This doctor is very stable

Chapter 20 Hepatic Hemangioma
I haven't got the debridement and suture yet, so it's a bit uncomfortable.

But Captain Zhao spoke up, and Lin Ran didn't dare to disobey.

When he came to the emergency room, Zhao Jie took out a copy of the patient's medical record and handed it to Lin Ran, saying, "Today at 12:[-] noon, I made an appointment in the operating room. It is also a liver tumor resection."

Lin Ran's eyes lit up, the corners of his mouth raised, and he quickly opened the material bag.

"Ms. Zhao, is this patient going to be the surgeon for me?"

Yesterday's hepatectomy Lin Ran was considered the chief surgeon halfway through. Strictly speaking, the chief surgeon of that operation was still Zhao Jie in name.

Zhao Jie poured himself a glass of water, and explained: "Well, that's right, your performance on stage yesterday was completely capable of liver resection, and I invited Director Chen and Deputy Director Xu from our department to come over today. You should be proud I don’t need to say more about how beneficial this operation is to you!”

The smell of wine is afraid of the deep alley!
In the hospital, as long as the technology is good enough, you are not afraid to show off. It is mediocrity that does not arouse envy.

"I'm going all out."

"Okay, let's go out! Get ready."

…………

After leaving the office, Lin Ran found a lounge on the second floor.

Emergency doctors are very busy during the day, so the rest room is mostly empty.

Yesterday was to rush the ducks to the shelves. Now that Lin Ran has time, he must study the patient's medical records and information.

The unity of knowledge and action, how can there be only action, but ignorance!Isn't that putting the cart before the horse?
After carefully reviewing all the patient's information, Lin Ran had a certain understanding of the patient's current physical condition.

The patient is Lin Yequan, who is just 35 years old this year and works as a delivery man.Suffered from hepatic hemangioma, which was [-] to [-] cm in size when it was discovered.

Judging from the B-ultrasound film, the location of the tumor is quite ideal, in the middle of the left lobe of the liver.

If the tumor size is not too large, surgery is not required.

Common hepatic hemangiomas are caused by venous vascular malformations.

There are single hemangiomas and multiple hemangiomas.

To put it simply, it is the difference between a single venous malformation or multiple venous malformations.

Hepatic hemangioma is a very common benign tumor clinically, and no malignant transformation has been found so far.

肝血管瘤体直径1～5cm者称小血管瘤，直径5~10cm者称大血管瘤，直径大于10cm者则称为巨大血管瘤。

Generally speaking, small hemangiomas do not require surgery. Of course, the location of the tumor is also a key factor in deciding whether to undergo surgery.

Of course, surgical resection is not the only treatment option for hemangiomas. There is also a safer treatment method, which is interventional embolization.

The principle of interventional embolization therapy is to embolize the main blood vessels that provide nutrients to the hemangioma, so that the hemangioma will not be supplied with blood vessels, will no longer grow and grow, and even make the tumor smaller.

Compared with surgical resection, interventional therapy is safer and will not cause too much damage to the liver.

However, interventional therapy also has disadvantages, such as high surgical costs, multiple treatments are required, tumors will still remain in the body, and it takes a long time period.

The cost of an ordinary liver resection in Taiwan is 2 to 3 yuan, while the cost of interventional embolization for hepatic hemangioma is 4 to 6 yuan, which is twice as high.

In clinical diagnosis and treatment, the attending doctor will give priority to the use of interventional embolization for patients with hemangiomas who need treatment.

After all, liver resection has great surgical risks, and resection of liver segments will cause great damage to the human body.

However, medical treatment is not only the doctor's business, but the most important thing is the patient's business. In the medical field, money for medical treatment is a topic that can never be avoided.

Therefore, most patients with hepatic hemangioma will choose to undergo liver resection.

If you have money, you can use good medicine to do better surgery, but if you don’t have money, you can use cheaper medicine to do ordinary surgery!
…………

After reading the materials and the film, Lin Ran felt a little touched, "It seems that Zhao Jie still takes good care of himself, and specially chose a hepatic hemangioma that is less difficult. Be careful!"

After reading the information, Lin Ran naturally went to see the patient.

Without taking anyone with him, Lin Ran broke into the bed area alone.

There are 120 beds in the emergency department, and there are not many patients who need to be hospitalized in the emergency department.

Patients entering the emergency department either go to the morgue, or are sent to other departments for surgery after rescue.

Most of the patients who can stay in the emergency department are surgical patients reserved by doctors above the attending level.

In Ward 321, because Lin Yequan needed surgery at noon, his family members came together. The whole family of seven came together, and the ward was packed to the brim.

Lin Ran had just knocked on the door and walked into the ward. Seven pairs of eyes stared at him, making Lin Ran's heart shudder. If he were to be an ordinary intern, he would probably be scared away.

"I'm Dr. Zhao's assistant, and I'm here to give the patient a simple preoperative physical examination."

When Lin Ran said this, the patient's wife immediately stood up, gave up her seat and said, "Little doctor, check it out carefully."

Lin Ran saw that there were too many people in the ward, and said, "There are so many of you crowded in the ward, it's not conducive to the patient's rest, and the operation will start in 2 hours, why don't you go outside the ward or under the hospital?"

The patient's elders were more sensible. After Lin Ran finished speaking, they looked at Lin Yequan and said, "Yequan, don't be nervous! Doctor Zhao said that this is just a relatively minor operation."

"Okay! Old man, let's go for a walk first. I think you are more nervous than your son."

…………

After the patient's elder left, Lin Ran walked to the hospital bed, took off Lin Yequan's surgical gown, took off the stethoscope and gave Lin Yequan a physical examination.

[Patient V3...red liver under abdomen...hepatic varicose veins...requires resection or interventional therapy...]

Hepatic hemangioma is a benign tumor, so the body surface is no different from ordinary people.

The reason why Lin Ran wanted to come and see for himself was because he was afraid that the patient would still have symptoms!
Fortunately, the patient is relatively young and in good physical condition.

After Lin Ran's examination, the patient's wife asked, "do you have any questions?"

Lin Ran smiled slightly, "No, just wait until the operation is over, and be careful not to eat before the operation."

Lin Yequan lay on the bed and thanked: "Thank you, doctor."

Walking out of the ward, Lin Ran was full of confidence and anticipation about the hematoma in his heart.

Back at the emergency room on the first floor, Lin Ran was caught by the nurse, "Doctor Lin, there is a patient in treatment room 3 who needs debridement and sutures."

Checking the time, Lin Ran immediately responded at 10:30.

After performing debridement and sutures for five more patients, Liu Yuming broke into the operating room and said, "Doctor Lin, why are you still doing debridement and sutures here? Teacher Zhao asked me to come to you for surgery!"

Lin Ran cut the suture and earned another 150 yuan.

"Well, I'll bandage it and get it right away."

……

Two minutes later, Lin Ran and Liu Yuming walked into the locker room.

Seeing that Zhao Jie was brushing his hands, he said, "Mr. Zhao, I'm here."

Zhao Jie looked up and saw that Lin Ran didn't have any nervous expression on his face, so he smiled and said, "Lin Ran, the surgeon is performing liver resection, are you not nervous?"

Lin Ran began to brush his hands, and replied with a smile: "I have carefully studied the medical records and radiographs, and the patient had a preoperative physical examination. I think this is just a relatively simple hepatic hemangioma resection. Don't be so nervous."

Zhao Jie smiled and nodded, "Well, very good, it's not bad to be able to find out the patient's physical condition in advance."

"No, I still want to thank Teacher Zhao for letting me do the operation!"

This operation was undoubtedly reserved by Zhao Jie in advance. For doctors, surgery is performance and salary.

By letting Lin Ran do the operation, Zhao Jie is pushing the money out!This is really not something that ordinary teachers can do.

In operating room No. 2 of the emergency department, Chen Qiufeng, the director of the emergency department, and Xu Hong, the deputy director, had already arrived in the operating room early.

Chen Qiufeng looked at the patient lying on the operating table, and said in a low voice: "Zhao Jie, what the hell is that kid doing? A very routine hepatic hemangioma resection also called the two of us here."

Xu Hong smiled, "Don't worry! You don't understand your students yet? Xiao Zhao usually does things very steadily, so it's not meaningless to ask us to come to see the operation, and it won't be a fun for two old guys."

"I can only wait."

……

(End of this chapter)