Start From Emergency Doctor
Chapter 237
Chapter 237
The operation of the inner figure-of-eight stitching method is extremely cumbersome.
Although it has the advantages of being reliable, not easy to slip off, and quick to operate, most doctors prefer to use simple interrupted sutures and other suture methods instead of cumbersome suture steps.
Take the intestinal anastomosis as an analogy. When performing the anastomosis here, the posterior wall must be sutured first.
Insert the needle into the serosal surface and exit the needle vertically through the mucosal surface at a distance of 4 mm from the cutting edge of one intestine, and then insert the needle into the mucosal surface and exit the needle at the corresponding point of the contralateral intestine, and then return to the ipsilateral intestine obliquely at 45 degrees. Previously, the needle was inserted and discharged in the order of “mucosa-serous membrane-contralateral serous membrane-mucosa”, and the distance between the two needles was strictly controlled at 5 mm.
Finally, tighten the thread on the mucosal surface to tie the knot. The suture on the mucosal surface is in Arabic numerals “8”, and the serosal surface shows that the two stitches are parallel.
The same applies when suturing the anterior wall. The needle is inserted and discharged in the order of “serous membrane-mucosa-contralateral mucosa-serous membrane”. The “8” suture faces the mucosal surface, and finally tightens the knots on the serous membrane surface. The stitches are parallel.
Of course, it is not only intestinal anastomosis. In obstetrics, once pregnant women undergoing confinement and episiotomy, the internal figure eight suture method is also applicable to suture the perineum and vagina.
Thinking of this, Zhou Yuan was silent for a moment.
Isn’t it for delivery? The system must deliver the baby by itself?
Zhou Yuan sighed, retracted his gaze, and continued to study the modified replantation after finger transplantation.
Soon, Zhang Ling ran over excitedly.
“Zhou Yuan is coming! Payroll!”
Zhou Yuan recovered and stood up with some joy.
“How much salary do you have?” Zhang Ling asked curiously.
Zhou Yuan turned on his mobile phone to check the remittance information of his salary card.
“+63, ”
This month’s salary reached 63,000.
Zhang Ling looked horrified.
“Zhou Yuan, your salary is higher than Director He…”
“How many teachers?” Zhou Yuan was also a little curious.
“His salary is more than 20,000…”
Zhang Ling took a deep breath: “Sure enough, you are now the highest paid person in our emergency department~ˇ!”
She was a little envious, but Zhou Yuan deserved it.
In other words, sixty thousand yuan is nothing to Zhou Yuan. With Zhou Yuan’s current status, I am afraid that if the asking price is one million, there will be a lot of hospitals thinking about inviting Zhou Yuan over.
Because what Zhou Yuan represents is a brand-new technology, a brand-new field!
“Zhou Yuan, you have created a remade finger again. There must be a lot of bonuses to take. You must invite us to dinner!” Zhang Ling said staringly.
Zhou Yuan smiled: “Tomorrow we will have a dinner in the emergency department!”
After a pause, Zhou Yuan suddenly remembered something and said, “Tomorrow will not be the same as last time, except that I will be all female, right?”(Read more @ wuxiax.com)
Zhang Ling waved her hand: “No, no! The hospital’s scheduling is also about men and women. It is impossible for male doctors to line up together, and female doctors to line up together!”
Last time, it was just because every doctor had been relegated, so that all the male doctors except Zhou Yuan were queued up.
Zhou Yuan nodded.
After staying for a while, patients in the emergency department came and went, and the total number remained the same.
When Zhou Yuan returned to the clinic, he was recognized by several patients. They all walked into the clinic happily holding up a bleeding hand or lame.
With Zhou Yuan’s stitching technology, the insiders can see that the needles are inserted finely and the needles are ejected neatly, while the outsiders see it as dazzling and beautiful.
Therefore, everyone knows that Zhou Yuan has two stitching brushes.
Suture is a sparse and common thing for Zhou Yuan. Zhou Yuan was very excited at the beginning. Now he touches human skin and goes through procedures. After debridement and disinfection, he holds the tweezers in his left hand to fix the skin, and the right hand operates the needle holder to pull the suture thread. .
“Doctor, can you sew me into a dragon shape?” a big man asked.
There was a wound about eight centimeters in length on his arm. It was said that he was showing off his skills when selling vegetables. He put the fish on his arm and wanted to open his belly with a knife. As a result, the scales of the fish were too slippery, and the knife was not stabilized. On hand.
Zhou Yuan was a little speechless, and said, “I am a doctor and I am not responsible for tattoos.”
The big man was taken aback, “Don’t you stitch very well, can’t you stitch me like a dragon?”
Zhou Yuan: “Then I will turn your skin up and sew a dragon claw next to it.”
The big man was shocked.
Thinking of the pain of the skin being torn apart, he finally gave up.
After sending away Dahan Long, the progress of the system’s “dock stitching method” jumped a bit and became 9/10.
One more time, you can get another random reward.
Although sutures are too small compared to hemorrhoids or foreskin surgery, random rewards are definitely not as good as the latter, but no matter how small the ant is, it is meat.
After a while, Zhou Yuan finished sutures for a patient again.
“Complete ten butt stitches! Obtained! Energy potion*1!”
Zhou Yuan was a little disappointed.
It’s not a concentration potion.
After opening treasure chests and random rewards several times, Zhou Yuan was probably able to determine that concentration potions were indeed more precious than energy potions and physical strength potions.
When it was almost off work, Chuchu came to the door of the clinic.
Zhou Yuan is suture the last patient’s finger cuts-in fact, this kind of cuts do not need to be sutured, only a little compression bandage can be automatically healed, but the patient strongly requested, Zhou Yuan can’t help it.
At the beginning, I watched it with relish, without any fear at all.
Zhou Yuan glanced back, a little surprised.
The average child is afraid of this, and it seems that he didn’t care at all at first.
“¨ˇWhat a cute child!” The 21-year-old female patient said joyfully while lying on the bed.
Chuchu politely smiled.
Zhou Yuan quickly finished the sutures, and finally applied pressure to the patient with gauze covered with medication, and said, “Don’t touch the wound with water. Try not to take a bath. If you take a bath, wrap your hands in a plastic bag or something over your head.
The female patient nodded, thanked her and left the consulting room.
“Let’s go.” Zhou Yuan took off his gloves and threw them into the medical waste (no money) trash can.
The two came to the dressing room. Zhou Yuan stood by the cabinet and changed clothes. Chu Chu sat on the chair, shaking his short legs.
“Brother, go to school tomorrow!”
Zhou Yuan smiled, “Are everything ready?”
“Ready! The schoolbag is at my mother’s place, I want to go to my brother’s place to sleep, and my brother will ask Chuchu to get up tomorrow!”
Lu Chenxi was on the night shift, and when she came back, she was already late at the beginning.
Zhou Yuan nodded, “Hurry up and carry your schoolbag.”
It just so happens that tomorrow is also Sunday, Zhou Yuan does not have to go to work.
At the elementary school, at the very beginning, at most, you can sign up for a name, get textbooks, and do some physical examinations by the way. The real start of school has to wait until Monday to faint.
Ten minutes later, Chu Chu, carrying a small schoolbag, and Zhou Yuan stood at the door of the emergency department.
The two were about to walk out of the hospital when a hurried voice rang from the hospital.
A figure hurriedly ran in front of Zhou Yuan and stopped the two of them. .
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