Chapter 1035: Subtotal Gastrectomy
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
“Ma Yanlin’s performance is quite good. Let’s have a few more people watch his surgery.” During the afternoon review meeting, Ling Ran gave an order to Zuo Cidian while wiping alcohol-based hand sanitizer comfortably all over his hand.
The doctors in the group who sat around the long table were also wiping alcohol-based hand sanitizer on their hands, and they looked at Ma Yanlin curiously.
Zuo Cidian was a bit dumbfounded. ‘What do you mean by good performance?
‘Was it because of Chief Physician Tao’s performance? Or was it based on the performance of the doctors who came over to observe? Or was it truly just based on Ma Yanlin’s performance?’
Zuo Cidian could not understand it, but he was fine if Doctor Ling was satisfied.
A long time ago, Zuo Cidian had forced himself to try not to read Doctor Ling’s thoughts.
The thoughts within this kind of people… Truly, there were certain groups of people in the world whose thoughts you would never be able to truly understand.
When Zuo Cidian saw Ling Ran’s expression, he asked according to the topic at hand, “Should we invite Chief Physician Tao for a lecture?”
“Yes. Chief Physician Tao’s lecture is not too bad.” Ling Ran put down the alcohol-based hand sanitizer as he said this. He looked at the doctors in his group who sat at both sides of the long table and said, “Assign Doctor Zhang Anmin, Ren Qi, and Ye Sigong this time round for the surgery. Hmm, arrange them to come in one after another. There’s no need to hurry.”
Everyone could not help but look at the three people who were appointed.
Zhang Anmin was already an associate chief physician, so his expression was still normal. However, the in-service training doctors, Ren Qi and Ye Sigong were stunned.
‘What is happening?’
The in-service training doctors and housemen who sat scattered at both sides of the table looked at Ren Qi and Ye Sigong with indecipherable expressions.
When someone was appointed by Ling Ran, at the very least, Ling Ran remembered their names and treated them differently, regardless of the fact of whether they were good or bad.
Ren Qi also thought of this, and he remembered what Ling Ran had asked him before.
‘”Are you my subordinates?”‘
He could not help but feel warmth in his heart. Suddenly, Ren Qi became nervous again and whispered, “Doctor Ling, Doctor Ma is here to demonstrate the Zhu-Ling Achilles Repair Technique to others. What kind of surgical method will Doctor Ye and I be using?”
Ling Ran had previously used one minute to think about this question. Now, he thought for another thirty seconds and said, “Ren Qi and Ye Sigong, you’ll follow me to perform a gastrectomy. Assign Chief Physician Tao to Zhang Anmin to perform hepatectomy.”
Ling Ran’s gastrectomy skill was at Master Level as well. He seldom used this surgical skill, and it was now a good time to teach the two in-service training doctors who specialized in the field of general surgery.
Zhang Anmin had followed Ling Ran to perform some hepatectomies. He was not nervous when he heard that. He just asked with some hesitation, “What’s going on with Chief Physician Tao now?”
“Have Chief Physician Tao give explanations on the spot so that the in-service training doctors could understand,” Ling Ran answered firmly. This was indeed his plan, but his intention for the plan was not for Chief Physician Tao to come and give a lecture.
Zhang Anmin suddenly came to a realization. He nodded in understanding. “True. Doctor Ling, you’re too busy. If we have Chief Physician Tao give the explanation…”
“Ahem.” Zuo Cidian pretended to cough and said, “We ARE organizing a training camp, right? Since Chief Physician Tao is still healthy, it’s a good thing for him to come over and explain to the in-service training doctors…”
“Yes, training camp.” Zhang Anmin chuckled.
Ling Ran did not care what they thought. Once he saw that they understood him, he reminded Zuo Cidian. “The in-service training doctors who are older will be given to Zhang Anmin. Those who are older than… Hmm, arrange them in order from old to young. Split them into three equal groups, and have Doctor Zhang take the oldest group.”
“Okay.” Zuo Cidian felt that this was reasonable. The difficulty level of hepatectomy was very high. For those doctors who had lousy basics, Zhang Anmin’s performance would not produce an outstanding effect on them. As for whether the in-service training doctors had good skills or not? Instead of wasting their time observing them carefully, it would be easier to just judge them based on their age. They never intended to group the doctors too accurately based on their skills, anyway. And for young doctors, the experience they accumulated was a major factor in deciding their skills. A thirty-five year-old doctor might be better than a thirty-year-old doctor, and a thirty-year-old doctor might be better than a twenty-five-year-old doctor. While this might not be completely right, it was not completely wrong either.
Of course, Ling Ran was an exception.
For example, while some people were handsome, some would even transcend the standards of human aesthetics, so there was no need to be too conflicted about this sort of thing.
Zhang Anmin understood what Ling Ran meant. His expression turned serious, and he said slowly, “Doctor Ling, please be rest assured, I won’t embarrass our treatment group.”
A few doctors who knew the exact situation stared at Zhang Anmin and exchanged their thoughts through their gazes. They felt sentimental. ‘The associate chief physician of the Department of Hepatobiliary and Pancreatic Surgery said that he would not embarrass Ling Ran’s treatment group during the meeting held by Ling Ran’s treatment in the Emergency Medical Center… The prestige of the Department of Hepatobiliary and Pancreatic Surgery has been destroyed by Zhang Anmin.’
Zuo Cidian waited for Zhang Anmin to finish showing his loyalty and said, “Doctor Ling, how many people do you need for the subtotal gastrectomy that you mentioned just now?”
“For the first three days, arrange two cases each day. Ren Qi and Ye Sigong will follow me to observe how I do it while they act as assistants.” Ling Ran then thought for a few seconds and said, “As for the ones later, it’ll depend on how many patients we get. We’ll perform not more than eight surgeries every day… Hmm… let’s make it no more than ten cases instead.”
Ren Qi and Ye Sigong had been smiling, now, their smiles morphed into something only lunatics would have.
Unless those eight surgeries were surgeries related to the Ophthalmology Department and Urology Department, who else could handle them?
But neither of them dared speak up or ask.
Ling Ran did not say anything else. He ended the meeting with a few sentences and immediately rushed to the operating theater.
The temperature and humidity in the operating theater was just right. Not just were there scarcely anyone around, everyone even made sure they were clean all the time. The conditions here were much more comfortable than the world out there.
At night, a patient with gastrointestinal stromal tumors was borrowed from the General Surgery Department.
Ling Ran immediately brought some people over for the ward round.
Zuo Cidian followed Ling Ran closely and explained, “The General Surgery Department is running low on hospital beds. I went to take a look just now, and I suggested that they pass us a patient from the corridor. Then, I brought back this patient with gastrointestinal stromal tumors.”
Zuo Cidian stopped for a while and said, “This patient’s family condition is not very good. He only has a new rural cooperative medical insurance, and he was urged twice by the hospital before he managed to pay his admission deposit in full. It would be more troublesome for him to pay his fees later.”
“Okay, that’s not a problem.” Ling Ran did not care at all.
Such a situation happened more frequently in the Emergency Department than the General Surgery Department.
The General Surgery Department still had the option of whether they wanted to take in a patient to treat them. When the hospital beds were fully occupied, they had even more room to choose their patients. However, the Emergency Department did not have such freedom. Once the green channel was approved, they usually could not afford to care much about whether the patient could pay their fees or not.
Some doctors cared more about their bonuses and would be stricter on this matter. Doctors like Ling Ran had long since broken free from the shackles of chasing after bonuses, and they no longer cared about this as much.
It should be okay if the expenditure of the department was used to cover some of the medical fees owed if the patient truly had problems paying. With the current surgery volume of Ling Ran and Ling Ran’s treatment group, no one in the Emergency Medical Center could say anything.
Of course, Ling Ran would not care even if someone had different opinions.
“Have both of you performed subtotal gastrectomy before? Have you dealt with gastrointestinal stromal tumors before?” Ling Ran asked while walking.
“I had performed three cases,” Ren Qi replied.
“I have performed two cases and more than ten cases as an assistant.” Ye Sigong tried to recall his achievements.
Ling Ran nodded. “Were they open surgeries?”
Ren Qi and Ye Sigong nodded together.
Open subtotal gastrectomy was a Level 2 surgery. In terms of the surgery level, this surgery was equivalent to a hemorrhoid surgery. It was not difficult, and the risk was relatively low. The patient would also suffer quite a lot… and this was also the same as a hemorrhoid surgery.
Laparoscopic subtotal gastrectomy u was a Level 3 surgery, which meant that it was a little more difficult, and it was or it should be said the difficulty level was higher, and this was the dividing line separating tertiary Grade A hospitals and lower-ranked county hospitals.
“Take a look at the patient’s condition first. If it’s suitable, we’ll do an open surgery.” Everyone had arrived at the ward when Ling Ran spoke.
Zuo Cidian took a few quick steps forward and pushed open the door to the room.
The voices in the room were mixed with the smell of disinfectant as they came crashing into their ears and noses.
“I do not want to take in any oxygen. Take it away. My stomach is in pain, not my throat.” The voice of a sturdy man could be heard as well.
“Dad, just breathe it in, since the hospital gave it to you. You’re already in this condition, it would be more comfortable for him if you take in some oxygen…”
“It costs 1.50 RMB to take in oxygen for an hour. Why should I use it? With 1.50 RMB, I can buy a steamed bun.”
“The steamed bun in the district already costs 2 RMB. Where can you find a steamed bun that costs 1.50 RMB?”
“Don’t buy it in your district. Go and buy from the alley at the back. It’s 50 cents cheaper, understand? You need to learn how to survive…”
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