This doctor is very stable

Chapter 32 Torture by the Deputy Chief Physician [6000 words per day, please ask for a recommendation ticket! 】

A doctor who is not eager for surgery is not a good surgeon.

Lin Ran chatted awkwardly with Chen Qiufeng for a while, then walked out of Chen Qiufeng's office with the inspection materials.

He took out his phone and checked the time, it was already four o'clock in the afternoon.

Arriving at the first floor of the emergency department, Lin Ran looked around but did not see Deputy Director Xu.

Walking to the nurse's station, he asked, "Beauties, have you seen where Director Xu is?"

The nurse at the front desk smiled, "Doctor Lin, what you are holding is the patient's examination report, right? The patient with pancreatic tumor and liver cyst?"

Lin Ran was a little surprised, the news spread so fast?

"How did you know?"

A chubby nurse smiled and said: "Doctor Lin, you are the focus of our nurse group now. It can be said that everything about you except going to the toilet cannot escape the supervision of our nurses. You have to be careful!"

Lin Ran was also convinced, and asked curiously, "Aren't you all busy? Pay attention to my gossip all day long."

At this time, head nurse Chuan came over, "Busy! But there is always someone who can sneak in."

As soon as she said that, the little nurses quickly shut up and did their jobs obediently.

Lin Ran hurriedly asked again: "You haven't told me where Director Xu is!"

The older head nurse smiled: "It seems to be doing ward rounds! The fourth floor."

Lin Ran: "Uh..."

Nurses are amazing creatures!I even know which doctor is in which direction.

It seems that you have to be careful when you go to the toilet!

Otherwise, Jiji won't even know it was robbed!
terrible.

But why does Lin Ran feel that even the head nurse is a bit gossip?

Arriving at the ward area on the fourth floor, Lin Ran found Director Xu at No. 420.

Along with Xu Hong, there was a group of small doctors, including interns, regular trainees, residents, and more than a dozen doctors in white coats.

Seeing Lin Ran squeezed into the ward, Xu Hong looked sideways slightly, with a smile on his mouth, seeing that the signature on the medical record in his hand happened to be Lin Ran's, and said: "Lin Ran is your patient, let's talk about hepatic hemangioma Cut it off!?"

Hepatic hemangioma resection, wasn't that the surgery I performed yesterday?

Lin Ran pushed everyone away and walked into the ward, took the medical records and glanced at the listless patient.

"Hepatic vascular tumors are generally benign tumors, and can also be divided into multiple hemangiomas and solitary hemangiomas.

"According to the size, it can also be divided into small hemangioma, large hemangioma, and giant hemangioma."

"Hepatic hemangiomas are generally benign tumors, and the treatment methods include interventional embolization and surgical resection."

"Now let me ask you a question! Under what circumstances does a hemangioma need to be resected?"

Lin Ran seemed to put himself in the mode of leading a teacher.

But as soon as he said this, there was no sound in the ward, and everyone looked at Lin Ran's young appearance with some resistance in their hearts.

Anyone who is about the same age as me, or even younger than me, asks a question, and everyone feels a little uncomfortable!

Seeing that there was no one to support Lin Ran, Xu Hong glanced at the group of young doctors, and directly reprimanded: "What? You don't agree with Dr. Lin, right? You think his question is not nutritious, or you simply think that the answer is younger than yourself. The doctor's question is very embarrassing?"

As he spoke, Xu Hong's voice became more and more severe.

"There is no priority in learning, and those who are masters are teachers. If you don't even understand this truth, you still want to be promoted to attending or director in the future?"

"Tell you that there are many residents in the hospital who are 50 and 60 years old, and the positions in the hospital are also one carrot and one hole."

"A capable and capable doctor can perform the surgery, while an incompetent and hard-to-learn doctor can only be eliminated or even fired."

"You are still very young now, I don't want you to be eliminated in the medical field, just muddle along in the hospital all day, and one day pack up and leave in despair."

The little doctors were all trembling from the scolding, and some of them secretly remembered Lin Ran.

At this time, Qian Xuan and Zhou Yue ran in, and Xu Hong glanced at him and asked, "Qian Xuan, you answer, under what circumstances does hepatic hemangioma need to be resected?"

I didn't understand the situation at all, and was suddenly asked by my teacher, the little fatty Qian Xuan was also taken aback, and replied after a while: "Hepatic hemangioma is a kind of benign tumor, and hepatic hemangioma larger than 5cm requires physical resection. , of course conservative interventional embolization would be safer, so I should suggest interventional embolization for patients with hepatic hemangioma.”

Qian Xuan was sweating as he spoke, for fear that his teacher would lose points if he made a mistake!

Xu Hong nodded in satisfaction, then looked at Lin Ran with a smile and said, "Well, Lin Ran, do you think what Qian Xuan said is correct?"

Isn't this a dog biting a dog?Then let Xu Hong, an old fox, be the fisherman's profit?
"Yes, exactly."

Lin Ran nodded quickly, and quickly returned the medical records to Xu Hong. Although asking questions is very enjoyable, it is also very offensive!I was still too young to let Xu Hong use it as a gun.

I'm just a small trainee, I should stand on the same side as the residents I'm being trained on.

As low-level doctors, we should encourage each other, support each other, love each other, make progress together, and build a perfect and harmonious modern medical system together!
That's right, that's the way of thinking. In the future, it's better to do less offending people.

Seeing that Lin Ran had regained his composure, Xu Hong hung the medical records back on the bedside, and asked, "Lin Ran, tell me about the things you need to pay attention to after liver resection."

Listening to Xu Hong asking himself, Lin Ran was relieved, "When it comes to the precautions after liver resection, we must first talk about the sequelae that may occur after liver resection."

"Then what are the sequelae of liver resection? Postoperative infection and bleeding, pleural effusion, bile fistula, the three major sequelae."

"Then how did these three major sequelae form? What are the incentives?"

"Postoperative infection and bleeding: mostly because the patient's sterilization is not strict during the operation, or there are lesions in the patient's skin or liver and gallbladder vascular system, or during the operation, pathogens contaminate the internal organs of the abdominal cavity and induce infection. .In severe cases, there will be systemic inflammation and even shock."

"Pleural effusion: The corresponding lymphatic vessels were ligated during surgery, resulting in abnormal venous return, resulting in some lymph fluid leaking into the chest cavity.

"Biliary fistula: After resection of the liver tumor, dry gauze was not routinely used to check whether there was bile exudation on the liver section, or the bile fistula was found to be ignored or not treated."

"The most effective way to prevent postoperative sequelae is to make more ward rounds, observe the patient's operation situation more, find problems in time, and solve the sequelae as soon as possible is a responsible attitude towards patients."

"Of course, post-hepatectomy care is also the key to preventing sequelae."

"For example, fasting within 2 to 3 days after operation, gastrointestinal decompression, and oxygen inhalation within 24 hours after operation.

"If you continue to use antibiotics to prevent infection."

"Glucose solution and saline are infused daily during the fasting period to maintain water, electrolyte and acid-base balance."

"Daily intramuscular or intravenous infusions of vitamins B, C, and K.

"For patients with more than half of the liver resected or complicated with liver cirrhosis, in addition to actively strengthening liver protection treatment after surgery, appropriate amount of plasma and albumin should be supplemented within 2 weeks after surgery"

"Keep the abdominal drainage open."

"Wait……"

Lin Ran memorized all the information in one breath, and even a group of residents and even individual attending physicians felt their scalps go numb!
Some interns are even copying with a notebook, and there is a "rustling" sound when the tip of the pen slides across the notes.

At the same time, there was a voice in their hearts, this Lin Ran is too good at endorsement!

How did such a long section of extracurricular materials be memorized verbatim?

Moreover, Lin Ranneng added his own words to make the medical knowledge easier to understand.

What a beep dog!
Qian Xuan looked at Lin Ran who was stealing the limelight, and his heart began to feel sore again!
He vowed to memorize the relevant disease information for every patient he encountered after returning home.

He can't lose to Lin Ran next time, otherwise his status in Teacher Xu Hong's heart will definitely not be as good as Lin Ran's!
Although he can't perform third-level surgeries yet, Qian Xuan is talented and willing to work hard, and he will definitely be able to perform first-, second-, third-, and even fourth-level surgeries in the future.

He wanted to surpass Lin Ran one day, and then use his technical advantages to crush Lin Ran, making Lin Ran shivering while hiding in the corner of the disposal room.

Thinking of this, Qian Xuan was full of fighting spirit.

After Lin Ran finished answering, Xu Hong was very satisfied, so he waved his hand and said, "Let's go, go back to work, today's ward round is over here."

When all the little doctors walked out of the ward dejectedly, Lin Ran took out the examination materials that she hid behind her back, brought them to Xu Hong, and said with a smile: "Mr. Xu, this is a patient I saw today."

Lin Ran didn't say much, because he believed that Xu Hong, as a director, would definitely understand his intentions after reading the materials, just like Chen Qiufeng, who could tell at a glance that he wanted to be the director!

When Lin Ran said this, the little doctors who hadn't had time to leave the ward turned their heads and listened!

I hope to hear the words of reprimanding Lin Ran from Xu Hong, including Qian Xuan.

But what greeted them was Xu Hong's fierce eyes that seemed to be able to eat people.

…………

"Doctor Qian, do you know Lin Ran well?"

"I heard that it's been two days since I came to the emergency room."

"I heard it's very powerful. You can often see Lin Ran's news in the nurse group?"

After walking out of the ward, these little doctors whispered.

Xu Hong and Lin Ran didn't mind at all. After reading the inspection materials, Xu Hong glanced at Lin Ran with a smile and said, "Go, go to my office and have a chat."

Following Xu Hong out of the ward, Lin Ran couldn't help asking: "Mr. Xu, can I do this operation?"

Xu Hong shook his head slightly, "Don't worry, the patient doesn't know how to run away, we'll talk in the office, by the way, how did you find out that the patient had pancreatic tumors and multiple liver cysts?"

Xu Hong is now very interested in Lin Ran's diagnosis process. A patient who fell and injured his knee abruptly found out that Lin Ran had a pancreatic tumor and a liver cyst. Are you curious?

When other general doctors in the emergency department encounter a trauma patient, they often have a broken head and broken feet.

As for whether the patient has other serious illnesses, it is not something they can tell!

His intuition told him that if Lin Ran's magic can be spread, then their Hengshan emergency department may undergo earth-shaking changes!

(End of this chapter)