This doctor is very stable

Chapter 1
The medical records on the desk are piled up like a hill.

Lin Ran, who was on night shift in the Department of Thoracic Surgery, was lighting up a lamp and writing medical records.

Big dark circles, bloodshot eyes.It is very similar to the appearance when I stayed up late before the college entrance examination to study the questions.

If it weren't for the fact that the medical records on the table had to be entered tonight, Lin Ran would have fallen asleep without any hesitation.

But there is no way, Lin Ran is now just a trained doctor at the lowest level in the medical field.

After recording another medical record, my mind was completely blank, and I was really sleepy.

Putting down the water-based pen in his hand, Lin Ran stood up, ready to be lazy, stretch his 82-year-old waist, and make a cup of jasmine tea to moisten his old liver that had begun to harden.

The door of the duty room was suddenly pushed open.

Wang Bingsheng, Lin Ran's senior physician during the extra-thoracic rotation, walked in, speaking with the same strong local accent as Lin Ran, and said, "Lin Ran, a patient with suspected pneumothorax came to the emergency department, they are too busy to come, you go and see, After the diagnosis, perform a thoracentesis on the patient, you know the closed chest drainage!"

When a person is extremely tired, his reaction ability will obviously become sluggish. Lin Ran looked at Wang Bingsheng in surprise and asked, "Teacher, what did you just say? Let me go to the emergency room for help?"

Wang Bingsheng is an attending doctor. He is in his 40s this year, but he looks like a 60-year-old.The top of the head was a little bald, and the hairline moved back to the base of the ears.

Wang Bingsheng is Lin Ran's superior physician, and also Lin Ran's teacher during the training period
During the three months of rotation in the thoracic surgery department, the few hands-on skills that Lin Ran learned were taught by Wang Bingsheng.It just so happens that closed chest drainage is one of them.

Staying up late on duty is a daily routine for every doctor. Some are bald and strong, and some are naturally suffocated.

Wang Bingsheng, whose eyes were bloodshot from the same boil, was a little impatient, "Stop talking nonsense! Your regular training period is coming to an end, aren't you talking about it all day long, and you will stay in a third-class hospital if you are killed? Who would do that if you don't have any skills?" want you?"

Lin Ran knew his aptitude well, his aptitude could only be described as average.

Surgeons pay attention to: ingenuity, ingenuity, and unity of knowledge and action.

Lin Ran didn't have any of the above talents, and her clinical performance was quite satisfactory.

Fortunately, I am calm enough to do things, have an attitude, and have a sense of responsibility. I think Wang Bingsheng should feel more at ease about himself.

In thoracic surgery, closed thoracic drainage, which is a basic but hands-on task, is performed by doctors above the residency level.

The main business of Guipei Hanhan is to write medical records, write on-duty record sheets, and write summaries of surgical cases.

Of course, some powerful regular training doctors can also find time to write medical papers.

Guipei Hanhan wants to get started, but also depends on the mood of the teacher who teaches. If the teacher is in a good mood, he will guide you to get started.If you are in a bad mood, just write your medical records honestly!
The twists and turns in the doctor's workplace are no less than other workplaces, and even more complicated.

The big boss is in a good mood, so he is willing to spend money to treat his employees to dinner!

Therefore, the opportunity to deal with patients alone is very rare for Gui Peihanhan.

Wang Bingsheng asked himself to go to the emergency department to treat patients independently, obviously to support himself.

Without further hesitation, Lin Ran simply stood up and said loudly, "Old Wang, I'll go."

"Well! I'll leave it to you. Don't let me down. If it really doesn't work, call the doctor in the emergency room for help. I'm going to have an operation. Come back to work as soon as you're done!"

Walking out of the duty room with Wang Bingsheng, Lin Ran drove quickly to the emergency nurse's station and asked, "Where is the patient with suspected pneumothorax?"

"Dr. Lin, you are here. The patient is in the third consulting room."

Lin Ran nodded with a smile, and walked straight to the No. [-] clinic of the emergency department.

…………

In clinic No. [-], little nurse Liu Qiaoxin frowned when she saw that the person outside her chest was Guipei doctor Lin Ran. The doctor who gave the nurses the most headache was the intern doctor, and the second place was doctor Guipei.

The two are equal, the eldest does not talk about the second.

"Why is Dr. Lin here?"

Not paying much attention to her, Lin Ran nodded and walked to the hospital bed, took off the stethoscope, picked up the young patient's clothes and "hummed" in his mouth, ready to auscultate him.

But at this moment a miraculous scene happened, Lin Ran saw the color of the patient's chest changed.

To be precise, in Lin Ran's subjective vision, the entire chest of the patient turned pale yellow, with a few tiny characters appearing on it.

[V1 patient] Chest risk level V1 (light yellow), pneumatosis caused by intensive labor, leading to idiopathic pneumothorax. 】

Before Lin Ran could react, a somewhat ethereal voice came from his mind:
[Ding: It is detected that the host is seeing a patient, and the bounty medical system is being activated. 】

[Ding: After the system is activated, the bounty medical system will enable the diagnosis assistance function for you. 】

Did you stay up late and have hallucinations and auditory hallucinations?

Bounty medical system!

Those golden hands written in the novel!
A system that can help pig feet reach the pinnacle of life!
I stayed up all night and worked out a system!
As ordinary as I am, don't I lack a system?

Lin Ran's heart is surging now, but he has to tell himself secretly that now is not the time to be excited.

Accepting the existence of the system hastily, Lin Ran couldn't help being excited.

System diagnostic assistance function: just a few words, pointing at the focus of the disease, conscience system!big cow!

Now Lin Ran has transformed into a humanoid intelligent CT machine instead of Bumpman or Transformers!The terminator of hardcore consultation.

This diagnostic assistance function is a fortress!Diagnosis must be made before treating patients.

To diagnose a disease in traditional Chinese medicine, one needs to look, smell and inquire carefully in order to prescribe the right medicine.

Western medicine diagnosis also has its own pace, collecting medical history, physical examination, laboratory and special examination.

With the humanoid CT eye, the patient's physical condition is clear at a glance!

Is it difficult to see a doctor in Western medicine?

Of course it's hard!
Even a medical academician with 60 years of working experience dare not say that he has never been misdiagnosed.

Even, some intractable diseases cannot be detected by chemical tests and physical auxiliary tests.

Therefore, after Western medicine was introduced to China, there was an integrated traditional Chinese and Western medicine consultation, so the University of Medical Sciences required medical monks to memorize classic Chinese classics and allusions, and they also had to take exams.

Combining self-system analysis and what he learned, Lin Ran began to gradually verify the patient's symptoms.

You need to be cautious about things like seeing a doctor. In case of a system error, I have done a regular inspection, which is justified!Anyone who asks can face it calmly.

Put the earpieces of the stethoscope into both ears, stick the earpieces on the patient's chest, and listen repeatedly in different positions.

【Breath sounds are rapid and weak. There is no scar on the left chest, but it is obviously swollen. Gently tapping the left rib still makes a drum sound, and the skin is purple. 】

Definitely a pneumothorax, the system is still reliable!
"Has the patient suffered a severe blow to the chest recently? Is there any medical history? Has there been any other surgery recently?"

Closed thoracic drainage can't be done indiscriminately. If the patient has a heart disease, he will suffer if he doesn't ask clearly.

A family member of the patient standing aside said, "My husband has not been hit recently, has no history of other illnesses, and has not undergone surgery recently, so he rarely gets sick.

When we moved at noon today, he carried two big boxes upstairs. Before nightfall, he started to feel tightness in his chest, swelling in his chest, and he was a little out of breath. "

After listening to Lin Ran, he nodded and understood. Was this patient a pneumothorax caused by the move?
Obviously not, but also a young man crushed by life.

If you don’t hire a moving company when you move, is it because of the pressure of life and the need to save money?
Lin Ran stretched out his fingers again, lightly pressed the right chest, and asked patiently, "Does it hurt here?"

"It doesn't hurt."

"Then here!"

"pain!"

Lin Ran nodded and looked at Liu Qiaoxin with a smile, and said, "Push a color ultrasound machine over here, and prepare the anesthetic and thoracentesis kits."

The color Doppler ultrasound machine is used to confirm whether the patient has pleural effusion, blood conduction with effusion, and air conduction without effusion.

Although the patient has been diagnosed as idiopathic pneumothorax, the appearance still needs to be done.

Otherwise, it is written in the medical record that the naked eye recognizes that there is no pleural effusion. Wouldn't that leave a painful foot for people to catch?
"Ah."

Liu Qiaoxin responded, then turned around and went to get a color ultrasound machine for Lin Ran.

After using the color Doppler ultrasound machine, the patient had no pleural effusion.

The final diagnosis was: idiopathic pneumothorax.

After Liu Qiaoxin pushed the small medical cart over, Lin Ran stretched out his hand and said in a deep voice, "Tweezers, alcohol cotton, iodophor."

Disinfect first, then anesthetize to minimize incision infection.

"Anesthetic injection."

Thoracentesis needs to make a small incision in the chest wall of the patient. It is somewhat painful without anesthesia. Anesthesia can be used if it can be used. It is just a matter of local skin anesthesia and a few needle holes.

After the anesthesia was injected, Lin Ran was not in a hurry. It would take five to seven minutes for the anesthesia to kick in.

Counting 360 times in my heart, after 6 minutes passed, Lin Ran continued, "Scalpel."

"Snapped."

The nurse patted the scalpel on his hand, this damn ritual feels great!
Unfortunately, this is just a basic and simple closed chest drainage.

Every time a doctor picks up a scalpel, it is an achievement for a doctor.

Holding a bow, slowly cut a small incision. The incision must be about the same size as the drainage tube.

Moreover, the chest wall cannot be cut through, and the cut does not break. A layer of tendon and inner lining of the chest cavity is left, and then the drainage tube is used to puncture, so as to ensure that the incision is close to the catheter.

"Sterile gauze."

Cut a small incision, bleeding is normal!
"Drainage tube"

Liu Qiaoxin stared closely at Lin Ran's smooth operation. She always felt that Lin Ran was more handsome today, as if he was calmer.

Slowly inserting the drainage tube into the patient's chest, Lin Ran looked at the patient and asked, "Do you feel better? Do you still feel tightness in the chest?"

Lying on the bed, Liu Weiye took two breaths and said, "I feel much more relaxed."

"Well, that's good, a No. [-] round-tipped curved suture needle, and a No. [-] non-absorbable suture."

Immediately afterwards, the drainage tube was fixed on the chest wall of the patient with sutures, and surgical stickers were attached to complete the basic closed chest drainage.

Complete the operation process and recall any mistakes.

Nowadays, there are too many disputes between doctors and patients, and the practice of medicine should be prudent.

Pick up the medical record, fill in the medical record, diagnosis basis, treatment process, medication prescription, and finally sign the name.

The moment he just finished signing his name, his eyes blurred, and the pleasant voice in his mind sounded again.

[Ding, congratulations to Su for independently completing the treatment of a V1 patient, triggering the bounty task of closed thoracic drainage, task completion rate 1/10, task rewards, 1. RMB 500, 2. Closed thoracic drainage experience value 1000. 】

[Ding: Congratulations to the host for independently completing the treatment of a V1 patient, and received a reward of RMB: 50, and 100 experience points for closed thoracic drainage. 】

"What the hell?"

Hearing the notification tone, Lin Ran felt happy.

After completing the tasks, you will get money and experience acceptance, and there will be additional rewards for completing the treatment of a patient!
The conscience system is really powerful.

The salesperson gets a share from selling things, and treating patients by themselves not only earns money, but also improves their business capabilities.

Simply a bunker.

Seeing Lin Ran standing there holding the medical record, the nurse Liu Qiaoxin pulled his clothes, "Doctor Lin, are you okay!"

Lin Ran came back to his senses, "It's okay, I'm thinking about something."

After he finished speaking, he looked at the patient again, and said: "I usually have a lot of pressure in work and life! Heavy work like moving should call more people to help. It is not worthwhile to tire people out of illness in order to save money."

"Okay, we will pay attention, thank you doctor."

"Well. Take medicine on time, cough up as much as possible if you want to cough, don't touch the wound and drainage tube, avoid infection, avoid spicy food, avoid smoking and alcohol, eat light liquid food, pay attention to rest, stay in hospital for 5-7 days, and pull out the tube to be discharged from the hospital."

"Thank you so much, Dr. Lin."

Lin Ran nodded in satisfaction and smiled.

Although the work of a doctor is depressing, it is quite comfortable and a sense of accomplishment to receive the gratitude from the patients!
He didn't stay long, and walked quickly to the bathroom of the emergency room.

This patient is still admitted to the emergency department, so he doesn't have to worry about such cumbersome things as payment.

He was thinking, every system should have a personal panel!It's all written in the novel!

Walking into the emergency room, Lin Ran couldn't wait to call softly, "Is the system in?"

As soon as he finished speaking, a glittering golden game panel appeared in front of his eyes.

【Host: Lin Ran】

【Age: 26】

[ lv10: 1500/20000 (regulation training Han Han)
【professional skills:
Auscultation (Intermediate) 1000/2000
Physical examination: (primary) 600/2000
CPR: (Intermediate) 500/2000
Trauma debridement: (intermediate) 1000/2000
Epidermal suture: (primary) 1500/2000
Tendon suturing: (beginner) 500/2000
Vascular Suture: (Basic) 30/2000
ECG Interpretation: (Intermediate) 200/2000]

【Mission: Closed Chest Drainage 1/10】

There are bounties for medical treatment and medical experience. How far are cars, houses, and professional titles?
The profession of a doctor is a very late-stage profession. As long as you can persist, as your professional title gets higher and your skills get better and better, your social status and social influence will also rise and become more and more terrifying. .

(End of this chapter)