This doctor is very stable
Chapter 47 Uncle's Liver Cyst Resection [Please collect!Recommended period, the big guys who ha
Chapter 47 Uncle's Liver Cyst Resection [Please collect!Recommended period, the big guys who have seen it have a little collection. 】
As soon as he separated from Qian Xuan, Lin Ran was called by the nurse.
In the emergency department, there are trauma patients with incomplete debridement, which either need debridement and suture, or need to change the dressing.
Moreover, Lin Ran also fed the nurses, so he is naturally indispensable for suturing patients!
The busy time passed quickly, and I just finished the seventh debridement and suture.
Nurse Zhao Qingwu appeared at the door of the treatment room where Lin Ran was, "Dr. Lin, Dr. Zhao asked you to go to the locker room to change into surgical gowns and prepare for the operation."
Lin Ran looked at the electronic clock on the wall, and said with a smile, "Time flies so fast, it's 11:30 in the blink of an eye."
Zhao Qingwu squinted her eyes and said with a smile: "Because Dr. Lin is serious about his work, I feel that the time passes quickly. Little nurses like us are just counting the seconds and looking forward to getting off work!"
Lin Ran shook his head, "Nurses' work is also very meaningful! How can it be boring! Without nurses, we doctors can't do anything!"
To be honest, in a hospital, doctors can treat patients and save lives with peace of mind, all relying on nurses to help with trivial matters.Otherwise, a doctor can't see a few patients after a busy day.
…………
When they came to the locker room, Zhao Jie had already changed into the surgical gown. Seeing Lin Ran walking into the locker room, Zhao Jie smiled and said, "Lin Ran, change quickly, I got ten after I said hello to Dr. Wang." Don't waste a few minutes."
It was Wang Xiaofei who was in line ahead of Zhao Jie to make an appointment for the operating room!
Lin Ran said: "Okay, Mr. Zhao, you go ahead with the surgery, and I'll be right there."
"Operating Room No. 3, don't forget!"
After Zhao Jie finished speaking, he walked out of the locker room.
…………
When Lin Ran walked into the operating room, Zhao Jie had already finished the preoperative disinfection.
Seeing Lin Ran walking in, he smiled and said, "Lin Ran, you are the chief surgeon. I haven't seen your small incision appendectomy before! Let me open my eyes."
After speaking, Zhao Jie took a special look at Li Min next to him.
Lin Ran also saw Li Min who was in his early 40s, with a thin body and no flesh on his face.
"Director Li, good."
Li Min sized it up, and Lin Ran, who had an outstanding appearance and tall figure, nodded slightly and said with a smile: "Dr.
Li Min didn't go to work until eight o'clock in the evening. As soon as he came to the hospital, he found his student and asked about Lin Ran.
If you don't ask, you don't know. When you hear it, you are taken aback.
Lin Ran, a small-scale trained doctor, can improve a small-incision appendectomy.
No wonder Zhao Jie dared to be tough with himself for Lin Ran's operation.
Time is tight, tasks are heavy, and the operation time is delayed. Not only Li Min will be dissatisfied, but the doctors behind him will also be impatient.
Waiting is the worst thing to do.
Lin Ran didn't show any politeness either, and directly stood in the position of the chief surgeon.
Zhao Jie chuckled and said, "I'll help Dr. Lin!"
Lin Ran reached out to take the surgical pen from the nurse, and said, "Mr. Zhao, don't let me go."
After talking about the positioning of Lin Ran's painting, he was as sharp and short as ever.
Both Zhao Jie and Li Min watched without making a sound, but Li Min walked a few steps closer curiously.
"Scalpel."
It's best if they don't make a sound, Lin Ran can just save time.
He took the scalpel and started cutting.
Hold the bow, fast and steady.
Zhao Jie couldn't help but nodded when he saw this, his brows stretched.
Then electrocoagulate the operation port to stop the bleeding, and pull the hook.
The surgical opening was opened, and the opening was only the size of an egg.
The nurse was busy adjusting the lights, and asked while adjusting, "Dr. Lin, please tell me when you are all right."
Li Min was a little puzzled and asked: "Lin Ran, with such a small surgical opening, you can really see what's inside? Don't mistakenly cut the cecum for the appendix."
It was the first time Li Min saw such a small surgical opening without using a laparoscope.
Lin Ran reached out to pick up the appendix forceps that the nurse took over, and replied: "Small incision appendectomy, I have performed six sets today, no problem."
Lin Ran did not answer the question of whether he could see or not, but said that he had no problem.
If there is a systematic diagnostic function, if the cecum can be cut as the appendix.What's the difference between cross-eyed and cross-eyed!
Lin Ran inserted the appendix forceps into the abdominal cavity, Zhao Jie and Li Min couldn't see the abdomen, so they were very curious!
Lin Ran looked at Zhao Jie as if searching, and said, "Teacher, please help me clamp the appendix so that I can remove it."
"Find the appendix so quickly?"
Zhao Jie couldn't believe it. You must know that the smaller the incision, the harder it is to find the appendix. Lin Ran's speed of finding the appendix is faster than the usual incision with a large incision!
"Lin Ran, don't make fun of the patient's health." Li Min said with a straight face.
Lin Ran gave way to the position above the opening, and said confidently: "You can see it."
Zhao Jie poked his head impatiently, and checked the situation in the patient's abdominal cavity with his bull's eye.
The appendix clamp in Lin Ran's hand is not holding the bright red and juicy appendix?
"It's amazing, you can find them all."
Li Min stepped forward, "Show me."
Zhao Jie was a little displeased, "Director Li, I have been a doctor for more than ten years, and I can still see my appendix."
Li Min still said with a straight face: "It's not that I don't believe you, but I'm curious!"
Zhao Jie stepped aside and stretched out his right hand. Seeing this, the nurse immediately gave him appendix forceps.
Li Min had seen the situation in the abdominal cavity, so he had no choice but to nod, "It's indeed the appendix. The young man's eyes are so nice!"
Unable to find any other explanation, Li Min had no choice but to describe Lin Ran's technique of finding the appendix as eyes.
Lin Ran didn't mind either.
When Zhao Jie also inserted the appendix forceps into the patient's abdominal cavity, he clamped the appendix.
The pliers were replaced by an electric knife to cut.
This small incision appendix was done as fast and steadily as ever, and even Li Min, who wanted to find fault, couldn't fault it.
After Lin Ran closed his abdomen and bandaged the wound, Li Min took a special look at the electronic clock on the wall.
[12 minutes and 26 seconds...]
Shaking his head slightly, Li Min said, "It's good to be young. From now on, the emergency department will be dominated by young people."
The two appendectomy operations were performed together, and Li Min had to get rid of the first appendicitis operation, and was a bit hit, so he lost interest in the second appendicitis operation.
But Lin Ran will have a hepatic cyst resection, a tertiary surgery!He really wanted to see if Lin Ran was as experienced in liver resection as he was in appendicitis resection.
The doctor has no other distractions in the operating room, so the time passes quickly.
It took more than an hour and 20 minutes for Lin Ran and Zhao Jie to complete the four stations belonging to Zhao Jie.
After finishing his operation, Zhao Jie is very happy!
He felt that with Lin Ran's participation, not to mention appendectomy, but only cholecystectomy and liver resection, Zhao Jie felt like being fed. Feeding on the operating table is usually done by the superior physician as an assistant to the subordinate surgeon. only!
Because the superior physician must know the patient's abdominal anatomy better than the subordinate physician, so can he tell the subordinate physician what to do next?
Only by being able to think what the chief surgeon thinks and making predictions can the effect of feeding be achieved!
But now Zhao Jie can find this kind of feeding feeling from Lin Ran's assistance.
Doesn't that mean that Lin Ran's understanding of the patient's abdominal cavity is almost better than his own?
Or maybe it's already on par with me!
Thinking of this, Zhao Jie felt a pain in the ass.
The back wave of the Yangtze River pushes the front wave, and the front wave dies on the beach!
…………
To perform surgery on Uncle Cheng, Lin Ran asked the nurse to call Qian Xuan over.
Zhao Jie was even a little hostile when he saw Qian Xuan, but this hostility was instantly suppressed by him.
He, Zhao Jie, is the attending physician, not Lin Ran's full-time assistant, so he doesn't need to compete with young people at all.
Moreover, liver resection is a tertiary operation, so I can be the first assistant and ask Qian Xuan to be the second assistant! !
So there's no need to be jealous!
Lin Ran and the others had just come out of the dressing room after changing into surgical gowns, when they saw Li Min standing outside the operating room chatting with Cheng Xianmin.
Qian Xuan asked in a low voice, "Doctor Lin, Director Li wants to see our operation?"
Before Lin Ran could speak, Zhao Jie chuckled, "Why are you afraid!"
Qian Xuan said stubbornly: "Doctor Lin is the chief surgeon, what am I afraid of?"
Walking into the operating room, Lin Ran stood in the position of the chief surgeon without hesitation.
Just as Qian Xuan was about to stand in the position opposite Lin Ran, Zhao Jie stopped him, "I'll help Lin Ran, please pull the hook."
"Uh……"
Qian Xuan glanced at Zhao Jie resentfully, is it really good for a majestic attending doctor to compete with a Xiaogui Pei for a first aid position?
Zhao Jie pretended not to hear, "Lin Ran, let's start if there is no problem!"
Zhao Jie wanted to rush to help Lin Ran, but he had nothing to say, so he looked at the anesthetist Lao Li and said, "It can be anesthetized, general anesthesia, for two hours."
At this time, Uncle Cheng, who was lying on the bed, asked, "Doctor Lin, is my surgery really safe? Is it possible that I won't be able to wake up after falling asleep?"
Lin Ran smiled and explained: "Uncle Cheng, don't worry, your liver resection operation is not very dangerous, and you will be cured as soon as you wake up."
"Well, that's good. I trust you, Dr. Lin. If there is no Dr. Lin, I don't know if I can find out this disease!"
[The smile is contagious, and the words are not too full, not bad. 】
This was Li Min's evaluation of Lin Ran comforting the patient in his heart.
Doctors can't talk too much, otherwise it is easy to cause medical disputes.
Many conflicts between doctors and patients are caused by doctors saying that there is no room for turning around.
Moreover, once a doctor-patient conflict occurs, no matter whether it is reasonable or not, the doctor will be in trouble.
Li Canghai gave anesthesia, and Lin Ran waited patiently. Zhao Jie saw Lin Ran's face was as calm as water, and asked, "Lin Ran, are you not a little nervous?"
Glancing at Uncle Cheng, Lin Ran said with a smile: "Uncle Cheng, I am the first patient who is fully responsible for me. From the diagnosis, examination, hospitalization, to the operation now, no one knows Uncle Cheng better than me. Physically, I was a little nervous, but not to the point of being scared."
Zhao Jie nodded in praise and said, "Very good."
After a few minutes, seeing that Uncle Cheng had fallen asleep, Lin Ran stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."
Preoperative disinfection is essential.
"Surgical pen."
Unlike appendicitis, liver resection has a key step of sweeping the lymph membrane.
Sweeping the lymphatic membrane requires a relatively large surgical space, so Lin Ran did not blindly force a small surgical incision.
The positioning line draws an arc from the right lower abdomen to the lower midline of the thorax, with a length of about ten centimeters.
(End of this chapter)
As soon as he separated from Qian Xuan, Lin Ran was called by the nurse.
In the emergency department, there are trauma patients with incomplete debridement, which either need debridement and suture, or need to change the dressing.
Moreover, Lin Ran also fed the nurses, so he is naturally indispensable for suturing patients!
The busy time passed quickly, and I just finished the seventh debridement and suture.
Nurse Zhao Qingwu appeared at the door of the treatment room where Lin Ran was, "Dr. Lin, Dr. Zhao asked you to go to the locker room to change into surgical gowns and prepare for the operation."
Lin Ran looked at the electronic clock on the wall, and said with a smile, "Time flies so fast, it's 11:30 in the blink of an eye."
Zhao Qingwu squinted her eyes and said with a smile: "Because Dr. Lin is serious about his work, I feel that the time passes quickly. Little nurses like us are just counting the seconds and looking forward to getting off work!"
Lin Ran shook his head, "Nurses' work is also very meaningful! How can it be boring! Without nurses, we doctors can't do anything!"
To be honest, in a hospital, doctors can treat patients and save lives with peace of mind, all relying on nurses to help with trivial matters.Otherwise, a doctor can't see a few patients after a busy day.
…………
When they came to the locker room, Zhao Jie had already changed into the surgical gown. Seeing Lin Ran walking into the locker room, Zhao Jie smiled and said, "Lin Ran, change quickly, I got ten after I said hello to Dr. Wang." Don't waste a few minutes."
It was Wang Xiaofei who was in line ahead of Zhao Jie to make an appointment for the operating room!
Lin Ran said: "Okay, Mr. Zhao, you go ahead with the surgery, and I'll be right there."
"Operating Room No. 3, don't forget!"
After Zhao Jie finished speaking, he walked out of the locker room.
…………
When Lin Ran walked into the operating room, Zhao Jie had already finished the preoperative disinfection.
Seeing Lin Ran walking in, he smiled and said, "Lin Ran, you are the chief surgeon. I haven't seen your small incision appendectomy before! Let me open my eyes."
After speaking, Zhao Jie took a special look at Li Min next to him.
Lin Ran also saw Li Min who was in his early 40s, with a thin body and no flesh on his face.
"Director Li, good."
Li Min sized it up, and Lin Ran, who had an outstanding appearance and tall figure, nodded slightly and said with a smile: "Dr.
Li Min didn't go to work until eight o'clock in the evening. As soon as he came to the hospital, he found his student and asked about Lin Ran.
If you don't ask, you don't know. When you hear it, you are taken aback.
Lin Ran, a small-scale trained doctor, can improve a small-incision appendectomy.
No wonder Zhao Jie dared to be tough with himself for Lin Ran's operation.
Time is tight, tasks are heavy, and the operation time is delayed. Not only Li Min will be dissatisfied, but the doctors behind him will also be impatient.
Waiting is the worst thing to do.
Lin Ran didn't show any politeness either, and directly stood in the position of the chief surgeon.
Zhao Jie chuckled and said, "I'll help Dr. Lin!"
Lin Ran reached out to take the surgical pen from the nurse, and said, "Mr. Zhao, don't let me go."
After talking about the positioning of Lin Ran's painting, he was as sharp and short as ever.
Both Zhao Jie and Li Min watched without making a sound, but Li Min walked a few steps closer curiously.
"Scalpel."
It's best if they don't make a sound, Lin Ran can just save time.
He took the scalpel and started cutting.
Hold the bow, fast and steady.
Zhao Jie couldn't help but nodded when he saw this, his brows stretched.
Then electrocoagulate the operation port to stop the bleeding, and pull the hook.
The surgical opening was opened, and the opening was only the size of an egg.
The nurse was busy adjusting the lights, and asked while adjusting, "Dr. Lin, please tell me when you are all right."
Li Min was a little puzzled and asked: "Lin Ran, with such a small surgical opening, you can really see what's inside? Don't mistakenly cut the cecum for the appendix."
It was the first time Li Min saw such a small surgical opening without using a laparoscope.
Lin Ran reached out to pick up the appendix forceps that the nurse took over, and replied: "Small incision appendectomy, I have performed six sets today, no problem."
Lin Ran did not answer the question of whether he could see or not, but said that he had no problem.
If there is a systematic diagnostic function, if the cecum can be cut as the appendix.What's the difference between cross-eyed and cross-eyed!
Lin Ran inserted the appendix forceps into the abdominal cavity, Zhao Jie and Li Min couldn't see the abdomen, so they were very curious!
Lin Ran looked at Zhao Jie as if searching, and said, "Teacher, please help me clamp the appendix so that I can remove it."
"Find the appendix so quickly?"
Zhao Jie couldn't believe it. You must know that the smaller the incision, the harder it is to find the appendix. Lin Ran's speed of finding the appendix is faster than the usual incision with a large incision!
"Lin Ran, don't make fun of the patient's health." Li Min said with a straight face.
Lin Ran gave way to the position above the opening, and said confidently: "You can see it."
Zhao Jie poked his head impatiently, and checked the situation in the patient's abdominal cavity with his bull's eye.
The appendix clamp in Lin Ran's hand is not holding the bright red and juicy appendix?
"It's amazing, you can find them all."
Li Min stepped forward, "Show me."
Zhao Jie was a little displeased, "Director Li, I have been a doctor for more than ten years, and I can still see my appendix."
Li Min still said with a straight face: "It's not that I don't believe you, but I'm curious!"
Zhao Jie stepped aside and stretched out his right hand. Seeing this, the nurse immediately gave him appendix forceps.
Li Min had seen the situation in the abdominal cavity, so he had no choice but to nod, "It's indeed the appendix. The young man's eyes are so nice!"
Unable to find any other explanation, Li Min had no choice but to describe Lin Ran's technique of finding the appendix as eyes.
Lin Ran didn't mind either.
When Zhao Jie also inserted the appendix forceps into the patient's abdominal cavity, he clamped the appendix.
The pliers were replaced by an electric knife to cut.
This small incision appendix was done as fast and steadily as ever, and even Li Min, who wanted to find fault, couldn't fault it.
After Lin Ran closed his abdomen and bandaged the wound, Li Min took a special look at the electronic clock on the wall.
[12 minutes and 26 seconds...]
Shaking his head slightly, Li Min said, "It's good to be young. From now on, the emergency department will be dominated by young people."
The two appendectomy operations were performed together, and Li Min had to get rid of the first appendicitis operation, and was a bit hit, so he lost interest in the second appendicitis operation.
But Lin Ran will have a hepatic cyst resection, a tertiary surgery!He really wanted to see if Lin Ran was as experienced in liver resection as he was in appendicitis resection.
The doctor has no other distractions in the operating room, so the time passes quickly.
It took more than an hour and 20 minutes for Lin Ran and Zhao Jie to complete the four stations belonging to Zhao Jie.
After finishing his operation, Zhao Jie is very happy!
He felt that with Lin Ran's participation, not to mention appendectomy, but only cholecystectomy and liver resection, Zhao Jie felt like being fed. Feeding on the operating table is usually done by the superior physician as an assistant to the subordinate surgeon. only!
Because the superior physician must know the patient's abdominal anatomy better than the subordinate physician, so can he tell the subordinate physician what to do next?
Only by being able to think what the chief surgeon thinks and making predictions can the effect of feeding be achieved!
But now Zhao Jie can find this kind of feeding feeling from Lin Ran's assistance.
Doesn't that mean that Lin Ran's understanding of the patient's abdominal cavity is almost better than his own?
Or maybe it's already on par with me!
Thinking of this, Zhao Jie felt a pain in the ass.
The back wave of the Yangtze River pushes the front wave, and the front wave dies on the beach!
…………
To perform surgery on Uncle Cheng, Lin Ran asked the nurse to call Qian Xuan over.
Zhao Jie was even a little hostile when he saw Qian Xuan, but this hostility was instantly suppressed by him.
He, Zhao Jie, is the attending physician, not Lin Ran's full-time assistant, so he doesn't need to compete with young people at all.
Moreover, liver resection is a tertiary operation, so I can be the first assistant and ask Qian Xuan to be the second assistant! !
So there's no need to be jealous!
Lin Ran and the others had just come out of the dressing room after changing into surgical gowns, when they saw Li Min standing outside the operating room chatting with Cheng Xianmin.
Qian Xuan asked in a low voice, "Doctor Lin, Director Li wants to see our operation?"
Before Lin Ran could speak, Zhao Jie chuckled, "Why are you afraid!"
Qian Xuan said stubbornly: "Doctor Lin is the chief surgeon, what am I afraid of?"
Walking into the operating room, Lin Ran stood in the position of the chief surgeon without hesitation.
Just as Qian Xuan was about to stand in the position opposite Lin Ran, Zhao Jie stopped him, "I'll help Lin Ran, please pull the hook."
"Uh……"
Qian Xuan glanced at Zhao Jie resentfully, is it really good for a majestic attending doctor to compete with a Xiaogui Pei for a first aid position?
Zhao Jie pretended not to hear, "Lin Ran, let's start if there is no problem!"
Zhao Jie wanted to rush to help Lin Ran, but he had nothing to say, so he looked at the anesthetist Lao Li and said, "It can be anesthetized, general anesthesia, for two hours."
At this time, Uncle Cheng, who was lying on the bed, asked, "Doctor Lin, is my surgery really safe? Is it possible that I won't be able to wake up after falling asleep?"
Lin Ran smiled and explained: "Uncle Cheng, don't worry, your liver resection operation is not very dangerous, and you will be cured as soon as you wake up."
"Well, that's good. I trust you, Dr. Lin. If there is no Dr. Lin, I don't know if I can find out this disease!"
[The smile is contagious, and the words are not too full, not bad. 】
This was Li Min's evaluation of Lin Ran comforting the patient in his heart.
Doctors can't talk too much, otherwise it is easy to cause medical disputes.
Many conflicts between doctors and patients are caused by doctors saying that there is no room for turning around.
Moreover, once a doctor-patient conflict occurs, no matter whether it is reasonable or not, the doctor will be in trouble.
Li Canghai gave anesthesia, and Lin Ran waited patiently. Zhao Jie saw Lin Ran's face was as calm as water, and asked, "Lin Ran, are you not a little nervous?"
Glancing at Uncle Cheng, Lin Ran said with a smile: "Uncle Cheng, I am the first patient who is fully responsible for me. From the diagnosis, examination, hospitalization, to the operation now, no one knows Uncle Cheng better than me. Physically, I was a little nervous, but not to the point of being scared."
Zhao Jie nodded in praise and said, "Very good."
After a few minutes, seeing that Uncle Cheng had fallen asleep, Lin Ran stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."
Preoperative disinfection is essential.
"Surgical pen."
Unlike appendicitis, liver resection has a key step of sweeping the lymph membrane.
Sweeping the lymphatic membrane requires a relatively large surgical space, so Lin Ran did not blindly force a small surgical incision.
The positioning line draws an arc from the right lower abdomen to the lower midline of the thorax, with a length of about ten centimeters.
(End of this chapter)
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