Chinese medicine: When you do things to the extreme

Chapter 60: Business of seeking assistance? (Please collect and read)

This was not the first time Zhou Yanqing came to the emergency department, but this time, the emergency department still felt extremely "unfamiliar".

Patients standing in a disorderly manner, treatment carts placed in a disorderly manner, confused family members, confused wheelchairs, confused trolleys, nurses running in a disorderly manner, and confused sounds were all mixed together.

The previous second and the next second cannot be repeated, and there is no familiar feeling at all.

Zhou Yanqing knew that the place he was going to was the emergency surgery clinic.

The emergency department of Xiangya Hospital is U-shaped. In addition to the most basic emergency internal medicine and emergency surgery clinics, there are also separate emergency clinics for neurosurgery, neurology, psychiatry, dentistry and other specialized departments, which are neatly arranged like a compass.

Without a doubt, the medical and surgical clinics have the most people.

Zhou Yanqing arrived at the door of the emergency surgery department and, wearing a white coat, he squeezed for a full half minute before he was able to enter the clinic.

"Make way, thank you, give me a seat." Zhou Yanqing kept pushing away the crowd with both hands, looking back and pretending to be angry, but when he saw the faces of the people in white coats calm down, he gave up his seat.

"Excuse me, I'm going in to see a patient, please make way." Zhou Yanqing was still very polite.

"Don't push, line up... come one by one, there's no point in pushing and shoving. If you don't get in line, you won't be allowed to see me even if you come in!"

In the clinic, there was a loud shout, which was much more serious and fierce than Zhou Yanqing's voice.

The commotion in the crowd finally came to a halt.

After Zhou Yanqing entered the consulting room, he found that the three seats were filled with patients and their families. In addition, there were patients in wheelchairs waiting against the wall, and there was a young couple who were looking around in confusion.

Among them, the young man’s right hand was covered with blisters caused by white bandages and gauze.

"Teacher, which patient is this from the hand surgery department?" Zhou Yanqing asked cautiously for fear of making a mistake.

"By the wall!" One of the young men didn't even look at Zhou Yanqing. He pointed to the wall and said to the old lady and her family, "There's nothing wrong with your head CT scan. It's just a little skin break."

"I feel dizzy... Ouch, my head is so dizzy, ouch." She covered the right side of her face and cried out in pain.

Next to her, her husband began to question: "My husband was knocked down. He is so old and now he is dizzy. How could he be okay..."

Next to him, a middle-aged man had a gloomy face and said nothing.

Zhou Yanqing didn't care about all that. He walked towards the young couple and asked, "How did you get hurt? Is the wound deep?"

The patient has been bandaged, so it is not appropriate to open it in the clinic. We need to get a general understanding of the situation through questioning.

Hearing this, the young man looked at Zhou Yanqing suspiciously. After checking that Zhou Yanqing's white coat was indeed the logo of Xiangya Hospital, he said, "My wife was cutting fruit while watching TV. When she saw the snake, she stabbed me with the fruit knife."

"I can't dodge it, so I can only catch it with my hands."

"The skin is broken. The doctor just checked and said there is also tendon damage. It needs to be sutured."

The woman next to the young man swallowed her saliva, her ears slightly reddened as she said, "I didn't mean it, doctor. I'm just, very afraid of snakes..."

Zhou Yanqing nodded: "The reason is not particularly important. Since the wound is not deep, just sew it up. Come with me to the operating room."

Upon hearing this, Zhou Yanqing tilted his head and asked, "Teacher, has the doctor given the order for debridement and suturing of this hand injury?" He had to ask clearly, otherwise he would not be able to get the debridement kit from the emergency department nurse station later.

"It has been prescribed. Including tetanus..." The young man who had replied to Zhou Yanqing before replied again and then plunged into the continued 'battle' with the old grandmother.

As Zhou Yanqing led the young couple out of the door, the young man asked cunningly, "Doctor, have you graduated?"

Zhou Yanqing tilted his head and explained: "Brother, don't worry, I have proof."

"When you come to Xiangya Hospital, you won't encounter interns for any other operations except removing stitches and changing dressings."

The young man relaxed a bit and said with a smile: "It's mainly because you, doctor, don't look old at all."

Zhou Yanqing quickly took the two to the nurse station of the emergency department to get a debridement kit, two commonly used tendon micro-sutures, and two skin sutures.

When he took the two people to the emergency operating room door No. 3 to line up for the operation, Zhou Yanqing said: "Please wait a moment. You will need to sign something later. It is mainly about the precautions and corresponding risks after debridement and suturing."

"Informed consent, this is the process we must go through. You have to sign whether you agree or not."

There is no dedicated operating room for hand surgery in the emergency department, so everyone has to wait in line.

At this time, Zhou Yanqing can go and print the informed consent form for the surgery.

This is also the routine that Ning Zhu taught Zhou Yanqing. First, see the patient, show humanistic care, and then find time to print out the signed documents. This will make the patient feel a little better.

The younger the doctor, the more attention he should pay to these small details. This will give you more opportunities to perform operations. Otherwise, if others refuse to let you perform the operation, you will have no choice but to call your superior for permission.

After Zhou Yanqing explained the situation to the young couple and obtained the signed documents, the door of the operating room was opened.

A young man in his thirties in a white coat came out. He had a broad face and only glanced at Zhou Yanqing before he said, "Classmate, go to the emergency surgery ward and call Professor Tong for me."

Zhou Yanqing tilted his head and looked at the other person. He blinked twice and pointed at the patient: "Teacher, I am from the Department of Hand Surgery. I am here to sew the finger tendons. I am not an intern."

Upon hearing this, the young man hurriedly bowed and apologized: "I'm sorry, I recognized the wrong person."

"You may need to queue up over there, inside." The young man's eyes suddenly lit up when he was halfway through his sentence, and he asked again, "You just said you were a hand surgeon?"

Zhou Yanqing nodded and placed the signed document in his hand on the storage table at the door of the operating room.

"That's great, brother!" The young man was wearing gloves. He turned his hands outward and took two steps towards Zhou Yanqing. He lowered his voice and said, "Brother, can you help me? The muscles of the patient inside have been torn several times and can't be closed now."

"Ah?" Zhou Yanqing raised his head and looked at the other party with a little surprise.

Zhou Yanqing had never heard of this kind of business. Even Ning Zhu had never taken him to do it?
"Come on, brother. Come in with me quickly. Your name will not appear on the operation page." A doctor from the emergency surgery department or the chief resident of some department said immediately.

Zhou Yanqing saw the sincerity in the other party's expression and thought about it carefully. It seemed that if he went in, he would just be an assistant. It would be impossible for the other party to write that he was the main operator.

He nodded and whispered, "Then I'll try it."

(End of this chapter)