godfather of surgery

Chapter 12 Director's Rounds
Zhang Lin did not embarrass the people of the Northeast. After drinking a few bottles of beer, he could still stand up and shout "Pay!"

After they were full of food and drink, the two said goodbye at the door of the hotel. Zhang Lin swayed a little while walking. Yang Ping was worried and wanted to help him.

"Don't worry, I'm just one drink short of drinking. If you want to put me down, it's always one drink short." Zhang Lin waved his hand.

Zhang Lin's pediatrician suddenly appeared, as if he had been waiting under the tree for a long time.

She ran up immediately and wanted to help Zhang Lin. Zhang Lin was like a chicken blood in an instant, and immediately walked normally without any intoxication.

"Drink less."

"It's alright, before the two cups are finished, let's eat and eat."

The two left hand in hand.

At seven o'clock the next morning, Yang Ping rushed to the department and started another busy day of work.

"What day is it today?" Zhang Lin took out the essential oil, poured it on his fingers, and rubbed his temples.

"Tuesday!" Yang Ping said.

It is normal for doctors not to remember the day of the week, as long as they remember which day they are on duty, because all days are working days.

"It's over! Director's rounds today, I'm not prepared for anything, I'm dead." Zhang Lin slapped his thigh.

"It's just a ward round, why are you so nervous?" Yang Ping comforted him.

The director's big rounds are usually a nightmare for young doctors. It is when the director inspects his studies and work every week. Just asking questions can make young doctors collapse.

Corey's ward rounds are scheduled for Tuesday morning, so in addition to emergency surgery, other elective surgeries will never be scheduled on Tuesday morning, and elective surgeries will all be pushed to the afternoon.

After the routine shift in the morning, the ward rounds began, and the entire department came out in full force, with a luxurious lineup and magnificent momentum.

Headed by Director Han, the flanks are Director Tian, ​​Director Ouyang, Director Bai, and Director Ding, followed by the attending physician, resident physician, graduate student, and interns.

The layers are clear and the formation is neat.Doctors are strictly ranked, second only to soldiers.Subordinates obey their superiors, and they cannot leapfrog in surgery, nor can they leapfrog their positions.

Director Han's white coat was neatly buttoned, and his thick black and dense short hair was cut into board-inches. Every stubble was straight, with his head held high, and he walked steadily, as if he had steel bones in his body.

Director Tian is the most gentle, with golden glasses that have not changed for thousands of years, correct facial features, good body shape, and a scholarly temperament.

Director Ouyang was actually only in his early [-]s, but his hair was half black and white, tall and thin, with a straight waist, and the blue shirt in the white lab coat looked smart and calm.

Director Bai is the most important among the directors. He is 1.7 meters tall and weighs more than [-] kilograms. The white coat is custom-made, but the front is still tight.

Director Ding was a little cold, with an indifferent look that it had nothing to do with him.

The second echelon was the attending physician. Song Zimo habitually left his white coat unbuttoned and put his hands in his trouser pockets. The white coat was separated to both sides, and when he walked, there was a loud noise.

Tang Fei is always a beautiful rose, with a little makeup, a lavender hairpin on the symbolic ponytail, and the lady's white coat outlines her graceful and slender figure.

The third echelon is the resident physicians, the bottom of the pyramid. They work hard every day, leave early and come back late. They are often scolded and receive subsistence wages.

Yang Ping was also in the third echelon, side by side with Zhang Lin. He was not in a hurry. He recalled the information of the patients in his mind to deal with Director Han's follow-up questions.

At the end is the team of trainees and interns, which is the only force at the disposal of residents, the lowest level of doctors, and cheap labor.

The line was huge, moving in the corridors, and someone ahead opened the way.The ward rounds are very particular about how to enter the ward, how to leave the ward, and how to stand.The doctor of the tube bed is advanced, and then the large troops are in place.When they came out, everyone gave way, the director came out first, and then filed out in turn.

The resident doctor knocked on the door, went in to greet the patient, and then stood on the left side of the bed, with the attending physician and team leader of the same group next to each other in turn.No one deliberately arranges, all can find their place.There were too many people, and some interns found a spot in the corner of the door to squeeze down, and some interns couldn't enter the ward, so they could only stand around the door and listen.

The position on the right side of the hospital bed is round C, which is the position of the director.A confused intern seized the C position, and the teacher gently patted him: "Classmate, this position is facing the air outlet of the air conditioner, it is easy to catch a cold." Then he pulled him to squeeze with himself.

I am really touched. It is a great blessing in life to have this teacher, and the intern's heart is completely warm.

The director was in place, and the strong body seemed to have taken root and was stable, and his eyes were like X-rays, full of penetrating power.

The same pair of eyes, the same anatomical structure, why is there such a big difference.I don't know if anyone has done this subject, if not, this will be the subject of the vice-high school in the future, Yang Ping thought.

The patient who had a severed finger replanted that night.

The patient was leaning against the head of the bed, looking at this, looking at that, probably frightened by the situation.

Opposite the director, Zhang Lin began to report the medical records--name, age, gender, diagnosis, why he was hospitalized, the course of the onset, the course of treatment, any previous illnesses, what was the physical examination, what instruments were examined, and what was abnormal.Report one by one, you can't look at the medical records, the reporter has to rely on memory.

The first half was catchy and very confident, and the superior doctor Song Zimo couldn't hide a smile on his face.

But this brother was obviously using too much force. Halfway through the report, he got stuck and started to fight with his tongue. His voice was lowered, slurred, stammered, and he couldn't utter a word for a long time.Sweat continued to drip from his forehead, and the last bead of sweat rolled down, and the link was gone.

oops!It's a pity that the other doctor regretted that it was originally a perfect medical record report, but this buddy tried too hard--.

Director Han frowned.

Song Zimo immediately rescued the scene and continued to improve the medical record report.

"I'll look at the medical records!" Director Han stretched out his hand.

The medical record was handed over to Director Han, Director Han opened it, read it carefully, and read ten lines at a glance: "The right thumb is completely amputated--Well, this medical record is very well written, and it has written abnormalities that are difficult for others to find."

The self-confidence that had just been lost in front of everyone was instantly retrieved because of the jam, and being able to get public praise from Director Han was something to brag about while eating and chatting in the cafeteria.

Zhang Lin cheered up again.

"That is, we continue to work hard." Song Zimo also said.

"This male patient, you can ask for his menstrual history, menarche, and the last menstrual period. You can clearly record the time of the last menstrual period. Talent! The pillar of the country, and also, there is actually a record of my open room in the medical record?" Director Han is very serious say.

Pfft, someone couldn't hold back and laughed out loud, and then there was the unique breathing sound of forcibly holding their breath.

The template is wrong, the female medical record template is used for male patients; the head of the director's ward round record is written as the director's open room record.

"Ah—" Zhang Lin's face flushed red halfway, and he immediately looked around. Which intern or Ji Peisheng wrote it, he wanted to kick him to death.

Standing next to Zhang Lin, Yang Ping was also super embarrassed. In the same group, under the watchful eyes of everyone, he received ten sun-like scorching gazes.

The X-film was handed over, Director Han held it up and looked at the light in the window.

Gotta ask, really gotta ask!
Everyone immediately huddled like ostriches, as if the director wouldn't be able to see him.

On the opposite side of Zhang Lin, the sweat that had just subsided was seeping out from his forehead again.

"When replanting a severed finger for anastomosis of blood vessels, what should I pay attention to when closing the fracture?" Director Han put down the film and glanced at the scene.

Wherever he went, the young doctor immediately became three points shorter.

This question is a little too detailed. The brother who urgently reviewed "Hand Surgery" yesterday, he was calm at first, but now he is a little confused.

The director's eyes were like a searchlight. At this moment, Song Zimo stood up.

There is no question that Senior Brother Song cannot answer, this is the consensus of all the gentlemen.

"Pay attention to flat involution or mild valgus, never inversion."

"Well, very good, the operation time is only one hour, the speed is not bad, Director Tian is getting faster and faster now." Director Han looked at the operation records.

Director Tian next to him blushed: "I didn't do this, the new Doctor Yang did it."

Doctor Yang?
Can he do the replantation of the severed finger independently? If it is broken into three sections, it can be done in an hour?
Everyone focused their attention, isn't this Zhang Lindai's intern?There are still people who don't know that he is a new doctor and treat him as an intern, because the department is too busy and there are too many people.

There was a small commotion in the crowd, questioning, envious, and talking.

"Yes, it was done by Dr. Yang, my first assistant." Zhang Lin finally managed to pull back the game. He lost face twice just now. This time, the one-hour replantation of the severed finger is the first assistant. What else do you have to say? Whoever is awesome, come and try it out.

"What did Yang Ping do?" Director Han looked up and looked at Yang Ping up and down, as if he didn't quite believe it.

"Yes!" Zhang Lin reconfirmed that as a party, he has the most say, the key is that the identity of this first assistant cannot be questioned.

"I felt confident at the time, so I did it myself." Yang Ping replied.

Director Tian added: "The quality of the vascular anastomosis is very high."

Director Han nodded and asked: "Can you answer, why can't there be any inversion of the vascular anastomosis?"

Yang Ping thought for a while, and replied calmly: "Inversion will cause local stenosis and unevenness of the lumen, blood will form eddy currents, platelets will aggregate locally, and eventually lead to thrombosis."

Director Han hummed, satisfied with the answer.

"The suture of the skin cannot be turned inward." Someone said.

Director Han found the target of the next question, and immediately picked out the classmate who just spoke: "You answer the next question."

This brother can't wait to slap his mouth, he owes his mouth!

-

After more than three hours, the director's rounds were over, and everyone breathed a sigh of relief.

The buddies who were called by the director to answer questions were all sweaty, and in severe cases there were signs of dehydration.

Someone was already leaning weakly at the nurse's station: "Sister! Can you get a bottle of 5% glucose to drink?"

There was a false alarm that was not named, and he was lucky enough to escape, at least this week, he didn't have to worry about it.

Holy crap, just now during the ward round, the director raised his eyelids and looked towards this side, this little heart immediately looked like a diesel engine, throbbing and dangerous, someone described the thrilling experience at that time.

After everyone dispersed, Yang Ping went to the ward by himself to see the replantation of the severed finger he had done. The blood flow was good.

(End of this chapter)