This doctor is very stable

Chapter 650 Comprehension and Growth

Seeing that the operation was signed by He Shaoqiu, Lin Ran frowned.

The surgery she performed means that she closed her abdomen.

Laparoscopic cholecystectomy.

Operate the hole suture.

Lin Ran also checked the stitching of the surgical opening, it was fairly smooth, using No. [-] thread, but it was a little too strong, and it was pulled too tightly.

Lin Ran looked at He Shaoqiu, "Doctor He is the patient you are in charge of, please arrange to have another suture done, the thread should be made of No. [-] suture, and the suture of the surgical opening should not be pulled too tight, otherwise it will easily become necrotic and inflamed. swollen."

For laparoscopic surgery, even if the patient is old, he should be able to meet the discharge standard within a week!

There was still something wrong with the stitching, Lin Ran felt that it should be corrected in time, instead of continuing to rub the patient with anti-inflammatory drugs.

"Oh well."

Speaking of it, He Shaoqiu felt a little wronged, but she was indeed the one who performed the operation.

But her assistant was Qin Xiaoming, who applied for abdominal closure and suturing that day.

She agreed, maybe Qin Xiaoming was too nervous...

And yesterday, when the ward round found that the patient was inflamed during the operation, Xu Congwen also said that he took medicine to see the situation before making a decision.

Removing stitches and suturing is far more troublesome than medication.

So they didn't say anything! ?

"This is no problem for the doctor my father's operation!"

Hearing that Lin Ran said that he would re-sew up his father, the family members of the patients standing at the door were a little nervous.

Lin Ran turned around and told the truth, "After the operation was completed, there was something wrong with the suturing operation, just re-sew it up and it will be fine."

"That's it!"

……

"Team leader, I actually did the suturing of the operation."

Just as Lin Ran led the way out of the ward, Qin Xiaoming spoke.

Lin Ran turned around, "Doctor Qin, you are also a resident, right? It is time to practice suturing the surgical site. First of all, let me talk about the problem of your suturing. If the thread is too thin, if it is pulled too tightly, it will easily cause the muscles at the site of suture to be damaged." Muscle necrosis, so in the future, use thicker sutures at the suture opening first, No. 3 and No. 4 are fine. Secondly, don’t be too nervous, suturing the surgical opening is not much more difficult than traumatic suturing, so I suggest that you can go to the emergency room more often Do some stitching."

After being told by Lin Ran, Qin Xiaoming lowered his head in shame.

Everyone was very happy when Lin Ran came back today.

Now that a problem has been found during the ward rounds, the patient has to be sutured again.

He Shaoqiu must be unhappy in his heart.

Because of herself, she was asked to re-suture the surgery port!
"I'm sorry, team leader, I'm sorry, Dr. He."

Lin Ran used to be a junior doctor, and he is still a junior doctor now, so he can understand minor problems encountered in clinical work.

"Needless to say I'm sorry, just find and deal with problems in time."

Seeing that Lin Ran was not angry, He Shaoqiu said, "Doctor Qin, you don't have to say sorry to me, it's better that I didn't supervise."

Lin Ran smiled slightly, "Okay, Dr. He, Dr. Qin, you guys go to arrange for re-suture, we go to the next ward! There is still surgery at twelve o'clock."

Patients who have completed the operation mainly check the operation port, heart and lung sounds, gastrointestinal sounds, medication...

For patients who have not completed the operation, the main investigation is the preoperative medication, the patient's course of disease, symptoms, physical signs, etc...

It is inevitable to encounter small problems in ward rounds!
They had just walked into Ward 609, and Lin Ran soon discovered the problem.

The patient's mouth is bleeding!

It looked like the mouth had burst open.

When the surgical tape used for bandaging was lifted, one of the thread ends was obviously disconnected.

Fortunately, the sutures were stitched with interrupted sutures, and if one part collapsed, the whole line would not fall apart.

However, a broken thread will definitely affect the discharge time of the patient!
It costs hundreds of dollars for patients to stay for one more day. .

For hospitals, it is also not conducive to improving the utilization rate of sick beds.

But the surgical site was also bleeding out.

Lin Ran looked at the patient, "Auntie, do you know that your surgery is bleeding?"

The middle-aged aunt, who seemed to be in her 40s, looked down at her belly, "Ah! I don't know! How could this be?"

Seeing this, Lin Ran asked again, "Did you get up just now?"

The aunt nodded, "Yes! I'm like sitting up!"

Lin Ran nodded, and took the medical record, "The thread was broken in the morning, Dr. Li hastened to prepare a suture bag, and sewed it up for Aunt Liu immediately."

Surgical port rupture is also a problem often encountered in clinical practice.

After all, sutures are not wires, and it is impossible for patients to lie motionless on the hospital bed!

Li Jinxia is also used to dealing with Lin Ran's aftermath, "Okay, I'll go right away."

Soon Li Jinxia fetched the suture kit, and after disinfecting the patient, he quickly gave her a stitch.

The medicine was changed smoothly, and the patient's problem was also solved.

Passing the medical records to Wang Yihu, Lin Ran personally auscultated the aunt.

"Auntie, you are recovering well, and you can be discharged from the hospital after a few days of healing."

"Thank you, this is Doctor."

Lin Ran looks young, but has a kind face!
It seemed that it was the head of this group of doctors, so Huang Huijuan had a good impression of Lin Ran!

"Ah."

Lin Ran took him out of the ward, "In the future, if the patient's surgery does not raise the aesthetics of the operation port, all sutures above No. [-] will be used. Even if you are sure that you can use a thinner suture, you must remind the patient to pay special attention to it after surgery." Don't touch the mouth!"

I went to the cardiothoracic surgery department of a hospital and saw many different problems.

Lin Ran also wanted to ask a lot of questions.

He himself is unique, and he cannot always use his own vision to demand others.

This is a question that Lin Ran has recently comprehended.

It is difficult to judge others by oneself, only by understanding can we manage the department better.

Going back to the Third Hospital Li Jinxia is like returning home, and only in the Third Hospital can I feel that Lin Ran has grown significantly.

This training is still very useful.

Lin Ran's growth is the growth of their entire group.

Xu Congwen was standing next to Lin Ran, and he could clearly feel the change in Lin Ran.

Lin Ran began to mature.

Before, Lin Ran gave him a feeling that he was showing his sharpness.

Now Lin Ran began to restrain his spirit.

This made Xu Congwen a little relieved.

Lin Ran admired him very much, otherwise he would not have come to the joint team to be the deputy team leader.

It's never easy to be inferior.

"Let's go, let's finish the house inspection quickly, and then take a moment to discuss the operation plan for the upcoming liver transplant. I hope we can make progress together."

However, before the rounds were over, Lin Ran received a call from Da Lao Chen.

Lin Ran handed over the ward rounds to Li Jinxia, ​​walked aside and picked up the phone.

"Hey, teacher, why are you calling me?"

The boss Chen's voice on the phone sounded helpless, "Lin Ran! The liver transplant patient at noon hasn't signed yet, so..."

If the patient does not sign, it means that the operation cannot continue!

(End of this chapter)