Chapter 770： Hehe

Ling Ran held this proud skill book in front of him for a long time.

As a doctor, Ling Ran has done a lot of bowel dissection and bowel operations. Although I don't like it, I don't mind it.

In his life, there are things that he doesn't like and don't care a little bit more.

However, hemorrhoid surgery is relatively boring for Ling Ran. The main thing is that the technology is low. You can know it by looking at the system. For high-tech technologies, such as liver resection, the primary treasure chest can only be given as a master. , And low-tech technology, a junior treasure chest can open the perfect level.

Among various low-tech technologies, the technical content of hemorrhoid surgery, especially the traditional hemorrhoid surgery, is even lower.

Of course, any technology adhering to the spirit of craftsmanship can always be very delicate, but from the perspective of Ling Ran, that meaning is different.

The first one, hemorrhoid surgery itself, does not solve the problem of hemorrhoids very well. This greatly reduces the significance of hemorrhoid surgery. After all, hemorrhoid surgery itself is a mature operation, but the essence of hemorrhoid surgery is immature.

Having said that, after learning about hemorrhoid surgery, is it necessary to brush hemorrhoid surgery?

Ling Ran shook her head and used the "freehand and junior grip" mentality to pat the proud skill book, which is regarded as the acceptance of this skill.

Skill is not overwhelming-Ling Ran's attitude towards it is like that.

"Doctor Ling, Naldo is awake." The thief Ma Maolin ran over.

Ling Ran glanced at him: "Who?"

"The fat man ... just the patient who had just broken his three toes and woke up." Ma Yilin explained that there was something wrong.

Ling Ran frowned: "Why so fast?"

Ma Yanlin was even more guilty of confusion: "It may be that during anesthesia, the calculation of the dose is too small, that ... the patient's weight, there may be the use of narcotics privately, and the operation time is relatively long ..."

"Did you know during the operation?" Ling Ran asked.

"I asked, maybe it's not, it just wakes up faster ..." Ma Yanlin quickly shook his head, and then said, "I'm watching the amount of medicine in our domestic anesthesia textbook. The amount of medicine that South Americans may need is larger ... ... "

Ling Ran gave Ma Yilin a glance and did not continue to blame. Anesthesia resistance is very troublesome for anesthesiologists because you do not know the degree of resistance of the patient. There is no reliable data to rely on. It can only rely on experience, and neither Ma Yilin nor he has experience in anesthesia.

On the other hand, in order to avoid resistance to anesthesia, the result of increasing the dose will not be better. If the patient's resistance is low or the tolerance is poor, a 4-hour operation is enough for the patient to die on the operating table.

Ling Ran turned and took a step, and said, "Go and see the patient first. If you are just awake normally, take a record. In addition, the next operation, we can no longer be anesthesia."

"What then?"

"Isn't satellite phone available? Let Brazil send a professional anesthesiologist over the phone to communicate."

"Brazilian doctors are afraid to refuse to take responsibility." Ma Yilin was very distrustful.

Ling Ran walked and said: "Then reduce the amount of surgery, it is not necessary to not do it."

"Who knows when the rainstorm stops, we all have to do surgery." Ma Yanlin whispered: "The environment is better now, there is a disinfectant or something from Quba town, even if the patient before If small wounds are not treated, they may become infected with purulent infections, let alone more serious injuries, and antibiotics must be calculated. "

Ling Ran made no comment on this.

The surgeon's job is always weighing the pros and cons. Even for surgery such as gallbladder stones, there is a balance between surgical treatment and conservative treatment. The risk of trauma and the risk of anesthesia must naturally be considered.

For the same injury, the basis of judgment was different when the flood first came compared to now.

Ma Yanlin actually understood this, but could not help but say a few words.

When he arrived in the wake-up room, Ma Yilin looked completely and became serious.

"How do you feel?" Ling Ran asked for routine inspections.

Naldo's eyes widened, he looked at Ling Ran for a while, then slowly focused, then sighed, "Are you an angel?"

"No. Your surgery has just ended." Ling Ran's expression was calm.

"No ... I feel like I'm drifting ..." Naldo apparently wasn't completely awake, and was placed in the normal anesthesia department, which was much more observed.

"Apart from floating, what else do you feel?" Ling Ran continued to ask.

Naldo moved his head: "I want to fly ... where did I fly?"

"This is an anesthesia recovery room. You just had surgery. Do you have any impressions?"

"Is it hemorrhoid surgery?"

Ling Ran frowned: "No."

"Oh, then I'm not impressed."

Ma Yilin was relieved at once. Although it is impossible to completely eliminate the intraoperative knowledge, for the time being, most of the risks should be avoided.

Ling Ran took another look at the monitor. He did a few simple physical examinations and determined that there were no problems. When he went out, he gave Ma Yanlin a word: "Check the patient ~ www.novelhall.com ~ to see if there is a problem with hemorrhoids. . "

"Ten men and nine hemorrhoids are coming, and Brazil is so hot again." Ma Yilin pinched his mouth. "I found it when I checked before. He had been in a wheelchair for a few days and was soaked in the flood. It is not surprising that hemorrhoids burst. "

"Look again." Ling Ran urged, and then proceeded to the rounds.

Ma Yilin shrugged, but there was nothing uncomfortable. Including the internship period, he had also been a doctor for three years, and his patience had already increased.

After 30 minutes.

"I'll go." Ma Yilin found Ling Ran, his eyes burst out, and he kept saying: "Long-term see, long-term see ..."

Ling Ran looked at him quietly.

"Duck eggs are big ... Have you ever seen a duck egg?" Ma Yanlin gestured with his hands. The whole person seemed to be stuffed with duck eggs, and sighed, "South America is rich in products and hemorrhoids are bigger than ours. . "

"How is the patient?"

"The anesthetic is almost overpowering. It's starting to hurt now. It's a little bit painful to die." Ma Yilin shivered mercifully: "There are numerous abrasions all over the body, and the three toes are broken. Now add a duck egg large hemorrhoids, now He can only lie down on his side, lying down affects his toes, lying down affects hemorrhoids ... 唔 ...... "

Ma Yilin's expression was a little bit wanting to laugh, but he also knew that it was not good to laugh, so he could only force it.

Ling Ran hesitated for a few seconds, sighing, and said, "Then you ask him again to see if you want to have hemorrhoid surgery. If you want to, I'll do it for him."

"Well, will you still have hemorrhoid surgery?" Ma Yilin looked at Ling Ran and couldn't help saying: "We don't even know."

Ling Ran looked at Ma Yilin with a lack of interest, and said, "You are still an assistant, and strive to learn."

Ma Yanlin's eyes turned: "Dr. Zuo definitely needs it, and when I learn it, hehe ..."

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