28. Monthly salary for house inspection at work
The old year is gone and the new year is here.
The entrance of Tongren Hospital seems a bit lively. It seems that the newspapers and news these days have been effective. There are many more patients coming for treatment than before.
After three days of uneventful yet peaceful leave, Jiang Lai arrived at the hospital and began his formal work. He took out a box of printed information on amputated limb replantation from the car, and carried it into the hospital.
"Dr. Jiang, are you here?"
"Good morning Dr. Jiang!"
"Good morning, Dr. Jiang!"
Although Jiang Lai was not wearing a white coat, he was still recognized by many of his new colleagues, and Jiang Lai responded with a smile and nod, because he could not fully name these people.
Then, he saw Zhao Xiaosi walking in the corridor. He looked good and the wounds on his hands had healed a lot over the past few days. "Good morning, Jiang Xiaoer."
Jiang Lai laughed and said, "I'll go back to the ward later. I have to do rounds."
"I know." Zhao Xiaosi agreed, and then walked towards Jiang Lai, "Yesterday, a Japanese died. I asked someone to inquire about it and said that I wanted to sue you."
Jiang Lai tilted his head and his eyes were full of doubts. The death of the Japanese was related to him... was he the one who rushed him to the hospital? How did his death... have anything to do with him?
"I've told you what happened, so be prepared. People like this are the most difficult to deal with." Zhao Xiaosi raised his right hand and wanted to pat Jiang Lai on the shoulder, but firstly, there was a height difference, and secondly, he
Remembering that his relationship with Jiang Lai was not that good, he paused awkwardly with his right hand for a while and then put it back.
Jiang Lai smiled and sighed, "You dandy Mr. Zhao, are you going to look back?"
Zhao Xiaosi's face turned red, he snorted, and returned to the ward with a sigh.
Jiang looked amused for a moment, then turned and entered the surgery office.
"Doctor Jiang, good morning!" Li Shu saw that it was Jiang who was holding a box, so he quickly stepped forward to help.
"Jiang, are you here?" Charlie also greeted with a smile.
"Well, good morning." Jiang Lai nodded, refused Li Shu's help, and put the box on the table, "Where is Professor Bourne?"
"In the office." Charlie replied, "Shel arrived at the hospital early this morning."
"Why is he here?" Jiang Lai didn't understand why an injured person came to the hospital.
"Change the dressing!" Li Shu smiled helplessly, "I knew you were coming today and came to see you to change the dressing! Dr. Jiang!"
Jiang Lai burst out laughing and nodded, "Okay, then I'll go find the professor."
"By the way, Jiang, that Uesugi Tsukasa is the Japanese man with open pneumothorax and liver damage that you came in for emergency treatment on New Year's Eve. Yesterday, he suddenly had difficulty breathing, coughed up blood, and had chest pain. He was not rescued and has already gone to see God." Charlie
I reported what happened yesterday.
Jiang Lai nodded, "I understand."
"Logically speaking, Director Rodan should have done a good job in surgery..." Charlie didn't quite understand.
"Charlie, we are doctors, but not gods. Just because the operation is good, it does not mean that the person will live. This... we should make it clear earlier." Jiang Lai warned.
When he was still young, he would also feel uncomfortable when a patient's cancer recurred and died... Every time the death certificate was issued, he was quite silent, because those people were not saved, and some people, even before they died, were still alive.
I thanked him and said, thank you, Dr. Jiang.
"I know...but the Japanese female patient has also been discharged. At the same time, the family member seems to have a problem with you." Charlie also began to remind Jiang Lai.
Jiang Lai nodded in agreement, and then the office door was pushed open, and it was Professor Bourne who came in with Xie Er.
"Jiang, welcome!" Professor Bourne was very happy that his proud student could stand unswervingly among his colleagues.
"Professor, good morning." Jiang Lai also greeted with a smile, and then seeing Xie Er who seemed to be recovering well, he also stepped forward and gave him a hug, "Good morning, buddy!"
"Change my dressing!" Sher raised her chin proudly and said with a smile.
"Okay, later." Jiang Ziyi responded.
"Okay, how about ward rounds?" Professor Bourne looked at the group of doctors in the surgical team and couldn't help but feel proud. It can be said that those who can train under him and be recognized by him are all extremely outstanding talents.
"good."
Even Xie Er also put on a white coat with Charlie's help, because he heard that... Jiang Lai also performed a replantation surgery on his severed wrist!
So, starting from Special Needs Ward No. 1.
"Patient Liu Yuan, male, 28 years old, unmarried and has no children, has no history of smoking or alcoholism, no family history of genetics, no history of drug allergies, and no chronic diseases such as hypertension, diabetes, etc."
"I was admitted to the emergency hospital with a gunshot wound on December 29. I was in hemorrhagic shock when I was admitted. Emergency laparotomy was performed, the bullet was removed, splenectomy, intestinal repair, anti-infection and blood transfusion were given. On the 6th day after the operation, the dressing was changed for 3 days.
The wound showed no signs of redness, swelling or inflammation.”
As his own surgical patient, Jiang Lai was very aware of Liu Yuan's condition, "I reviewed the blood picture yesterday and there was no obvious abnormality."
Bourne nodded, asked a few questions in Chinese about Liu Yuan's current situation, listened to the heart and respiratory sounds with a stethoscope, and then waved his hand and went to Special Ward No. 2.
As for Liu Yuan, the corners of his mouth twitched and he laughed again.
It was the first time he had seen a ward round in English. He couldn't understand some of the professional vocabulary, but he just heard the blond-haired foreign doctor say that it was Jiang who snatched him back from the hands of God, and he realized
Really, if it hadn't been for Jiang Lai... these foreigners wouldn't have taken over the seriously injured me so easily, and I might have died long ago.
…
Specially needed ward 2.
Zhao Xiaosi was already immune to the sight of a bunch of people, but...looking at a bunch of white coats, he was still a little nervous and had no choice...Patients are afraid of doctors, even if this was not the first time a bunch of white coats were seen.
People in big coats came to watch him...
"Patient Zhao Anbin, 23 years old, male, unmarried and has no children, has no history of smoking, has a history of alcoholism, at least 1 kilogram of rice wine/day, has no family history of genetics, no history of drug allergies, and no chronic diseases such as high blood pressure and diabetes."
"On December 28, I was admitted to the hospital after my left ring finger and little finger were severed by a sharp instrument. Emergency replantation of the severed left ring finger and little finger was performed. Postoperative anti-infective treatment was given, and incandescent lamp irradiation and heat preservation were performed. On the 7th day after the operation, the dressing was changed three times.
, there is no redness, swelling or inflammation in the wound, and the blood supply to the severed finger is good.”
Professor Bourne listened to Jiang Lai's voice and still tore off the gauze on Zhao Xiaosi's hand. The wound had indeed recovered well, and the temperature of the severed limb was not much different from other parts. In addition, Zhao Xiaosi accidentally hooked
Moved my fingers...
"This case is already certain to survive." Bourne sighed and looked at Jiang Lai, "Jiang, your idea is simply amazing!"
Jiang Lai nodded sheepishly. After all, he stood on the shoulders of the predecessors of later generations, but even in later generations, the world's first replantation of severed fingers was done by Chinese doctors.
"What about subsequent recovery?"
"During this period, you can slowly start massaging for a few minutes. The time should not be too long. After a while, you can start functional exercises."
"Then do we need to set up a special recovery room?" Sher suddenly asked.
"If anything... it would be best." Jiang Lai would not refuse. After all, special recovery is indeed required after reimplantation.
"Let's go back and discuss this." Professor Byrne said, and then said a few words to Zhao's mother in Chinese. The general idea was that she was recovering well, but she still needs functional recovery in the future.
Mother Zhao thanked her profusely, and then stared straight at Jiang Lai.
A group of people all knew about the grudge between the two, so they ignored it and went to Special Needs Ward No. 3.
"Patient Dana, female, 32 years old, married without children, had menarche at 14 years old, irregular menstrual cycle, 28 to 40 days, each menstruation lasted for 5 to 6 days, last menstrual period on October 31, no history of smoking or alcohol abuse, no
Family genetic history, no history of drug allergies, and no history of underlying diseases such as hypertension and diabetes.”
"On December 29, I was admitted to the hospital with abdominal pain in the right lower abdomen. Acute appendicitis, right fallopian tube pregnancy and other diseases could not be ruled out. Routine preoperative preparation was performed. The abdominal pain worsened at 11 o'clock on the night of the 29th. An emergency laparotomy was performed, and the right fallopian tube pregnancy was diagnosed, and embryo retrieval was performed through a window.
The operation was performed and anti-infection and other symptomatic treatments were given. On the 5th day after the operation, the wound recovered well."
Professor Byrne nodded, while Ms. Dana's face turned slightly red, because...this is a group of big men!
Afterwards, Professor Byrne tore off the gauze and took a look, "Transverse incision?"
"Yeah." Jiang Lai nodded, "For ladies, this incision is more friendly."
Chapter completed!