After lunch at noon, Yan Hong called."
Minmin, I heard Pan Zhi say that you are back on the night shift.What's going on?
Why are you on duty in five groups?
”"Trauma surgery turned into an emergency department, and they were on separate shifts.Without Director Li, plus the two directors who were on vacation, there would be three groups of people missing.This is temporary, just for two weeks. ”"Oh.What day are you on duty?
”"I'm on the night shift this Saturday, next Wednesday, and then Sunday.What about you?
”"I work the night shift on Wednesdays.When are you coming home?
”"I told Dean Chen, if there is nothing wrong, I will change the night shift with your Senior Brother Pan, so that I can leave after the night shift on Saturday, and then come back by car on Sunday night.Work as usual next Monday. ”"Have you been busy this week?"......
"Rainbow, it's time for you to take a nap." ”Pan Zhi's reminder came from the phone."
You went to sleep.Come back in the evening and talk. ”"Good.Let's have dinner together in the evening. ”Yan Hong proposed."
Okay.Let Xiaoyan come over and help our family Mu Jie cook. ”Li Min put down the phone and saw that Mu Jie had finished washing the dishes."
Mu Jie, Yan Hong and the others came over for dinner in the evening.I'll ask Xiaoyan to come over and help you do it. ”"Okay.What do you want to eat?
”"I like to eat whatever you do.""
Tell me all kinds of lies.A vegetarian dish that makes you radish vermicelli, do you want to eat it?
”Li Min smiled: "I'll see you eat." ”"You're sure I'm not going to cook what you don't like to eat.Let's make dumplings at night, shall we?
”"Then let's wait for the two of us to come back from work.It's also lively to work while chatting. ”"Okay
.
"* When I went to work in the afternoon, Li Min went to talk to the families of the two burn patients.I asked them what I told them in the morning, and how they thought about it."
Dr.
Li, do I have to have a skin graft?""
Yes.For such severe burns as theirs, although Dr.
Sun's anti-shock and other preventive treatments were sufficient, there would be tissue liquefaction and a large amount of oozing under their black scabs, which could not be solved by us just changing the dressing.If we sit and wait for the body to absorb it slowly, sepsis and so on will occur. ”The patient's family looked at Li Min stupidly, and they just didn't understand it at all."
His wounds are going to suppurate.The body absorbs those thick juices into the bloodstream, and then systemic sepsis appears, which is worse than sepsis. ”"Didn't your hospital change his dressing every day, and we also pay attention to hygiene, how can it still suppurate?
Isn't it still dripping?
”Li Min patiently explained to the two of them."
What we do only reduces the extent of his infection, but it doesn't prevent them from getting infected in the first place.I'm telling you, on human skin, there are a lot of bacteria attached to it under normal circumstances.There are also a lot of bacteria in the air around us.In the nasal cavity, oral cavity, and even in the intestines, there are a large number of different bacterial parasites under normal circumstances.But after the explosion, their bodies will have a corresponding stress change in the injury.Originally, the intestinal mucosa of the human body has a barrier effect, but this stress response will lead to the weakening of the barrier effect, or even destruction, and those bacteria that usually help us digest food will become an endogenous source of infection. ”"Isn't it okay to change to a little better antibiotic?
They are treated at the expense of the state. ”"We've been giving them the best antibiotics.However, after a long time, it will not only produce drug resistance, but also damage the kidneys and liver.Because it is a drug that is three parts poisonous, all drugs have to be metabolized by the kidneys and liver.Another long-term hazard is that they develop fungal infections again.That's even more troublesome.In fact, let's put it this way, not only do they have a source of infection inside their body, but also those bacteria that normally exist in the air, which can sometimes become the cause of their infection.That's why our laboratory department puts petri dishes in the burn ward every day to monitor the burn ward for any abnormalities that may occur.That's why you should wear a mask, change your clothes, and be hygienic when you stay with them.For us normal people, it is a symbiotic bacteria, and it is fatal to go to them. ”The two escorts seemed to understand, but they were more like they were stunned by Li Min.The two of them looked at Li Min stupidly, and then looked at each other again, the intention of wanting the other party to speak first was too obvious.Li Min didn't urge the two of them, this was a psychological contest in disguise.Giving them time and allowing themselves to engage in psychological struggles is more effective than chattering persuasion.Finally, one of them, who was a little younger, couldn't hold back his strength to speak."
Doctor Li, where did you get the skin, and will it be scarred?
Do you want to be hospitalized for dripping, and how big should you get?
”"Peel the skin on the outside of the thigh.It's about the size of four of my palms.Just take a very thin layer, and it won't take a week.If there is no infection and no scarring, there will be no signs of skin removal by next summer. ”"Then I'll think again."
The escort stared at Li Min's palm, the panic and apprehension in his eyes, and the changed face, all confirmed his fear and retreat.The other escort waited for them to finish speaking, and then said cautiously: "Doctor Li, we have to work here to take care of him."
You allow us to give us the empty space, and let us ask the rest of the family if they are willing, okay?
”"Good.Ask.It is best to be a young and strong young man with a thick cortex, good health, and a quick recovery.In addition, you will have to be hospitalized in the hospital before and after the skin is removed.If you're okay, you'll be discharged in a week.You have to discuss it as soon as possible.Okay, tomorrow morning rounds, I'll make sure of the news. ”It took great effort to communicate with the family, but the reaction of the family made Li Min not optimistic about the possible follow-up results.So she contacted Director Fan of the Pharmacy Department and Director Sun of the laboratory.Make an appointment, Li Min took the interns to the laboratory department first.
*Li Min rarely interacts with Director Sun, but she admires Director Sun very much.To be able to raise the level of the laboratory department to the extent that the Affiliated Hospital of the Medical University can recognize the test sheet of the provincial hospital by itself, not only its professional and technical level, but also its teaching and management ability, which cannot be found in the provincial hospital."
Director Sun.""
Come on, Xiao Li, sit.Congratulations on your double happiness. ”Director Sun's white and chubby face is somewhat similar to Director Zhao, who is doing dry consultation."
Thank you.Director Sun, I would like to ask how long it takes for the detection of allogeneic skin before use?
”"Going to give those two burn skin grafts?""
yes.Almost.I'm going to start scabbing tomorrow. ”"I'm afraid it's too late tomorrow.There is no inventory of allogeneic skin in our provincial hospital, so you have to go to the Affiliated Hospital of the Medical University to borrow it urgently. ”Li Min paused, thought for a moment, and then said, "Director Sun, I didn't intern in the Affiliated Hospital of the Medical University, and the surgery teachers in the Affiliated Hospital basically stayed in the big class.Tomorrow is the first tentative scab cut, but you can do without it.Can I have it on Thursday and Friday?
”"It depends on Director Fan, whether they can buy it.Even if it is a heterogeneous skin, I guarantee that the processing can be completed within 24 hours. ”"Thank you in advance.I'm going to go to Director Fan. ”Li Min stood up and took his leave.Director Sun sent her to the door of the laboratory department and said, "You can ask Dean Chen to make a phone call and order these things than you to run away from the department." ”Li Min smiled and said, "It was Dean Chen who gave me an excuse to visit you and Director Fan. ”Li Min said this, and Director Sun went back with a smile.
*After leaving the laboratory department, Li Min went to the preparation room to find Director Fan.Due to the previous communication on the phone, after Li Min arrived, Director Fan gave Li Min the contact results."
There are not many xenomorphic skins used in hospitals, and it is even more difficult to get allogeneic skins.I got in touch with a couple of hospitals that specialize in burns, and they can lend us a little temporary.How much do you need?
”"I can borrow it.That's great, thank you Director Fan in advance.Tomorrow you can use a maximum of 0.2 square meters, well, even if you have 0.1. ”"Then let's borrow 0.1 and try it first.How much do you expect to need in total?
”"The two of them combined, conservatively, also cost 1 square meter.However, use a maximum of 0.2 each time.The day before each scab is cut in the future, I'll make sure to you. ”"That's good.Then I'll prepare it for 1 square meter.You fill out this form, go back and ask Dean Chen to sign it, and then send it over. ”Director Fan spoke and handed Li Min an application form."
Fill out every item.If you don't know, let Dean Chen fill in. ”"Okay."
Li Min took the application form and thanked him again.She thought about it and said, "Director Fan, when you borrow allogeneous skin, can you also borrow the skin crusher by the way?"
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I heard that the skin shredder is very easy to use, it is much faster than scissors, and the patient has to lie in the operating room after being peeled.Increased risk of anesthesia and chance of infection.Well, the main reason is that these two patients don't have much good skin left, so we can only use autologous microparticle skin grafting.They are not in good condition, and they don't dare to cut the scab at one time, or cut too many scabs, for fear that their bodies will not be able to bear it. ”Director Fan thought for a while and said, "I'll see how much this skin crusher is." ”Director Xiao said with a smile on the side: "How much money should be bought for one, and then I will report it together in this medical device."
It is all for the rescue of those injured in the line of duty, and the above will approve this special fund. ”Director Fan smiled and said, "Xiao Li, we will communicate with Dean Chen about the skin crusher.When the time comes, a lot of you will use it. ”Li Min nodded in thanks, accepted a few words of congratulations from Director Fan and Director Xiao, and left the preparation room.After leaving the preparation room, the intern who followed Li Min asked, "Teacher Li, didn't you just say that you can not use it tomorrow in the laboratory department?"
”"I just told Director Sun that I had to use it tomorrow, and he couldn't change the alien skin for me.It's not his business, I'll just set up a nail for myself to touch, how boring it is.You go back and read the book, and the four of you take turns doing a skin graft this week. ”"Mmmm, thank you, Mr.
Li
.
"* Back in Corey, Chen Wenqiang rested the night shift at night, and Director Shi also went home to make up for the break.Li Min saw that there was more time, so he went to the emergency department to take a random test for students.Director Xiang always followed behind Li Min, and he put a lot of pressure on Li Min without saying a word.When Li Min finished checking a medical record for each student and told the interns that he would check it again this week, Xiang Director left quietly.When he returned to the office, Director Xiang said to Zhang Zhengjie: "Xiao Zhang, you didn't have Li Min like this when you were young. ”Zhang Zhengjie smiled good-naturedly: "I didn't have the opportunity to take interns."
I don't know if our provincial hospital has started from Director Li down?
”Then he ignored Director Xiang's face and continued: "Xiao Li received a bonus in our department.Is this month for her half a month or a month?
She was discharged from the hospital yesterday and no longer cares about the patients in our department. ”"How many can there be in February?""
It's almost half the way around, so who knows how many.However, depending on the situation, it will not be much less than last month. ”"Give it half a month.Trauma Surgery No. 16 moved over, and it is natural for her to do as much work as she wants.It's not good for us to give favors with the big guy's money.As for her taking an intern, the medical school will give her another copy. ”Zhang Zhengjie pondered for a while and said, "I think the orthopedic department should give her half or half of the half."
Our department is basically orthopedic patients this month, and these students will be much easier to teach when they enter the orthopedic ward. ”"Then when you used to have a lot of patients outside the general public, did you go to Lao Liang and ask for a penny to Xiao Li?"
Zhang Zhengjie was speechless.Director Xiang picked up the teacup with satisfaction, and took a sip slowly with Zhang Zhengjie's expression.Good tea!
Fragrant!
The fragrance is to the bottom of the heart, the fragrance is to the limbs, and the fragrance is comfortable to the sweat pores!
※※※※※※※※※※※※※※※※※※※※ the characters involved in this chapter, Director Sun: a bachelor's degree graduate before 66 years, and Director Fan, director of the laboratory department: a bachelor's degree graduate before 66 years, the director of the pharmacy department.Her husband is the director of the Department of Pediatrics.Leng Xiaofeng's mother-in-law.The eldest daughter, Wu Ya, is a midwife.The eldest son, Wu Dong (married to Leng Xiaofeng), studied at the pharmacy school in the south and advanced to a bachelor's degree.The second son, Wu Shan, is an active soldier () who is a little far away