This doctor is very stable
Chapter 268 Cancer found in hands
Chapter 268 Cancer found in hands
Although the anesthesiologist is young, his skills are not bad.
After a set of anesthesia operation, it is smooth and smooth, and it already has its own style and enthusiasm.
Induction of anesthesia, easy insertion of the catheter, withdrawal of the guide wire, auscultation of chest breath sounds, confirmation of anesthesia entering the body, and connection to the anesthesia machine.
The whole process was not sloppy at all.
This set of operations alone has surpassed many old anesthesiologists!
Be aware that general anesthesia and intubation have certain risks.
General anesthesia, if the anesthetist is inexperienced and improperly operated, can cause serious complications.
Such as reflux, aspiration, pneumonia, tooth loss, bronchial tear...etc.
Under anesthesia, if the patient vomits or regurgitates, the consequences will be serious.
Many patients even die from vomiting, reflux, resulting airway obstruction and pulmonary complications.
After the anesthesia was completed, the patient fell into a coma.
Lin Ran looked at the tall and thin anesthetist and nodded.
"Tweezers, alcohol cotton, iodophor..."
The operation has officially begun!
Preoperative disinfection, nurse laying drape, marking the positioning point, cutting the observation hole, piercing the puncture needle, inflating the pneumoperitoneum, and piercing the laparoscopic end.
Observe the peritoneal field of view and adjust the field of view of the laparoscope.
Lin Ran did it quickly and quickly, quickly and steadily.
The young anesthesiologist working with Lin Ran is called Yang Pengcheng.
It was the first time he saw Lin Ran as the chief swordsman, and he was a little surprised!
The pace is fast, but not chaotic at all. The operation is advanced step by step, just like building a house.
The pre-operative preparations were done perfectly. If the foundation is solid and solid, it will be much easier to build a house on top of it!
And what he admired the most was Lin Ran's sense of rhythm when he moved his hands.
This is good!
Just like he does general anesthesia, it is rare to have his own style and rhythm.
This is also one of the basic reasons why he was able to secure the position of attending physician in the anesthesiology department at the age of 27.
Of course, I want to make surgery or a set of clinical operations have my own rhythm and style.
That is to have a sufficient understanding of patients, and sufficient insights into surgery and clinical operations.
There is no doubt that Lin Ran has begun to develop his own style and rhythm in clinical surgery!
This should be regarded as the sympathy between geniuses!
The operation was advancing and soon entered the climax stage, freeing the hepatobiliary triangle area and separating the liver and gallbladder.
Under the laparoscopic view, the patient's gallbladder has been filled with white stones.
Looking at the gallbladder swelled up to the size of an egg, and seeing the uneven pits appearing on the dark green and round surface of the gallbladder, it is really frightening.
And when Lin Ran freed the bile duct, it gave people a feeling of scalp numbness.
The biliary duct has been eroded in yellow-white shape.
Even the attached liver showed symptoms of inflammation.
In this case, how could the patient not be in so much pain that he was dying of death!
Lin Ran had to guess in his heart when he saw this.
This patient should not have cholecystitis and cancer.
Thinking of this situation, Lin Ran accelerated the speed of dissection.
If the gallbladder and gallstones are removed, cancerous cells are indeed found.
The difficulty of that operation is about to rise to a level!
Of course, Lin Ran has undergone liver cancer and gallbladder cancer, so he is not afraid of anything.
It is the suffering of the patients.
Once cancer occurs, even if it is completely removed, there is still the possibility of recurrence.
Then this patient will live under the shadow of cancer for the rest of his life!
That would have to be said to be a tragedy.
At this moment, Lin Ran heard a system prompt, and he paused slightly.
The others in the operating room became serious.
In the cholecystectomy operation, there is a possibility of cancer, even their doctors can't help but feel anxious.
Doctors are used to watching life and death, and watching too many tragedies, but they still don't become numb, they just become more rational.
Whenever they see that the tragedy is about to repeat itself, they still can't help but worry.
It is precisely because he knows a lot that doctors are afraid and affect people's hearts.
…………
"Clang..."
The blood-stained gallstones and the sound of the gallbladder smashing the tray made one's heart tremble uncontrollably.
Lin Ran's gentle voice sounded in the next moment, "Sent for inspection..."
"Yes."
The little nurse answered with a sense of urgency, and turned around and walked out of the operating room after speaking.
After the little nurse left, Lin Ran started to check and repair the bleeding.
…………
"laugh……"
The door of the operating room was stepped open, and everyone turned their heads involuntarily.
The little nurse who was placed with high hopes frowned, "Director Liu of the pathology department said that cancerous tissue was found in the bile duct."
When she said this, everyone looked at Lin Ran.
Lin Ran blinked and said in a deep voice, "Continue with the surgery."
Once cancerous tissue is found, surgery cannot be simply concluded.
It is necessary to thoroughly clean up possible cancerous tissue and surrounding lymph nodes.
Prevent cancer cells from remaining in the patient's abdominal cavity.
…………
After another half an hour, the operation was completed, but none of the people in the operating room were happy.
"laugh……"
The door of the operating room was stepped open, and Lin Ran led the way out.
The patient's wife and son greeted him.
"Doctor, how is my husband's surgery going?"
Lin Ran nodded, "The operation was relatively successful, but we found cancerous cells during the operation. Although this operation was relatively successful, the possibility of cancer recurrence is not ruled out in the future, so please be careful. Prepare……"
Hearing Lin Ran say that her husband had cancerous cells in his body, the patient's wife's eyes darkened, and she fell limp. .
Fortunately, his son was no longer a little boy, so he supported his mother.
"Doctor, what should we do?"
Having cancer is like setting up a time bomb, how can it not make people feel hopeless!
Lin Ran raised his hand and patiently comforted him: "You don't have to be too nervous, cooperate with the protective work after the operation, pay attention to healthy diet and rest rules after leaving the hospital, and come to the hospital for reexamination regularly, the danger will not be so high."
The patient's wife had already lost her ability to think normally, and said in a hurry: "We must cooperate with the work of the hospital, and we must cooperate with the protection work!..."
In the end, the middle-aged aunt who looked to be in her 40s burst into tears.
Crying louder and louder, Lin Ran took a look at the patient's son, and went straight to the locker room without stopping.
His staying here will not solve any problems, and the work needs to continue.
Tragedy and comedy are just part of the job in a doctor.
It is impossible for them to cure all diseases, and it is impossible for them to share the suffering of patients' families!
A group of people walked into the dressing room. Lin Ran took off his mask after washing his hands. Seeing that they were all silent, he smiled and said, "This is not the first time you have encountered such a situation, so be careful."
Li Jinxia took a deep breath and said with a wry smile: "Although I have seen this kind of operation many times, it is inevitable that I will be a little depressed every time I encounter it! And I once encountered a patient who found cancerous cells in the operating room, and I also did it." We took a very complete protective treatment, but then the cancer of that patient still recurred, and he died in our hospital in the end."
When she said this, everyone became even more silent.
In the end, Lin Ran stopped the topic with a voice, "Okay, don't think so much, the patients count on us in the hospital, and if we are also depressed, who else can the patients count on? Think about it!"
…………
At eight o'clock in the evening, Lin Ran and the others completed six operations in a row.
After changing the surgical gown and taking a shower, and walking out of the locker room, Li Jinxia looked at Lin Ran with a smile and said, "Leader, it's still early, do you want to have a meal together?"
They ate bread, chocolate and milk for lunch, and now they have completed six operations in a row.
Although it does not mean that you are hungry and dizzy, you must be empty in your stomach!
"Cuckoo..."
Fang Junhui's stomach couldn't help protesting, and he quickly smiled and said: "The team leader has been busy all day, and you still have a good meal! Or I can treat you."
Lin Ran sent him 3000 yuan for flying knife yesterday, and Fang Junhui was thinking of spending the 3000 yuan on the joint team!
If I followed Lin Ran and drank spicy food, I couldn't make the rest of the group feel ashamed!
Lin Ran smiled softly, "I have to go to see the house tonight! Why don't you go! I'll treat you."
Yesterday, he earned more than 3 yuan, and thinking of the patients that the team members had admitted, Lin Ran felt very proud!
As he spoke, he immediately took out his mobile phone, transferred 600 yuan to Li Jinxia, and said with a smile: "600 yuan should be enough for the six of you to eat a Haidilao meal!"
"Enough is enough, thank you team leader."
Fang Junhui grinned, "I'll just make it up if it's not enough."
"Thank you, Team Leader."
Flying knives are sure to make a lot of money!The others didn't smile hypocritically either.
Lin Ran parted from them in the lobby on the first floor outside the liver.
They went to the locker room to pack their things and prepare to eat hot pot after get off work.
Lin Ran was about to go to the emergency department. Originally, he planned to call Director Qin to ask about it.
But thinking about it carefully, anyway, since I got off work early today, I might as well go to Qin Yang directly.
If he hasn't got off work so soon, he can help out in the emergency room first!
But before that, I have to go to the canteen to fill my stomach.
…………
After eating bread and drinking milk, Lin Ran's stomach felt much better!
When I came to the emergency room, the lobby on the first floor was still busy.
Just as Lin Ran entered the emergency department, Qian Yue, the head nurse of the emergency department, stopped him.
"Doctor Lin, come here."
Lin Ran pointed to his nose, "Call me?"
"Yup!"
Lin Ran approached the platform obediently, and the head nurse asked mysteriously, "Did our Director Qin find you a house near the hospital?"
"Do you know the head nurse?"
Lin Ran was a little surprised to hear the head nurse mentioning the matter of renting a house!
Director Qin doesn't look like someone with a big mouth either!
"Of course I know, what can I do if that guy Qin Yang leaves! Let me tell you that I found the house. Lin Ran, you are still young, listen to my sister's advice, don't move here, otherwise you will not even be able to move here in the future." There is no time to find a girlfriend!"
(End of this chapter)
Although the anesthesiologist is young, his skills are not bad.
After a set of anesthesia operation, it is smooth and smooth, and it already has its own style and enthusiasm.
Induction of anesthesia, easy insertion of the catheter, withdrawal of the guide wire, auscultation of chest breath sounds, confirmation of anesthesia entering the body, and connection to the anesthesia machine.
The whole process was not sloppy at all.
This set of operations alone has surpassed many old anesthesiologists!
Be aware that general anesthesia and intubation have certain risks.
General anesthesia, if the anesthetist is inexperienced and improperly operated, can cause serious complications.
Such as reflux, aspiration, pneumonia, tooth loss, bronchial tear...etc.
Under anesthesia, if the patient vomits or regurgitates, the consequences will be serious.
Many patients even die from vomiting, reflux, resulting airway obstruction and pulmonary complications.
After the anesthesia was completed, the patient fell into a coma.
Lin Ran looked at the tall and thin anesthetist and nodded.
"Tweezers, alcohol cotton, iodophor..."
The operation has officially begun!
Preoperative disinfection, nurse laying drape, marking the positioning point, cutting the observation hole, piercing the puncture needle, inflating the pneumoperitoneum, and piercing the laparoscopic end.
Observe the peritoneal field of view and adjust the field of view of the laparoscope.
Lin Ran did it quickly and quickly, quickly and steadily.
The young anesthesiologist working with Lin Ran is called Yang Pengcheng.
It was the first time he saw Lin Ran as the chief swordsman, and he was a little surprised!
The pace is fast, but not chaotic at all. The operation is advanced step by step, just like building a house.
The pre-operative preparations were done perfectly. If the foundation is solid and solid, it will be much easier to build a house on top of it!
And what he admired the most was Lin Ran's sense of rhythm when he moved his hands.
This is good!
Just like he does general anesthesia, it is rare to have his own style and rhythm.
This is also one of the basic reasons why he was able to secure the position of attending physician in the anesthesiology department at the age of 27.
Of course, I want to make surgery or a set of clinical operations have my own rhythm and style.
That is to have a sufficient understanding of patients, and sufficient insights into surgery and clinical operations.
There is no doubt that Lin Ran has begun to develop his own style and rhythm in clinical surgery!
This should be regarded as the sympathy between geniuses!
The operation was advancing and soon entered the climax stage, freeing the hepatobiliary triangle area and separating the liver and gallbladder.
Under the laparoscopic view, the patient's gallbladder has been filled with white stones.
Looking at the gallbladder swelled up to the size of an egg, and seeing the uneven pits appearing on the dark green and round surface of the gallbladder, it is really frightening.
And when Lin Ran freed the bile duct, it gave people a feeling of scalp numbness.
The biliary duct has been eroded in yellow-white shape.
Even the attached liver showed symptoms of inflammation.
In this case, how could the patient not be in so much pain that he was dying of death!
Lin Ran had to guess in his heart when he saw this.
This patient should not have cholecystitis and cancer.
Thinking of this situation, Lin Ran accelerated the speed of dissection.
If the gallbladder and gallstones are removed, cancerous cells are indeed found.
The difficulty of that operation is about to rise to a level!
Of course, Lin Ran has undergone liver cancer and gallbladder cancer, so he is not afraid of anything.
It is the suffering of the patients.
Once cancer occurs, even if it is completely removed, there is still the possibility of recurrence.
Then this patient will live under the shadow of cancer for the rest of his life!
That would have to be said to be a tragedy.
At this moment, Lin Ran heard a system prompt, and he paused slightly.
The others in the operating room became serious.
In the cholecystectomy operation, there is a possibility of cancer, even their doctors can't help but feel anxious.
Doctors are used to watching life and death, and watching too many tragedies, but they still don't become numb, they just become more rational.
Whenever they see that the tragedy is about to repeat itself, they still can't help but worry.
It is precisely because he knows a lot that doctors are afraid and affect people's hearts.
…………
"Clang..."
The blood-stained gallstones and the sound of the gallbladder smashing the tray made one's heart tremble uncontrollably.
Lin Ran's gentle voice sounded in the next moment, "Sent for inspection..."
"Yes."
The little nurse answered with a sense of urgency, and turned around and walked out of the operating room after speaking.
After the little nurse left, Lin Ran started to check and repair the bleeding.
…………
"laugh……"
The door of the operating room was stepped open, and everyone turned their heads involuntarily.
The little nurse who was placed with high hopes frowned, "Director Liu of the pathology department said that cancerous tissue was found in the bile duct."
When she said this, everyone looked at Lin Ran.
Lin Ran blinked and said in a deep voice, "Continue with the surgery."
Once cancerous tissue is found, surgery cannot be simply concluded.
It is necessary to thoroughly clean up possible cancerous tissue and surrounding lymph nodes.
Prevent cancer cells from remaining in the patient's abdominal cavity.
…………
After another half an hour, the operation was completed, but none of the people in the operating room were happy.
"laugh……"
The door of the operating room was stepped open, and Lin Ran led the way out.
The patient's wife and son greeted him.
"Doctor, how is my husband's surgery going?"
Lin Ran nodded, "The operation was relatively successful, but we found cancerous cells during the operation. Although this operation was relatively successful, the possibility of cancer recurrence is not ruled out in the future, so please be careful. Prepare……"
Hearing Lin Ran say that her husband had cancerous cells in his body, the patient's wife's eyes darkened, and she fell limp. .
Fortunately, his son was no longer a little boy, so he supported his mother.
"Doctor, what should we do?"
Having cancer is like setting up a time bomb, how can it not make people feel hopeless!
Lin Ran raised his hand and patiently comforted him: "You don't have to be too nervous, cooperate with the protective work after the operation, pay attention to healthy diet and rest rules after leaving the hospital, and come to the hospital for reexamination regularly, the danger will not be so high."
The patient's wife had already lost her ability to think normally, and said in a hurry: "We must cooperate with the work of the hospital, and we must cooperate with the protection work!..."
In the end, the middle-aged aunt who looked to be in her 40s burst into tears.
Crying louder and louder, Lin Ran took a look at the patient's son, and went straight to the locker room without stopping.
His staying here will not solve any problems, and the work needs to continue.
Tragedy and comedy are just part of the job in a doctor.
It is impossible for them to cure all diseases, and it is impossible for them to share the suffering of patients' families!
A group of people walked into the dressing room. Lin Ran took off his mask after washing his hands. Seeing that they were all silent, he smiled and said, "This is not the first time you have encountered such a situation, so be careful."
Li Jinxia took a deep breath and said with a wry smile: "Although I have seen this kind of operation many times, it is inevitable that I will be a little depressed every time I encounter it! And I once encountered a patient who found cancerous cells in the operating room, and I also did it." We took a very complete protective treatment, but then the cancer of that patient still recurred, and he died in our hospital in the end."
When she said this, everyone became even more silent.
In the end, Lin Ran stopped the topic with a voice, "Okay, don't think so much, the patients count on us in the hospital, and if we are also depressed, who else can the patients count on? Think about it!"
…………
At eight o'clock in the evening, Lin Ran and the others completed six operations in a row.
After changing the surgical gown and taking a shower, and walking out of the locker room, Li Jinxia looked at Lin Ran with a smile and said, "Leader, it's still early, do you want to have a meal together?"
They ate bread, chocolate and milk for lunch, and now they have completed six operations in a row.
Although it does not mean that you are hungry and dizzy, you must be empty in your stomach!
"Cuckoo..."
Fang Junhui's stomach couldn't help protesting, and he quickly smiled and said: "The team leader has been busy all day, and you still have a good meal! Or I can treat you."
Lin Ran sent him 3000 yuan for flying knife yesterday, and Fang Junhui was thinking of spending the 3000 yuan on the joint team!
If I followed Lin Ran and drank spicy food, I couldn't make the rest of the group feel ashamed!
Lin Ran smiled softly, "I have to go to see the house tonight! Why don't you go! I'll treat you."
Yesterday, he earned more than 3 yuan, and thinking of the patients that the team members had admitted, Lin Ran felt very proud!
As he spoke, he immediately took out his mobile phone, transferred 600 yuan to Li Jinxia, and said with a smile: "600 yuan should be enough for the six of you to eat a Haidilao meal!"
"Enough is enough, thank you team leader."
Fang Junhui grinned, "I'll just make it up if it's not enough."
"Thank you, Team Leader."
Flying knives are sure to make a lot of money!The others didn't smile hypocritically either.
Lin Ran parted from them in the lobby on the first floor outside the liver.
They went to the locker room to pack their things and prepare to eat hot pot after get off work.
Lin Ran was about to go to the emergency department. Originally, he planned to call Director Qin to ask about it.
But thinking about it carefully, anyway, since I got off work early today, I might as well go to Qin Yang directly.
If he hasn't got off work so soon, he can help out in the emergency room first!
But before that, I have to go to the canteen to fill my stomach.
…………
After eating bread and drinking milk, Lin Ran's stomach felt much better!
When I came to the emergency room, the lobby on the first floor was still busy.
Just as Lin Ran entered the emergency department, Qian Yue, the head nurse of the emergency department, stopped him.
"Doctor Lin, come here."
Lin Ran pointed to his nose, "Call me?"
"Yup!"
Lin Ran approached the platform obediently, and the head nurse asked mysteriously, "Did our Director Qin find you a house near the hospital?"
"Do you know the head nurse?"
Lin Ran was a little surprised to hear the head nurse mentioning the matter of renting a house!
Director Qin doesn't look like someone with a big mouth either!
"Of course I know, what can I do if that guy Qin Yang leaves! Let me tell you that I found the house. Lin Ran, you are still young, listen to my sister's advice, don't move here, otherwise you will not even be able to move here in the future." There is no time to find a girlfriend!"
(End of this chapter)
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