This doctor is very stable

Chapter 15
"Then what should I do now?"

Hearing Li Yanliang's words, Lin Ran seemed to be tortured from the soul, and he suddenly felt that the function of breaking aid was not good.

The whole process of a doctor's admission to a patient is roughly, admission, examination, diagnosis, designated treatment plan, implementation of treatment (or surgery, or drug treatment), hospitalization, and discharge.

This process is not perfect no matter which link is missing, but Lin Ran is a person who strives for perfection, so he feels unwilling.

Lin Ran now knows too few treatments.

When the book is in use, you will hate less, and you will know the difficulty after the world has passed.

Thinking carefully about his previous cases, Lin Ran said again: "Let your father go to the General Surgery Department for a follow-up visit, and then receive conservative interventional treatment. The cost of interventional treatment is not very high, about 6000 yuan, and the medical insurance can reimburse it, and it can also extend your father's life. life expectancy, but also to ensure the quality of life of your father."

Li Yanliang's eyes lit up after hearing Lin Ran's words, as if he had grasped the straw to save his life.

"Thank you doctor, thank you Doctor Lin."

Lin Ran shook his head slightly, "I can actually do very little, I hope my suggestion can help your father's illness!"

Li Yanliang followed the path that Lin Ran pointed out to him, but Lin Ran didn't know the result.

Lin Ran didn't even know how to live, let alone subsidize Li Dashan's treatment, but he still hoped that all the patients he had handled could receive effective treatment.

…………

Just when Lin Ran was lost, Su Hao, an intern, walked into the treatment room, "Dr. Lin, have you eaten yet?"

"Well, I didn't eat it!"

"Let's go! Together, I treat you"

Since he donated blood with Lin Ran yesterday, Su Hao has a little admiration for Lin Ran.

Lin Ran didn't refuse either, the two of them left the treatment room and met Liu Yuming again.

Lin Ran asked politely, "Dr. Liu, have you eaten? Together?"

Liu Yuming raised his head and smiled, "I'll go later, you guys eat first."

Just as Lin Ran and the others entered the dining hall, they saw a group of emergency nurses waving at them.

"Doctor Lin, Doctor Su's side."

Lin Ran nodded and smiled, "Let's cook first!"

The two went to line up for dinner, and Su Hao was behind Lin, "Doctor Lin, it seems that the nurses in the emergency department like you more! Do you have any tips?"

It is very important to be liked by the nurses in the hospital, this is not only clear to Lin Ran.

"Can you have any tricks? Do the work at hand so that there are no troubles, and it will save the nurses and sisters less trouble."

"I always feel that it is not that simple."

…………

"Doctor Lin, how many sutured patients have you done today?" Lin Ran stayed in the treatment room as soon as he came to the hospital today, and the nurses knew it.

"Ten."

Su Hao was a little surprised, "Can you do ten debridement and sutures in one afternoon?"

Liu Qiaoxin then said: "What happened to the ten debridements and sutures? Doctor Lin sutures very quickly."

Su Hao swallowed, and said: "Doctor Lin, please teach me how to sew! I sew slowly, and I can't sew well."

Lin Ran glanced at Su Hao, "I don't know how to teach you! You need to watch and practice more about stitching."

"OK then!"

At this time, Li Xiaowu, who had a more active personality, suddenly asked, "Do you have a girlfriend, Doctor Lin?"

Lin Ran was eating, and glanced at Li Xiaowu who was opposite. This girl is not bad looking, if she likes him, it's not unreasonable!But even thinking about his embarrassing situation.

"Not yet, but I don't plan to find a girlfriend in the hospital. How can we fall in love when both of us are too busy?"

When Lin Ran said this, the nurses were thoughtful.

There is an unspoken rule in the hospital that doctors don't date nurses. Unexpectedly, Lin Ran thought the same way.

…………

Back in the emergency department, Lin Ran found Zhao Jie who was checking the duty records, "Ms. Zhao is having appendicitis surgery tonight?"

Zhao Jie turned his head and smiled, "Why do you want to have surgery?"

Lin Ran didn't hide it either: "Yes! When the result of the liver cirrhosis tumor patient's examination came out today, I felt a deep sense of frustration. I felt ashamed and acted bravely!"

Hearing what Lin Ran said, Zhao Jie laughed. Lin Ran's understanding of this level shows that he has a strong sense of responsibility!
"After 12 o'clock tonight, I have one appendicitis operation and two liver resection operations. I will perform the appendicitis operation for you, and you can also go in and have a look at the liver resection."

Lin Ran nodded, "Then teacher, are you still on duty today?"

Zhao Jie shook his head, "Dr. Wang Xiaofei is on duty today. We can go back and have a good rest after the operation. I will be on duty the day after tomorrow."

Lin Ran opened his mouth: "Then I can be on duty with Doctor Wang? Going back to sleep always feels like a waste of life."

Sleeping is not as fun as doing surgery and suturing to make money!Besides, you can find time to sleep when you are on duty!Making money and sleeping well, Lin Ran felt that it was good to be on duty.

"Lin Ran, don't be so impatient! The improvement of medical skills cannot be completed overnight. But if you really want to be on duty, I can help you talk about it. After all, it is a waste of liver to go home and sleep when you are young."

Lin Ran: "Yes, young, with a good liver, not afraid of suffering."

Wang Xiaofei had just finished work and a patient came over, "Old Zhao...what are you talking about! So energetic?"

Zhao Jie raised his head slightly and said with a smile, "Lin Ran said that he wanted to be on duty with you."

Wang Xiaofei turned her head to look at Lin Ran. She knew Lin Ran, and she was with him the day before yesterday to rescue patients.

"It's a good thing to want to be on duty, and I'm not afraid of crowds."

Lin Ran smiled, "Then thank you, Doctor Wang."

Lin Ran wanted to be on duty, but if Wang Xiaofei disagreed, it would be very difficult. If there was a problem that Lin Ran couldn't handle, wouldn't he have to go to Wang Xiaofei?
Lin Ran mixed up five more sutures, and the time came to twelve o'clock in the evening.

Appendicitis Lin Ran is the chief surgeon, Su Hao is assisted, and Zhao Jie is the on-site instructor.

Lin Ran is trying his best to do the operation well and perform well. He doesn't dare to extravagantly ask for anything else.

Compared with yesterday's operation for acute perforated appendicitis, today's appendectomy seemed to go smoothly. It took Lin Ran just over ten minutes from the operation.

It went so smoothly, not only the nurse and anesthetist were happy, but even Zhao Jie was secretly surprised.

Lin Ran's operation room for appendicitis is very fast now. Preoperative disinfection, laparotomy, appendectomy, and excision were all done in one go. It took more than ten minutes to make people feel dreamlike and fluent, which is a bit unbelievable.

Li Canghai exclaimed: "Dr. Xiao Lin saw your appendicitis operation. I really can't believe that you are the second time to perform appendicitis operation. Even Lao Zhao's appendicitis operation is probably not as fast as you."

Zhao Jie also nodded, "Indeed, Lin Ran, how did you manage to find the appendix with just a flick? And you seem to know the abnormality of the patient's abdomen!"

Lin Ran finished bandaging the patient, "One minute on stage and ten years off stage. I usually watch video literature on appendicitis surgery, probably two or three hundred times! I also did data analysis on the approximate location of the appendix. Men and women, old and young, have all been compared in depth. For example, the appendix of middle-aged men tends to grow to the left, while the appendix of women tends to fall to the right, and they are all regular."

Lin Ran was talking nonsense, but everyone gasped.They couldn't help but wonder how much Lin Ran wanted to be on the operating table?I have even watched hundreds of video literature on appendicitis surgery!fear!
The mechanical nurse Liu Qing smiled, "Doctor Lin, you don't know how to eat and sleep and watch appendicitis surgery!"

Lin Ran lied without blinking, "I used to read it three times before meals, four times before going to bed, and three times when I woke up in other departments. Who made appendicitis surgery the only first-level surgery that inpatient training doctors can win!"

Su Hao's eyes lit up, and he sighed, "It's so cruel! Doctor Lin, do you dream that you are undergoing appendicitis surgery?"

An appendicitis operation ended with laughter and laughter. The next liver resection operation was performed by Zhao Jie, Liu Yuming was the first assistant, and Lin Ran was the second assistant. too high.

The patient was under general anesthesia. After the preoperative disinfection, Zhao Jie asked with a smile, "Lin Ran, where do you think it is appropriate to perform the incision?"

Here, other doctors would probably tremble timidly when asked by the chief surgeon, but Lin Ran was a little happy. As long as he satisfies Zhao Jie's answer, his good impression on him will be deepened!This will increase your chances of surgery yourself.

Now he suddenly understood why Liu Yuming wanted to express himself in front of the leader so much, and when he really didn't show himself, he would have the opportunity to be the chief surgeon!

Of course, the basic skills must also be solidly learned, otherwise hard work is useless.

"Most of the human liver is located in the right hypochondriac and upper abdomen, a small part is located in the left hypochondriac area, and the upper boundary is at the level of the fifth rib on the midline of the right clavicle..."

"And this patient's tumor is at the end of the left liver lobe, so the surgery should be performed below the chest cavity and to the left of the midline of the abdominal cavity, so that the field of vision will be better."

Holding a knife in his hand, Zhao Jie nodded with a smile and said, "That's right, you put your heart into it."

After he finished speaking, he started to cut the knife. Lin Ran is naturally in a very good mood now.

But Liu Yuming's mood was not good, obviously he was the one who helped!How could Mr. Zhao ask Lin Ran but not himself!Isn't he worth the test?

The surgical incision was incised, and Liu Yuming did not dare to hesitate to apply electrocoagulation to the abdominal incision to stop the bleeding.

Lin Ran immediately pulled the hook. Seeing that the two cooperated with each other tacitly, Zhao Jie nodded. It seemed that his beating on Liu Yuming still had some effect.

With the opening of the operation port, under the illumination of the shadowless lamp in the operating room, the vision of the patient's abdominal cavity is clear at a glance.

[V4 patients. 】

[Diaphragm green, stomach green, duodenum green, colon green, right kidney green. 】

【Liver is red...Malignant tumor of the liver...Part of the liver lobe needs to be removed...】

The original healthy color of the liver was dark red, but now the patient's liver has lesions and tumors that appear as grayish white spots and small bulges.

Zhao Jie pointed to the small gray bump on the liver, and said: "Lin Ran, this is a liver tumor. It looks like a small tumor on the surface, but there should be a larger tumor hidden under the liver skin, so it must be cut in advance when resecting. a little."

"Remember, the number of liver segments to be resected depends on the size of the tumor and the age of the patient. Of course, when the margins of the tumor are clearly cut, it should be cut as little as possible."

"There is another saying in liver resection on the operating table that if you can do one cut, don't cut it a second time, and if you can do less cuts, do less cuts, because what we remove is not only the tumor, but also the life of the patient."

"The length of the operation often also determines the patient's postoperative recovery, and patients may have accidents if the operation time is too long."

(End of this chapter)