Chapter 1345： Bitter

"Ma Yanlin..." In the eyes of everyone, Ling Ran, who was busy performing the operation, suddenly shouted, and said in a test-teaching tone: "Talk about the distribution characteristics of the axillary nerve."

"Ah...Yes..." Ma Yanlin was a little sleepy at first, but when Ling Ran called her name, he immediately woke up.

At this time, everyone's eyes gathered together.

This feeling is like the chef suddenly handing over the semi-finished food to the deputy's case, and the diners are just waiting to eat.

Ma Yanlin felt a surge of stomach acid, as if he was called by his wife to rehabilitate in the middle of the night. Ai Ai said, "The axillary nerve is a branch of the posterior bundle of the brachial plexus, which descends along the back wall of the axilla on the surface of the subscapularis muscle... …"

At this time, he returned to the posture of a resident doctor.

For young doctors who have never had shoulder surgery, the knowledge about axillary nerves is basically based on reading and learning. No matter how good Ma Yanlin's hand and foot surgery is, no matter how much he has contact with hepatectomy. In vain, this is a new field again.

However, the young doctors who can enter the cloud medicine and get the establishment are also graduates of good schools and good grades, and this knowledge is still there.

The most important thing is that while Ma Yanlin is still living with his wife recently, he has reviewed the knowledge of shoulder joints. Now that he has used it, he still feels a little bit happy.

Ling Ran didn’t comment, and after confirming that Ma Yanlin had a foundation, he proceeded to the operation, saying: “When separating the teres minor muscle, be careful. The upper marginal separation will not damage the axillary nerve, but if it is separated on the lower edge of the teres minor muscle by mistake, it may be possible. Damage to the axillary nerve."

"Yes, it is the upper edge of the teres minor muscle to be separated." Ma Yanlin repeated.

Ling Ran looked back at the other training doctors present, and added: "The axillary nerve is the only muscle that innervates the deltoid muscle. Once there is a problem, the consequences will be very serious. Pay special attention. If you can't do it, don't challenge it easily, just use the traditional method. The way you want to operate."

Everyone nodded.

Director Hu, who had just arrived, couldn't help nodding.

The large pit that separates the axillary nerve is not just the one just mentioned, it can be said that there are pits everywhere. Why does his chief physician seldom perform surgery on the lateral approach? That is the choice after weighing and weighing.

Director Hu thought of this, he couldn't help being stunned: Why should I do this? Hmm... Ling Ran routines me?

Director Hu became more and more angry as he thought about it, and said in his heart, this is definitely Ling Ran who is talking to me.

He immediately looked at Ling Ran, and saw that Ling Ran, who was still asking about the round muscles just now, had separated it clearly. Using an inappropriate metaphor, it was like the chef who was still talking about the cow at a moment ago. I raised my eyes and dropped the meat into the clear soup of the Chaoshan hot pot, and there was a bowl of oil-guzzling bowl next to it.

Director Hu swallowed.

"It's a beautiful meal, right." I don't know if it is a training doctor or a doctor from the outside hospital. I probably don't know the director of the orthopedics department. Seeing him swallowing, he was attracted to him as a friend and smiled: "I used to see Doctor Ling do it. The heart surgery operation is very handsome. Now I like to see him doing orthopedic surgery, which is very masculine."

Director Hu squinted at each other.

"Pure appreciation, don't be so serious." The doctor in the outer hospital lowered his voice, almost touching the position of Director Hu's shoulder, and said: "What I admire most is that besides Dr. Ling's technique, there is also the dedication of others. Energetic, doing free surgery at night, not only does not make money, but also pays for it. Can you believe this? Don’t look at some people crying that the operating room is not enough. At this time, the operating room is still empty? ..."

Director Hu squinted the **** of war.

What else did the doctors of the outer hospital want to say? Dean Li coughed slightly at this time and said, "Old Hu, your orthopedics department should also organize young doctors to study. When you have time, you can also come to see our doctor Ling's surgery. Look at Lu The orthopedics department of the hospital knows to send someone over. Let’s get close to the water platform, so don’t run out of it."

Director Hu was stunned. For the sake of the camera, he nodded "Yes", but what he thought was "Dean Li’s stock is absolutely empty, otherwise I can’t think of the word. Director Li’s mind estimates. I have also been stepped on. Unless I want to become a vassal department, the orthopedics department will send young doctors over to study. Isn’t it a horrible thing? Young doctors in the orthopedics department who can perform shoulder surgery must be 30 years old, and some doctors graduated and admitted to the hospital. At the age of thirty, these people will be promoted to deputy director in the future. How should the director face Ling Ran? Ling Ran is still younger than them, and he won't die!"

"The axillary nerve is the best example of Hilton's law." Ling Ran's voice sounded again, also asking: "Ma Yanlin, Hilton's law."

"Uh...uh..." Ma Yanlin became nervous again, and the whole person was even a little dazed.

Just before the air was about to become embarrassing, Ma Yanlin seemed to have completed the restart, and said again: "Hilton's law believes that the motor nerves that innervate a muscle often send out branches to the joints that the muscles dominate and cover the joints. The skin of the joint area."

Ling Ran nodded and said, "So the pain in the shoulder joint can be transmitted through the axillary nerve, or it can be sent to the skin distribution area through the axillary nerve."

There was the sound of writing notes around.

The doctor from the outside hospital next to Director Hu couldn’t help but sneered and said to himself: “So why do you find good students? Reading well, and when you want to work hard, you have to catch other people's rest time to re-read the books that you haven't read before, but you don't know that the good students are doing operations with many awesome characters at night."

Director Hu couldn't hear this, so he couldn't help but said, "It hasn't been a few years since Ling Ran was in the hospital."

"Wizard Tianzong doesn't take common sense. You have been in the hospital for a long time. Can you do his current surgery?" The doctor in the outer hospital was unceremonious.

Originally, surgeons were a rather crude group of people. This one didn't know which hospital came from. He didn't know Director Hu and didn't care about him very much. As he talked, the direction of the topic was quite targeted.

Director Hu hasn't faced such a sharp question in some days—perhaps, this question is just sharp in his heart.

Changing to another director of the orthopedics department or a senior surgeon, at this moment, saying "Dr. Ling's lateral approach is too powerful" is also a fool.

However, Director Hu is reluctant to say that today.

As a result, he had to face the problem itself. UU reading

Can I do the surgery Ling Ran is doing now?

Once this question appeared in Director Hu's mind, it turned into a storm, dizzying.

The surgery of the lateral approach that Director Hu has done, the prognosis is not particularly good, and extremely bad situations have occurred. It's just that Director Hu was thinking about shoulder surgery before, and I am not inferior to Ling Ran, but if it is specific to the case before him, the operation in front of him, Director Hu can't dodge it.

He couldn't help thinking, if I grabbed this patient today...

Maybe it can be done with other methods, but it is a bit weak compared to Ling Ran's choices and operations.

"It's okay, let's study together." The outside hospital doctor next to him chuckled and moved closer to Director Hu.

Director Hu felt bitter.

(End of this chapter)

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