Chapter 770
Ling Ran looked at the proud skill book in front of him and couldn't take a picture for a long time.
As a doctor, Ling Ran has done many times to cut off the intestines. Although he doesn't like it, he doesn't mind it very much.
In his life, some things he doesn't like are, and he doesn't care about more or less.
However, hemorrhoid surgery is quite boring for Ling Ran. The most important thing is that the technical content is low. You can tell by looking at the system's skills. High-tech technologies, such as liver resection technology, can only give the primary treasure chest to the master level, while low-tech technology, a primary treasure chest can open the perfect level.
Among various low-tech technologies, the technical content of hemorrhoid surgery, especially traditional hemorrhoid surgery, is even lower.
Of course, any technology can always be done very finely in accordance with the spirit of craftsmanship, but from a noble point of view, the meaning is different.
First of all, hemorrhoid surgery itself does not solve the problem of hemorrhoids. This greatly reduces the significance of hemorrhoid surgery. In the final analysis, hemorrhoid surgery itself is a mature surgery, but the essence of hemorrhoid surgery is immature.
Since this is the case, after learning hemorrhoid surgery, do you still need to undergo hemorrhoid surgery?
Ling Ran shook his head and used the mentality of "holding your bare hands" to pat the arrogant skill book, which was considered to have taken this skill.
That's the same way when you treat it without any skills.
"Doctor Ling, Naldo is awake." Ma Yanlin ran over in a touch.
Ling Ran glanced at him: "Who?"
"That fat man... just got a patient whose three toes had broken, and he woke up." Ma Yanlin explained a little guilty.
Ling Ran frowned: "Why is it so fast?"
Ma Yanlin even felt guilty: "Maybe it was because of the anesthesia, the dosage was calculated too little. That... the patient's weight may also be used privately, and the operation time was relatively long..."
"Do you know it during the art?" Ling Ran asked.
"I asked, it probably didn't, but I woke up faster..." Ma Yanlin quickly shook his head and said, "I looked at the dosage of medicines made in our domestic anesthesia textbooks. The dosages needed by South Americans may be larger..."
Ling Ran glanced at Ma Yanlin and did not continue to blame. Anesthesia resistance is very troublesome for anesthesiologists, because you don’t know the degree of resistance of the patient and there is no real data to rely on in this regard, so you can only rely on experience, and neither Ma Yanlin nor him have the experience of anesthesia.
On the other hand, the result of increasing the dose of drugs to avoid anesthesia resistance will not be better. If the patient has a low degree of resistance or poor tolerance, a 4-hour operation will be enough for the patient to die on the operating table.
Ling Ran turned around and walked and said, "Go to see the patient first. If you just wake up normally, take the record. In addition, we can no longer have anesthesia for the next surgery."
"What should I do?"
"Isn't the satellite phone available? Let Brazil send a professional anesthesiologist to communicate with the phone."
"Brazilian doctors are afraid they will not take responsibility." Ma Yanlin distrusts this.
Ling Ran said as he walked: "Then reduce the amount of surgery. It's not necessary to do the surgery."
"Who knows when the heavy rain will stop? All we have to do is surgery." Ma Yanlin complained in a low voice: "The current environment is better. There is disinfectant sent from Kuba Town. Patients before, even if the small wound is not treated, they may become suppurated and infected. Not to mention the serious injuries, antibiotics must be calculated."
Ling Ran didn't comment on this.
The work of surgeons is always weighing the pros and cons. Even surgery like gallbladder stones has a balance between surgical treatment and conservative treatment, and the risk of trauma and anesthesia must be considered.
The same pain, compared with the time when the flood first came, the basis for judgment is also different.
Ma Yanlin actually understood this point, but he couldn't help but nag a few words.
When he arrived at the awakening room, Ma Yanlin's face changed and became serious.
"How do you feel?" Ling Ran asked routine questions on routine rounds.
Naldo's eyes were wide open, and he looked at Ling Ran for a moment without any hesitation before slowly focusing, and then sighed: "Are you an angel?"
"No. Your operation has just ended." Ling Ran's expression calmed down.
"No... I feel like I'm floating..." Naldo is obviously not completely awake. He is in a normal anesthesia department, so he needs to observe more.
"What else do you feel except floating?" Ling Ran continued to ask.
Naldo moved his head: "I want to fly...where have I flew?"
"This is an anesthesia awakening room. You just had the surgery. Do you have any impression?"
"Is it hemorrhoid surgery?"
Ling Ran frowned: "No."
"Oh, then I won't remember."
Ma Yanlin suddenly breathed a sigh of relief. Although he could not completely eliminate the knowledge during the operation, most of the risks should be avoided at present.
Ling Ran looked at the monitor again and did a few simple physical examinations to confirm that there was no problem. Before leaving, he said to Ma Yanlin: "Check the patient to see if there are any hemorrhoid problems."
"Nine out of ten men are hemorrhoids, Brazil is so hot again." Ma Yanlin curled his lips: "I found out when I checked before. He had been in a wheelchair for a few days and had soaked in a flood before. It's not surprising that he had hemorrhoids."
"Look at it again." Ling Ran reminded him and continued to go to the rounds.
Ma Yanlin shrugged, but there was nothing unwilling to be unhappy. Including the internship period, he had been a doctor for three years, and his patience had long been increased.
After 30 minutes.
"I'll go." Ma Yanlin found Ling Ran, his eyes were about to burst out, and he kept muttering: "Live for a long time, live for a long time..."
Ling Ran looked at him quietly.
"The duck egg is big... Have you seen the duck eggs big?" Ma Yanlin gestured with his hands, and his whole body seemed to be stuffed with duck eggs. He sighed: "South America has rich resources, and hemorrhoids grow larger than ours."
"How is the patient?"
"The anesthetics are almost too intense. Now it's starting to hurt. It's already a little bit like it's going to hurt." Ma Yanlin shook pity: "The whole body is scratched countless times, three toes are broken. Now I'm adding a hemorrhoid as big as a duck egg. Now I can only let him lie on his side, lying down to affect his toes, and lying down to affect his hemorrhoids... Um..."
Ma Yanlin's expression was a little tempted to laugh, but he also knew that it was not good to laugh, so he could only force him to hold it in.
Ling Ran hesitated for a few seconds, sighed and said, "Then ask him again to see if he wants to have hemorrhoid surgery. If he wants to do it, I will do it for him."
"Hey, do you still have hemorrhoid surgery?" Ma Yanlin looked at Ling Ran and couldn't help but say, "We don't know."
Ling Ran looked at Ma Yanlin with no interest and said, "You should be your assistant and try to learn."
Ma Yanlin's eyes turned: "Doctor Zuo must need it. When I learn it, hehe..."
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Chapter completed!