Great Doctor Ling Ran

Panda Novel

Young Chen stared at Ling Ran helplessly, and he was pushed down so forcefully that he took sharp breaths.

However, after he saw how Ling Ran closed his eyes and pondered hard, Young Chen did not dare disturb him.

He was fed up with the pain caused by cholecystitis. The pain was a part of it. The frequency of how many times his back swelled up every day had also affected Chen Xiaowang, who worked in the IT field. In addition, the complications of chronic cholecystitis were even more worrying.

On the other hand, the big ongoing projects were far from being completed. In other words, no matter how much the projects progressed today unless the company fell into bankruptcy, there would always be new projects that were short of staff waiting in line for him.

“If you can take four days’ leaves, maybe your recovery process will be better.” After spending twenty seconds of briefly examining the Virtual Human, Ling Ran came out with a basic conclusion.

Chen Xiaowang shook his head vigorously. “Four days’ leave is impossible.”

Zuo Cidian could not understand it. He said, “It’s not like you’re going on a vacation. You’re sick, getting four days’ leaves in a year is not too much, right?”

“I really can’t,” Chen Xiaowang said in resignation, “You might say I’m bragging, but my company is now the leading Internet company in China. In general, the joint high-speed rail projects we took is related to the national economy and people’s livelihood. In small terms, hundreds of colleagues, thousands of migrant workers, and engineers are busy working for several months to strive for the early completion of the project. If I were to take four days’ leaves, I will delay the whole process, which will have a huge impact on the project. To be honest, I’m not that shameless to do so.”

Zuo Cidian was stunned, he then said in the tone of someone who was experienced in the workings of the world, “My generation works hard, but your generation definitely is working so much harder. You should know that your gallbladder is still a human organ. Although there’re minimally invasive techniques now, the whole gallbladder still has to be cut off. The harm it has on people is quite great. We’re really asking for the minimum number of days off by asking you to rest for four to five days.”

Chen Xiaowang hesitated a few seconds before saying, “If it’s really impossible, I’ll go for conservative treatment. I’ll come back for the surgery during Chinese New Year.”

Speechless, Zuo Cidian glanced at Ling Ran, then at Chen Xiaowang, and he said unhappily, “You’re just ruining your own body.”

“I know. I have no other choice.” Chen Xiaowang now sounded more persistent, but in an instant, his tone softened. “I’m not the only one like this in the company. If anything really happened, I will take a long leave. I will have to find someone to replace me. But if I have someone to replace me, I won’t be able to get my job back.”

“If you lost your health, you won’t be able to get it back.” Zuo Cidian nagged a little more and looked at Ling Ran again.

“You can only have two and a half days?” Ling Ran asked Chen Xiaowang.

Chen Xiaowang nodded. “I plan to leave work early at five o’clock on Friday afternoon and come to the hospital for surgery at six o’clock. Then, I can rest on Saturday and Sunda. Then, on Monday morning, I have to go to work earlier, so with this, I can have a total of sixty hours off. I might have to work overtime on Monday…”

Zuo Cidian sighed after he heard this. “Are you that busy?”

“Yes,” Chen Xiaowang replied concisely.

Old Chen, who was at the side, said, “My uncle is really busy. Isn’t the trend now to work for twelve hours a day, six days a week? He’s working twelve hours a day, six and a half days a week.”

Ling Ran pondered hard after he heard what Old Chen said.

To him, this was like another surgery in Cuba Town.

The conditions were so strict that some of them were unreasonable, but the constraints of reality forced them to search for a way to finish them.

From Ling Ran’s perspective, it was indeed irresponsible to only let your own body to recover from surgery with only two and a half days, but it would be extremely irresponsible for the patient’s own health if he chose conservative treatment before he went for surgery during Chinese New Year.

Ling Ran did not try to persuade or advise the patient otherwise like Zuo Cidian with words. The first thing Ling Ran did was try to think of a technique to solve this problem.

In order to recover quickly after surgery, the first consideration that should be taken was to reduce intraoperative injuries. Among them, the most common injuries were intraoperative injuries. Cholecystectomy itself was injuring the human body. During the operation, when they pushed the gallbladder upwards, it was necessary to consider whether the bile duct and the liver beside would be damaged as well. Secondly, after cholecystectomy, the bile duct must be sealed closed with titanium clips, and this was a key issue, because the surgeon had to take note of whether the bile duct was completely sealed, whether the titanium clips were loose, whether the clips touched and damaged the bile duct, whether there was too much force when the titanium clips were used, whether the clips shifted, and whether they were placed in such a manner that they formed a sharp angle…

If he were to continue to follow the sequence of the surgery, when it came to the part where he removed the gallbladder, he will need an endotherm knife or ultrasonic knife. When the knives “glowed” in the laparoscope, the damage caused by the thermoelectric effect also needed to be considered…

In addition, laparoscopic cholecystectomy and the complex anatomical relationship between the gallbladder and bile duct also determined the process of the surgery and the patient’s postoperative recovery.

A normal cholecystectomy with a laparoscope required the patient to be hospitalized for three days, then rest at home for three or four days. Due to physical differences in different individuals, it was normal for patients to be able to move around actively after only one or two days.

Moreover, there were many patients who only needed to be hospitalized for a day. However, most doctors could not predict which patient would recover faster.

This was because a patient’s recovery time did not just depend on their physique, but also due to doctors’ maneuvers during surgery. Usually, these factors would cause a patient’s recovery time to be completely randomized.

Ling Ran thought that if he could eliminate some of the plausible problems in the middle, two and a half days’ recovery time would turn out to be somewhat enough for the patient.

When he briefly recalled what he saw in the Virtual Human, Ling Ran finally made a decision and said, “Okay, go and complete the process for hospitalization and schedule a check-up. If everything goes well, you will have surgery at six in the evening on Friday.”

“So, can I go to work on Monday?” Young Chen widened his eyes.

Ling Ran nodded slowly and said, “You will have a seventy percent chance that you can go to work on Monday.”

“How about the thirty percent?”

Ling Ran said, “The common complications for cholecystectomy under a laparoscope include bile leakage, abdominal hemorrhage, bile duct injury, intraoperative nerve injury, blood vessel injury, and injury to adjacent organs during surgery. All have a certain probability of happening. In addition, if there is major bleeding during surgery, it could be life-threatening…”

“Doctor Ling, let me handle the preoperative conversation.” Zuo Cidian listened to Ling Ran talk about the risks of surgery in a stiff manner, and he could feel his hair rising.

Chen Xiaowang already had goosebumps. He was still young, after all.

Zuo Cidian coughed a couple of times. He then said, “Talks about intraoperative risk is mandatory, but the probability of occurrence is actually very small, especially in the case of intraoperative death. Ever since our hospital began providing cholecystectomy under the laparoscope, there has been no case of death due to major cholecystectomy hemorrhage. There was indeed hemorrhage before, but whether or not you will die because of hemorrhage also depends entirely on probability. You know, mathematics is really weird…”

Chen Xiaowang interrupted Zuo Cidian’s explanation and said, “I’m not afraid of a hemorrhage. If there is a major hemorrhage, then I don’t have to rush back to the company. I will just have to claim my insurance, resign, and rest at home. If I were to die in surgery, I don’t have to think about going to work, right?”

“I mean… seems like it,” Zuo Cidian felt as if he had been dragged into Chen Xiaowang’s rhythm in the conversation.

“Doctor Ling, I’ll leave my body to you.” Chen Xiaowang got up and shook hands with Ling Ran.

“Remember to do the examination,” Ling Ran and Chen Xiaowang gently shook hands. He then opened a bottle of alcohol-based hand sanitizer and switched on the Virtual Human. He wiped his hands with the sanitizer while he examined Chen Xiaowang’s virtual body through lavish use of the Virtual Human.