Chapter 770 Hey Hey
Ling Ran stared at the proud skill book in front of him, and didn't take a picture of it for a long time.
As a doctor, Ling Ran has cut and trimmed the intestines many times. Although he doesn't like it, he doesn't really mind it.
In his life, there are some things he doesn't like, and he doesn't care about more or less.
However, hemorrhoid surgery is quite boring for Ling Ran. The most important thing is that the technical content is low. You can tell by looking at the skills given by the system. For high-tech technologies, such as liver resection technology, the primary treasure box can only give masters. , and low-tech technology, a primary treasure chest can open the perfect level.
Among various low-tech technologies, hemorrhoid surgery, especially traditional hemorrhoid surgery, has even lower technical content.
Of course, any technology upholds the spirit of craftsmanship and can always be made very fine, but from Ling Ran's point of view, the meaning is different.
First of all, hemorrhoid surgery itself is not very effective in solving the problem of hemorrhoids. This greatly reduces the significance of hemorrhoid surgery. In the final analysis, hemorrhoid surgery itself is a mature operation, but the essence of hemorrhoid surgery is immature.
That being the case, after learning hemorrhoid surgery, do we still need to use hemorrhoid surgery?
Ling Ran shook his head, and with the mentality of "Handling with the Lord with bare hands", he slapped the arrogant skill book, which is considered to have accepted this skill.
Skills don't overwhelm you - that's all Ling Ran's attitude towards it.
"Doctor Ling, Naldo has woken up." Ma Yanlin ran over gropingly.
Ling Ran glanced at him: "Who?"
"That fat man... the patient who just broke his third toe, woke up." Ma Yanlin explained with a guilty conscience.
Ling Ran frowned: "Why so fast?"
Ma Yanlin felt even more guilty: "It may be that during the anesthesia, the amount of medicine was calculated too little, that... the patient is heavy, and there may be cases of private use of narcotics, and the operation time is relatively long..."
"Did you know during the operation?" Ling Ran asked.
"I asked, probably not, but woke up faster..." Ma Yanlin quickly shook his head, and said again: "I just looked at the doses made in our domestic anesthesia textbooks, and the doses needed by South Americans may be larger... ..."
Ling Ran glanced at Ma Yanlin, and did not continue to blame. Anesthesia resistance is very troublesome for anesthesiologists, because you don't know the patient's resistance level, and there is no real data to rely on in this regard. It can only rely on experience, and neither Ma Yanlin nor he has experience in anesthesia.
On the other hand, the result of increasing the dose to avoid anesthesia resistance will not be better. If the patient's resistance is low or the tolerance is poor, a 4-hour operation is enough for the patient to die on the operating table.
Ling Ran turned around and walked forward, saying, "Go and see the patient first, and if he just wakes up normally, we will make a record. In addition, we can no longer perform anesthesia for the next operation."
"Then what to do?"
"Isn't the satellite phone available? Let the Brazilian side send a professional anesthesiologist to communicate by phone."
"I'm afraid that the Brazilian doctors are unwilling to take responsibility." Ma Yanlin didn't trust this very much.
Ling Ran said as he walked, "Then reduce the amount of surgery, it's not necessary to do no surgery at all."
"Who knows when the rainstorm will stop, we all need surgery." Ma Yanlin complained in a low voice: "The environment is better now, there are disinfectants sent from Kuba Town, the previous patients, even if they are If a small wound is not treated, it may be infected with festering, let alone a serious injury, and antibiotics have to be counted."
Ling Ran was noncommittal about this.
The job of a surgeon is always to weigh the pros and cons. Even for gallbladder stones, there is a balance between surgical treatment and conservative treatment, and the risks of trauma and anesthesia must naturally be taken into consideration.
For the same injury, the basis for judgment is different when the flood first came and now.
Ma Yanlin actually understood this point, but couldn't help but babble a few words.
Arrived in the recovery room,
Ma Yanlin's complexion changed, and he became serious.
"How do you feel?" Ling Ran asked routine questions during his routine rounds.
Naldo's eyes were wide open, he stared blankly at Ling Ran for a while, then slowly focused, and then sighed: "Are you an angel?"
"No. Your surgery just ended." Ling Ran's expression was calm.
"No... I feel like I'm floating..." Naldo is obviously not fully awake, and he needs to be observed in a normal anesthesiology department.
"Besides floating, what else does it feel like?" Ling Ran continued to ask.
Naldo moved his head: "I want to fly... Where did I fly to?"
"This is the anesthesia recovery room. You just had an operation. Do you have any impression?"
"Is it hemorrhoid surgery?"
Ling Ran frowned: "No."
"Oh, then I have no impression."
Ma Yanlin breathed a sigh of relief. Although the awareness during the operation cannot be completely eliminated, for now, most of the risks should be avoided.
Ling Ran looked at the monitor again, and did a few simple physical examinations to make sure there was no problem. When he was about to leave, he said to Ma Yanlin: "Check the patient to see if there is any hemorrhoid problem."
"Nine out of ten men have hemorrhoids, and Brazil is so hot." Ma Yanlin curled his lips: "I found it when I checked before. He was in a wheelchair for a few days, and he was soaked in the flood before. It's not surprising that hemorrhoids burst. "
"Look again." Ling Ran gave a warning, and then went on to make rounds.
Ma Yanlin shrugged, but there was nothing he was unhappy about. Counting the internship period, he has been a doctor for three years, and his patience has long been raised.
30 minutes later.
"I'll go." When Ma Yanlin found Ling Ran, his eyes were about to pop out, and he kept muttering, "See you soon, see you soon..."
Ling Ran looked at him quietly.
"The ones as big as duck eggs... have you ever seen ones that are as big as duck eggs?" Ma Yanlin gestured with his hands, as if he was stuffed with duck eggs, and sighed: "South America is rich in products, and the hemorrhoids are bigger than ours .”
"How is the patient?"
"The anesthetic is about to wear off, and it's starting to hurt now. It's almost like dying of pain." Ma Yanlin trembled pitifully: "There are countless scratches all over the body, three toes are severed, now add a hemorrhoid the size of a duck egg, now I can only let him lie on his side, lying down affects his toes, lying down affects hemorrhoids... um..."
Ma Yanlin's expression wanted to laugh, but he also knew it was not good to laugh, so he could only suppress it forcibly.
Ling Ran hesitated for a few seconds, sighed, and said, "Then ask him again to see if he wants to have hemorrhoid surgery. If you want to do it, I'll do it for him."
"Hey, do you still have hemorrhoid surgery?" Ma Yanlin looked at Ling Ran and couldn't help but said, "We don't even know about it."
Ling Ran glanced at Ma Yanlin with a lack of interest, and said, "You should be your assistant, try to learn."
Ma Yanlin rolled his eyes: "Doctor Zuo definitely needs it, when I learn it, hehe..."
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