This doctor is very stable

Chapter 16 Ambition for the freedom of the main sword

Li Canghai saw that Zhao Jie was teaching while undergoing surgery, so he came to joke, "Old Zhao, don't shake your hands when you talk! Just in case you puncture the patient's gallbladder!"

"Fine cut."

After fixing and blocking the veins and arteries of the liver, Zhao Jie began to prepare to sweep the lymphatic membrane.

"Don't tell me, I often puncture my gallbladder when I kill chickens and ducks."

"Lin Ran, can you tell me what will happen if the gallbladder is cut during the liver resection operation, and what to do?"

Zhao Jie was talking, but he didn't stop working. He didn't even leave his eyes from the patient's liver. Dual-tasking is the basic skill of every surgeon. How can he be a surgeon if his anti-interference ability and psychological endurance are not strong?
Lin Ran held the hook in his hand, and began to think hard, gallbladder ruptured?

"When the gallbladder ruptures, bile will flow into the abdominal cavity. Bile is a strong irritating substance to the peritoneum, which can cause biliary peritonitis. Once biliary peritonitis occurs, severe infection will occur, leading to septic shock and eventually death."

"Therefore, if the gallbladder is accidentally punctured during the operation, the gallbladder should be removed immediately, the abdominal cavity should be rinsed with normal saline, and an abdominal drainage tube should be placed to drain the undrained exudate and bile out of the body, and antibiotics should be given at the same time. Treat the infection."

Don't dare to say anything else, Lin Ran is not afraid of anyone who memorizes the materials!
Zhao Jie scans the membrane slowly, but carefully, "Well! The foundation is good, and the memory is also very good, so what if the blood vessel is accidentally clipped when blocking the liver vein!"

Lin Ran frowned. Every day during abdominal surgery, hemorrhage may occur, so I asked questions about the real knowledge points.The medical monk grew up from the teacher's various questions!

"Teacher, I'm really not sure about this, please explain it to me!"

Is it really the best choice for the teacher to answer all the questions correctly?

The answer is definitely not, why do you need a teacher after you are done?

All the answers are correct, and the teacher doesn't even have a chance to explain the topic. How can you be happy?

"Well, let me tell you, the blood vessels of the liver have 2 hepatic blood vessels and 1 hepatic blood vessel. The hepatic blood vessels are the hepatic artery and portal vein, and the hepatic blood vessels are the hepatic vein..."

"All in all, the blood from the pinched artery will spurt out, and the patient may die in less than 3 minutes."

"The broken veins also cause massive bleeding, and bleeding during surgery is a risk of death for patients."

"In the face of massive intraoperative bleeding, it is necessary to determine the bleeding point as soon as possible, and block it immediately, and in critical cases, you can stop the bleeding with bare hands."

"Press the bleeding point with your fingers to prevent the patient from losing blood quickly..."

Lin Ran watched the operation and listened to Zhao Jie's speech with great interest.

He had to respond from time to time, which made Zhao Jie, who had a strong desire to chat, smile.

Sure enough, let the superior doctor blow it up, where does the happy atmosphere come from if you don't blow it up?
Zhao Jie finished sweeping the lymphatic membrane while talking eloquently. It has been a long time since he had such a pleasant operation.

Sometimes the mood on the operating table is also very important. It is too difficult to meet a young man who I admire and can talk to.

The personality of a medical student is either dull or too cunning, neither is his ideal student, until Lin Ran's appearance surprised Zhao Jie, licking but not wet, that's what he wanted!

"a."

With a happy mood, the operation has come to an important stage, the removal of the tumor liver segment.

Zhao Jie was not talking, he held his breath and devoted himself to the excision work.

The others also held their breath and did not dare to make a sound, for fear of disturbing Zhao Jie.

When the electric knife touched the liver, white smoke came out, followed by a smell of meat.

The electric knife was very stable, and slowly passed across the patient's left liver segment. After a while, the liver segment and the tumor were removed.

The resected liver segment is about 3cm long, accounting for one-third of the entire liver.

After cutting, Zhao Jie's forehead was covered with thick sweat.

Turning off the electric knife, Zhao Jie breathed a sigh of relief, took out the liver segment with tweezers, put it into the petri dish prepared by the nurse in advance, and said, "Send it for examination."

The nurse on the stage was holding the petri dish, as if she had received an imperial edict, her face was full of glory.

After the nurse wiped Zhao Jie's sweat, Zhao Jie smiled, "Lin Ran, it's your first time participating in a tertiary operation!"

Lin Ran nodded: "Well, I'm the second assistant in a third-level surgery for the first time, Mr. Zhao, I've learned a lot today."

While observing the operation, Lin Ran also verified in his heart that he had just acquired the skills of liver resection surgery.

If this operation is handed over to Lin Ran, how should it be performed and where should it be performed...

Lin Ran has carefully compared his own ideas with Zhao Jie's, and there is not much difference.

However, Zhao Jie's surgical skills should be above the intermediate level, and his liver resection skills are only at the elementary level, so he may not be able to do it.

After waiting for seven or eight minutes, the nurse came in with good news, "Dr. Zhao, the edge is clear."

Zhao Jie nodded in satisfaction and started finishing work.

If the edge is not clear, it must be cut, which is very detrimental to the patient.

Once cut clearly, patients benefit the most.

…………

When it was time to close the abdomen, Zhao Jie looked up at Lin Ran and smiled, "Lin Ran, you can close the abdomen!"

Lin Ran was delighted to be able to get to the end of abdominal closure. Every surgeon starts with abdominal closure.

It is authority when the chief knife speaks out, no matter how envious Liu Yuming is, he dare not say anything more.

Who made Zhao Jie suffer from him!Fortunately, Zhao Jie is still willing to take him to the surgery, and now he has to wait for Zhao Jie's impression of him to change.

Picking up the tweezers and the needle holder, Lin Ran said, "Nurse of equipment, check the equipment."

"Five pieces of gauze, and the number of instruments, Doctor Lin, you can suture now."

Zhao Jie nodded in satisfaction. He deliberately didn't check the equipment just now, so he wanted to test Lin Ran.

Medicine is rigorous, and doctors tend to slack off at the last minute.

Any carelessness on the operating table can cause serious accidents.

Training a medical monk starts with the daily details of surgery, and details often determine success or failure.

The figure-of-sight suture method in the peritoneal membrane, the interrupted suture method in the tendon layer, and the same figure-eight suture method in the epidermis.

The final skin stitching is the part Lin Ran is most proud of, because his skin stitching has been upgraded to the intermediate level, and the sensitivity of the new cutie chief surgeon title has been added.

Lin Ran's superficial suture was close to an advanced level.

Seeing that Liu Yuming was drooling, Zhao Jie nodded in satisfaction.

Growing fast!Last time Zhao Jie remembered that Lin Ran's stitches were rough when he closed his abdomen, which was far worse than now.

In the end, the bandaging work was done, and the anesthetist Li Canghai was the first to talk, "Old Zhao, it seems that you have found a treasure. Xiao Linran's suture skills should soon surpass yours! This growth rate is too fast!"

Zhao Jie nodded. He really didn't realize before that Lin Ran still had a talent for sewing, but now it seems that he underestimated Lin Ran.

"It's better to grow faster, but Lin Ran, don't be inflated! Pride makes people fall behind."

Lin Ran nodded and smiled, "How am I so good at suturing? How dare I swell, I'm afraid the swell will explode immediately!"

After chatting for a while, the patient's condition was stable, and Liu Yuming rushed to finish writing the medical records.

Zhao Jie led the way out of the operating room, followed by Lin Ran outside.

The operation lasted for an hour and a half, and the family members of the patient outside the operating room had already been waiting to smoke.

A well-dressed beautiful woman greeted her and said, "Doctor, how is my father's surgery?"

Zhao Jie took half a step back and said with a smile: "The patient's tumor has been removed, the operation went smoothly, and the resection effect is also very satisfactory."

Communicating with patients is also a science. What should be said, what can be said, what cannot be said, and how to explain clearly... There are skills.

Just as Zhao Jie was communicating with the patient's family, Lin Ran heard a systematic mentioning sound.

[Ding: Congratulations to the host for participating in the liver resection of a V4 liver cancer patient, and received a reward of RMB: 100 yuan and 200 experience points for liver resection]

【叮:三星级任务(鲜红的肝脏)2/30，任务奖励，1、人民币:10000元，2、肝切除手术经验2000。】

Sure enough, it still smells like surgery!If he can get ten liver resection operations, then his liver resection surgery skills can be upgraded to the intermediate level.

Intermediate liver resection skills are still at the level of attending physicians!

Just thinking about it makes me excited. With an intermediate liver resection as a foundation, Lin Ran believes that he will soon be able to achieve the freedom of being the surgeon.

When they came to the locker room, Liu Yuming followed Zhao Jie and Lin Then, looking at the door of the locker room, he hesitated.

Combining Lin Ran's performance and Zhao Jie's satisfaction with Lin Ran, Liu Yuming felt that his position as the first assistant was not guaranteed!

But there is no way, the authority of the chief surgeon is greater than everything else.

Liu Yuming walked into the locker room, Zhao Jie was washing his hands and saw Liu Yuming walking in, he smiled and said: "Xiao Liu, we can get off work after one more operation, or let Lin Ran help with this last operation, Pull the hook!"

Liu Yuming now has ten thousand "fucking mud horses" in his heart, and he still can't escape the one that should come!

"I have no problem, you decide."

Seeing that Liu Yuming's attitude was not bad, Zhao Jie said again: "Little Liu, you have been with me for two years now! At the beginning you were not as impetuous as you are now! Why do you think you can be the chief surgeon now? "

Liu Yuming opened his mouth, "Teacher, I don't think it's a problem for me to have an appendicitis operation!"

Zhao Jie shook his head lightly, "Since you think so, I will give you and Lin Ran an appendicitis operation tomorrow, so that you can see the difference between the two of you. The taboo of being a doctor is quick success. You are going farther and farther on this road, I am really afraid that letting you be the chief surgeon will make you unable to be a doctor."

Liu Yuming blushed, "Teacher let me try!"

Liu Yuming did not believe that Lin Ran could perform appendicitis surgery better than him!Why did Lin Ran get Zhao Jie's attention when he came here for two years and couldn't get anything in the end?He Liu Yuming refused to accept.

Zhao Jie didn't say much, after all, Liu Yuming was just his student, not his son, and he had no obligation to teach Liu Yuming well.

All he can do is to treat everyone equally, and whoever does it will win, and the opportunity will be there, and whether he can seize it depends on his own good luck.

And Lin Ran didn't care about the twists and turns between the teacher and the student. What Zhao Jie wanted to do was his business, and it had nothing to do with him anyway.

(End of this chapter)