The third example of Tang method was very successful.

Not only Huo Congjun and Lu Wenbin felt this way, but Ling Ran himself felt very good too.

Just like when students are doing exam questions, when doctors perform surgery, they often have a feeling of how to do it. Whenever this feeling comes out, the result of the surgery will be better than expected, often much better than expected. expected.

The reason is most likely because the patient's condition is consistent with what was expected.

When students are preparing for exams, they often guess and guess the questions. In fact, this is also often the case before doctors perform surgery.

MRI, X-ray, CT machine, or B-ultrasound, or the more expensive positron emission tomography, all imaging information, plus various tests, even biopsy, endoscopy, are all in It is used to add information to the doctor's diagnosis and is also used to make pre-operative diagnosis questions. If the doctor answers all the questions correctly, the operation will be smooth and comfortable. If not, then the operation will be smooth and comfortable. It depends on your usual accumulation and preparation.

Modern medicine may seem advanced, but compared to the complexity of the human body, it is still extremely weak. Once upon a time, the most powerful doctor in China, Da Ben, got his wife diagnosed with cancer. He took his best disciple to conduct a comprehensive diagnosis, and he was not inadequately prepared. , but the abdominal cavity was opened, and the infiltration of cancer cells completely exceeded expectations. He still had to bear the self-blame and pain, and tried to remove the cancer cells bit by bit as carefully as possible and complete the operation. Even if there were some other rational choices, the doctor None of them want to be in this situation.

It can be said that the unexpected is the biggest enemy of doctors.

As expected, it was a prelude to success.

With the development of modern medicine, typical cases are constantly being established and expanded.

The most important diagnosis that doctors need to make is what kind of typical case the disease is, whether it can be treated, and how to treat it.

Ling Ran's diagnostic ability is still very weak, but for complex medical diseases, the diagnostic environment faced by surgeons is relatively simple. If the patient's flexor tendon is ruptured, the tang method can be used. As for the tang method, how to operate it? How to judge and how to proceed requires Ling Ran to focus on the topic and improvise.

Perhaps the patient's deep and superficial tendons were ruptured at the same time, which irritated Ling Ran. Perhaps the first two Tang sutures deepened Ling Ran's understanding of the surgery. All in all, the surgery, originally planned to take four hours, may actually take three and a half hours. , it only took two and a half hours to declare it completed.

During this period, Ling Ran did not deliberately speed up the operation, nor did he try any measures to speed up the surgical process.

When Ling Ran dropped the scissors and announced that the operation was completed, Lu Wenbin packed up his things in a daze, while Huo Congjun sat on the round stool, looked up at the clock, and fell into deep thought.

Anesthesiologist Su Jiafu's legs trembled slightly and he felt he had lost more than two kilograms.

He used his memory, which scored over 600 points in the college entrance examination, to swear that he would bring a round stool with him next time he participated in Huo Congjun's surgery.

"Can we go back?" Ling Ran checked again, made sure that all the medical equipment was in place, and then relaxed.

What the surgeon can do has almost been done. The next rehabilitation and recovery mainly depends on the patient himself.

Huo Congjun woke up with a "En", kicked the stool away, and said: "Go back and have a good rest. Today's surgery has been long enough."

Although media reports often show six- and eight-hour surgeries, in hospital life, two and a half hours of continuous surgeries are torture enough.

Ling Ran took off his gloves, looked at the monitoring equipment in sequence, and then followed Huo Congjun out of the operating room.

In most surgeries in most operating rooms, doctors rarely look at the monitors. The reason is that the current monitors are too highly automated. Usually, not calling is a sign that nothing is wrong.

Sometimes, no one pays attention to it even if it is called.

Ling Ran didn't like this. He was more suspicious of automatic instruments than artificial intelligence.

"Lu Wenbin, remember to pay attention to the patient's anesthesia condition." Before leaving, Huo Congjun gave one more instruction.

"Yes." Lu Wenbin agreed obediently. As a junior resident, he needs to do all the remaining chores. If it is during busy operating hours, he will occasionally be urged by the circulating nurse.

Fortunately... the habit becomes natural.

Ling Ran left the operating room, said hello to Huo Congjun, and entered the shower room.

The operating rooms in the emergency department are configured as standard. Although there are currently only four operating rooms, there are eight cubicles in the shower room. Ling Ran let the hot bath water pour over himself, and then carefully recalled the surgery just now.

This was the most enjoyable operation he had ever had. The previous debridement and suturing operations were also very enjoyable, but the operation was too small and the time was too short. It ended without much understanding.

Today's two-and-a-half-hour surgery included two hours of busy, tense and exciting flow time. After the process, I was happy with the result, and I feel happy when I think about it.

After drying himself off, Ling Ran was still thinking about where to go when he saw Dr. Zhou waiting in the corner of the room, looking like he was about to fall asleep.

"Just take a shower in the rain and it'll be fine. I'm feeling sleepy after waiting." Dr. Zhou yawned.

Ling Ran looked at Dr. Zhou who was taking a shower and asked in surprise: "Don't you even need to work?"

"How come I don't need to work?" Dr. Zhou slapped the wall and said, "I've found someone to take over my job."

Ling Ran nodded in understanding.

Although he left the treatment room and lost interest in debridement and suturing, there were still residents, regular training doctors, fellow trainees and interns from various departments waiting for opportunities in the lounge of the emergency department.

Dr. Zhou hummed twice and said, "I'm here to give you some money today."

"Does the surgery cost?" Ling Ran asked.

Dr. Zhou was stunned for a moment and said with a smile: "You are stupid, you are quite smart. Director Huo asked me to come over and explain it to you. Let us first agree that the surgery fee for you should be given to Director Huo. He

It's his business to leave it to you, you don't have to think about the rest."

If the surgery fee had to be divided, Dr. Zhou would not let anyone else perform the surgery.

The surgery fee had to be paid to the surgeon and could not be handed over to the intern. Since the money was credited to Huo Congjun's card, he was also worried that there would be a misunderstanding and it would be unsatisfactory, so he specially asked Dr. Zhou to explain it to Ling Ran.

Because money was involved, Dr. Zhou found an empty talk room, closed the door, and said: "Our hospital currently implements the charging standards of third-level hospitals. The surgical fees are approved by the Price Bureau and cannot be changed. They are allocated once, and the hospital

The newly revised regulations give 50%, which means that medical staff can get 50% from the operation fee, which is double that of many hospitals. The secondary allocation is decided by our department..."

Looking at Ling Ran, Dr. Zhou continued: "Second allocation, our department's rule is two-to-one, that is, the surgeon gets two-thirds of the operation fee, and the assistants, nurses and anesthetists get the remaining one-third.

"

"Most surgeries in our hospital are like this. Specifically, for example, the surgery you performed today..."

Dr. Zhou took out the printed list and said: "You performed a functional reconstruction surgery on your digits. The number is 331521014. Here on the table, you can see that the operating fee for the second-level hospital is 1210 and the charge for the third-level hospital is 1344."

Yuan, we are level 3, we charge 1344 yuan. In addition, every additional finger will add 210 yuan, so today’s total is 1554 yuan. The one time allocation to your emergency department is 777 yuan, and the remaining two-thirds are given to the surgeon.

So what you got in the end was 518 yuan. Do you understand?"

"I understand." Ling Ran didn't react much. He was not too sensitive about money.

Dr. Zhou smiled and said: "You are now a high-income earner in our hospital, and you are paid by senior doctors."

Ling Ran asked: "What are the differences between different professional titles?"

"The difference is huge." Dr. Zhou said: "If we strictly follow the regulations, residents with lower seniority can only perform first-level surgeries, senior residents can only perform second-level surgeries, and only junior residents can perform third-level surgeries.

This step all requires the guidance of a superior doctor. What you are doing is a third-level surgery, so the surgeon must be a senior surgeon."

Hospitals, like all public institutions, have always had double standards. The so-called strict regulations mean that they are based on needs. The same strict regulations include the consultation system, which prohibits acupuncture, accepts food invitations, etc...

Ling Ran nodded slowly.

"General residents perform first-level surgeries, and the operating fee is only about 100 yuan, and a little less is only 70 or 80 yuan. For example, if you perform debridement and suturing, you can do three or four surgeries a day, and the total operating fee is only more than 100 yuan."

Dr. Zhou paused for a moment and then said: "As an assistant, you can't get much. Like Lu Wenbin, who is in the same group as you, he can take a big share of the remaining... 259 yuan, probably around 150 yuan, and the remaining 100 yuan."

For two nurses, one anesthesia point... So, doctors earn really little..."

Ling Ran looked at Dr. Zhou suspiciously and said, "If three surgeries are performed a day, Lu Wenbin can share 500 yuan. In this case, it can be divided into 15,000 yuan a month?"

"You're crazy. It's enough for a doctor to do 20 surgeries a month. 30 surgeries are exhausting. Who does 90 surgeries a month..." Dr. Zhou's voice became softer as he spoke, because he saw the look in Ling Ran's eyes.

It's obviously wrong.

In Ling Ran's mind, system prompts were flashing:

Mission: Experience the Tang method

Task content: Every time 10 tang surgeries are completed in a single month, it will be regarded as a task completed.

Mission reward: Elementary treasure chest
Chapter completed!