Chapter 1034 Subtotal Resection

"Ma Yanlin's side is doing well, let's arrange a few more people." In the afternoon's summary meeting, Ling Ran rubbed the alcohol gel quite comfortably, and at the same time instructed Zuo Cidian.

Surrounding the long table, the doctors in the group were also rubbed with alcohol gel, and looked at Ma Yanlin curiously.

Zuo Cidian was actually a little confused, how could it be considered a good effect?

Is it based on Director Tao's performance, or is it based on the performance of the doctors observed on the spot? Or, look at Ma Yanlin's performance?

Zuo Cidian couldn't figure it out, but as long as Dr. Ling is satisfied.

A long time ago, Zuo Cidian forced himself not to try to understand every thought of Dr. Ling.

You can't fully understand this kind of... some people's thinking.

Therefore, Zuo Cidian looked at Ling Ran's expression at this moment, and asked matter-of-factly, "Should Director Tao be invited to give a lecture?"

"Well, Director Tao's lectures are very effective." Ling Ran said as he put down the alcohol gel, looked at the doctors in the group on both sides of the long table, and said, "Arrange Dr. Zhang Anmin, Ren Qi and Ye Sigong this time. En, Arrange one by one, don't worry."

Everyone couldn't help looking at the three people who were named.

Zhang Anmin, who is already the deputy chief physician, still looks normal, but Ren Qi and Ye Sigong, who are only trainee doctors, can't help but feel a little dazed.

What's going on?

Especially the trainee doctors and Gui Peisheng sitting on both sides looked at Ren Qi and Ye Sigong with incomprehensible expressions.

Being named by Ling Ran doesn't matter whether it's good or bad, at least it means that Ling Ran remembers their names, and they still give them special treatment.

Ren Qi also thought of this, and recalling Ling Ran's question "Are you my doctor?", he couldn't help feeling hot inside. In an instant, Ren Qi became extremely nervous again, and couldn't help asking in a low voice: "Dr. Ling, Dr. Ma is showing everyone Zhu Ling's Achilles tendon repair. For me and Dr. Ye, what kind of surgery should we do?"

Ling Ran did think about this issue for a minute before, and now he thought about it for another 30 seconds, and said, "Ren Qi and Ye Sigong, you guys will do gastrectomy with me. Director Tao will arrange for Zhang Anmin to have liver resection first."

Ling Ran's gastrectomy is also at the master level, but he rarely uses it on weekdays, but he happened to teach it to two general surgery trainees.

Zhang Anmin followed Ling Ran,

Some liver resections have been performed, and he was not nervous when he heard the words, but hesitantly asked: "Director Tao, what's the situation?"

"Let Director Tao present the introduction, so that the doctors who come to study can understand it." Ling Ran answered firmly, he really thought so, but the purpose was not to explain himself.

Zhang Anmin acted as if he had suddenly realized, and nodded understandingly: "Indeed, Dr. Ling is too busy, let Director Tao explain..."

"Cough cough." Zuo Cidian pretended to cough twice, and said, "We are now in the training camp mode. Director Tao will personally explain it to the doctors who come to study. This is a good thing..."

"Yes, training camp." Zhang Anmin laughed twice.

Ling Ran didn't care what they thought, seeing that the explanation was clear, he urged Zuo Cidian again: "The older doctors who are in training should be assigned to Zhang Anmin's side. More than... Well, let's put it from high to low, the oldest one One third will be given to Dr. Zhang."

"Okay." Zuo Cidian thought it was reasonable. The difficulty of liver resection is extremely high, and the effect is not outstanding for doctors with poor foundation. As for the level of the trainee doctor, after careful investigation, it is really better to judge by age. It does not require too accurate classification, but as far as young doctors are concerned, the accumulated value is still quite large. A 35-year-old doctor is better than a 30-year-old doctor, and a 30-year-old doctor is better than a 25-year-old doctor. Accurate, but not far wrong.

Of course, people like Ling Ran are special cases.

Just like some people will be handsome, and some people just don't meet human aesthetic standards, so don't get too entangled.

Zhang Anmin also understood, his expression froze, and he said slowly: "Don't worry, Doctor Ling, I won't embarrass our Ling treatment team."

Several doctors who knew something about the inside story looked at Zhang Anmin, exchanged glances, and felt emotionally: the deputy chief physician of the hepatobiliary surgery department, in the meeting of the Ling treatment team in the emergency center, claimed that he would not lose face to the Ling treatment team... The surgeon's face should have been flushed down the drain.

Zuo Cidian waited for Zhang Anmin to show his loyalty, and then said: "Doctor Ling, you said just now that you want to have a subtotal gastrectomy, how many people do you need every day?"

"In the first three days, arrange two cases per day, and Ren Qi and Ye Sigong will follow me." Ling Ran pondered for a few seconds, and then said: "In the future, it depends on how many patients there are, and it should not exceed 8 cases per day. Well, no more than 8 cases per day." More than 10."

Ren Qi and Ye Sigong still had smiles on their faces, but now they are laughing crazy.

8 operations, unless it is ophthalmology and department of surgery, who can do it.

But neither of them dared to say, nor dared to ask.

Ling Ran didn't talk too much, ended the meeting in a few words, and went straight to the operating room.

The operating room has a constant temperature and humidity. Not only are there fewer people, but everyone also washes themselves clean at any time. It is much more comfortable than the outside world.

In the evening, a patient with gastric stromal tumor was borrowed from the general surgery department.

Ling Ran immediately brought someone over to check the room.

Zuo Cidian followed Ling Ran closely, and introduced: "There are no more hospital beds for the general surgery department. When I saw it, I said, give me one of the patients in the corridor, and then brought this patient with stromal tumor." return."

After a short pause, Zuo Cidian said again: "The situation of this patient's family is not very good. The only medical insurance is the new rural medical insurance. The deposit for admission to the hospital has to be paid twice. It will probably be more troublesome in the future."

"Well, it's okay." Ling Ran didn't care.

In the emergency department, there are more similar situations than in the general surgery department.

There is also a problem of admission in the general surgery department. When the beds are full, there are many options. On the contrary, the emergency department is not so free. Once the green channel is opened, the problem of paying fees is often ignored.

Some doctors are more concerned about bonuses, and they will be caught relatively strictly. And doctors like Ling Ran have long since left the period of chasing bonuses, so they don't care too much about them.

If there is arrears, it is also feasible to offset some expenses with the department's expenses. As far as the current volume of surgeries performed by Ling Ran and Ling's treatment group, the entire emergency center can't say anything.

Of course, if someone had an opinion, Ling Ran didn't care.

"Both of you have undergone gastrectomy, have you encountered stromal tumor?" Ling Ran asked as he walked.

"I have done three cases." Ren Qi replied.

"I also did two cases, and I did more than a dozen cases when I was an assistant." Ye Sigong also thought about it.

Ling Ran nodded: "Are they all open?"

Ren Qi and Ye Sigong nodded together.

Open subtotal gastrectomy is a secondary operation. In terms of surgical grade, it is the same as hemorrhoid surgery. It is not difficult and the risk is relatively small. The patient will be relatively painful... Still, the same as hemorrhoid surgery.

Laparoscopic subtotal gastrectomy is a tertiary operation, it should be said that it is more difficult, and it is also the division between tertiary hospitals and lower-level county hospitals.

"Look at the patient's condition. If it's appropriate, we'll do open surgery first." As Ling Ran spoke, everyone arrived at the ward.

Zuo Cidian took two quick steps and pushed open the door of the ward first.

The sound in the room, mixed with the smell of disinfectant, came from the surface.

"I don't inhale oxygen, you take this off, I have a stomachache, not a sore throat." The thick man's voice came out vaguely.

"Dad, if the hospital asks you to inhale oxygen, you should inhale it. You are already like this, and you will be more comfortable inhaling oxygen..."

"Oxygen inhalation costs 1.5 yuan for an hour. What am I doing with it? You can buy a steamed bun for 1.5 yuan."

"The steamed buns in the community cost 2 yuan, where can I get 1.5 yuan?"

"Don't go to your neighborhood to buy it, you can go to the alley behind to buy it, it will be 50 cents cheaper, you know, you have to learn to live..."

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