Chapter 191： Medical feeding

The inpatient building in Yiyuan County was wrapped among more than a dozen small flower beds. At this time, it was the season of blooming flowers. Looking at the colorful plants around, Ling Ran felt comfortable.

On both sides of the inpatient building are large trees of dozens of ages, many of which were planted from the beginning of the founding of the People's Republic of China. From a distance, many of them have a height of three floors, which is really dense.

At the corner of the hospital wall, there is a small basketball court. There are patients wearing sick clothes in the stands around, but there are young people who look like students.

Kong Xiangming showed good intentions to Ling Ran, so he introduced the topic by introducing, saying, "Our hospital used to have a medical secondary school, but later changed to an ordinary school. The basketball court was built at that time, and now there are students to play. Our hospital is also more welcome. Some people actually closed the basketball court for a while before, everyone had opinions, and finally opened it up. The inpatient department also added a water dispenser to the basketball court, and children who can play and watch the ball can do whatever they want. drink."

Ling Ran noticed that there was a water dispenser and several buckets in the corner of the basketball court.

Wang Haiyang nodded slowly: "The hospital is heavy with anger, and you will feel comfortable with some **** boys."

The very Feng Shui statement made Ling Ran smile, and everyone opened the box and talked and laughed.

The orthopedic ward is located on the fourth floor of the inpatient building.

Out of the elevator room, the doctors naturally converged their smiles. Headed by Wang Haiyang, under the guidance of Kong Xiangming, they came to a separate ward and saw the patients and their families.

Wang Haiyang's small ears and his face sank were a majesty, and he could no longer see the slightest kind of harmony.

The patients and their families became serious when they saw each other without talking.

Especially patients with wounds don't want to talk, but also sit up and listen to them.

Kong Xiangming first said: "Mr. Zha, Mrs. Zha, let me first say that, in fact, I also said before. Director Wang and his party came from Yunhua, and they dealt with two couples at lunch, just to be able to come quickly. Now that people have arrived, let's not be too anxious. Let's take a little time to do some pre-operative diagnosis, analysis and research.

He has seen too many patients with "100,000 urgency". At this moment, fearing that the other party is unhappy, he said, "Under normal circumstances, you go to Yunyi or go to the provincial government. It is very troublesome and expensive. We are now asking experts to come over, not only to ease your difficulties in seeking medical treatment, but also to save time, but saving time is not a blind save of time. We are going to talk now, so talk about it, do n’t worry, try to get what you say Thing, okay. "

The patient and his family nodded silently.

In the doctor-patient relationship, patients are always in a vulnerable state, especially those waiting for consultation. No matter how the informed consent is written, it is ultimately signed.

Of course, it was another yard afterwards.

Wang Haiyang and other Kong Xiangming made it clear and then said, "I have seen Mr. Cha ’s broken finger. From the perspective of our doctor, the hope of a broken finger is still relatively great, but I also have to To explain, even if the replantation of the broken finger is successful, the finger cannot be applied as freely as before, and there are some restrictions in terms of functionality ... "

Wang Haiyang then talked about some sequelae problems, such as postoperative pain, fear of cold, and so on.

Patients and family members are more and more concerned.

When Wang Haiyang said that it was almost in place, Kong Xiangming stood up again and said, "We asked Director Wang to come here, in fact, we hope that the operation can be done better and the complications can be reduced. How to say it, with a beautiful wish The pursuit of the best results, but we also have a steelyard in our hearts, surgery is still risky, especially the replantation of broken fingers, the risk is not small ... "

After talking about what to say, Kong Xiangming looked at Wang Haiyang again. After getting confirmation, he announced the start of surgery.

The patients began to be pushed to the operating room. Wang Haiyang and Ling Ran followed Kong Xiangming to change clothes. A group of doctors from the Department of Orthopaedics of Yiyuan County Hospital waited for them to finish. They also changed their hand-washing clothes and went to visit and study.

Taking advantage of alone time, Wang Haiyang said to Ling Ran: "Let's make flying knives, rather than doing it in our hospital. We should adopt a low-risk solution and make it as beautiful as possible."

"Understand." Ling Ran has never experienced flying swords, naturally it is the appearance of all actions following the command.

The so-called low-risk solution, when the broken finger is replanted, is first to receive more blood vessels. The core element of replantation of broken fingers is blood flow. As long as blood flow is through, broken fingers can survive. Blood is the body's supply line, and a body without blood flow is bound to necrosis.

However, multiple access to blood vessels means that either the operation time is prolonged, or other ways must be found to save time. If it is a single finger replantation, it is simpler, and multi-finger replantation must consider the connection time of other fingers.

However, for Wang Haiyang and Ling Ran, no matter how they are connected, there will be no major problems. What kind of scheme to adopt is the matter of tendency and possibility. Without the doctor's technology, let's talk about the scheme. The component of luck may be greater.

"Director Wang, Dr. Ling, are we used to our equipment?" Kong Xiangming waited for a while before entering the operating room, and asked with a smile, with a little pride.

It is not cheap to buy a full set of microsurgical instruments, especially Kong Xiangming chose a double microscope set with a monitor, which almost smashed hundreds of thousands of Jianke.

The operating room is also a laminar flow operating room with positive pressure ventilation. Although it is only a low-end 100,000-level third-level operating room, it is more than enough for replantation of broken fingers. Replaced with a hundred-level operating room, Yiyuan County Hospital was affordable and unable to afford it.

Wang Haiyang tried the microscope, then looked at the display above the operating table, and laughed, "I just like the one you installed."

"Great doctors like it." Kong Xiangming laughed, and then looked at Ling Ran, who said nothing, and asked, "Dr. Ling can have any special requirements, and we will try to satisfy them."

"Okay." Ling Ran smiled slightly. The surgical habits and requirements were sent in advance. What Kong Xiangming said was the scene.

After a while, the patient was pushed in, and after checking again, he was put on the laryngeal mask by the anesthesiologist, and was numbed every second.

Immediately afterwards, other doctors of the Second Department of Orthopaedics in Yiyuan County successively entered the operating room, stood in the corners and corners, and acted as spectators.

Kong Xiangming continued to speak, but it made the atmosphere in the operating room quite harmonious.

Wang Haiyang's kindness came back again, a group of people talked about the weather, talked about food, talked about food and surgery, talked about surgery and talked about finance, and they were very comfortable.

Only Ling Ran let the visiting nurse insert more MRI films and watched silently.

He always did not like to chat blindly, maybe he was teased so much from an early age that he was a bit rebellious.

In contrast, the large amount of information provided by magnetic resonance films makes Ling Ran feel happy.

Kong Xiangming only thought that Ling Ran was nervous and didn't say much. Anyway, Ling Ran was just a helper and a person brought by Wang Haiyang. As long as he didn't do badly, there would be no bad things ...

The other doctors of the Department of Orthopedics also have a general mindset. Many people have a forgiving smile on Ling Ran at a young age. The Department of Orthopedics is a newly separated department. The youngest resident in the operating room has three years of qualifications. Looking at Ling Ran, there are always some psychological advantages brought by age. After all, surgeons need time to accumulate ...

Everyone's smile has not yet converged. With Wang Haiyang's operation, Ling Ran's accumulation suddenly burst out.

On the way from Yunhua to Yiyuan County, Ling Ran had nothing to do. He watched a long time MRI film. After arriving in Yiyuan County, there was still nothing to do, so he watched a long time NMR again. sheet.

With his reading ability and the amount of information provided by the MRI, Ling Ran was able to reproduce almost all the details of the patient's broken finger, which is better than his condition in Yunhua's operating room.

The nuclear magnetic resonance scan is essentially a hydrogen atom, and its cross-section information can be hundreds or thousands of resonance images of the hydrogen atom. For a high-level imaging doctor who can understand, there are many imaging methods. Showing body information based on atomic level, information that can't be seen through perspective, such as T1, ...

As far as modern medical technology is concerned, technical resources can be said to be excessive. The shortcoming is that doctors have no time to master a large number of emerging technologies. Every new technology added is a new screening with a finer sieve.

A quasi-third-level hospital such as Yiyuan County Hospital can't find a high-end imaging doctor who can see DWI (magnetic resonance diffusion weighted imaging), but in the top hospitals of the department, everyone is rushing to establish an intraoperative MRI Operating room.

For Ling Ran, who has mastered the perfect grade of broken finger replantation, since the details of the patient's broken finger have been constructed in his mind, another operation is just a process.

Wang Haiyang as the main knife ~ www.novelhall.com ~ Skip a muscle, and the rest is peeled off by Ling Ran; just after taking out the bone, Ling Ran spelled it and prepared a suitable Kirschner Needle; only the tendon was taken out. Ling Ran had cleaned it in minutes, and healed it to Wang Haiyang ...

Wang Haiyang is comfortable as if his fingers are dancing. As an elderly doctor, if anything is more comfortable than stretching clothes, opening mouth for food, drinking tea and knocking on legs, and walking with elbows, it is comfortable to be operated by Ling Ran. Already.

He almost has the refreshing feeling of being held to run a marathon, the charming scenery of 42.195 kilometers, the cheers of thousands of people, the clear breeze, and the contentment of swinging his arms freely. Freehand, more expectations of hedge lines, the pursuit of honor ...

Kong Xiangming and his six orthopedic surgeons were stunned. They could not even think of breaking their heads. There is such a superb medical feeding technique in the world.

Kong Xiangming looked again at the taciturn Ling Ran, and his mind rose for a moment: why does this monk need to be a fart? This medical feeding operation is the most high-end surgical fart. I don't know if anyone in this world can resist it.

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