Chapter 153： I can quit smoking

Eighty percent of the new second-hand Jetta, whispered at three in the morning, sent Ling Ran from Xiagou Clinic to Yunhua Hospital.

Ling Ran controlled the car in a focused manner, like a racer. On the road with a speed limit of 35 kilometers, the dial speed was infinitely close to 35 kilometers per hour.

Hurry to the hospital, just after 3:15.

Ling Ran was finally relieved. Yesterday, Meng Xue and others were sent away. He wrote a dissertation for a while, so that he fell asleep at 10 o'clock, and it was almost three o'clock before he could barely get up. Good to be late.

As usual, after a thorough wash in the operating area and a new pair of underwear, Ling Ran finally felt restored.

Since he got the surgery fee, the most purchased item is underwear. Moreover, with the operation time getting longer and longer, the precision of the operation is getting higher and higher, the most important thing is that the income is getting higher and higher, and the underwear that Ling Ran is getting more and more expensive. This is very economical. It ’s a doctor. There are ten to twelve hours a day standing in the operating room, and six hours of non-naked sleep, buying clothing other than underwear is a complete waste.

The air in the operating area is clean, the temperature is constant, and it has a charming "no" smell.

Ling Ran slipped on her hand-washing suit and wore new slippers that were slippery, soft and snug.

After entering the lounge, Lu Wenbin just brought out a pot of hot braised meat.

There is a slight yellow in the brown brown meat, and it trembles slightly with the bumps of the aluminum basin.

The six doctors on the night shift, plus a horse Ma Lin, cheered for a while. Everyone carried the bowl with one hand and used WeChat to make money for Lu Wenbin. They acted neatly and skillfully, as if they had done it hundreds of times. .

"I did a night's work, and in the end I could have a supper, it was good, good." Zheng Pei, a senior inpatient, sighed with emotion, pulled out a pig's tail accurately, and stuck it directly with chopsticks. , And then put it into his bowl with a smile.

Lu Wenbin put an extra piece of rice, pickles and cold vegetables on the seat where Ling Ran often sat, and laughed, "What kind of meat does Dr. Ling want for breakfast today?"

"Cut a piece of pork belly and put it on the rice." Under normal circumstances, Ling Ran had to undergo surgery for more than six hours in the morning before eating the second meal. The appetite for breakfast was excellent.

Lu Wenbin seemed to have guessed Ling Ran's choice and smiled evilly, saying, "I have a better one."

With that said, he took out a steaming pot from the small kitchen, opened it, and saw a plate of sliced ​​pork belly, steaming hot.

"Mei Cai smashed meat?" Zheng Pei had pig tail in his mouth, and his words were unfavorable.

"Sliced ​​meat." Lu Wenbin smiled proudly and said, "Shaanxi famous dishes, the emphasis is on tender meat, flavor, but not fat. I have a secret."

"What's the secret?" Several doctors looked at the slivers of meat held by Lu Wenbin, matching each other.

Lu Wenbin said mysteriously: "Put sweet potatoes. Oil absorption"

"Oh……"

Everyone made a perfunctory sound.

Lu Wenbin hummed twice, first put the plate in front of Ling Ran, took the two biggest and best slivers of meat, covered him in a hot bowl, and put it back on the table.

A group of very hungry doctors on duty, like vultures, squeezed their belly with one hand and swept away the large strips of slivers with one hand.

"Cut the meat."

"Go with it."

Several resident doctors drank and drank enough to support the waist and return to the treatment room, ready to debride and suture while playing.

The emergency department of a hospital of this size of Yunyi has no shortage of debridement and suture patients at all times. Cutting meat and cutting meat is basically a required course for young doctors.

Ling Ran took the pad tethered in the lounge and drank tea while watching the first MRI film of surgery today.

He will not enter the operating room when he is full. Fullness affects the judgment of thinking, but judgment at the beginning of the operation will affect the entire surgical process.

Lu Wenbin called another Pei Sheng without reminding him, and asked him to help clean up the pots and pans. He took Ma Yanlin and quickly rushed to the operating room to confirm various preoperative procedures.

After a while, Lu Wenbin returned to the lounge, and briefly introduced the patient's situation, and then a little more difficult: "The patient has a 15-year smoking history."

"Since 16 years old?"

"Yes. I asked my family and said that they need at least two packs of cigarettes a day." Lu Wenbin paused and said, "I think it might be more than just one."

"Does the patient have the intention to quit smoking?" Ling Ran asked. If you cannot quit smoking, it is not necessary to replant the broken finger. As long as you have a cigarette after surgery, the good finger will be black and necrotic.

The most important thing for replantation of broken fingers is blood flow. Blood flow is supported by small blood vessels, and small blood vessels are most prone to thrombosis. For this reason, when the severed finger replantation recovers early, the skin must be continuously cut to use heparin to resist blood clotting. Nicotine acts in the opposite direction. The dose in cigarettes is still too large. The vasospasm caused by it can easily cause blood clots. At that time, whether it is amputation or a little bit of necrosis, it will cause secondary damage. Time and money are wasted, and patients suffer more than amputation.

Lu Wenbin poked his lips and said, "Tell them that they can only amputate if they don't quit smoking. That must be the choice to quit smoking, but people are better. Scars have forgotten the pain. 15 years of smoking history, how can you give up so well?

Ma Yanlin turned from hand surgery, but said, "I've heard of patients, and I said cleanly that I should smoke."

Lu Wenbin was surprised: "What happened?"

Ma Yilin glanced at him and said, "The result is definitely that the patient has the greatest willingness. People want to smoke. You forcibly replant the amputated limb and cut it off later. Doesn't that mean cheating medical expenses? The director, the patient, and the family members After repeated confirmations, he was amputated. "

"That's easy." Lu Wenbin grinned. "It takes three to four hours to make a broken limb and replant it. It takes half a year to recover. A cigarette will be destroyed. A decision can be made in advance."

"Yes, if the patient can make a decision, we will be relaxed." Ma Yilin nodded in agreement. Microsurgery is the hardest thing in surgery. The operation time is extraordinary and the pressure is also high. After a long operation, doctors naturally hope that the work will yield income, not just personal income, but also a sense of identity and achievement.

Seeing the patient can't stand the temptation and lighting the cigarette with fluke, it is devastating to the doctor.

"Doctor Ling, what should I do?" Lu Wenbin looked at Ling Ran.

The patient can decide whether to replant the finger or amputate, and the doctor can also make a normative decision.

Many foreign doctors now refuse to replant the smokers with broken fingers, and other bad living habits such as alcoholism will also be rejected. Nowadays, similar statements have appeared in China. Provincial Qi Zhenhai and President Liu of the Army General Academy had argued about this.

Ling Ran groaned silently.

To be honest, he really didn't have such experience ~ www.novelhall.com ~ Dr. Ling, would you like to see the patient's family? "Lü Wenbin asked.

Many doctors like to talk to the patient or their family members before making this decision. Huo Congjun is a typical example of this. He is a carefree old medic, but he looks at people quite well.

Ling Ran just thought for a few seconds, then shook his head without hesitation: "Don't need to meet again. Will the patient's family decide to replant the broken finger?"

"Yes."

"Did you give an informed consent?"

"Signed."

"You check the other documents again, and ask your family members' opinions. If they still decide to replant the broken fingers, we will do it." Ling Ran's answer was a bit unexpected by Lu Wenbin and Ma Yilin.

Lu Wenbin had to remind Ling Ran: "Patients say they want to quit smoking, but smoking addiction is difficult to quit, especially a ten-year-old smoker. It is no easier than quitting smoking."

"We can only support his decision now." Ling Ran paused, looked at Lu Wenbin and Ma Yilin, and said, "What do you think?"

The two thought about it and couldn't say anything against it.

Patients may or may not quit smoking, and no one can guess the final result and have no influence.

In democratic European and American countries, doctors may be able to make decisive decisions or not, as long as they write standardized medical opinions, there will be no problems. Domestic doctors don't necessarily care about their hours of labor.

Lu Wenbin originally thought that Ling Ran was a doctor who cares about time and efficiency, but found that he made almost no hesitation when making a decision.

Lu Wenbin muttered secretly, and went to the patient's family to confirm it again.

Ten minutes later, Ling Ran, Lu Wenbin and Ma Yilin went together to deal with the pollutants and necrotic tissue in the surgical section, and trimmed the damaged part.