"Doctor Ling, I've read in the literature that there are fewer complications when we use the internal arc incision of the Achilles tendon than when we use the external incision, especially when it comes to gastrocnemius injury. The probability of the external incision occurring seems to be much higher."
"The blood supply of the area covered by the Achilles tendon is still quite complicated at the moment. This problem can be considered as a new topic."
"We also have to consider the functional recovery after the surgery."
In the consultation room, Lu Wenbin, Yu Yuan, and Zuo Cidian discussed intensely.
Ling Ran occasionally nodded, shook his head, and occasionally said a few words to evaluate the situation. Even so, it gave them great motivation.
For the three housemen who had just started practicing Achilles tendon repair surgery for a year, the scene in front of them was really worth a lot of money. The hard work over the past few days was like a breeze blowing on their faces, not even worth mentioning.
What kind of experience was it to have the top Achilles tendon repair experts in the country accompany them and talk about surgery plans?
Moreover, Ling Ran really listened to their experience.
When they thought about how they really participated in and contributed to the surgery later, the three could not help but feel excited.
They had followed Ling Ran for a long time, but resident doctors were resident doctors. No matter how one looked at it, resident doctors were still in a state of learning.
Even a newcomer who had just started working for a year in the field of humanities would not be able to say anything, let alone in a place like a hospital.
It was only because they had followed Ling Ran for nearly a year of continuous high-intensity training that the three of them had the capital to speak.
Ling Ran was also willing to listen to their thoughts.
They were all assistants who had followed him for at least a hundred similar surgeries. In other hospitals, they were actually quite experienced surgeons.
And the questions they raised from the perspective of an assistant might not be able to solve the problem directly, but they could remind Ling Ran from the side so that Ling Ran could consider the surgery plan more perfectly.
At Ling Ran's current level, there was no harm in thinking more.
"Let's go for the surgery." When he saw that it was almost time, Ling Ran looked at the clock on the wall, got up, and left.
The three resident doctors winked at him and smiled. They quickly followed him.
The consultation seemed to be a little anticlimactic. They did not get a final conclusion, but the three of them were a little excited.
With Ling Ran's personality, it was not easy for him to say so much.
In fact, forget Ling Ran, there were very few other attending physicians in Yun Hua Hospital who were willing to say so much to the resident doctors. Not to mention an internal group consultation like this.
The internal group consultation was such a precious time. If the assistant lecturers did not use it to argue, they should have been rewarded for showing off.
As for the content of the surgery, the group had performed the main surgical method thousands of times. There was nothing to discuss. Not the main tactic? 'That's my new tactic, what's there to discuss with you bunch of noobs …'
The three resident doctors cherished the opportunity that day. When they went to the operating table, they were even more serious than the other. The content of their conversation had even turned into a discussion about the patient's condition, which made the nurse very surprised.
There were four surgeons in the room, and three of them were men. None of them chatted with the nurses, and the atmosphere was obviously not right.
The circulating nurse could not help but look at the camera in the operating theater. There was no red dot.
"What's the background of today's patient?" The circulating nurse was a little puzzled as she approached Lu Wenbin and whispered to him.
Lu Wenbin now believed in the concept of amiability, and his attitude toward others was very good. When he was disturbed by the young nurse, he smiled even more happily and said, "I think he's a trash seller. He broke his Achilles tendon when he was moving a cardboard box, and he only came to the hospital after being delayed for two days. The surgery is a little difficult, mainly because the patient has requirements for recovery time and the strength of the Achilles tendon. We can't just treat him and make him lose his job, right?"
"Now, it's easy to make money selling trash, right?"
"You can't cut down on the work."
"Does his family have any background?"
"He doesn't even have a waste station. What background can he have? He's just someone who earns money through hard work. "
The circulating nurse asked a few questions, but she did not get the answer she wanted. She was a little annoyed. She glanced at Lu Wenbin and said, "No matter how hard it is to sell trash, it can't be as hard as being a doctor."
"That's true …"
"He earns more than doctors."
Doctor Lu's expression stiffened. He immediately snorted and said, "There are many ways for doctors to earn money."
"Doctor Ling must be …" The circulating nurse smiled. She walked around the operating theater and stood next to the scrub nurse so that she could look at Ling Ran.
Lu Wenbin had a lot of words to refute, but when he thought about it, he did earn more than selling trash, but he also woke up much earlier than other people.
"Suture the blood vessel here." Ling Ran was full of energy as he performed the Zhu-Ling Achilles Repair Technique.
Those who came to him for Achilles tendon repair surgery had higher requirements for the recovery of the Achilles tendon.
Otherwise, if it was just a simple suture of the Achilles tendon, most people would choose minimally invasive surgery.
The effect of a normal doctor performing minimally invasive surgery was also better than an open surgery.
Ling Ran slowly performed an Achilles tendon repair technique for an hour before he passed it to Lu Wenbin to suture the skin.
Compared to a year ago, Lu Wenbin's skills were much more skillful. When he sutured an ordinary hairy leg, there were basically no obvious scars.
"It's done. Doctor Zuo, you can send the patient out." Ling Ran took off his surgical gown, stretched, and said, "Let's go for hepatectomy."
"I'll go and prepare first." Yu Yuan quickly jumped off the stepping stool and quickly left the operating theater of the Emergency Medical Center to head to the operating theater of the Department of Hepatobiliary and Pancreatic Surgery.
The operating theater of the Emergency Medical Center was not on the surgical floor, and she would have to walk a few more steps to get there.
Ling Ran was not in a hurry. The preoperative preparations were slightly delayed, and it would take at least ten to twenty minutes. Yu Yuan was meticulous. Her surgical skills were not as good, but she still had no problem with draping, disinfecting, and checking the patient's condition.
While he was still in the building of the Emergency Medical Center, Ling Ran intentionally turned to the ward area. He decided to do a ward round and take a break.
He drank the Energy Serum at three o 'clock in the morning, and it had been more than four hours since then. Ling Ran had performed three gallbladder surgeries, an open Achilles tendon repair surgery, and a set of preoperative consultations in between … If he did not count the miscellaneous tasks, he had basically completed the workload of a surgeon for a day.
Ma Yanlin was doing ward rounds alone in the ward of the Emergency Medical Center.
The interns had all graduated, and he did not even have any subordinates. Most importantly, Ma Yanlin's "medical record" was still in the Orthopedics Department, and it was not legitimate for him to be in the Orthopedics Department. If he wanted someone, he could not say anything.
It was the same for today's temporary task. Ma Yanlin still had to take on duty in the Orthopedics Department, or else his colleagues would be furious. It was not a big deal for him not to perform surgeries or even write medical records. The Orthopedics Department had a good income from surgeries, and everyone fought to do it. There was no shortage of people. Only the night shift was hated by everyone.
Ma Yanlin lowered his head. He wanted to transfer to Ling Ran, but was he going to transfer from the Orthopedics Department to the Emergency Department? When people who were familiar with the hospital heard this, they would probably think the same thing. 'You've been hit in the head!'
The Orthopedics Department was a wealthy Orthopedics Department. Attending physicians were too lazy to have extramarital relationships. Instead, they directly used money to buy sex. The Emergency Department was a typical tired and poor department. Even associate lecturers had to keep themselves clean.
Ma Yanlin's current income was more than his colleagues, but when he considered his future development, Ma Yanlin was still more inclined toward orthopedics surgery … Even when he followed Ling Ran, he also learned orthopedics surgery. If he transferred to the Emergency Department, Ma Yanlin was worried that he would be delayed by the Emergency Department and run out of time.
"How many beds have you checked?" Ling Ran walked over quickly from behind and instantly woke Ma Yanlin up.
"Oh … I just started," Ma Yanlin said in a low voice, "There are no more interns …"
"This is a problem. I'll just get two more people to come over another day." As Ling Ran spoke, he looked at his phone. Zuo Cidian had sent him the bed numbers. He said, "Take a look at the patients who had surgery yesterday. Come with me to the Department of Hepatobiliary and Pancreatic Surgery for ward rounds."
The patients who had just undergone cholecystectomy were all staying in the wards of the Department of Hepatobiliary and Pancreatic Surgery.
"Then, I'll inform Doctor Zhang." Ma Yanlin quickly nodded. He looked at Ling Ran's back with envy. To dare to go to other people's departments for ward rounds, one must not only be capable, but also have a body that was not afraid of rumors. Otherwise, the unspoken rules in the hospital would make people feel terrible.
However, Ling Ran grew up surrounded by rumors and slanders, and he had always ignored the unspoken rules in small circles.
Ma Yanlin would not be able to learn this talent even if he took off his pants.
Ling Ran put his hands behind his back and visited the patients in each ward.
He was now the person in charge of the treatment group. According to the three-level treatment system, he only needed to do ward rounds once a week. When it came to the process of ward rounds, he did not need to worry about the details. The main point was to solve the problems that the doctors in charge and attending physicians could not solve.
In reality, the person in charge of the treatment group was mainly responsible for three consecutive sentences. "Are you alright? Rest well. If anything happens, look for the doctor immediately. "
The patients and their family members would usually trust the person in charge of the treatment group more, and they would even become more tolerant.
The Basic Treasure Chests brought by Sincere Gratitude were proof of their feelings.
The Sincere Gratitude obtained from non-cholecystectomy did not give double the number of Treasure Chests. Even so, Ling Ran still took seven Treasure Chests in one go. If it were not for the fact that he was running out of time and the other doctors in charge were not around, he would have wanted to continue doing ward rounds …
"Doctor Ling." Zhang Anmin and a doctor whom he did not know jogged over.
"Doctor Zhang, you're at work." Ling Ran smiled. "You don't have to come here. The surgery is arranged on the surgical floor …"
"Doctor Ling, let me introduce you." Zhang Anmin braced himself and interrupted, "This is Attending Physician Qiu Zhongren from the Digestive Surgery Department. He used to guide me …"
Qiu Zhongren looked honest. He smiled at Ling Ran with a hint of anxiety and said, "I've seen a few of your surgeries. This time, I'm here to ask for your help …"
"What is it?" Ling Ran's expression did not change. He was often asked to do all kinds of things, and he felt that it was normal for people to ask for help.
"We have a surgery for gastric varicose veins today. When we performed exploratory laparotomy, we found that the patient's liver was bleeding due to cirrhosis. After we stuffed it with gauze, the effect was not good …" Qiu Zhongren looked very helpless.
Liver surgeries were notoriously complicated. He did not even know the cause of the bleeding, and he did not dare to touch the liver at all. He could only hurry out and look for reinforcements.
This kind of problem during surgery was no longer a normal consultation. Qiu Zhongren lowered his attitude and said, "Doctor Ling, you're the authority in liver surgery in our hospital. Can you please move to the operating theater and help us take a look?"
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