Zhao Leyi also looked at Ling Ran with a strange expression.
When was the first time he performed an abdominal closure? It was at least when he officially worked for almost a year …
Zhao Leyi still remembered his excitement and awkwardness at that time.
Excitement because it was his first time, awkwardness … and also because it was his first time …
Zhao Leyi could still remember how he trembled as he fiddled with the patient's abdomen, how stupid he looked when he grabbed the forceps, and how the nurse and anesthetist were dissatisfied with waiting …
A normal abdominal closure would take a quarter of an hour, but he performed it for more than half an hour, so much so that everyone had to get off work late. For medical staff who worked overtime every day, a newcomer was not a good existence.
In fact, Zhao Leyi was also very nervous at that time.
But now, Ling Ran seemed to be a little excited, but also very calm. It was really … hard to hate him.
Zhao Leyi lowered his head and glanced at the laparotomy. Speaking of which, this was not a normal abdominal closure, because the patient's abdominal opening was formed by an accidental open wound. Although debridement and other treatment had been done, it was still different. Strictly speaking, it could be considered as a debridement and suturing surgery, and it was more advanced than those in the treatment room.
It could only be said that Department Director Huo was really good to Ling Ran. He thought of ways to give him a chance to practice.
"One, two, three, four, five, six …"
"Two, four, six, eight …"
"All the gauze is here." The scrub nurse repeated the count twice and reported.
Huo Congjun nodded. He counted twice and looked at the working surface again. After confirming that there was no bleeding, he said to Ling Ran, "Perform the abdominal closure."
As a chief surgeon, his task was over. He could leave the operating theater to rest or rush to the next surgery.
However, today was the first time Ling Ran performed an abdominal closure as an intern, and it was also an unconventional one. Huo Congjun did not leave immediately. Instead, he gave up his position and stood behind to continue watching Ling Ran operate.
Although Ling Ran had performed many sutures in the treatment room, major surgeries and minor surgeries were very different.
It was like dancing. A person dancing in a disco and performing on a big stage were two completely different concepts.
Take abdominal closure as an example. Huo Congjun had seen patients suturing the wrong layer, suturing the empty cavity, and he had even seen a forceps fall into the patient's stomach.
Poor suturing was a common occurrence. The poor prognosis caused by this could already be considered half a medical accident.
Of course, Huo Congjun believed that Ling Ran still had the ability to complete the abdominal closure. He was very good at dancing in the disco, and he was quite qualified to dance a few times in the corner of the big stage.
While Huo Congjun was thinking about stress factors for Ling Ran, Ling Ran's mind was clear.
The few days he spent in the treatment room brought him the greatest wealth. Firstly, it gave him a perceptual understanding of suturing. He saw different kinds of wounds, kneaded, pierced, and knotted real human skin and muscles. Secondly, it gave him great confidence in his Master Level Simple Appositional Suturing Technique.
It could be said that as long as he could perform an interrupted suture, there was nothing he could not do!
Ling Ran was no longer afraid of simple sutures.
"Needle holder," Ling Ran said sternly.
The scrub nurse smiled and placed it in Ling Ran's hands. Her thin and translucent gloves slid across his gloves.
Ling Ran's attention was focused on the exposed operating surface, and he did not seem to notice it.
Abdominal closure was different from ordinary sutures. It was performed in layers, and the way the incision was made would also be different.
For today's patient, Ling Ran first needed to suture the lowest layer of the peritoneum, then suture the anterior sheath of the rectus abdominis, and then suture the skin and subcutaneous tissue.
The last step was the easiest if aesthetics were not taken into consideration. The first two steps were a little more of a test. After all, young doctors had never come into contact with the peritoneum and the rectus abdominis. It was normal for them to be unstable when they sutured.
Zhao Leyi did not leave either. He just watched Ling Ran's operation from the side.
In his heart, he still felt like he was watching Ling Ran make a fool of himself.
Young doctors made mistakes too easily and too often, and everyone had to go through mistakes to get better.
In the operating theater, being scolded meant growing up.
'Looking at Ling Ran's growth experience might make me feel better.' Zhao Leyi observed Ling Ran's movements with a thought that could not be known by others.
In just a minute, Zhao Leyi felt that his mind was sluggish.
'Damn it!
'Is this really a medical intern who just graduated?'
Zhao Leyi had been working for ten years, and he had worked with many famous doctors. He had seen nearly a hundred medical experts who could send them flying. When it came to judgment, his judgment was very good.
And Ling Ran's skills were really good enough.
Speaking of which, it was Zhao Leyi's first time seeing such a smooth and pleasing abdominal closure. Doctors who were better than him did not know how to perform abdominal closure, and doctors who were much weaker than him … probably did not even need to perform abdominal closure.
"There really are people with cheats." Zhao Leyi sighed and said a popular phrase on the Internet.
Department Director Huo Congjun had a generation gap in this regard. He did not understand and asked, "What did you say?"
"Young Ling did a good job." What else could Zhao Leyi say? He could not lie through his teeth. In an environment like the hospital, doctors cared about their skills the most. Anti-intellectual words could only be used as self-deprecating jokes, and they were not suitable for the operating theater.
Huo Congjun also thought that it was good. He praised himself for having good judgment and said, "He just needs some experience. If you have time, teach him more."
"Yes." Zhao Leyi felt that Huo Congjun was the one who was lying through his teeth. This was not a young man who lacked experience. This was a young man who grew up dissecting corpses.
"Done!"
After Ling Ran knotted the last thread, he let out a soft sigh of relief.
"Phew …"
Zhao Leyi exhaled after holding in his breath for a long time. He looked more nervous than Ling Ran.
Ling Ran and Huo Congjun looked at him strangely.
Zhao Leyi coughed a few times and showed a friendly smile to Ling Ran. He completely forgot that his expression could not be seen under the mask.
For Zhao Leyi, it was more like he had watched a hearty performance.
When he recalled that Ling Ran did not have a surgical field to perform barehanded bleeding control, and he even used the second segment of the inner part of his pinky … Zhao Leyi could not help but tremble. He was like a fan who heard a good song, and his hair would stand on end.
As a doctor, Zhao Leyi finally realized what kind of surgery he had witnessed.
Zhao Leyi thought, 'If it were me, I would write a research paper and submit it to SCI after I leave the operating theater.'
As the world's most famous scientific literature index, SCI included many scientific journals and evaluated their influence.
From the perspective of a scientist, submitting a research paper to a journal included in SCI was a symbol of class and status.
Of course, the number of research papers published in SCI could also be used to evaluate professional titles and get bonuses.
Similar to schools and research institutes, if doctors in hospitals wanted to be promoted, the first hurdle they had to overcome was writing a research paper.
Whether it was to be promoted from a resident doctor to an attending physician, from an attending physician to an associate chief physician, or from an associate chief physician to a department director, there were requirements to write a research paper.
Chief physicians also could not let their guard down. Their status in the department, especially in the hospital system, still needed to be reflected in research papers.
However, unlike ordinary academic research papers, clinicians first needed to have a suitable case to write a research paper.
If a clinician wanted to prove that he or she was awesome, he or she would have to perform an awesome surgery first, then write an awesome research paper and advertise it to the public.
Zhao Leyi thought to himself, 'Unfortunately, Ling Ran does not know these things. At most, he only knows how to find social media, and he can't show the value of the surgery.'
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