Chapter Five Hundred and Fortieth Seventh Breeze Blowing
"Dr. Ling, I read some literature that the internal arc incision of the Achilles tendon has fewer complications than the external incision. Especially for gastrocnemius injury, the probability of occurrence of the external incision seems to be much higher."
"The blood supply of the area covered by the Achilles tendon is still quite complicated. This issue can open up a new topic."
"Functional recovery after surgery has to be considered."
In the consultation room, Lu Wenbin, Yu Yuan and Zuo Cidian had an extremely intense discussion.
Ling Ran would occasionally nod his head, occasionally shake his head, and occasionally say a word or two to make a comment. Even so, it gave them incomparable motivation.
For the three doctors who have just started to practice Achilles tendon repair for a year, the scene in front of them is really priceless. The hard work of the past few days is like a breeze blowing on the face.
What kind of experience is it like to have the top experts in Achilles tendon repair in China to chat with you about the plan?
Moreover, Ling Ran actually listened to their experiences.
Thinking of the operation that will be performed later, and really having their own participation and contribution, the three of them unconsciously became excited.
They followed Ling Ran for a long time to perform surgery, but a resident doctor is a resident doctor after all, no matter from which point of view, a resident doctor is actually still in the state of learning.
Let alone a place like a hospital, in the field of pure humanities, a newcomer who has just joined the job for a year can't say anything.
That is to say, after nearly a year of continuous high-intensity training with Ling Ran, the three of them had the capital to speak.
Ling Ran was also willing to hear their thoughts.
They are all assistants who have performed at least a hundred similar operations, and they are actually mature surgeons in other hospitals.
And the questions they raised from the assistant's point of view may not be able to solve the problem directly, but they can remind Ling Ran from the side, so that Ling Ran can consider the operation plan better.
At Ling Ran's current level, it doesn't hurt to think more about it.
"Go for surgery." Seeing that the time was almost up, Ling Ran looked at the watch on the wall, got up and left.
The three residents below winked and smiled,
Hastily followed up.
The consultation seemed to be a bit anticlimactic, and no final conclusion was reached, but the three of them were a little elated.
With Ling Ran's character, it's not easy to be willing to say so much.
In fact, not to mention Ling Ran, as far as the other attendings of Yun Doctor are willing to say so much to the residents, there are very few. Not to mention such in-group consultations.
The precious time of the consultation in the group should be rewarded to the sub-senior officers if they are not used to play tricks.
As for the content of the operation, the main operation has been performed thousands of times in the group, so there is nothing to discuss. Not the main technique? That's my so-and-so's new technique, what's there to discuss with you guys...
The three resident doctors cherished today's opportunity very much. When they got on the operating table, they were more serious than each other. The content of the chat turned into discussing the condition, which made the nurses very surprised.
There are 4 surgeons and 3 men in a room, and they stopped chatting with the nurses. The atmosphere is obviously not right.
The itinerant nurse couldn't help but look at the camera in the operating room, there was no red dot.
"What is the origin of today's patient?" The itinerant nurse approached Lu Wenbin with some doubts and whispered.
Lu Wenbin now believes that "harmony makes money", and his attitude towards people is not good. When the little nurse disturbed him, he smiled like a hoof, and said: "It seems to be selling waste products. When you move the cardboard boxes The Achilles tendon was broken, and it took two days to come to the hospital. The operation was somewhat difficult, mainly because the patient had requirements for the recovery time and the strength of the Achilles tendon. If the disease cannot be cured, people will be unemployed, right.”
"It's good to make money selling scrap these days, right?"
"You can't do less work."
"Is there any background at home?"
"A person who doesn't even have a scrap yard, what kind of background can he have. He is a person who earns hard money."
The itinerant nurse even asked a few questions, but didn't get the answer she wanted. She was a little annoyed, glanced at Lu Wenbin, and said, "No matter how hard it is to sell scraps, it can't be harder than being a doctor."
"This is actually..."
"Earn more than a doctor."
Doctor Lu's expression froze, and he hummed for a moment, "There are many ways for doctors to make money."
"Doctor Ling must be..." The itinerant nurse smiled, walked around the field, and stood next to the equipment nurse so that she could look at Ling Ran.
Lu Wenbin was full of rebuttals, and then he thought about it, he made more money than those who sold scraps, but he also got up much earlier than others.
"Sew up the blood vessels here again." Ling Ran was doing Zhu-Ling's Achilles tendon repair with great vigor.
Those who come to him for Achilles tendon repair all have relatively high requirements for the recovery of the Achilles tendon.
Otherwise, if it is just a simple suture of the Achilles tendon, most people will choose minimally invasive surgery.
The effect of minimally invasive surgery by ordinary doctors is better than that of open surgery.
For an Achilles tendon repair, Ling Ran did it slowly for an hour, and then handed it over to Lu Wenbin for skin stitching.
Compared with a year ago, Lu Wenbin's technique is much more proficient, and when he sewed up ordinary hairy legs, there are basically no obvious scars.
"It's done, Doctor Zuo, let's send the patient out." Ling Ran took off his surgical gown, stretched himself, and said, "Let's go for liver resection."
"I'll go get ready first." Yu Yuan hurriedly jumped off the step stool, quickly left the operating room of the emergency center, and went to the operating room of the hepatobiliary surgery.
The operating room in the emergency center is not on the operating floor, so it takes a few more steps to change it.
Ling Ran was not in a hurry to go there, and there was a slight delay in the pre-operative preparations, which would take ten or twenty minutes. Yu Yuan is careful in her work, and her surgical skills are a little weaker. She spreads the drape, disinfects, checks the patient's status, and so on. There is no problem.
While still in the building of the emergency center, Ling Ran intentionally turned to the ward, and decided to check the room and take a rest.
He drank the energy potion at three o'clock in the morning. Up to now, it has been more than four hours. After all, Ling Ran has undergone three gallbladder surgeries and one open Achilles tendon repair. Conducted a set of preoperative consultations... If not counting miscellaneous chores, he basically completed a day's work of a surgeon.
In the ward of the emergency center, Ma Yanlin was making rounds alone.
All the interns have graduated, and he doesn't even have any subordinates. Most importantly, Ma Yanlin's "medical registration" is still in the department of orthopedics.
The same is true for today's temporary tasks. Ma Yanlin has to take on the duty of the orthopedics department, otherwise his colleagues will all jump. It doesn't matter if you don't perform surgery or even write medical records. Orthopedic surgery earns a lot of money, and everyone rushes to do it. There is no shortage of people. Only the night shift was hated by everyone.
Ma Yanlin lowered his head. He intends to transfer to Ling Ran, but, from the orthopedics department to the emergency department? Those who are familiar with the hospital probably had the same thought when they heard such words: their heads were shot!
The orthopedics department is a local tyrant's orthopedics department, and the attendings are too lazy to engage in extramarital affairs, but directly use money to buy sex. The emergency department is a typical one that is tired and poor, and the deputy high school has to keep clean.
Ma Yanlin's current income is much higher than that of his colleagues, but considering future development, Ma Yanlin still prefers orthopedic surgery... Even with Ling Ran, he also studied orthopedic surgery. If he was transferred to the emergency department, Ma Yanlin worried that he would be delayed by the emergency business and run out of time.
"How many beds have you checked?" Ling Ran quickly walked over from behind, waking Ma Yanlin instantly.
"Oh... just started to check." Ma Yanlin whispered: "There are no more interns..."
"That's a problem. I need two more people to come over another day." While speaking, Ling Ran looked at the bed number sent by Zuo Cidian in his mobile phone, and said, "Look at the people who underwent surgery yesterday. Follow me to the hepatobiliary surgery department for ward rounds."
The patients who have just undergone gallbladder surgery are all living in the ward of hepatobiliary surgery.
"Then I'll notify Dr. Zhang." Ma Yanlin nodded quickly, and looked at Ling Ran's back with envy. To dare to go to other people's departments for ward rounds, in addition to strength, you must also have the physique not to be afraid of rumors, otherwise, the unspoken rules in the hospital will make people feel uncomfortable to death.
However, Ling Ran grew up surrounded by gossip, and always ignored the unspoken rules of the small circle.
Ma Yanlin couldn't learn this talent even if he took off his pants.
With hands behind his back, Ling Ran visited patients from ward to ward.
He is now the person in charge of the treatment group. According to the three-level diagnosis and treatment system, one round of ward rounds a week is enough. When it comes to the process of ward rounds, there is no need to be obsessed with the details. The focus is on solving problems that cannot be solved by the bed doctor and the attending physician.
As far as the hospital is concerned, the person in charge of the treatment team is mainly at a loss: "It's okay? Have a good rest. If you need something, go to the doctor in time."
But patients and family members, when facing the person in charge of the treatment team, tend to trust them more and even become more tolerant.
The primary treasure boxes brought by "sincere thanks" can prove their feelings.
The "sincere thanks" received by non-cholecystectomy did not have double treasure chests. Even so, Ling Ran took 7 treasure chests in one go. If it wasn't for the lack of time and the absence of other bed doctors, he would have made rounds all the way. ...
"Doctor Ling." Zhang Anmin trotted over with a doctor he didn't know.
"Doctor Zhang is at work." Ling Ran smiled: "There is no need to come here specially, the operation is arranged on the operation floor..."
"Doctor Ling, let me introduce you." Zhang Anmin bit the bullet and interjected, "This is Qiu Zhongren from our digestive surgery department. He took me before..."
With a loyal face, Qiu Zhongren smiled at Ling Ran with a hint of anxiety, and said, "I have seen several surgeries performed by Dr. Ling, this time I begged to come..."
"What's the matter?" Ling Ran's expression remained unchanged. He was often asked for various things, but he felt that it was normal to be asked to come to his door.
"Today we had an operation for gastric varicose veins. During the laparotomy, we found that the patient had cirrhosis and bleeding. After stuffing it with gauze, the effect was not good..." Qiu Zhongren looked very helpless.
Liver surgery is notoriously complicated, and now he doesn't even know the cause of the bleeding, so he doesn't dare to touch his liver at all, so he can only rush out to find reinforcements.
This kind of intraoperative problem is different from ordinary consultation. Qiu Zhongren put down his attitude and said: "Doctor Ling, you are the authority of liver surgery in our hospital, can you please move to the operating room and help us?" take a look."