Chapter 491： Never seen money

"I said why the director followed Ling Ran every day." The governor in the middle laughed suddenly, as if he had discovered something that could not be secret.

After that, he picked his chin to both sides.

The other two attendants did not agree with him at this time.

"How can the intrahepatic bile duct stones be so clean?"

"Yeah, everyone is a liver resection. It doesn't make sense for Ling Ran to cut it very clean."

The two attending questions point to the same answer.

"I was just thinking about this problem." Zhang Anmin laughed twice, then put away the cholangioscope, and began to perform abdominal operation.

The three attendants waited for Zhang Anmin to speak, waited for more than ten seconds, and did not answer. One of them came to his senses and said, "Just right, wait for me to wash my hands and help you."

He went out and washed his hands, and returned to ask the nurse to put on a surgical gown to help Zhang Anmin.

The use of surgical consumables in tertiary hospitals like Yunyi is extremely wasteful.

For things like a surgical gown for a dozen dollars, or a dozen dollars, the doctors lost everything. Similarly, there are hand-washing suits that need to be sterilized once, and surgical instruments that need to be re-sterilized or discarded once or even once-only slippers, are never washed and always dirty.

Doctors travel to the operating room, change clothes, or operate equipment, etc., are more casual, basically, as long as they do not take home, it does not matter.

With someone to help as an assistant, Zhang Anmin's belly-closing operation is much faster.

One is responsible for unfastening the clips and handing the thread, and the other is for layered sutures. It only takes a few minutes to sew up the abdomen.

At this time, Zhang Anmin Shi Shiran said: "I think, Dr. Ling can clear the bile duct stones in the liver so clean, mainly because the location is good."

"position?"

"Well. The location is very important." Zhang Anmin said: "Please pay attention to the location where he cuts the liver, which is not only the place where the stones are concentrated, but also the location where the stones are very convenient."

"How was this chosen."

"It's like doing a geometry problem." Zhang Anmin actually didn't know it, so he just edited it casually. Of course, he did think in this direction. As for whether the direction of thinking was correct, Zhang Anmin could not be held responsible.

The other three did not see the operation, so they had to think blindly, thinking about it, they felt that Zhang Anmin was very reasonable.

"It's the same as doing that auxiliary line."

"Do you remember junior high school geometry?"

"The high school's solid geometry is also an auxiliary line."

"If you say that, it's really difficult to choose a position. My high school's three-dimensional geometry is the worst to learn, and generally I can't get 90 points."

"The worst thing I have is advanced mathematics. Defining integrals, analysing geometry, etc. are all pull points."

Although they have graduated for ten years, when it comes to mathematics in middle school and university, several people are still impressed.

In those years, it took so much hard work to learn. Although the specific steps and formula theorem have been forgotten, but when you think about the pain when you branded it, and the sweetness of the interval, everyone is still willing to chat.

After all, doctors who can establish a foothold in Yunyi have had many years when they were in school. Compared with the crowds after entering the hospital, they miss the school more.

Zhang Anmin wouldn't say much, just casually chatted, and helped the anesthesiologist Su Jiafu clean up, then took off his surgical gown to catch the next operation.

The other three attending surgeries also had their own surgery, and even if they felt itchy, they could only disperse.

Zhang Anmin hurriedly got only two help.

Yizhu became Ma Yilin. Yu Yuan is now the in-patient general, and the in-patient general who has been open for a few months. The general surgery in the emergency department is entrusted to her, especially the night shift operation at night. The first sequence is the in-patient general, so that more than Yuan can't follow Ling Ran's surgery.

Ling Ran didn't care who helped him. With the help of a skilled doctor, he will perform the operation faster and more delicately. Without the help of good technology, do it slowly and pay more attention to yourself.

If there is any difference between the first aid of the attending level and the first aid of the standard training level, for Ling Ran, it is probably to drink energy medicine two surgeries in advance.

As a puppet doctor who currently has 718 bottles of energy medicine, Ling Ran is able to undertake various changes.

"Zhang Anmin, please prepare and make a biliary mirror." Ling Ran was glad to see Zhang Anmin coming, but she was happy to shift some pressure out.

From Ling Ran's point of view, Zhang Anmin, who had undergone a series of bile surgery for five or six years, should have a level of junior specialty, which is enough for a liver resection.

Zhang Anmin said with a gurgling sound: "Can I do a cholangioscope? Is it OK?"

Ling Ran frowned: "You seem to particularly like repeating questions."

"Will it? I have repeated questions? Well ... it seems like this." Zhang Anmin froze God.

"Don't ask questions repeatedly, try as much as possible." Ling Ran was a bit disgusted with Zhang Anmin's concubine, but that was a bit disgusted.

Zhang Anmin nodded cautiously, and then whispered, "If I come to operate the cholangioscope, the residual stone rate will be very high."

Since his family knows his family affairs, let alone say that he has a choledochoscope with a residual stone rate of less than 2%. The average of 17% is unsure.

However, Ling Ran gave Zhang Anmin a strange look: "Who told you that the doctor who operates the choledochoscope determines the rate of residual stones."

"Isn't it? Not supposed to ..." Zhang Anmin shut up decisively, lest he ask twice.

"There are many reasons for determining the residual stone rate. You can find a dissertation to read later. Choledochoscope is not the key factor." Yes, you can ask Yu Yuan first. "

"Oh. Yes." Zhang Anmin's mind was full of ambitions, and the 4 attendants, including himself, just dared to think about it?

Ling Ran nodded, proceeded with the operation, doing it, and suddenly said: "Freehand operation can also affect the residual stone rate."

Talking, he used his hand to pull out a stone from the cut liver ...

Cut out a stone ...

Pull out ...

Zhang Anmin's eyes widened, and he suddenly felt that the tall hepatectomy he admired had become a Chinba.

Zhang Anmin turned to look at Ma Yilin again, and saw the latter as a matter of course.

"Hello, do you often see Dr. Ling taking bile duct stones like this?" Zhang Anmin whispered to Ma Yanlin.

Ma Yanlin stretched his neck and asked, "Isn't it so?"

Zhang Anmin asked for a moment, and thought for a while, and said, "I have read the literature and said that the intrahepatic bile duct stones were taken by hand. I just don't know. It turned out to be ..."

Ma Yanlin gave a flat "Oh" sound. He has seen a liver resection of intrahepatic bile duct stones, how can he evaluate it?

Zhang Anmin just felt a sense of absurdity rising, looking at Ma Yilin, and said: Ji Pei Yi can learn to pick the liver, what is this world? Wait, where is the advanced nature of digging the liver?

Outside the window.

Westerly winds.

Da Gou Xiang Man Yuan danced in the wind, like Xiang Zhuang dancing sword, approaching a young woman with very developed gluteal muscles.

"Be careful." The boy pulled the girl up, pointed at the big goose behind him, and showed a clean smile.

The girl blushed, like a curled spider plant.

Lu Wenbin, who had just come out of the gym, looked at the tenderness beside the fountain, and suddenly felt a little irritable. He could not help walking a few steps until he entered the operating room and felt relaxed.

"Doctor Lu, can you help?" Zhang Anmin only achieved the third operation, and he was still deliberately modest.

"That's OK, I can help with this one." Lu Wenbin had no intention to be modest, and stood in a helper position when he refused.

Zhang Anmin regretfully stood opposite Ling Ran, pulled the hook and followed today's third operation.

"Well, hurry up and do two more operations, let's rest." Ling Ran said, turning to Zhang Anmin, and saying, "when is your gallbladder operation?"

"The day after tomorrow ... the day after tomorrow is the day of surgery." Zhang Anmin was inexplicably flustered. He had to stand for ten hours a day for five operations.

Ling Ran nodded and said: "The day after tomorrow will email me the specific time, let's rest ... 30 minutes, waiting for the next operation is ready."

Ling Ran left after speaking, Lu Wenbin hurry up to close the belly, Zhang Anmin followed along to save time.

After finishing the wave, and returning to the lounge, Zhang Anmin, in his 30s, already felt exhausted.

He took the cigarette from his locker and greeted him again, "Dr. Lu, do you smoke?"

Lu Wenbin hesitated, and said, "Well, just wait."

Lu Wenbin also went to the locker to fetch cigarettes, went out of the lounge with Zhang Anmin, and walked and said, "I usually don't smoke very much, and I occasionally smoke."

"It's better not to smoke. I can't help it ~ www.novelhall.com ~ I smoke when I'm studying." During the talk, when he reached the rooftop, Zhang Anmin gave his own cigarette to Lu Wenbin.

Lu Wenbin took it politely, glanced, and saw a red double happiness of 10 yuan a pack, could not help but stunned: "Dr. Zhang, you are in charge of the province. Forget it, try mine."

"What kind of indication is I? I did not see any money at all in the medical reform the year before I was promoted." Zhang Anmin said after taking Lu Wenbin's cigarette, he saw the word "Chinese" reflected.

Zhang Anmin's lips froze: "Great China? So corrupt?"

"What's wrong with this, you can buy a few if you pay for the flying knife once." Lu Wenbin smiled and held Zhang Anmin.

Zhang Anmin smiled bitterly: "What flying knife do I have ..."

Speaking, Zhang Anmin suddenly realized what, looked up at Lu Wenbin, and asked, "Do you often follow Dr. Ling to produce a flying knife? Is there money to take?"

"Yes," Lu Wenbin answered simply.

"How much can you divide?" Zhang Anmin couldn't help but he really wanted to know.

Lu Wenbin pouted: "less 200, more 500, 1000 at most."

"That's a lot, Dr. Ling can make three flying knives three times a week. How can you divide a thousand dollars into eight hundred yuan?" Zhang Anmin calculated the account, and his heart was a little balanced, which is also a cigarette. .

As soon as Lu Wenbin lit a cigarette, he wanted to spit out his mouth. He was laughed at by Zhang Anmin's words, and he could not help but cough.

"Oh, it's the old yellow calendar for every calculation. Now who dares to make such a price for Dr. Ling." Lu Wenbin smiled and shook his head.

"One? How many surgeries does Dr. Ling go out at once?"

"What do you think?" Lu Wenbin raised his arm that was 38 cm around his arm, took a cigarette with a smile, and quickly spit it out, looking like a single-year-old fitness single man.