Chapter 1090
“Doctor Ling is here.”Qi Zao was guarding the patient who was howling. When he saw Ling ran coming over, he quickly walked over and said, “The patient’s wound seems to be quite deep. It hurts terribly.”
“Have you found the dog?”Ling ran asked first.
Qi Zao nodded foolishly and said, “It’s their pet dog, a German Shepherd. They say that German shepherds are very obedient. I don’t know why, but I gave him a bite.”
Ling ran nodded. He had already made a judgment in his heart.
Ling ran was also very experienced when it came to animal bites. In Yun Hua Hospital’s emergency medical center, there were patients who came every day for rabies shots. The most common ones were those who were bitten or scratched by dogs and cats. Rabbits, rats, hamsters, and the like were also not rare. Occasionally, there were also hedgehogs, foxes, and ferrets, crocodiles, lynx, and pigs fully demonstrated the boredom and lack of love of humans in the new era.
Of course, it also fully demonstrated the progress of medical technology in the new era. If it were not for the fact that hospitals were cheap and easy to use, the rate of injury and death among humans who were bitten by animals would be so high that it was terrifying, it was to the extent that they wished they could kill all their pets.
However, after being a doctor for a long time, one’s mentality would actually become peaceful. The emergency department could be said to be a great reward for humans seeking death. Compared to parkour, extreme sports, and other activities, owning a pet could be considered as keeping one’s body healthy.
“Are domestic dogs infected and crazy?”Ling ran raced against the clock to ask the question.
“No.”Qi Zao quickly answered, “I asked in detail.”
“Then go and get the suturing kit.”Ling ran was extremely calm.
For doctors, the first thing they had to determine was the type of animals. Wild animals and stray animals were considered high risk. Even if a domestic dog was slightly better, they still had to confirm their health condition.
Needless to say, the bite of a large dog was much more dangerous than that of a small dog. If it was a four-legged dog, the tendons would often be exposed, and it could be said that it was quite heavy.
Ling ran quickly arrived in front of the patient and squeezed some alcohol-based hand sanitizer. As he wiped his hands, he scrutinized the patient.
This was a white-collar worker who looked to be around thirty-seven or thirty-eight years old... he was not a young man. He was twisting his waist on the bed, and he looked very uncomfortable. He was holding his phone with one hand, and he wanted to look but could not.
“Are you a Doctor?”The patient’s family member was a young woman with a good figure. From her appearance, she looked much younger than the patient. 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 at the other party. Then, he waved his hand and called Wang Jia Over. He said, “Cut the clothes.”
Wang Jia held a pair of scissors in her hand and glanced at the young nurse who was already in the room.
The young nurse said hopefully, “It has nothing to do with me. The patient didn’t allow me to cut his clothes before.”
“I’m talking about finding a male doctor to cut his clothes.”The white-collar young man looked at the young woman by the bed and said shyly, “My wife and I just got married not long ago. We want to keep our intimate relationship separate for a longer period of time...”
Wang Jia pursed her lips and thought to herself, ‘The Doctor won’t be bothered to cut your clothes.’.
“Let me do it.”Ling ran did not feel any psychological burden. He simply took the scissors and cut off the patient’s clothes and pants.
The patient’s injured position was at his waist and buttocks. Because of the sticky blood, Ling ran only cut it a little thinner.
* cut cut cut cut cut cut cut. * .
The young woman’s eyes were fixed on the position of the scissors. Her concern was evident in her words.
The non-young white-collar worker’s spirits were lifted. He endured the pain and said with a smile, “I’m fine. Don’t worry.”
The young woman’s body trembled. She quickly revealed a sweet smile to her husband and said, “I just think it’s quite manly.”
“Is that so?”The non-young white-collar worker could not help but laugh. He rubbed his head in embarrassment. The fat on his belly trembled happily. It was painful, but he did not dare to cry out in pain.
“Wash it.”Ling ran threw away the scissors and wiped the alcohol-based hand sanitizer again. Then, he put on his gloves and began to look through the patient’s wound.
The wound was slightly deep under the clear teeth marks, and there were obvious signs of contamination.
Ling ran frowned and recalled the latest consensus of animal injury specialists, he then raised his head and said, “I suggest that we don’t suture the wound. I’ll do a debridement for you and then open up the wound. We’ll make a decision after the wound tissue has grown for a long time.”
No matter what level a doctor was at, when it came to things that were not in his or her field of expertise, he or she still had to look at the guidelines, standards, or the consensus of the experts.
This was also one of the reasons why doctors were very keen to hold meetings and write articles after entering the high-level field. After establishing their professional status, the things they produced would become the basis for guiding all doctors’work, whether it was from the perspective of Fame or profit, this was extremely tempting.
The reason why Ling ran had previously challenged the expert opinion of the [ surgical suture material selection ] was because he was familiar with suturing and was an expert in this field. He also confirmed that the other party’s opinion was contrary to his own understanding.
As for the [ animal injury ] , Ling ran did not specialize in it. He had also read the latest [ expert consensus ] , so he naturally used it as a standard to do things.
The patient and his family looked at each other and asked hesitantly, “Can you do it without suturing?”
“The main reason is that I’m worried that there are too many bacteria in the wound, and it’s easy for it to become inflamed and Fester. In addition, I also have to consider the risk of rabies. “Although your wound is deeper, there is less active bleeding, and it doesn’t touch your nerves. In addition, it’s a part covered by clothes. My suggestion is to only perform debridement and not suturing. What do you think?”
“What will happen if the wound becomes inflamed and pus festers?”
“The wound needs to be cut open and debrided, and then sutured,”Ling ran said. “This possibility still exists. It is very difficult to completely avoid it.”
“What if I don’t suture it?”
“The scar after it heals is larger, and it is easy to be infected again. The speed of recovery of the wound will also be slower. If the nerves are damaged, the situation will be more complicated,”Ling ran explained briefly, he planned to call Zuo Cidian over if the patient continued to ask questions.
At that moment, the patient made a decision. “It doesn’t matter if you have a scar. I’ll listen to You Then. Also, you know how to get a rabies vaccine, right... ?”
“I do.”Ling ran nodded and said, “Qi Zao, go and ask Zuo Cidian for an informed consent form. Then, sign it for the patient’s family.”
He had always been strict in his work, so he was a little rigid. However, everyone only thought that this was part of his charm.
Then, Ling ran turned to Wang Jia and said, “Local anesthesia, 1% povidone iodine, a lot of saline...”
After a while, Qi Zao came back with an informed consent form and asked the patient’s family to sign it.
The young woman then pulled Qi Zao, who was about to leave, and asked in a low voice, “Doctor, I have another question.”
“Go ahead.”Qi Zao still enjoyed the added respect of the white coat.
The young woman said softly, “With my husband like this, when we go home... can we still have children?”
Qi Zao shook his head strangely and said, “It’s just a dog bite. It Won’t affect the birth.”
“What I mean is... When we go home, can we have children immediately?”The young woman said seriously, “I just had an ovulation promoting injection.”
Qi Zao was stunned, and her face was a little red. She had only been a school reporter before, and she had never been exposed to such a direct question. Fortunately, Qi Zao had read a few articles on her phone when she was taking the things, and now she was desperately trying to think about it, then she said firmly, “Theoretically, it’s possible, but the patient has an injury, and it’s not appropriate to tire himself out. It’s better to wait for two months...”
“That’s fine. He’ll be quick.”The young woman smiled.
logo