going on?"
Fan Qingqing is still an equipment nurse today. Of the three nurses in the operating room, she does the best equipment work, so today she specially worked overtime to prepare the equipment for Longyuan.
"It seems that something went wrong during the reset, and I don't quite understand it. Director Lu and Dr. Long have reset several times, but they failed to reset successfully. Now." Fan Qingqing stopped immediately when he said this.
Because Long Yuan spoke again, with a serious tone: "Let's take another photo with the C-arm camera, and I'll see which muscle the fracture fragment is currently stuck in."
"Okay! Huang Xi, help push the C-arm machine!" Lu Junyin began to order the itinerant nurse without hesitation.
For fracture surgery, the C-arm machine in the operation is necessary, and naturally there will be no shortage. Otherwise, Lu Junyin would not have dared to do fracture surgery before.
Huang Xi immediately followed suit...
Wu Xie heard that, when he walked out of the operating room and was quarantined outside the operating room, looking at Long Yuan's face and eyes looked a little weird.
Wu Xie was thinking about it, wasn't he?
Senior brother is doing surgery in the town this time, and encountered difficult problems? He can't solve it either?
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