Ling Ran's first experience in the operating room was in the form of a medical appendage.
In order to ensure the effect of stopping the bleeding, Ling Ran stretched out his arm and persisted for nearly an hour. When he was released, his entire arm was numb.
However, this also allowed him to observe an operation closely from another angle.
It is also a valuable experience for medical students.
"How do you know that the bleeding point is in the liver capsule?" After the patient's vital signs stabilized, Huo Congjun felt much more relaxed, and he did it himself without notifying the general surgery department.
He himself was born in general surgery. Although he has been transferred to the emergency department for many years, he still has the most business in general surgery.
Ling Ran rubbed his arms, recalling how he felt just now, and said, "Because of the large amount of bleeding, the front of the patient's abdomen is basically exposed, and there is no hemothorax, so pay attention to the situation of the bleeding..."
What Ling Ran obtained was the perfect level of bare-handed hemostasis, which not only increased muscle memory, but also a corresponding knowledge reserve.
It can be said that apart from the lack of on-site experience and the lack of three-dimensional experience, Ling Ran's bare-handed hemostasis has reached the level of a top doctor.
In contrast, although Huo Congjun is the director of the first aid department, his level of hemostasis with bare hands is a little higher than the entry level, far below the professional level, and farther away from the master and perfect level—he is fine. Will not take the time to study manual hemostasis.
This time, Huo Congjun suddenly recalled the pain of being dominated by teachers and talented classmates when he first changed jobs for training.
"You... where did you learn this?" Huo Congjun could only ask from here.
Ling Ran thought for two seconds, and decisively launched "Problem Terminator", and replied: "I learned it in my own clinic."
"My own clinic?"
"Ditch Clinic."
"It's not far from our hospital, a community clinic in the alley of Xiagou?" Huo Congjun thought for a few seconds, but he knew the place, and said, "Xiagou often sends patients to our emergency department. I haven't found such a clinic." Technical…”
Like other community hospitals, Xiagou Clinic basically takes patients with cold and fever as the main source of income. However, it occasionally encounters more complicated cases, such as patients with acute appendicitis who come to see a doctor when their stomach hurts, and patients who come to see a doctor when they have a stomachache for ectopic pregnancy. Patients with acute pancreatitis who came to see a doctor with a stomachache... Or like the boss Yang of the noodle shop last time, if he hadn't met Ling Ran, he would have been referred to Yunhua Hospital after simple treatment at the Xiagou Clinic.
Ling Ran didn't expect that Huo Congjun knew about the Xiagou Clinic, so he simply pushed the question to time and said, "I learned it from the sitting doctor."
"Is there such a powerful sitting doctor in your clinic?" Zhao Lele, who was acting as a first assistant, said something, feeling a little uncomfortable in flattering Ling Ran in disguise.
"Whether it's great or not, I don't know." Ling Ran said, "I only studied for a month."
Zhao Lele said in disbelief, "You can learn it in a month?"
"The learning of skills to stop bleeding with bare hands mainly depends on talent." Ling Ran's answers were all very serious, which didn't match the atmosphere in the operating room at all.
Zhao Lele was pushed so hard that he wanted to put his neck on the beam of the Shadowless Lamp, thinking in his mind - I am the attending doctor, why should my majestic attending doctor praise an intern.
He casually glanced at the little nurse next to him, and noticed the gentleness, the admiration, and the inexplicable feeling he had never had before when they looked at Ling Ran...
Zhao Le felt very disturbed. When he looked at Ling Ran again, it was like when he was in elementary school, on a morning when he didn't do his homework, he looked at the monitor with three bars hanging up to collect his homework.
"The liver is in good condition." After Huo Congjun stopped the bleeding, he treated the exposed intestine and omentum, and he became more relaxed and spoke better.
Zhao Lele, who was in charge of chatting with him, came back to his senses, stretched out his head to observe, and agreed: "The patient is lucky. The director's stitching is perfect, so it shouldn't affect the function."
"It's not only good luck, but also good technique." The endangered patient was saved, and Huo Congjun was also full of achievements, and his mood improved a lot. However, he suddenly remembered Ling Ran's self-assessed action, and the praise stopped, and he said: "However, no matter how good the technique is, you must follow the regulations. Even if you are sure in your heart that you will succeed, you can't do it like this. ,Understand?"
"Yes." Ling Ran is a person who is willing to follow the operating procedure, but what he is willing to follow is the technical procedure, not the administrative procedure.
If it is not the status of an intern, if you change to an attending or deputy chief physician, then doing first aid to stop bleeding with bare hands, would probably be praised by the whole department.
At the same time, Ling Ran is also reflecting on his own series of operations, learning and learning from time to time, it is also appropriate in the medical field.
Medical skills are refined through continuous review.
Huo Congjun intentionally let the atmosphere cool down for a while, but after a while he couldn't help himself, and said, "Generally speaking, pinching the liver with your hands can easily injure the liver. There are five out of ten hepatobiliary complications." one is similar."
Huo Congjun lowered his head, talking while doing things: "Ling Ran's technique just now was quite elegant, the blood flow was smooth, did you use your fingertips?"
For the last sentence, he simply asked Ling Ran.
Happy to see Liexin can be used to describe the mood of the doctor when he sees a special case, just like Huo Congjun at this moment.
In fact, he really wanted to criticize Ling Ran, but he couldn't help satisfying his curiosity first.
Criticism or something, and what is important.
Ling Ran gestured with his hand, and said, "When I reached in, the position was not good, and I used the inner side of the second joint of my little finger."
"Then hug the liver with all your hands?" Huo Congjun thought for a while, and simulated the appearance at that time in his mind.
Ling Ran responded, and said: "Use your knuckles to hold it, so as not to break free."
"This way..." Huo Congjun sighed, but didn't ask further. He is in his fifties, and it will be difficult to learn such a technique again.
The most important thing is that he doesn't have time to learn such unorthodox knowledge.
But I don't know how Ling Ran learned it.
"Shut up later." Huo Congjun said with his head down.
Opening the abdomen is the responsibility of the chief surgeon, while closing the abdomen is often an opportunity for assistants to fight for. For interns, it is even more difficult.
Some resident doctors have to practice for more than half a year before they have the opportunity to close their abdomen.
Although Ling Ran had done a lot of debridement and sutures, they were all minor surgeries, not even considered surgeries recognized by ordinary people. The abdominal closure operation still attracted him, and he couldn't help being shocked.
Huo Congjun was still turning his stomach.
He had figured it out now, after the patient's liver was injured on the operating table, it was squeezed into a corner. If Ling Ran wanted to stretch his finger in and hold the wound, he could only use his softest and shortest little finger.
Using the virtual grip method, the problem of organ deviation is solved, and the secondary damage is reduced to the greatest extent...
However, the inflexibility of the little finger has troubled many surgeons in the past hundred years. Huo Congjun felt that even a doctor who had spent his whole life in the operating room might not be able to do this kind of trick.
But it was the first time for such a doctor to enter the operating room.
When it comes to talent, it is embarrassing.