178 Showing Off Each Person’s Ability (1/2)
While waiting for the previous team to perform the debridement, Ling Ran crossed his arms over his chest while he stood in front of the screen to analyze the scans.
Lu Wenbin helped the patient disinfect the toe. Yu Yuan accompanied Ling Ran and operated the remote for him.
When Ling Ran analyzed the MRI scans, Yu Yuan also read them quietly.
She had once studied medical imaging seriously, and her level of MRI analysis was not bad. At that moment, she was eager to give some suggestions.
Yu Yuan observed Ling Ran's expression and tried to guess what he was thinking. She sighed lightly and waited for a time to speak out...
”Okay, turn it off.” Ling Ran went back to his surgical position after he finished reading the scans.
Yu Yuan was stunned. She could not do anything but turn off the big screen. She put the remote control back to its original place before walking to Ling Ran's side.
”Wash your hands.” Ling Ran's tone was bland, but it scared Yu Yuan so much she almost fell down.
A few doctors in the operation theater looked at Yu Yuan in a strange way.
If even the senior resident doctor Hou Kang had to be considered very lucky to be able to participate in the surgery today, then it was natural no one expected that there would be people who needed to be reminded to wash their hands before the surgery to join the operation.
Yu Yuan immediately went out of the operating theater to wash her hands. Since she had touched the remote control just now, she definitely had to wash her hands again. She had remembered to do so initially, but forgot to wash them later.
Yu Yuan only rushed back to the operation theater after Ling Ran drew the incision line and picked up the scalpel.
”Doctor Ling is so good. He's even willing to bring his student to gain more experience.” The conversation between the nurses was loud enough to be heard throughout the operating theater.
Yu Yuan felt very embarrassed.
It was not that she did not know about it. Her Master's thesis on nosocomial infection had been published in an SCI Tier 1 journal.
However, she had limited practical experience. When she started working in the hospital, she had not been permitted to use her hands much. In truth, her experience was even lesser than a resident doctor who had joined the hospital for three years and stayed in the same treatment group throughout the three years…
”Gauze.” Ling Ran's order traveled into Yu Yuan the second assistant's ears. It snapped her out of her daze.
”Stop the bleeding.”
”Give me another gauze.”
”Start the aspiration.”
Ling Ran kept on giving orders. Amputation was considered a super easy task in finger replantation. Although he did not have to perform the most troublesome tasks that were blood vessel anastomosis and nerve anastomosis anymore, he still needed to sort out the blood vessels and nerves, and also handle them later.
Amputation was considered an easy task for Ling Ran. Lu Wenbin could already cooperate with him with ease in this task. So, the level of difficulty in the tasks Ling Ran gave Yu Yuan became even lower.
Yu Yuan lowered her head and did her tasks silently. Slowly, she started to regain her confidence bit by bit.
”What are your thoughts?” Ling Ran cast a glance at Yu Yuan while performing the surgery.
Yu Yuan thought for a few seconds before she blurted out her words. ”There are deformities in the patients' great toe. Based on the MRI scan, it will be better to perform arthrolysis [1] after osteotomy [2].”
She had been keeping these words to herself when she read the MRI scans.
She instantly felt comfortable once she took a risk to voice her opinion at this moment.
Lu Wenbin looked at Yu Yuan in surprise and thought, 'She's pretty brave.'
The arthroscopic arthrolysis that was mentioned by Yu Yuan was an independent task, which meant that she was adding one more step to the surgery, further complicating the surgery itself. It also indirectly increased the risks of the surgery performed. Most importantly, the surgery procedure was actually planned beforehand by Chief Physician Wang Haiyang. Adding this one step without careful consideration could be said to be a challenge to his authority.
If that one sentence was heard by a senior doctor who had great authority, the powerless resident doctor could get into the senior doctor's bad books.
Of course, Wang Haiyang was not the chief physician in the Emergency Department, so Yu Yuan's actions could only be considered bold.
Ling Ran neither agreed or disagreed. He only hummed.
He had also read the information shown in the MRI scan. In this point. Based on her point, it was clear that Yu Yuan was capable of reading and analyzing the film. Her talent was valuable.
However, Ling Ran was already a skilled surgeon. The medical case he received gave certain surgical indications, but not all of them. He could no longer make a judgment just based on the information from the medical images. He would first think like any other surgeon. 'Come, let me open up and see...'
Therefore, Ling Ran completed the amputation first, then observed the condyle that was exposed in the surgical field. Once he made verifications that there was no mistake in the MRI scan, he said, ”Chief Physician Wang, I want to perform arthrolysis for the surrounding soft tissues of the great toe.”
”Sure.” Wang Haiyang was so busy looking for the blood vessels that he agreed to Ling Ran's suggestion without even lifting his head. He was very confident in Ling Ran's skill.
Ling Ran then performed arthrolysis along the incised wound on the amputated part.
Compared to surgical methods like the M-Tang technique and finger replantation which was given to him by the system, Ling Ran had not directly obtained the skill to perform arthrolysis from the system. However, arthrolysis was only a Level 1 procedure in the Orthopedics Department. Its level of difficulty and complexity were the lowest. Ling Ran could just followed the surgical method that was explained in the most general medical textbooks to perform the surgery. In addition to his experience of performing three thousand dissections, he could complete this particular surgery easily.
For a surgeon, it was normal for them to repeat certain surgical methods. However, when a surgeon encountered some unexpected scenarios that he was not familiar with, his past experiences would come into play. The countless theoretical experiences learned in university would be useful in providing detailed and indescribable information to the surgeon at that moment.