Chapter 533: Win
As the attending doctor, Zhang Anmin helped the resident doctor Ling Ran to support the mirror, and he was happy to help him.
To be honest, Ling Ran's cholecystectomy is average, but he is proficient in laparoscopy and has a clear understanding of anatomical structures.
When you are familiar with the anatomical structure of the human body, it is like throwing a person into a residential building without a license plate and asking him to see a trash can, so that he can determine the location and orientation of his current floor, and he can tell Other information comes upstairs, downstairs and inside the building.
Such requirements, not to mention that residents and attending doctors can't meet them, and doctors with sub-high or high-level doctors may not be able to be familiar with them to any extent.
But Ling Ran can.
Zhang Anmin admired this alone.
Based on this, he knew that Ling Ran's speed in mastering any abdominal technique was far superior to ordinary people.
The effect is also much better.
Ordinary gallbladder surgery, that is, when a junior doctor like Zhang Anmin does it, when the senior doctor takes care of it, he will either perform the bile duct or the liver, and keep the gallbladder. Doctors who have researched in this field.
A doctor who has done surgery to the level of Ling Ran, and who will practice further laterally... Everyone who is a doctor knows that this kind of doctor is the most vicious. Maybe one day, you will stand on a certain platform and spray the articles you have worked so hard for two or three years like shit.
If it is really shit, it may be poured all over the circle, and the result is referred to the series of "Academic Misconduct: Disaster".
Zhang Anmin was sure that He Yuanzheng, the director of the Department of Hepatobiliary Surgery, would never dare to provoke Ling Ran.
Even if Zhang Anmin sells the department again, as long as Ling Ran agrees, He Yuanzheng will not feel uncomfortable.
The technical ability of technical positions can be transformed into real strength, and doctors are the most obvious one.
"It's almost there." Ling Ran put the severed gallbladder into a plastic bag, and pulled it out from the patient's navel.
Zhang Anmin quickly took it on a plate, and said with a smile, "I'll take it out and show it to the family members later."
The complete removal of the gallbladder is a good proof of the doctor's work. Zhang Anmin also wanted to please the resident doctor Ling Ran who performed the surgery.
Ling Ran nodded in approval,
Then he said, "Retrieve the medical records of that huge liver tumor, and I'll wait for you right here."
"Oh, oh, okay." Zhang Anmin didn't finish the stitching, and handed over the work to a fake assistant who didn't do anything during the operation, and then entered his account password into the computer in the operating room to call out the huge liver. Tumor patient medical records.
Cloud Medical's medical record management is relatively strict, and patient information can be accurate to the treatment group and the doctors in the group. However, no matter how good the medical record management system is, it can't stand the laziness of doctors. A junior doctor like Zhang Anmin has been in hepatobiliary surgery for almost 10 years, and almost every treatment group knows one or two frequently used accounts, and opens them as soon as they say so.
This is also because of He Yuanzheng's relatively low seniority, lack of prestige in the hepatobiliary surgery department, and failure to control the doctors under him.
In a typical strict management department such as urology, directors often monopolize certain surgical procedures, so that the management of medical records of patients who need to use this surgical procedure will become more stringent.
Ling Ran stood in front of the computer and watched the movie on his own.
He naturally... understands things like robbing patients.
But, just like what Ling Ran said to Zuo Cidian, he didn't care about rules such as not being able to steal patients.
Ling Ran believed in those tried and tested rules, just like don't jaywalk -- he had seen many news about jaywalking and getting hit and flying.
In contrast, rules such as "no late arrival and early departure" and "only one egg for lunch" always fail in front of Ling Ran. Most of the time, before Ling Ran has the will to break the rules, someone always breaks them on his own initiative.
Zhang Anmin quickly left the operation area with the patient's gallbladder, and showed it to the anxious family members of the patient, saying: "The operation went very smoothly, the patient's blood loss was less than 60 milliliters, and there was no blood transfusion..."
The patient looked at the fleshy gallbladder, wanted to see but dared not.
Only the husband of the patient stared for a few times, took out his mobile phone and took a picture, and said to the children at home: "No wonder your mother is bluffing all day long, wishing to kick the old Wang's dog next door to death, see Look at this guts, it's really big."
"Is my mother okay? Has she come out yet?" The patient's daughter ignored her father's complaints and looked inside anxiously.
If you can't see people, you are always worried.
Knowing the situation of the patient's family, Zhang Anmin nodded, and said, "I'll be out soon, and the nurse will come to the ward to explain to you later, have you written down what I said before?"
"Remember it." The patient's family members nodded quickly.
"Okay, let's all go back, the operation went well, nothing happened." Zhang Anmin was a little anxious to go back to see Ling Ran, but seeing the appearance of the family members, it was not good to leave immediately.
Fortunately, the patient was sent out quickly.
The belly button stitched by the resident doctor is not a difficult job, but it is not beautiful.
"Okay, follow the nurse back to the ward and have some snacks." Zhang Anmin arranged a few words and hurried back to the operating area.
At this time, Ling Ran had already read the patient's information and videos.
His cholecystectomy is practiced by himself, and his level has just passed the "entry" level of the system evaluation, which is even worse than the professional level. In Yunyi, it is equivalent to the level of a senior resident doctor. After abdominal dissection and other skills, it will be slightly better.
But in terms of liver resection, Ling Ran is a proper master, placed in Yun Doctor... Yun Doctor has no benchmark.
He Yuanzheng, Director of Hepatobiliary Surgery of Yunyi, the skill level of liver resection, compared with Ling Ran, is nothing more than advanced specialization.
Looking at the information on the computer, Ling Ran had already started simulating the removal of a huge tumor in his mind.
"Doctor Ling." Zhang Anmin trotted over.
"Why didn't you do an MRI for the patient?" Ling Ran started with a question.
Zhang Anmin took a breath, and hurriedly said: "The patient only has the insurance of the new rural medical insurance, and the reimbursement rate for MRI is relatively low. The patient means that if he can do it, he will not do it."
"It must be done." Ling Ran said without hesitation: "Zuo Cidian, you go talk to the family."
Zuo Cidian who had just entered the door was stunned for a moment, then nodded cheerfully: "No problem."
For him, family conversations are relatively simple.
After all, in the doctor-patient conversation, apart from various emotional fluctuations, the doctor has the initiative in the conversation.
If it is just about insurance reimbursement or expenses, if the doctor emphasizes it, the patient will always agree.
Healing diseases and saving lives has never been an easy or cheap job.
After finishing speaking, Zuo Cidian said again in a flash: "In terms of communication, Director He agrees in principle to entrust this patient to us for surgery."
Ling Ran let out an "oh", knowing it.
Zhang Anmin asked very uneasy: "What do you mean in principle?"
"The patient still stays in the Department of Hepatobiliary Surgery. Besides, Director He wants to participate in the operation." Zuo Cidian looked at Ling Ran.
"Okay, he'll be your assistant." Ling Ran didn't dislike having labor delivered to his door.
For such a large liver tumor, the responsibility of the first assistant is very heavy, and it is no longer something that a small hospital like Zuo Cidian or Lu Wenbin can handle.
Zhang Anmin lowered his head in pity, and didn't dare to speak.
The difficulty of this operation is already very high, and it can be regarded as a challenge for He Yuanzheng.
For such a large liver tumor, in the hands of non-top doctors, the most normal choice is to do liver transplantation - no matter how good the transplanted liver is, it can't compare with one's own, and the donor is very rare. The main reason for not performing surgical stripping is that the operation is difficult and the survival rate is low...
If Ling Ran asked Zhang Anmin to undergo surgery, he would certainly be very happy. Without Ling Ran's mention, Zhang Anmin didn't dare to recommend himself.
This job is not easy to take down.