Chapter 47 The big play
"Who asked you to suture the tendons! You can handle the wound well, and just leave the tendons outside the hand for a deadline." Zhao Leyi frowned. Debroding and suture are the responsibility of the emergency department. It is appropriate for anyone to sew. The tendon suture and blood vessels are compatible. Theoretically, neither of them is suitable for sewing.
"You said just now..." Ling Ran paused for a moment and said in a retelling tone: "Give me a sewer."
"I said arm, does arm include hands?"
"Don't it include?" Ling Ran asked calmly.
Zhao Leyi stopped the surgery, and still grabbed the forceps with one hand and stood up on the front of the patient's calf, saying, "I asked you to treat several wounds. I'm not asking you to do the tendons on your hands."
Ling Ran's "Oh" sound was like expressing what he knew, but the movements in his hand did not stop, and it was still in a familiar rhythm and stable state.
"Hey, what do you mean... You did it on purpose, right? I guessed it right, you did it on purpose, right?" Zhao Leyi felt that it was the case the more he said.
The intuition of the attending doctor of a middle-aged man with white skin and thin body and pseudo-small puppy told him that Ling Ran must have intentionally ambiguity just to do a tendon suture.
Because, if he has a cheat-like suture technique, he will try his best to find opportunities to do tendon suture and vascular anastomosis.
Zhao Leyi was the first attending doctor to see Ling Ran's awesomeness in stopping bleeding with bare hands, and also saw Ling Ran's suture level. To a certain extent, he believed in Ling Ran's skills, otherwise he would not have let Ling Ran sew his arms.
However, those who have worked as doctors know how difficult it is to fight for opportunities.
For example, when he was in an internship, he brought tea and water to the instructor, helped write medical records, ran errands and bought food, followed his words and was well-behaved and laughed. What reward did he get? It was an opportunity to keep his stomach shut.
No one will let you experience the surgery in vain. Zhao Leyi used 3 hours to try the appendicitis surgery for the first time, one of which was used to find the appendix and two hours to find gauze. To be precise, the last hour was the doctor in charge of the teaching to help find gauze.
Zhao Leyi was very impressed. That day, the instructor was not angry, at least not as angry as he made mistakes. Because when the instructor decided to let him take the appendix surgery, he had already expected that something would happen. There was less gauze, which was better than less cecum.
After that appendix surgery, Zhao Leyi had another appendix surgery, which made it much smoother. Even when looking for gauze, he had some experience and didn't need to look for it for so long.
The key to the problem is that as long as the doctor seizes the first opportunity, there will be a second chance, a third chance, and then countless similar techniques will hit you until you vomit.
The first time is always the most difficult. Patients are unwilling to be your touchstone, and the doctors instructors dare not let go easily. The hospital needs you to prove yourself.
Every patient, every leader, and every hospital want such a doctor: about forty years old and full of energy, graduated from a doctorate from a prestigious university with sufficient theory, more than 30 years of research experience and broad vision, more than 40 years of clinical practice and rich experience, more than 50 years of humanistic thinking and reasonableness, the curiosity of a 10-year-old child, the indomitable progress of a 20-year-old adult, the steady experience of a 40-year-old middle-aged man, the maturity of a 50-year-old man, the calmness of a 60-year-old man, and there is no baldness.
Zhao Leyi was able to enter Yunhua Hospital and took advantage of more power, but the first surgery to quit the abdomen and appendicitis cleared him of technical obstacles.
He performed better at surgery than other students. Later, he became a doctor at Yunhua Hospital, and he was really better at surgery than most students. Especially those who went to municipal hospitals, district hospitals or even county hospitals, or simply gave up being a doctor.
Zhao Leyi knew the value of opportunity, so he became more and more angry.
Because in his opinion, Ling Ran was just stealing a chicken.
What about the promised respect?
What if the disciples agreed to be obeyed?
What about being well-behaved?
There is nothing, you just started playing with the tendon?
Zhao Leyixin said: I haven’t played with many tendons!
"I have all the wounds treated. There are several bleeding-seeking wounds that do not need to be sutured for the time being." Ling Ran was busy and said: "I will sew the tendons of the hand as soon as possible, so it will not delay time..."
He had enough reason to say this. Ling Ran had experience in hand suture, and his suture technology could fully cover the patient's injuries. In addition, as he said, time was also on his side.
Anyway, Zhao Leyi has to spend a long time dealing with trauma everywhere. There are two hospitalists next to him as assistants. Ling Ran does not delay the hand stitching at all, and the effect will only be better.
"I..." Zhao Le was so angry that he couldn't speak. Was he afraid of delaying time?
Yes, he is afraid!
But! He is even more afraid of medical accidents.
The wounds on the arm and the sewing are not very important. Any hospitalist can sew well. If the patient does it poorly, it is just a bit ugly and the recovery will be slower.
The loss of hand function is different.
If one hand loses function due to surgical reasons, it is easy to be complained, sued, or even hung a banner.
Zhao Leyi looked at Ling Ran who was still fiddling with the patient's fingers and finally became tough and said, "Ling Ran, I order you to stop the work in your hands now and stop the operation immediately."
"Are you sure? I'm using the tang method to suture it. If I stop halfway, the patient's tendon damage will inevitably be inevitable." Ling Ran glanced at Zhao Leyi coldly. Technical level is one thing, and judgment during the operation is another.
If Zhao Leyi wants to clear her responsibilities and completely loses her judgment in the operation, she will probably have a poor score if she goes to a psychiatric test.
Perhaps Ling Ran's contempt was too obvious, and Zhao Leyi, who was still hesitating, continued to be angry again. He raised his voice and said, "Who allows you to sew it with the tang method..."
"The rupture of the flexor tendon in the area II of the patient is exactly the good ball area for Tang's suture. Why not use it?" Ling Ran thought carefully before suturing. If the patient's tendon rupture condition is not suitable for tang suture, he will use ordinary intermittent suture method to operate, but no matter which method, he is master level.
The flexor tendon of the human hand is divided into 5 areas, and the II area is mainly from the second knuckle to the front of the palm. It is the most complex, also known as "no man's area", which means that no one can get good results when treating tendon damage in this area in the early stage, until Professor Tang Jinbo from JS Nan@Tong University.
This is a real master-level achievement, which can almost perfectly solve the "no man's land" problem. As far as Ling Ran's self-test in the practice room is concerned, there is no need for master-level tang stitching. Specialized technology can achieve a good rate of 70% or 80%.
Compared with other methods, there are obvious advantages.
Ling Ran was very confident and his answer was very brief, but he asked Zhao Leyi in one sentence.
Although he was the chief surgeon and the attending doctor who was still at a higher level than Ling Ran, Zhao Leyi couldn't answer.
The doctor eats technical meals.
On the surface, superior doctors have great control over subordinate doctors, but that is not simply based on job rank, but also on technical level.
The lower-level doctor made a mistake and the higher-level doctor pointed it out, so he could naturally scold him very happily.
If you feel comfortable scolding, the superior doctor can also correct the mistakes of the subordinate doctor and reduce the responsibilities of the subordinate doctor. The subordinate doctor will naturally be obediently.
Therefore, the power of superior doctors over subordinate doctors is based on technology and responsibility.
When Zhao Leyi was unable to take over the operation that Ling Ran was carrying out, he lost control of the operating table.
"Let's continue." Seeing that Zhao Leyi didn't speak, Ling Ran lowered his head again and started operating.
Several nurses, resident doctors, and doctors waiting to go to the scene couldn't help but look up, look at Ling Ran, and then look at Zhao Leyi. The feeling of gossip was flying, and the feeling of watching big dramas was like being rammed on the face by a snowball in the day of the day and stuffed into his chest.
Chapter completed!