Six o 'clock in the morning.
Zhang Anmin, a junior attending physician from the Department of Hepatobiliary and Pancreatic Surgery, was exhausted, sore all over, did not want to wake up, and had no choice but to wake up early, had arrived at the ward.
In the past, Zhang Anmin was like most of the weak attending physicians. On days when he was not a chief physician, he would go to work at eight or eight thirty in the morning. He would start his ward round at nine and practice for about half a day.
That way, Zhang Anmin would have enough time to change the baby's diaper, wash up, cook a sumptuous breakfast for his wife and mother-in-law, and then leave the house under his mother-in-law's disdainful stare.
After returning home, Zhang Anmin would have enough energy to cook dinner, feed the child, change the diaper, accept the influence of his mother-in-law's "it's not easy for me" words, coax his wife, and have time to take a bath and do housework.
Ever since Zhang Anmin moved to the Operating Area, such days gradually drifted away from Zhang Anmin.
First of all, there were a lot of questions during Ling Ran's surgeries. It was not a lot in absolute terms, but if a chief surgeon was asked more than five questions that he could not answer in every surgery, the awkwardness in the operating theater would almost solidify.
To avoid such awkwardness, Zhang Anmin could only come to the operating theater for ward rounds in advance, then simulate the plan according to the patient's condition and make preparations in advance.
For Zhang Anmin, surgeries every day were like a chief physician's ward round.
However, Zhang Anmin still insisted on doing it.
As a doctor, who did not go through nine years of compulsory education, five years of undergraduate, three years of master's, one year of internship, three years of housemanship, and three years of hospitalization? Even if they were embarrassed, they had to be embarrassed.
On the other hand, Zhang Anmin was also willing to bear the title of being bullied by Doctor Ling and perform more surgeries under the guidance of high-ranking doctors.
As an adult in his thirties, working hard and studying every day sounded good, but when he carried it out, he would inevitably be ridiculed and talked about by others.
If he did not have a strong heart and a clear goal, it would be very unpleasant, and it would be very easy for people to give up.
When Zhang Anmin lived in school, why did he sleep in class and hide in the bathroom at three in the morning? Was it not because he was afraid of people talking about him?
Now, Zhang Anmin could learn surgery with peace of mind, and he could also gain the sympathy of others.
As long as he could finish the housework and breakfast that usually took one and a half hours in one hour, coax his wife, and be thick-skinned toward his mother-in-law, he would be able to get by.
"Hello, we're doing a ward round." Zhang Anmin walked into the ward and spoke in the language he had just learned from the "Precautions for Ward Rounds in the Morning".
The patient turned over.
Zhang Anmin smiled and raised his chin. The resident doctor who came with him was like a puppet soldier. He knocked on the side of the bed and shouted, "Hello, ward round."
Then, the houseman and interns also stood in front of him and shouted, "Hello, ward round!"
This was a method independently developed by Zhang Anmin that did not pay particular attention to bed rounds. It increased the efficiency of bed rounds in the morning, but the side effect was that the patients who were woken up by the noise had a worse attitude.
"Check." The first patient who was woken up was always unhappy.
Zhang Anmin shrugged. This was the problem with doing ward rounds too early. If the ward rounds were done at nine o 'clock, the patients and their family members' attitudes would be very good. Most of the patients would still think of ways to make the attending physician happy.
But at six o 'clock in the morning, there were fewer considerate patients.
"Let's start." Zhang Anmin glanced at the resident doctor.
"Oh," the resident doctor quickly replied and said, "The patient is fifty-five years old. He mainly complained of recurrent pain in his right upper abdomen for one year, and it got worse. The pain lasted for two hours before he was admitted to the hospital. CT showed that his gallbladder was enlarged, and multiple intrahepatic bile ducts were dilated …"
The resident doctor in charge of the beds had to arrive earlier than the attending physician.
Usually, the minimum requirement was to arrive half an hour earlier and memorize the contents of the ward rounds.
If he encountered an attending physician who was harsh, he would even have to spend an hour every day to memorize the specific contents. He would then repeat the contents of the ward rounds one bed at a time.
For resident doctors, this was one of the pain points in their early work, especially when they encountered attending physicians who had ward rounds at six o 'clock. Resident doctors had to wake up at four o' clock, rush to the hospital at five o 'clock, and then memorize the information …
The process seemed to be programmed, but in hospital life, this was just the beginning of the pain.
Zhang Anmin, who had already become a junior attending physician, could not even take care of himself. He could not care about the life and death of the resident doctor. The only way to comfort the resident doctor was to ask a question, "What do you think the illness is?"
"If we look at the comprehensive CT, it's definitely cholecystitis," the resident doctor said.
"What else?"
"What else … is there a possibility of a cyst?"
"What else?" Zhang Anmin had been asked a lot of questions recently, and he felt that he needed to answer in the opposite direction.
The resident doctor was a little confused by the question. It was six o 'clock in the morning. A normal person would either be sleeping soundly, or they would want to go back to sleep after waking up, or they would want to sleep again after having sex in the morning, or they would want to go home and sleep after eating breakfast. What about the resident doctor? He actually woke the patient up during ward rounds?
The resident doctor's brain was in a mess, and he gave an all-purpose answer, "Why don't we consider a tumor?"
The patient who was feeling annoyed on the bed shuddered. "Tumor? Cancer? Do I have cancer? "
"You don't have any symptoms of cancer!" Zhang Anmin was so angry that he glared at the resident doctor.
Zhang Anmin turned around and did not keep the patient in suspense. He said to the patient, "You are suspected to have clonorchiasis. Multiple dilation of the intrahepatic bile duct is a relatively typical symptom. This disease needs to be taken seriously, but it's not on the same level as cancer. As long as you cooperate with treatment, you can be discharged soon. "
Zhang Anmin looked at the patient. He was afraid that he would be so scared that he would go crazy, so he took out the scans and said, "You can see it from the CT scan. The edges of the inflammation are very clear, you don't have to worry …"
"That's clonorchiasis?" The patient breathed a sigh of relief.
"Yes, do you know about clonorchiasis? It's mainly caused by parasites. Do you usually eat sashimi? "
The patient thought about it and said, "Like the Japanese kind? I don't eat it. "
"It's also possible to drink shenggun porridge and uncooked barbecue." This time, the voice came from the door.
Zhang Anmin felt that the voice was familiar, and he turned around to look in disbelief.
"Huh? Doctor Ling? You're out? "Zhang Anmin looked at the figure standing at the door.
Because the person's back was facing the door, the lights in the corridor shone on him, so the person's face was full of light, and Zhang Anmin could not see clearly. However, based on that figure, that temperament, and that handsomeness, Zhang Anmin knew without a doubt that this was Ling Ran.
It was impossible for there to be anyone else.
It was impossible for Yun Hua, impossible for Changxi, and impossible for the whole world to have someone like Ling Ran.
"I came out for a walk when I had nothing to do." Ling Ran stood in the hospital corridor, and he looked like he was shopping. Ling Ran was happy when he saw the open door of the ward.
The other young doctors also greeted him at a loss.
Ling Ran smiled and nodded. He walked in again and asked, "How's the condition of the intrahepatic bile duct?"
"It's not to the extent where it needs to be removed." Zhang Anmin's answer went straight to the heart of the problem.
"Oh," Ling Ran replied quietly and walked toward Zhang Anmin to take a look at the medical record.
Zhang Anmin was a little anxious. "What are you doing?"
"I want to learn how the Department of Hepatobiliary and Pancreatic Surgery performs ward rounds," Ling Ran answered calmly. He had stayed in the operating theater for a long time, but he only performed surgeries. He did not get involved in ward rounds, consultations, prognosis, and other things.
Zhang Anmin looked at Ling Ran's handsome face, and alarm bells rang in his heart.
Zhang Anmin said warily, "Doctor Ling, are you going to start performing cholecystectomy yourself?"
With the frequency and speed of Ling Ran's surgery, Zhang Anmin suspected that his main surgical method, cholecystectomy, would disappear soon.
Ling Ran only smiled and said, "I still need to practice more."
Cholecystectomy was not distributed by the system, so it was only at Novice Level. Ling Ran was not in a hurry to carry out this surgical method immediately. His foundation was very good, and he would improve very quickly if he accumulated experience and practiced for a period of time. At the very least, he needed someone to guide him so that he could perform it with quality and quantity.
Zhang Anmin's expression changed again and again.
This meant that the day when Ling Ran performed the Department of Hepatobiliary and Pancreatic Surgery alone would eventually come.
Zhang Anmin could not help but grumble in his heart. The fans who waited in the hospital were too impatient.
He continued to think. With the strength of Yun Hua Hospital's Department of Hepatobiliary and Pancreatic Surgery, if Ling Ran was given half of the patients who needed cholecystectomy every week … No, it was impossible for him to only want half …
When Zhang Anmin thought of this, he mustered all his courage and said bravely, "Doctor Ling, the Department of Hepatobiliary and Pancreatic Surgery can't let you watch the ward rounds."
Ling Ran asked in confusion, "What's the reason?"
"Because … because …" Zhang Anmin could not say it.
Ling Ran said naturally, "We can learn from each other. In the future, you can take me with you when you perform cholecystectomy, and I'll take you with me when I perform hepatectomy."
The young doctors in his treatment group were exhausted, and it was impossible for them to immediately start learning hepatectomy. There were too many prerequisites for them to learn.
Therefore, Ling Ran was the main force in hepatectomy, and Lu Wenbin and the others could only learn a little.
In comparison, Zhang Anmin had been working in the Department of Hepatobiliary and Pancreatic Surgery for almost ten years, and he had fulfilled all the prerequisites for hepatectomy. Ling Ran did not have to look for doctors from the Department of Hepatobiliary and Pancreatic Surgery as his assistant when he performed major surgeries.
Zhang Anmin's cheeks slowly turned red.
"Hepatectomy? Really? "Zhang Anmin asked.
"Really." Ling Ran looked sincere, and he was so handsome that the entire ward could be heard holding their breaths.
"Then … it's a deal!" Zhang Anmin gulped. His hands were full of sweat, and he felt like he had won the lottery.
In the Department of Hepatobiliary and Pancreatic Surgery, the liver had always been the most important. The gallbladder was far behind the liver in terms of complexity and importance.
Zhang Anmin had always wanted to perform liver surgery, but he never had the chance to do so.
And hepatectomy was the most important among all liver surgeries. If he could learn it … Zhang Anmin had already started to imagine his life of being promoted, getting a raise, hiring a nanny, and renting a big house.
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