Zhang Anmin made an incision on the patient's abdominal cavity and obediently gave the position to Ling Ran.
Ling Ran took over and used the endotherm knife to perform a simple hemostasis while he began to peel off the stones.
Choledochoduodenal anastomosis was still a process of removing stones and opening up a passage. Because there were a lot of stones in the patient's bile duct, they had to remove stones with choledochoscopy. More importantly, they had to make the fluid in the bile duct leave the bile duct smoothly. This was the so-called "unobstructed drainage".
This step was easy to say and often not difficult to do, but the prognosis was often confusing.
The most common and troublesome was postoperative reflux. The cholangitis caused by this was often extremely painful. Some people's cholangitis could not be suppressed, and there was a certain probability that it would become cancerous.
In addition, the decrease in peristalsis of the intestines could easily cause stasis, abnormal liver function, and other problems, which were also very troublesome.
For attending physicians or assistant lecturers like Zhang Anmin, choledochoduodenal anastomosis was easy to perform, but improving the prognosis and controlling complications was very metaphysical. Usually, a lot of surgical experience was needed to gradually explore the path.
Ling Ran did not need that.
He followed the conventional surgical method and performed it step by step. The entire process was unusually easy.
Zhang Anmin quickly understood the content contained in it. He could not help but put away his anxiety and guilt when he crossed the line, and earnestly cooperated and learned.
Unlike the usual assistant who followed and learned, today's incision was done by Zhang Anmin. Although he carefully considered Ling Ran's needs and Ling Ran's habits, at the end of the day, Zhang Anmin still decided the position of the incision, the size of the incision, and other things based on his own knowledge framework.
At this moment, Ling Ran performed the surgery in the surgical field that Zhang Anmin had set up. Zhang Anmin also saw how he operated.
This gave Zhang Anmin a completely different feeling.
Compared to Ling Ran's operation of opening the abdomen, the surgical field that Zhang Anmin saw now was more in line with his own expectations. The anatomical structure was also relatively familiar to him.
Looking at Ling Ran's operation, Zhang Anmin gradually felt at ease. He followed Ling Ran's order and assisted step by step.
The blood vessels, bile duct, and intestines were like ordinary tubes. They were straightened out, gathered, and even sutured by Ling Ran …
"It's done." Ling Ran performed the surgery without any hindrance. He did not introduce or explain anything to Zhang Anmin.
Zhang Anmin did not have the desire to speak for a while. He could not help but recall the process of Ling Ran's operation in his mind. He was like a fan who had watched a beautiful game.
"Remember to perform abdominal closure." Ling Ran did not care about what junior doctors thought. It was too difficult to influence people's thoughts, and Ling Ran was not interested in it. If it was necessary, he was willing to cut open the junior doctors' brains and help them solve their problems. Of course, that was if there was a problem.
* Chi.
Ling Ran stepped open the door of the operating theater and turned around to look at Zhang Anmin. Then, he looked up at the ceiling … Well, the ceiling. The system did not give him any notifications, which meant that there were no new missions to be completed.
Ling Ran shook his head. It seemed that Zhang Anmin could only squeeze out two Intermediate Treasure Chests a day.
"Ah." A young nurse with a large stack of medical supplies was walking with her head lowered. She did not see Ling Ran either. She only wanted to dodge when she was about to bump into him, but it was already too late.
Ling Ran quickly reached out and pressed his hand against his head. Then, he turned around and dodged the attack with practiced footsteps.
For Ling Ran, he would always encounter similar incidents in school or other places. It was not rare, and it was not difficult for him to avoid them either.
"Doctor … Doctor Ling …" The young nurse's face was filled with embarrassment, and her eyes sparkled.
"Ling … Doctor Ling …" The young nurse was shy, and her eyes sparkled.
Ling Ran stared at Ling Ran's back.
The young nurse stared at Ling Ran's back in a daze. She could not help but take out her phone. She wanted to show off, but she held back. She only took a picture and held her phone. She did not want to talk.
Ling Ran walked through the corridor and went to the Operating Area to change. He then went to the office.
The surgeries he performed today were minor, and they were all unusually smooth. Based on Ling Ran's knowledge, they were surgeries where he did not need to meet the patient's family. He only needed to say that the surgery was successful. For Ling Ran, it was a little monotonous, even if he added the word "very".
"Doctor Ling."
When Ling Ran sat in the office, someone came in to greet him.
This was not a strange thing, as pharmaceutical sales representatives would always appear whenever there was a chance.
"Huh? Department Director Hong? "Ling Ran was a little surprised to see Department Director Hong from the Respiratory Medicine Department.
Department Director Hong smiled and showed his proud yellow teeth. He said, "Doctor Ling, let me introduce someone to you."
As he spoke, he led a man in a suit from behind.
"Introduce yourself?" Department Director Hong showed a very familiar attitude.
The man in the suit smiled, nodded at Ling Ran, and said, "I'm the chairman of Hui Hong Company, Chou Hong. Very grand. Speaking of which, Doctor Ling and I are schoolmates. "
Ling Ran looked at him and asked uncertainly, "Lower Groove Elementary School or Yun Hua University?"
Chou Hong was stunned and laughed. "They say that Doctor Ling is special. Of course, it's Yun Hua University. I'm a graduate from the third cohort. I studied architecture at Yun Hua University. Later, I started my own company. I went from professional demolition to professional real estate development. "
Ling Ran nodded. "I'm thinking that there are fewer people at your age who can go to university."
"Then, I'll take it as a compliment." Chou Hong laughed. "I was also very surprised to be able to graduate from university."
"What's the matter?" Ling Ran did not continue the conversation.
"It's like this …" Chou Hong pondered for a few seconds before he continued, "My son, Chou Hui, is about to graduate from university. He did his internship in Yun Hua Hospital. Now that it's time for his housemanship, he wants to continue his housemanship under Doctor Ling. As his father, although I don't know anything about medicine, I also want to fulfill my son's wish … "
Ling Ran looked at Chou Hui and then at Department Director Hong.
"He wants to put a housemanship under you. He graduated from Yun Hua University's medical school, and he's your junior. " Department Director Hong translated. He could not hold it anymore. He took out a cigarette and stood under the "No Smoking" sign and took two deep puffs.
Ling Ran looked at Chou Hong. Chou Hong quickly put on a smile and said, "My son has good grades and wants to be a doctor. He heard that Doctor Ling's skills are top-notch, so he begged me to give it a try. Sigh, I have no choice but to throw away my old face to ask for help. "
"Can he work overtime?" Ling Ran asked.
"Yes." Chou Hong nodded repeatedly. He knew that this meant that Ling Ran had agreed.
"Can he work overtime until ten at night?"
"Of course. No problem. Didn't everyone say that 996 hours is a blessing? My son still has the spirit of hard work. He works hard to accumulate experience. "
Ling Ran nodded and continued to ask, "Can he come to work earlier?"
"Yes, he wakes up at six every day now." Chou Hong smiled proudly.
Ling Ran glanced at him. "Housemanships don't have to come too early, but it's more reasonable for him to arrive at the hospital at four-thirty in the morning."
Chairman Chou Hong, who once engaged in demolition and delayed the wages of migrant workers and ran a real estate company, frowned. He looked at Old Hong and Ling Ran before he said in a low voice, "Doctor Ling, I don't know if you've noticed that our country's labor protection laws are quite strict …"
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