"Jin Cheng, don't just focus on training anesthesiologists. We emergency doctors can also learn from it. It can be of great use at critical times!" Director Tang said with a smile.
Jin Cheng nodded and said: "Comrades who are free in the evening can come and listen. Regarding acupuncture, I actually have a series of plans..."
Jin Cheng talked about his plan to hold a national training class. Of course, publishing was not going to cooperate with hospitals.
"Haha, what a good idea! You must not leave the emergency department behind. The emergency department needs to borrow your strength to expand its influence! I think in addition to the acupuncture and anesthesia training class, you will also run the debridement and suturing training class!" Director Tang Thinking divergently, he smiled.
Jin Cheng thought about Zuo Zhaosheng asking him to study further, and felt that it was still feasible.
"Okay, but the publicity department of the hospital still needs to put more effort into publicity and promotion. We definitely can't do it by ourselves." Jin Cheng said with a smile.
"Don't worry, leave it to me, you just need to do a good job in teaching!"
After leaving the director's office, Jin Cheng returned to the doctor's office.
It’s almost time to get off work in the afternoon, a rare moment of leisure.
Xie Yalun was instructing intern Lin Yan to write medical records. An Shanshan was burying her head in writing shift records. Resident doctor Zhang Zhe was writing medical orders for a patient under observation. Xu Yang didn't know what he was doing and saw no one.
The thin Lin Yan finally met Jin Cheng again today. This teacher is a bit unreliable!
Lin Yan called out "Teacher Jin" in a low voice and started writing the medical record carefully.
"Brother Jin, aren't you resting at home?" An Shanshan raised her head, took a look, and continued to write. She finished writing early and left work early.
"I made an appointment with the anesthesiology department to give them a lecture on acupuncture and anesthesia." Jin Cheng said with a smile.
Xie Yalun turned around, revealing his big shiny forehead, and said: "Jin Cheng, give us some training as well. Acupuncture and anesthesia are both traditional and advanced. We must learn it too!"
"Yes, we must learn too!" An Shanshan said excitedly.
Resident doctor Zhang Zhe has an average appearance, build, education and abilities. He has little presence in the emergency department and is usually relatively silent. He pushed up his black-rimmed glasses and said nothing, but his eyes were still eager.
"Haha, anyone who wants to learn can come to the class, but let me make it clear first that acupuncture is not that easy to learn. The key is to understand and feel, so you must be mentally prepared."
For arm anesthesia, Jin Cheng summarized a set of the most streamlined operating techniques, which can use at least 6 acupoints to achieve the ideal anesthesia effect. But just like some people can learn surgery after just one look, some people can’t do it after a year of training. If you can't learn it, it still depends on your talent. If you don't have enough talent, you can barely make it through hard work.
"Doctor Xie, here comes a man who broke his wrist. Take a look!"
An aunt about 70 years old was supported by a middle-aged woman and followed behind the nurse. The aunt held her right arm with her left hand and looked very painful.
Jin Cheng looked at the old lady's right wrist. It had a typical fork-like deformity and a fracture of the distal radius. She was not running away. Jin Cheng didn't even need to open his heavenly eye.
Xie Yalun was the frontline doctor today. He stood up, asked the old lady to sit on the chair, and asked, "Old man, how did you get hurt?"
The woman next to the old lady replied: "I fell in the shower at home!"
"How long?"
"It was after eight o'clock last night!"
"Well, it looks like your wrist is fractured. Let's take a photo first. I'll bill you. Come directly after the photo is taken. Don't wait for the results. You can view them on my computer."
"Doctor, my mother doesn't need surgery. She's so old, I'm afraid she won't be able to bear it!" the old lady's daughter said worriedly.
Xie Yalun quickly opened the examination form, handed it to her, and said, "Let's take a picture first. Whether we need surgery or not depends on whether the fracture is serious or not."
The mother and daughter went to take pictures. Jin Cheng sat in front of the computer and started preparing courseware PPT.
Ten minutes later, Jin Cheng finished his work and stood up to leave for the anesthesiology department for dinner.
The patient just now came back from taking a film. Xie Yalun grabbed Jin Cheng and said with a smile: "Brother, help me take a look at the film to see if I need to be hospitalized for surgery."
Xie Yalun opened the imaging system, entered the patient's name, and soon the image came out.
"This is a comminuted fracture. The joint surface is ruptured. It will definitely require hospitalization for surgery!"
Xie Yalun only took one look and came to his own conclusion.
In most cases, if the joint surface is ruptured and displaced by more than 2 mm, surgery is indicated. Surgery must be performed to restore the smoothness of the joint surface, otherwise the joint will easily wear out, causing traumatic arthritis and inducing joint pain.
"Doctor, we don't want surgery, we just want conservative treatment, so you can just put a cast on!" the old lady's daughter said firmly, without even asking the old lady for her opinion.
Xie Yalun shook his head and said: "A plaster alone is definitely not enough. Without surgery, even if the bone has grown back, it will still be a malformation. In the future, the joint will be useless, which will seriously affect her life!"
The old lady's daughter's face turned cold and she said: "When you perform surgery, you know how to ask the patient to operate. An operation can easily cost ten or twenty thousand. Nowadays, doctors are so shady. They know how to cheat money!"
Xie Yalun was speechless for a while and explained the condition to her professionally, but she thought the doctor wanted to cheat her out of her money.
"Mom, let's go and find an old Chinese medicine doctor in our town. Just apply some Chinese medicine and it will be fine!"
After speaking, the woman supported the old lady and prepared to leave.
"etc!"
Jin Cheng shouted: "If you don't want to be hospitalized, then don't go to an old Chinese doctor to apply Chinese medicine. It will definitely not be cured. Let's do this. I will repair the old man's fracture, put a plaster on it, and then go back and find an old Chinese doctor to prescribe some blood circulation." Do you think it’s okay to take traditional Chinese medicine for setting bones?”
The old lady's daughter thought for a moment and said, "That's okay, but let me make it clear first that I won't give you money until you get a full recovery!"
Everyone was speechless for a while, this woman was too mean.
"Okay, if the rehabilitation is not good, there will be no charge!" Jin Cheng said with a smile.
The old lady sat down again.
Xie Yalun was a little anxious, so he pulled Jin Cheng out of the office and said, "Jin Cheng, this patient has such obvious indications for surgery, why do you still want to perform surgery on her!"
Jin Cheng spread his hands and said: "You have also seen that her daughter has made it clear that she does not want to pay for the old lady's medical treatment. We know the consequences of not having surgery, so we cannot just let them leave! We must find a way to minimize the sequelae!" "
Xie Yalun touched his smooth forehead and said worriedly: "The old lady has been fractured for a day, and she has missed the best time to recover. The swelling is so severe that the bones can't be touched. How can she recover? After a while, the old lady will be rehabilitated. It hurts my wife even more. Not only will her daughter not pay the fee, but she may also extort money from her!"
Jin Cheng smiled and said: "You have forgotten that I am a surgeon and have done many surgical procedures. I am confident that this patient will be satisfied with her surgery!"
Xie Yalun didn't know what to say for a moment. Your hand surgery department will always hospitalize patients for surgery when they encounter this kind of patients. Those who don't need surgery will basically not go to the hospital. I believe that your kid did a good job in surgery, but you said that the manipulation method You can do it too, I believe you, you bastard...
