Dong Dong.

Ma Yanlin gently knocked on Ling Ran's office door.

"Come in." Ling Ran's voice came through the door, making people feel relaxed and happy.

Ma Yanlin pushed it open and smelled a faint citrus smell. Needless to say, the nurses at the nursing station had changed to a new variety of essential oils. In other words, the nurses on duty today preferred this scent of essential oils.

Since Ling Ran became the head of the treatment team, the income of the medical staff in the emergency center has increased rapidly. Not only that, the tolerance for daily expenses has also been increased. After all, once the bonus reaches a certain amount, you cannot raise too much.

In order to avoid dissatisfaction in other departments of the hospital. However, the funds within the department can be more relaxed.

For example, the nurse station now has funds to purchase fragrance products. The head nurse also wrote an article "Exploration on Improving the Quality of Ward Nursing Services" for herself, so that every ward and doctor's office no longer

It's the monotonous smell of disinfectant.

However, the ward and other doctors' offices often have the same scent of sandalwood or lavender that lasts forever, but the scent of Ling Ran's office is completely different.

Sometimes when Ma Yanlin passes by Ling Ran's office, he will take an extra sniff to increase his knowledge and make him look more handsome.

Unfortunately, Ma Yanlin was not in the mood to enjoy today. He frowned and said, "Dr. Ling, the two patients with Achilles tendon rupture who came here this morning both requested Zhu-Ling Achilles tendon repair."

"Are both of them athletes?" Although it was Ling Ran who informed Ma Yanlin that a new patient with Achilles tendon rupture had arrived, he did not see the patient. It was only a referral from the emergency department.

As the leader of the treatment team, Ling Ran needs to do front-line work, but he does not need to do front-line work. The most basic tasks, such as collecting medical history, simple physical examination, arranging hospital beds, arranging imaging photography, biochemical tests, etc.

It's all done by little doctors.

If junior doctors lose even these jobs, the hospital's training system will collapse.

Similarly, if experienced senior doctors have to do this kind of thing by themselves, the hospital's training system will collapse.

However, Ma Yanlin is a bit broken now.

With his mind full of thoughts, he followed Ling Ran's words and said cautiously: "The problem is here, neither of them are athletes, they are just ordinary people, but they both know about Zhu-Ling's Achilles tendon repair surgery and asked you to do it.

And it can only be Zhu-Ling's Achilles tendon repair done by you."

Most public hospitals cannot name a certain doctor to perform surgeries through formal channels. On the other hand, some hospitals have carried out reforms and have offered roll call fees, paying hundreds of dollars to well-known doctors in the hospital.

Waiting for price.

The current hospital reform is actually changing unspoken rules into explicit rules.

For example, doctors from well-known hospitals, especially doctors at the director level, unless they are looking for someone through a trust relationship, most of them will not perform surgeries in their own hospital. Just walk a few steps and do the surgery in the hospital next door.

Why bother to get thousands of dollars for surgery in our hospital and get hundreds of dollars for surgery?

From the hospital's perspective, the logic of roll call fees lies here.

However, it usually only suffices to call the doctor by name. The type of surgery requested by name is something that hospitals and doctors cannot agree to.

If you cut across the board and find that the actual situation is different from the image data and predictions, what should you do?

I can't remove the anesthesia and wake him up. Let's give it another shot.

Furthermore, Zhu-Ling's Achilles tendon repair surgery is too uncommon for ordinary people. No matter how famous the surgery is, it is not easy for ordinary people to know about it. For example, any medical student knows about the quadruple surgery of Faluo.

Very little is known.

Ling Ran didn't think much about it and just said: "If you are not an athlete, it is not necessary to have an open Achilles tendon repair. How old are you?"

Ma Yanlin said: "One is 48 years old and the other is 52 years old."

Ling Ran coughed twice, took a sip of water, and asked, "What's the reason for them to do open Achilles tendon repair?"

"The patients insisted on doing it and told them not to do minimally invasive surgery. The main reason was that one of them said he knew a reporter or something. If we refused to do it, we would be exposed or something."

"Expose what?"

"Rejecting the patient? Do you not respect the patient's wishes?" Ma Yanlin, who had completed two surgeries, felt his scalp and head were fried when he received a new patient just now.

Just like other treatment groups in the hospital, after the patient is admitted, the bedside doctor is the direct person in charge of the patient. In surgery, everything except surgery can be said to be the responsibility of the bedside doctor.

From small things like time arrangement, to big things like prescribing medicines and pricing, to postoperative recovery, level of care, etc., everything that the superior doctor doesn't take into consideration is done by the bedside doctor.

Ma Yanlin has always been the bedside doctor for Achilles tendon patients, and now he has treated hundreds of patients.

However, the requests of the two patients he had just received still made Ma Yanlin aware of the trouble and danger.

Without too much association, Meng Shan's name popped into his mind, but Ma Yanlin couldn't say it directly.

Ma Yanlin could only remind Ling Ran specifically: "Both patients are from Guangdong Province. They said they were introduced by other doctors, but refused to say which doctor introduced them. I think what they said may also be the doctor.

It’s for teachers, not reporters, so I don’t know if it’s true.”

"What they said is actually correct." Ling Ran stood up from his chair and walked around the office.

His office is not large, but it is carefully decorated, and because people often help him change the furniture and furnishings, the room can even give people a sense of freshness.

When Ling Ran is now writing papers, thinking about surgery, preparing before surgery and thinking after surgery, he likes to take two slow steps to get his blood flowing and his mind active.

Ma Yanlin's eyes became a little dull following Ling Ran's movements: "That's right?"

"Well, we are doctors, and respecting the patient's wishes should indeed be our priority." Ling Ran nodded slightly, obviously agreeing.

Ma Yanlin frowned: "What they are thinking is wrong. If you are in your 40s or 50s, you may have to stay in bed for three to four months longer after an open surgery. They must have been deceived."

"Then you go talk to them." Ling Ran delegated power to Ma Yanlin without contacting anyone.

Ma Yanlin went out and hesitated for a while, so he could only talk to Zuo Cidian.

"Do you think Meng Shan sent someone to find trouble?" Zuo Cidian knew it right away.

"I think it's a bit similar." Ma Yanlin guessed and said, "Let's talk about it. Meng Shan must be a famous doctor. If he says something to his patients..."

Zuo Cidian shook his head and interrupted Ma Yanlin, saying: "Meng Shan can't cut off the patient's hamstring and then send it to us, right?"

Ma Yanlin laughed.

"Don't laugh, there's no way to laugh about this." Zuo Cidian sighed and said, "It doesn't matter whether Meng Shan is involved or not, the patient is real, and this is the core. I think, let's just stick to the patient first.

alright."

Zuo Cidian, who has been working in townships for many years, knows that too many things are unclear. If we want to explain the affairs of the township clearly, it is not enough to talk about the Republic of China. At least we have to talk about the Qing Dynasty. The most important thing is

Yes, even if you explain it clearly, both parties still won't admit it.

The thing in front of him was similar to Zuo Cidian.

Looking at Ma Yanlin, who was just over half his age, Zuo Cidian softened his tone and said, "Although Dr. Ling doesn't know what's going on inside, his decision is right. Let's talk to the patient again. If he really

If you want to have an open surgery, you still have to do it if you can.”

Ma Yanlin disagreed: "The recovery period is three months longer, so why bother?"

"Maybe people are willing to do it."

"Who would want three more months of recovery?"

"But the Achilles tendon is stronger, so that's right."

"I asked, they don't even go to the gym, so why do they need so much strength in their Achilles tendons?"

"What you do is someone else's business. It's a matter of values." Zuo Cidian sighed and said, "Some people do breast augmentation surgery, and some people do breast reduction surgery. What do you mean?"

Ma Yanlin was speechless. This question really hit his pain point.

"Let's go meet the patient together. Isn't this what the pre-operative conversation is for?" Zuo Cidian smiled: "If someone is really willing to trade a few months of pain for a stronger Achilles tendon, I don't think so.

Zhu Ling’s Achilles tendon repair cannot be performed.”

"Then you can't be biased."

"Absolutely. If there is a bias, I would also agree with them doing minimally invasive surgery."

"I didn't expect that one day we would have to think about pushing patients... Meng Shan is really..."
Chapter completed!