Chapter 548: Difficulties
Qiu Zhongren looked worried.
This kind of thing of asking someone to wipe their buttocks is the last thing doctors want to do, and they have to do it.
It is too difficult to ask someone to wipe your buttocks. When you meet a doctor with a bad temper, it is good to say a bad word back. Some surgeons with a rough personality stand on the operating table and scold you while wiping your buttocks for you. An operation has to be endured life and death.
If you can't stand it, or if you can't hire a doctor to wipe your butt, the patient may die on the operating table.
As a result, the surgeon in charge naturally has to face many censures. If there is a mistake in the operation, it will be rubbed on the ground by the superior department, the patient's family, or the court.
As for the doctors who refused to help, at most they were complained by the doctors lying on the ground and being wiped.
Wiping people's ass is not the obligation of other doctors.
Nine out of ten doctors in Yunyi's hepatobiliary surgery dare not take such unexplained liver cirrhosis bleeding.
Even He Yuanzheng had to think twice before making a decision.
In the past, Qiu Zhongren and others had no choice but to wait for a doctor like He Yuanzheng to consider and make a decision, even if it delayed the timing of the operation.
However, now that Ling Ran had an extra choice, Qiu Zhongren immediately came to him.
Ling Ran's liver resection technique is better than He Yuanzheng's. This is an open secret that all the doctors in Yunyi know, but won't tell. Finding Ling Ran might embarrass He Yuanzheng, but Qiu Zhongren and the others couldn't care less, it was better than finding experts from the outer courtyard to save the situation.
Ling Ran didn't make a decision right away, but looked at Zhang Anmin and asked, "Are you sure it's the liver bleeding or the digestive tract bleeding?"
Hepatic hemorrhage is the radiation range of the surgical technique that Ling Ran has mastered, but gastrointestinal bleeding is completely different.
"It's definitely the liver bleeding, and the digestive tract is fine." Zhang Anmin said hastily.
Qiu Zhongren also said: "The blood coagulation function is also not good, and our preoperative judgment is biased."
"Portal hypertension?" Ling Ran continued to ask.
There are varicose veins in the fundus of the stomach, and portal hypertension is 8.9 out of 10.
Qiu Zhongren nodded heavily: "It's portal hypertension.
"
For elective abdominal surgery, such patients can be said to be extremely dangerous.
Qiu Zhongren was also a little embarrassed when he said it, and said in a low voice: "Our Deputy Director Liu has also come to see it, and there is really no other way, so let me invite you."
Zhang Anmin glanced at Qiu Zhongren, bowed his head and said nothing.
Qiu Zhongren is the doctor in charge, it's hard to say whether he will perform such a major operation, maybe he couldn't do it, and then the superior doctor came to save the situation, and the rescue was fatal, and then came to find Ling Ran to save the situation. Of course, it is also possible that Deputy Director Liu was the chief surgeon, and then asked Qiu Zhongren to take the blame...
The situation of different departments in different hospitals is extremely complicated. Even though Zhang Anmin has worked in Yunyi for 10 years, he can only say that he understands hepatobiliary surgery. Zhang Anmin cannot rashly guess what is going on in digestive surgery. Therefore, no matter what Qiu Zhongren said, he could only believe it.
Zhang Anmin looked up at Ling Ran again, and saw that Ling Ran didn't know if he understood, but turned on his phone and sent a message.
A few seconds later, Ling Ran said again: "Go and have a look. The liver resection operation will be postponed for a while. I told Yu Yuan. Doctor Zhang, please confirm later."
"Oh, yes." Zhang Anmin quickly agreed.
Qiu Zhongren thanked repeatedly, and said excitedly: "I will invite you to drink Moutai another day. It is 20 years old, and I have it in my collection."
Zhang Anmin beat the side drum and said: "Lao Qiu is the king of Moutai in our hospital. He has a lot of Moutai in his collection and has a high level of appreciation. He can tell whether it is real Moutai without opening the lid."
Qiu Zhongren said modestly: "It's a bit too much to be called a king. The real Moutai king is Gao Meng. He vomits when he drinks fake wine. His physique is really amazing."
Zhang Anmin couldn't help laughing, and explained to Ling Ran by the way: "Gao Meng is a medical representative, and he is very familiar with Director Huo. He looks so weak that he can drink alcohol, no matter how good the fake wine is." , three qian cups, drink two cups, and make sure you vomit cleanly. However, the amount of alcohol is still very poor."
"Yes, that's why everyone is reluctant to fill him with wine. He will pay him six cents for opening a bottle of wine. If he doesn't drink two cases of wine, he will be measured."
Qiu Zhongren and Zhang Anmin accompanied Ling Ran, chatting and laughing, as if the operation problem had been solved.
In fact, the two of them could only count on Ling Ran.
Intraoperative bleeding is a big taboo in surgery itself. Hepatic bleeding is the most difficult problem in abdominal surgery.
Due to the complex anatomical structure of the liver, ordinary general surgeons can't move as long as they can.
Even for doctors in hepatobiliary surgery of Yunyi, liver surgery can be said to be a sub-high technical boundary-a doctor who is capable of liver but not sub-high, either offends someone with a background, or has a touching emotional intelligence. A doctor who can't be liver and has a high sub-level, either has a background, or has a touching emotional intelligence.
Of course, a resident like Ling Ran is a special case among special cases.
Standing in the elevator, looking at Ling Ran's back, Qiu Zhongren couldn't help but think: Luckily, the hospital made an exception for Ling Ran, otherwise, it would really drive people crazy if a trained doctor like Ling Ran was transferred to another department. .
"Make a phone call and ask about the current situation, the amount of bleeding, and the patient's condition is stable." Ling Ran got out of the elevator, and while changing his shoes and washing clothes, he instructed Qiu Zhongren.
Qiu Zhongren immediately took out his cell phone and dialed it.
In a few seconds, the phone over there was connected.
"Dr. Ling is by my side, and I started the hands-free. Is the patient's current condition stable? How much bleeding?"
"Yes, one glass jar is full. The condition is okay." The voice on the other end of the phone was relatively calm, but, accompanied by the voice, there was the chirping sound of the aspirator, and the "gauze gauze" Shouts, and humming operation sounds, it can be imagined that the operating room was not peaceful.
"I'll be there as soon as I change my clothes." Ling Ran never hesitated, after finishing a sentence, he put on his slippers and went to get his underwear.
For such an urgent operation, there is definitely no time to take a shower and change clothes, but it is still no problem to change into a new pair of 399 underwear.
Ling Ran also took a bottle of energy potion by the way.
This kind of emergency liver resection still needs to be full of energy in order to concentrate.
After everything was ready, and then went to the bathroom, Ling Ran first rinsed his fingers to the elbow with clean water, then took a brush, dipped it in iodophor solution, and scrubbed his hands and arms for three minutes, finally washed and dried them, and then used Iodophor gauze was wiped twice before it was finished.
This is done to save time. Normal preoperative hand washing takes 10 minutes, and using iodophor can save half of the time. However, compared with soap and water, the bactericidal ability of three-minute povidone iodine is weaker, and it hurts hands.
The little nurse who went out to look for Ling Ran watched Ling Ran apply iodophor with great reluctance, but she couldn't say a word, but she was so moved that she was about to burst into tears.
"Doctor Ling is working too hard."
"Doctor Ling is very serious in his work."
"Doctor Ling's arms are so handsome."
The doctors and nurses in the operating room next door are always paying attention to the operating room of digestive surgery.
After all, the scolding in the operating room can be heard across two rooms.
Qiu Zhongren was guarding the door of the operating room. When he saw Ling Ran coming, he quickly opened the door of the operating room for him, and brought Ling Ran the surgical gown. He introduced it to him while putting it on, and said, "Doctor Ling, this On the other side is Director Liu, who also came to help me save the scene..."
"Who will perform the surgery?" Ling Ran didn't mean to exchange pleasantries, but pointed to the key issue.
Liu Sixian, standing by the operating table, is the senior deputy head of the digestive surgery department. He was still the direct descendant of the general surgery division with the old director of the digestive surgery department, and he hadn't been snatched as the chief surgeon for a while, so he was stunned for a while.
Ling Ran didn't step forward immediately either. If the chief surgeon is not allowed, it is meaningless for him to be an assistant.
"You come to be the surgeon." Liu Sixian threw away the tweezers and gauze in his hand.
Qiu Zhongren blushed and begged for forgiveness: "Doctor Ling, Director Liu is in a bad mood. I didn't expect an abdominal examination to turn into this..."
Ling Ran nodded, and didn't say much, he just wanted to be the chief swordsman.
As for the Deputy Chief Physician of Digestive Surgery, it didn't touch him at all.
Liu Sixian dropped the tweezers, and she felt a little embarrassed. The main reason is that Ling Ran is too young and speaks too bluntly, which makes him lose face.
Looking back and thinking about it, Liu Sixian regretted it himself.
In the hospital, a technical master like Ling Ran would not be offended if he could not be offended. I offended him this time, so I told Xiaoli that next time something happens, I won't be able to invite you. To put it a little deeper, it is not known which committee someone votes in, and the future of a deputy high school will be determined.
Liu Sixian looked at the operating table with deep frown. What he is most worried about now is that Ling Ran cannot handle this operation well.
To be a doctor is to know the doctor best.
If the operation goes well, no matter how bad-tempered the surgeon is, it's just a show of prestige and pretentiousness.
If the operation doesn't go well, Liu Sixian is really afraid of being remembered for the rest of his life...
Another one, if the patient died on the operating table because of his temper, Liu Sixian would feel bad about it.
Liu Sixian winked at Qiu Zhongren.
Qiu Zhongren sighed secretly, obediently being his bellows mouse, and said, "Doctor Ling, how are you? Shall I help you?"
"No, I've touched it." Ling Ran's palm was deeply inserted into the patient's abdomen, and the doctors around were all surprised when they saw it.
Qiu Zhongren was even more taken aback, and couldn't help saying: "So fast?"
Ling Ran had no intention of answering. He evaluated the situation again, and called out the system. With a flash of thought, he poured a bottle of purple potion into his mouth:
Skill Potion (Small): All skills +1 for 10 seconds.