"I was wondering why the department director follows Ling Ran around every day." The attending physician in the middle suddenly laughed, as if he had discovered a great secret.
After he said that, he raised his chin to both sides.
The other two attending physicians did not agree with him at this time.
"How did he remove the hepatolithiasis so cleanly?"
"Yeah, everyone performs hepatectomy. It doesn't make sense that Ling Ran's hepatectomy is especially clean."
The two attending physicians' questions all pointed to the same answer.
"I was thinking about this just now." Zhang Anmin chuckled a few times, then put away the choledochoscope and began to close the abdomen.
The three attending physicians waited for Zhang Anmin to speak. After waiting for more than ten seconds, there was still no answer. One of them came to his senses and quickly said, "Great, let me wash my hands and help you."
As he spoke, he went out to wash his hands. When he came back, he asked the nurse to put on a surgical gown for him and became Zhang Anmin's first assistant.
In a tertiary Grade A hospital like Yun Hua Hospital, the use of surgical consumables was extremely wasteful.
Things like surgical gowns that cost more than ten RMB or twenty RMB would be thrown away as soon as they were used. Similarly, scrubs had to be sterilized at high temperature once they were worn, and surgical instruments had to be re-sterilized or thrown away after they were used or not used. Only slippers were never washed and would always be dirty.
Doctors were relatively casual when they went to and fro the operating theater, changed their clothes, operated the instruments, and so on. Basically, as long as they did not bring them home, it did not matter.
With someone helping as an assistant, Zhang Anmin's abdominal closure was much faster.
One was responsible for removing the clamps and passing the thread, and the other was responsible for suturing the abdomen layer by layer. In just a few minutes, the abdomen was sutured.
Zhang Anmin then said slowly, "I think that Doctor Ling can remove the hepatolithiasis so cleanly mainly because he chose a good location."
"Location?"
"Yes. Location is very important. " Zhang Anmin said, "Pay attention to the location where he cut the liver. It's where the stones are concentrated, and it's also a very convenient location to remove the stones."
"How did he choose this?"
"Just like doing a geometry problem." Zhang Anmin actually did not know, so he just made up a story. Of course, he did think in this direction. As for whether his thinking was correct, Zhang Anmin could not be responsible.
The other three did not watch the surgery, so they could only think blindly. As they thought about it, they felt that Zhang Anmin's words made a lot of sense.
"It's the same as the auxiliary cable."
"You still remember middle school geometry?"
"High school's solid geometry also requires auxiliary lines, right?"
"If that's the case, choosing the location is indeed difficult. I was the worst in solid geometry in high school, and I usually didn't score more than 90 points. "
"Then my worst subject is advanced mathematics. Integral calculus, analytic geometry, and so on. These are all things that pull down my grades."
Although they had graduated ten years ago, they still had a deep impression of their high school and university mathematics.
Back then, they had put in so much effort to learn these things. Although they had forgotten the specific steps and formulas, they were still willing to casually chat with each other when they recalled the pain of branding and the sweetness of the interval.
After all, the doctors who managed to gain a foothold in Yun Hua Hospital had all gone through their formative years when they were still in school. Compared to being a nobody after they entered the hospital, they missed their school even more.
Zhang Anmin did not say much. He chatted casually for a while and helped the anesthetist, Su Jiafu, clean up. He then took off his surgical gown and rushed to the next surgery.
The other three attending physicians also had their own surgeries. No matter how eager they were, they could only leave.
Zhang Anmin only managed to get the second assistant even though he was in a hurry.
The first assistant became Ma Yanlin. Yu Yuan was now a chief resident, and she had been a chief resident for a few months. She was the one who performed most of the surgeries in the Emergency Department, especially the night surgeries. The chief resident was the first in line, so Yu Yuan could no longer keep up with Ling Ran's surgeries.
Ling Ran did not care who became his first assistant. With a skilled doctor as his first assistant, he could perform surgeries faster and more meticulously. If a skilled first assistant did not have a skilled first assistant, he would have to do it slower and pay more attention.
If there was a difference between a first assistant who was an attending physician and a first assistant who was a houseman, for Ling Ran, it was probably that he had to perform two surgeries in advance and drink Energy Serums.
As a rich doctor who currently had 718 bottles of Energy Serums, Ling Ran could handle all kinds of changes in the first assistant's position.
"Zhang Anmin, get ready to perform a choledochoscope." When Ling Ran saw that Zhang Anmin was here, he was happy to divert some of his pressure.
From Ling Ran's perspective, Zhang Anmin, who had performed gallbladder surgeries for five or six years, should be at Beginner Specialist Level in choledochoscopy. It was enough for surgeries like hepatectomy.
Zhang Anmin gasped. "Can I perform choledochoscopy? Can I? "
Ling Ran frowned. "You seem to like to ask questions repeatedly."
"Do I? Do I ask questions repeatedly? Hmm … That seems to be the case. "Zhang Anmin was stunned.
"Don't ask questions repeatedly. Try your best." Ling Ran was a little annoyed by Zhang Anmin's nagging, but it was only a little.
Zhang Anmin nodded carefully and said in a low voice, "If I operate the choledochoscope, the residual stone rate will be very high."
He knew himself very well. Forget about performing a choledochoscope with a residual stone rate of less than 2%, he was not even confident in performing a choledochoscope with an average residual stone rate of 17%.
Ling Ran looked at Zhang Anmin strangely. "Who told you that the doctor who operates the choledochoscope determines the residual stone rate?"
"Isn't it? Shouldn't it be … "Zhang Anmin shut up decisively to avoid asking the same question twice.
"There are many reasons that determine the residual stone rate. You can look for a research paper to read later. Choledochoscopy is not the key factor." Ling Ran was too lazy to explain. He thought about it and decided to satisfy Zhang Anmin's desire for knowledge. He said, "If you don't understand anything, you can ask Yu Yuan first."
"Oh. Yes. " Zhang Anmin's mind was in a mess. 'So, the four attending physicians, including me, were just imagining things?'
Ling Ran nodded and continued performing the surgery. As he continued, he suddenly said, "Barehanded surgery can also affect the residual stone rate."
As he spoke, he used his hand to dig out a stone from the liver that was cut open …
He dug out a stone …
'Dig …'
Zhang Anmin's eyes widened. He suddenly felt that the high and mighty hepatectomy he admired had become a commoner.
Zhang Anmin turned to look at Ma Yanlin again, and he saw that the latter looked as if it was only natural.
"Hey, do you often see Doctor Ling remove hepatolithiasis like this?" Zhang Anmin asked Ma Yanlin in a low voice.
Ma Yanlin craned his neck to look and asked, "Isn't it done like this?"
Zhang Anmin was stumped by the question. He racked his brain and thought for a while before he said, "I've read about removing hepatolithiasis with bare hands before. I just didn't know that it's done by digging …"
"Oh," Ma Yanlin said faintly. He had only seen one type of hepatectomy for hepatolithiasis, so how could he comment on it?
Zhang Anmin only felt that it was ridiculous. He looked at Ma Yanlin and thought, 'Even housemen can learn to be stingy? What kind of world is this? Wait, what's so advanced about digging out the liver? '
Outside the window.
The west wind blew.
The goose in Fragrance Yard danced with the wind like a sword-wielding Xiang Zhuang. It slowly approached a young woman with well-developed gluteus maximus.
"Be careful." The young man pulled the girl up, pointed at the goose behind him, and flashed a clean smile.
The girl blushed, and she looked like a curled spider plant.
Lu Wenbin, who had just come out of the gym, looked at the gentle girl beside the fountain, and suddenly felt agitated. He could not help but walk a few steps faster until he entered the operating theater. Only then did he feel relaxed.
"Doctor Lu, will you be the first assistant?" Zhang Anmin had just completed his third surgery, and he still wanted to be modest.
"Alright, I'll be the first assistant for this one." Lu Wenbin did not want to be modest, and he stood in the position of the first assistant without hesitation.
Zhang Anmin stood in front of Ling Ran with slight regret. He held the retractor and finished the third surgery of the day.
"Alright, hurry up with the surgeries. We'll do two more surgeries, and then we'll rest." As Ling Ran spoke, he turned and asked Zhang Anmin, "When is your cholecystectomy?"
"The day after tomorrow … The day after tomorrow is the day of surgery." Zhang Anmin somehow panicked. There were five surgeries a day, and he had to stand for more than ten hours.
Ling Ran nodded and said, "Email me the specific time the day after tomorrow. Let's rest for … thirty minutes, and wait for the next surgery to be ready."
After Ling Ran finished speaking, he left. Lu Wenbin seized the time to close the abdomen, and Zhang Anmin followed him to help save time.
After they were done, they returned to the waiting room. Zhang Anmin, who was in his thirties, already felt exhausted.
He took out a pack of cigarettes from his locker and said, "Doctor Lu, do you smoke?"
Lu Wenbin hesitated for a moment and said, "Then, let's go together. Wait a moment."
Lu Wenbin also went to the locker to take out a cigarette and walked out of the waiting room with Zhang Anmin. He said as he walked, "I don't usually smoke, but I smoke occasionally for fun."
"It's better if you don't smoke. I can't help it. I smoked when I was studying. "As they spoke, they reached the rooftop, and Zhang Anmin gave his cigarette to Lu Wenbin.
Lu Wenbin took it without hesitation and glanced at it. When he saw that it was a pack of Double Happiness cigarettes that cost 10 RMB, he could not help but be stunned. "Doctor Zhang, you're really frugal as an attending physician. Forget it, try mine. "
"I'm not an attending physician. The year before I was promoted to an attending physician, there was a medical reform, and I've never seen money at all," Zhang Anmin said as he took Lu Wenbin's cigarette. He saw the word "Zhonghua" reflected on the cigarette.
Zhang Anmin's lips could not help but tremble. "Zhonghua? So corrupt? "
"How is this corrupt? You can buy a few of them with the money you pay for a freelance surgery." Lu Wenbin smiled and flattered Zhang Anmin.
Zhang Anmin smiled bitterly. "Why should I pay for freelance surgery …"
As he spoke, Zhang Anmin suddenly realized something. He looked up at Lu Wenbin and asked, "Do you often follow Doctor Ling for freelance surgery? Do you get paid? "
"Yes," Lu Wenbin answered straightforwardly.
"How much can I get?" Zhang Anmin could not help but want to know.
Lu Wenbin smacked his lips. "The least is 200 RMB, and the most is 500 RMB. The most I get is 1,000 RMB."
"That's not a small amount. Doctor Ling can perform freelance surgery three times a week, right? You can get at least a thousand RMB or eight hundred RMB." Zhang Anmin calculated the money, and he felt a little better. This was just the money for cigarettes.
Lu Wenbin had just lit the cigarette, and he wanted to spit it out. He was amused by Zhang Anmin's words, and he could not help but cough.
"One? It's a thing of the past to pay for each surgery. Nowadays, who dares to give Doctor Ling such a price?" Lu Wenbin smiled and shook his head.
"One surgery? Then, how many surgeries does Doctor Ling perform each time he goes out? "
"What do you think?" Lu Wenbin raised his arm, which had a circumference of 38 inches. He smiled and took a puff of his cigarette before he quickly exhaled. He looked like a single man who worked out all year round.
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