Chapter 547
"Dr. Ling, I read in the literature that using an internal arc-shaped incision on the Achilles tendon has much fewer complications than using an external incision. Especially for gastrocnemius injuries, the probability of lateral incisions seems to be much higher."
"The blood supply situation in the area covered by the Achilles tendon is still quite complicated. This issue can open a new topic."
“We also have to consider postoperative functional recovery.”
In the consultation room, Lu Wenbin, Yu Yuan and Zuo Cidian were having an extremely heated discussion.
Ling Ran would occasionally nod, occasionally shake his head, and occasionally say a word or two to make comments. Even so, it gave them immense motivation.
For the three trained doctors who had just started to practice Achilles tendon repair for a year, the scene before them was truly priceless, and the hard work they had endured for the past few days was as worthless as the breeze blowing on their faces.
What is it like to have the top Achilles tendon repair experts in the country accompany you to discuss the plan?
Moreover, Ling Ran truly listened to their experiences.
Thinking of their own participation and contribution to the surgery they were about to perform, the three of them became excited unconsciously.
They followed Ling Ran for a long period of surgery, but a resident doctor is still a resident doctor after all. No matter how you look at it, a resident doctor is actually still learning.
Not to mention in a place like a hospital, in a purely humanistic field, a newcomer who has just been working for one year will not be able to say anything.
That is to say, after nearly a year of continuous high-intensity training with Ling Ran, the three of them had the capital to speak.
Ling Ran was also willing to listen to their thoughts.
They are all assistants who have performed at least hundreds of similar surgeries. In other hospitals, they are actually more mature surgeons.
The questions they raised from the perspective of assistants may not be able to solve the problem directly, but they can remind Ling Ran from the side and make Ling Ran think more about the surgical plan.
At Ling Ran's current level, it never hurts to think more.
"Let's go to the surgery." Seeing that the time was almost up, Ling Ran looked at the clock on the wall, got up and left.
The three residents below smiled and winked, and quickly followed.
The consultation seemed to be a bit anticlimactic, and no final conclusion was reached, but the three people were all very happy.
With Ling Ran's character, it's not easy for him to be willing to say so much.
In fact, not to mention Ling Ran, very few of the other attending doctors at Yun Medical Hospital were willing to tell the residents so much, let alone such in-group consultations.
If the valuable time of intra-group consultation is not used by the deputy senior leaders to show off, it should be rewarded to them to show off.
As for the content of the surgery, the main surgery has been done thousands of times in the group. What is there to discuss? If it is not the main surgery? It is my so-and-so's new surgery. What is there to discuss with you bunch of idiots...
The three residents all cherished today's opportunity. They went on the operating table, and each of them was very serious. The content of the chat turned into discussing the condition, which made the nurse very surprised.
There were four surgeons and three men in one room. None of them chatted with the nurses. The atmosphere was obviously not right.
The circulating nurse couldn't help but look at the camera in the operating room. There was no red dot.
"Who is today's patient?" The circulating nurse came up to Lu Wenbin and spoke in a low voice, a little confused.
Lu Wenbin now believes that "harmony brings wealth" and has a good attitude towards people. When he was disturbed by the little nurse, he smiled like a flower and said: "It seems that he sells scraps. When moving the cardboard boxes,
The Achilles tendon was broken, and it took me two days to come to the hospital. The operation was somewhat difficult, mainly because the patient has requirements for recovery time and the strength of the Achilles tendon. If the disease cannot be cured, the person will lose his job, right."
"It's easy to make money by selling scraps now, right?"
"You can't do less work."
"Do you have any background at home?"
"What kind of background can a person who doesn't even have a scrapyard have? He is just a person who earns hard money."
The circulating nurse asked a few questions but didn't get the answer she wanted. She was a little annoyed. She glanced at Lu Wenbin and said, "No matter how hard it is to sell scraps, it can't be as hard as being a doctor."
"This is actually..."
"I earn more than a doctor."
Dr. Lu's expression froze, and he immediately hummed: "There are many ways for doctors to make money."
"Dr. Ling must be..." The circulating nurse smiled, walked around the room, and stood next to the equipment nurse so that she could see Ling Ran more easily.
Lu Wenbin was full of rebuttals, but then he thought about it, he made more than those who sold scrap products, but he also got up much earlier than others.
"Sut up the blood vessels here again." Ling Ran performed Zhu-Ling's Achilles tendon repair with great vigor.
Those who come to him for Achilles tendon repair surgery have relatively high requirements for Achilles tendon recovery.
Otherwise, if the Achilles tendon is simply sutured, most people will choose minimally invasive surgery.
The effect of minimally invasive surgery performed by ordinary doctors is better than that of open surgery.
Ling Ran slowly performed an Achilles tendon repair surgery for an hour, and then handed it over to Lu Wenbin to sew the skin.
Compared with a year ago, Lu Wenbin's skills are much more proficient. When sewing ordinary hairy legs, there are basically no obvious scars.
"It's done, Dr. Zuo, please send the patient out." Ling Ran took off his surgical clothes, stretched, and said, "Let's do the liver resection again."
"I'm going to prepare first." Yu Yuan quickly jumped off the step stool and quickly left the operating room of the emergency center and headed to the operating room of the hepatobiliary surgery department.
The emergency center's operating room is not on the operating floor, so you have to walk a few more steps to change.
Ling Ran was not in a hurry to go there. There was a slight delay in pre-operative preparations, and it would take more than ten or twenty minutes. Yu Yuan worked carefully, and her surgical skills were a bit weaker. She spread drapes, sterilized, checked the patient's condition, etc., but there was still no problem.
questionable.
While he was still in the building of the emergency center, Ling Ran intentionally turned to the ward and decided to go for a ward check and take a rest.
He drank the energy potion at three o'clock in the morning. It has been more than four hours now. In total, Ling Ran has undergone three gallbladder surgeries and an open Achilles tendon repair surgery.
He conducted a set of preoperative consultations... If not counting chores, he basically completed a day's work of a surgeon.
In the ward of the emergency center, Ma Yanlin was doing his rounds alone.
The interns have all graduated, and he doesn't even have any subordinates. The most important thing is that Ma Yanlin's "medical record" is still in the Department of Orthopedics.
The same goes for today's temporary assignment. Ma Yanlin still has to take on the duty of the orthopedics department, otherwise his colleagues will all jump around. It doesn't matter if you don't do surgery or even write medical records. Orthopedic surgery is very profitable, and everyone is rushing to do it.
, there is no shortage of people. Only the night shift is deeply hated by everyone.
Ma Yanlin lowered his head. He had the intention to transfer to Ling Ran, but from the orthopedics department to the emergency department? When people familiar with hospitals hear such words, they probably all have the same thought: The head has been shot!
The orthopedics department is an orthopedic department for rich people. The attending doctors are too lazy to have extramarital affairs, but just use money to buy sex. The emergency department is a typical one that is tired and poor, and the deputy chiefs have to keep themselves clean.
Ma Yanlin's current income is much higher than that of his colleagues. However, considering his future development, Ma Yanlin still prefers orthopedic surgery... Even with Ling Ran, he also learned orthopedic surgery. If he was transferred to the emergency department, Ma Yanlin was worried that he would be
The emergency department business is running out of time.
"How many beds have you checked?" Ling Ran walked quickly from behind and woke up Ma Yanlin instantly.
"Oh... I just started checking." Ma Yanlin whispered: "There are no interns..."
"That's a problem. Just ask two people to come here another day." As Ling Ran spoke, he looked at the bed number sent by Zuo Cidian on his mobile phone and said, "Look at the people who performed the surgery yesterday. You
Come with me to the hepatobiliary surgery ward rounds."
The patients who have just undergone gallbladder surgery are all staying in the hepatobiliary surgery ward.
"Then I'll inform Dr. Zhang." Ma Yanlin nodded quickly and then looked at Ling Ran's back, quite envious. To dare to go to other people's departments for ward rounds, in addition to having the strength, you must also have a body that is not afraid of rumors. Otherwise,
The unspoken rules in the hospital can make people extremely uncomfortable.
However, Ling Ran grew up among rumors and had always ignored the unspoken rules of the small circle.
Ma Yanlin couldn't learn this talent even if he took off his pants.
Ling Ran went from ward to ward visiting patients with his hands behind his back.
He is now the person in charge of the treatment team. According to the three-level diagnosis and treatment system, ward rounds can be done once a week. In the specific process of ward rounds, there is no need to dwell on the details. The focus is on solving problems that cannot be solved by the bedside doctor and the attending physician.
.
As far as the actual situation of the hospital is concerned, the person in charge of the treatment team mainly said, "Are you okay? Have a good rest. If anything happens, please see a doctor in time."
When patients and family members face the treatment team leaders, they tend to trust them more and even become more tolerant.
A junior treasure box brought with "sincere thanks" can prove their mood.
There is no double treasure box for those who did not undergo cholecystectomy. Even so, Ling Ran took 7 treasure boxes in one breath. If it were not for the lack of time and the absence of other bedside doctors, he would have wanted to go all the way to the ward rounds.
…
"Doctor Ling." Zhang Anmin and an unknown doctor trotted over.
"Doctor Zhang is at work." Ling Ran smiled: "There is no need to come here specially, the surgery is scheduled on the operating floor..."
"Dr. Ling, let me introduce you." Zhang Anmin intervened bravely: "This is Qiu Zhongren, our gastrointestinal surgeon, who has taken care of me before..."
Qiu Zhongren had a kind face, smiled at Ling Ran with a hint of anxiety, and said: "I have seen several surgeries performed by Dr. Ling, and this time I am here to ask..."
"What's the matter?" Ling Ran's expression remained unchanged. He was often asked to do various things, but he felt that it was normal for people to ask for help.
"We had a gastric varicose surgery today. During the laparotomy, we found that the patient's cirrhosis was bleeding. After packing it with gauze, the effect was not good..." Qiu Zhongren looked helpless.
Liver surgery is notoriously complicated. Now he can't even figure out the cause of the bleeding. He doesn't dare to operate the liver at all, so he can only rush out to find reinforcements.
This kind of intraoperative problem is different from ordinary consultations. Qiu Zhongren's attitude was low and he said: "Dr. Ling, you are the authority on liver surgery in our hospital. Can you please move to the operating room and help us?"
Chapter completed!