the next day.
surgery day.
Lu Wenbin was the first to enter the operating room, and after finishing all the work from laying the drape to the examination, he saw Ling Ran and Huo Congjun who stepped on the door.
Huo Congjun looked calm.
Ling Ran Yushu facing the wind.
Lu Wenbin was under a lot of pressure.
"Patient Li Xingguo, 21 years old, had an open wound, the flexor tendons of the index finger and middle finger were ruptured, and the deep and shallow flexor tendons of the middle finger were all ruptured, which is more complicated..." Lu Wenbin explained this after reading the information in advance.
Ling Ran had also read the information, so while listening and thinking, he couldn't see the expression.
Huo Congjun let out a sigh of relief. This is the only patient he could find today.
The reason why no man's land is no man's land is that within the range of no man's land of the hand, the distribution of tendons is too dense, and the deep and shallow tendons are bound in the narrow tendon sheath. The postoperative adhesion is serious and the recovery function is not ideal.
Now, the deep and superficial tendons are injured at the same time, which means that their respective activities are increased, and the probability of adhesion is greater.
However, none of these were problems for Ling Ran.
The master-level tang method of suturing, while dealing with deep and shallow tendons is only basic.
Ling Ran checked it in sequence, made several palpations, nodded, and said, "Then let's start, suturing the tendon rupture in area II with the Tang method... pen."
As soon as Ling Ran stretched out his hand, Wang Jia, who was concentrating on it, slapped a scriber into his palm. The starting posture was extremely comfortable, and he must have been specially trained.
Looking at Ling Ran, Wang Jia seemed to be very happy to see the faint smile inside the mask.
Huo Congjun originally wanted to say that he was the one to do the surgery, but he just thought about it and didn't say it after all.
"Incision" is often a reward from superior doctors to subordinate doctors, and there is no reason to do it the other way around.
Furthermore, Huo Congjun can't help Ling Ran cut it every time, right? In the end, he still has to practice it himself.
Thinking of this, Huo Congjun looked at Lu Wenbin.
After all, they are all resident doctors in the department. Although they have been released for two or three years, they are like sheep released by their own family. When it is time to milk or shear, they will always come back. Now It is the end of the regular training, and it is the golden period of technological improvement...
Judging from the last operation, Lu Wenbin's performance was also good.
After that, he was also very careful about the patient's prognosis.
If Huo Congjun was the real chief surgeon and Ling Ran was the real first aid, Huo Congjun would probably choose to let Lu Wenbin do the incision. Thinking about it, no matter how miserable it was, it couldn't be worse than Ling Ran's last incision...
There were only three people in front of the operating table, and Huo Congjun's eyes immediately fell on Lu Wenbin's.
Is being watched by the director good or bad
Lu Wenbin's little heart was pounding.
What he was looking forward to the most was for Ling Ran to voluntarily give up the work of cutting and leave it to himself.
If the director helps to speak a word, it will be more secure.
Lu Wenbin wasn't greedy either, but subconsciously felt that Ling Ran didn't rush to practice incision yesterday, either he gave up, or he had some flaws in the "incision" technique, so he knew he was not good at incision and gave up up.
In this way, it seemed logical for Ling Ran to hand over the cutting to others.
Lu Wenbin went through the scene of the middle-aged skater boy flying out of the forest yesterday in his mind, and then he calmed down a little.
"tension."
In the sound of Ling Ran's order, Lu Wenbin realized that he had already drawn the line.
Don't you have to hesitate? Or did you think about it in advance
Lu Wenbin muttered to himself, but hurried to the battle, flattening the patient's somewhat crouched hands, so that the marked part protruded.
When doing this, Lu Wenbin discovered that Ling Ran chose a very good position. Expanding the wound on the basis of the existing wound was originally a very contradictory choice, and every reasonable plan was not easy.
If the operation is regarded as renovating the house, the original wound of the patient is like a load-bearing column in the middle of the house. You cannot dismantle it, change it, or even drill on it. The positions of the columns may be different. To decorate the house well, the relationship between the space in the room and the load-bearing columns must be properly handled.
A perfect solution may not exist, even if it is relatively reasonable, it will take a lot of thought.
Ling Ran cut down with the scalpel.
The bow-holding technique is very basic and not fancy.
But in just a minute or two, Ling Ran had already exposed the field of surgery he wanted.
Lu Wenbin helped tidy up the salt water pad to prevent contamination, while staring at the knife edge in surprise.
Ling Ran, who had to cut twice a few days ago, became a master knife in the blink of an eye
Judging from his experience in the past two or three years of rotating in various departments of Yunyi, most of the senior doctors in the department can only operate like this.
"Have you practiced incision recently?" Huo Congjun was even more shocked, this was the only reasonable explanation he could think of.
"Yes." Ling Ran nodded, he had indeed tried several times.
Huo Congjun was silent.
He felt that he had seen enough, but he didn't expect to see enough.
Before today, if anyone told him that XX had studied hard for three days and mastered the incision technique proficiently, he would have to spray the other party's face.
Or, when Ling Ran opened it earlier, he performed abnormally
At first thought, it seemed to make sense, but in Huo Congjun's memory, Ling Ran's flurry last time didn't seem like he was acting out of order.
"Pull the hook." Ling Ran simply ordered to Lu Wenbin.
Lu Wenbin, who has been a hooker for many years, subconsciously picked up the skin hook and enlarged the incision just now.
The two tendons are clearly exposed.
As far as the incision is concerned, clean and tidy is one aspect, and the most important thing is to facilitate the expansion of the surgical field of view.
As far as Ling Ran's cut is concerned, it can be said to be very beautiful.
At least, Lu Wenbin couldn't find any faults, and it was impossible for him to cut it so well.
Lu Wenbin only felt that his chest was tight. Thinking about how he felt arrogant yesterday, he didn't expect Ling Ran to be really arrogant.
Although no one knew what he was thinking yesterday, Lu Wenbin was still inexplicably ashamed, laughed dryly, and said, "At your speed, outsiders will think you're cheating."
Ling Ran smiled faintly.
"It doesn't matter what other people think." Huo Congjun woke up from the initial shock, and now he grinned happily, almost cutting his head open.
What does the hospital need? What does the department need? What does the head of department need
Isn't it someone like Ling Ran
The road to medicine is long. Those doctors who have practiced suturing for three years, incision for three years, and appendix for three years. They are the deputy director at the age of 45 and the chief physician at the age of 55. Although they are the backbone of the hospital, they are like soldiers in the army. The hospital attaches great importance to and needs an officer corps composed of middle and low-level officers, but does not need a certain low-level officer.
The single doctor that the hospital is constantly pursuing is a doctor who can be the leader, the so-called leader.
They are either the outstanding ones who stand out from the officer corps, or the geniuses who have studied with famous people, or the little babies who fell from the sky.
For example, Wu Mengchao, a big cow in Chinese hepatobiliary surgery, finished his undergraduate degree at the age of 27, and read a paper at the National Surgery Academic Conference 10 years later. He proposed the theory of five leaves and six segments and five leaves and four segments of the liver. The restricted area of the liver lobe, when the general doctor was out of his mind to evaluate the deputy chief physician, he became a well-known expert in hepatobiliary surgery in the country, and was known as the "father of Chinese hepatobiliary surgery". Any hospital has such a leader, just grab one With the bones, you can make up a huge card. Of course, Wu Mengchao's teacher is also very powerful. He is Qiu Fazu, who is known as the "Father of Chinese Surgery".
"By the way, Ling Ran, I heard that you often buy pig's trotters to practice yourself?" Huo Congjun said suddenly.
"I have bought it." Ling Ran put on his microscope glasses, and when he spoke, the frequency in his hand was not slow at all.
"You are still an intern. You can't do it like this. A subsidy of several hundred yuan a month is not enough to buy pig's trotters." Huo Congjun said seriously: "The materials for the practice should not be provided by private individuals. Our emergency department cannot be built for the time being." But it should also provide an environment for doctors to improve according to local conditions. Don’t you think so?”
Huo Congjun turned his head, but looked at Su Jiafu who was sitting on the round stool.
Anesthesiologist Su Jiafu stood up slowly and said, "Yes."
"Reimbursement of pig's trotters doesn't sound good, and it's not easy to do. Like this, you don't have a medical certificate yet. If you're doing the chief surgery, you either write my name or Lu Wenbin's name, and the surgery fee goes to my card for a while. , I’ll transfer it to you again, and you don’t want to refuse, labor income is as it should be.”
Ling Ran was not prepared to refuse at all, but he answered "yes" again, and concentrated on the operation.
Lu Wenbin's envious pull hook lost all strength.
In the hospital, the chief surgeon fills in the director, and the operation fee is paid to the director as usual for operations where the director does not appear. This amount of money was very little before the medical reform, but after the medical reform, it is quite considerable in the surgical clinic.
In particular, the operating fee for the chief surgeon is more than double that of the assistants, nurses and anesthesiologists combined. You can buy pig's trotters at will, or the director forced it to Ling Ran.
Lu Wenbin lowered his head and secretly made up his mind: I have learned the Tang method!
Immediately, pork trotters in sauce, braised trotters, roasted trotters, braised pork trotters, spicy trotters, stewed trotters, chopped pepper trotters, red trotters, beer trotters, rich trotters appeared in his mind , Stewed Pork Knuckles with Corn Oxtail Bamboo Shoots...