"The patient has a typical case of hepatobiliary stenosis. After the discovery of hepatolithiasis, he took Chinese medicine intermittently. Later, when he went out to work, he simply took painkillers to solve the problem." Professor Huang waited for the anesthesia to take effect before he briefly introduced the patient's background to Ling Ran.
This was his habitual way of doing things.
Although he was an expert in trauma control, that was the capital for Professor Huang to get a professional title in the hospital. Deep down, he still worked as a Chinese medicine doctor.
The patient in front of him was actually a patient he had treated when he was young. However, the patient's condition continued to relapse, and in the end, he had to remove the lobe of the liver.
Professor Huang sighed and said, "From the preoperative examination, the patient's left lobe has already atrophied. As for whether it extends to the liver segment, it's not certain."
Ling Ran listened to Professor Huang's tone, but he did not immediately start the surgery like usual. Instead, he waved at Wang Jia, the scrub nurse beside him, and said, "Professor Huang, it's not your fault that the patient stopped receiving treatment."
"I know … I'm just a little emotional." Professor Huang chuckled and said, "Speaking of which, I really have some history with this patient."
"Oh," Ling Ran cooperated with him.
He usually did not like to comfort people, but when he was at the operating table, he hoped that the members of his surgery group could maintain a stable mood.
Ling Ran paid more attention to doctors he was not familiar with, such as Professor Huang.
As Ling Ran participated in more surgeries, especially after he carried out freelance surgeries many times, he paid more attention to this aspect.
This was because in Ling Ran's opinion, the accidents at the operating table were mostly caused by doctors. The patient just lay there, and if the preoperative examination was sufficient, although there were accidents, they would not happen so frequently.
On the contrary, the doctors standing at the operating table would have accidents due to various reasons: their hands slipped, they were tired, they were hungry, they drank too much yesterday, they got divorced the day before yesterday, their son came out of the closet, they ran out of cat litter at home, their favorite pharmaceutical sales representative slept with someone else, and so on. Although these were small matters that ordinary people would encounter, people would still be affected.
Ling Ran did not know what Professor Huang's situation was like, but he was still willing to talk to him for a few minutes before the surgery to help him reduce his stress.
Professor Huang did not really want to start the surgery immediately. When he saw that the chief surgeon was willing to chat, he looked forward and said with a nostalgic tone, "Speaking of which, I was still an attending physician when I first treated this patient. At that time, he said something that left a deep impression on me."
"Hmm?" Ling Ran's tone was very perfunctory.
Because of Ling Ran's good looks, Professor Huang continued, "This patient did not trust me at that time. I advised him to undergo surgery, but he refused to listen. He insisted on looking for the department director."
"Oh?"
"The director naturally transferred him back to me. At that time, I tried to persuade him to undergo surgery, but he didn't listen to me. He insisted on looking for the department director. Later on, when he was treating me, he caused trouble, and when he was treating me … Later on, he always looked down on me because I was an attending physician, so he went to work. I haven't seen him for ten years, but when I saw him, I immediately recognized him. "Professor Huang's tone was filled with nostalgia, and there was even a hint of pride in it.
Ling Ran became a little interested as he listened. "Why did I find you again this time?"
"Because I'm the head of the department," Professor Huang said naturally.
Ling Ran said in understanding, "You're a consistent patient. Wang Jia, give the scalpel to Department Director Huang. Ask him to make the first incision. "
Professor Huang was stunned for a moment before he smiled. "Okay, I'll finish what I started. Thank you."
As he spoke, Professor Huang took the scalpel and made an incision at the position where the line was drawn.
After he made the incision, Professor Huang's mood calmed down. He threw the scalpel away and quietly handed over the right to direct the operation on the operating table.
Ling Ran also accepted it without saying a word. After the abdominal cavity was opened, he confirmed the position of the intrahepatic bile duct step by step. He did not show off his skills or create unnecessary trouble.
Professor Huang also quietly did the work of an assistant.
In the field of surgery, Professor Huang specialized in trauma control. However, as he grew older and his personal interests shifted, he invested more time in diagnosis.
However, there were very few doctors who specialized in diagnosis in the country. The University of Traditional Chinese Medicine also did not have the ability to provide Professor Huang with the corresponding surgeons and internists. His rank was also not high enough.
Therefore, Professor Huang mostly looked for suitable doctors and hospitals on his own.
In this regard, Professor Huang was more like a senior family doctor in foreign countries. On one hand, he could deal with emergency trauma, and on the other hand, he could make reasonable diagnoses and transfer patients to professional doctors. The difference was that in the process, he used his own behavior and personal network to make contacts.
Li Xiaoning, her husband, and the doctors in her family were all Professor Huang's personal network. Now, Ling Ran was also preliminarily included in Professor Huang's network.
If Ling Ran's surgical skills were indeed good enough and stable, Professor Huang would still be very fond of such a surgeon.
From Professor Huang's perspective, the surgeons he worked with also needed to be updated frequently.
For example, the two doctors from the Department of Hepatobiliary Surgery who he worked with frequently were now fifty-six years old, and the other was fifty-four years old. Their surgical volume had been decreasing year by year, and it was considered good if they could perform ten cases per month on average. Their participation in activities was increasing, and it seemed like they were becoming less and less useful.
As for the two or three middle-aged and young doctors on the waiting list, their skills were only on par with Ling Ran … No, they were completely inferior to Ling Ran.
Professor Huang watched as Ling Ran turned his hand and held the liver in his hand. His own liver could not help but tremble a few times.
Ling Ran's movements were extremely gentle, but when he swung the knife, he was unusually determined …
Professor Huang was secretly nervous as he cooperated with Ling Ran's operation. The feeling was a little like walking on a wall that was three feet wide. If it was on flat ground, this width would not be a problem at all. However, when walking on a wall that was two feet high, his legs would subconsciously become jelly.
Fortunately, Ling Ran was fast enough. He completed the operation in two to three moves, and Professor Huang was relieved from his nervousness.
"Pay attention to the aspiration," Ling Ran reminded. This kind of surgery was far from being able to achieve a bloodless surgical field.
"Oh," Professor Huang replied, smiled, and said, "Doctor Ling's operating theater is really quiet."
"You guys can chat." Ling Ran craned his neck to look at the abdominal cavity and said to himself, "Just don't be surprised."
"Alright, I'll start a topic." Professor Huang was a little nervous for some reason. He knew that he could not count on the young Ma Yanlin. He thought about it and said, "How about this, I'll talk about this patient. If you want to talk about it, this person is also a legend. He was one of the first people to become a household of ten thousand RMB!"
"Does a household of ten thousand RMB mean that his family has ten thousand RMB?" Wang Jia asked curiously.
"More than that," Professor Huang said, "A real household of ten thousand RMB earns ten thousand RMB a year. At that time, our salary was only around a hundred RMB, and he earns ten years' worth of our salary. Isn't he amazing? "
"Then, he'll earn a lot of money when he buys a house." Ma Yanlin pulled the retractor hard and could not help but say, "There are so many rich people nowadays."
"He's not a rich person." Professor Huang smiled and said, "I asked before, and he only earns around ten thousand RMB a year now."
"Really?" Ma Yanlin tightened his grip on the retractor in surprise.
"In his words, he earns ten thousand RMB every year." Professor Huang said and shook his head, "It's quite rare. If the conditions are better, even if the symptoms don't get better, it won't be to this extent. "
"Even if he goes out to work, he can only earn ten thousand RMB?"
"He can't get his salary, he's cheated, and his money is stolen. If you don't treat him as a patient now, then you're just hooking up with an unlucky person."
Ma Yanlin shuddered. "If you put it like that, it's a little scary …"
"It's okay. If the surgery is successful, then he's considered a good person. If the surgery isn't successful … it doesn't matter who he is," Professor Huang said and glanced at Ling Ran.
"What about his family? Are the conditions not good? "Ling Ran broke the silence and asked.
"It's not much better. His family came to me because they hope that they can save on the postoperative medication and use as much medical insurance as possible. "Professor Huang sighed and said," Nowadays, it's not easy for some people to live. "
"If they're really in financial difficulties, they can stay in the ICU for a few days less," Ling Ran said and continued to perform the surgery.
Professor Huang smiled when he heard that. If the surgery was done well enough, the time spent in the ICU would naturally be reduced correspondingly. Reducing the cost in this aspect could greatly reduce the patient's burden.
However, this was not something that doctors could easily control.
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