The third example of tang method is very successful.
Not only Huo Congjun and Lu Wenbin felt so, but Ling Ran himself also felt very good.
Just like students doing exam questions, when doctors perform surgery, they often have a feeling of how to do it. Whenever this feeling comes out, the result of the operation will be better than expected, often much better than expected. expected.
The reason is that the high probability is that the patient's condition is consistent with the expectation.
When students are preparing for the exam, they often guess and bet on the questions. Before the doctor performs the operation, this is often the case.
MRI, X-ray, CT machine, or b-ultrasound color Doppler ultrasound, or more expensive positron emission tomography scan, all imaging information, plus various tests, even biopsy, endoscopy, are all in the It is used to add information for the doctor's diagnosis, and it is also used for the doctor's pre-operative diagnosis. If the doctor's bets are all right, the operation will be smooth and comfortable. Look at the usual accumulation and preparation.
Modern medicine seems to be developed, but compared to the complex human body, it is still extremely weak. There was once a doctor named Daben who was the most powerful doctor in China, and his wife was diagnosed with cancer. He took his favorite disciples for a comprehensive examination. The preparation was not insufficient, but the abdominal cavity was opened, and the infiltration of cancer cells was completely beyond expectations. Self-blame and pain, as carefully as possible to clean up the cancer cells and complete the operation, even if there is a little bit of other rational choice, the doctor is not willing to come out of this situation.
It can be said that the unexpected is the worst enemy of doctors.
As expected, it is the prelude to success.
With the development of modern medicine, typical cases are continuously established and expanded.
The most important diagnosis that doctors need to make is what kind of typical case the disease belongs to, whether it can be treated, and how to treat it.
Ling Ran's diagnostic ability is still very weak, but, compared to complicated internal diseases, the diagnostic environment faced by surgeons is relatively simple. If the patient's flexor tendon is ruptured, the tang method can be used. As for how to operate, how to judge, and how to continue during the tang method, Ling Ran needs to bet on the topic and play temporarily.
Perhaps the patient's deep and superficial tendons were ruptured at the same time, which irritated Ling Ran, or perhaps it was the previous two tang sutures that deepened Ling Ran's understanding of the surgical procedure. All in all, the originally planned four-hour surgery may actually take three and a half hours. , It only took two and a half hours, and it was declared complete.
During this period, Ling Ran did not speed up on purpose, nor tried any measures to speed up the operation process.
When Ling Ran dropped the scissors and announced the completion of the operation, Lu Wenbin stupidly packed up his things, while Huo Congjun sat on the round stool, looked up at the clock, and fell into deep thought.
Anesthesiologist Su Jiafu's thighs trembled slightly, and he felt that he had lost more than two catties.
He swore with his memory of more than 600 points in the college entrance examination that the next time he participated in Huo Congjun's surgery, he would bring a round stool with him.
"Can you go back?" Ling Ran checked again, and after confirming that all the medical equipment was not missing, he relaxed.
What the surgeon can do has almost been done, and the next rehabilitation and recovery mainly depends on the patient himself.
Huo Congjun came to his senses with an "en", kicked the round stool flying, and said, "Go back and have a good rest, today's operation is long enough."
Although media reports often show operations of six and eight hours, in hospital life, two and a half hours of continuous surgery is enough to torture people.
Ling Ran took off his gloves, looked at the monitoring equipment in sequence, and followed Huo Congjun out of the operating room.
In most operations in most operating rooms, doctors actually seldom look at the monitor, and the current degree of automation of the monitor is too high. Usually, if it is not called, it proves that there is nothing wrong.
Sometimes, no one pays attention to it.
Ling Ran didn't like this, he had more doubts about automatic instruments than artificial intelligence.
"Lu Wenbin, remember to pay attention to the patient's anesthesia." Before leaving, Huo Congjun gave some extra instructions.
"Yes." Lu Wenbin obediently agreed. As a junior resident doctor, he needs to do all the remaining chores, and if it is during the busy operation time, he will occasionally be urged by the itinerant nurse.
Fortunately... it becomes natural after getting used to it.
Ling Ran came out of the operating room, greeted Huo Congjun, and went into the shower room.
The operating room in the emergency department is configured according to the standard. Although there are only four operating rooms at present, there are eight cubicles in the shower room. Ling Ran let the hot bath water pour over himself, and then carefully recalled the operation just now.
This is the happiest operation he has ever performed. The previous debridement and sutures were also very enjoyable, but the operation was too small and the time was too short, so it ended without much experience.
Today's two-and-a-half-hour surgery included two hours of busy work, a tense and exciting flow time, and after the process, the results were refreshing, and I felt refreshed when I thought about it.
After drying off, Ling Ran was still thinking about where to go, when he saw Dr. Zhou waiting in the corner of the room, looking like he was about to fall asleep.
"Just a shower in the rain, I'm sleepy after waiting." Dr. Zhou yawned.
Ling Ran looked at Dr. Zhou who was guarding his bath, and asked in surprise, "Don't you even need to work?"
"How come I don't need to work." Dr. Zhou slapped the wall and said, "I've found someone to take over."
Ling Ran nodded knowingly.
Although he left the treatment room and lost interest in debridement and suture, in the waiting room of the emergency department, there were still residents, regular trainees, trainees and interns of various departments waiting for the opportunity.
Doctor Zhou snorted twice, and said, "I'm here to give you the money today."
"Is there an operation fee?" Ling Ran asked.
Dr. Zhou was stunned for a moment, then smiled and said, "You're stupid, you're pretty smart. Director Huo asked me to come over and tell you, let me tell you first, the surgery fee for you should have been given to Director Huo, he Letting it to you is his business, and you don't have to think about the rest."
If he wanted to share the operation fee, Dr. Zhou would not give up the operation to others.
The operation fee had to be paid to the chief surgeon, and it was impossible to hand it over to the interns. Since the money was transferred from Huo Congjun's card, he was also worried that there would be a misunderstanding and it would be unsightly, so he specially asked Dr. Zhou to explain it to Ling Ran.
Because money was involved, Dr. Zhou found an empty conversation room, closed the door, and said: "Our hospital currently implements the charging standard of a third-level hospital. The operation fee is approved by the Price Bureau and cannot be changed. It is allocated once. The hospital The newly revised regulations give 50%, that is to say, medical staff can get 50% of the operation fee, which is double that of many hospitals. The second allocation is decided by our department... "
Looking at Ling Ran, Doctor Zhou said again: "For the second allocation, our department's rule is two to one, that is, the chief surgeon gets two-thirds of the operation fee, and the assistants, nurses, and anesthesiologists share the remaining one-third. "
"Most of the surgeries in our hospital are like this. Specifically, for example, the surgery you performed today..."
Dr. Zhou took out the list and said: "You have performed a functional reconstruction of the fingers, and the number is 331521014. On the form, you can see that the operation fee for the second-level hospital is 1210, and the fee for the third-level hospital is 1344. Yuan, we are at the third level, and the charge is 1344. In addition, each additional finger is 210 yuan, so today’s total is 1554 yuan. The one-time allocation to your emergency department is 777 yuan, and the second third is for the chief surgeon. So what you got in the end was 518 yuan. Do you understand?"
"Understood." Ling Ran didn't react too much, he was not too sensitive to money.
Doctor Zhou chuckled, and said, "You are now a high-income earner in our hospital, and you are getting the money from senior medical staff."
Ling Ran asked, "Is there a difference between different professional titles?"
"There's a big difference." Doctor Zhou said: "If you strictly follow the regulations, the junior residents can only perform the first-level surgery, the senior senior second-level surgery, and the junior residents can only do the third-level surgery. This step must be guided by a superior physician, and what you are doing now is a third-level operation, so the chief surgeon must be a senior physician."
Hospitals, like all public institutions, have always had double standards. The so-called strict regulations are tantamount to regulations based on needs. There are also strict regulations such as the consultation system, the prohibition of acupoint walking, the prohibition of accepting please eat, etc...
Ling Ran nodded slowly.
"Ordinary resident doctors do first-level surgery, and the operation fee is only about 100 yuan, and a little less is 70 to 80 yuan, such as debridement and suture. If you do three or four a day, the operation fee is more than 100 yuan." Doctor Zhou paused for a moment, and then said: "As an assistant, you can't get much. Like Lu Wenbin in your group, he can get a big part of the remaining... 259 yuan, maybe take about 150, and give the remaining 100 yuan. Two nurses, one anesthesia point... So, doctors earn really little... "
Ling Ran looked at Doctor Zhou suspiciously, and said, "If Lu Wenbin performs three surgeries a day, Lu Wenbin can get 500 yuan. If that's the case, can he get 15,000 yuan a month?"
"Psychopathy, 20 surgeries a month is enough for a doctor, and 30 surgeries can be exhausting, well, who does 90 surgeries a month..." Dr. Zhou lowered his voice as he saw Ling Ran's eyes clearly wrong.
In Ling Ran's mind, he was flashing the system prompt:
Task: experience Tang method
Task content: Every time 10 tang method operations are completed in a single month, it is considered as a task completion
Mission Reward: Junior Treasure Chest
Current progress: (1/10)