In the morning, Ling Ran, who had only performed one surgery, made a ward round slowly and obtained another four Sincere Gratitude Treasure Chests.
Ling Ran was a little hesitant as he looked at the sixteen Basic Treasure Chests accumulated in the system interface. Theoretically, sixteen could be written as two to the fourth power, which was two * two * two.
The result of 2 * 2 * 2 * 2. In binary, 16 would be written as 10000. It was really a round number that couldn't be any rounder.
So, should he open the treasure chests or open the treasure chests?
The last time he opened the treasure chests, he obtained two skills in one go.
Although the heavy reinforcing suture and the intradermal suture overlapped a lot, they could be seen as a combination skill. If he thought about it this way, he felt that it would be more useful to obtain two skills in a row.
The probability of obtaining two skills from sixteen Basic Treasure Chests made him not so confident.
Ling Ran thought about it and quickly made a decision. He said, "If there are no surgeries scheduled until now, should we do another round of physical examination?"
Lu Wenbin could not help but ask curiously, "Did you not see anything just now?"
"How can I see everything?" Ling Ran pursed his lips.
Lu Wenbin did not object.
From a doctor's perspective, no amount of examinations was enough. The complexity of the human body was far beyond human understanding. Take the simplest blood pressure measurement as an example. Different methods of measuring blood pressure would be different. Blood pressure measurement with the left and right arm would be different. Blood pressure measurement would be different according to different postures, and blood pressure measurement would also be different in the morning, afternoon, and evening. It was just that the blood pressure measurement did not have to be precise. However, the situation was actually similar when it came to examinations that required precision.
Even MRI scans were used as a reference to determine whether they were normal or not. They only used scans of more than one hundred healthy people or more than four hundred healthy people as a standard.
If it were not for the fact that all kinds of scans always caused people to worry about radiation, and methods such as drawing blood always caused people to worry about the loss of blood, the requirements for daily physical examinations would be much more complicated.
Physical examination was a very environmentally friendly examination plan, but the frequency of its implementation was gradually decreasing.
Patients always wanted a definite answer, and it was the same for medical lawsuits. However, it was very difficult for physical examination to achieve this.
However, as a preliminary judgment, the function of physical examination could not be ignored.
Hence, Ling Ran walked around the ward again and performed a physical examination on the patients in the ward one by one.
Lu Wenbin was so busy that he felt dizzy. He couldn't help but sigh, "I heard that doctors in the 60s and 70s would do ward rounds twice. I didn't expect such a thing to happen now."
"The first round of rough screening is to satisfy the patient's basic needs. The second round of careful examination is to solve the patient's problems. There's nothing wrong with that." Ling Ran paused for a moment and said, "Unfortunately, I'm not an internist."
The indications of surgeons and internists were completely different, and their coping abilities were also different.
For example, diarrhea might be a minor problem, and the patient could handle it at home. However, in the hospital, when surgeons heard that the patient had diarrhea, they would not be able to handle it as easily as internists.
There were too many things to consider, so doctors often could only solve the symptoms and not necessarily the problem.
Surgeons prefer to hear words like colic.
Ling Ran could not simply prescribe medicine to the patient. Occasionally, when he found some problems during the examination, he would arrange for the patient to undergo further examinations.
Lu Wenbin had not even mastered many of the skills of a surgeon, and he was still climbing up the skill tree. He only felt that his notebook was getting heavier, and he was worried that it was getting harder to write his medical records.
However, he did not dare to say these words to his senior doctors. He could only think about it in his heart. If he said it out loud, he would definitely be scolded by any senior doctor he met.
Lu Wenbin looked at the notebook and could only choose to say something pleasant. "Your level of physical examination is higher than many internists. You've already found a few problems in just a short while."
Ling Ran nodded and said, "Since there are no more hospital beds, let's do more examinations. Those who recover quickly and have no other problems can be sent home."
Lu Wenbin chuckled. He had already guessed that this would happen.
Along the way, Ling Ran obtained another Sincere Gratitude Basic Treasure Chest and arranged for two patients to be discharged. It could be considered an achievement. When they arrived at the last ward, Lu Wenbin was already panting in relief. However, Ling Ran stood still and did not intend to leave. He performed a detailed examination on Bed 52 and walked out of the corridor before he said, "Let's ask the Department of Hepatobiliary and Pancreatic Surgery for a consultation."
"The situation is not good?" Lu Wenbin's expression changed slightly.
As Ling Ran's assistant, although Lu Wenbin had participated in hundreds of surgeries, he was still a resident doctor. When he was in the ward area, he was the doctor in charge. Therefore, he had the closest relationship with the patients. Not only did he understand the patients' conditions, but he also worried about their conditions.
After all, they were patients he interacted with on a daily basis. After two weeks, not only did he know the name of the patient's dog, but he also met the patient's parents, relatives, distant cousins, and colleagues …
Ling Ran was actually a senior doctor, and he was a senior doctor in the surgical system. Therefore, his main job was to perform surgeries. His direct understanding of the patients was far less than that of the doctor in charge.
This kind of setting was actually developed naturally in the hospital system.
Regardless of whether it was China, Japan, Korea, India, or other Asian countries, or even European and American countries, chief surgeons would consciously remove themselves from the specific patient management system.
This behavior could not be explained by saying that they had a heavy workload. The work of internists was also very heavy, but the excellent doctors in internal medicine usually handled everything in detail and handled everything personally.
In the end, it was the work of surgeons that made them unwilling to be too close to patients and their families.
However, although Ling Ran was not good at dealing with people, he understood Lu Wenbin's current state.
Therefore, Ling Ran deliberately thought seriously for a moment and said, "It may be cholecystitis, and it tends to be acute. There is tenderness and rebound pain. The tenderness of the gallbladder is not very obvious, but it may be developing. "
Acute cholecystitis might require surgery, but a physical examination alone was not enough to confirm it.
Lu Wenbin breathed a sigh of relief. For doctors, this kind of illness was really not a big deal. It would be fine if they quickly arranged for it.
Soon, someone from the Department of Hepatobiliary and Pancreatic Surgery ran down.
The standard of the Department of Hepatobiliary and Pancreatic Surgery in Yun Hua Hospital was ordinary. Of course, this was based on the standards of top tertiary Grade A hospitals. In the face of acute cholecystitis, professional hepatobiliary and pancreatic surgeons could casually get an attending physician to solve it.
"Doctor Dan, Doctor Ling." Lu Wenbin had seen the doctor before, so he introduced him casually.
Doctor Dan nodded slightly. "Let me take a look at the medical record."
Lu Wenbin handed the prepared medical record to the doctor. The doctor started reading it in the corridor.
"His heart rate, blood pressure, and other indicators are a little high. This makes it difficult to perform surgery." Doctor Dan frowned when he saw Lu Wenbin's medical record.
Lu Wenbin coughed a few times and said, "This is a physical examination performed by Doctor Ling himself. It's considered normal."
"He's so young, and you're telling me that his blood pressure is over 130? Even a heart rate of over 90 is a little high, right? "Doctor Dan was not satisfied with Lu Wenbin's answer.
Lu Wenbin looked around and said, "Usually, when Doctor Ling personally performs a physical examination, some female patients, especially unmarried young women, tend to have higher blood pressure and heart rate indicators. You just need to subtract 15 to 20 from this value, and it should be about the same."
Doctor Dan's glasses almost fell off when he heard this. He turned around and looked at Ling Ran, who had a calm expression and did not show anything unusual. He then looked at Lu Wenbin and said, "You're kidding me, right?"
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