This doctor is very stable

Chapter 266
Incision, retraction, and dissection of free hand tendon, nerve and blood vessel.

It's like peeling zongzi.

From the outside to the inside, directly to the bones, and then dissect the ulna and radius, loosen the two hand bones at the fractured part of the hand, and preset the bone correction space.

Lin Ran slowed down the pace during this process, while Wang Yihu and the others were fascinated by it.

An arm fracture and musculoskeletal dissociation taught them a lot.

Lin Ran's anatomical dissociation is very wonderful!

There was little damage to the integrity of the tendon nerve.

No matter the tendons and nerves of the limbs of the human body have obvious venation distribution.

If the chief surgeon does not know enough about the anatomical structure of the limbs, the dissecting technique is not good enough.

After the incision is made, it will run into walls everywhere, and any incision will cause secondary damage.

Excessive damage to tendon nerves caused by anatomical dissociation during surgery will lead to increased difficulty in repairing tendon nerves after fracture reduction and correction, and some even cannot be repaired. The final result will be loss of hand function.

This shows how important the anatomical free technique of an open fracture reduction surgery surgeon is.

And the technology that Lin Ran showed now made them look up to him!

Wang Yihu smiled helplessly, "Team leader... After reading your dissecting technique, it seems that our wallets will be emptied!"

Fang Junhui looked at Lao Wang, "Boss Wang, do you have an idea? If you buy a pig's trotter, bring me one."

If you want to practice the dissociation of tendon nerves in the hand, you must not practice directly with the patient's hand.

Failure to do so will result in disability for the patient!
Then you can only find a substitute!

Pork knuckles are obviously a good choice!

"You two... er... Fang Xiaopang, do you want to raise funds to join the pig's hands?"

Wang Yihu originally wanted to get Qin Xiaoming to contribute a piece of money, but when he thought that he was still an intern, he definitely didn't have extra spare money!

Pork knuckles in the market are still relatively expensive.

It costs more than 20 yuan a catty, and if you buy two or three, it will break a hundred.

And practicing this kind of work is obviously not enough once or twice.

To achieve Lin Ran's level, it must be a vast project!

"That... Doctor Wang, Doctor Fang, although I don't have much money! But I know how to marinate pork knuckles. I can process your pork knuckles for you. There is no charge, as long as you are satisfied."

When it comes to pork knuckles, Qin Xiaoming is a little greedy. When he is at home, his boss always loves braised pork knuckles during the festivals.

Star anise, cinnamon, fragrant leaves, grass fruit, ... rock sugar, soy sauce, bean paste, seasoning, add half a pot of water, and finally put some dried chili.

Not to mention how delicious this pork knuckle is after it is marinated.

Due to brachial plexus anesthesia, the patient lying on the operating table did not fall asleep, he just closed his eyes secretly.

Hearing the doctors chatting and talking about eating pork knuckles, I couldn't help shrinking my still-moving right hand, for fear that the group of food-eating doctors would operate on me.

"You can have this! It's not a waste after the dissection is over. I have to count it as a share. If I buy it, I will pay for it, and my share of the pig's hand will be handed over to Dr. Qin for dissection."

In a busy state, their group must not have much time to spare for practice!It should be against the sky to be able to dissect a pig's hand in a day.

A trotter doesn't cost much!
And it is completely possible to have it without wasting it when it is used up.

After listening to Lin Ran's words, Wang Yihu's eyes lit up, "If you say that, why don't you mention it to the director, how about asking him to put a small refrigerator in the pantry for my team? Finally, what about getting a rice cooker?" , and it’s also convenient for Xiao Qin’s brine!”

"There should be no problem with the refrigerator, but forget about the rice cooker! If it makes the emergency room full of fragrance, is it still called an emergency room?"

When Lin Ran thought that what he smelled when he walked into the emergency room was not the smell of disinfectant, but the smell of braised pork knuckle, he felt sick.

If you really do that, I'm afraid it will scare away the fracture patients in the emergency room!
"It's okay, the place where I rent a house has a kitchen, and I rent it by myself and take it home after get off work, and it's the same when I take it back from work and put it in the refrigerator."

This trotter anatomy project is good!Can promote their anatomical dissociation skills and enjoy the delicious braised pork knuckle, it is the best use of everything!

They were chatting, and the middle-aged anesthetist who was sitting on a small bench beside him swallowed, "How about counting me in?"

"Pfft..."

The little nurses on the side who were also drooling couldn't help laughing.

Lin Ran and the others all smiled and looked at the anesthetist, an anesthetist at the attending level, who was in his 30s.

Anesthesiologist Zhang Zhizhong laughed quickly: "I'm serious. Although I don't need to practice dissection, I like to eat braised pork knuckle!"

It's one aspect to like braised pig's hand. If you can take this opportunity to break into the joint team and become Lin Ran's queen anesthetist, you will make a lot of money.

The operation arrangement of anesthesiologists is generally arranged in the department, so it is not fixed what kind of surgeons they can cooperate with every day.

Especially for an anesthetist like Zhang Zhizhong, he can only be arranged by the department.

Anesthesiologists at the chief physician level choose operations by looking at the operation appointment forms of various departments.

However, Lin Ran's operation was well-received by the old anesthetist everywhere.

If the old chief anesthesiologist in their department hadn't been busy today, it wouldn't be his turn to be Lin Ran's partner!
Of course, if he wanted to be Lin Ran's queen anesthetist, Lin Ran had to apply to the department himself, and then get the approval of the anesthesiology department.

General surgeons below the director level definitely don't have such influence, but Lin Ran is different!

Can Lin Ran's surgery level be measured by the attending physician or the deputy chief physician?

That must not be the case!

He only needs to apply to Director Qin in the emergency department, or to Boss Gu outside the liver, and the matter will be settled!
Lin Ran and the others didn't know what the middle-aged anesthetist was doing, so they insisted on getting involved.

Lin Ran didn't say anything, and Wang Yihu and the others didn't dare to make decisions easily.

"Our project has just been established. If Xiao Qinlu's skills are not up to standard, wouldn't it be a waste of Teacher Zhang's money! It's better not to accept peripheral members for the time being."

Lin Ran found a reason and refused.

After being disturbed by the anesthesiologist, their topic was also terminated.

The next step is to do the surgery steadily.

…………

Zhongshan No. [-] Hospital, the office of boss Gu outside the liver.

Boss Gu is processing the files that were not processed yesterday.

"Ring Ling Ling..."

The phone on his desk rang.

"Hello, this is the office of the director of liver surgery at the Third Zhongshan Hospital. I'm Gu Tianyi. What's the matter?"

"Director Gu is me! The old grandson of Jiangning No. [-] Hospital, the family member of the patient with liver cirrhosis and pancreatic head cancer talked to me again this morning. Now they are going through the discharge procedures. The young people are thin-skinned and they want to transfer. Going to the Third Hospital, so I asked you to call Director Gu."

Sun Ruhai's tone on the phone was particularly cheerful. It was obviously the best choice for the patient to go to the Third Hospital for surgery. After all, he was the patient in charge of his old sun. He was naturally happy to see that the patient's family could make the most rational choice.

After listening to Sun Ruhai's words, Boss Gu also smiled lightly. This patient is of value to him, but it is not as great as he imagined, but this patient is what Lin Ran needs, so this patient is worthy of Boss Gu's attention. up!
"Okay, it's definitely not a problem to transfer to my place. Just ask the patients to call me when they arrive at the hospital. I'll reserve a bed for them. Thank you, Old Sun. I'll treat you to dinner when you're free!"

"Where is there, Director Gu, you are polite, I will definitely bring you your words, you just wait here to receive patients, then let's do this first, and don't disturb Director Gu's work."

…………

After hanging up the phone, Boss Gu looked out the window and stretched his waist, with a smile on his face.

If Lin Ran can make progress or gain something in the dissociation of the pancreaticoduodenal colon after this operation, it would not be considered a waste of their efforts.

Of course, it doesn't matter if the harvest is not big, anyway, they won a fourth-level surgery in the end, so they can't lose money anyway.

Thinking of this, Boss Gu began to plan how to maximize the impact of this operation.

Do you want to do a live broadcast of surgery!
Early resection of pancreatic head cancer is still worth seeing, especially if the patient also has liver cirrhosis.

Of course, the purpose of the live broadcast was not for him to take care of himself, but for Lin Ran!

No matter how much he is an old fritter, it is difficult to improve his reputation in the Zhongshan medical system. Unless he can write a paper with a certain weight, or make great progress in clinical technology, otherwise he will only be able to do so in this life. Eating old books and boiled qualifications.

But Lin Ran is different. He is still young and talented enough, and his technical level has obviously reached a certain level. If he can take this opportunity to make his name famous, it will be of great help to him in the future.

Thinking of this, Boss Gu showed a kind smile.

He picked up the phone and called Lin Ran without hesitation.

Unfortunately no one answered.

Boss Gu was not angry either.

During this period of time, Lin Ran should be doing surgery or treating patients in the emergency room!

It is very normal that the doctor's personal phone cannot be reached.

Then he called the emergency nurse station and asked Lin Ran to run away from the liver after the surgery.

After making arrangements for Lin Ran's side.

Boss Gu thought again.

He and Lin Ran alone are enough for this operation, but the lineup is not enough for live broadcast.

Immediately afterwards, he called Zhang Ningyu from the general foreign exchange.

Speaking of pancreatic head cancer, Boss Zhang is also a well-researched expert!
Boss Gu still remembered that Zhang Ningyu had written several papers on pancreatic cancer, which were not low in weight.

"Hey! Why is Lao Gu calling me when you have time! I heard that you took the big baby from your department out to throw knives yesterday. Shouldn't you concentrate on making up your homework today?"

A department needs to deal with a lot of things, and the work and documents of the department director may pile up the desk in one day!
It’s normal to go out today and work hard tomorrow.

"Old Zhang, this time we went down to Feidao to accept a very interesting patient with pancreatic head cancer. I'm going to do a live broadcast of the department. I wonder if you're interested?"

(End of this chapter)