"Who asked you to suture the tendon?! Just deal with the wound and let the Hand Surgery Department do the tendon repair. " Zhao Leyi frowned. Debridement and suturing were the duties of the Emergency Department. It was suitable for anyone, but tendon suturing and vascular anastomosis were beyond their scope. Theoretically, it was not suitable for anyone to suture.
"You just said …" Ling Ran paused for a moment and said in a paraphrasing tone, "Let me suture the arm."
"I said arm. Does the arm include the hand?"
"Doesn't it?" Ling Ran asked calmly.
Zhao Leyi stopped the surgery. One of his hands was still holding the forceps on the patient's calf. He said, "I'm asking you to deal with a few wounds. I'm not asking you to suture the tendon of the hand. "
"Oh," Ling Ran said, as if to express that he understood. His hands did not stop moving. They were still in the familiar rhythm and stable state.
"Hey, what do you mean … You did it on purpose, didn't you? Am I right? You did it on purpose, didn't you? "The more Zhao Leyi said, the more he felt that it was true.
The attending physician's intuition told him that Ling Ran must have deliberately been vague just so that he could perform a tendon suture.
If he had amazing suturing skills, he would also try his best to find a chance to perform a tendon suture and vascular anastomosis.
Zhao Leyi was the first attending physician to witness how amazing Ling Ran's barehanded bleeding control was. He also witnessed Ling Ran's suturing skills. To a certain extent, he believed in Ling Ran's skills. Otherwise, he would not have allowed Ling Ran to suture his arm.
However, doctors knew how difficult it was to fight for opportunities.
Just like when he was an intern, he poured tea for his teacher, helped write medical records, ran errands to buy food, listened to everything, and smiled. What was the reward he received? It was a chance to close the abdomen.
No one would let you experience surgery as if it was a real life experience for free. It took Zhao Leyi three hours to perform appendectomy for the first time. One hour was spent on finding the appendix, and the other two hours were spent on finding the gauze. To be precise, the last hour was spent on finding the gauze for Zhao Leyi's assistant.
Zhao Leyi had a very deep impression of it. On that day, the teaching physician was not angry, at least not as angry as he usually was when he made mistakes. This was because when the teaching doctor decided to let him be the chief surgeon for the appendectomy, he had already predicted that something would go wrong. Having less gauze was better than having less cecum.
After that appendectomy, it was much easier for Zhao Leyi to perform appendectomies again. He was even more experienced when it came to finding gauze, so he did not need to look for it for so long.
The crux of the problem was that as long as young doctors seized the first chance, there would be a second chance and a third chance. Then, countless similar surgical methods would be used on them, and they would not stop until they vomited.
The first time was always the hardest. The patients were not willing to be your touchstone, and the teaching doctors did not dare to let go easily. The hospital also needed you to prove yourself.
Every patient, every leader, and every hospital wanted a doctor who was about forty years old and full of energy, who had a PhD from a famous university and was well-versed in theories, who had more than thirty years of research experience and had a broad vision, who had more than forty years of clinical experience and was experienced, who had more than fifty years of humanistic thinking and was reasonable, who had the curiosity of a ten-year-old child, the indomitable spirit of a twenty-year-old youth, the steadiness of a thirty-year-old adult, the experience of a forty-year-old middle-aged man, the maturity of a fifty-year-old man, the calmness of a sixty-year-old man, and not bald.
Zhao Leyi was able to enter Yun Hua Hospital with the help of more resources, but the first abdominal closure and appendectomy cleared the technical obstacles for him.
He was better at surgery than other students. Later, when he became a doctor in Yun Hua Hospital, he was really better at surgery than most of his classmates. This was especially true for those who went to city hospitals, district hospitals, and even county hospitals, or those who simply gave up on becoming doctors.
Zhao Leyi knew the value of opportunities, so he became even angrier.
Because in his opinion, Ling Ran was basically stealing a chicken.
What happened to respect?
What happened to the disciple who worked hard for him?
What happened to the obedient disciple?
You don't have anything, and you're playing with tendons?
Zhao Leyi thought, 'I've never played with tendons before!'
"I've dealt with the wounds. There are a few bleeding wounds that don't need to be sutured for the time being." Ling Ran was busy with the suturing and said, "I'll suture the hand tendons as soon as possible. I won't waste any time …"
He had enough reasons to say so. Ling Ran had experience in suturing hands, and his suturing skills could completely cover the patient's injuries. Besides, as he said, time was on his side.
Zhao Leyi still needed to spend a long time to deal with the various wounds, and there were two resident doctors beside him as his assistants. Ling Ran did not delay the suturing of the hand at all, and the effect would only be better.
"I …" Zhao Leyi was so angry that he could not speak. Was he afraid of wasting time?
Yes, he was afraid!
But! He was even more afraid of medical accidents.
It did not matter much whether the wound on the arm was sutured well or not. Any resident doctor could suture it well. If it was poorly done, it would only make the wound look uglier, and the recovery would be slower.
But it was different if the function of the hand was lost.
If the function of a hand was lost due to surgery, it would be very easy for the patient to complain, sue, or even hang a banner on the wall.
Zhao Leyi looked at Ling Ran, who was still fiddling with the patient's fingers, and finally steeled himself. He said, "Ling Ran, I order you to stop what you're doing now. Stop the suturing immediately."
"Are you sure? I'm suturing with the M-Tang technique. If I stop halfway, the patient's tendon damage will be inevitable. "Ling Ran glanced at Zhao Leyi coldly. Skill level was one thing, and judgment during the surgery was another.
Zhao Leyi was a doctor who only wanted to deny responsibility and completely lost his judgment during surgery. If he were to take a psychiatric test, he would probably get a pitiful score.
Perhaps Ling Ran's disdain was too obvious. Zhao Leyi, who was still hesitating, was filled with anger again. He raised his voice and said, "Who allowed you to use the M-Tang technique …"
"The patient's Zone II flexor tendon rupture is exactly the strike zone for the M-Tang technique. Why don't you use it?" Ling Ran thought carefully before he sutured. If the condition of the patient's tendon rupture was not suitable for the M-Tang technique, he would use the ordinary interrupted suture. But no matter what method he used, he was a Master Level Suture.
The human flexor tendons were divided into five zones. Zone II was mainly from the second knuckle to the front of the palm. It was the most complicated zone, and it was also known as the 'no man's zone'. It meant that no one could get good results when treating tendon injuries in this zone at the early stage.
That was until Professor Tang Jinbo of Nantong University. This was a true Master Level achievement. It could almost perfectly solve the problem of the 'no man's zone'. Based on Ling Ran's self-test in the training room, he did not even need Master Level M-Tang technique. With Specialist Level skills, he could achieve an excellent rate of seventy to eighty percent.
Compared to other methods, it had an obvious advantage.
Ling Ran was very confident. His answer was very short, but it stunned Zhao Leyi with just one sentence.
Although he was the chief surgeon and an attending physician whose rank was much higher than Ling Ran's, Zhao Leyi could not answer.
Doctors relied on their skills for a living.
On the surface, senior doctors had great control over junior doctors, but that was not purely based on their rank. It was also based on their skill level.
If a junior doctor made a mistake, and the senior doctor pointed it out, the junior doctor could naturally scold the junior doctor.
Once the senior doctor felt comfortable scolding the junior doctor, he could also correct the junior doctor's mistake and reduce the junior doctor's responsibility. Naturally, the junior doctor would be scolded obediently.
Therefore, the authority of senior doctors over junior doctors was based on their skills and responsibility.
When Zhao Leyi could not take over the surgery Ling Ran was operating on, he lost control of the operating table.
"Let's continue." When Ling Ran saw that Zhao Leyi did not speak, he lowered his head again and started operating.
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.
