Chapter 68: One day the sword will be in hand
The next day.
Surgery day.
Lu Wenbin was the first to enter the operating room, and after completing all the work from draping to examination, he saw Ling Ran and Huo Congjun stepping in through the door.
Huo Congjun looked calm.
Lingran jade trees stand in the wind.
Lu Wenbin is under heavy pressure.
"Patient Li Xingguo, 21 years old, suffered an open wound and ruptured the flexor tendons of the index finger and middle finger. Among them, the deep and superficial flexor tendons of the middle finger were all ruptured, which is quite complicated..." Lu Wenbin read the information in advance and explained this.
Ling Ran had also read the information, so he was thinking about it while listening, but his expression was unclear.
Huo Congjun breathed a sigh of relief. This was the only patient he could find today.
The reason why no man's land is no man's land is that within the no man's land of the hand, tendons are too densely distributed, and both deep and superficial tendons are bound in narrow tendon sheaths. Postoperative adhesion is severe and recovery function is not ideal.
Now, the deep and superficial tendons are injured at the same time, which means that their respective activities are enhanced, and the probability of adhesion is greater.
However, these are not problems for Ling Ran.
Master-level Tang suturing and simultaneous treatment of deep and superficial tendons are just the basics.
Ling Ran checked it over in sequence, made several more palpations, nodded, and said, "Let's get started, suturing the tendon rupture in area II with the Tang method... pen."
As soon as Ling Ran stretched out his hand, Wang Jia, who was attentive, put a marking pen into his palm. The posture was extremely comfortable and must have been specially practiced.
Wang Jia looked at Ling Ran and seemed to be very happy to see the faint smile hidden in the mask.
Huo Congjun originally wanted to let him perform the surgery, but he just thought about it and never said it out loud.
"Incision" is often a reward given by superior doctors to subordinate doctors, and there is no vice versa.
Furthermore, Huo Congjun couldn't do the incision for Ling Ran every time. In the end, he still had to practice it himself.
Thinking of this, Huo Congjun looked at Lu Wenbin.
After all, they are all residents in the undergraduate department. Although they have been sent out for two or three years for regular training, they are like sheep sent out by their own family. When it is time to milk them and when it is time to shear them, they will always come back. Now
The formal training has ended, and it is the golden period of technological improvement...
Judging from the last operation, Lu Wenbin's performance was also good.
After that, he was very attentive to the patient's prognosis.
If Huo Congjun was the real surgeon and Ling Ran was the real assistant, Huo Congjun would most likely choose to let Lu Wenbin perform an incision. Thinking about it, no matter how miserable it was, it couldn't be worse than Ling Ran's last incision...
There were three people in front of the operating table, and Huo Congjun's eyes immediately fell on Lu Wenbin.
Is it good or bad to be noticed by the director?
Lu Wenbin's little heart was beating loudly.
What he looked forward to most was for Ling Ran to give up the incision work and leave it to him.
If the director could help with a word of advice, it would be even more certain.
Lu Wenbin was not greedy, but he subconsciously felt that Ling Ran had either given up because he didn't rush to practice incision yesterday, or he had some flaws in his "incision" technique, so he gave up because he knew he was not good at incision.
Already.
In this way, it seemed logical for Ling Ran to hand over the incision to others.
Lu Wenbin went through the scene of yesterday's middle-aged skateboarding man flying out of the forest in his mind before he calmed down a little.
"tension."
At Ling Ran's command, Lu Wenbin realized that he had already drawn the line.
Don’t you have to hesitate? Or have you thought about it in advance?
Lu Wenbin muttered, but hurriedly went into battle, flattening the patient's slightly curled hand to make the marked area protrude.
While doing this, Lu Wenbin discovered that Ling Ran had chosen a good location. Expanding the wound based on the existing trauma was originally a very contradictory choice. Every reasonable plan was not easy.
If you think of surgery as renovating a house, the patient's original wound is like a load-bearing pillar in the middle of the house. You can't dismantle it, change it, or even drill on it. And every house has
The positions of the columns may be different. To decorate the house well, you must deal with the relationship between the space inside the house and the load-bearing columns.
The perfect plan may not exist, even if it is relatively reasonable, it still requires a lot of thought.
Ling Ran's scalpel slashed.
The technique of holding the bow is very basic and not too fancy.
But in just a minute or two, Ling Ran had already exposed the desired technique.
While Lu Wenbin helped organize the salt water pad to prevent contamination, he looked at the knife edge in surprise.
Ling Ran, who had to cut twice a few days ago, suddenly became a master of surgery?
Judging from his experience in rotating in various departments of Yun Medical in the past two or three years, senior doctors in most departments only perform operations like this.
"Have you practiced incision recently?" Huo Congjun was even more shocked. This was the only reasonable explanation he could think of.
"Yes." Ling Ran nodded. He had indeed tried several times.
Huo Congjun was speechless.
He felt that he had seen enough, but he didn't expect that he still didn't see enough.
Before today, if anyone had told him that so-and-so had studied hard for three days and mastered the incision technique, he would have slapped the other person in the face.
Or was it Ling Ran who performed abnormally during the previous incision?
It seemed reasonable at first, but in Huo Congjun's memory, Lingran's last time being in a hurry didn't seem like he was acting abnormally.
"Pull the hook." Ling Ran gave a simple order to Lu Wenbin.
Lu Wenbin, who had been a hook puller for many years, subconsciously picked up the skin hook and expanded the incision he had just made.
Two tendons were clearly exposed.
In terms of incision, on the one hand, it is clean and neat, and the most important thing is to facilitate the expansion of the surgical field of view.
As for Ling Ran's incision, it can be said to be very beautiful.
At least, Lu Wenbin couldn't find anything wrong with it, and he couldn't cut it so well.
Lu Wenbin felt that his chest was very tight. Thinking about how he felt Ling Ran was arrogant yesterday, he didn't expect that Ling Ran was really capable of being arrogant.
Although no one knew what he was thinking yesterday, Lu Wenbin was still inexplicably ashamed. He laughed dryly and said, "At your speed, outsiders will think you are cheating."
Ling Ran smiled faintly.
"It doesn't matter what other people think." Huo Congjun recovered from the initial shock. He grinned happily and almost had his own head opened.
What does the hospital need? What does the department need? What does the department director need?
Isn’t he just a talent like Ling Ran?
The road to medicine is long. Those doctors who practice suturing for three years, practicing incision for three years, and doing appendix surgery for three years. They become deputy directors at the age of 45 and chief physicians at the age of 55. Of course, they are the backbone of the hospital, but they are like those in the army.
The hospital attaches great importance to and needs an officer corps composed of middle and low-level officers, but it does not need a certain low-level officer.
The single doctor that the hospital is constantly pursuing is a doctor who can take the lead, the so-called leader.
They are either the outstanding ones who stand out from the officer corps, or they are geniuses who studied under the famous masters, or they are little treasures who fell from the sky.
For example, Wu Mengchao, a great figure in hepatobiliary surgery in China, only completed his undergraduate degree at the age of 27. Ten years later, he read a paper at a national surgical conference and proposed the five-leaf six-segment theory of the liver and the five-leaf four-segment theory. At the age of 41, he achieved a breakthrough in Chinese medicine.
Hepatic lobe restricted area, when ordinary doctors were trying to judge the deputy chief physician, he became a nationally renowned expert in hepatobiliary surgery and was known as the "Father of Hepatobiliary Surgery in China". Any hospital with such a leader will be caught casually.
You can make Tianhu cards from bones. Of course, Wu Mengchao's teacher is also very powerful. He is Qiu Fazu, who is known as the "Father of Chinese Surgery". All doctors who are still working in China have read his books and entered the hospital.
"By the way, Ling Ran, I heard that you often buy pig trotters for practice?" Huo Congjun said suddenly.
"I have bought one." Ling Ran put on his microscope glasses, and when he spoke, the frequency in his hands did not slow down at all.
"You are still an intern now. You can't do it like this. The subsidy of several hundred yuan a month is not enough to buy pig's trotters." Huo Congjun said seriously: "Practice materials should not be provided by private individuals. Our emergency department cannot build one for the time being."
We should start a practice room, but we should also provide an environment for doctors to improve according to local conditions. Don’t you think so?"
Huo Congjun turned his head and looked at Su Jiafu who was sitting on the round stool.
Anesthesiologist Su Jiafu stood up slowly and said, "Yes."
"Reimbursement for pig's trotters doesn't sound good, and it's not easy to do. If you don't have a medical license yet, you have to write my name or Lu Wenbin's name for the surgery, and the surgery fee will be put on my card.
, I will transfer it to you again, so don’t refuse it, labor income is what you deserve.”
Ling Ran was not prepared to refuse at all, so he said "yes" again and concentrated on the operation.
Lu Wenbin's envious hook was exhausted.
In a hospital, the chief surgeon fills the role of director, but for surgeries where the director does not show up, the operating fee must be paid to the director as usual. This amount of money was very small before the medical reform, but in the surgical clinic after the medical reform, it is quite considerable.
In particular, the operating fee for the chief surgeon was more than double that of the assistant, nurse and anesthetist combined. The pig's trotters could be bought at will, but the director forced them on Ling Ran.
Lu Wenbin lowered his head and secretly made up his mind: I have learned the Tang method!
Immediately, the images of sauced pig's trotters, braised pig's trotters, grilled pig's trotters, braised pig's trotters, spicy pig's trotters, braised pig's trotters, minced pepper pig's trotters, red pig's trotters, beer's pig's trotters, and fortune-making pig's trotters came to his mind.
Chapter completed!