Ling Ran's first experience in the operating theater was in the form of a medical appendage.
To ensure the effectiveness of bleeding control, Ling Ran stretched out his arm and persisted for nearly an hour. When he was released, his entire arm was numb.
However, this also allowed him to observe the surgery from another angle and up close.
For a medical student, this was also a valuable experience.
"How did you know that the bleeding point is in the hepatic capsule?" After the patient's vital signs stabilized, Huo Congjun was much more relaxed. He did not even inform the General Surgery Department and started doing it himself.
He was originally from the General Surgery Department. Although he had been transferred to the Emergency Department for many years, he still snatched the most business from the General Surgery Department.
Ling Ran rubbed his arm and recalled the feeling just now. He said, "Because of the large amount of bleeding, the patient's abdomen is basically exposed, and there are no signs of hemothorax, so I paid attention to the blood flow …"
Ling Ran obtained Perfect Level Barehanded Bleeding Control. Not only did it increase his muscle memory, but it also increased his knowledge.
It could be said that aside from the lack of on-site experience and the lack of 3D experience, Ling Ran's barehanded bleeding control had already reached the level of a top doctor.
In comparison, although Huo Congjun was the director of the Emergency Department, his barehanded bleeding control was only a little higher than Novice Level. He was far from Specialist Level, and he was even further away from Master Level and Perfect Level. He would not spend time studying barehanded bleeding control if he had nothing to do.
This time, Huo Congjun suddenly recalled the pain of being dominated by teachers and genius students when he first started his vocational training.
"You … Where did you learn this?" Huo Congjun could only ask this question.
Ling Ran thought for two seconds and decisively came up with the 'question terminator'. He answered, "I learned it in my family's clinic."
"Your family's clinic?"
"Lower Groove Clinic."
"It's not far from our hospital, the community clinic in the alley of Lower Groove?" Huo Congjun thought for a few seconds and actually knew the place. He said, "Lower Groove often sends patients to our Emergency Department, but I've never seen this kind of skill …"
Lower Groove Clinic was the same as other community hospitals. Their main source of income was patients with colds and fevers. However, they would occasionally encounter more complicated cases, such as patients with acute appendicitis who came to see them as stomach pain, patients with ectopic pregnancy who came to see them as stomach pain, and patients with acute pancreatitis who came to see them as stomach pain … Or Boss Yang from the knife-cut noodle restaurant. If he had not encountered Ling Ran, he would have been referred to Yun Hua Hospital after simple treatment at Lower Groove Clinic.
Ling Ran did not expect Huo Congjun to know about Lower Groove Clinic. He simply pushed the question to time and said, "I learned it from the doctor in charge."
"Is there such a great doctor in your clinic?" He felt that he was indirectly flattering Ling Ran, and for some reason, he felt a little uncomfortable.
"I don't know if it's powerful or not," Ling Ran said. "I've only learned it for a month."
Zhao Leyi said in disbelief, "You can learn it in a month?"
"The learning of barehanded bleeding control mainly depends on talent." Ling Ran's answer was very serious, and it did not match the atmosphere in the operating theater at all.
Zhao Leyi was so annoyed that he wanted to put his neck on the beam of the shadowless lamp. He thought, 'I'm an attending physician. Why should I, an attending physician, be a supporting character for an intern?'
His gaze drifted to the young nurse beside him, and he noticed that they were looking at Ling Ran with gentleness, admiration, and an indescribable feeling that he had never felt before …
Zhao Leyi felt very annoyed. When he looked at Ling Ran again, he felt the same as when he was in elementary school. He had not done his homework yet, and he looked at the class monitor who collected his homework with three bars hanging above his head.
"The liver is in good condition." After Huo Congjun stopped the bleeding, he dealt with the exposed intestines and the greater omentum. He became more relaxed, and his words were more pleasant to hear.
Zhao Leyi, who was in charge of chatting with Ling Ran, snapped out of his daze and craned his neck to observe. He agreed and said, "The patient is quite lucky. Department director, your suture is perfect, and it should not affect the patient's function. "
"Not only is he lucky, but his technique is also good." Huo Congjun was full of achievements when the patient who was in critical condition was saved. He was in a much better mood. However, he immediately remembered that Ling Ran acted on his own, and he stopped praising Ling Ran. He said, "But no matter how good his technique is, he must follow the rules. Even if you are sure that you will succeed, you can't do it like this, understand?"
"Yes." Ling Ran was a person who was willing to follow the operating procedures. However, he was willing to follow the technical procedures, not the administrative procedures.
If he was not an intern but an attending physician or associate chief physician, he would probably receive the praise of the entire department when he performed the barehanded bleeding control at that time.
At the same time, Ling Ran was also reflecting on his series of operations. It was also appropriate to practice what he learned in the medical field.
Medical skills were improved through continuous revision.
Huo Congjun deliberately let the atmosphere cool down for a moment, but after a while, he could not help but say, "Generally speaking, it is very easy to injure the liver when you pinch it with your hands. Five out of ten complications in the Department of Hepatobiliary and Pancreatic Surgery are similar."
Huo Congjun lowered his head and spoke as he worked, "Ling Ran's technique just now is quite exquisite. The blood circulation is quite smooth. Did he use the pulp of his fingers?"
He simply asked Ling Ran the latter question.
The expression 'excited at the sight of a hunter' could be used to describe how a doctor felt when he saw a special case, just like how Huo Congjun felt at that moment.
He actually wanted to criticize Ling Ran, but he could not help but satisfy his curiosity first.
What's so important about criticism?
Ling Ran gestured with his hand and said, "When I put my hand in, the position was not good. I used the inner pulp of the second joint of my little finger."
"Then you used your whole hand to hold the liver?" Huo Congjun thought for a while and simulated the scene in his mind.
Ling Ran agreed and said, "I used my knuckles to hold it so that it won't break free."
"In that case …" Huo Congjun sighed, but he did not continue asking. He was already in his fifties, and it would be difficult for him to learn such a technique.
Most importantly, he did not have the time to learn such unorthodox knowledge.
He did not know how Ling Ran learned it.
"You can perform abdominal closure later," Huo Congjun said with his head lowered.
Laparotomy was the responsibility of the chief surgeon, and abdominal closure was often an opportunity for the assistants to fight for. For medical interns, it was even more difficult.
Some resident doctors had to practice for more than half a year before they could get the chance to perform abdominal closure.
Although Ling Ran had performed a lot of debridement and suturing, they were all minor surgeries. They could not even be considered as surgeries that ordinary people would recognize. Abdominal closure was still very attractive to him, and he could not help but feel refreshed.
Huo Congjun was still rummaging through the intestines.
He now understood that after the liver of the patient on the operating table was injured, it was squeezed to the corner. If Ling Ran wanted to put his fingers in to press on the wound, he could only use the softest and shortest little finger.
He used a virtual grip to solve the problem of the organs shifting, and he also minimized the secondary damage to the body …
However, the inflexibility of the little finger had troubled many surgeons in the past hundred years. Huo Congjun felt that even doctors who stayed in the operating theater for a lifetime might not have such a technique.
But it was the first time such a doctor entered the operating theater.
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