This doctor is very stable
Chapter 191
Chapter 191
While Boss Gu was talking, he looked at the little doctors beside him, and from time to time he paid attention to Lin Ran's expression. Seeing that Lin Ran was listening seriously, he nodded in satisfaction, and said, "Lin Ran, you understand. Just start operating, it’s not difficult to come slowly.”
Of course Lin Ran had no problem, he just gave Boss Gu a chance to perform, otherwise the piercing might have been completed by now, but he wouldn't say it.
Of course, it’s not enough just to give Boss Gu the chance to perform, he has to follow the idea of taking care of the boss, so that Boss Gu can earn enough sense of presence!
Write down the pen and draw the puncture site in the upper right abdomen area designated by Boss Gu.
Lin Ran wasn't procrastinating, it would be a waste of time to let Boss Gu go on.
It's almost enough, too much is too much!
"Scalpel."
Seeing that Lin Ran came to the position he said before, and played Gu Tianyi steadily, he expressed his satisfaction.
Some people have no problem with laparotomy or laparoscopic surgery, but the puncture may be almost...
Just as Boss Gu was thinking, Lin Ran quickly made a small cut with a fast scalpel.
That operation is like a spring swallow passing by, making people wonder if Lin Ran is an all-rounder!
Can he really not pierce?
Boss Gu himself couldn't believe it!
"Puncture needle."
Lin Ran didn't need to explain, and stretched out his hand to pick up the puncture needle. The time for explaining may be over for the operation!
The small incision was made obliquely downward, and Lin Ran punctured at a 45-degree angle with the puncture needle in his right hand.
The quality of puncture lies in the needle penetration angle, and the penetration angle depends on the penetration point and the space budget of the lesion.
A good puncture test is the judgment ability and practical operation ability of the main knife, and the combination of the two can achieve a single stab.
Of course, the puncture needle can still be fine-tuned after being inserted, but every adjustment may cause secondary damage to the patient.
Under everyone's attention, the needle enters the body on the ultrasound screen.
Then it was accurately pierced into the liver abscess without slowing down.
Steady!
None of them made a sound, but they all applauded Lin Ran in their hearts.
In the end, just as Lin Ran stopped, Gu Laochen couldn't help but said, "Okay!"
"Look at how stable Lin Ran's operation is, even if I do it myself, I may not be able to do it to this level, haha,"
Boss Gu was very happy. In his heart, Lin Ran could do the piercing so smoothly, it must be due to him providing ideas!
Wouldn't he be happy to think so?
No one in the operating room made a sound, Lin Ran's operation was really amazing!
If they hadn't seen it with their own eyes, they would never have believed it. A small doctor can do this kind of puncture. You must know that many experienced doctors can definitely hit it with a single stab. The patient's abdominal cavity is a three-dimensional center. The structure may not hit the lesion even if it is slightly deviated, and some small doctors may not be able to puncture successfully even if they poke the patient's liver into a sieve.
Maybe this is the gap between a genius and a mortal!
It is also very simple to judge whether the puncture is successful or not. See if pus or blood is returned from the puncture sheath!
Confirm that there is no puncture, and it will either return blood or pus, which is an inevitable result.
Seeing that his hands were stained with yellow and white pus, Lin Ran ignored the nausea and said, "Needle 14."
Send the thick needle linked to the syringe to the puncture sheath, and stably penetrate the patient's liver abscess.
Seeing Boss Gu, Boss Gu smiled knowingly, he didn't forget that he still stretched out his hand to pinch the thick needle to fix it.
Lin Ran let go and said, "Take out the pus."
During the process of extracting pus, as the abscess rises and falls, Lin Ran also needs to fine-tune the puncture needle to ensure that the needle is always inside the abscess.
As the extraction deepened on the ultrasound screen, the area of liver abscess quickly shriveled up.
The abdominal cavity was thoroughly washed, a drainage catheter was placed, and the catheter was fixed with a suture needle. This simple liver abscess puncture and drainage operation was completed.
At this time, there was no sound in the operating room, and even Boss Gu was absent-minded for a long time after Lin Ran finished the operation.
"It's amazing." Someone whispered, breaking the silence.
Gu Tian turned his head and looked at the electronic clock in the operating room, "Tsk tsk, Lin Ran, you completed a liver abscess puncture and drainage operation in more than ten minutes, and you kept it hidden!"
"The teacher's thinking is very good, otherwise I wouldn't be able to do it so smoothly. Last time I did the puncture and drainage, I had to change the puncture point several times before it succeeded."
Lin Ran didn't get carried away, and made it clear that he was flattering Boss Gu.
Gu Tian laughed from ear to ear when he heard this.
On the side, there are people who are happy and others who are sad!
The happy ones are the little doctors who are just residents. After this operation, they feel that they have really learned something!
It seemed that Lin Ran's surgical operations were inherently easy to understand, and they had a deeper understanding of liver abscess puncture and drainage surgery.
But worryingly, the two medical teams are attending the surgery. Where is Lin Ran and they have the chance to be the chief surgeon?
A surgery takes less than 10 minutes, who would believe it!
The director was busy before, and some minor operations were pushed to their attending physicians. Now that Lin Ran is with Mr. Gu, how can he look up to them?
"Clap clap clap."
At this time, Wang Nannan began to take the lead in applauding. The fact that a minor operation was done so well reflected to a certain extent that Lin Ran's basic operations are very solid!
The operation was done quickly, and the happiest thing was not the doctors, but the nurses and anesthesiologists.
The nurses and anesthesiologists in the operating room rely on the operation volume to calculate the performance. If the operation time is fast enough, the performance will be more in one day, just like the profit-making operation mode of a hotel.
After a while, the anesthesiologist woke up the patient after anesthesia, and the resident doctor on the side also got the opportunity to write the medical record. As for the prescription, Boss Gu personally ordered it.
Boss Gu can't give up the prescription for such a textbook-style liver abscess puncture and drainage operation. He also wants to see if the postoperative recovery time of the patient will be shortened because of the quality of the operation!
Thinking of this, Boss Gu also specially asked Zhao Xiaolei who was beside him, saying: "Xiao Zhao, follow this patient and see how long it will take from the end of the operation to the discharge of the patient."
Surgical prognosis is related to the utilization rate of hospital beds. It is necessary to calculate the surgical prognosis and rationally use hospital beds.
Zhao Xiaolei had no choice, and no reason to refuse, "Okay, Director Gu..."
"Ah."
Gu Tian took a look at the patient's life monitor, saw that the patient's vital signs had stabilized, and said, "Let's go, let's go out."
With that said, Gu Tianyi took the lead out of the operating room like Mu Chunfeng.
The family members of the patients also dealt with Boss Gu personally, and patiently finished giving the doctor's orders.
And Lin Ran behind him is accepting a gift from the system!
'6/500, a long way to go. '
After Boss Gu gave the doctor's order, he led the team into the locker room.
"Xiao Nan, do we have two laparoscopic liver resections and one laparoscopic cholecystectomy behind us?"
"Yes." Wang Nannan nodded and looked at Lin Ran with a warm smile, "You still want Xiao Lin to be the surgeon?"
Boss Gu looked at Lin Ran when he heard the words, "Are you confident?"
"I have done laparoscopic liver resection before, and I have just read the patient's case information. I have no problems."
Lin Ran is not polite, what he needs now is surgery!
Boss Gu looked at the little doctors beside him and said cheerfully, "Do you want to continue seeing Lin Ran as the surgeon?"
Seeing Boss Gu's look of being happy and reluctant to think about it, no one dares not to think about it!
"think……"
"Dr. Lin's surgery is really good, and I feel a sense of enlightenment when I see Dr. Lin's surgery. This feeling is stronger than usual!"
"You feel the same way?"
Another little doctor uttered in surprise, he thought it was his own illusion!
When he said this, all the little doctors nodded.
Seeing this, Boss Gu was even more delighted.
Lin Ran is great alone, but after all, he is only one person.
If Lin Ran can really bring out a group of chief surgeons to the liver surgery department, that would be really shameful.
How to pass on one's own knowledge, skills, and medical skills to young doctors on the operating table has always been the chief surgeon's distress!
Clinically, I know but can't say that I have too much technical knowledge.
So Lin Ran can make people understand the operation without explaining it, what a great skill it is to get something!And Boss Gu had already seen this when he was in the emergency room.
Thinking of this, Boss Gu's eyes on Lin Ran became more and more intense.
After thinking for a while, he said, "Nannan, I remember that you also have surgery arrangements tonight, right?"
Since talents are rare, how can the few surgeries performed by him alone be enough?Let Lin Ran make the best use of it!If it wasn't for the fear of disturbing the normal operation of the liver surgery department, Gu Tianyi would have given Lin Ran all the extrahepatic operations.
Of course, it is understandable for Gu Tianyi to have concerns, after all, he has been a doctor for so long and has never met such a ruthless person as Lin Ran.
If Lin Ran told him that he could perform 20 surgeries in one day, Boss Gu would be very happy!
But Lin Ran also had his own worries in his heart. He didn't need to be too anxious when he first came here. If he couldn't become a fat man after one bite, he should take his time, but he still had to fight for opportunities later. Scourge emergency room!
In the end, Boss Gu couldn't wait any longer, so he urged, "Hurry up and change your clothes, the operation will start immediately after stepping down, so let's save time."
Soon, Lin Ran finished all the aseptic disinfection, put on his combat uniform and walked out of the locker room.
Lin Ran still did not walk in front to show off, and hung far behind the team, recalling the patient's condition and video data.
All the information of the patient went through his mind.
The patient who is about to undergo surgery is a male, 42 years old, with no complicated underlying disease history, and is in good health.
A week ago, a high transaminase was found in the physical examination, and the follow-up diagnosis was confirmed as primary liver cancer. The lesion is located in the fourth segment of the liver. The risk factor is not too high, but the liver cancer should be cut no matter what, so be careful not to leave a single cancerous cell .
Therefore, even though the operation was not too difficult, he had to be extremely careful. As the chief surgeon, Lin Ran would not allow the patient's liver cancer to recur due to carelessness.
(End of this chapter)
While Boss Gu was talking, he looked at the little doctors beside him, and from time to time he paid attention to Lin Ran's expression. Seeing that Lin Ran was listening seriously, he nodded in satisfaction, and said, "Lin Ran, you understand. Just start operating, it’s not difficult to come slowly.”
Of course Lin Ran had no problem, he just gave Boss Gu a chance to perform, otherwise the piercing might have been completed by now, but he wouldn't say it.
Of course, it’s not enough just to give Boss Gu the chance to perform, he has to follow the idea of taking care of the boss, so that Boss Gu can earn enough sense of presence!
Write down the pen and draw the puncture site in the upper right abdomen area designated by Boss Gu.
Lin Ran wasn't procrastinating, it would be a waste of time to let Boss Gu go on.
It's almost enough, too much is too much!
"Scalpel."
Seeing that Lin Ran came to the position he said before, and played Gu Tianyi steadily, he expressed his satisfaction.
Some people have no problem with laparotomy or laparoscopic surgery, but the puncture may be almost...
Just as Boss Gu was thinking, Lin Ran quickly made a small cut with a fast scalpel.
That operation is like a spring swallow passing by, making people wonder if Lin Ran is an all-rounder!
Can he really not pierce?
Boss Gu himself couldn't believe it!
"Puncture needle."
Lin Ran didn't need to explain, and stretched out his hand to pick up the puncture needle. The time for explaining may be over for the operation!
The small incision was made obliquely downward, and Lin Ran punctured at a 45-degree angle with the puncture needle in his right hand.
The quality of puncture lies in the needle penetration angle, and the penetration angle depends on the penetration point and the space budget of the lesion.
A good puncture test is the judgment ability and practical operation ability of the main knife, and the combination of the two can achieve a single stab.
Of course, the puncture needle can still be fine-tuned after being inserted, but every adjustment may cause secondary damage to the patient.
Under everyone's attention, the needle enters the body on the ultrasound screen.
Then it was accurately pierced into the liver abscess without slowing down.
Steady!
None of them made a sound, but they all applauded Lin Ran in their hearts.
In the end, just as Lin Ran stopped, Gu Laochen couldn't help but said, "Okay!"
"Look at how stable Lin Ran's operation is, even if I do it myself, I may not be able to do it to this level, haha,"
Boss Gu was very happy. In his heart, Lin Ran could do the piercing so smoothly, it must be due to him providing ideas!
Wouldn't he be happy to think so?
No one in the operating room made a sound, Lin Ran's operation was really amazing!
If they hadn't seen it with their own eyes, they would never have believed it. A small doctor can do this kind of puncture. You must know that many experienced doctors can definitely hit it with a single stab. The patient's abdominal cavity is a three-dimensional center. The structure may not hit the lesion even if it is slightly deviated, and some small doctors may not be able to puncture successfully even if they poke the patient's liver into a sieve.
Maybe this is the gap between a genius and a mortal!
It is also very simple to judge whether the puncture is successful or not. See if pus or blood is returned from the puncture sheath!
Confirm that there is no puncture, and it will either return blood or pus, which is an inevitable result.
Seeing that his hands were stained with yellow and white pus, Lin Ran ignored the nausea and said, "Needle 14."
Send the thick needle linked to the syringe to the puncture sheath, and stably penetrate the patient's liver abscess.
Seeing Boss Gu, Boss Gu smiled knowingly, he didn't forget that he still stretched out his hand to pinch the thick needle to fix it.
Lin Ran let go and said, "Take out the pus."
During the process of extracting pus, as the abscess rises and falls, Lin Ran also needs to fine-tune the puncture needle to ensure that the needle is always inside the abscess.
As the extraction deepened on the ultrasound screen, the area of liver abscess quickly shriveled up.
The abdominal cavity was thoroughly washed, a drainage catheter was placed, and the catheter was fixed with a suture needle. This simple liver abscess puncture and drainage operation was completed.
At this time, there was no sound in the operating room, and even Boss Gu was absent-minded for a long time after Lin Ran finished the operation.
"It's amazing." Someone whispered, breaking the silence.
Gu Tian turned his head and looked at the electronic clock in the operating room, "Tsk tsk, Lin Ran, you completed a liver abscess puncture and drainage operation in more than ten minutes, and you kept it hidden!"
"The teacher's thinking is very good, otherwise I wouldn't be able to do it so smoothly. Last time I did the puncture and drainage, I had to change the puncture point several times before it succeeded."
Lin Ran didn't get carried away, and made it clear that he was flattering Boss Gu.
Gu Tian laughed from ear to ear when he heard this.
On the side, there are people who are happy and others who are sad!
The happy ones are the little doctors who are just residents. After this operation, they feel that they have really learned something!
It seemed that Lin Ran's surgical operations were inherently easy to understand, and they had a deeper understanding of liver abscess puncture and drainage surgery.
But worryingly, the two medical teams are attending the surgery. Where is Lin Ran and they have the chance to be the chief surgeon?
A surgery takes less than 10 minutes, who would believe it!
The director was busy before, and some minor operations were pushed to their attending physicians. Now that Lin Ran is with Mr. Gu, how can he look up to them?
"Clap clap clap."
At this time, Wang Nannan began to take the lead in applauding. The fact that a minor operation was done so well reflected to a certain extent that Lin Ran's basic operations are very solid!
The operation was done quickly, and the happiest thing was not the doctors, but the nurses and anesthesiologists.
The nurses and anesthesiologists in the operating room rely on the operation volume to calculate the performance. If the operation time is fast enough, the performance will be more in one day, just like the profit-making operation mode of a hotel.
After a while, the anesthesiologist woke up the patient after anesthesia, and the resident doctor on the side also got the opportunity to write the medical record. As for the prescription, Boss Gu personally ordered it.
Boss Gu can't give up the prescription for such a textbook-style liver abscess puncture and drainage operation. He also wants to see if the postoperative recovery time of the patient will be shortened because of the quality of the operation!
Thinking of this, Boss Gu also specially asked Zhao Xiaolei who was beside him, saying: "Xiao Zhao, follow this patient and see how long it will take from the end of the operation to the discharge of the patient."
Surgical prognosis is related to the utilization rate of hospital beds. It is necessary to calculate the surgical prognosis and rationally use hospital beds.
Zhao Xiaolei had no choice, and no reason to refuse, "Okay, Director Gu..."
"Ah."
Gu Tian took a look at the patient's life monitor, saw that the patient's vital signs had stabilized, and said, "Let's go, let's go out."
With that said, Gu Tianyi took the lead out of the operating room like Mu Chunfeng.
The family members of the patients also dealt with Boss Gu personally, and patiently finished giving the doctor's orders.
And Lin Ran behind him is accepting a gift from the system!
'6/500, a long way to go. '
After Boss Gu gave the doctor's order, he led the team into the locker room.
"Xiao Nan, do we have two laparoscopic liver resections and one laparoscopic cholecystectomy behind us?"
"Yes." Wang Nannan nodded and looked at Lin Ran with a warm smile, "You still want Xiao Lin to be the surgeon?"
Boss Gu looked at Lin Ran when he heard the words, "Are you confident?"
"I have done laparoscopic liver resection before, and I have just read the patient's case information. I have no problems."
Lin Ran is not polite, what he needs now is surgery!
Boss Gu looked at the little doctors beside him and said cheerfully, "Do you want to continue seeing Lin Ran as the surgeon?"
Seeing Boss Gu's look of being happy and reluctant to think about it, no one dares not to think about it!
"think……"
"Dr. Lin's surgery is really good, and I feel a sense of enlightenment when I see Dr. Lin's surgery. This feeling is stronger than usual!"
"You feel the same way?"
Another little doctor uttered in surprise, he thought it was his own illusion!
When he said this, all the little doctors nodded.
Seeing this, Boss Gu was even more delighted.
Lin Ran is great alone, but after all, he is only one person.
If Lin Ran can really bring out a group of chief surgeons to the liver surgery department, that would be really shameful.
How to pass on one's own knowledge, skills, and medical skills to young doctors on the operating table has always been the chief surgeon's distress!
Clinically, I know but can't say that I have too much technical knowledge.
So Lin Ran can make people understand the operation without explaining it, what a great skill it is to get something!And Boss Gu had already seen this when he was in the emergency room.
Thinking of this, Boss Gu's eyes on Lin Ran became more and more intense.
After thinking for a while, he said, "Nannan, I remember that you also have surgery arrangements tonight, right?"
Since talents are rare, how can the few surgeries performed by him alone be enough?Let Lin Ran make the best use of it!If it wasn't for the fear of disturbing the normal operation of the liver surgery department, Gu Tianyi would have given Lin Ran all the extrahepatic operations.
Of course, it is understandable for Gu Tianyi to have concerns, after all, he has been a doctor for so long and has never met such a ruthless person as Lin Ran.
If Lin Ran told him that he could perform 20 surgeries in one day, Boss Gu would be very happy!
But Lin Ran also had his own worries in his heart. He didn't need to be too anxious when he first came here. If he couldn't become a fat man after one bite, he should take his time, but he still had to fight for opportunities later. Scourge emergency room!
In the end, Boss Gu couldn't wait any longer, so he urged, "Hurry up and change your clothes, the operation will start immediately after stepping down, so let's save time."
Soon, Lin Ran finished all the aseptic disinfection, put on his combat uniform and walked out of the locker room.
Lin Ran still did not walk in front to show off, and hung far behind the team, recalling the patient's condition and video data.
All the information of the patient went through his mind.
The patient who is about to undergo surgery is a male, 42 years old, with no complicated underlying disease history, and is in good health.
A week ago, a high transaminase was found in the physical examination, and the follow-up diagnosis was confirmed as primary liver cancer. The lesion is located in the fourth segment of the liver. The risk factor is not too high, but the liver cancer should be cut no matter what, so be careful not to leave a single cancerous cell .
Therefore, even though the operation was not too difficult, he had to be extremely careful. As the chief surgeon, Lin Ran would not allow the patient's liver cancer to recur due to carelessness.
(End of this chapter)
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