Chapter 491
"I asked you, director, why he follows Ling Ran every day." The chief among them suddenly laughed, as if he had discovered some great secret.
After saying that, he raised his chin to both sides.
The other two attending doctors did not agree with him at this time.
"How come the intrahepatic bile duct stones are so clean?"
"Yes, everyone is undergoing liver resection. There is no reason why Ling Ran's liver should be cut very cleanly."
The two attendings’ questions all pointed to the same answer.
"I was thinking about this problem just now." Zhang Anmin laughed twice, then put away the choledochoscope and began to close the abdomen.
The three attending doctors were waiting for Zhang Anmin to speak. After waiting for more than ten seconds, there was still no answer. One of them woke up and said hurriedly: "Just in time, I can wash my hands and help you."
As he said that, he went out to wash his hands, and when he came back, he asked the nurse to put on a surgical gown, and became Zhang Anmin's assistant.
In a top-level hospital like Yunyi Medical University, the use of surgical consumables is extremely wasteful.
Doctors throw away things like surgical gowns that cost more than ten or twenty yuan. Similarly, there are hand-washing gowns that need to be disinfected by high temperature once they are worn, and they need to be used once or even once.
The only surgical instruments that need to be re-sterilized or discarded are slippers, which will always be dirty if they are never washed.
Doctors go to and from the operating room, change clothes, or operate instruments, etc., quite casually. Basically, as long as they don't take it home, it doesn't matter.
With someone to help as an assistant, Zhang Anmin's abdominal closing operation will be much faster.
One was responsible for unclipping and passing the thread, and the other was responsible for suturing in layers. In just a few minutes, the abdomen was sewn up.
At this time, Zhang Anmin said Shiran: "I think the reason why Dr. Ling can clear the bile duct stones in the liver so cleanly is mainly because of the good location selection."
"Location?"
"Yes. The location is very important." Zhang Anmin said, "Look carefully. The location where he cut the liver is not only a place where stones are concentrated, but also a very convenient place to remove the stones."
"How did you choose this?"
"It's like doing geometry problems." Zhang Anmin actually didn't know, so he just made it up. Of course, he did think in this direction. As for whether the thinking direction is correct, Zhang Anmin cannot be responsible.
The other three people did not see the operation, so they could only think about it. After thinking about it, they felt that what Zhang Anmin said made sense.
"It's the same as doing that auxiliary line or something."
"Do you remember junior high school geometry?"
"You also need auxiliary lines in solid geometry in high school."
"In that case, choosing a position is indeed difficult. I was the worst at solid geometry in high school, and I usually couldn't score 90 points."
"Then my worst subject is advanced mathematics. Definite integrals, analytic geometry, etc. are all things that increase grade points."
Although it has been ten years since graduation, several people are still deeply impressed when talking about mathematics in middle school and college.
It was something that I put in so much effort to learn. Although I have forgotten all the specific steps and formulas and theorems, when I think back to the pain of making a mark and the sweetness of the intermission, everyone is still willing to chat casually.
After all, the doctors who can gain a foothold in Yunyi Medical School have experienced prosperous times when they were in school. Compared with the people who have disappeared after entering the hospital, they miss the school even more.
Zhang Anmin didn't say much, just chatted casually, helped the anesthesiologist Su Jiafu clean up, took off his surgical clothes and went to the next operation.
The other three attending surgeons also had their own surgeries, so no matter how itchy they were, they could only go their separate ways.
Zhang Anmin hurried slowly and hurriedly, so he only got two assistants.
Yishu became Ma Yanlin. Yu Yuan is now the chief resident, and she has been a chief resident for several months. The general surgeries in the emergency department are left to her, especially the night shift surgeries at night. The first sequence is
The hospital was so busy that Yu Yuan could no longer follow Ling Ran's surgery.
Ling Ran doesn't care who helps him. If a doctor with good skills can help him, he will perform the operation faster and more accurately. If there is no good doctor, he can do it more slowly and do more by himself.
Pay some attention.
If there is any difference between the first assistant at the attending level and the first assistant at the regular training level, for Ling Ran, it is probably just drinking energy potions two surgeries in advance.
As a trench doctor who currently owns 718 bottles of energy potions, Ling Ran is able to take on various changes in Yishu.
"Zhang Anmin, prepare yourself for a choledochoscopy." Ling Ran saw Zhang Anmin coming, and was happy to take some of the pressure away.
From Ling Ran's point of view, Zhang Anmin, who has been undergoing a series of gallbladder surgeries for five or six years, should be at the level of junior specialist in choledochoscopy, which is sufficient for operations such as liver resection.
Zhang Anmin said "Hey": "Can I have a choledochoscopy? Is that okay?"
Ling Ran frowned: "You seem to like asking questions repeatedly."
"Is that so? Did I repeat the question? Eh... it seems like this." Zhang Anmin was stunned.
"Don't repeat the question, try your best." Ling Ran was a little disgusted with Zhang Anmin's verbosity, but only a little bit.
Zhang Anmin nodded cautiously, and then whispered: "If I were to operate the choledochoscope, the rate of residual stone would probably be very high."
I know my own business, and even if I want to do a choledochoscope with a residual stone rate of less than 2%, I am not sure about the average value of 17%.
Ling Ran gave Zhang Anmin a strange look: "Who told you that the doctor who operates the choledochoscope determines the stone remaining rate."
"Isn't it? Shouldn't..." Zhang Anmin shut up decisively to avoid asking the question twice.
"There are many reasons that determine the stone remaining rate. You can read the paper later. Choledochoscopy is not the key factor." Ling Ran was too lazy to explain. After thinking about it, he decided to satisfy Zhang Anmin's thirst for knowledge and said, "Do you have any questions?"
If you understand, you can ask Yu Yuan first."
"Oh, yes." Zhang Anmin's mind was full of confusion. He was afraid that the four attending doctors, including himself, were all just thinking nonsense?
Ling Ran nodded and continued to perform the operation. As he was doing it, he suddenly said: "Barehand operation can also affect the stone remaining rate."
As he spoke, he dug out a stone from the cut liver with his hands...
A stone was dug out...
Pick...
Zhang Anmin's eyes widened, and he suddenly felt that the tall man he admired had become a lowly person.
Zhang Anmin turned to look at Ma Yanlin again, and saw that the latter looked matter-of-fact.
"Hey, do you often see Dr. Ling remove intrahepatic bile duct stones like this?" Zhang Anmin asked Ma Yanlin in a low voice.
Ma Yanlin stretched his neck to look and asked, "Isn't that how it was chosen?"
Zhang Anmin was stunned by the question, and after thinking for a while, he said: "I read in the literature that it was said that intrahepatic bile duct stones were removed with bare hands, but I just didn't know. It turned out to be picking..."
Ma Yanlin said "Oh" flatly. He had seen a liver resection for intrahepatic bile duct stones, so how could he evaluate it?
Zhang Anmin only felt a sense of absurdity rising. He looked at Ma Yanlin and thought to himself: Even doctors with regular training can learn to pick the liver. What kind of world is this? Wait, where is the advanced nature of liver-picking?
Outside the window.
The west wind rises.
The fragrant goose filled the garden and danced in the wind, like Xiang Zhuang dancing with a sword, slowly approaching a young woman with well-developed gluteus maximus muscles.
"Be careful." The boy pulled the girl up, pointed at the goose behind him, and showed a clean smile.
The girl's face turned red with embarrassment, like a curled spider plant.
Lu Wenbin, who had just come out of the gym, looked at the tender water beside the fountain and suddenly felt a burst of irritation. He couldn't help but walk a few steps quickly. It wasn't until he entered the operating room that he felt relaxed.
"Doctor Lu, will you be the first assistant?" Zhang Anmin had just performed his third surgery, and he was still willing to give in.
"Okay, I'll be the first assistant here." Lu Wenbin had no intention of being humble and took the position of first assistant without hesitation.
Zhang Anmin stood opposite Ling Ran with some regret, pulled the hook, and finished the third surgery of the day.
"Okay, hurry up and do the surgery. We'll do two more surgeries and let's rest." Ling Ran said and turned to Zhang Anmin, "When is your gallbladder surgery?"
"The day after tomorrow...the day after tomorrow is the day of surgery." Zhang Anmin was inexplicably panicked. He had to stand for more than ten hours for five surgeries a day.
Ling Ran nodded and said, "Send me an email with the specific time the day after tomorrow. Let's rest for...30 minutes until the next surgery is ready."
After Ling Ran finished speaking, he left. Lu Wenbin took the time to shut up his stomach, and Zhang Anmin followed to help, which saved time.
After finishing a wave, he returned to the lounge. Zhang Anmin, who was in his 30s, already felt exhausted.
He took a cigarette from his locker and said hello again: "Doctor Lu, do you smoke?"
Lu Wenbin hesitated for a moment and said, "Let's wait a moment."
Lu Wenbin also went to the locker to get cigarettes, and walked out of the lounge with Zhang Anmin. As he walked, he said, "I don't usually smoke, but I smoke occasionally."
"It's better not to smoke. I have no choice but to smoke while studying." While talking, Zhang Anmin gave Lu Wenbin one of his cigarettes on the rooftop.
Lu Wenbin took it in his hand unceremoniously, glanced at it, and saw that it was a 10-yuan pack of Double Happiness. He couldn't help but be startled: "Doctor Zhang, you are a very economical doctor. Forget it, try mine."
"Who am I to be a physician? The year before I was promoted to physician, there was no money for the medical reform." Zhang Anmin said as he took Lu Wenbin's cigarette and saw that the word "China" was shining on the cigarette.
Zhang Anmin's lips couldn't help but tremble: "Greater China? So corrupt?"
"What's so corrupt about this? If you pay for one flying knife, you can buy several." Lu Wenbin smiled and praised Zhang Anmin.
Zhang Anmin smiled bitterly: "What kind of flying knife should I use..."
As he spoke, Zhang Anmin suddenly realized something. He looked up at Lu Wenbin and asked, "Do you often follow Dr. Ling to throw knives? Do you have money for it?"
"Yes." Lu Wenbin replied simply.
"How much can we divide?" Zhang Anmin couldn't help it, he really wanted to know.
Lu Wenbin smacked his lips: "The less is 200, the more is 500, the most is 1,000 at a time."
"That's quite a lot. Dr. Ling can shoot flying knives three times a week. How can you split a thousand or eight hundred yuan?" Zhang Anmin calculated the account and felt a little more balanced. This is just cigarette money.
.
Lu Wenbin just lit up the cigarette and wanted to spit it out. He was amused by Zhang Anmin's words and couldn't help but cough.
"One unit, the pay-per-view calculation is based on the ancient calendar. Who dares to give Dr. Ling such a price now." Lu Wenbin shook his head with a smile.
"One? How many operations will Dr. Ling perform at one time?"
"What do you think?" Lu Wenbin raised his arm with a circumference of 38 centimeters, smiled, took a puff of cigarette, and spit it out quickly. He looked like a single man who works out all year round.
Chapter completed!