Chapter 1410 1 Integrated Emergency

early morning.

Doctors from the emergency center of Yunhua Hospital gathered together. Except for the doctors who were on duty, hundreds of white coats sat together, looking like an evil Xiaowen ceremony.

Of course, as far as the white coat is a traditional art from Western medicine, the Xie Xiaowen ceremony is not demeaning. When they stole the autopsy, they didn't think about practicing sunshine medicine.

The doctors in the emergency department don't like the sun that much, especially the doctors who are on duty at night and vomit. They can't wait to turn off the lights, pull up the curtains, and lie down on the spot to sleep to death. .

Until... Huo Congjun walked in.

"Pull the curtains, it's a pity not to bask in the sun." Huo Congjun smiled, his face was full of sunshine.

Before the doctors below could complain, four or five sycophants rushed to pull the curtains open.

The weak sunlight is like a clogged coronary artery, laboriously pouring into the room.

"More exposure to the sun is good." Huo Congjun cheerfully educated the doctors who had just stayed up late.

A group of resident doctors smiled disdainfully and politely.

"Okay, let's stop gossip and get down to business." Huo Congjun swayed his body twice, and said again: "We bought a Da Vinci robot this season, built a new hybrid operating room, and rebuilt and expanded 20 rooms." Some money was spent on the ward, but as for the money spent on infrastructure, the hospital provided a lot of supplements. The Da Vinci robot is a Class A device in the catalog. After the application is passed, the ministry will provide some supporting funds. Provincial and hospitals also have corresponding rewards, etc. In this way, the funds we prepared last quarter will have surplus..."

An intern sitting in a corner was taking notes. At this time, he couldn't help writing down a series of sentences that had been trained for many years in his notebook: Director Huo Congjun's words seemed to have some magical power, which made the depressed doctors suddenly become His spirits soared.

"Before I talk about the results, I first want to explain to everyone that this quarter alone, the number of surgeries performed by Ling Ran's group has exceeded 1,000, which is not only the highest in our department, but also in our hospital. The additional funds for the department will go to It will be made into a bonus and distributed to everyone..." No one listened to what Huo Congjun said later, and the room was filled with joyous applause from ear to ear.

The income channels of directors and deputy directors are relatively diversified. The attending doctors and residents at the bottom basically rely on salary bonuses to live on. Hearing that there are extra bonuses, the doctors who just stayed up all night can't wait to get up and smash the wall , so that Director Huo can be more evenly exposed.

The intern sitting in the corner carefully recorded this scene: Everyone was very excited when they heard the money was distributed, like a group of hungry puppies.

"Let's start with the first group." Director Huo didn't say much, and after finishing the main point in two sentences, he picked up the cup and drank tea.

One group was originally his own treatment group. After he fell ill later, he handed over to Director Tao to manage most of the time. Several people looked at each other, and immediately announced that Dr. Zhou came first.

Dr. Zhou coughed and coughed twice, and did not refuse. He took the mouse and operated it twice, and said slowly: "We recently admitted a patient with chest pain, and found that there was a chest effusion, and there was no reason to cough..."

After listening to Dr. Zhou's words, everyone adjusted their mentality and listened carefully.

This kind of consultation with the participation of all is a learning and testing day for the doctors. Each group usually only presents one case, mainly intractable diseases. There are doctors who are willing to participate, put forward their own opinions, explain the reasons, and finally deduce the results, or try to treat them.

For doctors who are inclined to internal medicine, this is the time period when they are most likely to show off and be criticized. If one can explain a patient's illness in a simple and simple way, then everyone will naturally look at him with admiration. But in the same way, if you make a low-level mistake, or if there is a big problem in the diagnosis, don't blame everyone for observing with a magnifying glass.

A department in this environment is like a class doing an in-class test. Those who have learned well and those who have learned poorly are easily exposed.

Of course, there are also those who are not slippery in learning and are easy to be rounded, such as Dr. Zhou.

His report didn't cause any waves, it was like a piece of well-done canned meat, it wasn't unpalatable, but it wasn't chewy either, and it didn't matter if you didn't eat it.

"A pleural effusion can be seen as the result of chest pain and unprovoked cough, let's consider infection first..."

"According to the chest X-ray, the possibility of infection is indeed relatively high, and the patient is relatively young. However, the possibility of lung cancer metastasizing to the pleura still needs to be considered. Have you consulted with the oncology department?"

"If the current treatment works well, after chest drainage and infection control, there should be no major problems..."

Doctors have their own emphasis, and their level is also uneven. Those who want to speak have their own speeches. After Dr. Zhou finished taking notes, he looked at Director Huo.

"Just let it go if there are no other problems." Huo Congjun never insisted on the result. Some diseases have no real results at all, especially for patients admitted to the emergency department. Most of them are in the development stage of the disease, and there are still many follow-up developments. Even a professional physician may not be able to make a final judgment. The consultation in the emergency department has always been to solve the problems that can be solved, and to decide which department to transfer the patients that cannot be solved.

Several traditional emergency treatment groups spoke one by one, each with their own caution.

The atmosphere of the venue was also maintained at the level of a random exam.

Then, I heard Ling Ran's voice from the air: "The patient's right lower extremity is edematous. According to the lymphatic imaging, the lymph level is unlikely. Otherwise, the swollen thigh should be able to see a relatively clear distribution of radioactivity..."

The moment Ling Ran's voice was heard, the already quiet conference room immediately became completely silent.

Huo Congjun showed a long-awaited smile.

In his opinion, Ling Ran was too calm, so calm that no doctor in the department had ever reprimanded him. Fortunately, Ling Ran's professionalism and dedication in medicine allowed him to maintain a considerable deterrent force.

Although in Huo Congjun's view, this kind of deterrence is not comprehensive, but considering Ling Ran's appearance, it is already a pleasant surprise to be able to have deterrent power.

Of course, there is a high probability that the doctors in the department will not look at the problem from this perspective.

The attendant who just spoke stumbled and said: "Because the patient's lymph nodes are round in shape and have clear borders, it was considered to be chronic inflammatory lymph nodes..."

Ling Ran waited patiently for the other party to finish speaking, and said, "Just know you're wrong."

"Yes." The attendant who spoke was young but did not dare to be arrogant, so he quickly responded.

Ling Ran didn't pursue it either, but said calmly: "You can have another consultation with the hepatobiliary surgeon for a detailed examination."

"Okay. Yes." The attendant quickly responded.

Zhang Anmin, deputy director of the Department of Hepatobiliary Surgery, who was sitting further away, also said softly: "No problem, I will follow up."

This is the first time he has participated in a general consultation in the emergency department, and director Zhang Anmin is still a little emotional because of this.

"Ling Ran, say a few words." Huo Congjun was even more satisfied, and said, "Please introduce to everyone the future use of the hybrid operating room."

Ling Ran nodded, and said: "For the time being, the use of hybrid operating rooms is mainly in two directions. One direction is the conduct of complex operations. The second direction is integrated emergency treatment, that is, through multi-disciplinary collaboration The way to unify the standard of diagnosis and treatment... in order to shorten the treatment time and improve the treatment rate of patients..."

Huo Congjun's eyes became brighter and brighter. Although the integrated emergency department is not the model of a large emergency department as he imagined, Huo Congjun still likes the pre-order pattern of a large emergency department through the integrated emergency department. 8)