Chapter 957: Sour Water
"Today, we will make a small incision on the inside." When Ling Ran was outside listening to Miao Tansheng's conversation with the patient's family, he had already determined the basic operation plan.
The patient is not an athlete, nor does he have a strong need for sports. In addition, he is young, which is the age of Amy. Using a large incision for Achilles tendon repair, even if a perfect Achilles tendon is repaired, it may not necessarily burden the patient's interests.
Therefore, when Ling Ran decided on the operation plan, he made preparations for the small incision.
However, regarding the goal of the surgery, mainly the strength of the Achilles tendon, Ling Ran was not prepared to make too many compromises.
Compared with when he first performed the Achilles tendon repair, Ling Ran's technique is now more proficient, and the room for manipulation is also larger.
Ma Yanlin, who had performed hundreds of Achilles tendon repairs with Ling Ran, felt a chill in his heart when he heard Ling Ran's order, and he became more focused.
Miao Tansheng naturally didn't know it at all. Watching Ling Ran incise the whole layer of the skin and do a deep peeling, he was still thinking about how to pull the hook to look more experienced...
"Doctor Miao, come and clean up the blood clot." Ling Ran was suturing blood vessels without raising his head, while Ma Yanlin was passing the thread for him.
Miao Tansheng was stunned for a moment, then suddenly a little excited: "Okay, clean up the blood clot."
Cleaning up blood clots is certainly a small job, but after staying away from the operating table for so long, Miao Tansheng is now as excited as a freshly graduated intern.
"Don't touch the blood vessels." Ling Ran reminded again before continuing to suture the blood vessels.
The core of Zhu Ling's Achilles tendon repair is to ensure blood supply, and the way to ensure blood supply is to repair as many blood vessels as possible. In a way, the Achilles tendon repair is a replantation of a severed finger.
This kind of operation, if entrusted to any surgeon, will feel that the workload is extremely heavy, and it is a doctor like Ling Ran who likes the operating room and doesn't care about money, so it doesn't matter.
Of course, it won't be done often. As a doctor, I always hope that my technology can be used in a more suitable place. Compared with Achilles tendon repair, liver resection is obviously more effective.
Miao Tansheng doesn't care about the effect now, and he is 100% devoted to the operation.
However, Miao Tansheng soon realized that Ling Ran's request was far more than requiring his 100% investment.
Cleaning up blood clots is easy,
Not touching blood vessels only adds a little difficulty, but in the environment of small incisions, it is not so easy.
Besides, Ling Ran's speed also stimulated Miao Tansheng.
He knew that he didn't need to compare himself with Ling Ran, but Miao Tansheng also knew that if his operation speed was too slow, it would probably slow down Ling Ran's speed, thus affecting the progress of the entire operation.
The reason why many surgeons are reluctant to bring newcomers to surgery is that speed is also an important consideration in addition to worrying about newcomers making mistakes.
In the hospital, the speed of the surgical team is directly linked to factors such as performance bonuses. If possible, no one is willing to bring a bottle of oil.
Miao Tansheng also didn't want to become Ling Ran's troublemaker. If that was the case, Ling Ran would probably reduce the number of surgeries he performed in the clinic. After all, he is no longer in school or hospital, and Ling Ran has no obligation to teach him anything...
Miao Tansheng glanced at Ling Ran secretly, then lowered his head, collected his energy, and tried his best to clean up the blood clot.
His foundation was still there, and with all his heart and soul, he exerted 120% of his strength and finally finished the task assigned by Ling Ran, but he was exhausted.
Ling Ran nodded in satisfaction. As expected, he is a middle-aged man who can bear the pressure by looking at him. The amount of operation he transferred is already 70% to 80% that of Ma Yanlin. Miao Tansheng can still withstand it, and it is true. It's not easy.
Anyway, Ma Yanlin has been a doctor of Achilles tendon repair for two years, and Miao Tansheng has been away from the big hospital for some years.
Ling Ran only thought about this in his mind, and then continued his operation, and did not increase the amount of operation for Miao Tansheng.
The blood clot was cleared just now. Miao Tansheng obviously had symptoms of lack of energy when he finished the blood clot removal. Not only did he do it slower, but the error rate also increased, and the removal was not so clean...
All in all, according to Ling Ran's judgment, Miao Tansheng's availability is almost at its limit.
"Tendon suture." Ling Ran also sutured the main part at this time, and he no longer paid attention to Miao Tansheng.
Juanzi, who was learning to be an instrument nurse, gently put a tendon suture into Ling Ran's hands.
Ling Ran's hand sank slightly, he looked up, and then continued with the operation.
Juanzi let out a long breath of 10 catties.
However, Miao Tansheng suddenly relaxed and regained his identity as a pure hook man. His mind was like a revolving lantern, recalling countless details of the hospital: the beautiful female doctor he saw at the hospital for the first time, the first time he was in the hospital. The beautiful female nurse I saw during an operation, the beautiful female family member I met during my first ward round, the first time I went to the mortuary...
"Today's operation should be considered smooth." The burden in Miao Tansheng's hands was lightened, so he deliberately and unintentionally got close.
Ma Yanlin is familiar with Ling Ran's habits, so he naturally shouldered the burden of chatting. In fact, he just relaxed, and when it was time to chat: "According to Dr. It also affects the speed a bit."
"That's for sure. Hey, there are not many surgeons like Dr. Ling who are willing to spend two or three hours doing such a minor operation." Miao Tansheng praised him from the side.
Ma Yanlin agreed and said with concern: "Who says it's not, most people wouldn't do Achilles tendon repair."
"Looking at it from another direction, we are also competing in a differentiated way." Miao Tansheng smiled, and said: "I have also contacted other hospitals and doctors, and there must be a lot of follow-up patients. Based on preliminary estimates, there will be more patients every week. There can be more than three patients."
Today's conversation with Lao Hong also strengthened Miao Tansheng's confidence. He believed that as long as a suitable patient appeared, he would have a relatively good chance of getting it.
"That's pretty good. If there are three surgeries a week, the beds here can be arranged." Ma Yanlin couldn't help being more active. His main purpose was to learn techniques. Now Yunyi only performs three or four follow-up cases per week on average. Tendon repair is mainly for foreign patients and athletes. If the Xiagou Clinic can add about three surgeries, he will be able to learn it faster.
Miao Tansheng was a little proud at this time, and said cheerfully: "Three surgeries are the minimum. At the beginning, let's be quiet, and I will find old friends. Of course, the main reason is that Dr. Ling is famous. Dr. Ling is the chief surgeon, and he is willing to send patients here."
Ma Yanlin nodded and praised "Dr. Miao has a wide range of people", which made Miao Tansheng, who hadn't heard flattery for a long time, burst out laughing, and the atmosphere in the operating room was extremely harmonious for a while.
Not long after, Ling Ran finished suturing the Achilles tendon, handed over the rest of the work to Ma Yanlin, and went out to take a shower.
The benefits of performing surgery in his own clinic are vividly reflected at this time. Ling Ran really changed his whole body this time.
After Ling Ran left the operating room, Miao Tansheng and Ma Yanlin were full of joy in exchanging business ideas.
After all the operations were completed and he left the operating room, he saw another ambulance from the Golden Deer Company parked in the yard.
"Why did the car stop here?" Miao Tansheng frowned.
"The back is full." The driver also knew Miao Tansheng, and curled his lips helplessly.
"What's the full park? Are there other cars?"
"They are all sent to patients." Juanzi was also in a good mood today, with her left leg weighing 48 catties and her right leg weighing 49 catties, she explained to Miao Tansheng: "Changxi Pharmaceutical Company has collected some medicine from somewhere. A patient with a ruptured Achilles tendon was sent here. Bazhai Township Hospital also found a patient with a ruptured Achilles tendon. The patients on both sides arrived at about the same time, and one had to wait for the other..."
"These licking dogs..." Miao Tansheng only felt sour water pouring out of his stomach.