Chapter 141: Massive Bleeding at Kuaikang Hospital
"Extra meal?" Li Quan looked puzzled.
"You'll know when the time comes. Let's treat the patient first." Doctor Luo winked at Li Quan, acting very mysterious.
Li Quan was full of doubts. Isn't it just to treat one patient? Can all the doctors and nurses in the department get extra meals? Who will pay for it?
As far as Li Quan knows, doctors work overtime to perform an operation for one or two hours and are exhausted, but they only get about 30 yuan in performance bonus.
Many patients don’t understand.
I think a hospital stay or surgery would cost tens of thousands, or even hundreds of thousands .
Doctors must be making a lot of money.
That's not the case. The amount of money required to run a hospital is incalculable.
Every doctor gets his money through hard work, which consists of a normal salary and a meager performance bonus.
Of course, there is one exception.
If your medical skills are good enough, the hospital will invite you to consult. The consultation fee is usually very high.
Take the last operation Li Quan performed at the People’s Hospital. He was just an intern, but he received a total of 5,000 yuan in consultation fees.
" Let's prepare to open the abdomen and remove the foreign body! The incision will be made here. Li Quan, you will do the preparatory work." Doctor Yang Yu gestured at the patient's abdomen and withdrew the laparoscope.
Li Quangan drew a line at that position, and then began preoperative work such as disinfection and laying the surgical cover.
The patient's vital signs are still relatively stable, but since it is a surgery, the shorter the time, the better, while ensuring safety and effectiveness.
"Doctor Luo, let Li Quan do some of the first assistant's work. You can guide him more and teach him some details to pay attention to." Doctor Yang Yu increased his efforts in training Li Quan.
In just one morning, Li Quan made many outstanding achievements and his status in the emergency department rose rapidly.
"Li Quan, after Doctor Yang cuts open the wound on your abdomen, you must stop the bleeding in time and make sure to suck out the blood around the wound in time..."
Doctor Luo had just doubted Li Quan's diagnostic ability, but now that he had found the cause of the disease, he was completely convinced by Li Quan.
With such a talented person in the department, he was naturally happy to teach him everything he knew.
Apart from anything else, if he is well trained, his stress will definitely be greatly reduced.
Moreover, based on the abilities Li Quan has demonstrated, it is almost certain that he will be promoted to chief physician in the future.
Now that we have established this good relationship, who knows when I will be able to receive care from Li Quan in the future.
The operation is progressing steadily.
After opening the abdomen, the culprit inside finally appeared in front of everyone.
It was a piece of gauze stained black with blood.
Doctor Yang Yu carefully clipped it out. Since it had been placed in the body for several days, it had begun to adhere to the mucous membrane and other tissues in the abdominal cavity.
If there is inflammation of the mucosa caused by foreign objects, you need to be even more careful.
If the mucous membrane is broken, it will be very troublesome.
…
Half an hour later, the foreign body in the patient's abdominal cavity was removed, cleaned and treated with anti-inflammatory drugs.
"Fortunately, the foreign body was in the body for a short time and did not cause any serious consequences." Doctor Yang Yu breathed a sigh of relief. "Li Quan, the rest of the surgical wound suturing is up to you."
"Okay!"
Li Quan gladly accepted this opportunity.
What he thought about was that his surgical skills experience points could be increased again.
After the skin was sutured, Li Quan asked Dr. Yang Yu to check.
"You are very talented in surgery, and your suturing skills are no worse than Dr. Luo's. To be honest, if I didn't know you were a resident intern, I would have thought you were a mature surgeon with at least three years of surgical experience."
Doctor Yang Yu highly praised Li Quan's skin suture.
Although skin suturing seems simple, the level of skill actually determines the patient's prognosis.
If the suture is not done well, it will easily lead to slow wound healing, or even inflammation, infection, and suppuration. In addition, even if the wound heals, it is easy to cause scar hyperplasia.
Look at the many women who have undergone cesarean sections and the long scar on their stomachs to understand how much pain surgical scars bring to patients.
"The operation is complete. You can wake up from anesthesia! If the patient does not vomit or have abdominal cramps within 15 minutes after waking up, you can transfer him to... uh, let me make a decision after calling Director Zhang."
Doctor Yang Yu instructed.
Soon, the anesthesia was lifted.
"The patient has awakened from anesthesia and his vital signs are stable," the anesthesiologist reported.
"Okay, thank you for your hard work! You will have a share of the extra meal when the time comes."
Doctor Yang Yu nodded.
"Haha, thank you in advance!" The anesthesiologist left with a smile.
Start checking the patient's postoperative condition.
"Give the patient oxygen first and see if he can wake up!" Doctor Yang Yu said this to the nurse.
The patient was already in a coma when he was brought in.
At this moment, the operation was over, but he was still in a coma. However, neither Dr. Yang nor Dr. Luo was in a hurry.
Because there is a life monitoring device, you can clearly see that the patient's heartbeat, blood pressure, etc. are all normal.
Generally speaking, there are several ways to wake up such a comatose patient.
Continuous oxygen administration is the most commonly used gentle method.
A more brutal method is to pull the patient's limbs to move. If this doesn't work, then slap the patient's skin.
If the above three methods fail to wake up the child, it doesn’t matter. I’m sure everyone has seen the cold water pouring on the head in TV dramas.
A doctor certainly wouldn't carry a bucket of cold water and pour it on a patient's face.
However, it is completely acceptable to use a towel dipped in cold water to wipe the patient's face.
If applying hot or cold water to the face doesn't wake him up, then we have to resort to some tricks. What tricks?
electric shock.
Don't worry, this electric shock uses low-frequency and low-voltage current to stimulate the patient. I won't really use the 220V voltage at home on the patient.
In fact, in addition to the above methods, traditional Chinese medicine has a more reliable method.
Acupuncture.
Li Quan was confident that he could wake up the unconscious patient.
You know, his acupuncture skills have now reached a minor level. He can seal acupoints and lock meridians, so waking up the patient is just child's play.
"You stay here and look after the patient. I'll go call Director Zhang. By the way, this surgical gauze taken from the patient's body is a treasure. Don't treat it as garbage."
Doctor Yang Yu gave some instructions and walked out of the operating room.
This should actually be said to the new female nurse.
About ten minutes later, Doctor Yang Yu came back with a faint smile on his face.
He looks in a very good mood.
"I have just reported this to Director Zhang and have communicated with Kuaikang Hospital. Once the patient wakes up and is clear after examination, transfer him directly to the general ward!"
Doctor Yang Yu said to Doctor Luo and Li Quan.
"Well... the patient is unconscious. Isn't there an empty bed in the IUC ward of our emergency department?" Doctor Luo's eyes rolled around.
"Kuaikang Hospital has promised to provide us with extra meals, why are we still letting the patient stay in the ICU? Don't waste medical resources, understand. By the way, keep the gauze first, and when the extra meals are ready, hand it over to Kuaikang Hospital. Also, keep this a secret, whoever spreads it will be responsible for the extra meals for the entire department."
Doctor Yang Yu said this with a serious expression.
This time, no matter how stupid Li Quan was, he understood it.
Director Zhang of Huier Hospital should have reached some kind of agreement with Kuaikang Hospital. This was originally a medical accident, and as long as it was not exposed and not spread, it was equivalent to covering up the matter.
All the patient's family wants is for the patient to recover.
What Kuaikang Hospital wants is to make big things small and small things disappear. Spending money to avoid disaster is nothing.
Li Quan couldn't help but sigh that the game of interests is everywhere. The world of adults is a network of interests constructed by interests, and it is also the most real world.
