This doctor is very stable
Chapter 258 Questioning also requires courage!
Chapter 258 Questioning also requires courage!
Hearing what Sun Ruhai said, the patient's two sons fell silent for a moment.
After a long time, Xu couldn't understand or accept it. The patient's eldest son said: "Director Sun, didn't you say that it would be better if an expert came from the province to operate on my dad? Now that they have all undergone surgery, you also said that there is still more to do?" For an examination, you said that you will need a flying knife to ask the provincial experts to perform an operation on my dad. You said that the effect of the operation is better, and more money can cure the disease. We accepted it, but now we have to do an examination again. Have you finished the examination? Are you still queuing up for surgery? You guys are not done yet!"
It is said that there is no filial son in front of the bed for a long time.
If spending more money can cure the disease, they will admit it, but now.
It can be rolled out for you even in the operating room.
It is said that an operation can be performed at night after the examination, but once a serious problem is detected, it is not certain whether the operation can be performed.
They have to wait in the hospital and wait in line for surgery. How can they spend so much free time in the hospital!
They are also just ordinary small traders who also need to work to earn money to support their families.
If they don't make money, let alone seeing a doctor and being hospitalized, even the family will be exhausted soon.
Mortgage, car loan, relative loan.
When these three mountains come down, who dares to stop and not work!Not to mention wasting time in the hospital.
They were originally diagnosed with liver cirrhosis and ascites in the hospital. They were looking forward to finishing the operation soon so that their father could recover sooner.
The two brothers gritted their teeth and borrowed money from their relatives, and they were cured.
Not to mention returning to the level of being alive and kicking before, at least I can take care of myself at home!
Let them be children so that they can go out and earn money to support their families.
Time is undoubtedly the most expensive cost!
This kind of situation is also quite embarrassing, just like giving people a kind of hope, and letting people extend this hope later.
How can ordinary patients bear this kind of teasing?
There is no way, Sun Ruhai can only say truthfully, "At present, the experts from the province, that is, Professor Gu suspect that your father is also suffering from pancreatic head cancer. Be responsible, the money you spend may also go to waste, can you understand me when I say that?"
The patient's family spends money to cure the disease. Isn't this going to make the patient's family waste money?
Doctors generally don't want to do that.
This has already involved the issue of medical ethics.
Doctors would rather not cure the disease than to see the patient's family spend all their savings because of the patient's illness and fail to cure the patient's illness.
The patient's youngest son was quite excited, "This... Then what if my father does not have pancreatic head cancer after the examination? And then queue up for surgery again? If my father does have pancreatic head cancer after the examination, what should we do? !"
Compared with his eldest brother, the patient's youngest son just got married not long ago.
Appears to be more affectionate.
When he said this, Sun Ruhai breathed a sigh of relief, as long as the patient's family members were reasonable and wanted to cure the patient's illness, then it would be easier to talk.
"If the patient does not have any problems with the pancreas after the examination, we will perform the operation tonight, but if the patient is diagnosed with pancreatic head cancer after the examination, I suggest that you immediately transfer to another hospital for surgery, because it is not suitable for us in our hospital. Radical surgery for cancer of the head of the pancreas, do you understand me when I say that?"
Sun Ruhai's voice was calm and relaxed, making it sound convincing.
"OK then!"
After all, he is his father!
It's really not good for their father's condition to really make trouble now.
Anyway, if the operation is suspended for a while, it will delay the time, and it will pass after Renren.
In fact, what can they do if they can't bear it!
If there is a real disturbance, they will have to be transferred to the hospital, and it will take more time at that time!
As for dying, they never thought about it. Their father was only under 50 years old, and he didn't suffer from an incurable disease.
If they die, will they still have their spines rubbed when they return to the village?
In the end, the turmoil of suspending the operation subsided.
Lin Ran and the four of them walked back to the locker room together.
Sun Ruhai was still there.
It is enough to hand over the patient to the resident physician for example.
Generally speaking, there are only such special patients in the hospital that doctors can take for examination.
Of course, this patient is special enough.
After entering the locker room, Sun Ruhai said in a nonchalant manner: "Director Gu, Dr. Lin, I'm really sorry! We didn't do a good examination before the operation, and we didn't check the patient's physical condition."
Gu Tianyi shook his head and chuckled, "Old Sun, please don't say that. Before we came here, we have also studied the patient's case information. Sometimes it is difficult to identify the combined diseases. How many surgeons are opening up the patient's abdomen? It was only later that I discovered that the situation inside was beyond imagination!"
Fang Junhui's admiration for Lin Ran at the side has risen to a higher level!
He had just checked himself.
If he encounters this situation, there is a high probability that he dare not point out doubts!
Even if the patient really has cancer of the head of the pancreas, how much does it have to do with liver removal?
They are here for liver resection, not combined hepatopancreasectomy.
It takes courage to overthrow the original diagnosis and raise your own doubts!
Fear of authority, fear of trouble and dare not insist on people and things?
Totally uncommon.
Lin Ran's insistence is completely like roasting himself on the shelf, which is harmful but not beneficial.
If after the examination, the patient is diagnosed with pancreatic head cancer, it is okay.
If no problem was detected, what would Boss Gu and Sun Ruhai think?
What would other people think?
They would definitely say that Lin Ran was too timid and cautious.
If ordinary doctors leave such an impression in front of the leaders, their future may be bleak!
However, these problems and troubles do not exist here in Lin Ran.
Patient No.2 is a patient with hepatic venous hemangioma.
Gender male, age 63, older, and he has high blood pressure. The operation is not very difficult, but the body tolerance is relatively low.
The tumor is relatively large and the patient has high blood pressure, which are two difficulties in this operation.
What is also required is a liver resection.
Soon Lin Ran and the others did the aseptic disinfection work again.
Walking out of the locker room, standing in front of the operating room is still the team of attending physicians.
It's just that after a temporary operation, they were not looking forward to Lin Ran's operation as much as before.
With the twists and turns, the atmosphere of anticipation naturally diminished a lot.
As always, it was Sun Ruhai who dealt with the patient's family.
Soon Lin Ran and the others entered the operating room again.
The anesthetist has changed, and the middle-aged anesthetist just now is probably still with the last patient!
After absorbing the education from the previous surgery, Lin Ran looked at the patient after standing on the chief surgeon's seat on the operating table.
【V4 patients】
[The liver under the abdomen is red, hepatic vein hemangioma, the largest diameter is 6cm, the number is 5...]
…………
Fortunately, there were no special accidents.
Seeing that Lin Ran began to treat a large number of patients again, Boss Gu couldn't help feeling a little nervous.
He was really afraid that Lin Ran would raise another question.
In that case, it is estimated that their knife throwing may be ruined this time!
Lin Ran messed with himself!
It is also cruel enough.
Fang Junhui and He Shaoqiu were also a little nervous.
If their team leader really said something astonishing again, they would dare to suspect that they would be laughed to death by the doctors of the Jiangning No. [-] Hospital on the side.
How can there be a doctor who comes out and throws a knife and smashes his own place by himself!
Fortunately, Lin Ran looked at the anesthetist and spoke out after looking at the life monitor.
"Anesthetist, please give me anesthesia! General anesthesia, two hours."
Five hepatic venous hemangiomas of different sizes were removed under the laparoscope, and Lin Ran was not sure that all of them could be removed within one hour.
Hearing Lin Ran's words, Boss Gu and the others breathed a sigh of relief.
On the other hand, the attending physician team of Jiangning Second Hospital also smiled.
It seems that I can always move the knife this time!
The patient is quite nervous lying on the bed. He is over 60 years old. If he is in good health, this operation may be the first operation in the patient's life!
Lin Ran looked at the patient and comforted him in a soft voice: "Uncle Li, don't be nervous, our operation is not very dangerous, you will be fine after you wake up from sleep."
"Hey! Okay, little doctor..."
Lin Ran couldn't understand the old man's native dialect, but fortunately he could hear Lin Ran's Mandarin and closed his eyes.
The anesthetic takes effect.
The anesthetist in his thirties looked at Lin Ran and chuckled, "Doctor Lin, you can start now."
The anesthetist looked at Lin Ran and felt a little amused and fortunate.
Originally, Lin Ran and his five throwing knives were all in charge of his superior physician, Dr. Lan.
But now his superior doctor is probably still queuing up next to the patient for examination.
Otherwise, how could he get an attending anesthesiologist to serve as a small bench in the flying knife operating room!
Lin Ran reached out, "Tweezers, alcohol cotton, iodophor."
Disinfect before the operation, and the nurse spreads the towel.
Draw the anchor point and cut the observation hole small.
Lin Ran is very familiar with the road, and in the eyes of others, it is only quite satisfactory.
At most, the smell is a little better.
"Puncture needle..."
Lin Ran stretched out his hand without hesitation.
On stage, the operation was suspended before the equipment nurse played a role.
I was more or less a little disappointed in my heart, after all, Lin Ran's appearance was quite resistant.
She was still here to serve Lin Ran in this operation, she was quite happy in her heart.
"Snapped……"
The puncture needle was gently tapped into Lin Ran's hand by the nurse.
Lin Ran didn't notice the unusually rosy face of the equipment nurse.
Of course, even if you look closely at him, you can't notice anything.
The equipment nurses also wore masks to cover them tightly.
Starting with the puncture needle, Lin Ran held the puncture needle in his hand and walked along the observation hole where the small incision was completed.
Start drilling.
Feeling the feedback from the puncture needle in his hand, Lin Ran stared at the display screen of the endoscope.
As the puncture needle gradually submerged into the patient's abdominal cavity, the view of the patient's abdominal cavity was soon displayed on the laparoscopic display screen.
(End of this chapter)
Hearing what Sun Ruhai said, the patient's two sons fell silent for a moment.
After a long time, Xu couldn't understand or accept it. The patient's eldest son said: "Director Sun, didn't you say that it would be better if an expert came from the province to operate on my dad? Now that they have all undergone surgery, you also said that there is still more to do?" For an examination, you said that you will need a flying knife to ask the provincial experts to perform an operation on my dad. You said that the effect of the operation is better, and more money can cure the disease. We accepted it, but now we have to do an examination again. Have you finished the examination? Are you still queuing up for surgery? You guys are not done yet!"
It is said that there is no filial son in front of the bed for a long time.
If spending more money can cure the disease, they will admit it, but now.
It can be rolled out for you even in the operating room.
It is said that an operation can be performed at night after the examination, but once a serious problem is detected, it is not certain whether the operation can be performed.
They have to wait in the hospital and wait in line for surgery. How can they spend so much free time in the hospital!
They are also just ordinary small traders who also need to work to earn money to support their families.
If they don't make money, let alone seeing a doctor and being hospitalized, even the family will be exhausted soon.
Mortgage, car loan, relative loan.
When these three mountains come down, who dares to stop and not work!Not to mention wasting time in the hospital.
They were originally diagnosed with liver cirrhosis and ascites in the hospital. They were looking forward to finishing the operation soon so that their father could recover sooner.
The two brothers gritted their teeth and borrowed money from their relatives, and they were cured.
Not to mention returning to the level of being alive and kicking before, at least I can take care of myself at home!
Let them be children so that they can go out and earn money to support their families.
Time is undoubtedly the most expensive cost!
This kind of situation is also quite embarrassing, just like giving people a kind of hope, and letting people extend this hope later.
How can ordinary patients bear this kind of teasing?
There is no way, Sun Ruhai can only say truthfully, "At present, the experts from the province, that is, Professor Gu suspect that your father is also suffering from pancreatic head cancer. Be responsible, the money you spend may also go to waste, can you understand me when I say that?"
The patient's family spends money to cure the disease. Isn't this going to make the patient's family waste money?
Doctors generally don't want to do that.
This has already involved the issue of medical ethics.
Doctors would rather not cure the disease than to see the patient's family spend all their savings because of the patient's illness and fail to cure the patient's illness.
The patient's youngest son was quite excited, "This... Then what if my father does not have pancreatic head cancer after the examination? And then queue up for surgery again? If my father does have pancreatic head cancer after the examination, what should we do? !"
Compared with his eldest brother, the patient's youngest son just got married not long ago.
Appears to be more affectionate.
When he said this, Sun Ruhai breathed a sigh of relief, as long as the patient's family members were reasonable and wanted to cure the patient's illness, then it would be easier to talk.
"If the patient does not have any problems with the pancreas after the examination, we will perform the operation tonight, but if the patient is diagnosed with pancreatic head cancer after the examination, I suggest that you immediately transfer to another hospital for surgery, because it is not suitable for us in our hospital. Radical surgery for cancer of the head of the pancreas, do you understand me when I say that?"
Sun Ruhai's voice was calm and relaxed, making it sound convincing.
"OK then!"
After all, he is his father!
It's really not good for their father's condition to really make trouble now.
Anyway, if the operation is suspended for a while, it will delay the time, and it will pass after Renren.
In fact, what can they do if they can't bear it!
If there is a real disturbance, they will have to be transferred to the hospital, and it will take more time at that time!
As for dying, they never thought about it. Their father was only under 50 years old, and he didn't suffer from an incurable disease.
If they die, will they still have their spines rubbed when they return to the village?
In the end, the turmoil of suspending the operation subsided.
Lin Ran and the four of them walked back to the locker room together.
Sun Ruhai was still there.
It is enough to hand over the patient to the resident physician for example.
Generally speaking, there are only such special patients in the hospital that doctors can take for examination.
Of course, this patient is special enough.
After entering the locker room, Sun Ruhai said in a nonchalant manner: "Director Gu, Dr. Lin, I'm really sorry! We didn't do a good examination before the operation, and we didn't check the patient's physical condition."
Gu Tianyi shook his head and chuckled, "Old Sun, please don't say that. Before we came here, we have also studied the patient's case information. Sometimes it is difficult to identify the combined diseases. How many surgeons are opening up the patient's abdomen? It was only later that I discovered that the situation inside was beyond imagination!"
Fang Junhui's admiration for Lin Ran at the side has risen to a higher level!
He had just checked himself.
If he encounters this situation, there is a high probability that he dare not point out doubts!
Even if the patient really has cancer of the head of the pancreas, how much does it have to do with liver removal?
They are here for liver resection, not combined hepatopancreasectomy.
It takes courage to overthrow the original diagnosis and raise your own doubts!
Fear of authority, fear of trouble and dare not insist on people and things?
Totally uncommon.
Lin Ran's insistence is completely like roasting himself on the shelf, which is harmful but not beneficial.
If after the examination, the patient is diagnosed with pancreatic head cancer, it is okay.
If no problem was detected, what would Boss Gu and Sun Ruhai think?
What would other people think?
They would definitely say that Lin Ran was too timid and cautious.
If ordinary doctors leave such an impression in front of the leaders, their future may be bleak!
However, these problems and troubles do not exist here in Lin Ran.
Patient No.2 is a patient with hepatic venous hemangioma.
Gender male, age 63, older, and he has high blood pressure. The operation is not very difficult, but the body tolerance is relatively low.
The tumor is relatively large and the patient has high blood pressure, which are two difficulties in this operation.
What is also required is a liver resection.
Soon Lin Ran and the others did the aseptic disinfection work again.
Walking out of the locker room, standing in front of the operating room is still the team of attending physicians.
It's just that after a temporary operation, they were not looking forward to Lin Ran's operation as much as before.
With the twists and turns, the atmosphere of anticipation naturally diminished a lot.
As always, it was Sun Ruhai who dealt with the patient's family.
Soon Lin Ran and the others entered the operating room again.
The anesthetist has changed, and the middle-aged anesthetist just now is probably still with the last patient!
After absorbing the education from the previous surgery, Lin Ran looked at the patient after standing on the chief surgeon's seat on the operating table.
【V4 patients】
[The liver under the abdomen is red, hepatic vein hemangioma, the largest diameter is 6cm, the number is 5...]
…………
Fortunately, there were no special accidents.
Seeing that Lin Ran began to treat a large number of patients again, Boss Gu couldn't help feeling a little nervous.
He was really afraid that Lin Ran would raise another question.
In that case, it is estimated that their knife throwing may be ruined this time!
Lin Ran messed with himself!
It is also cruel enough.
Fang Junhui and He Shaoqiu were also a little nervous.
If their team leader really said something astonishing again, they would dare to suspect that they would be laughed to death by the doctors of the Jiangning No. [-] Hospital on the side.
How can there be a doctor who comes out and throws a knife and smashes his own place by himself!
Fortunately, Lin Ran looked at the anesthetist and spoke out after looking at the life monitor.
"Anesthetist, please give me anesthesia! General anesthesia, two hours."
Five hepatic venous hemangiomas of different sizes were removed under the laparoscope, and Lin Ran was not sure that all of them could be removed within one hour.
Hearing Lin Ran's words, Boss Gu and the others breathed a sigh of relief.
On the other hand, the attending physician team of Jiangning Second Hospital also smiled.
It seems that I can always move the knife this time!
The patient is quite nervous lying on the bed. He is over 60 years old. If he is in good health, this operation may be the first operation in the patient's life!
Lin Ran looked at the patient and comforted him in a soft voice: "Uncle Li, don't be nervous, our operation is not very dangerous, you will be fine after you wake up from sleep."
"Hey! Okay, little doctor..."
Lin Ran couldn't understand the old man's native dialect, but fortunately he could hear Lin Ran's Mandarin and closed his eyes.
The anesthetic takes effect.
The anesthetist in his thirties looked at Lin Ran and chuckled, "Doctor Lin, you can start now."
The anesthetist looked at Lin Ran and felt a little amused and fortunate.
Originally, Lin Ran and his five throwing knives were all in charge of his superior physician, Dr. Lan.
But now his superior doctor is probably still queuing up next to the patient for examination.
Otherwise, how could he get an attending anesthesiologist to serve as a small bench in the flying knife operating room!
Lin Ran reached out, "Tweezers, alcohol cotton, iodophor."
Disinfect before the operation, and the nurse spreads the towel.
Draw the anchor point and cut the observation hole small.
Lin Ran is very familiar with the road, and in the eyes of others, it is only quite satisfactory.
At most, the smell is a little better.
"Puncture needle..."
Lin Ran stretched out his hand without hesitation.
On stage, the operation was suspended before the equipment nurse played a role.
I was more or less a little disappointed in my heart, after all, Lin Ran's appearance was quite resistant.
She was still here to serve Lin Ran in this operation, she was quite happy in her heart.
"Snapped……"
The puncture needle was gently tapped into Lin Ran's hand by the nurse.
Lin Ran didn't notice the unusually rosy face of the equipment nurse.
Of course, even if you look closely at him, you can't notice anything.
The equipment nurses also wore masks to cover them tightly.
Starting with the puncture needle, Lin Ran held the puncture needle in his hand and walked along the observation hole where the small incision was completed.
Start drilling.
Feeling the feedback from the puncture needle in his hand, Lin Ran stared at the display screen of the endoscope.
As the puncture needle gradually submerged into the patient's abdominal cavity, the view of the patient's abdominal cavity was soon displayed on the laparoscopic display screen.
(End of this chapter)
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