Chapter 491 Never Seen Money

"I said, why does the director follow Ling Ran every day?" The attending director suddenly laughed, as if he had discovered some great secret.

After speaking, he cocked his chin to both sides.

The other two attendants did not agree with him at this time.

"How did the stones in the bile duct in the liver get so clean?"

"That's right, everyone's liver was removed, and Ling Ran's one should be cut very cleanly for no reason."

The questions of the two attendings both point to the same answer.

"I was thinking about this just now." Zhang Anmin chuckled twice, then put away the choledochoscope, and started to close the abdomen.

The three attendants were waiting for Zhang Anmin to speak. After waiting for more than ten seconds, there was still no answer. One of them came to his senses and hurriedly said, "It's just right. Let me wash my hands and help you."

As he spoke, he went out to wash his hands, and when he came back, he asked the nurse to put on a surgical gown to help Zhang Anmin.

In a tertiary hospital like Yunyi, the use of surgical consumables is extremely wasteful.

Doctors throw away things that cost more than ten or twenty dollars, such as surgical gowns. Similarly, there are handwashing clothes that need to be sterilized once worn, and surgical instruments that need to be re-sterilized or discarded after being used once or even once. Only slippers are never washed and will always be dirty.

Doctors come and go to the operating room, change clothes, or operate instruments, etc., are relatively casual. Basically, as long as they don’t take them home, it doesn’t matter.

With someone to help as an assistant, Zhang Anmin's abdominal closure operation will be much faster.

One was in charge of unfastening the clips and passing the thread, and the other was in charge of layered suturing, and the abdomen was sewed up in just a few minutes.

At this time, Zhang Anmin said Shi Shiran: "I think, Dr. Ling's ability to clean up the bile duct stones in the liver is mainly due to the good selection of the location."

"Location?"

"Mm. The location is very important." Zhang Anmin said: "Pay attention, the location where he cut the liver is not only the place where the stones are concentrated, but also a convenient place to remove the stones."

"How did you choose this?"

"It's like doing a geometry problem." Zhang Anmin didn't know it, so he just made it up. Of course, he did think in this direction. As for whether the direction of thinking is correct, Zhang Anmin cannot be responsible.

The other three didn't see the operation, so they could only think about it. After thinking about it, they felt that Zhang Anmin's words made sense.

"It's the same as making that auxiliary line or something."

"Do you remember junior high school geometry?"

"The three-dimensional geometry in high school also needs to be auxiliary lines."

"Speaking of which, choosing a position is indeed a difficult point. I was the worst in solid geometry in high school, and I usually didn't get a score of 90 in the exam."

"Then my worst thing is advanced mathematics. Definite integrals, analytic geometry, etc., are all things to raise grade points."

Although it has been ten years since they graduated, when it comes to mathematics in middle school and university, they are still very impressed.

It was something that I put in so much effort to learn back then. Although the specific steps and formulas and theorems have been forgotten, everyone is still willing to chat casually when recalling the pain of imprinting the brand and the sweetness of the intermission.

After all, the doctors who were able to gain a firm foothold in Yunyi Hospital had their ups and downs when they were in school. Compared with the disappearing crowd after entering the hospital, they missed school even more.

Zhang Anmin didn't say much, just chatted casually, helped the anesthesiologist Su Jiafu clean up, and then took off his surgical gown to rush to the next operation.

The other three attending doctors also have their own operations, no matter how itchy they are, they can only disperse separately.

Zhang Anmin was in a hurry, so he only got the second aid.

Yizhu became Ma Yanlin. Yu Yuan is now the inpatient chief, and she has been in the hospital for several months. The general surgery in the emergency department is entrusted to her, especially the night shift surgery at night. The first order is the inpatient chief, so that Yu Yuan Yuan could no longer keep up with Ling Ran's operation.

Ling Ran didn't care who helped him. There are skilled doctors to help,

He will perform the operation faster and more delicately. If you don't have the help of good technology, then do it slowly and pay more attention to yourself.

If there is any difference between the first assistant at the attending level and the first assistant at the training level, for Ling Ran, it is probably just two surgeries in advance and drinking energy potions.

As a trench doctor who currently possesses 718 bottles of energy potion, Ling Ran is able to undertake various changes for Yizhu.

"Zhang Anmin, get ready and do a choledochoscopy." Seeing Zhang Anmin coming, Ling Ran was more than happy to relieve some of the pressure.

From Ling Ran's point of view, Zhang Anmin, who has undergone a series of gallbladder operations for five or six years, should have a choledochoscopy level at the level of an elementary specialist, which is enough for operations such as liver resection.

Zhang Anmin said "huh": "Can I do a choledochoscopy? Is it possible?"

Ling Ran frowned: "You seem to like to repeat questions."

"Would it? Did I repeat the question? Huh...it seems to be like this." Zhang Anmin was stunned.

"Don't ask questions repeatedly, try your best." Ling Ran disliked Zhang Anmin's long-windedness, but only a little.

Zhang Anmin nodded cautiously, and then whispered: "If I operate the choledochoscope, the rate of residual stones may be very high."

His family knows his own affairs, let alone doing a choledochoscopy with a residual stone rate of less than 2%, the average of 17% is not sure.

However, Ling Ran gave Zhang Anmin a strange look: "Who told you that the doctor who operates the choledochoscope determines the rate of residual stones."

"Isn't it? Shouldn't it be..." Zhang Anmin resolutely shut up, so as not to ask the question twice.

"There are many reasons for determining the rate of residual stones. You can read the papers later. The choledochoscope is not the key factor." Ling Ran didn't bother to explain. After thinking about it, he decided to satisfy Zhang Anmin's thirst for knowledge, and said, "Do you have any questions?" If you understand, you can ask Yu Yuan first."

"Oh. Yes." Zhang Anmin's head was full of muddleheaded thoughts, did he really think that the 4 indications just now, including himself, were all delusions?

Ling Ran nodded, continued to perform the operation, and suddenly said: "Barehand operation can also affect the rate of residual stones."

As he spoke, he used his hands to dig out a stone from the severed liver...

Picked out a stone...

pick...

Zhang Anmin's eyes widened, and he suddenly felt that the tall man he admired had undergone a hepatectomy, and had turned into a lower lip.

Zhang Anmin turned his head to look at Ma Yanlin again, and saw that the latter took it for granted.

"Hey, do you often see Dr. Ling take out intrahepatic bile duct stones like this?" Zhang Anmin asked Ma Yanlin in a low voice.

Ma Yanlin stretched his neck to look, and asked, "Isn't this how it was taken?"

Zhang Anmin was stopped by the question, thought for a while, and said: "I read in the literature that it was said that bile duct stones in the liver were removed with bare hands, but I didn't know, it turned out to be picking..."

Ma Yanlin let out a flat "oh". He has seen a kind of liver resection for intrahepatic bile duct stones, how can he evaluate it?

Zhang Anmin only felt a sense of absurdity rising, looked at Ma Yanlin, and thought to himself: Even regular and trained doctors can learn to pick their livers, what kind of world is this? Wait, where is the advanced nature of liver picking?

outside the window.

West wind blows.

The big goose fragrance dances with the wind, like Xiang Zhuang dancing with a sword, slowly approaching a young woman with well-developed gluteus maximus.

"Be careful." The boy pulled the girl up, pointed to the big goose behind him, and showed a clean smile.

The girl blushed, like a curly spider plant.

Lu Wenbin, who had just come out of the gym, looked at the tenderness beside the fountain, and suddenly felt a wave of irritability. He couldn't help but walked a few steps quickly, and he didn't feel relaxed until he entered the operating room.

"Doctor Lu, would you like to help?" Zhang Anmin only performed the third operation, and he was still willing to give way.

"That's fine, I'll be the first assistant on this one." Lu Wenbin didn't have any intention of being humble, and took the position of first assistant without hesitation.

Zhang Anmin stood opposite Ling Ran with some regrets, pulled the hook, and finished the third surgery today.

"Okay, hurry up and do two surgeries, let's rest." Ling Ran turned to Zhang Anmin and said, "When is your gallbladder surgery?"

"The day after tomorrow...the day after tomorrow is the surgery day." Zhang Anmin panicked inexplicably. He had to stand for more than ten hours for five surgeries a day.

Ling Ran nodded, and said, "Email me the specific time the day after tomorrow. Let's rest for... 30 minutes, and wait for the next operation to be ready."

After Ling Ran finished speaking, he left. Lu Wenbin seized the time to close his stomach, and Zhang Anmin followed to help, which saved time.

After a wave of work, Zhang Anmin returned to the lounge. Zhang Anmin, who was in his thirties, already felt exhausted.

He took cigarettes from his locker, and greeted again: "Doctor Lu, do you smoke?"

Lu Wenbin hesitated for a moment, and said, "Then let's wait a moment."

Lu Wenbin also went to the locker to get cigarettes, and walked out of the lounge with Zhang Anmin, saying as they walked, "I don't usually smoke very much, I occasionally do it for fun."

"It's better not to smoke. I can't help it. I smoke while I'm studying." While talking, Zhang Anmin gave Lu Wenbin his own cigarette when he reached the rooftop.

Lu Wenbin took it in his hand unceremoniously, glanced at it, and saw that it was a pack of Double Happiness that cost 10 yuan a pack. He couldn't help being stunned: "Doctor Zhang, you are very good at treating diseases. Forget it, try mine."

"What kind of doctor am I? The year before I was promoted to the medical reform, I didn't see money at all." Zhang Anmin took Lu Wenbin's cigarette, and saw the word "Zhonghua" reflected on the cigarette.

Zhang Anmin's lips could not help but tremble: "Great China? So corrupt?"

"What's so corrupt about it? You can buy a few for the price of a throwing knife." Lu Wenbin smiled and praised Zhang Anmin.

Zhang Anmin smiled wryly: "What kind of throwing knife did I throw..."

As he said that, Zhang Anmin suddenly realized something, looked up at Lu Wenbin, and asked, "You often follow Dr. Ling to throw knives? Do you have money for it?"

"Yes." Lu Wenbin replied simply.

"How much can you share?" Zhang Anmin couldn't help it, he really wanted to know.

Lu Wenbin smacked his lips: "200 less, 500 more, 1000 at most."

"That's not a lot. Dr. Ling can throw knives three times a week, how can you get a thousand and eight hundred yuan?" Zhang Anmin calculated the accounts, and he felt a little balanced in his heart. This is just cigarette money. .

As soon as Lu Wenbin lit his cigarette, he wanted to spit it out. He was amused by Zhang Anmin's words, and he couldn't help coughing.

"One set, the pay per visit is the old calendar, who dares to charge Dr. Ling such a price now." Lu Wenbin shook his head with a smile.

"One? How many surgeries does Dr. Ling perform at a time?"

"What do you think?" Lu Wenbin raised his arm with an arm circumference of 38 centimeters, took a puff of cigarette with a smile, and spit it out quickly, looking like a single big guy who has been working out all year round.