The hospital staff restaurant gets particularly busy from 17:00.
Some handymen and caregivers came over early to eat. Some smart caregivers will also help doctors prepare meals.
Many people imagine that nursing staff are the ones who carry feces, urine, and food to patients in the ward. In fact, major hospitals now have a very large number of non-staff personnel. Many staff who look like nurses are just hired nurses outside the hospital departments.
Although there is no distinction between high and low jobs, a clear hierarchy can still be distinguished in the hospital based on the responsibilities, remuneration, and employment contracts of nursing staff.
The most awesome one is definitely the dean of the nursing department, followed by the chief nurse, head nurse and related leaders.
Further down are ordinary nurses.
The chief nurse is a relatively good person, with a fair status, not a particularly high one. Chief physician and chief physician are two completely different concepts.
Further down, the deputy chief nurse and the head nurse are considered to have some status among nurses, and they basically do second-line work or give orders.
Next down are ordinary nurses, which are divided into senior responsible nurses, ordinary nurses, internship nurses, etc.
The above, except for interns and trained nurses, are all regular employees of the hospital.
Including the guidance nurses who are looked down upon by many people, in fact most of them are people who have only half a foot in the ranks of regular employees.
There are two types of nursing workers, one is hospital-based and the other is social nursing workers.
The jobs they engage in are often more mundane, such as receiving reception at the front desk, persuading patients to receive physical therapy, examinations, etc.
For example, for pelvic floor repair and uterine prolapse in gynecological outpatient clinics, due to the high frequency of physical therapy and magnetic therapy, many patients will buy the equipment online for home treatment.
The nurse should persuade these people to seek treatment in the hospital outpatient department as much as possible.
Because we must generate income.
Rehabilitation treatment for uterine prolapse costs three to four thousand yuan per course of treatment, and those without medical insurance will not be reimbursed. People can buy an instrument online for less than RMB 3,000. They can do it at home whenever they want, and they can use their toes to know how to choose.
Severe sagging may even require two to three courses of rehabilitation, which can cost more than 10,000 yuan.
Few patients can afford such high treatment fees.
At this time, the caregiver needs to solicit customers.
Therefore, nursing staff need to please the department doctors. If the doctor is dissatisfied with her, wearing small shoes twice will make her unbearable.
Hospitals are not as sacred as everyone thinks, and it is even more nonsense that everyone is equal.
There is almost no difference from the ordinary workplace.
When it's time to flatter, you have to flatter.
After Li Jingsheng swiped his card to enter, he could see that many people were already dining.
Ou Qinglan is easy to find. In the vast sea of people, no matter from the side, the back, or the front, people can always find her easily.
When you look at it, it really shines.
"Qinglan!"
Li Jingsheng strode over.
"I made braised pork for you, and also bought a loach. Let's see what vegetarian dishes you like."
Ou Qinglan was holding two stainless steel dinner plates.
She only had two side dishes and a little rice on her own plate.
"Buy all the good ones for me?"
Li Jingsheng is never picky about what he eats.
"You must eat better, look at how thin you have become recently! Hurry up and choose the side dishes, we have to go to the operating room later!"
"Give me another cabbage!"
After Li Jingsheng finished speaking, he looked at her plate.
"Why don't you eat some meat?"
"Afraid of gaining weight! Our girls' figures are more important than anything else."
“You won’t gain weight if you eat shrimp meat!”
"Do you see any shrimp meat here?"
"Chicken and fish are also okay! They are foods that won't make you fat." Li Jingsheng said to the aunt who was serving food. "Give her some chicken!"
Ou Qinglan had no objection.
When paying for the dishes she ordered later, she rushed to pay for them.
Li Jingsheng saw that the balance in her card was not much, and it seemed that there was only 173 yuan left.
After finishing their meal, the two found two empty seats next to each other and sat down.
"Do you want to eat loach?"
Li Jingsheng directly took one to her.
"If you don't want to eat, I won't eat. I'm most afraid of snakes and loaches." She quickly returned it to him.
"Are surgeons still afraid of snakes? I think it's much scarier when you operate on a patient than a snake."
"We girls are more afraid of snakes. Other girls are afraid of mice, but I'm not afraid."
She smiled sheepishly.
It can be seen that she quite likes eating chicken.
If Li Jingsheng hadn't ordered one for her, she would definitely not have bought it.
There was a female nurse sitting opposite, she must be forty-seven or eighteen years old. When she saw the deep affection between Li Jingsheng and Ou Qinglan, she couldn't help but smile.
"Hello!"
Ou Qinglan was a little shy, but she still smiled and said hello to the other party.
Li Jingsheng nodded towards the female nurse.
Nursing is a youth-oriented job. Many nurses who are older either voluntarily resign or are forced to resign and change careers.
Only a handful can take a back seat.
This nurse is close to fifty years old and has not yet retired, so her position will definitely not be low.
"Seeing you two, I can't help but think of my lost youth. When I fell in love with my old Lin, you were in the same state. Many people say that a doctor marries a nurse, or a doctor marries a doctor, because of their work. They are all very busy, so they must not be able to take care of their families. I don’t think it’s okay.”
She said to the two with a smile.
"That's that."
Li Jingsheng smiled and nodded repeatedly.
"Which department do you two belong to? You look really good, your eyes are kind and full of righteousness."
“We work in orthopedic surgery!”
"We are still in the same department, so it is more convenient to fall in love. I remember that when I was busy in the past, I could only see Lao Lin twice a week. Because I work as a nurse and he is a doctor, we often mix right and wrong."
As she was talking, the female nurse covered her chest.
There was a slight expression of pain on his face.
"Are you okay?"
As soon as Li Jingsheng sat down, he noticed that the female nurse was covering her left breast.
The pericardium is located in the left chest cavity, and the cardiovascular system is densely packed.
"It's nothing serious. It's an old problem. Sometimes if you speak more quickly or move a little louder, you will suddenly feel some pain. After a while, it will relieve itself. It has been more than ten years."
The female nurse smiled and shook her head, saying it was okay.
"This has been hurting for more than ten years, haven't you seen it yet?"
Li Jingsheng feels that many patients have a "fine tradition" and their tolerance is particularly good. If you have pain in your body, as long as it is not particularly severe, you can endure it.
This is actually very bad.
When there is pain in the body, it means that the disease has begun to occur.
At this time, you should go for examination and treatment immediately.
However, the patient was afraid of spending money and delaying work. He thought it was just a minor problem and not serious, so he kept putting it off.
The female nurse in front of me is an old nurse with at least twenty years of work experience.
Even when she encounters such a minor illness, she puts it off and ignores it. It is conceivable that if she is an ordinary person, it is even less likely to see a doctor.
"My Lao Lin is a doctor, and I am also a nurse with almost 30 years of working experience. I can tell that it must be a small problem. I haven't done any examination. If you think about it, if there is something wrong, it won't be more than ten years. It’s always been like this.”
The female nurse smiled nonchalantly.
"That's right, but I still suggest that you take a film and see it, so that you can rest assured." Li Jingsheng knew that there was no way to change an adult's concept.
The female nurse thought that there was nothing wrong with her, and it was very difficult to persuade her to go for a check-up.
"Thank you for your suggestion. I'll check it out when I have time. But I guess it's okay."
The female nurse really couldn't persuade her.
Naturally, Li Jingsheng would not persuade him any more, otherwise there would have been a stalemate.
After eating, he and Ou Qinglan went to the operating room for surgery.
Professor Wu has been waiting in the operating room for a long time.
This is really interesting. According to usual practice, the doctor with the highest status is often the last one to arrive.
However, this time the operation was performed by Li Jingsheng, with Ruan Xiaoqin assisting.
Strictly speaking, Li Jingsheng is the chief surgeon.
Considering that the medial femoral condyle bone flap needed to be transplanted, the patient was actually given general anesthesia.
"Dr. Li, according to Director Hua's wishes, you will be responsible for the entire process. If you encounter any areas where you are not sure, you can call me at any time."
Professor Wu had seen some of Li Jingsheng's surgical skills, but this was his first time having Li Jingsheng perform the surgery.
In the past, the most they could do was ask Li Jingsheng to stop the bleeding and sew the skin.
"OK!"
With the help of the handwashing nurse, Li Jingsheng has put on gloves and a surgical isolation gown. I have been very busy recently and my hair is a bit long, so it is very inconvenient to wear a headgear.
He was thinking about changing his hairstyle.
Anyway, I have a girlfriend now, so it doesn’t matter if I don’t dress up so handsomely.
Standing in the chief surgeon's position, Ou Qinglan was not qualified to go on stage and could only watch her from the audience.
She felt very proud to see that her boyfriend was so good and started to perform surgery directly. She was also happy for Li Jingsheng from the bottom of her heart.
"Dr. Li, is the knife position drawing OK?"
Ruan Xiaoqin, a senior attending physician, is now willing to work as a medical assistant to Li Jingsheng.
There is no way, the operating room is all about strength.
He was unable to perform surgery and could only work as a medical assistant for Li Jingsheng.
He was quite happy to be the first assistant. Because if this operation is successful, he can also benefit from it.
"The painting is very good."
Li Jingsheng glanced at the knife position. Ruan Xiaoqin asked him beforehand, and the painting position is just right now.
Even if it is just such a small matter, if Ruan Xiaoqin's anatomy knowledge is poor and his surgical experience is not rich enough, he will definitely ask others for advice.
It seems that the only people he can ask for advice are Professor Wu and Director Hua.
The chief physicians in other groups may not take care of him.
Li Jingsheng has only mastered the skin incision method so far, which is actually a technique in incision. It’s not really just about cutting the skin.
What it emphasizes is that it is cut layer by layer like the epidermis.
Coupled with his sharp and blunt dissection, this surgery should be enough.
His skin incision method is currently at the proficient level, and the surgery he needs to do now is still very challenging for him.
After an afternoon of hard work, his health points increased from 54 to 150.
Before using the knife, it is no longer possible to upgrade the skin incision method from proficient to minor.
Then you have to be careful and don't get into trouble.
After all, it is a master-level incision method, which should be enough for the current surgery.
Holding the scalpel, he was quite calm, at least he didn't show the timidity and nervousness of a novice.
Almost all surgeons feel extremely nervous the first time they hold a scalpel and draw on a patient.
Because you never know what the consequences of one blow may be.
The blood vessels and nerves under the skin cannot be seen at all.
Under normal circumstances, no superior doctor dares to let novices operate on important parts of the patient's chest, abdomen, neck, etc. Because the risk is too high.
For example, at Li Jingsheng's previous level, he could perform a laparotomy directly on the patient with one knife. The skin layer, fat layer, anterior sheath, rectus abdominis muscle layer, and peritoneal layer were all five layers. If it were replaced by an experienced surgeon, he would divide them into five layers. Cut five times.
But if it were a novice like Li Jingsheng, he could cut into five layers with one cut.
Maybe even cut deeper.
The scalpel is sharp, but if you don't have enough experience and skills when cutting, you won't feel anything.
I really don’t know the depth.
At this moment, after holding the scalpel, he carefully made a longitudinal incision from the patient's flexor carpi radialis tendon.
The knife was extremely smooth and blood gushed out instantly.
Fortunately, the amount of bleeding was not very large.
The capillaries in the epidermis are densely covered, and no matter how skilled a doctor is, they cannot avoid it. It will definitely cut off some of the capillaries.
This is why it is said that surgery should be avoided as much as possible.
Because no matter how small the operation is, it will harm the patient's body.
It's just that when doctors believe that the benefits of surgery are far greater than the harm, they will strongly urge patients to undergo surgery.
That is often said to be in line with the indications for surgery.
No one is forcing this, it all depends on the wishes of the patients and their families.
If they don’t agree to do it, the doctor can do nothing.
"Dr. Li's incision technique is so skillful. He must have practiced it before. The incision is very good, continue."
Professor Wu did not dare to speak out at first for fear of disturbing Li Jingsheng's surgery.
It wasn't until Li Jingsheng raised his knife that he dared to praise him.
When he watched Li Jingsheng take the knife just now, he was actually sweating.
Although I have seen Li Jingsheng's sharp separation technology, I am still worried that Li Jingsheng will mess it up.
After all, there are some differences between cutting and separating.
Incision is a basic surgical skill, and sharp dissection can be considered an advanced skill of incision.
To be more advanced, the technical difficulty is higher.
Li Jingsheng couldn't help but smile bitterly. In the past, at the No. 1 Hospital, the superior doctors didn't even use him to retract the hook, but they dared to let him use the knife on the patient?
But he didn't explain anything.
Heroes don’t ask where they come from.
It was true that my performance was a bit poor in the past, but now that I have become stronger, it has nothing to do with the past.
He carefully made an incision on the patient's lateral wrist. The distal end passed through the scaphoid tubercle and then curved toward the radial side, and the proximal end was to the distal end of the radius.
"Separate the tissue with forceps!"
Li Jingsheng directed Ruan Xiaoqin to work.
"Where to divide it? Doctor Li, please give me detailed instructions. I'm afraid of messing up."
Ruan Xiaoqin didn't dare to show off at this moment.
If important tissues are torn or blood vessels and nerves are injured, the consequences will be serious.
"Pull the flexor radialis tendon to the ulnar side, and the radial artery to the radial side. Just expose the joint capsule on the palmar side of the wrist."
Li Jingsheng looked at the radial artery and secretly felt lucky that the skin incision method had been upgraded.
Otherwise, if an artery is damaged, the disaster will be huge.
When he cut the knife just now, he could clearly feel the knife's feeling clearly.
There is a significant difference in the knife feel when cutting skin and subcutaneous tissue.
And when he was about to cut the radial artery, he could feel that the knife felt much more sticky.
The resistance gradually increased significantly.
But there is still no way to clearly distinguish small blood vessels and nerves based on the feeling of the knife.
Larger blood vessels can be avoided or known in advance.
When I was cutting, I had already recalled the anatomy diagrams I learned in the book in my mind.
You know where there are blood vessels and where there are important nerves.
It's definitely not going to happen if you really swoop down like a fierce man.
Mastering the cutting method gave him a sense of knife, but it was still not sharp and clear enough.
"Professor Wu, now I am going to incise the joint capsule longitudinally along the scaphoid tubercle. Do you think this is okay?"
"Absolutely, just be careful. A damaged joint can be very troublesome."
After getting permission, Li Jingsheng carefully incised the joint capsule.
His proficiency in the incision technique is improving rapidly, and his health seems to have increased twice.
I took the time to check and found that the health balance had jumped from 150 to 357.
It rose a full 207 points.
You can still make more money by doing surgery, especially by being the chief surgeon.
This growth rate is really terrifying.
There will be bone flap removal, bone grafting, bone sawing and other projects in the future. If he is responsible for all operations, it should be able to increase a lot.
After incising the joint capsule, he carefully lifted up the joint capsule attached to the surface of the navicular bone and the adjacent radius.
The health value actually increased by 5 points.
So cool.
At this time, the scaphoid and non-union areas have been exposed.
"Micro chainsaw!"
Li Jingsheng said to the nurse.
Now it’s time to saw the bone.
"Dr. Li, although bone sawing is not very technical, it must be steady and slow, and you must not do it too fast. One of my students did it too fast when sawing the bone, and directly sawed off a piece of the patient's soft tissue, causing blood. Hengliu caused a lot of trouble."
Professor Wu looked very nervous and stared closely at the side.
They even brought out a student to serve as a negative teaching material.
The mini chainsaw is actually quite easy to use. It is as easy to use as an electric knife. It is not the big, murderous chainsaw that a chainsaw maniac might imagine.
Li Jingsheng's incision method has now reached a proficient level, and his hand is very stable and accurate.
There is no stress at all when operating a mini chainsaw.
Carefully saw off the hardened bone edges.
After checking it, the fracture section has been fully exposed.
His health instantly increased by 102.
This must be the reason why he saw bones for the first time.
The health value has increased to 459 points.
It gave him an extremely unreal feeling. This is also a bit too exaggerated.
However, he also knew very well that all he earned were the first wave of dividends. Next time he had a similar operation, his health would increase to normal.
He examined the scaphocephalic joint and began to carefully remove the scar tissue in the fracture gap.
Scar tissue is not a tumor, but its properties are similar to those of a tumor. The more it is stimulated, the easier it is to proliferate.
It is something that causes headaches for doctors and pain for patients.
"Give me the ball file."
After Li Jingsheng removed the scar tissue, he took the ball file handed over by the nurse and began to polish the hardened bone.
It seems that dentistry also has this tool.
Orthopedic surgery is a very violent medical department, with electric saws, hammers, files, etc. all available.
(End of chapter)
