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Great Doctor Ling Ran - Chapter 502

Published at 26th of October 2019 09:50:06 PM


Chapter 502: 502

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“Is it a meniscoplasty? That can wait. First, give the patient a preoperative examination. Do an MRI scan.” Ling Ran held a phone as he commanded in a soft voice, but because he was in the operating theater, everyone was able to hear what he had said if they listened carefully.

Guo Mingcheng was already extremely dissatisfied at this time. Furthermore, he was fully qualified to be dissatisfied.

Although Guo Mingcheng was a freelance surgeon and was hence not a part of the hospital he operated in, when a freelance surgeon stepped into an operating theater, he would be the owner of the operating theater. To be freely making phone calls in the freelance surgeon’s operating theater was a sign of disrespect to the surgeon.

Guo Mingcheng frowned. He was ready to say a few words.

At this time, the voice from the other end of the phone changed into another woman’s voice who shouted loudly, “Doctor Ling, you have to take a look at this patient. He’s sent over from the city sports school. His testicles are ruptured and must be removed.”

“When would he be reaching?” Ling Ran spoke unhesitantly this time round.

Since he had received Master Level Orchiectomy, he had not encountered many medical cases that required resection, even with the resources of Yun Hua Hospital.

Besides cancer and sex change, the indications for orchiectomy were mainly emergency cases, and the number of “spoiled eggs” that can be produced per week was limited. Furthermore, there were plenty of hospitals in the city, and many of them could also carry out this operation, Ling Ran did not have many opportunities to practice.

As a result, Ling Ran had already laid the groundwork in the Emergency Department. Everyone who heard that there were cases of testicular resection would immediately notify Ling Ran.

Yu Yuan shouted excitedly at the other end of the phone, “The ambulance has arrived, and the patient is now being sent to the operating theater for preparation.”

“Are you sure it’s an orchiectomy?”

“It’s spoilt already. It definitely needs to be removed.”

“Alright, I will come immediately.” After Ling Ran finished his sentence, he stepped on the switch and opened the door before he went out without any hesitation.

Guo Mingcheng’s raging temper could not be released, and the area between his legs was spasming slightly.

He straightened his neck, shook his head, bowed his head, and said grudgingly, “Yun Hua Hospital’s doctors are very interesting. He could be performing hepatectomy for a while, then shift to finger replantation, and now, he’s also performing knee arthroscopy and orchiectomy? What is this, a hodgepodge?”

“The most famous thing our Doctor Ling has performed was the Achilles tendon repair surgery for Liu Weichen.” Huo Congjun smiled and said, “Liu Weichen competed in the Golden League a few days ago and ranked at each race.”

Guo Mingcheng had a lot of words to say about it. ‘Is having rankings considered great? How can one prove that the skills in Ling Ran’s Achilles tendon repair were great just by Liu Weichen participating in the Golden League?’

However, Guo Mingcheng suddenly recalled another piece of information from Huo Congjun’s message.

“Was he the person who performed hepatolithiasis for Elder Mei?” Although Guo Mingcheng worked in the General Surgery Department, his projects can be extended to the Department of Hepatobiliary and Pancreatic Surgery, hence he knew the inside news in the circle as well.

Huo Congjun chuckled. How could he publicly admit such cases in front of unfamiliar people?

Guo Mingcheng also chuckled, and he did not say anything rude.

Elder Mei’s hepatolithiasis was a well-known problem in the circle of hepatobiliary and pancreatic surgeries. Although not many people had seen him, some of the surgeons who were famous did not manage to get the opportunity to operate on Elder Mei. All sorts of news had spread out because of it.

Guo Mingcheng was not interested to find out the details, nor was he qualified to do so.

Doctors had the bad habit of scholars despising each other, but that would also depend on the occasion. In addition, Ling Ran was obviously younger and more handsome, which was why Guo Ming comforted himself with this. ‘I have no reason to offend such people right?’

As he comforted himself, Guo Mingcheng became silent and lowered his head to continue performing his own surgery.

Hepatectomy on patients with portal hypertension had been a contraindication for a long time among doctors.

Now, more and more doctors were beginning to conquer this fortress, but before they achieved a complete breakthrough, portal hypertension with cirrhosis was still the biggest risk factor in hepatectomy.

Guo Mingcheng just wanted to finish his surgery nicely now.

He had separated the hepatic pedicle which was located near the hepatic portal leading to every hepatic lobe. Now, he can remove the hepatic duct from around the hepatic portal.

At this time, Professor Feng spoke up to remind him, “Pay attention to the bleeding of the collateral vessels.”

“Okay,” Guo Mingcheng responded and took care of it more carefully.

*Swish.*

The surgical door opened.

Ling Ran walked in again.

In a hospital’s operating theater, it was common for staff to go in and out.

There was practically an endless stream of doctors who came delivering devices, blood bags or came to visit while they passed by. They could be said to never stop coming and going out of the operating theaters.

The surgery today was a freelance surgery. The Surgery Department limited the number of people who could enter, and the head nurse was outside monitoring the people. If this had not happened, the interns who came over and would subsequently leave would fill up the entire operating theater.

Of course, Ling Ran was not under regulations.

After Guo Mingcheng carefully finished his task at hand, he raised his head and asked Ling Ran, “Doctor Ling, you’ve removed the person’s testicles?”

“Yes, there’s no other way but to remove it.” Ling Ran paused before he casually informed Huo Congjun who was beside him, “I also did a knee arthroscopy in passing.”

“Huh, you also did a knee arthroscopy?”

“The patient had taken an MRI scan before, and he was not willing to have another scan. I compensated with an X-ray scan and saw that there was no big problem. Then, I performed the knee arthroscopy.” Ling Ran’s answer was simple, but his content was extremely detailed.

As Guo Mingcheng listened, he could already form a simulation of what Ling Ran encountered in his mind. Maybe the patient had even caused a ruckus.

“Has the liver been cut?” Ling Ran looked at the time and looked quite excited.

He had learned hepatectomy from the system. He rarely had the chance to witness other people’s hepatectomies.

If he had to base this on He Yuanzheng’s standards, who was the director of the Department of Hepatobiliary and Pancreatic Surgery, Guo Mingcheng’s skills were much higher.

Huo Congjun nodded slightly, he whispered, “There was a problem with the removal just now. I guess we have to change the flight.”

He still could not hold back from mildly rebuking Guo Mingcheng and Feng Zhixiang.

Their flight had been scheduled incredibly tightly with each other. As Huo Congjun thought about it, he went into a bad mood.

Guo Mingcheng acted as if he had not heard it. This operation was indeed a bit harder, and it was better to be slower than make mistakes.

He had been doing surgery for ten years, and he was long past the age where he will be goaded into trying to win against others with just a few words. Indications such as surgery speed were always something that Guo Mingcheng had never treated as a serious matter.

When the patient lay on the operating table, it made no difference to him whether he exited ten minutes or ten hours later even when he was under general anesthesia.

The patient will not be unwilling if a few more hours of surgery had to be taken if it meant they could get a good surgical outcome.

Not only did Guo Mingcheng not speed up, he even slowed down.

If the flight was about to be changed anyway, why would there be a need for him to perform the surgery quickly?

Five minutes passed.

Ten minutes passed.

Twenty minutes passed.

Guo Mingcheng was still dawdling around the hepatic portal. He still had not pushed the knife in.

A hepatectomy could easily take up three to four hours, and that was because the first parts of the operation took too long.

When it came to cutting the liver, it would only take a few minutes if they did it with the ultrasonic knife.

But if one did not perform all the steps in the first part of the operation, they would end up butchering the patient.

Huo Congjun already lost a bit of interest. At his age, he was not prepared to learn such a difficult level of hepatectomy. After watching it for a while, he took out his phone and started playing with it.

As he was playing with his phone, Huo Congjun opened a message and showed it to Ling Ran on the spot.

“Crap.” When Ling Ran saw the emergency liver rupture, he took it up without hesitation, turned, and left.

“Don’t worry, you can do it slowly.” Huo Congjun showed a face full of smiles.

“Okay,” Ling Ran responded. He waved at Huo Congjun with his back turned to him before he quickly went to another operating theater.

Emergency hepatectomies were different from ordinary hepatectomies.

The area of its surgical damage was large, but it could be done quickly, and the goal was to stabilize the patient’s vital signs as quickly as possible.

Ling Ran had requested for an ultrasonic knife when he was on his way this time. When he arrived at the operating theater, he cut open the patient’s liver neatly and quickly.

At the same time, the Digestive Surgery Department’s doctors, who were prepared to operate on the gastrointestinal tract and were waiting by the side, as well as the General Surgery Department’s surgeon, who was prepared to suture the neck, had not yet discussed their surgical plan clearly.

“I’ll leave it to you.” There was no reason for Ling Ran to stay. After finishing his part, he turned around and went to wash his hands before he changed his clothes.

Emergency hepatectomies would inevitably cause the surgeon to be stained with blood.

While he was in the shower room, a familiar “beep” rose into the air.

[Mission: Heal The Wounded and Rescue The Dying]

[Mission Details: Perform bleeding control and complete a hepatectomy.]

[Reward: Intermediate Treasure Chest]

Ling Ran’s eyes focused. ‘Did something go wrong with Guo Mingcheng’s surgery?’





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