Auto chess in the operating room

Chapter 12 Suggesting Suture Plans
After all, under the obvious symptoms of alcoholism and carbon monoxide poisoning in a patient, normal people will ignore the inconspicuous nitrite poisoning.

The incidence of acute nitrite poisoning has dropped significantly in recent years, and it can be associated with simple food poisoning.

"It's too risky, Xiao Tang, you are really lucky. But today is really thanks to you." Li Fan leaned on the back of the chair, raised his head, "I heard that a few days ago, you didn't intend to reminded Director Shen. You are really a blessing in our emergency department!"

"Luck, luck, just happened to meet in class before."

Tang Lou could only blame the case class in school.

In his heart, he looked calm: "Don't be six in the basics!"

"Which school did you graduate from?" Li Fan was curious.

"The Second Medical College of Jiangxia Province."

"Well, 211, although it's not as good as top universities, it's not bad at all. But, are the current university courses so practical? How do I remember that after I graduated, I went to the emergency department confused and didn't know anything. "Li Fan has some doubts about life.

But after thinking about it again, I have been a salted fish for so many years, maybe this is the difference between a top student and a bad student.

"Tang Lou, you are very nice!"

Li Fan sighed. Although he has always been looked down upon by other departments, Tanglou can now be regarded as his direct disciple. The more awesome Tanglou is, the more glorious his face will be.

"Tang Lou, if you have any requirements in the future, just ask! Master will support you!"

Li Fan was in a good mood and patted his belly.

The next day, the emergency department.

"Zhang Nannan, the patient has basically recovered and can be discharged after one day of observation."

Li Fan looked at Wu Weibing's latest inspection data and checked it again, feeling relieved.

"Thank you doctor."

Wu Weibing was lying on the bed, his spirits had recovered, but he was a little weak.

"Well, your situation is very special. Fortunately, we are very lucky. The experienced doctors in our department saw that you were poisoned by nitrite at the first time, otherwise the consequences would be disastrous. Do not eat charcoal hot pot in a sealed environment in the future, and pay more attention to the ingredients The source of health and safety."

After Li Fan gave some instructions, he really looked like a great doctor.

"Okay, thank you doctor."

Wu Weibing blushed a little, it was too embarrassing, but also a little grateful.

"Xiao Tang, you will check with me again."

Tang Lou followed behind Li Fan like a wooden ward-checking machine.

"System, I managed to diagnose and treat a patient, so you're not going to reward me with a few gold coins?"

[The task is clearly a suture case, and this patient does not meet the requirements. 】

"."

Tang Lou's face was very ugly, unhappy and disappointed.

Li Fan also noticed Tang Lou's depressed mood: "Why does Xiao Tang feel that he is not in high spirits?"

"Oh, Dr. Li, I'm just a little lost. I really want to have a few suturing cases for me to do."

Li Fan looked at Tanglou's serious look and was suddenly stunned.

"Little Tang, it seems that you were able to think of the patient's case twice before. It is really not luck. You really love medicine. You always think about improving yourself, and you will feel sad because there is no case. Your realm , makes me ashamed."

Li Fan is a person who has no big pursuits, otherwise he would not be in his forties and still dawdling in the county hospital.

Tang Lou's motivation and concentration shocked him deeply.

He patted Tang Lou on the shoulder: "Xiao Tang, don't worry, as long as there is a suitable case, I will let you operate as soon as possible."

"Doctor Li, Doctor Li, just sent a patient with a big gash in the neck, which needs to be dealt with quickly!"

Xu Lanlan rushed over anxiously.

"go!"

Li Fan looked solemn and had no time to communicate with Tanglou again.

The emergency department is so busy. If it weren't for the excellence of Director Shen and Tang Lou himself, normal interns would be soy sauce at this time, and the residents would not care.

"Little Tang, you still haven't followed!"

Li Fan turned around and shouted again.

"okay!"

Tang Lou also followed quickly.

Soon several people came to the patients.

"Doctor, take a look at my daughter, her neck was scratched by a piece of glass, is it serious?"

The patient was thirteen or fourteen years old. He was very well-behaved, with a soft body. His neck was like a swan's neck, slender and tender. At this moment, he was wrapped in gauze, and the blood flow had been stopped under the treatment of the nurse.

"what happened?"

Li Fan asked while observing the patient.

Lina, the girl's mother.

In his [-]s, well-maintained, the living conditions are good at first glance, and he was sobbing at the moment: "At school today, two male classmates were fighting. I don't know what happened. One of the little bastards smashed the glass with an ink bottle. A piece of such long glass directly pierced my daughter's neck, and the blood flowed profusely, and the school hospital urgently bandaged it to stop the bleeding."

"Understood. It's just a scratch, the bleeding has stopped, and it's not life-threatening. Now we just need to clean the wound and suture the wound." Li Fan also relaxed, basically not a serious illness.

Tang Lou's eyes lit up when he heard the stitching!
"Doctor, my daughter wants to be a dancer in the future. She can't leave any scars on her neck. If you sew it up, it won't leave any scars, right?" Lina calmed down after hearing that there was nothing serious, but she just thought about her daughter's future. , there are still some questions.

"That's it."

Li Fan frowned. Sutures can be done even in the emergency department, but it is relatively difficult to recover without scars.

"Ms. Li, the child's condition has stabilized. Due to the requirement of whether there is a scar or not, the suture plan needs to be consulted with the department. In this way, I will go to a meeting to discuss a plan first, and the suture operation will be performed after the confirmation."

Li Fan was originally a cautious person, and he was already thinking about letting the surgeon do the stitching.

"Okay, then I'll trouble the doctor." Lina nodded gratefully, then patted her daughter's head again, "Xiaowen, don't worry, there will be no scars on her neck in the future."

"Yeah." Xiaowen's lips were a little pale, and she was lying on the bed, looking pitiful.

"Doctor Li, leave this case to me, I can do it." Tang Lou insisted.

"No, the requirement of no scar is too high, and the neck should be handed over to the surgeon." Li Fan thought it over and felt that it was not appropriate.

"Doctor Li, I can really do it. My skills are no worse than surgery."

How could he miss the first case the mission opened.

"Xiao Tang, I know that your suturing skills are good, but last time you demonstrated simple sutures, and the sutures were only ordinary silk surgical sutures. It is not suitable for this patient, even your best sutures It's not enough either!"

Li Fan looked at the persistent Tang Lou and didn't want to undermine his self-confidence, but doctors are a rigorous profession and must be responsible for patients!
"Doctor Li, of course I know. If you want to suture the neck without leaving scars, it's impossible to suture alone."

Under the two-star suture technique, Tang Lou was already at the level of a provincial master, so he was naturally eloquent.

"Oh, then tell me about your understanding of sutures and the surgical plan for this case."

Since the patient's condition was not very urgent, Li Fan wanted to see Tanglou's countermeasures.

"There are three main purposes of suturing: closing wound margins, eliminating dead space, and promoting healing. Of course, it also has the functions of stopping bleeding, reconstructing organ structure or plastic surgery. In addition, anastomosis also belongs to the category of suturing."

Li Fan nodded, slightly surprised, this kid has something!
"Sutures are mainly divided into three categories: simple sutures, varus sutures and valgus sutures. Each type is divided into discontinuous and continuous."

Tang Lou eloquently explained that the whole temperament has changed, and he really has a kind of demeanor. With his handsome appearance, he really looks like a character who came out of a TV series:
"For this patient, the neck suture has some plastic surgery requirements. In view of the patient's condition, I will make the following plan."

(End of this chapter)