Standing in the shower in the Operating Area, Ling Ran looked up at the water and relaxed his body. He tried his best not to think or say anything.
The hot water poured on Ling Ran's body, and it slowly made his thoughts wander.
After about fifteen minutes, Ling Ran slowly turned off the water and wiped his body with a towel. Then, he came out and changed into a brand new pair of underwear. The retail price was 199 RMB, and the wholesale price was 79 RMB.
Ling Ran, who was fully geared up, exuded confidence.
Since the moment he made the incision, he had been thinking non-stop.
Dong Xiaoning was not an active athlete, so her requirements for recovery time were not as strict as those of professional athletes like Liu Weichen and He Xiufang. There was not much difference for her whether she returned to the field after four months or six months.
Her requirements for treatment could be summed up in two points: ensure functional function and aesthetic appearance. Dong Xiaoning did not have high requirements for the healing time and hospitalization time that doctors were more concerned about. Similarly, Dong Xiaoning's family also clearly expressed their desire to use the best medicine as much as possible. In other words, their ability to bear medical expenses was also relatively high.
Such patients had higher functional requirements than ordinary people or sports enthusiasts. Their ability to bear scars and appearance was also lower than that of athletes. In fact, they belonged to an intermediate group.
In the current medical environment, this kind of intermediate group did not receive much attention.
On one hand, their requirements were not high enough for research institutions to publish research papers and apply for 973 RMB. On the other hand, their medical expenses were not high enough to affect hospitals or pharmaceutical companies.
Ling Ran made a 12-inch S-shaped incision and did it as usual for a few minutes. When he was about to reach the crucial step of stripping the Achilles tendon, he stopped.
"Let me see the MRI scan again." A lot of ideas emerged in Ling Ran's mind, but he needed information to verify them.
Yu Yuan immediately took off her gloves and turned on the computer for Ling Ran.
During the surgery, Ling Ran would ask to review the MRI scan every few days. This request was actually not strange. The core of an MRI operating theater that cost more than 100 million RMB was to allow doctors to see the MRI scan in real time. They did not need to stop the surgery halfway to look at the scan like Ling Ran did.
However, even the Orthopedic and Sports Medicine Center could not build an MRI operating theater.
Ling Ran, however, had a new idea that needed to be verified.
"Her T2-weighted image here has a more obvious high signal." Ling Ran pointed at the upper part of the Achilles tendon and said, "The incision is too small. You should consider pulling out the Achilles tendon and suturing it."
"Is this okay?" Yu Yuan did not know what to do. Although she said that she had started learning the Achilles tendon repair technique, she had not even learned the original version of the Achilles tendon repair technique. She did not even know what an old technique was, so naturally, she did not know whether she was introducing a new technique. The same applied to tactics.
Ling Ran did not have the intention to discuss with Yu Yuan.
Some chief surgeons were not confident enough and liked to discuss with their assistants during the surgery. They wanted to share the responsibility, but they also knew that they were prone to making mistakes.
With Ling Ran's current condition, even if he wanted to talk to someone, he would have to look for Ji Tianlu. It would be a waste of time to talk to Yu Yuan. If Yu Yuan wanted to learn the Achilles tendon repair technique, Ling Ran would give her the chance to learn it well, but he would not give her the power that even attending physicians did not have.
Participating in the formulation of the surgical plan was naturally a kind of power.
"To reduce the impact of the surgery on the appearance of the leg, pay attention to the blood loss, and reduce the impact on the muscle tissue." While Ling Ran talked to himself, he was also explaining things to Yu Yuan. As for whether Yu Yuan could understand what he said, Ling Ran did not care that much.
Of course, Yu Yuan could actually understand him. Yu Yuan had also been studying since she graduated with a master's degree, went through housemanship, and worked as a resident doctor for three years. When it came to what Ling Ran said, Yu Yuan could come up with an overview after half an hour with a tablet.
However, being able to understand and being able to do it were two different things.
Moreover, it was precisely because she could understand that Yu Yuan knew how difficult it was to do it.
Blood loss was an eternal topic in surgeries. In the early years, there were thousands of articles on controlling blood loss during surgery in a year. But now, under the premise that the blood loss in most surgeries was reduced, it was not so easy to reduce blood loss.
For surgeons, the requirement to reduce blood loss was like asking a car engineer to reduce fuel consumption. Everyone had spent a lot of energy on this, and they would continue to invest in it on a large scale. However, who dared to say that reducing fuel consumption was an easy task?
Reducing the impact on the muscle tissue was even more mysterious. Normally, it was best not to touch a certain muscle tissue. However, the Achilles tendon repair surgery was a surgery that used a lot of muscle tissue. After the Achilles tendon repair surgery, the muscles in the calf would undergo all kinds of changes. For most athletes, the impact would not be too great, but if they wanted to pursue beautiful legs, the impact would be great.
"In this case, the difficulty of the surgery will increase by a lot," Yu Yuan said honestly.
The surgical method itself did not change, but the difficulty had increased by a lot.
Ling Ran nodded and looked at the patient's calf on the operating table, which was exposed outside the surgical drape. He said thoughtfully, "Actually, we should change the way we think about the surgery. We should also consider the problem of some patients wanting to look beautiful …"
"Especially the patients with less hair?" Yu Yuan stepped on the stepping stool, raised her head, and asked.
"Hmm … the patient's request is real. Even if we can't do everything, we should at least improve the more important parts." Ling Ran thought and said, "I think we can try …"
"Some patients may not care about their appearance." The anesthetist whose surname was not Pan was interested in what he said. He interrupted and said, "Take Wu Dalang for example. Who cares if he has a scar on his leg? Pan Jinlian doesn't even care."
Ling Ran looked at the anesthetist whose surname was not Pan deeply. When the anesthetist became a little panicked, he said, "I need to control the blood loss today. The surgery time has to be extended, and the anesthetic plan has to be redone."
"How?" The anesthetist whose surname was not Pan did not expect that he would have to do something like this.
"The surgery time is estimated to be more than four hours." Ling Ran did not know about anesthesia. He stated his requirements and said, "Add more instruments and hemostatic packs … Yu Yuan, go and explain to the family members outside."
The length of the surgery would naturally affect the use of anesthetics.
The patient's family members would be very anxious while waiting.
Based on normal people's thinking, if the patient could leave the operating theater quickly, it meant that the surgery was very successful. Otherwise, it meant that there was a serious problem with the surgery.
Ling Ran previously performed Plan A's Achilles tendon repair in two to three hours. Including the time taken for the patient to enter the operating theater and push the patient out, it would take at least four hours.
Ling Ran himself no longer considered the problem of extending the surgery time. He just focused on performing the surgery.
Compared to when he first operated on Liu Weichen, Ling Ran was now more focused on reducing blood loss instead of anastomosing the blood vessels.
Four hours later.
Ling Ran said again, "I still need an hour. Yu Yuan, go and inform the family members."
Yu Yuan lowered her head and said, "Doctor Ling, the patient's family members outside are already crying. If we extend the surgery time, they will cry even more."
"You're right." Ling Ran thought for a while and said, "Then go and inform them that we need another two hours. This way, we should not need to extend the surgery time anymore."
Yu Yuan was dumbfounded. After a while, she said, "Doctor Ling, weren't we very fast in the past?"
Ling Ran said slowly, "No matter how fast we were in the past, we could not perfectly meet the patient's requirements. If that's the case, we can only use other methods."
"But, isn't six hours a little too slow?"
Ling Ran exercised his neck and said, "The number of patients now is not a lot. Isn't it good to perform surgeries a little slower?"
"The number of patients is not a lot. There are already six patients today, and we can't finish all of them …"
"Then we'll work overtime at night," Ling Ran said matter-of-factly.
"No … I …"
"Hurry up and inform them!"
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
