This doctor is very stable

Chapter 4 Brain Tumor Patients Prescribed

At this time, another nurse pushed a man with blood all over his face into the hall, and shouted, "That doctor, hurry up and help!"

"calls me?"

Raising his hand, Lin Ran immediately walked over, "Here we come."

After getting closer, Lin Ran's eyes widened.

He didn't know whether it was bad luck or good luck today. He ran into two V4 patients just after he was transferred to the emergency department.

【V4 patients】

【Head yellow, open wound, need debridement and suture. 】

[Intracranial brain red, glioma, increased intracranial pressure, tumor resection is recommended. 】

"Damn it... Which guy with a mine at home dares to prescribe ladles for brain tumor patients? It's poisonous!"

After reading it, Lin Ran wanted to curse and greet his ancestor, Eighteen.

Fortunately, the tumor in the patient's brain did not rupture, only the intracranial pressure increased, but it is estimated that the patient is not far from critical illness, and cerebral hemorrhage and brain herniation may occur in the next moment...

If a tumor ruptures on the spot, the patient will not be able to survive in the hospital.

As soon as I came to the emergency department, I encountered two cases of V4 critically ill patients. It seems that I came to the emergency department at the right time.

If it were a critically ill patient at the V4 level in another department, would he be able to touch it with his standard training?

The general red displayed on the patient's forehead should mean that the degree of crisis is not so imminent, but we still have to proceed with caution!

"Sir, do you usually have headaches, nausea, nausea, tinnitus, blurred vision and other symptoms?"

The big man sitting on the chair looked up at Lin Ran, and cursed: "You didn't see my head was broken, of course it hurts, are you an intern? Asking such a childish question."

The beautiful young woman next to him also began to point fingers, "Doctor, you should stop Mr. Huang's bleeding immediately. If you can't, let another doctor come."

Lin Ran smiled and continued, "For your own health, please answer my question."

Seeing Lin Ran's serious expression, without the slightest flinching expression, Huang Yihui, who was well dressed but slightly embarrassed, hesitated, and said: "In the past few weeks, I have indeed lost my appetite and have a headache, but isn't it normal for me to drink and have a headache every day? "

But isn't this normal?I have dinner parties at least a few times a day, and I'm often very drunk, so it's normal to have a headache and nausea!
When Huang Yihui was puzzled, Lin Ran took out his pen and put it in front of his eyes, shaking it, "Can you see this pen clearly?"

Covering his head, Huang Yihui shook his head slightly, "It's a little fuzzy!"

Looking around, but there was no doctor at the attending level, Lin Ran had no choice but to say first, "I'll clean your wound first to stop the bleeding."

Suturing a patient with a tumor in his brain would definitely be risky, but according to the hospital's first-diagnosis responsibility system, Lin Ran couldn't escape.

Now that there are too many doctor-patient disputes, Lin Ran just wants to quickly resolve the trauma on Huang Yihui's head, and then let him go for CT, and then let him transfer to neurosurgery.

Let's throw the hot potato to the bosses!

He has thin skin and little flesh, so he can't bear it.

Lowering his head, Lin Ran reached out to take the tweezers from the nurse, "Put your hands down!"

Lifting the tissue covering his forehead, he saw a wound on the side of Huang Yihui's forehead that was three to four centimeters long.

"No stitches, no!"

After checking the wound, Lin Ran stretched out his hand and said, "Anesthetic."

Generally speaking, wounds that need to be sutured should be debrided first, but considering that Huang Yihui had a time bomb in his mind, Lin Ran decided to anesthetize first.

Debridement is very painful, if it stimulates the tumor in Huang Yihui's brain, it will be troublesome.

"Didn't you debride the wound first and then anesthetize? Can you, a little doctor, know how?"

Huang Yihui started out as a contractor, and there are many injuries. In the past, he was injured by debridement first, anesthesia and then stitches!

He always felt that Lin Ran was like an intern doctor, and he was very displeased.

Lin Ran couldn't help frowning. What the doctor fears most is that patients have their own logic.

But Huang Yihui has a tumor in his brain!It may be terminally ill, so I can't say directly.

In clinical practice, many patients know that they have cancer, leading to psychological breakdown and jumping off the building?

Bite the bullet and said seriously: "Am I a doctor, or are you a doctor? This is a hospital..."

"What's wrong with the hospital? You are a doctor so I have to listen to you? I think you are a quack doctor,"

Hearing Lin Ran's blunt tone, Huang Yihui was furious. In the company and in society, who would dare to talk to him like that? ?

certainly!There are other reasons why Huang Yihui is so angry.

Huang Yihui is the boss of Mingcheng Real Estate Company, worth hundreds of millions, no matter where he goes, people have to respectfully call him "Boss Huang".

And Bai Liping, a beautiful young woman with a graceful figure in professional attire, is his personal secretary.

To put it bluntly...

These days, it's never simple for an old bird to be paired with a young secretary...

Originally, they fought well in guerrilla warfare, but Bai Liping's husband didn't know how to do it, so he found out that it was tricky.

As soon as Huang Yihui came out of the company at noon, he was blocked by Bai Liping's husband. When he came up, he threw Huang Yihui into confusion with a bottle of wine.

Fortunately, the security guards in their construction company came in time, otherwise the consequences would be disastrous...

After being held back by Bai Liping's husband, she hasn't vented her anger anywhere, can Huang Yihui not get angry?

…………

The life of the rich is always colorful...

Seeing the boss getting angry, Bai Liping immediately got anxious and shouted: "Aren't there any other doctors in your hospital?"

Seeing that Lin Ran was about to quarrel, the chief director of the emergency department, Chen Qiufeng, walked over quickly, and said kindly: "I am the director of the emergency department, you two have something to tell me."

After he finished speaking, he gave Lin Ran a wink, and the resident doctor behind him looked at Lin Ran gloatingly, and leaned over, "Director, look at this patient's head is still bleeding! How about I come?"

It is a very prestigious thing to be able to show off in front of the director.

After the two sang together, Lin Ran was relieved, but Lin Ran couldn't leave now.

Doctors have to be professional. He looked at Director Chen and stated: "Director, the patient usually complains of headache, nausea, nausea, and other symptoms. I also tested the patient's vision just now..."

Of course, Chen Qiufeng could hear the meaning behind Lin Ran's words, and he recorded Lin Ran in his heart who was not surprised.

It is rare for a small-scale trained doctor like Lin Ran to stick to his professional ethics and judgment when he is misunderstood by patients.

"Okay, don't talk about it, you go to other patients first."

When the boss spoke, Lin Ran naturally had to listen, otherwise he still wanted to mess around?
Lin Ran turned his head and left. V4's big boss rewards must be very generous, but the risks are also high!If you don't make it right, you may steal chickens and lose money.

Thinking of this, Lin Ran felt a lot more balanced.

After Lin Ran left, Chen Qiufeng smiled and filled up the old creases on his face, looked at Bai Liping next to Huang Yihui, and asked, "Are you the patient's family?"

"This……"

Hearing Chen Qiufeng's question, Bai Liping was at a loss for words. She was indeed not Huang Yihui's family member, she could only count as half.

Hearing Director Chen's question from a distance, Lin Ran's depressed mood completely eased.

Even Huang Yihui himself couldn't answer this question. After thinking about it, he eased the embarrassment for his little secretary and said, "Need to call a family member? Isn't this just a skin injury? Director, please debride and suture me quickly! I I will go back to the company for a meeting later."

Chen Qiufeng was not Lin Ran, he saw that Huang Yihui was in good spirits, so there shouldn't be much problem with stitching it up.

Chen Qiufeng nodded, looked at the resident doctor Liu Yuming next to him, and said, "Xiao Liu, you should suture the patient to stop the bleeding, anesthetize first and debride the wound."

Without a CT scan of the brain, no one dared to 100% determine whether there was a tumor in Huang Yihui's brain, so he had to be careful.

"it is good."

Liu Yuming responded, took the anesthetic injection, and the nurse pushed over the debridement and suture equipment early on.

…………

Although he lost the chance to suture the V4 patient, Lin Ran didn't feel it was a pity.There are many emergency patients!He just turned around and was pulled away by a nurse.

"Doctor Lin, the patient's left leg was scratched."

Lin Ran glanced at the middle-aged patient in front of him, patient V1, very good!

Apart from the longer wound, there are no other major problems.

Lifting off the gauze on the patient's left leg, looking at the long and deep wound on his left leg, he asked, "How did you do it?"

The old driver Qian Duofu heard the words, smiled and said happily: "Little doctor, I am a taxi driver. Doctor, you were not at the scene of the car accident. What happened to the others? I just jumped out of the car and got caught on the road." The branch next to it was scratched, it's not a big deal, you should deal with it quickly!"

Lin Ran nodded, looked at the nurse next to him, stretched out his hand and said, "Tweezers, gauze and normal saline."

The nurse nodded, patted him with tweezers, and opened the saline bottle.

Picking up the normal saline solution prepared by the nurse with his left hand, Lin Ran smiled and said, "It hurts a bit, I have to bear it."

"It's okay, come here, doctor! I've done stitches too, I understand."

Lin Ran was not polite either, and poured the whole bottle of normal saline on the patient's wound.

hiss……

Yo...

Even though he was prepared, Qian Duofu couldn't help but gasped and groaned the moment the normal saline touched the wound.

While Lin Ran was treating the patient's wound, Chen Qiufeng walked behind him at some point.

Lin Ran had also rotated in the emergency department before, but Chen Qiufeng didn't have a deep impression of Lin Ran.

He, a big director, naturally doesn't have a deep impression of an ordinary training doctor.

He could only remember those trouble-shooters and highly talented trained doctors, and he could also remember Lin Ran's performance today.

In addition to talent, there is another kind of junior who can attract his attention, and that is the junior who has a particularly solid basic knowledge of medicine.

Through Lin Ran's diagnosis of Huang Yihui just now, Chen Qiufeng felt that Lin Ran's medical foundation should be very solid.

Otherwise, how could he, a small training doctor, think that a trauma patient might have a tumor in his brain?

After debridement of the wound, Lin Ran took the needle holder again, picked up the No. [-] suture needle, and began to suture.

The emergency department of the hospital does not have very high requirements for suture quality. It can also be said that most surgeons are not very particular about suture needles, as long as the opposite sides are neat, the needles are spaced in order, and there are no wrinkles.

If the patient wants to suture more beautifully, he can go to plastic surgery for suture.

certainly!There are also a lot of doctors with good suture skills, after all, there are still Virgo medical monks.

(End of this chapter)