This doctor is very stable

Chapter 92
Next, Lin Ran found Li Min in the big emergency room. Li Min seemed to be sorting out information.

Lin Ran leaned forward, "Mr. Li, you haven't finished get off work yet!"

Li Min raised his eyes to look at Lin Ran, and said with a smile, "Well, I'm going to sort out the medical records and prepare to write a paper. Why do you need me?"

Lin Ran frowned, why can't these old foxes say that they have surgery, so they can't let people answer the conversation?
Lin Ran bit his head, "Ms. Li is like this, you seem to have a few more operations today, right? Among them is an appendicitis resection and a liver resection."

When Lin Ran said this, Li Min didn't understand what he meant!
"You want to get started with these two operations."

'Boss Li is still considerate!High-end atmosphere. '

Lin Ran nodded quickly, "Ms. Li, you also know that I only train doctors on a regular basis, and it really has nothing to do with the source of the disease, so I want to help you with the surgery. Is it okay for you to sign your signature as the surgeon?"

Feeling deflated by Wang Xiaofei, Lin Ran spoke cautiously.

Li Min nodded, "Of course, I'll find information on liver resection patients for you."

Before the operation, the surgeon must study the medical records carefully.

…………

After getting Li Min done, Lin Ran heaved a sigh of relief, he was really afraid that this method would not work!If the method of replacing the knife is disgusting to other doctors and it doesn't work, then he dare not force it.

But fortunately, there was only a snag in Wang Xiaofei's place.

Naturally, there are no exceptions in Xu Hong's case. What exceptions can there be for Lin Ran's assistant?
After the three bosses were dealt with, Lin Ran returned to the duty room with the medical records in his hands and started chewing.

Soon, [-]:[-] came quietly, and Lin Ran came to the locker room early.

In the locker room, Zhao Jie smiled when he saw Lin Ran walking in, "You're pretty punctual and reliable."

"Zhao."

Lin Ran nodded.

Looking at Liu Yuming next to Zhao Jie, he smiled and said, "Doctor Liu is here too!"

After repeated beatings by Zhao Jie, Liu Yuming now looks much more stable.

Seeing Lin Ran, Liu Yuming was a little surprised. At the same time, he also knew that Lin Ran had entered the operation team and instantly became the heart of the head of the emergency department.

Envy is certain, and Lin Ran's growth path also made Liu Yuming understand the importance of surgical techniques.

"Doctor Lin."

After the two greeted each other, Zhao Jie urged: "Okay, hurry up and change your surgical gown, the operating room is waiting for no one."

Ten minutes later, Lin Ran and the others walked into the operating room.

Gallstones accompanied by acute cholecystitis in a cholecystectomy patient.

The patient appears to be in pain lying on the operating table.

Lin Ran didn't hesitate too much, stood at the position of the chief surgeon, stretched out his hands to let the nurse put on the sterile gloves, looked at Lao Li, the anesthesiologist, and said, "General anesthesia, two hours."

This time, seeing that Lin Ran wasn't talking too much, Li Canghai stepped forward to give him medicine.

When the patient heard that he was about to be anesthetized, he seemed to be saved.

Gallstones are very painful with cholecystitis.

It's not as fun as the Cultivation Golden Elixir mentioned on the Internet.

"Doctor, hurry up! I can't stand it!"

As the anesthetic slowly took effect, the patient's hideous face slowly unfolded.

After a while, he fell into a peaceful sleep.

Li Canghai sat back on his small bench, and saw the patient fell asleep before he said: "Lin Ran, are you messing with Lao Zhao again today?"

Lin Ran smiled and nodded, "Ms. Zhao's surgery."

Compared with Li Canghai's relaxed and freehand style, Zhao Jie was a little worried.

Gallstones lead to common bile duct infarction and acute cholecystitis is a common situation, but cholecystectomy should not be sloppy!

Otherwise, serious complications may result.

So Zhao Jie reminded Lin Ran once again, "Be careful, don't be careless, understand?"

Lin Ran nodded solemnly, stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."

Disinfection before operation, nurse spreads towels.

Lin Ran surgical pen began to draw positioning lines.

After drawing a four-centimeter oblique line, Lin Ran explained: "Ms. Zhao, I want to apply the small incision to the cholecystectomy."

Zhao Jie frowned slightly, "Are you sure? Don't try to run just after learning to walk! The patient's body on the operating table is not a general teacher."

"I had a cholecystectomy with Mr. Xu before, and I only cut four centimeters."

Cholecystectomy is different from appendectomy in that it needs to sweep a little lymph membrane, so it requires a certain amount of room for manipulation.

A small incision of four centimeters is the limit of what Lin Ran can do at present.

If you have to scan the membrane for a three-centimeter incision, you won't have much field of view.

Considering the higher risk of cholecystectomy, Lin Ran was not overly pursuing a small incision.

Zhao Jie looked at Lin Ran and frowned in thought, before finally nodding his head, "I believe you, but you have to be careful, once bile leakage causes peritonitis, not to mention difficult to deal with, it will be very dangerous, and it will greatly increase the financial burden on the patient . . ”

Originally, the removal of the gallbladder was something that could be solved with a few thousand dollars.But if peritonitis is caused by bile leakage during the operation, it will cost a lot of money, even tens of thousands of dollars may not be able to handle it.

Cutting out the gallbladder and making the patient spend so much money is definitely not enough.

Lin Ran knew exactly what he was doing, "I understand, and I'm sure."

After thinking for a while, Zhao Jie looked at Liu Yuming and said, "I'll help Lin Ran, and Xiao Liu will pull the hook."

One gallbladder removal, originally two doctors could handle it, but now if Lin Ran does a small incision, Zhao Jie thinks it is better to cooperate with Lin Ran himself.

Liu Yuming silently stepped aside, feeling a little aggrieved.

Seeing that Zhao Jie agreed, Lin Ran stretched out his hand and said, "Scalpel."

Zhao Jie personally helped Lin Ran fix the patient's right abdomen.

Hold the bow, cut along the positioning line, methodically.

After cutting, Liu Yuming applied electrocoagulation to the surgical site to stop bleeding and added a hook.

After the patient had a clear view of the abdominal cavity, Zhao Jie probed to see what was going on inside.

He looked at Lin Ran again and said, "I really don't know how you can see the gallbladder clearly when it's all red inside! I really suspect you have cross-eyed brats!"

Human muscles have a certain degree of light transmission. If the incision is too small, the shadowless lamp shining on the patient's belly will make the patient's intra-abdominal field of vision appear red.

Of course, the incision is also illuminated by normal incandescent light.

Lin Ran smiled and did not explain.

Looking into the patient's abdomen, the gallbladder is congested and edematous due to gallstones blocking the cystic duct, the bile is white and transparent, and the gallbladder is enlarged and inflamed.

Typical gallstones with acute cholecystitis.

"Atraumatic tweezers, fine scissors."

After receiving the surgical instruments, Lin Ran entered the surgical state, exuding an extremely calm feeling.

Seeing Zhao Jie felt uncomfortable.

'This brat is really evil!How many days have you not seen progress so fast? '

Even the well-informed Li Canghai was speechless.

'Excellent my brother. '

Sweeping the lymphatic membrane, Lin Ran did it with ease, and it didn't look like he was bound by a small incision at all.

Zhao Jie nodded again and again.

There are not many lymphatic membranes that need to be removed for cholecystectomy, and it took Lin Ran about seven or eight minutes to clean up.

Liu Yuming no longer has the heart to compare with Lin Ran, and now he can only look up to Lin Ran.

Although cholecystectomy is not difficult, it is a very common to secondary operation.

But doing cholecystectomy also depends on the quality.

The incision made by Lin Ran was small, and the lymphatic membrane was cleaned impeccably, so the quality of the final operation must be very high!

After three days of farewell, Lin Ran did it with admiration.

But as for myself, I have gained nothing except restraining my xinxing.

Lin Ran withdrew the tweezers and scissors, Zhao Jie smiled helplessly and said, "Lin Ran, I really don't know how much you can achieve in the field of surgery in the future!"

"It's been two days since I've seen you, and your lymphatic sweeping skills have improved again."

Lin Ran smiled, "It's all Mr. Zhao who teaches well."

Zhao Jie shook his head and smiled wryly, "Okay! You don't have to praise me, kid. I'm not as good as you when I have a cholecystectomy."

Lin Ran chuckled, "Mr. Zhao, next step is to remove the gallbladder."

"Oh……"

After Lin Ran's reminder, Zhao Jie remembered that he was the first assistant in this operation, and quickly reached out, "Give me the electric hook and non-invasive tweezers."

Zhao Jie is also very familiar with cholecystectomy.

Stripping the gallbladder went well.

It can also be said that the whole operation went well.

It was quite a pleasure to cooperate with Zhao Jie, who was not thinking about it.

Even Zhao Jie himself thought it was cool to support Lin Ran.

It was not until the gallbladder was taken out by Lin Rananan that Zhao Jie shook his head helplessly.

"The back waves of the Yangtze River push the front waves, and the front waves die on the beach!"

Lin Ran chuckled, and put the diseased gallbladder into the nurse's medical tray.

"Send it for inspection."

The nurse on the stage nodded and took the order to leave.

Li Canghai laughed and said, "Lin Ran, you have hit Lao Zhao hard. How about a treat for you after get off work tonight? The old place will do."

Lin Ran stretched out her hand, "No. [-] absorbable suture, tweezers."

While ligating the cystic duct at the resected end, Lin Ran said, "Maybe it won't work tonight, I will help Teacher Li and Director Xu later!"

After listening to Lin Ran's words, Li Canghai also shook his head, "Hey, Lin Ran, you are already far ahead of doctors of your age, and you are still so diligent and let people live?"

The end of the cystic duct is processed, the abdominal cavity is cleaned, the number of instruments is checked, the abdomen is closed and sutured, and the surgical port is bandaged.

Flowing clouds and flowing water, swaying freely.

Zhao Jie commented on the cholecystectomy performed by Lin Ran.

To be precise, it is a small incision cholecystectomy.

Cholecystectomy with an incision of four centimeters is not something that all doctors can do.

A little carelessness may overturn on the spot.

Looking at Lin Ran, Zhao Jie felt complicated.

He was the one who brought Lin Ran to the emergency department a few days ago, but now he has the intention of surpassing him in the blink of an eye.

It makes people feel very uncomfortable!
Monsters are born to attack people.

After walking out of the operating room, Lin Ran heard the system prompt immediately.

100 yuan and 1 cholecystectomy experience are credited, cholecystectomy task +[-].

Hey, this is not the harvest.

Rubbing surgery is still very fragrant.

After Zhao Jie instructed the patient's family members, he came over and said, "Let's go! Finish the operation quickly. I have to have a drink with Lao Li. You are too shocking."

(End of this chapter)