Ling Ran looked at the smug-looking skill book in front of him and did not tap it even after a long period of time had passed.
As a doctor, Ling Ran had dissected and treated intestines multiple times. Although he did not like it, he did not mind doing that.
In his life, he disliked many things. Thus, he did not care whether the things he had more or fewer things he disliked.
However, for Ling Ran, hemorrhoid surgery was kind of meaningless. It was mainly because the skills required were lesser, and it was obvious based on the level of the skill provided by the system. For skills which required more techniques like hepatectomy, a Basic Treasure Chest can only give him Master Level, while for skills which required less techniques, if he opened a Basic Treasure Chest, he could get a Perfect Level for them.
Among all kinds of low level skills, hemorrhoid surgery, particularly traditional hemorrhoid surgery, used even fewer skills.
Of course, when a doctor had a craftsmanship spirit, they would still be able to perform any procedure in fine detail. But from Ling Ran’s perspective, the meaning was different.
First of all, hemorrhoid surgery itself could not resolve the problem of hemorrhoids. This greatly reduced the purpose of carrying out hemorrhoid surgery. After all, hemorrhoid surgery was a mature surgery, yet its nature was not mature at all.
So, after learning hemorrhoid surgery, did he still need to start farming hemorrhoid surgeries?
Ling Ran shook his head and patted the arrogant skill book with the attitude that he might as well get it, since he did not know how to perform the surgery previously, and he was considered to have learned the skill.
‘Mastering skills will allow me to do whatever I want.’ That was the attitude Ling Ran used to treat it.
“Doctor Ling, Naldo has woken up.” Ma Yanlin snuck over.
Ling Ran stared at him. “Who’s that?”
“That plump man… The patient who had three toes severed is awake now.” Ma Yanlin explained with a little guiltily
Ling Ran frowned. “Why is he awake so soon?”
Ma Yanlin was even more guilty. “Maybe during the anesthesia, the dose given was a little less. Hmm…the patient is heavier, and he might have used other anesthetic drugs in private, and the surgery was also long.”
“Is there any awareness with recall?” Ling Ran asked.
“I asked. Should be no. It’s just that he woke up faster…” Ma Yanlin immediately shook his head and said, “I prepared the dose according to the anesthesia teaching material in our country. Perhaps South Americans need a higher dose…”
Ling Ran stared at Ma Yanlin and did not continue to blame him. Anesthesia resistance was kind of troublesome for all anesthetists. That was because no one would ever know the patients’ resistance levels, and since there was no exact data in this area to rely on, the doctors could only rely on experience. Ma Yanlin and him did not have any experience with anesthesia.
On the other hand, it would not be better to increase the dose in order to prevent anesthesia resistance. If the patient had a lower anesthesia resistance or lower tolerance level, a four-hour surgery could already make the patient die on the operating table.
Ling Ran turned and walked forward before he said, “Go and check on the patient first. If he woke up normally, make a record of that. Then, we won’t be administering anesthesia in the following surgery.”
“What should we do?”
“Can the satellite phone be used now? Let Brazil send a professional anesthetist, and we’ll communicate through the phone.”
“I’m afraid that the doctors from Brazil do not want to bear the responsibility.” Ma Yanlin did not trust this.
Ling Ran walked while saying, “Then, we’ll just reduce the surgery volume. We won’t be performing any surgery unless it’s necessary.”
Ma Yanlin complained with a low voice, “Who knows when the storm will stop? What we do are all compulsory surgeries. The current environment is still okay, since we still have disinfectant solutions from Cuba Town. If the wounds of the previous patients were not handled well, they could be suppurated and be infected, and let’s not forget about those with more serious injuries. We even have to be careful when we use antibiotics.”
Ling Ran refused to give any comments.
The surgeons’ work was always about balancing the advantages and drawbacks in their actions. Even surgeries like cholelithiasis also required a balance between treatment through surgery and conservative treatment. Naturally, the surgeon will also need to consider the risk of external injuries and anesthesia on the patient.
Even if the patients suffered through the same injuries, as surgeons, their basis of judgment would be different for the patients who came to them during the earlier stage of the floor and those who came to them now.
Ma Yanlin did know about this, but he just could not help grumbling about it a little.
When Ma Yanlin reached the recovery room, Ma Yanlin changed his expression and became serious.
“How do you feel?” Ling Ran asked the routine questions like a normal ward round.
Naldo opened his eyes wide and stared at Ling Ran for a while without any focus in his eyes. Then, he slowly focused his gaze, sighed, and said, “Are you an angel?”
“No. Your surgery just ended.” Ling Ran said calmly.
“That’s not right… I feel myself floating…” It was clear that Naldo had not regained his consciousness entirely. If he were in the Department of Anesthesiology right now, he will need to be placed under further observation.
“Except for floating, do you experience anything else?” Ling Ran continued to ask.
Naldo moved his head. “I want to fly… Where am I now?”
“This is the postanesthesia recovery unit. You just had surgery. Do you remember it?”
“Is it hemorrhoid surgery?”
Ling Ran frowned. “No.”
“Oh, then I can’t remember it.”
Ma Yanlin sighed in relief. Although intraoperative awareness could not be completely removed, in the current situation, they had avoided most risks.
Ling Ran looked at the display screen and made a few physical examinations to ensure there was no problem. Before he went out, he told Ma Yanlin, “Check on the patient and see if he has any issue with hemorrhoids.”
“Nine out of ten men will have hemorrhoids, since Brazil is so hot.” Ma Yanlin pursed his lips. “I checked him before you, and I already found it. He has been sitting on a wheelchair for a few days and was immersed in a flood before this. It’s not something strange even if his hemorrhoids burst.”
“Check again.” Ling Ran reminded him and continued doing his ward round.
Ma Yanlin shrugged, but was not unwilling to do so. If he added in his years as an intern, he had been working as a doctor for three years, and his tolerance level had increased a lot.
Thirty minutes later…
“Damn.” Ma Yanlin found Ling Ran, and his eyes were about to pop out of their sockets. He kept repeating himself, “The longer you live, the more things you see. The longer you live, the more things you see…”
Ling Ran stared at him quietly.
“As big as a duck egg… Have you seen hemorrhoids the size of a duck egg?” Ma Yanlin used his hands to illustrate what he saw, and he looked like he was stuffed with a duck egg. He sighed and said, “South America is rich in resources, and even their hemorrhoids are bigger than ours.”
“How’s the patient?”
“The anesthetic is about to wear off soon, and he has started to feel the pain. He looks like he wants to die from the pain now.” Ma Yanlin felt sorry for him and trembled. “He’s covered in lacerations, and he has three severed toes. Now, he also has a hemorrhoid the size of a duck egg. We can only let him lie sideways. Lying downwards will affect his toes, and lying on his back will affect the hemorrhoid… Ouch…”
Ma Yanlin looked like he wanted to laugh, but he knew it would not be appropriate if he laughed out loud, so he could only try to not laugh.
Ling Ran hesitated for a few seconds, sighed, and said, “Then, ask him whether he wants to perform hemorrhoid surgery. If he wants it, I’ll do that for him.”
“Huh, you know how to carry out hemorrhoid surgery as well?” Ma Yanlin looked at Ling Ran and said, “None of us know it.”
Ling Ran felt uninterested as he looked at Ma Yanlin and said, “You’ll still be the assistant. Try your best to learn it.”
Ma Yanlin had a thought in his mind. “Doctor Zuo must need this. Once I master it, haha…”
