Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Yu Yuan walked forward in small steps, pushed open the door, and entered the visitation room. Then, she waved her hands behind her, and a bunch of young doctors followed her inside. The majority of them were medical interns and housemen.
Although the chairs at the center were empty, the interns and housemen still obediently stood by the sides and the back of the room.
While this was a major surgery that needed many doctors, Ling Ran’s group had a lot of young doctors. Therefore, no matter how people came over, they could not participate in the surgery, since they were not in Ling Ran’s group. They could only watch in the visitation room like doctors from other departments.
However, compared to other groups, these young doctors from Ling Ran’s treatment group had it easier. One, they could at least come and watch in the visitation room. Two, there was a difference in categorizing the young doctors in different departments and treatment groups.
The elite department like the General Surgery Department treated the attending physicians who were below thirty-five years old as junior doctors, and the attending physicians with low qualifications could do nothing about it as well.
Huo Congjun turned and glanced around. He pointed at the chair in front of him and said, “Take a seat, Doctor Yu. It’s still early now, not many people will come to watch the surgery.”
As he spoke, Huo Congjun introduced her to the department director of the General Surgery Department. “Doctor Yu is a postgraduate student who came to our department earlier on. She became a chief resident this year. You have performed quite a number of surgeries, right?”
Yu Yuan put on an obedient face and said, “I performed two surgeries in the morning.”
When the department director of the General Surgery Department heard this, he subconsciously took a look at the time and instantly came to a realization. “All of you work according to Doctor Ling’s schedule now, huh?”
“Yes, of course.” Yu Yuan tilted her head slightly and continued looking obedient.
The department director of the General Surgery Department gasped in amazement and looked at Huo Congjun. “Ling Ran is quite capable of training his doctors.”
This may have just been a small adjustment in working hours, but in a public general hospital, working hours usually corresponded to a leader’s authority. The foundation to be an expert department director was to make the subordinates work overtime when he wanted them to. However, many department directors from small hospitals could not fulfill even such a small requirement because the authority of the directors in the small department of small hospitals was really weak.
The powerful department directors could make their subordinates work overtime whenever necessary. Regardless of whether there was a reward or whether there was no reward in whether the subordinates obey them, when the order was given, they must follow it, and this was the standard of a director in a big department of big hospitals.
Furthermore, it was very difficult for them to make the whole department adjust their working hours according to the department director’s schedule, and it would be harder the more mature the department was.
Besides, the requests for their subordinates to change their working hours were basically an authority unique to department directors. Compared to the authority of department directors, the difficulty level in leaders of treatment groups asking their subordinates to change their working hours was even harder.
Even many treatment groups in big hospitals could not get enough manpower when the time came for them to do frequent overtime. When the group members tried every trick up their sleeves to take leave, many treatment group leaders who were not capable of managing their group would think that they never had a treatment group, to begin with. The would work, treating patients all over the place, so much so that their overtime hours surpassed their peers…
Huo Congjun never realized that Ling Ran’s management level was so unique. Right then, he wore a happy face and said, “Ling Ran is a manager with the charms of a leader.”
“That’s true.” The department director of the General Surgery Department praised him and nodded. He turned around and asked in a deliberately friendly tone, “Doctor Yu, what are the surgeries you performed in the morning?”
Yu Yuan continued being obedient. “One is an emergency appendectomy, and another one is—”
“Ahem.” Huo Congjun’s coughing was too loud, and all those who heard it knew it was fake.
The department director of the General Surgery Department frowned. Appendectomy was one of the projects of the General Surgery Department. Although they had long since not bothered themselves with small surgeries like appendectomy, listening to doctors from the Emergency Department talk about carrying out emergency appendectomy in front of him, who was the department director of the General Surgery Department, he would still feel displeased.
Emergency appendectomy? How much of an emergency could it be? The patient might be in pain, but based on the surgery choices he could make, he would have no problem in receiving his surgery even if he waited until the next day. While the department director was still young, he had seen many who would endure the pain for two to three days before coming for surgery treatment…
But while he was grumbling up a storm in his heart, the department director of the General Surgery Department was still more interested in the surgery that Yu Yuan did not say.
If she could even mention something like an emergency appendectomy, then what sort of surgery would make Huo Congjun actually take steps to stop it from being mentioned?
Intestinal obstruction repair? Hernia repair?
Did they perform a gastrointestinal repair instead?
The department director of the General Surgery Department became sterner and stared at Yu Yuan before he asked, ” What was the second surgery?”
Huo Congjun sighed and did not try to stop Yu Yuan anymore.
Yu Yuan replied frankly, “Rectal foreign body removal.”
The department director of the General Surgery Department was instantly stunned.
“It is a simpler one; a ping pong ball. Initially, the patient had a string connected to the ping pong ball, and he tried to pull it out with the thread, but he did not manage to get it out. The thread snapped instead. He came over for surgery at five o’clock in the morning, and we got it out after fifteen minutes.” Yu Yuan made a motion of pulling something out and said, “Actually it’s very hard to take out a normal ping pong ball, but luckily, this guy was smart and knew how to connect the ping pong ball with a thread. Besides, the ping pong ball was light, so it’s easier for me to get it out after I found the end of the thread.”
The department director of the General Surgery Department turned his head around laboriously and looked at Huo Congjun, who kept staring at him.
Huo Congjun’s expression turned from curiosity to excitement to seriousness to amusement he could not conceal to slight disgust. The range of emotions he expressed varied greatly.
The department director of the General Surgery Department’s expression was quite funny as well. His expression changed from awkwardness to helplessness, then from resignation to realization, and from realization to embarrassment and annoyance.
“Observe the surgery.”
“Observe the surgery.”
The two department directors first put aside their funny and amusing expressions, and they received support from the people around them, who all looked disgusted.
“Do we need to perform surgery like this in the future?” a new intern from Ling Ran’s group whispered into the ears of an “old” intern, Qi Zao.
Qi Zao replied to him with a smile, “Don’t worry, we won’t.”
“Really?” The new intern sensed an unexpected delight.
Qi Zao nodded seriously. “Of course. It’s already difficult for you to get the position of an assistant, so there’s no way you can have the chance to get such a rare surgery.”
The new intern wanted to flip tables.
..…
At the operating theater were Ling Ran, Zhang Anmin, Lu Wenbin, and Ma Yanlin. They were in their respective places, and their expressions were serious.
This was the strongest lineup in Ling Ran’s treatment group. In fact, this could be considered as the strongest hepatectomy lineup in Yun Hua Hospital. If this happened two years ago, Lu Wenbin and the others could still be considered as newbies, but as they continued performing hepatectomy with Ling Ran for two years, the number of hepatectomies participated by Lu Wenbin and the others was among the top in the hospital.
If they put in a broader perspective, perhaps they could even say that the number of hepatectomies was at the top of the province.
Certainly, the medical world did not care about the total surgery volume of the assistants. But in terms of practical ability, Lu Wenbin and the others were already more than skilled enough to become the assistants in hepatectomy. Currently, Zhang Anmin, who had become an associate department director of the Department of Hepatobiliary and Pancreatic Surgery, already had skills and qualifications that were almost at the level of a chief surgeon.
However, this was a gastrectomy in combination with hepatic resection, and it was performed by a single surgeon, so they would never go overboard no matter how much preparation work they did.
Zhang Anmin looked at Ling Ran, and he smiled like a Golden Retriever.
“Gastrectomy in combination with hepatic resection, ready to start now.” Ling Ran’s expression was similarly serious.
Unlike the hepatectomy that Ling Ran was used to, the outcome of the surgical treatment for hepatic metastasis from gastric cancer was uncertain, and there was still not a standard guide until now.
This was because hepatic metastasis from gastric cancer was not similar to hepatic metastasis from colonic carcinoma. Hepatic metastasis from gastric cancer had a low resection rate and a high recurrence rate, and those two alone were bad indicators. Therefore, many doctors and patients now tended to go for comprehensive treatment, such as systemic chemotherapy, intervention chemotherapy, ablation treatment, molecularly targeted therapy, and immunotherapy. They might even go for multiple treatments.
Although no treatment plan was the most perfect and complete, among all treatment plans, surgery was definitely the one with the highest risk.
But if it were well performed, surgery would be the most beneficial treatment plan.
