6 o'clock in the morning.

Zhang · Hepatobiliary Surgery · Junior Attending · Tired to death · Sore all over · Would rather die than get up · Have to get up early · An Min has arrived at the ward.

In the past, Zhang Anmin, like most weak doctors, would go to work at 8 o'clock or 8:30 in the morning on days other than the director's ward rounds, start ward rounds at 9 o'clock, and then go to surgery for about half a day.

In this case, in the two hours before going to work, Zhang Anmin would have enough time to change the child's diaper, wash him, prepare a rich breakfast for his wife and mother-in-law, and then leave home without the disdain of his mother-in-law.

After returning home, Zhang Anmin had enough energy to cook dinner, feed the child, change diapers, accept the influence of his mother-in-law that "I am not easy", coax his wife, and still have time to take a shower and do housework.

Ever since Ling Ran lived in the surgery area, Zhang Anmin gradually became far away from these days.

First of all, there were so many questions during Ling Ran's surgery that it was not a lot in absolute terms. However, if a surgeon was asked more than five unanswerable questions in every operation, the embarrassment in the operating room would be almost impossible.

A solid will form.

In order to avoid such embarrassment, Zhang Anmin could only come to the operating room for ward rounds in advance, and then simulate the plan according to the patient's condition and make preparations in advance.

Every day's surgery is like a director's ward round for Zhang Anmin.

However, Zhang Anmin still persisted.

To be a doctor, who has not endured nine years of compulsory education plus five years of undergraduate education, three years of master's degree, one year of internship, three years of training and three years of hospitalization? Even if it is a shame, it must be high-end.

On the other hand, Zhang Anmin is also willing to bear the title of being bullied by Dr. Ling and humiliate himself to do more surgeries, and do them under the guidance of senior doctors.

As an adult in his 30s, working hard and studying every day sounds good, but in practice, you will inevitably be ridiculed and discussed.

If you don't have a strong heart and a clear goal, it will be very uncomfortable and it will be easy for people to give up.

When Zhang Anmin lived on campus, why did he sleep in class and secretly hide in the bathroom at three in the morning? Wasn't it because he was afraid of being told?

Now, Zhang Anmin feels that it is a good deal to not only learn surgery with peace of mind, but also gain sympathy from everyone.

As long as I finish the housework and breakfast that used to take an hour and a half in one hour, coax my wife more, and be more shameless to my mother-in-law, my life will be manageable.

"Hello, let's do a ward check." Zhang Anmin walked into the ward and spoke in the newly learned "Precautions for early morning ward rounds".

The patient turned over.

Zhang Anmin smiled and raised his chin. The resident doctor who came with him was like a puppet soldier, banging on the bedside and shouting: "Hello, ward round."

Then, the regular training doctor and the intern doctor also stood up and shouted: "Hello, ward round!"

This is a method independently developed by Zhang Anmin that does not pay attention to bed checking. It improves the efficiency of bed checking in the early morning. The side effect is that the attitude of the patients who are woken up is even worse.

"Check." The first patient to be woken up always looks unhappy.

Zhang Anmin shrugged. This is the problem with ward rounds being done too early. If wards are rounded at 9 o'clock, the attitudes of patients and their families will be extremely good. Most patients will have to find ways to make the attending physician happy.

But at 6 o'clock in the morning, there are far fewer caring patients.

"Let's start." Zhang Anmin glanced.

The resident doctor quickly said "Oh" and said: "The patient is 55 years old. He complained of recurring pain in the right upper abdomen for a year, which got worse. The pain lasted for 2 hours before hospital. CT showed enlargement of the gallbladder and multiple dilations of intrahepatic bile ducts..."

The resident doctor in charge of the bed comes earlier than the attending physician.

Generally speaking, the minimum requirement is to come half an hour early and memorize the contents of the ward rounds.

When encountering an attending doctor with a strict attitude, he would even spend an hour every day reciting these specific contents, and then repeat them bed by bed.

For residents, this is one of the pain points of early work, especially when encountering attending doctors who have ward rounds at 6 o'clock. Residents have to get up at 4 o'clock, arrive at the hospital at 5 o'clock, and then recite the information...

The process seems routine, but in hospital life, this is just the beginning of pain.

Zhang Anmin, who has become a junior attending physician, has too much time to take care of himself and can no longer care about the life and death of the resident doctor. The only way to comfort him is to ask a casual question: "What disease do you think it is?"

"Based on the comprehensive CT scan, there is no doubt that there is cholecystitis." said the resident doctor.

"What about again?"

"Again... is it possible that there is a cyst?"

"What's more?" Zhang Anmin has been asked a lot of questions recently, and he feels that he needs to output in the opposite direction.

The resident doctor asked a bit confused. It's 6 o'clock in the morning. Normal people are either sleeping soundly, or they have just woken up and want to go back to sleep, or they have just had a morning massage and want to sleep, or they are full.

You had breakfast and wanted to go home and sleep, but what about you? You actually woke up others during ward rounds?

The resident doctor's mind was full of confusion and he gave a snake oil answer: "Or consider tumors?"

The depressed patient on the hospital bed suddenly thought: "Tumor? Cancer? I have cancer?"

"You have no symptoms of cancer!" Zhang Anmin was so angry that he glared at the resident doctor.

Turning around, Zhang Anmin stopped being unreasonable and said to the patient: "You are suspected of having liver fluke disease. Multiple dilations of intrahepatic bile ducts are relatively typical symptoms. This disease needs to be taken seriously, but it is not related to cancer.

It’s not of the same magnitude. With the treatment, you can be discharged from the hospital soon.”

Zhang Anmin looked at the patient, fearing that he might be frightened. He took out the X-ray film and said: "CT can tell the inflammation. The edges are very clear. You don't have to worry..."

"Is that liver fluke disease?" The patient breathed a sigh of relief.

"Yes, do you know about liver fluke disease? It's mainly a parasite. Do you usually eat sashimi?"

The patient thought for a while and said: "The little Japanese kind? I don't eat it."

"It's possible to drink raw porridge and undercooked barbecue." This time, the voice came from the door.

Zhang Anmin felt familiar and looked back in disbelief.

"Huh? Doctor Ling? Are you out?" Zhang Anmin looked at the figure standing at the door.

Because his back was to the door, the lights in the corridor were shining right on him, so that the other person's face was covered with halo and he couldn't see clearly. However, just looking at his figure, temperament, and handsome style, Zhang Anmin was sure

There is no doubt that this is Ling Ran.

There couldn't be anyone else.

It's impossible to have it in Yunhua, it's impossible to have it in Chauncey, it's impossible to have it in the whole world.

"Come out for a walk if you have nothing to do." Ling Ran stood in the corridor of the hospital, looking like he was going shopping. The open door of the ward made Ling Ran happy when he saw it.

Several other junior doctors also said hello at a loss.

Ling Ran smiled and nodded, then walked in and asked, "How is the condition of the intrahepatic bile ducts?"

"It's not to the point of excision." Zhang Anmin's answer went straight to the core of the problem.

Ling Ran said "Oh" and silently approached Zhang Anmin, asking for the medical records and looking at them.

Zhang Anmin was a little worried: "What are you doing?"

"I want to learn the ward rounds of hepatobiliary surgery." Ling Ran answered calmly. He had stayed in the operating room for a long time, but he only performed operations, and did not involve ward rounds, consultations, prognosis, etc.

.

Zhang Anmin looked at Ling Ran's handsome face, alarm bells ringing in his heart.

Zhang Anmin said with vigilance: "Dr. Ling, are you ready to perform cholecystectomy on your own?"

With the frequency and speed of Ling Ran's surgeries, Zhang Anmin doubted that his main surgery, cholecystectomy, would disappear.

Ling Ran just smiled and said, "I still have to practice some more."

Cholecystectomy is not taught by the system, so it is only an entry-level level. Ling Ran is not in a hurry to start the operation immediately. His foundation is very good. If he accumulates and practices for a period of time, he will improve very quickly. Finally

At the very least, he needs someone to guide him so that he can do it with quality and quantity.

Zhang Anmin's expression changed again and again.

This shows that the day when Ling Ran will perform hepatobiliary surgery alone will eventually come.

Zhang Anmin couldn't help but complain in his heart that the fans in the hospital were too impatient.

If I continue to think about it, given the strength of Yun Yi's Hepatobiliary Surgery Department, if half of the patients who need cholecystectomy are admitted every week to Ling Ran... No, he can't only have half...

Thinking of this, Zhang Anmin mustered up all his courage, coupled with his mental retardation early in the morning, and bravely said: "Dr. Ling, we cannot allow you to follow the ward rounds of our Hepatobiliary Surgery Department."

Ling Ran asked doubtfully: "What's the reason why you can't watch?"

"Because...because..." Zhang Anmin was a little unable to say anything.

Ling Ran said naturally: "We can exchange studies. From now on, you will take me with you when you perform cholecystectomy, and I will take you with me when I perform liver resection."

The few junior doctors in his treatment team are almost exhausted, and it is impossible to start learning to perform liver resection immediately. There are too many prerequisites to learn.

Therefore, Ling Ran's liver resection surgery was all done by himself, while Lu Wenbin and others could only scratch the surface.

In contrast, Zhang Anmin has been practicing hepatobiliary surgery for almost 10 years, and the prerequisites for liver resection have been met. Ling Ran also avoids having to temporarily find a hepatobiliary surgery doctor as an assistant when he undergoes major surgery.

Zhang Anmin's cheeks slowly turned red.

"Hepatectomy? Really?" Zhang Anmin asked.

"Really." Ling Ran's face was sincere, and the sound of suppressed breathing filled the ward.

"Then...it's settled!" Zhang Anmin swallowed, his hands were covered with sweat, and he felt as if he had won a big prize.

In hepatobiliary surgery, the liver always comes first and occupies an absolutely important position. The gallbladder lags far behind in terms of complexity and importance.

Zhang Anmin has always wanted to do liver surgery, but he never had the chance to do it.
Chapter completed!