"Who asked you to sew up the tendon! You take care of the wound, and the tendon will be handed over for a deadline." Zhao Yue frowned. Debridement and suture is the job of the emergency department, and it is suitable for anyone to sew the tendon. Sutures and vascular anastomoses are beyond the scope. In theory, none of them are suitable for sutures.
"You just said..." Ling Ran paused for a moment, and said in a paraphrased tone, "Let me sew your arm."
"I said arm, does arm include hand?"
"Isn't it included?" Ling Ran asked calmly.
Zhao Lele didn't do the operation, and still held the pliers with one hand and put it upright on the front of the patient's calf, and said, "I want you to treat a few wounds. I don't want you to suture the tendon of the hand."
Ling Ran said "Oh", as if expressing that he knew what he meant, but the movements of his hands did not stop, and they were still in a familiar rhythm and stable state.
"Hey, what do you mean... You did it on purpose, right? I guess right, you did it on purpose, right." The more Zhao Lexi said, the more he felt that was exactly the case.
The intuition of the doctor in charge of a nearly middle-aged male with white body and skinny pseudo-milk dog told him that Ling Ran must have been deliberately ambiguous, just to perform a tendon suture.
Because, if he has suturing skills like open hanging, he will try his best to find an opportunity to perform a tendon suture and vascular anastomosis.
Zhao Lele was the first doctor in charge who saw Ling Ran's ability to stop bleeding with bare hands, and also saw Ling Ran's suturing skills. To a certain extent, he believed in Ling Ran's technique, otherwise, he would not let it go. Ling Ran went to sew his arm.
However, anyone who has been a doctor knows how difficult it is to fight for opportunities.
For example, when he was an intern, he served tea and water to the teaching teacher, helped write medical records, ran errands to buy food, obeyed his advice, behaved with a smile, what rewards did he get? It's an opportunity to shut up.
No one will let you experience surgery as if you were living in vain. It took Zhao Lele 3 hours to try appendicitis surgery for the first time, of which one hour was used to open the appendix to find the appendix, and two hours was used to find the gauze. To be precise, the last hour was spent by the doctor who taught him to help find the gauze.
Zhao Le was very impressed. On that day, the teaching doctor was not angry, at least not as angry as he usually made a mistake. Because when the teaching doctor decided to let him operate on the appendix, he had already anticipated that something would happen. Less gauze is better than less cecum.
After that appendix operation, Zhao Lexi had another appendix operation, and it went much smoother. He even had some experience when looking for gauze again, so he didn't need to look for so long.
The crux of the problem is that as long as the little doctor grasps the first chance, there will be a second chance, and a third chance, and then there will be countless spells of the same type falling on you, Do it until you puke.
The first time is always the hardest. Patients don't want to be your touchstone, and doctors don't dare to let go easily, and the hospital needs you to prove yourself.
Every patient, every leader, and every hospital wants a doctor who is about forty years old and full of energy, who graduated from a prestigious school with a Ph. More than 10 years of clinical practice and rich experience, more than 50 years of humanistic thinking and reasonableness, the curiosity of a 10-year-old child, the courageous progress of a 20-year-old youth, the stability of a 30-year-old adult, and the experience of a 40-year-old middle-aged, There is the maturity of a 50-year-old man, and the calmness of a 60-year-old man, and he is not bald.
Zhao Lele was able to enter Yunhua Hospital with more strength, but the first laparotomy and appendicitis surgery cleared away technical obstacles for him.
He was better at surgery than other students. Later, when he became a doctor at Yunhua Hospital, he was really better at surgery than most of his classmates. Especially those students who went to municipal hospitals, district hospitals or even county hospitals, or students who simply gave up being doctors.
Zhao Lexi knew the value of opportunities, so he became more and more angry.
Because in his opinion, Ling Ran was simply stealing chickens.
What about respect
What about the disciples who agreed to do their best
What about being nice
Nothing, you started playing tendons
Zhao Lexin said: I haven't played with many tendons before!
"I've taken care of the wounds, and there are a few bleeding wounds that don't need to be stitched up for the time being." Ling Ran was busy operating, and then said: "I will sew up the tendon in the hand as soon as possible, and there will be no delay... "
He has every reason to say so. Ling Ran has experience in hand suturing, and his suturing skills can fully cover the injuries of patients. Plus, as he said, time was on his side.
Anyway, Zhao Le would spend a long time dealing with the wounds everywhere, and there were two resident doctors as assistants beside him, so Ling Ran would not delay at all in suturing his hand, and the effect would only be better.
"I..." Zhao Le was speechless angrily, was he afraid of wasting time
Yes, he is afraid!
but! He is more afraid of medical accidents.
For the wound on the arm, it doesn't matter if the stitches are good or bad. Any resident doctor can stitch them up. If it's done poorly, it's just ugly and the recovery is slower.
Loss of hand function is different.
If one hand loses function due to surgery, it is easy for the patient to complain, sue or even hang a banner.
Looking at Ling Ran who was still fiddling with the patient's fingers, Zhao Le finally stiffened up and said, "Ling Ran, I order you to stop what you're doing now and stop operating immediately."
"Are you sure? I'm suturing with the tang method. If it stops halfway, the patient's tendon injury will be inevitable." Ling Ran glanced at Zhao Yue indifferently. Skill level is one thing, judgment in surgery is another.
For a doctor like Zhao Lele who just wanted to cast aside responsibility and completely lost his judgment during the operation, if he were to take a psychiatric test, his score would be pitifully low.
Perhaps it was because Ling Ran's contempt was too obvious, Zhao Le, who was still hesitating, filled up his anger again, and raised his voice, "Who allowed you to use the tang method to suture..."
"The flexor tendon rupture in the patient's area II happened to be the strike zone for Tang's suture. Why not use it?" Ling Ran thought carefully before suturing. If the condition of the patient's tendon rupture was not suitable for Tang's suture, he would use ordinary suture. The interrupted stitch method to operate, but either way, he is a master.
The flexor tendons of the human hand are divided into 5 zones. Zone II is mainly from the second knuckle to the front of the palm. It is the most complicated area. It is also known as "no man's land", which means that no one can get good results when treating tendon injuries in this area at an early stage. , until Professor Tang Jinbo of JS Nan@tong University.
This is a real master-level achievement, and it can solve the problem of "no man's land" almost perfectly. Judging from Ling Ran's self-test in the practice room, it doesn't even need master-level tang sutures, and professional-level techniques. It can achieve an excellent rate of seventy to eighty percent.
Compared with other methods, it has obvious advantages.
Ling Ran was very confident, and his answer was extremely short, but Zhao Le was stopped by one sentence.
Even though he was the chief surgeon and a doctor whose rank was much higher than Ling Ran's, Zhao Lexi couldn't answer.
What doctors eat is technical food.
On the surface, superior doctors have great control over subordinate doctors, but that is not based solely on their rank, but also on their technical level.
The junior doctor made a mistake, and the superior doctor pointed it out, so naturally he can scold him very readily.
When the scolding is comfortable, the superior doctor can correct the mistakes of the subordinate doctor, reduce the responsibility of the subordinate doctor, and the subordinate doctor will naturally be cocked obediently.
Therefore, the power of superior doctors over subordinate doctors is power based on technology and responsibility.
When Zhao Lexi was unable to take over the operation Ling Ran was performing, he lost control of the operating table.
"Let's continue." Seeing that Zhao Lexi was silent, Ling Ran lowered his head again and began to operate.
Several nurses in the operating room, residents, and doctors who were waiting to go to battle all raised their heads involuntarily, looked at Ling Ran, and then at Zhao Leyi, their heart of gossip flew up, the feeling of watching a big drama in their hearts, It's like being slapped on the face with a snowball in the dog days and stuffed into the chest.