Chapter 231
At 9 o'clock in the morning, Lu Wenbin was already swaying from exhaustion. Considering that patients would not feel at ease if they saw him like this, Ling Ran kindly canceled today's ward rounds.
Lu Wenbin ran out happily, fearing that new patients would come to his door.
A night without sleep is a common occurrence for residents, including residents in lighthouse countries. They also have to spend 8 years of sleep deprivation before they can choose whether to make a lot of money or "do the right thing."
However, normal doctors can only work overtime until one day plus one day plus black time, and then continue... In fact, it is possible. Most residents can work hard for 34 hours. For doctors, it is free time and black time.
Both black and white are acceptable overtime hours. Only if you work more than 36 hours is it worth posting on WeChat Moments, otherwise you will easily be accused of being pretentious by your peers.
Ling Ran drank the energy potion last night. So far, he has worked for sixteen or seventeen hours, and he has basically reached his limit. If he wants to continue, he will have to fight for another bottle of energy potion.
Regarding this, Ling Ran decided that it would be better to save money... no, take a rest.
It's a small matter that there are only 143 bottles of energy potions. The main reason is that apart from Lu Wenbin and the resident doctor on duty at night, it's time for the nurses on duty to go back and rest. If we want to continue the operation, we have to hire the operating room nurse who came to work in the morning.
Re-schedule.
Of course, the most important thing is that the patient cannot keep up.
As a well-known orthopedic expert in Shanghai in his 40s, Ji Tianlu made more than a dozen calls and received nine patients with ruptured Achilles tendons. Later, three patients with severed fingers came in, which was considered a reluctance.
Lasted for more than ten hours.
As a doctor who has read dozens of relevant papers, Ling Ran knows that a city like Shanghai, with a population of over 30 million, can produce two Achilles tendon rupture patients a day, including surrounding cities and counties.
, he should have treated one-fifth to one-third of the new Achilles tendon rupture patients yesterday.
For this city with double-digit tertiary hospitals, he has already over-accommodated the hospital. If he continues to wait, it will be difficult to get new patients.
After all, ordinary people tend to rupture their Achilles tendons after noon. Amateur sports enthusiasts who play badminton and basketball always become active after lunch. On weekdays, the most people are after dinner.
Ling Ran only stayed for an extra hour, checked the medical records of yesterday's patients, and confirmed that there were no problems before he took a private car back to the hotel with peace of mind - the cost of last night's surgery would have been too much to spend, if not
To save more yogurt, Ling Ran was ready to drive a luxury car.
After sleeping until the afternoon, Ling Ran felt that he had completely recovered from yesterday's fatigue. After packing his belongings, he took a taxi to the hospital again and went straight to Ji Tianlu's office.
When Ji Tianlu saw Ling Ran's handsome face, he unconsciously hid back, but where could he hide in his own office.
"Doctor Ling is here." Ji Tianlu laughed three times.
"Director Ji." Ling Ran had a slight smile on his lips and sat upright on the chair, in a standard obedient sitting posture.
"Well... Ling Ran... I heard that you had a day-and-night operation yesterday? Don't be too hard."
"It's not hard." Ling Ran smiled obediently.
"Did the finance department come to you? The operation fee is according to the rules of our research center. An Achilles tendon repair surgery is about 100 yuan. Don't think it's too little. We are different from Yun Medical. Yun Medical is a first-class
The distribution is 50%, we are a quarter, just 25%. Doctors also say that when wages are raised, we will no longer keep pace with the times, but there is no way, it is such a system, you last night
There were 9 cases of Achilles tendon surgery, which cost 1,000 yuan, which is actually quite a lot..." Ji Tianlu felt like he was being beaten behind closed doors, and he spoke too much unconsciously.
Ling Ran waited for him to finish with a smile and said, "I haven't touched finance yet. I want to be interviewed first."
"Interview? Oh, Ling Ran, I want to talk to you about this matter..."
"I know, I didn't finish the operation yesterday. I'm sorry." Ling Ran interrupted Ji Tianlu and said sincerely: "Because there were no patients at that time, and the doctors and nurses on duty had to get off work, I suspended the operation.
, I will complete it in the next few hours."
"no……"
"Two hours at most. I performed 12 operations yesterday, and there are still 4 to go. If all were ordinary fresh Achilles tendon repairs, it would take 2 hours, or at most two and a half hours, and no more than three hours.
"
Ji Tianlu's eyes turned green: "You don't need to patch it up, just leave it like this. It's exhausting to go through 12 surgeries. I'm serious..."
"Didn't you have any surgery?" Ling Ran's obedient sitting posture suddenly collapsed. It was not easy for Comrade Tao Ping to train him to smile in line with society's expectations. It should not be wasted easily.
Ji Tianlu said "grace" and pretended to be serious: "Unless you happen to meet someone..."
"Okay." Ling Ran didn't bother to listen to his explanation. Seeing that Ji Tianlu was really explaining his point of view very seriously, he could only nod his head and said: "Then I'll contact Yunhua's plane and go back in the evening. By the way.
, I should be able to check the room. It doesn’t need any name, just to check the situation..."
"Wait a minute!" Ji Tianlu stared at Ling Ran's expression, suddenly feeling a little panicked.
Ling Ran looked ahead calmly, his mind wandering. In his mind, he had already begun to miss Yunhua's operating room. Although Yunhua Hospital had few beds, there were many extra beds, and replantation of severed fingers always required endurance.
A little bit, if you encounter patients with four or three amputated fingers, it will be no problem if you do it for five or six hours.
In comparison, ordinary Achilles tendon repair can only last half an hour, which is not as good as Tang suturing, and the hospitalization time is even longer.
Furthermore, replantation of severed fingers requires nerve suturing, so that new skills can be used. In the future, epineurial anastomosis and perineurial anastomosis will be used together. When small nerves are encountered, epineurial anastomosis will be used to reduce the number of surgeries.
time, reduce the chance of wound exposure and infection, use perineurial anastomosis when encountering important nerves, or if you have enough time, increase the success rate and improve the patient's postoperative quality of life...
"Ling Ran, don't rush back yet." Ji Tianlu's tone slowed down.
"If you don't go back, there will be no surgery." Ling Ran's attitude was firm.
Ji Tianlu has never met such a doctor. Those doctors who have a lot of demands are usually middle-aged and older, and their demands are usually very reasonable, such as asking for money, going to KTV, and having good food.
The drinks are served well, there are awards and articles to be published, even if Ji Tianlu cannot satisfy himself, he can send someone to satisfy them.
However, when it comes to patients like this...
Ji Tianlu stared at Ling Ran, thinking in his mind: Are you a threat? Are you a threat? Your threats are useless!
Ji Tianlu coughed hard, sat upright, and said, "Ling Ran, I can find five more patients with Achilles tendon rupture today. There are no more."
"Okay." Ling Ran agreed immediately.
Ji Tianlu was stunned for a moment, and cursed in his heart: If you give too much, you must give too much.
"Then you can find a reporter for another interview." Ling Ran said proactively: "I accepted four interviews yesterday and performed 12 surgeries. If you find 5 more patients with Achilles tendon rupture, just interview one more
Let’s make up for it. We can find three more patients in the evening and continue to make up the difference.”
Ji Tianlu struggled to understand what Ling Ran meant, and his face wrinkled.
"Patients who don't have a ruptured Achilles tendon, but those who have severed fingers or flexor tendon ruptures can also be treated. Don't be too rigid." Ling Ran comforted Ji Tianlu, just like he did when Yun Yi comforted Huo Congjun.
That's too arrogant! Ji Tianlu thought to himself: No matter what, we are still the chief physician. Although we need you to come up with plan A for the academician, you can't ask for excessive amounts like this...
Thinking of this, Ji Tianlu came up with a plan and said: "Ling Ran, you have been tired for a day, so you can't just go on to the surgery. Why don't you go home and rest for two days..."
"I am not tired."
"Whether you are tired or not does not come from your subjective thoughts. It has to be analyzed objectively. Besides, we also have a system. You must have adequate rest..." Ji Tianlu said without hesitation that the system of the Bone, Joint and Sports Medicine Center is not like this.
According to the regulations, hospitals want doctors to stay in the hospital every day, so there is a position of chief resident...
"I can prove it." Ling Ran said and went to take out his bag. He made preparations when he went out.
Ji Tianlu quickly stopped him and said: "Stop doing Sudoku. Doing Sudoku can only prove that your brain is clear, but it cannot prove the coordination of your limbs..."
"I know, I didn't have the conditions before. I only had Sudoku at hand." Ling Ran said, putting aside Ji Tianlu's hand, taking out an arm-length insulated bag from the bag, pulling it open, and saw steaming
...air conditioning.
"Lao Tang?" Ji Tianlu was inexplicably happy, guessing that this was a bribe provided by Ling Ran. Although it was a bit strange, he himself would not accept such a bribe, but he finally had his heart.
Ling Ran shook his head, first took out two ice packs, then took out a surgical towel, spread it in front of Ji Tianlu, and then took out a hoofed elbow and a set of surgical equipment.
Without waiting for Ji Tianlu to say anything else, Ling Ran dropped the insulation bag, took out the scalpel, cut open the pig's elbow, and then used tweezers to pull out the pig's Achilles tendon in three strokes.
"How?" Ling Ran showed Ji Tianlu his Achilles tendon.
Chapter completed!