This doctor is very stable

Chapter 10 Acute Perforated Appendicitis
"Then let's get started!"

Zhao Jie also didn't give Lin Ran a chance to refute, it was the mule or the horse that came out for a walk.

Without thinking too much, Lin Ran stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."

Being the chief surgeon has to look like the chief surgeon. Lin Ran has fully analyzed the reasons why Dr. Liu Yuming is disgusted.

Being too utilitarian may be only one of the reasons, and not being decisive enough on the operating table should be the real reason.

After doing the preoperative disinfection, seeing that Zhao Jie was silent, Lin Ran held his breath in his chest, feeling a little nervous.

But I can't stop now. The process of removing appendicitis is clear in my chest. As long as the rhythm is well controlled and the rhythm is not chaotic, there should be no mistakes.

The nurse spread the surgical towel, and Lin Ran immediately said, "Scalpel."

"Snapped."

The scalpel handle in the mechanical nurse's hand slipped into Lin Ran's right hand, everything was so natural.

Bow-holding pose, right lower quadrant cut across.

Seeing Lin Ran cleanly and neatly cut a [-]cm surgical incision, Li Canghai smiled heartily and said, "I think this young man is much better than Liu Yuming under your command."

Zhao Jie glared at him and said, "Don't talk."

Dr. Xiaoguipei is prone to pride, and when he is proud, the rhythm of the operation is easily interrupted. Some residents can't even remember how to find the appendix after the rhythm is interrupted.

However, Zhao Jie's worries were a bit unnecessary. After Su Hao finished ionizing to stop the bleeding, he opened his eyes and exposed his vision. Lin Ran raised his mouth slightly. The appendix hidden behind the colon could not escape his CT eye!
[Grade V2 acute perforated appendix...yellow...needs to be removed...]

"V2 acute perforated appendicitis, how old is this appendix? It's rare to have a V2 grade appendix!"

Without hesitation, Lin Ran stretched out his hand again, "Appendix forceps."

Finding the appendix is ​​a difficult task for residents who have never done it before!
Zhao Jie thinks so.

But when he saw Lin Ran open his colon and find the appendix, Zhao Jie was secretly amazed.

He has seen many resident doctors perform appendectomy, but it is rare to pull out the appendix at a glance.

Even sometimes, even when he makes his own appendix, he needs to search for it according to the "three intestines search for appendix"!

Unable to understand, Zhao Jie attributed Lin Ran's ability to find the appendix in the first place to shit luck.

Lin Ran glanced at the suppurated, yellowed, hypertrophied appendix with a perforated root, and frowned slightly.

There is a large amount of yellow purulent fluid in the omentum of the right lower abdominal cavity. If the cecum where the omentum and appendix are attached together also causes inflammatory pus adhesion, then this operation must be done by Mr. Zhao Jie.

Similarly, Zhao Jie also frowned slightly, and intern Su Hao even took a deep breath. If he were to be the chief surgeon now, his mentality would collapse immediately.

Lin Ran carefully checked the omentum, cecum, and colon in the abdominal cavity.

[Peritoneal omentum...green...healthy...]

[Cecum...green...healthy...]

[Colon...green...healthy...]

…………

"Okay." After checking, Lin Ran couldn't help heaving a sigh of relief.

No inflammatory suppuration occurred in other tissues, luckily in misfortune, good luck will indeed favor the handsome man.

"Sterile gauze, hemostat."

The cecum was padded aside with sterile gauze to expose the hypertrophic appendix, and the root of the appendix was clamped with hemostatic forceps.

The hypertrophic appendix was removed cleanly and crisply by Lin Ran, and placed in a medical tray.

Zhao Jie's frown also loosened. Acute appendicitis with such a complicated situation is not common to him, and even now he is not sure whether there is purulent inflammation in the tissues around the appendix.

But Li Canghai looked at the ejaculated appendix, and teased, "Doctor Xiaolin, this is the first appendix you cut out! Do you want to take it home and soak it in formaldehyde as a souvenir?"

"No need, if Dr. Li likes to drink, you can take it home and stir-fry sauerkraut as a gift."

The two little nurses in the operating room laughed, "Haha!"

But Zhao Jie stared at Lin Ran's operation until he ligated the appendix omentum before he asked aloud, "Lin Ran, aren't you worried that the abdominal omentum and cecum are suppurating?"

While bandaging, Lin Ran said, "Worry! But I've made preliminary investigations, and the situation shouldn't be too bad."

After ligating the mesoappendix, Lin Ran continued to say:
"alcohol cotton."

"Carbolic Carbonate Injection."

"Saline."

Wash away the yellow color and purulent exudation to prevent infection at the end of the appendix. At the same time, the cecum and the omentum of the abdominal cavity that were just next to the appendix also showed a healthy dark red color. It is only the surrounding fatty suppurative infection, which is relatively easy to remove.

Lin Ran had already secured the victory, and he didn't have much worry in his heart. It was very simple and a piece of cake for him to wipe away the infected fat around him.

"Fine cut."

Seeing that Lin Ran was so calm during the first operation, Zhao Jie would have applauded Lin Ran if he was not afraid that Lin Ran would swell.

Su Hao, an intern doctor, has been dumbfounded for a long time. He didn't expect that there are so many twists and turns in an appendicitis operation. It's more interesting than the climax of a small movie.

"Wonderful……"

The anesthesiologist Li Canghai praised Lin Ran after sweeping Zhou Fatty.

Li Canghai was not afraid that Lin Ran would become arrogant and arrogant, since he was not his student anyway, so he could praise him however he wanted.

"Doctor Lin is great."

Even the little nurse who followed the stage couldn't stand it. In the eyes of the nurses, the time and stability on the operating table are the most important criteria for measuring the quality of the operation. Of course, being handsome is also very important.

It wasn't until the final stage of closing the abdomen that Zhao Jie couldn't help but nodded in satisfaction.

"Check the equipment, gauze."

With Liu Yuming's lessons learned from the past, Lin Ran didn't want to overturn in the final stage of abdominal closure.

"Doctor Lin, the equipment and the gauze are all fine."

The armed nurse narrowed her eyes and smiled, as if she wanted to impress Lin Ran.

Closing the abdomen is also a difficult test, the suture technique is the test!
There are three layers to be sutured in closing the abdomen, the first and lowest layer of the peritoneum, the anterior sheath of the rectus abdominis muscle, and the epidermis.

Lin Ran's suturing was unsatisfactory and ugly, but the quality was acceptable.

After Lin Ran finished stitching, Zhao Jie said, "Lin Ran, your stitching skills are too ugly, you need to practice more."

Before Lin Ran could respond, Li Li, the nurse on stage, rushed to talk, "Doctor Zhao is too strict. Doctor Lin has already done a good job, so what does it matter if the stitches are ugly?"

Nurses and doctors are completely in two medical systems, so even doctors and nurses at the attending level will be the best. Of course, if you become a doctor of the director, it will affect the nursing system. If the director can't cure the nurse, you can find the head nurse!
Zhao Jie didn't get angry either, he gave Li Li a bull's-eye look, "Spoof!"

Bandage the wound, the surgery is complete.

Zhao Jie gave the final evaluation very implicitly, "Overall, it's not bad, just practice more stitching."

Lin Ran licked his smiling face and nodded, "Mr. Zhao, I will practice my suturing skills well."

Whether you can still have surgery in the future depends on Mr. Zhao!
Zhao Jie nodded again. Lin Ran just took off his gloves and was about to pick up the medical record and prepare to fill in the operation details.

"Let Xiao Su do the writing of the medical records! The surgeon must have some privileges. After writing the medical records, Xiao Su has to clean up the operating room with the nurses and do the aseptic work, no problem!"

Zhao Jie showed a rare smile.

Su Hao quickly assured, "Of course there is no problem."

Lin Ran finally had the pleasure of being the chief surgeon. It turned out that it was so cool to not have to write medical records and clean up the operating room after the operation.

…………

Walking out of the operating room, the patient's family members greeted him and asked, "Doctor, is my mother's operation going well?"

Zhao Jie smiled reluctantly, "The operation went well."

…………

[Ding: Congratulations to the host surgeon for completing the appendicitis surgery of a V2 patient. The reward is RMB 200, and the appendicitis surgery experience value is 400. 】

【叮:触发一星赏金任务(阑尾炎切除术)，参与并完成阑尾炎切除手术2/10。任务奖励，1、赏金人民币1000元，2、阑尾炎切除术经验2000。】

[Ding: Congratulations to the host for completing the first surgery independently and earning the title "Xinmeng Surgeon"]

[Xinmeng Chief Surgeon: You are a shining chief surgeon Xinmeng. The moment you pick up the scalpel, you dominate the life and death of patients. Please make persistent efforts to save more patients who are tortured by the disease.Wearing effect: The sensitivity of the wearer's hands is +1. 】

"Digging..."

A series of reminders startled Lin Ran, and when he finally heard the attribute of the title, Lin Ran was even more stunned.

Surgeons rely on their hands to eat, and the higher the sensitivity of the hands, the better!

I just don't know if the two titles can be worn together?

[Ding: Wen Xing reminds you, host, you have five title slots, and you can wear five titles at the same time. 】

"The bull coin is big!"

Quickly put on the title of Xinmeng Chief Surgeon.

Why don't you feel anything?Do you want to go to the bathroom to try your hand speed and feel?
The sensitivity has been improved, and the hand speed must be accelerated. I don’t know how it feels!

I don't know if it will be very special or not.

…………

Zhao Jie didn't talk much with the family members of the patients. After getting rid of the family members of the patients, he taught Lin Ran again, "There are many emergency patients, so don't have too much hope for the family members of the patients. Speak concisely and clearly, and don't care whether they understand or not. Understand, the family members of patients are not doctors, you just need to let them listen to you."

Lin Ran regained consciousness..."Uh..."

Before he came to the emergency room, he did think about the issue of patience, but now it doesn't seem to be the case.

Doctors in the emergency department are different from doctors in other departments. Doctors in the emergency department are ten times busier than those in ordinary departments!
The time is naturally relatively short, so there is definitely no time to patiently deal with the problems of the patient's family members.

"Simplify, focus on the key points, and make a long story short."

Lin Ran deeply imprinted these words in his mind.

Walking into the locker room, Lin Ran asked again: "Ms. Zhao, do you still have surgery arrangements?"

Zhao Jie washed his hands, looked at Lin Ran, "No more, what's wrong?"

Lin Ran smiled, "There is no operation, I took a shower, and my body was sweating after two operations in a row."

"Are you taking a bath? It's nice to be young." Zhao Jie sighed, and continued to laugh: "I think back then when I was the first surgeon, I thought about taking a bath after the operation, and then I got used to it after washing. Too much, every time I take a shower, the skin is almost torn."

Lin Ran snickered and asked, "Then teacher, don't you wash it now?"

Zhao Jie... "uh"

"Go and take your shower!"

Lin Ran took a cold shower comfortably, and changed into a clean white coat, feeling much more relaxed.

(End of this chapter)