Great Doctor Ling Ran Chapter 532
533 Take Down
Zhang Anmin, as an attending physician, helped Ling Ran, a resident doctor, hold the laparoscope, and he was content, despite the difficulty.
To be honest, Ling Ran's cholecystectomy level was average, but it did not diminish his familiarity with the laparoscope. He also had a great understanding of the human anatomy.
Asking a person to become familiar with the human anatomy was the same as sending a person to a residential building without number plates and asking him to recite information regarding the entire building as well as figure out his current location and direction just by looking at a rubbish bin.
This was not something that resident doctors and attending physicians could do. Even assistant lecturers and doctors with senior professional titles might not be that familiar with it.
Yet, Ling Ran was pulling it off.
Zhang Anmin was filled with incredible admiration for him, based on this alone.
With this alone, he knew that Ling Ran's speed at mastering any abdominal technique would be far superior to that of ordinary people.
The end results would also be far superior.
Cholecystectomy was usually performed by a junior attending physician like Zhang Anmin. When it came to senior-ranked attending physicians, they either performed surgery on bile ducts or livers. Those who continued operating on gallbladders were doctors who conducted research related to this field.
If a doctor who was already as amazing in surgeries as Ling Ran took a step further to practice All doctors knew that this led to explosive results. Perhaps someday, he could easily criticize the articles another doctor had worked hard on for two or three years at some random platform.
If that article was really bad, he might end up spreading those criticisms to the entire medical world, and the result would basically be the same as the disastrous end for those who were involved in academic misconduct.
Zhang Anmin was sure that the Department of Hepatobiliary and Pancreatic Surgery's director, He Yuanzheng was absolutely afraid of provoking Ling Ran.
Even if Zhang Anmin were to betray the department, as long as Ling Ran approved of it, He Yuanzheng would not do anything that would make himself uncomfortable.
Those who were skillful while they worked among those who dabbled with skills for a living would find that their skill could turn into real power; doctors were the epitome of such cases.
"We're almost done." Ling Ran put the gallbladder which had been removed into a plastic bag and pulled it out of the patient's navel.
Zhang Anmin quickly picked up the tray and smiled. "I will take it out and show it to the patient's family."
The complete removal of the gallbladder could verify the results of a doctor's work. It was also one of the ways Zhang Anmin tried to please the chief surgeon, Ling Ran, who was also a resident doctor.
Ling Ran nodded and agreed to it. He said, "Take out the medical records of that huge liver tumor. I will be here waiting for you."
"O-oh, okay." Zhang Anmin did not perform the last sutures. He gave the work to a fake assistant who did not do anything in the surgery. Then, he entered his account password in the operating theater computer and checked the medical record of the patient with the large liver tumor.
Yun Hua Hospital's medical records management was relatively strict. The patients' information could even go into such details such as the treatment group and doctors in the group, but good medical records management systems still could not prevent a doctor from being lazy. A junior attending physician like Zhang Anmin had been in the Department of Hepatobiliary and Pancreatic Surgery for almost ten years, and almost every treatment group knew one or two common accounts, and if they wanted to access those accounts, they could.
This was also because He Yuanzheng was slightly lower in rank and lacked prestige and control of doctors in the Department of Hepatobiliary and Pancreatic Surgery.
If this department were the epitome of strict management, such as the Department of Urology, the chief physicians often monopolized certain procedures, which meant that the management of the medical records of the patients who required their surgical procedure will be even stricter.
Ling Ran stood in front of the computer and looked at the scan.
He naturally understood what it meant by snatching patients.
But as Ling Ran told Zuo Cidian, he did not care about the rule that restricted doctors from snatching patients away.
Ling Ran believed in rules that were tried, tested, and had been regularized, such as not crossing the road as they pleased. He had already heard news about people being hit by cars on the road because they jaywalked many times before.
In comparison, rules such as "you are not allowed to be late or leave early" and "you can only take one egg for lunch" always failed to be upheld in front of Ling Ran. Most of the time, before Ling Ran even had the intention to break the rule, someone will take the initiative to break it for him.
Zhang Anmin took the patient's gallbladder and quickly went out of the Operating Area and showed it to the patient's anxious family members. "The surgery went very smoothly. The patient's blood loss was less than two ounces, and there was no blood transfusion"
They hesitated to look at the meaty gallbladder, even though they wanted to.
Only the patient's husband stared at it directly, took out his phone, and snapped a photo. He then said to his daughter, "It's no wonder why your mother always makes noise and wants to kill our next-door neighbor, Old Wang's, dog. Look at this, her gallbladder is so big, if that's the case, she must be very brave as well."
"Is my mom okay? Can she come out already?" The patient's daughter ignored her father's babble. She still looked around anxiously.
She still felt worried, as she had not seen her mother yet.
Zhang Anmin knew the current mental state of the patient's family. He nodded and said, "She will be out soon. After a while, the nurse will go to the room to explain matters to you. Do you remember what we talked about?"
"Yes." The patient's family nodded vigorously.
"Alright, you can go back. The surgery went smoothly, and there's no problem." Zhang Anmin was eager to go back to see Ling Ran, but when he faced the patients' family members, he found that it was not appropriate for him to leave immediately.
Fortunately, the patient was quickly sent out.
A resident doctor sutured the navel. There was no difficulty in that task, but it was simply not pretty.
"Okay, follow the nurse back to the ward and have some snacks." Zhang Anmin made some arrangements and quickly returned to the Operating Area.
At this moment, Ling Ran had already read the patient's data and medical imaging scans.
His cholecystectomy was self-trained. He had just passed Novice Level, based on the system's evaluation, but he was still inferior to those in Specialist Level. In Yun Hua Hospital, he was equivalent to senior ranked resident doctors. Only when he added skills related to fields such as abdominal anatomy was he slightly better.
But in terms of hepatectomy, Ling Ran was a proper master. If he were to be compared to the other doctors in Yun Hua Hospital Yun Hua Hospital did not have a benchmark.
The hepatectomy skills acquired by Department Director He Yuanzheng, of Yun Hua Hospital's Department of Hepatobiliary and Pancreatic Surgery was just at advanced Specialist Level when compared to Ling Ran.
Ling Ran had begun to simulate the removal of the huge tumor after he looked at the information on the computer.
"Doctor Ling." Zhang Anmin jogged over.
"Why didn't you perform an MRI scan on the patient?" Ling Ran threw a question at him the moment he returned.
Zhang Anmin panted and said, "The patient only has the new rural cooperative medical insurance. The reimbursement rate of MRI scans is relatively low. The patient mentioned that she will rather not have it performed if she can."
Ling Ran did not hesitate and said, "You must do it. Zuo Cidian, go and talk to the patient's family."
Zuo Cidian, who had just entered the door, was stunned for a while before he nodded happily. "No problem."
For him, speaking to the patients' families was relatively simple.
After all, in a doctor-patient conversation, besides the various emotional fluctuations, the doctor had the authority to control the conversation.
The problem was only about insurance reimbursement and expenses. If the doctor insisted on it, the patients would always agree to it in the end.
Treating and saving people had never been a simple or cheap job.
Once he finished speaking, Zuo Cidian immediately said, "In terms of communication, Department Director He agreed on principle to let us operate on the patient."
Ling Ran hummed to indicate that he acknowledged it.
Zhang Anmin was very uneasy as he asked, "What do you mean by on principle?"
"The patient will still stay in the Department of Hepatobiliary and Pancreatic Surgery. In addition, Department Director He intends to participate in the surgery." Zuo Cidian looked at Ling Ran.
"Okay, he can be the first assistant." Ling Ran was not averse to labor that was offered voluntarily.
The responsibilityof the first assistant for such a large liver tumor was very heavy. It was no longer a small responsibility that could be taken up by junior resident doctors like Zuo Cidian or Lu Wenbin.
Zhang Anmin felt a little sympathy when he lowered his head, but he did not dare say anything.
The difficulty of this surgery had always been high, and it was a challenge even for He Yuanzheng.
When such a large liver tumor was placed in the hands of doctors who were not the top of the crop, the most normal choice was to perform a liver transplant. But no matter how good the transplanted liver was, it could not compare to the patient's own liver. Besides, donors were also very hard to come by as well. They had also not wanted to use surgery to remove it mainly because the surgery was difficult, and the survival rate was low
If Ling Ran let Zhang Anmin participate in the surgery, he would be extremely happy. But if Ling Ran did not say anything, Zhang Anmin did not dare to offer himself voluntarily.
It would not be easy to handle this task.