Chapter 1089： That's fine

"Dr. Ling is here." Qi Zao guarded the howling patient, saw Ling Ran coming, and hurried over, saying: "The patient seems to have a deep wound, but it doesn't hurt."

"Is the dog found?" Ling Ran asked before meeting.

Qi Zao nodded stupidly, saying: "It's their pet dog, a German shepherd. They all said that German shepherd was very good. Somehow, he gave him a bite."

Ling Ran nodded, already in judgment.

Ling Ran is also very experienced with animal bites. As far as Yunyi's emergency center is concerned, there are patients who come for rabies vaccine every day. The most common ones are bites or scratches by dogs and cats, rabbits, mice or hamsters are not uncommon, and occasionally hedgehogs The fox marten, the crocodile and the pig all show the boredom and lack of love of humans in the new era.

Of course, it also fully shows the advancement of medical technology in the new era. If the hospital is not cheap and easy to use, the proportion of human injuries and deaths caused by animal bites will be so high that it will be so terrifying that all pets will be killed. .

However, doctors have been doing it for a long time, and their mentality will actually become peaceful-the emergency room can be regarded as a great reward for human behaviors. Compared with parkour, extreme sports and other activities, keeping a pet can be called keeping up.

"Does the domestic dog get sick and become mad?" Ling Ran asked the questions against time.

"No." Qi Zao replied quickly: "I asked carefully."

"Then get the suture bag." Ling Ran was very calm.

For a doctor, the first thing to determine is the type of animal. Wild animals and stray animals are at high risk. Domestic animals are better and their health status must be determined.

Needless to say, bites from large dogs are more dangerous than small dogs. If they are limbs, tendons are often exposed, which can be said to be quite heavy.

Ling Ran quickly came to the patient, squeezed some alcohol gel, and scrubbed his hands while looking at the other side.

This is a white-collar worker who looks thirty-seven or eighteen years old ... Non-young man, twisting his waist on the bed, looking very uncomfortable, holding his mobile phone in one hand, and unable to see it.

"Are you a doctor?" The patient's family member is a young woman of good physique. From the appearance, she looks a lot younger than the patient. She carefully looks at Ling Ran. The camera function in the mobile phone has been turned on.

"I'm a doctor, Ling Ran." Ling Ran nodded to the other person, and then waved Wang Jia over and said, "Cut out the clothes."

Wang Jia fought with scissors, and by the way gave a strange glance at the little nurse who was already in the room.

The little nurse wished: "It doesn't matter to me. The patient didn't let the shears before."

"I mean to find a male doctor's scissors." The white-collar non-teenager looked at the young woman at the bed, and said, "My wife and I have just married recently, and I want to maintain a separate and intimate relationship a little longer ..."

Wang Jia pinched his mouth and said, "The doctor is too lazy to cut your clothes."

"I'm coming." Ling Ran had no psychological burden. He took the scissors and clicked, and cut off all the patients' clothes and pants.

The patient was injured at the waist and hips. Because of blood and water adhesion, Ling Ran came here and cut it thinner.

Click, click.

The young woman's eyes were staring closely at the position of the scissors, and she expressed her concern.

The spirit of the non-young white-collar workers was lifted up, and with pain, he smiled, "I'm fine, don't worry."

The young woman trembled, busy showing a sweet smile to her husband, and said in her mouth, "I just feel quite man."

"Really?" Non-young white-collar workers laughed, embarrassedly touched his head, the fat on his belly trembled happily, and he was sore and afraid to shout.

"Clean it." Ling Ran threw away the scissors, wiped the alcohol gel again, put on gloves, and started looking at the patient's wound.

Under the clear tooth marks, the wound was slightly deeper, with obvious signs of contamination.

Ling Ran frowned and thought about the latest one, then looked up and said, "I suggest not to do sutures anymore. I will debride you, then open the wound, and wait for the wound tissue for a long time before making a decision."

Regardless of the level of the doctor's level, when it comes to things that are not his or her specialty, it still depends on guidelines, standards or expert consensus.

This is also one of the reasons why doctors are very enthusiastic about meeting and writing articles after entering the high-level field. After establishing the status of the profession, what they make will become the basis for the guidance of doctors' work. From a fame or fortune perspective, this is extremely tempting.

Ling Ran's hard-hitting expert opinion was because he was familiar with sutures, an expert in the field, and confirmed that the other party's opinion was contrary to his own knowledge.

In terms of "animal injury", Ling Ran has no specialization, and has seen the latest, and naturally uses it as a standard to do things.

The patient and his family looked at each other and hesitantly asked, "Can it be done without stitching?"

"The main concern is that there are too many bacteria in the wound, which is prone to inflammation and purulent. In addition, you also need to consider the risk of rabies. Although your wound is deep, it has less active bleeding and does not touch the nerves. It is also covered by clothing. Part, my suggestion is to debride without sutures, do you think? "

"What happens if you get inflammation and pus?"

"It is necessary to cut open, debride, and sew again." Ling Ran said: "This possibility still exists, and it is difficult to completely avoid it."

"Not sewing?"

"The scar after healing is relatively large, it is easy to be infected again, and the rate of healing will be slower ~ www.novelhall.com ~ If the nerve is damaged, the situation will be more complicated." Ling Ran explained briefly two sentences, If the patient planned to continue questioning, he called Zuo Cidian over.

At this time, the patient made a decision: "It doesn't matter if you have scars, then listen to you, and you will get rabies vaccine ..."

"Yes." Ling Ran nodded and said, "Qi Zao, go to Zuo Cidian and ask for an informed consent, then sign the patient's family."

He has always been rigorous in his work, so sloppy, but everyone only thinks that this is part of his charm.

Then, Ling Ran turned to Wang Jiadao again: "Local anesthesia, 1% povidone iodine, a lot of saline ..."

After a while, Qi Zao took the informed consent form and asked the patient's family to sign it.

At this time, the young woman held Qi Zao, who was going to leave, and whispered, "Doctor, I still have a question."

"You said." Qi Zao still enjoyed the respect and bonus of the white coat.

The young woman whispered softly, "Like my husband, when I get home ... can I have children?"

Qi Zao shook his head strangely, and said, "It's just being bitten by a dog, and it won't affect fertility."

"I mean ... when I get home, can I have a baby right away?" The young woman said seriously, "I just got an ovulation booster."

Qi Zao froze, and her face was a little bit red. She had only been a campus reporter before, and had never been exposed to such a direct problem. Fortunately, when I was picking things up, Qi Zao read a few articles on his mobile phone. At this time, he tried desperately to think hard. Then he said, "In theory, it is okay, but the patient has a wound, and it should not be tired. It is best to It's safer to wait two months ... "

"That's okay, he's fast." The young woman smiled.

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