Ling Ran looked at the proud skill book in front of him, and he did not slap it down for a long time.
As a doctor, Ling Ran had cut open intestines and treated intestines many times. Although he did not like it, he did not mind it very much.
In his life, there were plenty of things he did not like, and he did not care if there were more or less of them.
However, hemorrhoid surgery was still relatively boring for Ling Ran. The most important thing was that it did not require much skill, and he knew it just by looking at the skills given by the system. For skills with high skill content, such as hepatectomy, a Basic Treasure Chest could only give him Master Level, while for skills with low skill content, a Basic Treasure Chest could give him Perfect Level.
And among all kinds of skills with low skill content, hemorrhoid surgery, especially traditional hemorrhoid surgery, had even lower skill content.
Of course, any skill could always be done very meticulously with the spirit of craftsmanship, but from Ling Ran's point of view, the meaning was different.
First of all, hemorrhoid surgery itself could not really solve the problem of hemorrhoids. This greatly reduced the meaning of hemorrhoid surgery. At the end of the day, hemorrhoid surgery itself was a mature surgery, but the essence of hemorrhoid surgery was not mature.
Since this was the case, after learning hemorrhoid surgery, would he still need to practice hemorrhoid surgery?
Ling Ran shook his head and used the mentality of "holding the enemy's hand" to slap the proud skill book and put away the skill.
That was Ling Ran's attitude toward it.
"Doctor Ling, Naldo has woken up." Ma Yanlin sneakily ran over.
Ling Ran glanced at him. "Who?"
"That fatty … He's the patient who just had three toes severed. He woke up." Ma Yanlin explained a little diffidently.
Ling Ran frowned. "How did he wake up so fast?"
Ma Yanlin looked even more diffident. "Maybe the calculation of the dosage during anesthesia was a little too low. That … The patient is heavy, and he might have used anesthetics privately, and the surgery time is relatively long …"
"Is there any intraoperative knowledge?" Ling Ran asked.
"I've asked around. I don't think so. He just woke up faster …" Ma Yanlin quickly shook his head and said, "I made the dosage according to the anesthesia teaching materials in our country. The South Americans might need a larger dosage …"
Ling Ran glanced at Ma Yanlin and did not continue to reprimand him. For anesthetists, things like resistance to anesthesia were very troublesome. This was because they did not know the degree of resistance to anesthesia, and they did not have any concrete data to rely on in this regard. They could only rely on experience, and neither Ma Yanlin nor Ling Ran had any experience in anesthesia.
On the other hand, increasing the dosage to avoid anesthesia resistance would not improve the results. If the patient's resistance was low or tolerance was poor, a four-hour surgery was enough for the patient to die on the operating table.
Ling Ran turned around and took a step forward. He said, "Let's take a look at the patient first. If he woke up normally, make a record. Also, we can't be the anesthetist for the next surgery anymore. "
"Then what should we do?"
"Isn't the satellite phone working? Ask the Brazilian side to send a professional anesthetist over and communicate with him over the phone. "
"I'm afraid that the Brazilian doctor is unwilling to take responsibility." Ma Yanlin didn't trust him at all.
Ling Ran said as he walked, "Then reduce the number of surgeries. Don't perform surgeries that are not necessary."
"Who knows when the storm will stop? We're performing surgeries that are necessary," Ma Yanlin complained in a low voice. Ma Yanlin grumbled in a low voice, "The current environment is still a little better. We have things like disinfectant sent over from Cuba Town. For the previous patients, even if their wounds were small, if they were not treated, their wounds would have become festered and infected. Needless to say, for those with more serious injuries, we have to use antibiotics wisely."
Ling Ran did not comment on this.
A surgeon's job was always to weigh the pros and cons. Even for surgeries like gallstones, there was a balance between surgical treatment and conservative treatment. The risk of trauma and the risk of anesthesia naturally had to be taken into account.
The basis of judgment for the same injury at the beginning of the flood was also different compared to the current injury.
Ma Yanlin actually understood this, but he could not help but nag a little.
When he arrived at the recovery room, Ma Yanlin's expression changed, and he became serious.
"How do you feel?" Ling Ran asked routine questions during his routine ward rounds.
Naldo's eyes were wide open. He stared at Ling Ran blankly for a while before he slowly focused and sighed. "Are you an angel?"
"Nope. Your surgery just ended. "Ling Ran's expression was calm.
"No … I feel like I'm floating …" Naldo was obviously not completely awake. If he was in a normal anesthesiology department, he would still need to be observed.
"Other than floating, what else do you feel?" Ling Ran continued to ask.
Naldo moved his head. "I want to fly … Where did I fly to?"
"This is the anesthesia recovery room. You just performed surgery. Do you remember?"
"Is it hemorrhoid surgery?"
Ling Ran frowned. "No."
"Oh, then I don't remember."
Ma Yanlin immediately breathed a sigh of relief. Although he could not completely eliminate intraoperative knowledge, for now, most of the risks should be avoided.
Ling Ran looked at the monitor again and did a few simple physical examinations to make sure that there was no problem. Before he went out, he said to Ma Yanlin, "Check the patient and see if there is a problem with hemorrhoids."
"Nine out of ten men have hemorrhoids, and Brazil is so hot." Ma Yanlin pursed his lips. "I found it when I checked him before. He has been in a wheelchair for a few days, and he was soaked in the flood before this. It's not strange for him to have hemorrhoids."
"Let's take a look again," Ling Ran said and continued to do ward rounds.
Ma Yanlin shrugged. He was not unhappy. Including his internship period, he had been a doctor for three years, and his tolerance had long been high.
Thirty minutes later.
"What the heck." Ma Yanlin found Ling Ran, and his eyes were about to pop out. He kept saying, "I've lived for a long time, I've lived for a long time …"
Ling Ran looked at him quietly.
"The size of a duck's egg … Have you seen one that's the size of a duck's egg?" Ma Yanlin gestured with his hands, and his whole body looked like it was stuffed with a duck's egg. He sighed and said, "South America is rich in products, and even hemorrhoids grow bigger than ours."
"How is the patient?"
"The anesthetic is wearing off, and it's starting to hurt now. It's already a little painful to the point of death." Ma Yanlin shivered in pity. "There are countless abrasions all over his body, and three of his toes are severed. Now, he has a hemorrhoid the size of a duck's egg. Now, he can only lie on his side. If he lies down, it will affect his toes, and if he lies down, it will affect his hemorrhoids … Hmm …"
Ma Yanlin looked like he wanted to laugh, but he also knew that it was not good to laugh, so he could only force himself to hold it in.
Ling Ran hesitated for a few seconds, sighed, and said, "Then, ask him again if he wants to do hemorrhoid surgery. If he wants to do it, I'll do it for him."
"Huh, you know how to do hemorrhoid surgery?" Ma Yanlin looked at Ling Ran and could not help but say, "We didn't know that."
Ling Ran looked at Ma Yanlin with a lack of interest and said, "You'll be the assistant and try to learn it."
Ma Yanlin thought about it. "Doctor Zuo will definitely need it. Once I learn it, hehe …"
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