Chapter 30 Operating Room
Ling Ran's first operating room experience was in the form of a medical appendage.
In order to ensure the effect of stopping the bleeding, Ling Ran stretched out his arm and held on for nearly an hour. When he was released, his entire arm was numb.
However, this also allowed him to observe an operation up close from another angle.
It is also a very valuable experience for medical students.
"How did you know that the bleeding point was in the liver capsule?" After the patient's vital signs stabilized, Huo Congjun became much more relaxed and started doing it himself without even notifying the general surgery department.
He himself was born in general surgery. Although he has been transferred to the emergency department for many years, he still grabs the most business from general surgery.
Ling Ran rubbed his arms while recalling his feelings just now, and said: "Because of the heavy bleeding, the front of the patient's abdomen was basically exposed, and there was no hemothorax or other symptoms, so we paid attention to the blood surge..."
What Ling Ran obtained was the perfect bare-handed hemostasis method, which not only increased his muscle memory, but also the corresponding knowledge reserve.
It can be said that, apart from his lack of on-site experience and lack of hands-on three-dimensional experience, Ling Ran's bare-handed hemostasis methods have reached the level of top doctors.
In comparison, although Huo Congjun is the director of the emergency department, his ability to stop bleeding with his bare hands is a little higher than the entry level, far from the professional level, and further away from the master and perfect level - he is fine
Nor will I spend time studying manual methods to stop bleeding.
This time, Huo Congjun suddenly recalled the pain of being dominated by teachers and talented classmates when he was just transitioning to training.
"Where did you learn this...?" Huo Congjun could only ask from here.
Ling Ran thought for two seconds, then decisively launched the "Problem Terminator" and replied: "I learned it in my own clinic."
"Home clinic?"
"Xiagou Clinic."
"Is it a community clinic in the alley of Xiagou, not far from our hospital?" Huo Congjun thought for a few seconds, and actually knew the place, and said: "Xiagou often sends patients to our emergency department, and I have never found such a hospital.
Technical…”
Like other community hospitals, Xiagou Clinic basically relies on patients with colds and fevers as its main source of income. However, it occasionally encounters more complicated cases, such as patients with acute appendicitis who come to see the doctor for stomachache, and patients with ectopic pregnancy who come for stomachache.
Patients with acute pancreatitis who come to see a doctor with stomachache... Or like Mr. Yang from the noodle restaurant last time, if he hadn't met Ling Ran, he would have been briefly treated at Xiagou Clinic and then transferred to Yunhua Hospital.
.
Ling Ran didn't expect Huo Congjun to know about Xiagou Clinic, so he simply pushed the problem to time and said, "I learned this from the doctor sitting in the hall."
"Does your clinic have such a powerful doctor?" Zhao Le, who was serving as the first assistant nearby, said this, feeling that he was flattering Ling Ran in disguise, and felt inexplicably uncomfortable.
"Whether it's great or not, I don't know." Ling Ran said, "I only learned it for a month."
Zhao Le said in disbelief: "You can learn it in a month?"
"Learning the skill of stopping bleeding with bare hands mainly relies on talent." Ling Ran's answers were very serious and did not match the atmosphere in the operating room at all.
Zhao Lele was so pushed that he wanted to put his neck on the beam of the shadowless lamp, thinking in his mind - I am the attending physician, why should I praise an intern?
His eyes unexpectedly glanced at the little nurse next to him, and he noticed the way they looked at Ling Ran, the tenderness, the admiration, and the indescribable feeling that he had never had before...
Zhao Le felt very upset. When he looked at Ling Ran, it was like the feeling he had when he was in elementary school, looking at the monitor with three stripes on his face to collect his homework in the morning when he didn't do his homework.
"The liver is in good condition." After Huo Congjun stopped the bleeding, he dealt with the exposed intestines and omentum. He became more relaxed and spoke better.
Zhao Lele, who was responsible for the chat, came to his senses, stretched his head to observe, and agreed: "The patient is very lucky. The director's suturing was perfect, and it should not affect the function."
"It's not only good luck, but also good technique." The endangered patient was saved, which made Huo Congjun feel full of achievements and in a much better mood. However, he suddenly remembered Ling Ran's self-initiated actions and stopped praising him.
, and added: "However, no matter how good the technique is, it must be operated according to the regulations. Even if you are sure in your heart that you will succeed, you cannot do it like this. Do you understand?"
"Yes." Ling Ran is a person who is willing to follow operational procedures, but what he is willing to follow is technical procedures, not administrative procedures.
If he were not an intern, but an attending or deputy chief physician, he would probably receive the praise of the entire department if he performed first aid to stop bleeding with bare hands.
At the same time, Ling Ran was also reflecting on his series of operations, learning and practicing them as time goes by, which is also appropriate in the medical field.
Medical skills are refined through constant review.
Huo Congjun deliberately let the atmosphere cool down for a moment, but after a while he couldn't help it anymore and said: "Generally speaking, if you pinch the liver with your hands, it will be easily injured. There are five out of ten hepatobiliary complications."
They are similar."
Huo Congjun lowered his head and spoke while doing things: "Ling Ran's technique just now was quite particular. The blood flow was very smooth. Did he use his fingertips?"
For the latter part, he simply asked Ling Ran.
Being happy when seeing a hunter can be used to describe the doctor's mood when he sees a special case, just like Huo Congjun at this moment.
He actually wanted to criticize Ling Ran, but he couldn't help but satisfy his curiosity first.
What's the point of criticism?
Ling Ran gestured with his hand and said, "When I put my hand in, it was in a bad position. I used the inside of the second section of my little finger."
"Then hug the liver with all your hands?" Huo Congjun thought about it and simulated the scene in his mind.
Ling Ran responded and said: "Use your knuckles to control it, so as not to break free."
"Like this..." Huo Congjun sighed with emotion, but did not ask any more questions. He was already in his fifties, and it would be difficult for him to learn such techniques.
The most important thing is that he doesn't have time to learn such unsophisticated knowledge.
But I don’t know how Ling Ran learned it.
"You can shut up my abdomen later." Huo Congjun lowered his head and spoke.
Opening the abdomen is the responsibility of the chief surgeon, while closing the abdomen is often an opportunity that assistants compete for. For interns, it is even more rare.
Some residents have to practice for more than half a year before they get the chance to close their abdomen.
Although Ling Ran had undergone a lot of debridement and suturing, they were all minor surgeries, not even surgeries recognized by ordinary people. The abdominal closure operation was still very attractive to him, and he couldn't help but feel shocked.
Huo Congjun was still turning his intestines.
He has now figured out that after the patient's liver on the operating table was injured, it was squeezed into a corner. If Ling Ran wanted to put his fingers in and press the wound, he could only use the softest and shortest little finger.
Using the virtual grip technique solves the problem of organ deviation and reduces secondary injuries to the greatest extent...
However, the inflexibility of the little finger has troubled many surgeons in the past hundred years. Huo Congjun feels that even doctors who have spent their entire lives in the operating room may not be able to do this.
But it was the first time for this kind of doctor to enter the operating room.
Chapter completed!