Because Li Min had surgery in the afternoon, he only took a nap for a while, and then got up and prepared for work.She took the trench coat out of the bedroom, but saw that the two uncles were still guarding the computer and discussing problems.turned his head to Xiao Fang and said, "You set the alarm clock to go off once on the hour to remind them to rest their eyes somewhat." ”"Okay.""
Minmin, you better wear a coat to work.It's probably going to change tonight. ”Mu Jie reminded Li Min."
Did you listen to the weather forecast?"
Li Min stopped putting on the trench coat.Mu Jie held on to the old wound on his thigh and said, "I'm better than the weather forecast." ”"Okay then."
Li Min went back to the house and changed into a thin tweed coat and came out."
Third child, you go to the train station early, don't wait for the traffic jam when you get off work.When you get to school, remember to call back and say yes. ”"Hmm."
Back in Corey, Li Min changed into a white coat and went to the burn ward, carefully questioned the two patients, and saw that both of them were very obedient and did not eat or drink, so she went to the doctor's office on the eleventh floor with peace of mind, and greeted the advanced doctors and intern students: "Now give the preoperative medicine and push the patient to the operating room." ”"Don't wait for Dean Chen?"
An intern student asked."
You stay in Corey and wait for Dean Chen."
Li Min commanded him.This is an internship that doesn't care, and he doesn't have the eyesight to speak.Last week's skin graft surgery was done by himself with the doctor and his classmates, didn't he see it?
Wait for Dean Chen?
Do you need it?
Is Dean Chen a person who is late for nothing?
If you don't hurry up with the two skin graft surgeries, you won't be able to finish them at work.
*The first burn patient had a successful scab and skin grafting operation.When it was almost done, Li Min asked Dr.
Deng to call back to the ward and ask someone to bring the second patient.When the patient who stepped down from the stage was pushed back by Dr.
Ma, Li Min instructed him: "Dr.
Ma, after this is sent back, you will stay in the ward and watch the family, and you don't have to come over again." ”"Okay."
The second operation was performed step by step.After Li Min carefully removed a thin layer of scalp, Chen Wenqiang was late."
Going well?"
Chen Wenqiang saw the layer of skin flap on the skin drum and was very satisfied with the thickness and size of the scalp taken by Li Min."
Smooth.Already sent back one.After that, there will be no need for skin grafting.He guess he'll have to do it two or three more times. ”The operation went smoothly and Li Min's mood was very good."
That's not going to have a skin graft, but there are a few places where scar release may be needed in the near future."
Chen Wenqiang reminded Li Min not to take it lightly.Scar release is an elective surgery, and it can be done when you have time.It's not as urgent as this scab cutting and skin grafting surgery.When you're in a hurry, you even have to do it every other day.In fact, the most difficult thing for these two burn patients is the lack of autologous donor skin tissue.At present, the only place that can be peeled is the head.Therefore, after each skin removal, it is necessary to take care of not only the skin graft site, but also the scalp after skin removal.The surgical process now depends entirely on the degree of recovery of the donor skin.Li Min nodded and replied with a smile, "I haven't done scar release yet." ”Director Liu, who was in charge of anesthesia, asked Chen Wenqiang: "Dean Chen, I see that some hospitals carry out cosmetic surgery, do we have a plan?"
”"For the time being, we haven't considered it, and normal medical care is not enough manpower.""
I want more people.That combination of medical aesthetics, surgery and dermatology is no less than your major surgery. ”Director Liu told Chen Wenqiang what he heard.Chen Wenqiang listened very carefully, and after Director Liu finished speaking, he said, "Xiao Liu, you have a good idea."
You give me a written copy. ”Director Liu immediately said, "Dean Chen, I am neither a surgical nor a dermatology, I just said that.You really made me write it. ”"You're rationalizing.Even if the hospital can't spare its hands to do it this year, I will send it to the hospital council for the record.If you don't write, you won't have a bonus for 'rationalization suggestions', and if you really open a medical cosmetology major in the future, don't regret it. ”Director Liu smiled and said, "Thank you, Dean Chen."
For the sake of the money, I will hand it over to you the day after tomorrow. ”"Why not tomorrow?""
I'm working the night shift tonight, I don't know if I wrote it.Tomorrow after the night shift, how can I go home at four o'clock in the afternoon.So to be on the safe side, the day after tomorrow will be handed over to you. ”Chen Wenqiang smiled.Approved the plan handed in the day after tomorrow.* Li Min sent the skin flap into the skin crusher machine, and the patrol nurse had already adjusted it to the smallest skin crusher scale according to her requirements, and after adding an appropriate amount of normal saline, the skin crusher turned lightly.Now make a 0.1 mm crumb suspension of the skin and spread it flat onto 2%, which is two palm-sized pieces of xenoderm for the patient.The allogeneic skin is then covered with a wound where the scab has been peeled off and fresh tissue is exposed.Over a period of about two weeks, the flakes under the allogeneic skin will coalesce into patches and slowly grow into normal skin on the wound.The skin will fall off naturally.Li Min now takes Dr.
Deng to the next step: cutting the scab.Chen Wenqiang watched intently.Director Zhou of the Department of Anesthesiology came over."
Lao Chen, why are you here?""
What's wrong with you?"
Chen Wenqiang glanced up at him, and seeing that his expression didn't look like he was in a hurry, he still stared at Li Min's scab cutting action."
yes.I've been looking for you for almost a day.Let's go, go to my office and say go. ”Director Zhou saw that Chen Wenqiang refused to move, so he said to him: "You don't need to see Xiao Li's operation."
How many times have you done this, what are you worried about?
”"Are you in a hurry?
Wait for me a few more minutes if there's no hurry.You see, how deep the scab is, it's hard to cut. ”Chen Wenqiang was a little worried.Director Zhou saw that Chen Wenqiang was focusing on the operation, so he no longer forced him.After Li Min used a hand-cranked saw to cut the thick and hard scabs into half the size of a postage stamp, and then used a sharp knife to pry off the most difficult pieces, Chen Wenqiang turned around and said, "Let's go." ”When he arrived at Director Zhou's office on the anesthesia side, Chen Wenqiang took off his mask and asked, "What's the matter?"
”"Lao Chen, it's a matter of this year's graduates.You also know the current situation of the anesthesiology department very well, can you give me a few more good students this year?
”"You want to be a good student?
Okay.This year's students are all good students. ”Chen Wenqiang agreed with a smile."
How many do you want?""
Five at least."
Director Zhou stretched out a slap."
No matter how few, next year's women's and children's center will be an operating room with obstetrics, and I won't be sent by an anesthesiologist.""
So you didn't want that much."
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Chen Wenqiang pretended to be surprised and said, "Old Zhou, let's not bring this."
Isn't this a reason for you to open your mouth.I don't have that many people for you. ”"Lao Chen, don't say that my lion has a big mouth.In your original planning drawings for the Women's and Children's Center, there was no operating room. ”Director Zhou was full of words."
Where did you see the drawings?"
Chen Wenqiang was surprised.The drawings were sent to the hospital meeting by a special person when the design institute was about to get off work in the morning.All of them just saw it.The reason why I was late was because I was discussing the design of the ward with the leaders of the hospital office.I eat at lunch with the latest drawings of the Women's and Children's Center.Why did Lao Zhou know so quickly?"
I found out last night.But I thought that you would go home to your parents, and it was not a hurry, so I didn't call you.Has the operating room of the Women's and Children's Center been decided?
”Director Zhou did not hide from Chen Wenqiang."
It's an old acquaintance of the design institute, and when I saw that it involved the anesthesiology department, I was given some wind first.I heard that it is designed to imitate the latest operating rooms in Europe and the United States.But I really don't know exactly what's going on. ”Chen Wenqiang nodded and said, "This is the first time I have seen this kind of operating room design.Tomorrow afternoon, I will ask the director of the hospital office to send the part of the drawings related to the operating room, and you and the head nurse of the operating room will also refer to it together, and give them any feedback in time.If it is not suitable, change it quickly. ”When Chen Wenqiang said this, Director Zhou suddenly became happy."
Okay, when you're free tomorrow afternoon, let's discuss it together."
Let's just say that when it comes to the issue of the operating room, Chen Wenqiang will not put aside the anesthesiology department and the operating room to finalize it on his own.
*"That old Chen, how many operating rooms are there in the Women's and Children's Center?"
”"Guess what?""
You're dozens of years old, how can you still be so interested."
But Director Zhou saw that Chen Wenqiang didn't want to give him an answer, so he had to guess casually: "Three?
Five?
”"The little family is angry.Eight. ”Chen Wenqiang used the thumb and index finger of his left hand to measure "eight" and stretched out in front of Director Zhou.Then he asked triumphantly, "Didn't expect that, right?"
”"Huh?"
Director Zhou can stuff an egg in his mouth."
Shut up, shut up!"
Chen Wenqiang teased Director Zhou."
Don't dislocate your jaw.Look at you, eight operating rooms will open their mouths so big, if the women's and children's center is on the fifteenth floor, you can't directly dislocate the mandibular joint. ”"I'm not afraid of dislocation, I know you'll be reset."
Director Zhou disagreed, stared at Chen Wenqiang and asked, "Really?"
”"I'll reset, I'm afraid your teeth are too strong and bite my fingers."
Chen Wenqiang rubbed his two thumbs, as if he had been bitten by Director Zhou.Director Zhou looked at him like that, took out a pack of cigarettes from the drawer, and lit a fire.After Chen Wenqiang begged for mercy in a fake way, he stuffed the cigarette back into the drawer and asked him: "Really eight operating rooms?"
Cover fifteen floors?
Is it useful?
”"The operating room will not be open for the time being.As for the fifteenth floor, it is not a matter of use, but how long it is enough. ”Chen Wenqiang poured himself a glass of water, and spoke while blowing."
As for the seventeen-story complex building of our provincial hospital, when it was put into use, I thought it would be able to be used for 20 years.Not in less than five years.The central building of the Department of Internal Medicine was designed to last for ten years when it was built, but it was not spacious enough for half a year, so it was crowded to the point of adding an extra bed. ”Director Zhou nodded frequently: "I don't know where so many sick people came from."
Respiratory medicine is hard to find in winter.If you give two floors to the Department of Respiratory Medicine, I don't think it will be enough. ”"yes.So at the beginning, I was going to build eight floors, but then I thought about it. ”Chen Wenqiang shook his head."
The data given by the design institute is that the cost control of 12 to 16 layers is the most cost-effective.Because there is a semi-underground ground floor, we have 15 floors above ground. ”"What are you going to do with half a floor underground?""
For the isotope.""
Downstairs for women and children?
You're really big. ”Director Zhou immediately became anxious."
You quickly cut off the isotopes.Build it on the side of the mortem where no one is in the back.Lao Chen, you listen to me, really.It's okay, whatever.If you have something, you can't eat and walk around.We would rather be unsuccessful, but we will not be held accountable. ”() The distance is a bit far