Chapter 269 Incision

Ling Ran quickly searched for his skills, regardless of the master level and perfect level, the national rankings of these skills are relatively high, let alone the city rankings, not to mention whether there are 130 people who can improve, the difficulty is too high up.

In contrast, several specialization-level skills have a greater probability of improvement.

"Intermittent vertical mattress suture" is to sew eggs. It mainly tests Director Huo's ability to collect eggs. It is not easy. To be honest, there are very few opportunities to win, but the bow and pen knife skills are more promising.

If you do a knife...

Ling Ran's first thought was to cut his double eyelids.

The turnover rate is high and there are many patients. It is a bit exaggerated to do 100 a day, but it is easy to do 30 or 50.

However, if Yunyi doesn't develop this technology, it will be too much trouble for Ling Ran to find a beauty salon or the like. Those who cut their double eyelids are all girls, and they are all strangers. They receive thirty or fifty girls a day, and they don't know how much to say.

"System, if I buy a piece of meat to practice surgery, does that count?" Ling Ran suddenly felt a twitch in his heart, feeling that he seemed to have found a loophole.

"Count." The system replied happily: "Only calculate the ranking."

Only calculating the ranking means looking at the results of the surgery.

Practicing knife skills on pork is suitable for beginners. If you want to have an effect on professional knife skills, pork alone may not work.

Ling Ran pondered for a few seconds, and asked, "Then, what is my rank in the surgical skill?"

The system spoke in Ling Ran's mind: "Your pen-holding surgery ranks 765th in Yunhua City, and bow-holding surgery currently ranks 558th in Yunhua City."

Ling Ran mostly uses the bow-holding posture to perform surgery, and the relatively more delicate pen-holding posture is not used much.

This ranking slightly stimulated Ling Ran.

Ranking below the 500th place in Yunhua City, it means that Ling Ran's skills are mediocre in terms of cutting skills alone.

This is not like a physical examination. Physicians who are best at physical examinations, especially middle-aged and elderly physicians, have accumulated experience and seen more, and the level of physical examinations has improved. They also have opportunities to practice, and the annual unit and school physical examinations are indispensable to physicians. Therefore, it is not surprising that Ling Ran ranks above 1,000.

More than 30 third-level hospitals in Yunhua City alone can provide a large number of internal medicine doctors who are good at physical examination. In hospitals below the top three, there are also doctors at the director and deputy director levels with outstanding skills.

However, cutting skills are purely surgical skills.

Ling Ran's pen-holding operation ranks 765th in Yunhua City, and the ranking in Yunhua Hospital is probably dozens or even hundreds of places higher.

This was the result of hundreds of surgeries Ling Ran had performed after acquiring two surgical skills.

From this point of view, it is difficult to improve the ranking overnight.

From this point of view, the "specialized" level, the weaker ones, are just the level of no mistakes.

Watching the little monk Dongsheng learn massage, we can find that the improvement from beginner to professional is very fast, and the requirements are relatively low.

Specialization is slow to improve.

Ling Ran's physical examination has also been done for a long time, and he is still at the level of specialization, but his ranking has improved a lot, which shows that the skill tree of specialization is still very long.

"How long will it take to improve the bow holding posture by more than 100?" Ling Ran asked again.

The system did not give an answer.

Obviously, there is no exact answer to this question.

Ling Ran curled his lips: "Open the intermediate treasure chest."

At the same time, Ling Ran meditated in his heart: Cut it, cut it, cut it...

In a bright light, a skill book appeared in front of him:

Tracheostomy (Perfect Grade)

Seeing "Perfect Grade", Ling Ran was already very satisfied.

From a doctor's point of view, although techniques vary in difficulty, they can all solve problems.

A doctor who knows how to bypass the heart,

Not necessarily more doctors have been saved than doctors who understand intestinal obstruction. Of course, it is indeed a bit special to dig out feces for intestinal obstruction.

Tracheotomy is one of the most commonly used techniques in the emergency department and ICU, and it is also the most common surgical technique in film and television dramas. Those who see a rough road and just pick up a pen and poke their lungs can be understood as need Patients undergoing tracheotomy.

Theoretically, Gui Peisheng has to be trained in tracheotomy, and he will perform operations ranging from three to five cases to as many as 10 cases. However, judging from the current domestic situation, there are not many young doctors who have the opportunity to perform tracheotomy. Whether you can get started depends not only on luck, but also on your own enthusiasm.

Ling Ran had learned tracheotomy in school, but before the practice, what he had learned was difficult to transform.

But after taking away the skill book in front of him, Ling Ran was already a veteran throat opener.

"Not bad." Ling Ran nodded slightly.

The tracheotomy is also incision, and it can be held with a bow or a pen. It is estimated that it can be practiced a little bit.

"Doctor Ling?" Yu Yuan called Ling Ran.

They all finished the ward rounds and were anxious to go back to the office to write the medical records.

"Oh... rest." Ling Ran nodded and said, "I'll go to the emergency room."

Lu Wenbin and Yu Yuan went without hesitation, they had too much work to do.

Ma Yanlin quickly followed Ling Ran, and said, "Doctor Ling, I'm here to help."

"I don't have anything to do, I just wait in the emergency room." Ling Ran doesn't need an assistant for the time being.

Ma Yanlin laughed twice, and still followed Ling Ran. After getting out of the elevator again, Ma Yanlin said in a low voice: "Doctor Ling, it's time for my rotation. I told the director, emergency department There is no place for now, I have to go to another department."

Gui Peisheng has to rotate in multiple departments, and Ma Yanlin has already stayed overtime in the emergency department, which belongs to the extra time gained.

Ma Yanlin looked at Ling Ran eagerly at this moment, and said, "Can you tell Director Huo for me to stay in the emergency department?"

"Can Gui Peisheng stay?" Ling Ran was not very familiar with the rules.

Ma Yanlin looked at Ling Ran and whispered, "You are an intern."

Suddenly, Ling Ran said, "Oh", and said, "I'll tell him."

"Okay, okay." Ma Yanlin's expression became a little more lively.

He has been worrying about the rotation job for several days.

Compared with studying in different departments, the opportunity to study under Ling Ran is obviously more rare. Among other things, just the help of the replantation of severed fingers is a good opportunity that even residents in the orthopedics department may not be able to get. Ma Yanlin is the most What I'm afraid of is that when the rotation comes back, Ling Ran already has a newcomer by his side.

Actually, that's almost obvious. Ling Ran's surgery frequency is so high, with so many patients, the workload of the treatment team is greater than that of ordinary departments. If Ma Yanlin leaves again, Ling Ran will definitely need an assistant. It is impossible to wait for Ma Yanlin in this position... …

Ma Yanlin looked at Ling Ran, and said worriedly: "Doctor Ling, Director Huo may arrange another resident doctor to be your assistant. Don't agree. I have been studying with you for so long. I am familiar with it, other residents are definitely not as useful as me... I am mainly not from the emergency department. If I were from the emergency department, Director Huo would definitely be willing to keep me. In fact, I have already applied to the emergency department. , Director Huo is unwilling to make any effort..."

Ma Yanlin was very confused about this, and what he said was a bit confusing.

Ling Ran nodded and said, "If that's the case, you can find a way to convince Director Huo."

"How to persuade?" Ma Yanlin became interested in an instant.

"You can try Achilles tendon repair and tang suture." Ling Ran suggested. He didn't mention the replantation of severed fingers, because it was too difficult, and the anastomosis of blood vessels alone was not something that Ma Yanlin could handle.

Ma Yanlin looked at Ling Ran in surprise, and asked, "Will you let me perform Achilles tendon repair?"

"I can give you a chance." Ling Ran thought for a while, and said, "In the future, you will focus on the Achilles tendon repair, and Lu Wenbin will focus on the Tang method. I will break down all the steps, and you will perform each operation from easy to difficult. After one of the parts is all correct, we will move on to the next step.”

Ling Ran's requirements were higher than ordinary ones, but Ma Yanlin was content with it.

This is tantamount to being taught by hand, which is better than a doctor who is free to do it. At this point, what else can Ma Yanlin say.

If the social trend didn't allow it, Ma Yanlin would like to say to Ling Ran now: You are such a good person!

"It's nothing, I'll wait for the suffocating person to come." Ling Ran waved his hand and walked into the rescue room.

The most need for tracheotomy in the hospital, in addition to the emergency department is the ICU, and the last is the operating room.

For a hospital like Yunyi, it is normal to receive one or two patients who need tracheostomy every day. Of course, it's more luck to see it raining, but Ling Ran has no other place to wait besides the emergency department.

One hour.

two hours.

Three hours.

When Ling Ran was finally suspended for multiple warnings, the ambulance finally brought a blood-stained patient.

Ling Ran put away his phone in boredom, and walked forward silently. For more serious trauma, Ling Ran still lacked the ability to deal with it systematically, and was also in a learning state.

"I'm fine, save my dog ​​first, save my dog." The patient was jolted and woke up abruptly, and the quilt was lifted, and there was a yellow Labrador lying on the flat bed, also dying.

The vest on the Labrador and the police uniform on the patient also showed their identities—a policewoman with a dog.

The nurse pushing the cart had to hold the patient's shoulders and said, "Don't struggle to avoid tearing the wound. The veterinarians from your squadron have already rushed over."

"I'm fine. The blood on my body is from the gangster. If you don't believe me, look at me..." The policewoman was about to stand up, but she fell down again with an "ah".

"You've been stabbed in the leg, don't you feel it? Do you have any impression?" The doctor in charge raised a flashlight to shine on the policewoman's pupils, asking questions non-stop.

"My dog... Chestnut was also cut." The female policeman grabbed the doctor's hand and said, "You have to save it. Lizi is only two years old, and he has saved three people. This time, he also smelled drugs. , was attacked..."

The emergency doctor looked puzzled, he was good at saving people, but he was inexperienced in saving dogs. Furthermore, it is impossible for him to put down people to save the dog now.

With his hands in his pockets, Ling Ran looked at Labrador's dark eyes and said, "Let me sew up the dog."

Mission: Rescue police dogs.

Task content: Rescue the police dog "Chestnut".

Task reward: 6 primary treasure chests.

Ling Ran looked at the sky in surprise, it's fine to save the dog, but return the treasure chest?

And... 6 junior treasure chests + 24 junior treasure chests, exactly 30 junior treasure chests.

Ling Ran took a deep breath, pushed the flat bed by himself, and together with the two of them, moved the dog over.

The policewoman looked at her dog eagerly, then at Ling Ran, and passed out.

"The dog is about to suffocate." The nurse next to him reminded him.

Ling Ran looked down, and as expected, the dog was out of breath immediately.

"Well...do a tracheotomy on it." Ling Ran made the most correct choice at this moment.