Ling Ran did not stand in front of the light box for a long time before he crossed his arms and walked to the operating table.
The attending physician from the Department of Urology was a little expectant, but he raised his head and looked at Ling Ran with determination.
After all, they were not doctors in the same department. Besides, the attending physician was older than Ling Ran. Usually, he bowed his head and flattered Ling Ran because he obeyed his authority, and there was nothing embarrassing about it. But in the operating theater, attending physicians also had their own technical background and stubbornness.
"Where do you think the bleeding is?" Ling Ran lowered his head and looked at the attending physician's hand. He first asked.
After being a senior doctor for so long, Ling Ran had formed some habits. To him, the current situation was actually very much like a freelance surgery. He could not just save the scene, he had to communicate with the other doctors on the operating table.
The attending physician from the Department of Urology seemed to have been enlightened, and he looked at Ling Ran in a daze. "What do I think?"
"Yes, you were performing an examination just now, right? What did you find? What do you think? "Ling Ran still looked like he was teaching. This was not just a skill he learned from freelance surgeries. When he was in school, there were often female students who came to ask Ling Ran for advice. Ling Ran always wanted to know what they understood and what thoughts they had.
Ling Ran also had the same attitude toward the attending physician from the Department of Urology in front of him. He would not waste his time on patients.
The attending physician from the Department of Urology was enlightened, and he muttered, "The common causes of bleeding during radical nephrectomy are the slippage of the renal pedicle blood vessels, the tear of the renal artery, renal vein, and vena cava … A few may be due to mesenteric or adrenal hemorrhage …"
He was memorizing theories.
However, there were still places where theories could be used.
Ling Ran nodded and continued to ask, "Among so many choices, which position do you think has the highest probability of bleeding?"
The little determination and stubbornness in the attending physician's eyes gradually trembled. This came from the bottom of his heart, and it was the fear of senior doctors' questions that he had cultivated over the years. "I think … the slippage of the blood vessels and renal vein hemorrhage are the highest."
"Think again." Ling Ran stood in the main position at this time. He moved the patient's tissues while he slowly extended his hand.
"I …" The attending physician from the Department of Urology could not help but lower his head and look at the direction where Ling Ran was operating. Then …
Then it was useless. The kidney was just there, and he could not see anything. The reason why bleeding during surgery was complicated was because the human anatomy was so complicated, and the bleeding point could be small but severe.
"I can't tell." When the attending physician said this, he felt a sense of relief in his heart. The restraints brought about by his technical background had been loosened.
Before he could completely relax, Ling Ran hummed in acknowledgment and asked, "So, which one did you rule out?"
"Huh?" The attending physician was stunned.
"If you can't determine where the bleeding is coming from, isn't the first choice to use the method of elimination?" Ling Ran glanced at the attending physician, and his arm slowly moved deeper into the wound.
The attending physician was speechless.
Department Director Ning held back his laughter at this moment. He coughed a few times and finally stood up to smooth things over. "Doctor Ling, when a normal surgeon performs this, he or she will perform exploratory laparotomy directly. If he or she can predict it in advance, he or she will become an expert in hemostasis."
"Didn't I perform an exploratory laparotomy just now?" Ling Ran adjusted his position and continued to reach inside.
Department Director Ning was also stumped by the question, but he laughed. "Doctor Ling's personality is really straightforward."
When he said that, everyone in the operating theater laughed, and the atmosphere became a little more relaxed.
The attending physician from the Department of Urology also breathed a huge sigh of relief. Ever since he was promoted to an attending physician, he did not have to be questioned as much. In a daze, he felt that he was about to return to the status of an intern.
Ling Ran originally asked during the surgery. At this time, he also confirmed the location of the damaged vena cava, and he gently pressed his finger on it.
The blood pressure and other values on the monitor started to bounce back at a visible rate.
"It's stopped?" The young nurse by the side was already about to cheer.
Department Director Ning nodded steadily and praised, "As expected of Doctor Ling."
The attending physician who stood by the side blinked. A lot of thoughts had just appeared in his mind, but they completely disappeared along with the values.
This patient was originally his. He was the one who took care of the bed, did the preoperative analysis, and performed the surgery … He was the one who was most familiar with it. Before Ling Ran arrived at the operating theater, when the anesthetist was preparing, he had already taken and looked at the scans by the bedside. There was no need to mention the exploratory laparotomy. He almost touched the periphery of the kidney.
How long had Ling Ran been here? How many things had he done?
He had not even massaged the kidney properly once.
But the bleeding was stopped.
The clinical medicine industry was a results-oriented industry. When the patient was bleeding profusely, no matter how much you did, the ultimate goal was to save the patient's life and stop the bleeding. Only when this goal was achieved would the process be meaningful.
If this goal was not achieved, the value of effort would be insignificant.
"Make the incision bigger." Ling Ran pressed on the damaged blood vessel with one hand, so he directly ordered.
The attending physician quickly answered, "Yes." Then, he picked up the scalpel, lowered his head, and made an incision in the direction Ling Ran pointed.
"Thank you, Doctor Ling." Department Director Ning was also filled with emotions.
Although he was the one who invited Ling Ran today, and it was an invitation with a purpose, Ling Ran's performance in a small bleeding control surgery was still surprising.
Excellent surgical skills would not be considered ordinary just because they had seen it before. This was especially true for the doctors in the hospital.
Because after they saw an amazing surgery, they would see and participate in countless ordinary surgeries, ordinary surgeries, and surgeries that were weak.
Surgeries were not spectator sports competitions. Doctors were not athletes, and they were not spectators.
When they faced the death, pain, and joy of their own kind, every bit of empathy would be reflected as praise and disgust for the skill.
The attending physician of the Department of Urology obediently operated according to Ling Ran's instructions.
Department Director Ning saw that the patient's vital signs had stabilized, and he walked forward again. He smiled and said, "Doctor Ling, I called for you in a hurry today. I'm really sorry."
"It's normal for a sudden hemorrhage to be urgent." Ling Ran nodded and did not mind.
Department Director Ning smiled again. "It has always been the Emergency Department calling for emergency consultations from other departments. I didn't expect that Yun Hua Hospital has changed. The doctors from the Emergency Medical Center are called for emergency consultations every day."
Ling Ran was very familiar with the meaning behind Department Director Ning's words. For him, this was basically a daily life, so he just nodded calmly.
"I might have to trouble you in the future, Doctor Ling." Department Director Ning paid attention to Ling Ran's expression. When he saw that Ling Ran's expression was calm, he immediately added, "If there's another emergency consultation, please help, Doctor Ling."
"Sure. But if it's during surgery, it might not be possible, "Ling Ran answered naturally.
"Of course, of course. Doctor Ling, please enlighten me in the future," Department Director Ning promised.
The attending physician of the Department of Urology glanced at Department Director Ning. He felt that something was not right, but he could not explain it.
"Doctor Ling, let's go and meet the patient's family?" Department Director Ning took credit for Ling Ran this time. The attending physician of the Department of Urology understood when he heard it, but he could only quietly lower his head and pretend that he did not hear it.
Even though he was still busy on the operating table, he could not tell how much he had done.
"Doctor Ling, you go ahead. I'll suture the back." The attending physician of the Department of Urology's eyes were filled with obedience.
"The surgery is successful. Just inform the family," Ling Ran took off his gloves and said calmly.
The attending physician who stood beside the operating table was inexplicably touched. 'Doctor Ling is such a good person.'
System: Peer's Admiration (Basic Treasure Chest), please check.
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