Great doctor starts with adding points

Wu Xie didn't agree to drink.

There are two main reasons. One is that the operation of this younger brother of Agricultural Science Quan has exceeded his psychological prevention and control ability, and he has not recovered yet.

The second is that Wu Xie missed a similar disease because of drinking before, and it was also because of drinking at that time.

Although Wu Xie didn't think he was very important, Wu Xie didn't want to drink meaningless wine.

It happened to be the doctor on duty in the department who called, as if there was an emergency. Wu Xie left naturally.

Trotted and "killed" to the door of the nurse's station, and saw a very special pair.

A woman was sitting in a wheelchair. Her right foot was swollen. The trousers might have been cut too tightly at the knee joint. There were bruises and a few skin abrasions on her calf.

Behind the wheelchair, there are several people standing, two men, aged 27 or 20, but neither of them is pushing the wheelchair. Waist, well combed. Blocking the profile, Wu Xie couldn't see her face.

However, her left foot was wrapped in a bandage, with a cane under her left armpit, and she was on one foot. Leaning on crutches with one hand, pushing a wheelchair with one hand.

Even though Wu Xie had been in the clinic for several years and was on duty for this configuration, he didn't understand why.

However, Wu Xie was quite confident and went forward.

"Hello, you guys, what's the situation?" Wu Xie's eyes lingered on the two young people.

Wu Xie came out wearing a white coat and a mask. Everyone knew that he was a doctor. One of the two men came over and swallowed his saliva and said, "Doctor, I accidentally bumped into it. Look, it should How to cure it?"

The other man quickly answered, "Shouldn't surgery be necessary?"

In this way, Wu Xie finally figured out the basic situation. It should be the mother and daughter or the mother-in-law and daughter-in-law who were hit, and the culprit was the young duo.

"Surgery or not, I still have to wait until I see the specific injury." Wu Xie did not give an answer.

Seeing that there was no blood on the woman's feet, he squatted down to see the condition of the middle-aged woman.

The middle-aged women and women are very polite: "Doctor, my mother was accidentally hit by a car when she came back from shopping for vegetables. Now her feet are very swollen and painful."

"Look, doctor, how can I cure this?" It was a woman who spoke, and her voice had a very friendly feeling, very soft, very pure, and continuous, not like the clip sound of a loli.

Not mixed with other sounds.

Wu Xie looked at it carefully for a while, and said: "The skin abrasion is not serious, it's just a very superficial skin trauma, and it can be treated with disinfection, and judging from the current swelling, it must be a fracture."

"Have you ever had plain radiographs from the emergency room?"

"Is your mother the one who was injured? Or are you together?" Wu Xie raised her head and asked the girl about her basic situation.

As soon as she raised her head, the girl brushed her hair back a little, and faced Wu Xie, which allowed Wu Xie to look at her face.

I don't know if it's a coincidence, but Wu Xie is familiar with this face.

It can even be said to be very familiar. If there is no accident, this should be his former junior high school classmate Hu Qiaoran.

But it seems that the other party didn't recognize Wu Xie, or maybe she didn't remember that there was such a person as Wu Xie at all.

Wu Xie didn't think much about it, and focused on seeing a doctor first.

She said: "I sprained this before. My mother came to take care of me, so I was accidentally knocked down. I have already seen this. You can just look at my mother's situation."

"She's in severe pain, and it's very uncomfortable to run around all the way. Can you think of a way to relieve her pain first?"

"Oh, the film has already been taken in the emergency department. But before I could get the film, the doctor in the emergency department said there was a fracture, so let us go directly to the orthopedics department. You can read the plain film in the computer system."

Wu Xie read the key information, and then asked carefully: "Auntie, is there any other discomfort for you? Did your head touch the ground?"

The fracture of the tibia and fibula is not a big problem, at most amputation.

After a car accident injury, the head problem is the most serious, and it may kill someone casually.

"No, it's the palm of my hand that hit the ground here. It hurts a little, but it's okay. It was scratched right here, and I couldn't move it anymore." The middle-aged woman said with a pale face, probably turning around, When I was bumping on the road and taking pictures again, the pain was too much and I was a little weak.

Wu Xie carefully inspected her right calf like an elephant's foot again.

After a simple physical examination, the swelling was very obvious, non-pitting edema, excluding edema caused by underlying diseases, it must be traumatic in nature.

Pressing pain, almost certainly a fracture at present, did not continue to check the friction sound and friction feeling.

Continue to check the patient's feeling, touch the dorsalis pedis artery and it is still unobstructed, then say: "The basic situation now is that there is a fracture, but whether the fracture requires surgery can only be decided after seeing the plain film."

"Auntie's legs and feet are inconvenient. Let him take a rest here. The three of you will go to the doctor's office with me."

"Okay, okay, doctor, you must take a good look at the film, it's best not to be hospitalized." The other two young people said so.

This made Wu Xie even more certain that this could not be the woman's family.

Wu Xie just said: "There are specific surgical indications for surgery or not. If it is not within the indications, surgery is definitely not performed, but if surgery is necessary, it is impossible to treat conservatively."

"Dong Haoran, you take a hospital certificate from the nurse's station and prepare it. If you want to be hospitalized for surgery, let one of them go down to go through the hospitalization procedures." There are a lot of extra beds.

Coming to the doctor's office again, Wu Xie found out the contents of the plain film through the number of the patient's emergency card, and after reading it carefully.

Then he looked at Dong in amazement!

Although Dong Haoran said that Lizhi felt that studying medicine does not need to be too proficient, but he was treating other people.

When facing the giant Wu Xie, he answered very sensiblely first: "Double tibia and fibula fractures, the tibial fracture is AO tibia, C3.1 type diaphysis fracture. Fibula is B2.2 type diaphysis fracture, conservative treatment is ineffective."

Wu Xie said to Hu Qiaoran and the other two young men: "This kind of fracture, as Dr. Dong said just now, requires surgical treatment. At present, manipulative reduction treatment is not supported."

"Also, I just did a physical examination on the patient. The patient's lower limbs are severely swollen, and surgery must be performed after the swelling is strictly reduced. This is to avoid..."

When Wu Xie said this, a young man became suspicious, and said directly: "Doctor, if you touch it like this, you will be hospitalized for surgery. You don't want to make a profit for the department, do you treat carelessly?"

"Many fractures can be treated by manipulative reduction, and a plaster cast is enough." Another person also added that he obviously didn't want to give the money.

Wu Xie didn't talk to him too much: "Enshi Prefecture People's Hospital, you can wait for the patient's film to be taken out, and then go there to consult whether this disease requires inpatient surgery."

"If you don't believe in Enshi, you can also go to several well-known hospitals in Hanshi, and you can also ask."

"Of course, the experts over there are more skilled, and surgery may not be needed."

After Wu Xie finished speaking, the two of them were speechless for a moment.

Wu Xie spoke so firmly, they felt guilty instead.

"Then I'd better let the people from the insurance company come over." One of the young people said angrily.

After getting out of insurance, the premium will rise a lot in the coming year. If it's just a few hundred dollars, he would rather pay for it himself.

Wu Xie skillfully issued a hospital certificate, then went around and said, "One of you can help with the hospital procedures, this girl's feet are not very convenient."

"During the follow-up surgery, you also need to find an escort or another family member to accompany you. Don't fall yourself."

The girl hurried back: "Doctor, my father came over during the operation. I'm on the way now, and I hurried to send my mother to the hospital. I'm still on leave from school."

Those two young people have not lacked legal awareness to the point where Wu Xie's current diagnosis is not recognized. The matter of proof will be discussed later.

Now that the traffic police have judged him responsible, if he still wants to be irresponsible, the consequences will be quite serious.

Especially this girl who looks like a sign is not easy to mess with. I heard that she is a teacher. If she is a teacher, she will have a stable income and education. If she uses legal means, it will be enough for them to drink a pot.

The car has insurance, it's not necessary.

"Doctor, I'm going to go through the hospitalization procedures. I only need to pay 1,000 yuan now, right?" the two young people asked. If it's only a thousand dollars, he can still pay in advance.

But the woman took the initiative to say: "I also know that you didn't do it on purpose. We can discuss the medical expenses later. Please help me go through the hospitalization procedures first! I can transfer the money paid for admission to you first. Follow-up I will also pay in advance for the surgery fee."

"Compensation matters."

"When the time comes, the certification officer from your insurance company will come. I'll just talk to him. Thanks for your hard work, brother." The woman was very polite, her tone was calm, and she didn't get angry.

"This, no need, no need." The woman's politeness made them feel embarrassed.

after all.

The more polite a person is, the less likely he is to be trifled with.

Because they generally talk about the truth first, and when they fail to make sense, they talk about the law directly. I won't bother with you about other ghosts.

Arguing won't solve the problem.

The two hurried down.

The woman stood up with a cane again, and said, "Thank you, Dr. Wu. I will go to accompany my mother first. After completing the hospitalization procedures, I may trouble you. I want to know the details of my mother. circumstances, and the corresponding risks.”

She spoke politely and rationally, well organized.

She had seen Wu Xie's badge and knew that Wu Xie's surname was Wu.

"OK, all right."

"After the hospitalization procedures are completed, I will prescribe some doctor's orders for pain relief and swelling, but our hospital can only be admitted to the hospital bed after the hospitalization procedures are completed. You have to understand this procedure." Wu Xie is also very happy. Respond politely.

Didn't stand up, even though he knew the girl.

Even Wu Xie was sure that the other party recognized him, because Wu Xie still had a deep memory of before high school. It seemed that in high school, this junior high school classmate named Hu Qiaoran even chased him.

Of course, Wu Xie didn't mean that at all at that time.

Wu Xie continued to discuss the case with Dong Haoran.

From fracture classification, fracture surgical indications, preoperative medication, why medication, medication regimen and dosage, evaluation of operation time, possibility of manual reduction, etc.

However.

During the discussion, Dong, who was forced to do business, was surprised to find that Wu Xie's attention was not as focused as before during the discussion, but he didn't say anything, after all, no one is perfect...

It only took seven or eight minutes for Wu Xie and Dong Hao to discuss this case.

The case is simple, the surgical indications are obvious, there is nothing to discuss, and there is no need to spend a long time.

When focusing on the MRI of this case, Wu Xie talked more, checked it carefully and told Dong Aken...

Wu Xie hoped that Dong Kairan would be able to return to the right path. He is a good young man. Even if he doesn't go to graduate school, he may stay in the hospital after the regular training.

His plasticity is much stronger than Guan Yun's.

Twenty minutes later, after the woman completed the hospitalization procedures, Wu Xie and Dong Hao were interrupted. This time, Wu Xie made two points in detail.

Wu Xie stopped immediately.

Study is study, work is work, study is important, but work is far more important than study!

"Doctor Wu, the hospitalization procedures have been completed. The patient has arrived at +8 beds. There are currently no beds in the ward. What do you want to do next?" A young man came in and asked politely.

Wu Xie quickly signaled Dong Haoran to switch to the medical records and doctor order system. After issuing the regular hospital admission order, he ordered the routine preoperative examination, and then issued a doctor's order for dressing change and plaster external fixation.

After thinking about it for a while, Dong Haoran did not choose to prescribe a calcaneus bone traction, but prescribed skin traction, pain relief, swelling reduction, and the use of preventive anticoagulant drugs.

Looking at the pale face of the patient again, another set of sugar water and a burst of tetanus were prescribed, and the doctor's order system took care of it.

"I'm going to treat the wound, you can create a medical record template." Wu Xie said to Dong in amazement.

For hospitalized patients, there must be a superior doctor’s ward round record within eight hours, and an admission record within 24 hours. This is a mandatory rule. It is best to create a template when admitted to the hospital to avoid becoming a level 5 medical record after the time is exceeded!

After this, Wu Xie went to the bedside to perform a simple dressing change technique for her.

In fact, the wound was fine, but there were some traces of mud, even if Wu Xie wiped it lightly, there was still a little pain and stimulation, which made the middle-aged woman's feet tremble slightly.

The woman next to her is sitting, holding her mother's hand.

After Wu Xie completed the skin traction of the fracture, Hu Qiaoran followed, leaning on a cane, and said, "Doctor Wu, will you be my mother's bed doctor in the future? Will it be someone else?"

She seems to know some of the rules in the hospital.

"It should be me!" Wu Xie pushed the dressing cart!

While taking off his gloves and throwing them into the yellow medical garbage bag, he said, "By the way, you are going to the doctor's office. Dr. Dong wants to talk to you about your mother's condition."

"Actually, it's mainly about the diagnosis, treatment method, treatment medication, and operation time. I will also have a good chat with you the day before the operation for the specific problems during the operation."

"There are still some basic questions to ask you, so that you can write the doctor's order later. You should bring your mother's ID card for medical records."

"Oh, by the way, you guys are traumatized, and you can't get medical insurance for this one, you should know that, right?"

Hu Qiaoran nodded, and continued walking on crutches, following behind Wu Xie: "I remember my mother's identity information, thank you for your hard work, Dr. Wu."

"Mom, I'll follow the doctor to the doctor's office first, and call me if you have anything to do." Hu Qiaoran turned around and confessed to her mother.

Then he followed behind Wu Xie.

On the contrary, Wu Xie felt an indescribable feeling in his heart, not to mention lost, and always felt weird.

Of course, Wu Xie didn't think too much about it. After Hu Qiaoran left, Wu Xie told his girlfriend Tang Yuewei more generously about this matter, and a sour lemon delicately rose up...