Chapter 217： Leadership doesn't matter

"Line 10."

"tweezers."

"gauze."

"Change to Line 7."

"rinse."

Ling Ran stood in the operating room, the adrenaline was secretly mad, the movements were widened and closed, and the operation was done heartily.

At this time, if there is a person in the industry with a similar level, find a suitable word to describe Ling Ran, most of them will use: wild!

Of course, in the eyes of outsiders, Ling Ran is still a stable speed, methodical movements, meticulous operation ...

Only a similar surgical madness can realize Ling Ran's feeling at this time: cool! Too crisp! The autumn water is all cool!

Ling Ran also felt cool.

What is the difference between performing surgery in another hospital and operating in your own hospital?

From Ling Ran's point of view, performing surgery at your own hospital is like cooking at home. You have to buy food, cook, and prepare for things. After you finish eating, you must wash the dishes, empty the trash, and clean the room.

Surgery in other people's hospitals is like being invited to eat in a restaurant, ordering food, chatting, etc. After eating, wipe your mouth and leave. If you can't make it, you have to pack some red packets.

Most importantly, the restaurant can be opened for eating!

I eat at home, I ’m full, I ’m full, I ’m full, and sometimes I ’m left over when I ’m cooking too much. I ’m going to cook when I ’m cooking. I ’m so hungry, and the food is delicious. There is no reason to add food.

It ’s different in a restaurant. Adding food is a normal operation, and you can release it. You do n’t have to worry about the shortage of beds, the stress of nursing, the rehabilitation room is not enough, and the reserved observation room is not enough. There have been big events recently ...

Ling Ran stood in the operating room of someone else's house, using other people's surgical instruments and resident doctors, cutting other people's patients, and finally sent them to other people's beds to be taken care of by other people's nurses. The blissful joy of stimulating the senses is more than that of the emperor Zhengde.

Make one operation and make one.

Five operations are the bottom line.

Six operations can be described as small gains.

10 operations, it's bloody!

When she came to Shanghai, Ling Ran felt that he would not lose five operations.

Therefore, when five operations were performed last night, Ling Ran went back to sleep.

When he woke up, standing in the operating room on the Shanghai at 5 o'clock in the morning, earning every minute and every second.

Before coming, Ling Ran could only perform one or two operations at Yunyi every day. Five operations were equivalent to at least three days. Accordingly, he stayed in Shanghai for three or five days. Yunyi himself could still Free up six or seven beds.

According to Ling Ran's vision, he stayed at the Bone Joint and Sports Medicine Center for a week, performed 5 operations, and returned to perform 6 or 7 operations. This is equivalent to 12 operations per week-no need to calculate the time of the operation. That resource, which is not a bottleneck, can not even be regarded as a resource. It is as if the time of fun can not be counted as labor costs. The operation madness performs surgery, and the longer the operation time, the happier it becomes.

The bottleneck that keeps Ling Ran happy is the number of beds!

It is impossible to add endless beds. Huo Congjun has already shipped all the rights to the emergency department. If he adds more, up to 100 beds will be over. The three-figure ward is not only accessible to the hospital, but the Health Bureau has something to say.

The number of hospital beds is closely related to the level of the hospital, and it is also a great test for the management ability of the hospital.

The top three tertiary hospitals in areas such as Yunyi, with more than 3,000 beds, will be difficult to expand. The total number of hospital beds can reach 5,000, which is one of the few in the country. Zhengda No. 1 Affiliated Hospital of the world's largest hospital has 10,000 hospital beds. The corresponding number is 95 departments. The average number of each department is 100. Beds.

It is the number of beds in the Bone Joint and Sports Medicine Center, which is 180. I hope that as an academician, I will not increase the number easily.

This is because in the national evaluation indicators for hospitals, the average number of doctors, the average number of nurses, etc. are all divided by the number of beds. For example, when the top three hospitals are evaluated, the average number of doctors per bed is 1.03, lower than This number is higher than 0.88 is the second level, the number has to be refined to an average of 0.4 nurses per bed ...

Therefore, without counting extra beds, increasing the number of hospital beds will increase the number of medical staff, and increasing the establishment is extremely difficult for any public unit.

The emergency department of Yunhua Hospital has done its best to turn over the beds, and the number of extra beds was once 40-50. However, extra beds are like using a credit card. Recycling is possible. When the scene is right, you have to pay back.

Ling Ran had no such concerns in the operating room of the Bone Joint and Sports Medicine Center.

He didn't even bother to talk, just opened his sleeves and worked hard.

Before a group of people wake up, what can they do?

Most doctors, including Dr. Qu, could n’t understand Ling Ran ’s mentality. When they saw that Ling Ran was working hard and sweating, they felt ashamed. Liu Weichen, who came back to Shi classroom again, was heartfelt. "This is pushing you to the limit."

Zhu Tongyi and Ji Tianlu both looked at each other, some envy, some admiration, and some funny.

When they were young, they also had periods of surgical madness.

China's medical profession cannot survive without madness.

Hospitals and medical research are more expensive than industry and industry. Not to mention the need for technology accumulation. Chafu in poor countries ca n’t afford medicine, let alone wish Tong Yi and Ji Tianlu when they were young. China Not even money.

At that time, the only way for Chinese medical circles to improve their medical skills was to practice more.

We do n’t have so many technical means, we rely on a wide range of knowledge. In three, five, ten, and twenty years, foreign doctors can only see them for 10, 20, 30, and 40 years. Illness, see it first, do it once, twice, five times, ten times ...

Residents are rushing to get started on the operation. The attending and deputy directors have dismissed them, but the director and deputy directors are still fighting for the operation.

"It's comfortable to look at ..." Ji Tianlu looked at Ling Ran's movements and praised them.

Zhu Tongyi also nodded gently.

He still sees Ling Ran's operation.

Although Ling Ran's mood was like a wide opening and a close-up of a thousand miles of herds flying up and down, the sky itself was soaring, but his operation was still microsurgery.

Microsurgery is always careful.

A calcification point, a little hyperplasia, must be carefully ground down.

Not to mention when stitching, smooth and strong stitching is essential ...

Zhu Tongyi is most concerned about Ling Ran's operation. The surgeon needed in the surgical plan is basically touching the ceiling of the microsurgery. Otherwise, how can he obtain a surgical result far beyond the ordinary level.

"Is Ling Ran the sixth operation?" Zhu Tongyi asked.

"Yes, the sixth case." A known resident doctor made six sounds.

Zhu Tongyi groped forehead: "It is very good to achieve this condition in the sixth case."

He came here, and it was necessary to blow it.

However, Dr. Qu was reluctant to look at the screen and remembered what he had heard before: “Ling Ran should have done five cases yesterday, and started to do it after falling asleep.”

"Well, then look at it again." Zhu Tongyi said smiling at Liu Weichen, it was clear that his attitude was clear.

To be honest, what Ling Ran said yesterday also reminded Zhu Tongyi.

He is just a doctor. Although he is an academician, he is only a doctor. He can design a surgical plan for Liu Weichen and find a doctor for him throughout the country and the world. To proceed, Liu Weichen had to decide for himself.

Zhu Tongyi can neither succeed nor care about Liu Weichen's injury more than Liu Weichen.

Nowadays, Ling Ran is the best performing surgeon, but if Liu Weichen is unwilling to choose Ling Ran and insists on choosing another surgeon, Zhu Tongyi is not prepared to stop it.

He provided enough information for Liu Weichen. Next, it should be this sports star who is no longer a young man, and he has done multiple choice questions himself.

In the operating room.

The corner of Ling Ran's mouth was smiling.

Each operation will make him happy. When the sixth operation is completed, when you take off the mask, you can see Ling Ran's expression of satisfaction.

"Dr. Ling did a good job." Nurse Xiaoyun, wearing a gray fold-ear rabbit pattern hat, clapped her hands in time to praise Ling Ran.

Residents and anesthesiologists also applauded. The resident applause is to continue the operation, and the anesthesia doctor applauds, naturally because he is tired and dizzy. He will do what others ask him to do.

"Thank you." Ling Ran stooped slightly, thanked the operation team, and then said, "Let's do a good job in the aftermath, that, who will go out to remind you that the next patient should be in place, both MRI and examination will be done. Do your anesthesia program, if you can, go for general anesthesia. "

The nurse and the anesthesiologist both agreed.

"Will you make a doctor's order?" Ling Ran asked the hospital doctor again.

"Uh ... yes, a little." The resident's nervous mouth changed. Ling Ran didn't care if there was a camera or not, he did, especially thinking that there might be colleagues and superior doctors behind the camera, and maybe even a beautiful nurse lady and a doctor lady, he didn't even know how to talk.

Seeing this, Ling Ran said habitually: "The first three days were secondary care. Raise the affected limb, and then check the patient's previous medications, cold compresses, and swelling. Take a full set of biochemistry tomorrow, and pay special attention to coagulation and immunity. , Electrocardiogram, chest radiograph ... oh, take a MRI and look at it again. "

"Okay, I know." The resident doctor a little regretted that she didn't say yes, and she lost a chance to show her face.

"Next time. How long do you have to wait?" Ling Ran rubbed her hands and became eager to try again.

Just after waking up, he just had an operation. UU reading is now his best time.

In the classroom, Ji Tianlu and Zhu Tongyi also whispered about Ling Ran's operation.

The development of microsurgery in China is extremely fast, and each school has its own schools of thought and techniques. Ji Tianlu is a fresh force in the midst of maturity. Zhu Tongyi is an experienced veteran doctor who has his own strengths. With Ling Ran's surgery, there are countless topics to talk about.

After all, just looking at Ling Ran's stitching skills made Ji Tianlu imaginative.

Liu Weichen suddenly made up his mind. He pushed the wheelchair with one hand and pressed the call button. He said solemnly, "Dr. Ling, I'm Liu Weichen. Can you invite me for the operation?"

On the screen, Ling Ran's footsteps paused, a look of hesitation and pity appeared on his face, and Liu Weichen was uneasy.

Liu Weichen's agent didn't have time to stop, and was even more anxious: "Wei Chen, what are you in a hurry? If you do this, the news will spread. At that time, you let the leaders of the team say ..."

Liu Weichen looked back at him and said blandly: "Leadership doesn't matter."