Chapter 1039: Chapter 1038 good and evil
Translator: 549690339
After answering Ling ran’s question and holding the safety mirror for another five minutes, ye Sigong’s mood gradually calmed down.
A normal laparoscope assistant did not need to make a mistake when holding the mirror for an unfamiliar chief surgeon. As long as the chief surgeon was not satisfied with the angle and movement of the mirror, it would be very easy for him to be scolded.
This was like two people playing a game together. The assistant would always not be able to go along with the intention of the assistant, so how could there be a good outcome.
If the two people’s statuses were equal, there was a high chance that they would quarrel. If the two people’s statuses were not equal, then the assistant would just have to work while the assistant scolded them.
The operating theater that was harmonious, friendly, and loved to tell dirty jokes was considered a relatively good working environment. The operating theater that was criticized while they worked was bad enough to make people depressed.
Even if Ling ran did not like to scold people in the operating theater, Ye Sigong did not want to make Doctor Ling unhappy.
However, based on Ye Sigong’s experience, Ling ran’s way of handling the surgery was different from other doctors.
He was the kind of doctor who would take care of his assistant.
Ling ran would not scold his assistant if he made a mistake. Perhaps, he was too lazy to scold him. However, what ye Sigong found even more difficult to understand was that Ling ran was able to operate normally without being affected when he made a mistake while he was holding the mirror.
Ling ran operated in the same way as his assistant when he was holding the mirror correctly. When his assistant was holding the mirror incorrectly, Ling ran’s operation did not change..
Ye Sigong even wondered if Ling ran could carry on by himself without holding the mirror..
If that was the case, Ye Sigong felt that it was terrifying.
“To the left, pay attention to the height. Go a little lower,”Ling ran reminded ye SIGONG again. He asked ye Sigong to make a slight adjustment, and his operation also did not change.
Ye Sigong raised his eyebrows. This was another unusual move.
It was common for assistants to have a wrong angle when they looked at the mirror. However, most chief surgeons would only shout it out, and they would not directly direct the assistant to the correct position.
On one hand, they were too lazy to give specific instructions. On the other hand, their attention was focused on the operation, and they did not have the energy to guide the assistant in the specific operation.
When Ling ran performed this kind of surgery, his attention and skills were clearly superfluous.
Ye Sigong gently turned the camera to coordinate with Ling ran’s operation. This time, he did not receive any warning, which made ye Sigong feel much more at ease.
Ling ran did not stop until he reached the location of the stromal tumor. He only stopped when it was time to separate.
Everyone, including Ye Sigong, naturally looked at Ling ran.
“Wait a moment.”As Ling ran spoke, he turned on the virtual human.
Gastric stromal tumors were relatively good tumors among tumors. The smaller the tumor, the better it was. It was just like an official. Occasionally, there were benign tumors, but most of them were malignant. Moreover, the longer the tumor grew, the more likely it was to become malignant.
However, it was not easy to judge whether gastric stromal tumors were benign or malignant just by looking at the image.
Only by peeling it out, putting it under a microscope, and examining it carefully could one make a correct judgment.
It was also because of this that when surgeons dealt with gastric stromal tumors, they would assume that the tumor was malignant and completely peel it out. This was the essential difference between a surgeon and a politician.
Ling ran had sufficient ability to deal with gastric stromal tumors.
A master level gastrectomy could easily remove the tumor. In fact, it did not require the support of a virtual human.
After all, the stomach was not like a liver, especially for elderly patients. It needed to be removed as little as possible.
Most People’s stomachs could be removed as they pleased. It was just that the prognosis was slightly worse. If they ate less and had more stomachaches, it would not have any intrinsic effect. However, the patients at the moment clearly had some needs other than medical treatment.
Ling ran had also seen many patients who had a difficult life. However, the person under the knife was the first one who was reluctant to even breathe in oxygen.
Ling ran felt that it was still necessary to use a virtual human who was at most three minutes in thirty seconds to determine the nature and scope of gastric stromal tumors for such patients.
If it was a benign tumor, it was needless to say that it would be cut off along the edges and sent to the pathology department.
But if it was a malignant tumor, they would have to determine the edge, and then cut off the tumor to the smallest extent within a safe range.
This could remove the risk of the disease to the greatest extent, and at the same time, it could also improve the prognosis to the greatest extent.
To a certain extent, this was also the highest level of technology that Ling ran possessed at the moment.
Ye Sigong and the others looked at Ling ran in confusion.
They watched as he released a hand and made a cutting motion in the air.
Only a few resident doctors who were familiar with Ling ran’s operation whispered to each other under the table:
“Doctor Ling seems to be doing this a lot.”
“He’s simulating what he’s going to do next, right?”
“Doctor Ling still needs to simulate what he’s going to do next? Do you think it’s You?”
“He’s mastered too many surgical methods. It’s possible for him to change his brain at the last minute.”
Ling ran did not care about what the others were thinking. He waited for the system to switch out the virtual human. Then, he raised his hand and swung the knife down with a vertical slash.
The patient in the virtual human state was cut in half by the large knife that Ling ran summoned. Moreover, it accurately cut at the location of the greater curvature of the stomach.
The small gastric stromal tumor was also cut in half, revealing its true appearance.
‘it seems to be benign.’ling ran looked at the microscope provided by the system for a while and quickly made a judgment.
“Let’s cut it a little smaller.”Ling ran turned off the virtual human and focused the surgery again. At the same time, he also gave a target.
Ye Sigong was stunned for a moment before he nodded and did not say a word.
He was just a young doctor who was in advanced studies. Let alone a senior doctor like Ling ran, even if an attending physician was the chief surgeon, he could only follow orders.
If the chief surgeon was willing to inform him, he could just listen to him. If he said anything else, he felt that it was unnecessary.
Ling ran used the ultrasonic scalpel to slowly separate the gastric omentum and adhesion around the tumor. The frequency was not very high. This way, he could reduce some damage and improve the patient’s prognosis.
Ye Sigong carefully observed Ling ran’s operation. This was the most crucial step, and it was also the part that required the most skill. In the county hospital, the doctors who could perform this surgery.., were also the doctors who had the most exquisite laparoscopic skills.
“The bag.”Ling ran’s voice was steady.
“Oh… Yes.”Ye Sigong quickly gave up his seat and followed Ling ran to stuff the laparoscopy bag into the patient’s abdominal cavity.
Then, Ling ran put the cut off gastric stromal tumor into the bag and pulled it out of the patient’s belly button in a slightly barbaric manner.
“Don’t include the cost of the access bag. The patient’s family is not well-off,”Ling ran reminded him again.
There were many types of access bags under laparoscopy, but they were essentially small plastic bags that could hold specimens. Some doctors in hospitals would even make their own access bags. However, Yun Hua Hospital’s purchasing standards had always been high. The Ling treatment group mostly chose high-end ones. For such a small access bag, the Ling treatment group would usually choose one that cost more than 300 yuan.
However, since Ling ran requested that they not calculate it, the nurses could save it. As for whether they would sign it with a pharmaceutical company or use some other name, it would depend on the status of the nurses.
Outside the operating theater.
The waiting hall was always filled with patients’family members.
However, unlike the other family members who stared at the double doors or looked at their watches from time to time, Wang Lu looked out of the window listlessly. There was not much anticipation on her face.
Her father’s gastric stromal tumor was only one of the problems she faced. How to take care of her father next, how to pay back the money, and how to deal with family relations were like layers of shadows, pressing down on Wang Lu until she could not breathe.
“Actually, it’s the same if you perform surgery in our district’s specialized hospital. The reimbursement rate is a little higher. Look here, even after performing a surgery for so long, there’s still no news…”her husband grumbled in Wang Lu’s ear.
Wang Lu let him grumble.
The combined salaries of the two of them did not exceed 5,000 yuan a month. If their father performed a surgery, it was equivalent to wiping out all the savings that the two of them had accumulated over the years. The husband did not grumble when he was paying, but his heart ached when the surgery was almost done. She was already very satisfied.
She could not not be satisfied either. At this time, it seemed that she could only compromise.
He only hoped that his father’s surgery was successful and not cancer… otherwise..
When Wang Lu thought of this, the corners of his mouth could not help but tremble. He said in a low voice, “If it’s malignant, it might require chemotherapy…”
The husband stopped complaining and hummed.
“I only have a few hundred Yuan left. If It’s chemotherapy, I have to raise more money no matter what.”Wang Lu’s voice could not be any softer.
Her husband let out a long sigh and said after a long while, “I’ll make a few more calls to ask.”
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