Chapter 379
Ling Ran couldn't wait for the elevator, so he quickly ran downstairs from the fire escape.
Although I have had the surgery for nearly a year, the temptation of appendicitis surgery is still there.
In fact, as a surgeon, appendicitis surgery has almost become a symbol and belief.
If surgery is to be used as a symbol of modern medicine, the emergence of mature appendicitis surgery marks the establishment of modern surgery. And the development of appendicitis surgery is the path of exploration of modern surgery.
Many interns’ first experience on the operating table also begins with acute appendicitis.
Ling Ran has never had appendicitis surgery so far, but he started with orthopedic surgery. To be honest, this direction of development is a bit biased.
Of course, the deviation is not much, which is equivalent to normal children learning to count from "1 to 10", and children with deviation starting from "ten thousand to ninety thousand".
Emergency room.
The two young men were leaning against each other, whispering to each other's ears. If you didn't pay attention, it would almost look like they were kissing.
Several single dogs in the emergency department looked at the two of them with envy, so much so that they would rather endure the pain of appendicitis themselves.
"Are these two people?" Ling Ran came up behind Dr. Zhou quietly and looked at the two people lying side by side on the hospital bed, biting their ears indifferently.
Dr. Zhou was frightened and said "ha", patted his chest and said: "We doctors are prone to sudden death. Is it okay to pay attention to my heart health?"
"Is your heart bad?" Ling Ran looked at Dr. Zhou's chest curiously, thinking to himself that based on the current progress, he should have the opportunity to learn cardiac skills before Dr. Zhou's heart attack.
, maybe you can even help Dr. Zhou open a chest or something.
"Your eyes are a bit sharp." Doctor Zhou felt his heart palpitate when he saw Ling Ran's expression, and said quickly: "They are the two people feeding the dog food."
Ling Ran nodded: "Are you having an infusion? You should go directly to the operating room."
Dr. Zhou chuckled and said, "I'm just a person who loves to drink enough water. Let me show you the advanced form of someone who spreads dog food."
As he spoke, Dr. Zhou raised his voice and said, "Two of you, have you discussed it yet? Dr. Ling is already here."
The voices of the two young people also became louder:
"You go for the surgery."
"No, you do it first."
"You do it first, and I will do it after you do it."
"No, I'll do it after you finish it!"
The heated discussion between the two young men made the doctors around them tremble.
"Are they still discussing the before and after issues?"
"We have two operating rooms."
"Is that intentional?"
Doctor Zhou spread his hands to Lingran and said, "This is the current situation. The two of us are still discussing who should have the surgery first. We haven't signed the informed consent form yet."
"Which one is heavier?" Ling Ran asked.
"Female." Dr. Zhou looked at the girl with a calmer expression and said, "This woman can tolerate pain very well. Her appendix must be removed. The man can theoretically choose conservative treatment."
Ling Ran frowned and asked a little reluctantly: "Do you want to do one operation? Two operations at the same time."
"I told them that they asked the same doctor to perform the surgery." Dr. Zhou paused and said, "Do you want to know the reason?"
"What reason?"
"They believe that the incisions and sutures of surgeries performed by the same doctor should be the same. Therefore, they want the same doctor to perform appendectomy so that they can get a 'couple's incision.'" Dr. Zhou felt disgusted even as he spoke.
.
Ling Ran breathed a sigh of relief: "I understand, then I will do the surgery and I will ensure that the incisions are exactly the same for both of them."
After saying that, Ling Ran stepped forward and said: "You two, I am Ling Ran. I will operate on you shortly. I will do an examination first."
After separating the two young men, Ling Ran conducted a physical examination on each of them, and confirmed rebound pain at Max's point, which made him feel relieved.
In the era before imaging equipment, appendicitis could be confirmed by confirming local tenderness and rebound tenderness at McFarland's point.
"Do you want a small incision or a laparoscopy?" Ling Ran continued to do a physical examination to confirm that there were no other comorbid symptoms, and asked at the same time.
Ling Ran possesses master-level appendicectomy skills. As a skill book found in a primary treasure box, its skill range is relatively narrow and can only be used to treat minor appendicitis.
However, for the same appendicitis surgery, Ling Ran had multiple options at his disposal.
Of course, some options are too old and no longer meaningful, such as large-open appendicectomy, which almost no one would choose to use now.
The boy looked at the girl and said, "You choose."
"You choose."
"I've chosen you this time. I'm a man, and it doesn't matter what kind of knife edge I have."
"I..." the girl hesitated for a moment and said, "What's the difference?"
"Let me explain." Doctor Zhou knew that Ling Ran didn't like to deal with patients directly, so he came forward and said, "Ling Ran, go ahead and prepare."
Whether it is a small incision or a laparoscopic surgery, for a hospital like Yunyi, it is an extremely small operation and does not require too much preoperative guidance.
Ling Ran asked: "Will you go into the operating room with me?"
"Yes. I definitely have to go in." Dr. Zhou sighed, and then explained the difference between the operations to the two patients.
Ling Ran felt a little more at ease.
Although he had acquired the skill of appendicectomy, he had never used it. On the other hand, compared to surgery on the limbs, the risk of abdominal surgery was obviously greatly increased.
Ling Ran only knew how to perform appendicectomy, so he really needed a skilled doctor to protect him.
Although Dr. Zhou is really lazy and lazy, his first aid skills are still very good.
Ling Ran turned around and returned to the operating area, took a shower and changed into hand washing clothes.
After entering the operating room, after waiting for a while, the female patient was wheeled in.
"For small incisions, women will do it first." Dr. Zhou said to Ling Ran, then looked at the list in his hand and asked, "What's your name?"
"Mei Qiaoqing." The girl covered her abdomen, looking a little in pain.
Dr. Zhou said "Yes" and looked at Ling Ran again.
"Let's anesthetize first." Ling Ran tied his hands and waited nearby.
The anesthesiologist used conventional epidural anesthesia, commonly known as spinal anesthesia.
Ling Ran watched with curiosity as Dr. Zhou and the nurses completed the draping work.
Two minutes later, Ling Ran faced the exposed Max point with a pious expression on his face.
If the appendix is a piece of useless tissue in the human body, then for modern medicine, appendicitis is the dock for sailing, the bridge to the new world, and the door to surgery.
"Knife." Ling Ran's voice was steady and clear.
Snapped.
The sound of the knife falling into the hand was slightly louder, which was because the instrument nurse was slightly nervous.
Ling Ran didn't even frown. The scalpel followed the mark on the abdomen and pressed down with a bow.
Dr. Zhou, who was already very relieved about Ling Ran, was completely relieved after seeing the knife. He started chatting with a smile: "Little girl, is your boyfriend waiting outside?"
"Yes..." The patient's voice was weak.
"First surgery?"
"yes……"
"It's okay. You may have to have a caesarean section at any time when giving birth to a baby. With experience this time, it will be easier next time."
The patient remained silent.
Doctor Zhou knew that Ling Ran didn't want to chat, so he could only chat with the patient: "Did you have a buffet yesterday? What did you eat?"
The patient was lying on the hospital bed, not knowing what the doctor meant by asking the question, so he could only answer with all his strength: "I ate prawns, scallops, abalone, and salmon sashimi."
"You also ate sashimi? The buffet you had was not cheap."
"299 each." The girl nodded heartbrokenly.
"299 yuan? Then you can't just eat that much."
“There’s also crayfish, roast beef, grilled pork chops and fried chicken.”
"What about again?"
"Sea urchins, oysters, beer, crabs, big red shrimps..." The girl spoke slowly and smoothly, as if reciting a spell, entering the memory mode: "Grilled beef tongue, boiled edamame, shrimps,
Lotus root slices, milk jelly, tofu, enoki mushrooms, onion rings, flower shells, snails, chocolate cake, cream cake..."
Dr. Zhou listened to her talk for two minutes, sighed and said, "It's not unfair."
"Ah?" The girl didn't hear clearly.
Chapter completed!