Chapter 1089 That's Okay

"Doctor Ling is here." Qi Zao watched over the screaming patient, saw Ling Ran approaching, hurried over, and said, "The patient seems to have a deep wound, it hurts so much."

"Have you found the dog?" Ling Ran asked first.

Qi Zao nodded foolishly, and said: "It's their pet dog, a German Shepherd. Everyone said that the German Shepherd is quite obedient, so I gave him a mouthful for some reason."

Ling Ran nodded, already having a judgment in his heart.

Ling Ran is also very experienced in animal bites. As far as Yunyi’s emergency center is concerned, there are patients who come for rabies vaccination every day. The most common ones are bitten or scratched by dogs and cats. Rabbits, mice or hamsters are not uncommon, and occasionally there are hedgehogs. Fox minks, crocodiles, lynx pigs, etc., fully demonstrate the boredom and lack of love of human beings in the new era.

Of course, it also fully demonstrates the advancement of medical technology in the new era. If it were not for the cheap and easy-to-use hospitals, the proportion of human injuries and deaths caused by animal bites would be so high that it would be frightening to the point of killing all pets .

However, after working as a doctor for a long time, the mentality will actually become peaceful-the emergency room can be said to be a great reward for human death. Compared with parkour, extreme sports and other activities, keeping pets can be called health care.

"Does the domestic dog get sick and go crazy?" Ling Ran raced against time to ask the question.

"No." Qi Zao quickly replied: "I asked carefully."

"Then go get the suture bag." Ling Ran was extremely calm.

For doctors, the first thing to determine is the type of animal. Wild animals and stray animals are high-risk. Domestic animals are slightly better, and their health status must be determined.

Needless to say, the bite of a large dog is much more dangerous than that of a small dog. If it is a limb, the tendon is often exposed, which can be said to be quite heavy.

Ling Ran quickly came to the patient, squeezed some alcohol gel, and looked at the patient while scrubbing his hands.

This is a white-collar worker who looks about thirty-seven or eighteen years old...not a young man, twisting his waist on the bed, looking very uncomfortable, holding the phone with one hand, wanting to see it but unable to.

"Are you a doctor?" The patient's family member is a good-looking young woman who looks much younger than the patient on the outside. She sized up Ling Ran carefully, and the camera function on her phone was already turned on.

"I'm Doctor Ling Ran." Ling Ran nodded to the other party, then beckoned Wang Jia over, and said, "Cut the clothes off."

Wang Jia started to use the scissors, and took a strange look at the little nurse who was already in the room.

The little nurse wished: "It has nothing to do with me, the patient was not allowed to cut before."

"I mean find a male doctor to cut it." The white-collar non-youth looked at the young woman next to the bed coyly, and said, "My wife and I just got married, and we want to maintain a separate intimate relationship for a longer time..."

Wang Jia curled her lips, thinking: The doctor is too lazy to cut your clothes.

"Let me do it." Ling Ran didn't have any psychological burden, he took the scissors casually, clicked, and cut off the patient's clothes and pants.

The patient's injury was at the waist and hips. Because of blood and water adhesion, Ling Ran only cut it thinner here.

Click click click.

The young woman's eyes were fixed on the position of the scissors, and her concern was palpable.

The spirit of the non-young white-collar workers was lifted, endured the pain, and said with a smile: "I'm fine, don't worry."

The young woman trembled all over, and quickly showed a sweet smile to her husband, and said in her mouth, "I just think it's quite manly."

"Really?" The non-young white-collar worker couldn't help laughing, rubbing his head in embarrassment, the fat on his belly was shaking happily, and he felt sour because of the pain but didn't dare to shout.

"Clean it up." Ling Ran threw away the scissors, wiped the alcohol gel again, put on his gloves, and began to look at the patient's wound.

Under the clear tooth marks, the wound is slightly deeper, with obvious traces of contamination.

Ling Ran frowned and thought about the latest one, then raised his head and said: "I suggest not to suture, I will debride the wound for you, then open the wound, and after a long period of time, the wound tissue will

Make another decision. "

No matter what level a doctor is, when facing things that are not in his own professional field, he still depends on guidelines, standards or expert consensus.

This is also one of the reasons why doctors are very keen to hold meetings and write articles after they enter the high-level field. From the perspective of fame or fortune, this is extremely attractive.

Ling Ran's obstinate expert opinion before was because he was familiar with sutures and was an expert in this field, and he confirmed that the other party's opinion was contrary to his own.

As for "injuries caused by animals", Ling Ran didn't have any expertise, and having seen the latest ones, he naturally took them as the standard for doing things.

The patient and his family members looked at each other and asked hesitantly, "Can it work without sutures?"

"The main reason is that there are too many bacteria in the wound, which is prone to inflammation and suppuration. In addition, the risk of rabies should also be considered. Although your wound is relatively deep, there is less active bleeding and no nerves are touched. In addition, it is covered by clothes. site, my suggestion is to only do debridement without suturing, what do you think?"

"What will happen if it becomes inflamed and purulent?"

"It needs to be cut open and re-cleared, and then sutured." Ling Ran said: "This possibility still exists, and it is difficult to completely avoid it."

"No sewing?"

"The healed scar is relatively large, easy to be re-infected, and the speed of healing will be slower. If the nerve is damaged, the situation will be more complicated." Ling Ran briefly explained a few sentences, and planned that if the patient continued to ask, He called Zuo Cidian to come over.

At this time, the patient made a decision: "It doesn't matter if there are scars, then I will listen to you. In addition, I will be vaccinated against rabies..."

"Yes." Ling Ran nodded, and said again: "Qi Zao, go to Zuo Cidian to ask for an informed consent form, and then sign it for the patient's family."

He has always been rigorous in doing things, so that he is a bit rigid, but everyone only thinks this is part of his charm.

Then, Ling Ran turned to Wang Jia and said, "Local anesthesia, 1% povidone-iodine, a large amount of saline..."

After a while, Qi Zao came back with the informed consent form and asked the patient's family to sign it.

At this moment, the young woman grabbed Qi Zao who was about to leave, and asked in a low voice: "Doctor, I have another question."

"Tell me." Qi Zao still enjoys the respect bonus of the white coat.

The young woman said softly: "My husband is like this, after returning home...can he still have a baby?"

Qi Zao shook his head strangely, and said, "It's just being bitten by a dog, and it won't affect fertility."

"What I mean is... Can I have a baby right away after I get home?" The young woman said seriously, "I just had an ovulation induction injection."

Qi Zao was stunned, her face was still a little red, she had only been a campus reporter before, and she had never been exposed to such a direct question. Fortunately, when picking up the things just now, Qi Zao used his mobile phone to read a few articles. At this time, he was desperately thinking, and then he said firmly: "In theory, it is possible, but the patient has a wound, and it is not suitable to be tired. It is best to It's safer to wait two months..."

"That's okay, he'll be fast." The young woman smiled.

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