Chapter 269： Incision

Ling Ran quickly retrieved her skills, both master and perfect, and did not consider them. The national rankings of these skills are relatively high, let alone the city rankings, not to mention whether there are 130 who can be improved, and the difficulty is too high. Already.

In contrast, several specialization-level skills have a higher probability of improvement.

"Intermittent vertical mattress suture" is to sew eggs. It mainly tests Director Huo's egg collection ability. It is not easy. "Vertical mattress inversion suture method" and "interrupted horizontal mattress inversion suture method" are both sutured stomach and intestines. The truth is that there are very few opportunities that can be won, but the bow-and-pen skills are more promising.

When you operate ...

Ling Ran's first thought was to cut her eyelids.

The turnover rate is high, and there are many patients. It is a bit exaggerated to make 100 a day. It is easy to make thirty or fifty.

However, Yunyi can't carry out this technology. It would be too much trouble for Ling Ran to find an institution such as a beauty salon. The girls who cut both eyelids were all unfamiliar girls. They received thirty or fifty girls a day. I didn't know how much to say.

"System, what if I buy a piece of meat and practice it?" Ling Ran suddenly felt in her heart and felt like she had found a loophole.

"Calculate." The system replied cheerfully: "Only the ranking is calculated."

Calculating only the rankings means the results of the surgery.

Practicing knives on pork is a practice suitable for beginners. To have an effect on specialized surgical techniques, only pork may not work.

Ling Ran groaned for a few seconds and asked, "What is my ranking skill now?"

The system spoke in Ling Ran's mind: "Your pen-opening operation currently ranks 765 in Yunhua City, and bow-opening operation currently ranks 558 in Yunhua City."

Ling Ran mostly uses the bow-holding type to operate, but relatively few detailed pen-holding types are used.

This ranking stimulated Ling Ran a little.

After ranking the top 500 in Yunhua City, the description shows that Ling Ran's technology is mediocre in terms of cutting this skill.

This is not like a physical examination. The ones who are best at physical examination are physicians, especially middle-aged and elderly physicians. Experience has accumulated and I have seen more. The level of physical examination has also risen. They also have a lot of opportunities to practice, and every year the unit and school physical examinations are indispensable for physicians. Therefore, it is not surprising that Ling Ran was ranked in the top 1000.

More than 30 Grade A hospitals in Yunhua City alone can provide a large number of medical doctors who are good at physical examination. Hospitals below the top three, doctors at the director and deputy director levels also have outstanding skills.

However, incision skills are purely surgical skills.

Ling Ran's pen-operated operation ranked 765th in Yunhua City, and that ranking in Yunhua Hospital is probably in the dozens or even hundreds.

This is the result of Ling Ran doing hundreds of operations after acquiring two skills.

From this point of view, it is difficult to improve the rankings overnight.

From this point of view, the weaker level of "professionalism" is the level that does not leak.

Looking at Xiaosha Midongsheng's study of Tuina, you can see that the improvement from entry to specialization is very fast, and the requirements are relatively low.

Specialization increases slowly.

Ling Ran's physical examination has also been done for a long time, and he is still at the level of specialization, but the ranking has improved a lot, indicating that the technical tree of specialization is still very long.

"How long does it take to increase the bow-style by more than 100?" Ling Ran asked again.

The system did not respond.

Obviously, there is no accurate answer to this question.

Ling Ran swaggered: "Open the intermediate treasure chest."

At the same time, Ling Ran meditated in his heart: cut, cut, cut ...

In a bright light, a skill book appeared in front of him:

Tracheostomy (Perfect Level)

Seeing "perfect level", Ling Ran was already very satisfied.

From the doctor's point of view, although technology is easy or difficult, it can solve the problem.

There are more doctors who know how to bypass the heart than doctors who save intestinal obstruction. Of course, bowel obstruction is really special.

Tracheostomy is one of the most commonly used techniques in the emergency department and ICU. It is also the most commonly used foreign technology in film and television dramas. Those who roar when they see a rough road and poke their lungs when they take a pen can be understood as a need Patient doing a tracheostomy.

Theoretically, the trainees should be trained in tracheotomy, and the operation should be performed in as few as three or five cases and as many as 10 cases. However, from the current situation in China, there are not many young doctors who have the opportunity to perform tracheostomy. Whether you can get started depends on both luck and your own enthusiasm.

Ling Ran had learned tracheostomy in school, but before the actual operation, what he learned was difficult to transform.

But after shooting down the skill book in front of him, Ling Ran was already a senior throat opener.

"Not bad." Ling Ran nodded slightly.

The tracheotomy is also incision, and it can be used with bow or pen.

"Doctor Ling?" Yu Yuan called Ling Ran.

They both completed the rounds and were anxious to return to the office to write a medical record.

"Oh ... take a rest." Ling Ran nodded and said, "I'll go to the rescue room to see."

Lu Wenbin and Yu Yuan did not hesitate to go, and they could not finish more work.

Ma Yanlin quickly followed Ling Ran, saying in the mouth: "Dr. Ling, I'll help."

"I have nothing to do, just wait in the rescue room." Ling Ran does not need an assistant for the time being.

Ma Yanlin grinned twice, still following Ling Ran, and when he got out of the elevator again, when he was in the low-passage, Ma Yanlin whispered: "Dr. Ling, my time for rotation is up, I told the director, emergency department There is no place for now, I have to go to another department. "

Gui Peisheng has to rotate in multiple departments. Ma Yanlin has been overtime in the emergency department, which is extra time.

Ma Yanlin looked at Ling Ran attentively at this moment and said, "Can you help me talk to Director Huo and let me stay in the emergency department."

"Can Gui Peisheng stay?" Ling Ran was not familiar with the rules.

Ma Yanlin looked at Ling Ran and whispered, "You are an intern."

Ling Ran stunned, "Oh" and said, "I told him."

"Okay." Ma Yilin's expression was slightly alive.

He has been worried about rotating work for days.

Compared to studying in different departments, the opportunity to learn under Ling Ran is obviously more rare. Besides, aside from the replantation of broken fingers, it is a good opportunity that orthopedic residents may not be able to find ... The fear is that after returning in a circle, Ling Ran already has new people around him.

In fact, it was almost obvious. Ling Ran's frequency of surgery is so high, and there are so many patients, which will be more workload than the treatment team in the general department. If Ma Yilin leaves, Ling Ran will definitely need an assistant, and this position is not possible to wait for Ma Yilin ... ...

Ma Yanlin looked at Ling Ran and said with great relief: "Dr. Ling, Director Huo may arrange other resident doctors to be your assistants. Do n’t promise, I have followed you for so long. Your habits are my habit. I'm familiar with it, other resident doctors are definitely not good for me ... I'm mainly not in the emergency department. If I were in the emergency department, Director Huo would definitely be willing to leave me. In fact, I have already applied for the emergency department. , Director Huo is unwilling to exert effort ... "

Ma Yanlin was very big about this, and he said something a little bit upside down.

Ling Ran nodded and said, "If this is the case, you can find a way to convince Director Huo."

"How do you convince?" Ma Yilin was instantly interested.

"You can try the main knife Achilles tendon repair and tang suture." Ling Ran gave suggestions. He did not say that the replantation of broken fingers was because the difficulty was too high, and Ma Jianlin couldn't handle it just by matching the blood vessels.

Ma Yanlin looked at Ling Ran in surprise and asked, "Will you let me repair Achilles tendon?"

"I can give you a chance." Ling Ran thought for a while, and said, "In the future, you will do Achilles tendon repair, Master Lu Wenbin and Tang. I will break down all the steps. You will go from easy to difficult, and each time you perform the operation After one part is all correct, let's move on to the next step. "

Ling Ran's requirements are even higher than ordinary requirements, but Ma Yilin is as happy as a lover.

This is tantamount to teaching by hand, even better than the doctor who let go. At this point, what can Ma Yilin say?

If it is not forbidden by social trends, Ma Yanlin would like to say to Ling Ran now: You are such a good person!

"I'll go and wait for the suffocated person to come." Ling Ran waved and walked into the rescue room.

The most needed tracheotomy in the hospital, except the emergency department is the ICU, and finally in the operating room.

For a hospital like Yunyi, it is normal to harvest one or two patients who need tracheostomy every day. Of course, it's more luck to watch the rain, but Ling Ran has nowhere to wait except the emergency department.

One hour.

Two hours.

Three hours.

When Ling Ran was finally banned for several warnings, the ambulance finally sent a **** patient.

Ling Ran put away his mobile phone boringly and walked forward silently. For the more serious trauma, Ling Ran lacked the ability to cope with the system and was still in the learning state.

"I'm okay, save my dog ​​first, save my dog." The patient was turned upside down, soberly awake, opened the sheets, and a yellow Labrador lying flat on the flat bed, also dying. UU Kanshu

The vest of Labrador and the police uniform on the patient also illustrate their identity-a policewoman with a dog.

The nurse in the stroller had to hold the patient's shoulder and said, "You don't have to struggle to avoid tearing the wound. The veterinarian of your squadron has already arrived."

"I'm okay. The blood on my body is from the gangster. If you don't believe me, look at me ..." The policewoman said that she was about to stand up, but she said "ah" and lay down again.

"Your leg was stabbed, unconscious? Do you have an impression?" The doctor in charge raised the flashlight and patted the policewoman's pupil, asking questions constantly.

"My dog ​​... the chestnut was also cut." The policewoman held the doctor's hand and said, "You have to rescue him. Chestnut is only two years old and has rescued three people. This time he also sniffed out drugs. Before being attacked ... "

The emergency doctor's face was distressed. He was good at saving people, but he was inexperienced in saving dogs. Moreover, it is impossible for him to lay down people now to save the dog.

Ling Ran put her hands in her pockets and looked at Labrador's dark eyes, and said, "Let's stitch the dog."

Task: Treat police dogs.

Task content: Rescuing police dog "chestnut".

Quest reward: 6 junior treasure chests.

Ling Ran looked at the sky in surprise, save the dog, and return it to the treasure chest?

And ... if there are 6 junior treasure chests + 24 junior treasure chests, it is exactly 30 junior treasure chests.

Ling Ran took a deep breath, pushed Zhang Ping's bed by himself, and moved the dog over with the two.

The policewoman stared at her dog with a stunned look, and then looked at Ling Ran before passing out.

"The dog is choking," the nurse next reminded.

Ling Ran looked down, and as expected, the dog was out of breath immediately.

"Well ... give it a tracheotomy." Ling Ran made the most correct choice at the moment.