Ling Ran quickly searched for his skills. Regardless of the master level and perfect level, the national rankings of these skills were relatively high, let alone the city rankings. Not to mention whether there were 130 people who could be promoted, the difficulty was too high.

Already.

In contrast, several specialization-level skills have a greater probability of improvement.

"Interrupted vertical mattress suture" is used to sew eggs. It mainly tests Director Huo's ability to collect eggs. It is not easy. "Vertical mattress suture method" and "interrupted horizontal mattress suture method" are both used to sew the gastrointestinal tract.

Dao, there are very few opportunities to gain, but the skills of bow-holding and pen-holding are more promising.

If you have surgery...

The first thing Ling Ran thought of was to have double eyelid surgery.

The turnover rate is high and there are many patients. Doing 100 cases a day is a bit exaggerated. It is easy to do 30 to 50 cases.

However, Yunyi Medical does not carry out this technology, and it would be too troublesome for Ling Ran to find an institution such as a beauty salon. The double eyelid surgeons are all girls, and they are all strangers, and they receive thirty to fifty girls a day.

, I still don’t know how many words I need to say.

"System, if I buy a piece of meat myself and practice surgery, does that count?" Ling Ran suddenly felt something in his heart, and felt that he seemed to have found a loophole.

"Count it." The system replied cheerfully: "Only the ranking is calculated."

Calculating only the ranking means looking at the results of surgical practice.

Practicing knife skills on pork is a suitable method for beginners. If you want to achieve professional-level knife skills, just pork may not be enough.

Ling Ran pondered for a few seconds and asked, "What's my current ranking in surgical skills?"

The system spoke in Ling Ran's mind: "Your pen-holding surgery currently ranks 765th in Yunhua City, and your bow-holding surgery currently ranks 558th in Yunhua City."

Ling Ran mostly used the bow-holding posture to perform the surgery, and the relatively more detailed pen-holding posture was not used much.

This ranking slightly stimulated Ling Ran.

Ranking below the 500th place in Yunhua City, it means that Ling Ran's skills in cutting alone can be described as mediocre.

This is not like a physical examination. Physicians, especially middle-aged and elderly physicians, are the best at physical examination. As they accumulate experience and see more, their physical examination skills will also improve. They also have opportunities to practice. Every year

Physicians are indispensable for physical examinations at work units and schools. Therefore, it is not surprising that Ling Ran ranks over 1,000.

There are more than 30 tertiary-level hospitals in Yunhua City alone, which can provide a large number of physicians who are good at physical examinations. There are also directors and deputy director-level doctors in hospitals below tertiary-level hospitals with outstanding skills.

However, the incision skill is a purely surgical skill.

Ling Ran's pen-operated surgery was ranked 765th in Yunhua City, so his ranking in Yunhua Hospital was probably in the tens or even hundreds.

This was the result of Ling Ran having performed hundreds of operations after acquiring two surgical skills.

From this point of view, if you want to improve your ranking, it is difficult to do it overnight.

From this point of view, the "specialized" level, which is weaker, is the level where no mistakes can be made.

Watching young novice Dongsheng learn massage, you can see that the progression from beginner to expert is very fast and the requirements are relatively low.

Specialization is slow to improve.

Ling Ran's physical examination has been done for a long time, and it is still at the level of specialization. On the contrary, his ranking has improved a lot, which shows that the technical tree of specialization is still very long.

"How long will it take to improve the bow holding posture by more than 100 ranks?" Ling Ran asked again.

The system did not give an answer.

Obviously, there is no precise answer to this question.

Ling Ran pouted: "Open the intermediate treasure box."

At the same time, Ling Ran thought silently in his heart: cut, cut, cut...

In a bright light, a skill book appeared in front of me:

"Tracheotomy (Perfect Level)"

Ling Ran was already very satisfied when he saw the "perfect level".

From a doctor's point of view, although there are difficulties in technology, they can all solve problems.

Doctors who know how to perform heart bypass surgery may not be able to save more patients than doctors who know how to perform intestinal obstruction. Of course, it is a bit special to have to remove feces for intestinal obstruction.

Tracheotomy is one of the most commonly used techniques in emergency departments and ICUs. It is also the most commonly used surgical technique in movies and TV dramas. Those who yell when they see an injustice on the road or pick up a pen and poke their lungs can be understood as needing

Patients undergoing tracheostomy.

Theoretically, trainees are required to undergo tracheotomy training and perform as few as three to five to as many as 10 operations. However, judging from the current situation in China, young people who have the opportunity to undergo tracheostomy are

There are not many doctors. Whether you can get started depends not only on your luck, but also on your enthusiasm.

Ling Ran had learned about tracheostomy in school, but it was difficult to transform what he had learned before practicing it.

But after brushing off the skill book in front of him, Ling Ran was already an experienced throat opener.

"Not bad." Ling Ran nodded slightly.

Tracheotomy is also done by incision, and it can be done in a bow-holding position or a pen-holding position. It is estimated that you can also get some exercise.

"Doctor Ling?" Yu Yuan called Ling Ran.

They have all completed their ward rounds and are eager to go back to the office to write medical records.

"Oh... rest." Ling Ran nodded and said, "I'll go to the emergency room to take a look."

Lu Wenbin and Yu Yuan went without hesitation. They had too much work to finish.

Ma Yanlin quickly followed Ling Ran and said, "Doctor Ling, let me help."

"I have nothing to do. I just go to the emergency room and wait for help." Ling Ran doesn't need an assistant for the time being.

Ma Yanlin chuckled twice and still followed Ling Ran. When he got out of the elevator and reached the less crowded passage, Ma Yanlin whispered: "Doctor Ling, my rotation time has come. I told the director, emergency department

There is currently no place, so I have to go to another department."

Regular trainees have to rotate in multiple departments. Ma Yanlin has already stayed in the emergency department for overtime, which is extra time.

Ma Yanlin looked at Ling Ran eagerly and said, "Can you help me tell Director Huo and let me stay in the emergency department?"

"Can Guipei students stay?" Ling Ran was not very familiar with the rules.

Ma Yanlin looked at Ling Ran and whispered, "You are an intern."

Ling Ran suddenly realized, said "Oh" and said, "I'll tell him."

"Okay, okay." Ma Yanlin's expression became a little more lively.

He has been worried about the rotating job for several days.

Compared with studying in different departments, the opportunity to study under Ling Ran is obviously more rare. Not to mention anything else, just the help of replanting a severed finger is a good opportunity that even an orthopedic resident may not be able to get... Ma Yanlin is the most

What I'm afraid of is that when I come back from the circle, Ling Ran will already have someone new by his side.

In fact, it is almost obvious. The frequency of Lingran's surgeries is so high and there are so many patients. The workload is greater than that of the treatment team in ordinary departments. If Ma Yanlin leaves again, Lingran will definitely need assistants.

, it is impossible to wait for Ma Yanlin in this position...

Ma Yanlin looked at Ling Ran and said uneasily: "Dr. Ling, Director Huo might arrange for another resident to be your assistant. Don't agree. I've been learning from you for so long. I'm afraid of your habits."

I’m familiar with everything. Other residents are definitely not as useful as me... I am not mainly from the emergency department. If I were from the emergency department, Director Huo would definitely be willing to keep me. In fact, I have already applied to the emergency department.

, Director Huo is not willing to put in the effort..."

Ma Yanlin was very confused about this, and what he said was a bit confusing.

Ling Ran nodded and said, "If that's the case, you can find a way to convince Director Huo."

"How to convince?" Ma Yanlin suddenly became interested.

"You can try Achilles tendon repair and Tang method suturing." Ling Ran gave suggestions. He did not talk about replanting the severed finger because it was too difficult. The vascular anastomosis alone was not something that Ma Yanlin could handle.

.

Ma Yanlin looked at Ling Ran in surprise and asked, "Will you let me perform Achilles tendon repair?"

"I can give you a chance." Ling Ran thought for a while and said: "From now on, you will be in charge of Achilles tendon repair, and Lu Wenbin will be in charge of Achilles tendon repair. I will break down all the steps. You will go from easy to difficult, and the surgeon will perform each operation.

After one of the parts is correct, we will move on to the next step."

Ling Ran's demands were higher than ordinary demands, but Ma Yanlin was happy with them.

This is equivalent to a step-by-step instruction, which is better than a doctor who just lets it go. At this point, what else can Ma Yanlin say?

If social trends hadn't allowed it, Ma Yanlin would have said to Ling Ran right now: You are such a good person!

"If it's okay, I'll wait for the suffocated person to come." Ling Ran waved his hand and walked into the rescue room.

In the hospital, apart from the emergency department, tracheostomy is most needed in the ICU, and finally in the operating room.

For a hospital like Yunyi Hospital, it is normal to receive one or two patients who need tracheostomy every day. Of course, it depends on luck when it rains, but Lingran has nowhere else to go except the emergency department.

Waited.

One hour.

Two hours.

Three hours.
To be continued...