Chapter 488 Exchange

6 o'clock in the morning.

Zhang · Hepatobiliary Surgery · Primary Attending · Tired to death · Painful · Would rather die than get up · Have to get up early · An Min, has arrived at the ward.

In the past, Zhang Anmin, like most of the weak chicken attendings, went to work at 8 o'clock or 8:30 in the morning on non-director rounds days, started rounds at 9 o'clock, and then went to surgery for about half a day.

In this way, in the two hours before going to work, Zhang Anmin would have enough time to change the child's diaper, wash up, cook a rich breakfast for his wife and mother-in-law, and then leave home under the eyes of the mother-in-law.

After returning home, Zhang Anmin also has enough physical strength to make dinner, feed the children, change diapers, accept the influence of his mother-in-law "I'm not easy", coax his wife, and have time to take a shower in the evening and do housework.

Ever since Ling Ran lived in the operating area, Zhang Anmin gradually became far away from such days.

First of all, there are a lot of questions in Ling Ran's surgery - not many in absolute terms, but if a chief surgeon is asked more than five unanswerable questions in every surgery, the embarrassment in the operating room , will almost form a solid.

In order to avoid such embarrassment, Zhang Anmin could only come to the operating room for rounds in advance, and then make preparations in advance by simulating a plan based on the patient's condition.

For Zhang Anmin, the daily surgery is like a director's rounds.

However, Zhang Anmin insisted on doing it.

As a doctor, who has not been born with nine years of compulsory education plus five years of undergraduate and three years of master's degree, one year of practice, three years of regular training and three years of hospitalization, even if it is embarrassing, it must be shameful.

On the other hand, Zhang Anmin is also willing to bear the title of being bullied by Doctor Ling, and he is wronged to do more operations, and the operations are performed under the guidance of senior doctors.

As an adult in his 30s, working hard and studying hard every day sounds good, but in practice, people will inevitably be ridiculed and discussed.

If you don't have a strong heart and a clear goal, it will be very uncomfortable and it will be easy for people to give up.

When Zhang Anmin was living in school, why did he sleep in class, and then secretly hide in the bathroom at three o'clock in the morning? Isn't it because he was afraid of people talking about it?

Now, Zhang Anmin feels that it is a good deal to be able to learn the operation with peace of mind and gain everyone's sympathy.

As long as the housework and breakfast that can only be done in an hour and a half in the past are done in an hour, and if you coax your wife more and be thick-skinned to your mother-in-law, you will be able to live on.

"Hello, let's do a ward check." Zhang Anmin walked into the ward, speaking in the language he had learned in "Precautions for Ward Rounds in the Early Morning".

The patient turned over.

Zhang Anmin smiled, then lifted his chin, and the accompanying resident doctor, like a puppet army, knocked on the bedside and shouted, "Hello, rounds."

Then, the training doctor and the trainee doctor also stood up and shouted: "Hello, rounds!"

This method independently developed by Zhang Anmin does not pay attention to the bed check method, which improves the efficiency of bed checks in the early morning. The side effect is that the attitude of the awakened patients is even worse.

"Check." The first patient who was woken up always looked unhappy.

Zhang Anmin shrugged. This is the problem of too early ward rounds. If the ward rounds are done at 9 o'clock, the attitudes of the patients and their families will be very good. Most patients still try to find ways to make the attendings happy.

But at 6 o'clock in the morning, there are far fewer caring patients.

"Let's start." Zhang Anmin glanced at it.

The resident doctor hurriedly said "Oh" and said: "The patient is 55 years old. He complained of repeated pain in the upper right abdomen for 1 year, which worsened. The pain lasted for 2 hours before hospitalization. CT showed enlarged gallbladder and multiple dilated intrahepatic bile ducts..."

The resident doctor in charge of the bed came earlier than the attending doctor.

Generally speaking, the minimum requirement is to come half an hour earlier, and then memorize the content of these ward rounds.

When encountering a strict attending doctor, it takes even an hour a day to recite these specific contents, and then repeat the past bed by bed.

For residents, this is one of the pain points of early work.

Especially when encountering an attending doctor who needs to make rounds at 6 o'clock, the resident doctor has to get up at 4 o'clock, arrive at the hospital at 5 o'clock, and then recite the materials...

The process may seem routine, but in hospital life, this is just the beginning of the pain.

Zhang Anmin, who has become a junior attending doctor, can't take care of himself, and can't control the life and death of the resident doctor. The way to comfort him can only be a casual question: "What disease do you think?"

"If you look at it comprehensively, there is no doubt about cholecystitis." The resident said.

"What about?"

"Again... is it possible that there is a cyst?"

"What about it?" Zhang Anmin has been asked a lot recently, and he feels that he needs reverse output.

The resident doctor asked me a little confused. At 6 o'clock in the morning, normal people are either sleeping soundly, or just waking up and want to sleep back to sleep, or just want to sleep after a morning shot, or are full. After breakfast, I want to go home and sleep, how about myself? To wake others up during rounds?

The resident doctor was full of confusion, and gave a panacea answer: "Either consider tumors?"

The bored patient on the hospital bed was shocked: "Tumor? Cancer? Do I have cancer?"

"You don't have any symptoms of cancer!" Zhang Anmin glared at the resident doctor in anger.

Turning his head around, Zhang Anmin didn't give a shit anymore, and said to the patient, "You suspect that you have liver fluke disease. Multiple dilated intrahepatic bile ducts are relatively typical symptoms. This disease should be taken seriously. However, it is related to cancer. It’s not an order of magnitude, and with treatment, he can be discharged soon.”

Looking at the patient, Zhang Anmin was afraid that something might go wrong from being frightened, so he took out the film again, and said, "It can be seen on CT, the state of the inflammation, and the edge is very clear, you don't have to worry..."

"That's liver fluke disease?" The patient was slightly relieved.

"Yes, do you know about liver fluke disease? It's mainly parasites. Do you usually eat sashimi?"

The patient thought for a while and said, "The little Japanese kind? I don't eat it."

"It's also possible to drink raw porridge and uncooked barbecue." This time the voice came from the door.

Zhang Anmin felt familiar, but couldn't believe it and looked back.

"Huh? Doctor Ling? You came out?" Zhang Anmin looked at the figure standing at the door.

Because his back was facing the door, the light in the corridor happened to shine on him, so that the other party's face was covered with halos, and he couldn't see clearly. However, judging by that figure, that temperament, and that handsome demeanor, Zhang Anmin knew with certainty that this was Ling Ran.

There could be no one else.

It is impossible for Yunhua, it is impossible for Chauncey, and it is impossible for the whole world to have it.

"It's okay to come out for a stroll." Ling Ran stood in the hospital corridor, looking like he was shopping. Ling Ran was happy to see the ward with the door open.

Several other little doctors also greeted at a loss.

Ling Ran nodded with a smile, walked in again, and asked, "How is the bile duct in the liver?"

"It's not enough to cut it off." Zhang Anmin's answer went straight to the core of the question.

With an "oh", Ling Ran approached Zhang Anmin silently, asked for the medical records and looked at them.

On the contrary, Zhang Anmin was a little apprehensive: "Who are you?"

"I want to learn how to do ward rounds in hepatobiliary surgery." Ling Ran answered calmly. He had stayed in the operating room long enough, but it was only for operations, and did not involve ward rounds, consultations, prognosis, etc. in the ward.

Zhang Anmin looked at Ling Ran's handsome face, and the alarm bells rang in his heart.

Zhang Anmin was full of vigilance and said: "Doctor Ling, are you going to start having your gallbladder removed?"

With the frequency and speed of Ling Ran's operations, Zhang Anmin doubted that his main surgical method, cholecystectomy, was about to disappear.

Ling Ran just smiled and said, "I still have to practice and practice."

Cholecystectomy is not performed systematically, so it is only at an entry-level level. Ling Ran is not in a hurry to start the operation of this operation immediately. His foundation is very good, and if he accumulates and practices for a period of time, he will improve very quickly. At the very least, he needs someone to guide him, so that he can do it with quality and quantity.

Zhang Anmin's complexion changed again and again.

This shows that the day when Ling Ran can do hepatobiliary surgery alone will eventually come.

Zhang Anmin couldn't help complaining in his heart, the fans who guarded the hospital were too impatient.

Thinking about it again, with the strength of Yunyi's hepatobiliary surgery department, if Ling Ran receives half of the patients who need cholecystectomy every week... No, he can't just take half...

Thinking of this, Zhang Anmin mustered all his courage, coupled with his mental retardation in the early morning, and said bravely: "Doctor Ling, we can't let you follow the ward rounds of our hepatobiliary surgery."

Ling Ran asked suspiciously, "What's the reason why you can't see it?"

"Because...because..." Zhang Anmin was a little speechless.

Ling Ran said very naturally: "We can exchange studies. In the future, you will take me for cholecystectomy, and I will take you for liver resection."

The little doctors in his treatment group were almost exhausted, and it was impossible to start learning liver resection right away. There were too many prerequisites to learn.

Therefore, Ling Ran's hepatectomy was performed by himself as the main force, and Lu Wenbin and others could only learn from it.

In contrast, Zhang Anmin has been in hepatobiliary surgery for nearly 10 years, and all the prerequisites for liver resection are met. Ling Ran also avoided having to find a hepatobiliary surgeon as an assistant temporarily when he was undergoing a major operation.

Zhang Anmin's cheeks were slowly turning red

"Liver removal? Really?" Zhang Anmin asked.

"Really." Ling Ran's face was sincere, and the handsome man filled the ward with suppressed breathing.

"Then...it's a deal!" Zhang Anmin swallowed, his hands were covered with sweat, feeling like he had won a big prize.

In hepatobiliary surgery, the liver has always been the first, and it occupies an absolutely important position. Gallbladder is far behind in terms of complexity and importance.

Zhang Anmin has always wanted to have liver surgery, but he never had the chance to do it.

Liver resection is the most important thing in liver surgery. If he learns this... Zhang Anmin has already imagined a life of getting promoted, raising salary, hiring a nanny and renting a big house.