Chapter 32

On this day, after the shift was handed over, the head nurse Tian Xianglan suddenly said, "it's the end of the month, and we're going to count down the performance of the emergency department this month. We'll urge the patient's hospitalization expenses during this time. Now many arrears have come in and haven't handed in the money. Our department's tasks can't be completed, but we can't be criticized by the hospital leaders again?

And... Doctors, you can save some of your consumables. It's all money. Can you not use the masks one by one every day? There are mines at home? Also, don't always throw away the leather consumables before they are used up. Besides, it's still useful to pour in some wine essence!... that's all money. "

"Finally, there is the issue of outpatient expenses. In the future, one patient must be numbered one by one, not dozens of patients. Now the hospital should implement the policy of one ID card, one patient, and remember to charge for suture bags and medicine changing bags. This is not a welfare home, everyone... I won't say who is specific. Everyone should pay attention..."

Well, as the head nurse always said, if you are not in charge of your family, you don't know the cost of daily necessities.

As the chief housekeeper of the Department and the financial director of the family, Tian Xianglan also has a great task.

Although the emergency department seems to be the largest department in the hospital, it... Is also the poorest department in the hospital.

The emergency duty system is unique, even one hospital.

The work during the day is cumbersome. Writing medical records, ward rounds, dealing with patients, debridement and dressing change have become the living habits of a surgeon. It's even like getting up to wash your face and brush your teeth. You don't move a knife or gauze all day. You always feel that there are shortcomings.

Wang Qian came back from his marriage. His vacation in Hawaii made the strong boy lose a few pounds.

Chen Cang sighed that honeymoon seems to be a manual job.

Chen Bingsheng looked at Chen Cang and said, "today I have two appendiceal surgeries. Dr. an has one. I said hello to him and asked you to do it. Come on."

Chen Cang's eyes lit up and said with a smile, "you've got it, boss! Thank you very much."

Having surgery is a happy thing for a surgeon.

How many surgeons can't have an operation in ten days and a half months after they enter the hospital. They also do chores when they go up, so the opportunity is very important.

Chen Bingsheng gave Chen Cang a chance and even "borrowed" an Yanjun's operation.

Chen Bingsheng rolled his eyes: "don't flatter, practice hard, and strive to do the appendix operation well during this period of time. When they come for examination, you'll have the appendix operation. It's sure to be all right!"

Chen Cang nodded, smiled and said, "can appendix surgery make flowers?"

Chen Bingsheng sneered: "do you think appendix surgery is simple?"

Chen Cang asked curiously, "is it difficult?"

Chen Bingsheng couldn't help shaking his head: "simple appendectomy is very simple, which is true, but when the patient has various complications and even the situation in the abdominal cavity is not ideal, what can you do?"

"The second hospital of our province encountered ordinary patients. When I studied in the Sixth Hospital of Shanghai, I saw dozens of hundreds of difficult appendectomy patients with my own eyes."

"Conventional appendectomy is applicable to appendicitis with relatively easy separation of the appendix mesangium and mild inflammation of the appendix root. However, what do you do if there are special pathological changes such as abnormal swelling of the root, gangrene and perforation of the root, or even severe adhesion of the appendix and inability to dissociate?"

Chen Cang was puzzled by a series of questions.

Because he never considered these problems at all.

Chen Bingsheng sighed: "there are too many clinical problems. You can't relax your vigilance. What's the difference between us surgeons and killing pigs? The purpose of killing pigs is to kill pigs. One knife can't kill another, but we're different. We're trying to save people."

"Why do you study medicine for five years as an undergraduate and three years as a graduate student? You have to train after graduation because you don't know how the patient wants to get sick!"

Chen Cang was stunned

How do you want to get sick???

Chen Bingsheng sighed: "this disease is the same as people. A person looks the same. He won't get sick according to the outline of your textbook. What do you say about appendicitis? Any disease will change because of the individual patients."

"If you catch a cold, some people will lose it directly, and some people can get better without taking medicine? This person has a constitution. Similarly, a disease is also a constitution."

"I tell you so much. It's nothing else. I just want you to settle down to study and learn technology. I'm thankful that you can really do a good job in appendectomy this year!"

Chen Cang couldn't help asking, "boss, how can the appendectomy be done? I think you're almost as good as director Li's appendectomy? Even director Li hasn't done it as fast as you."

Chen Bingsheng couldn't help smiling and looked at Chen Cang: "what do you think is the difference between ordinary doctors and famous doctors?"

Chen Cang: "level? Technology? Details? Or..."

Chen Bingsheng said directly, "do you know the role of car airbag?"

Chen Cang suddenly realized!

Chen Bingsheng: "the role of the airbag will not make the car more beautiful or even faster. However, the role of the airbag can be truly reflected only when you encounter a situation."

"Experts and ordinary people are basically not different at ordinary times. There are some details different, but you can't see it, but when you have a special thing, the gap between you and experts is clear at a glance. Director Li is such a person!"

"This is to tell you how much time you have in the future, think more, think more and read books. The surgeon is a doctor first, and then a surgeon. You know? Your operation has just begun, and you don't even understand the appendectomy. Now ordinary appendectomy is rare. It's all endoscopic surgery. You have to hurry up and keep up."

Chen Cang nodded and smiled: "good boss!"

For two years, Chen Cang basically handled some basic clinical operations, such as suture, debridement, first aid, etc., but he really had little contact with surgery.

Now Chen Bingsheng is equivalent to completely opening this door for Chen Cang.