Chapter 324： First day

Ling Ran gently connected the patient's little thumbs under a familiar microscope.

If you don't consider the importance of the fingers, in the eyes of outsiders, replanting a broken finger is mostly a small operation, just stitching the fingers together. After treating the blood stains a little, and then connecting the broken fingers, ordinary people will not feel scared.

But in the microscope world, replanting a broken finger is like stitching a broken building back together.

If it can be used flexibly, it will be more complicated.

Fortunately, the blood vessels of the human body have the ability to repair themselves. As long as the fingers are not necrotic, the broken blood vessels, especially the capillaries, will stubbornly re-grow. Planting foundation.

But even so, the operation time for a limb replantation with a four-finger severance is estimated to be more than 20 hours.

The management of the operating room in the hospital will be implemented. The operating room occupied by Ling Ran will not be scheduled for surgery in the next 20 hours. Unless he ends the operation in advance, he will use the operating room for temporary mobility.

When Lu Wenbin, Ma Yilin, Yu Yuan and others went in and out, when the operation time reached 6 hours, they ran out to rest when they had a chance.

The doctors onlookers disappeared naturally.

Although the doctors of Yunyi's emergency department envy Ling Ran's operation, if they do not have the opportunity to improve in hand surgery, they will not spend a few hours to see the operation.

It took Ling Ran and Director Wang Haiyang about 8 hours to stitch all four fingers together.

Wang Haiyang, with gray hair, had a sore back and tired back, and mumbled, "It's finally finished."

Ling Ran stretched himself and took off the mask.

Lu Wenbin and Ma Yilin both stood aside and quickly stitched the flap.

In some small hospitals, suture **** are very difficult business. If the suture is not good, the patient's skin will look like a suture monster. Good enough words-it won't be invisible, it can only make people feel disgusted.

After more than half a year's practice, Lu Wenbin and Ma Yilin have now been able to catch the **** of young surgeons, who are not likely to have more mobile phones.

Wang Haiyang looked at a few assistants, rubbing his waist, smiling, "It's so good to be young. It's not like my old bone. This operation requires me to do it again, and I should retire."

"Retired to make flying knives?" Ling Ran asked.

Wang Haiyang laughed out, and then looked at Ling Ran's serious face, and wondered if he was really joking.

"I'll help you press it." Ling Ran said, holding Wang Haiyang's arm, pushing his fingers to relax the muscles around Wang Haiyang's spine slightly.

Wang Haiyang inhaled "hissing", and his face really relaxed.

"You can do this." Wang Haiyang nodded cheerfully, and said: "You have done a good job, useful ... Yes, you have a good set of Achilles tendon repair now, or if I can help you contact a few Flying knife? "

"Can you?" Ling Ran moved slightly.

"Of course, you are the one who has done Achilles tendon repair for Liu Weichen. I heard that there are patients coming from abroad. I will help you to propagate it. You will be familiar with each other when you sit together for a few meals."

Ling Ran said "En" and said, "I can't go to dinner."

"Social, you still have to socialize." Wang Haiyang laughed and said, "You don't go to social, how do people know you?"

Ling Ran is very experienced: "Sometimes there are more opportunities than not participating in socializing."

This is indeed a summary of Ling Ran's experience.

Wang Haiyang was a god, but it was impossible to refute.

For a character like Ling Ran, if he was forced to pull it out, he wouldn't necessarily offend anyone.

Hesitating for a moment, Wang Haiyang decided to skip this topic and said: "In short, I will help you arrange a flying knife first, as long as you are willing to do it, it should be fine. By the way, what are your requirements? Expert fees, venue or number of people What."

Ling Ran had done flying knives with Wang Haiyang before, and had no interest in the income that flying knives could provide. He blurted out: "As long as the turnover rate can be increased."

Wang Haiyang was silent for a few seconds and said, "You mean bed turnover."

"Well. Save the word." Ling Ran explained perfectly.

"That is to arrange a few more operations at one time, but don't ask for the price." Wang Haiyang said as he took off his surgical gown. "You're actually not right like this, you should pull up the expert fees first. Then talk about the number of operating tables. "

Ling Ran thought for a while and said, "It's more important to have the number of operating tables."

"Okay." What could Wang Haiyang say.

The two men left the operating room while talking while leaving the room.

The doctors and nurses in the department are accustomed to it. Some young attendants will help to do the finishing work. When the senior attendant goes up, even if they want to help, they are overwhelmed and inadequate, let alone, most people are not in the mood. Do trivial work.

"I can also do meniscusplasty with knee arthroscopy." Ling Ran took a few steps and reminded Wang Haiyang.

Wang Haiyang's eyes brightened: "You went to wish to learn from academician?"

Ling Ran was too lazy to explain, and only said: "I did about 50 cases at the Bone Joint and Sports Medicine Center, and the results were very good. At that time, let Yu Yuan write a tracking report and show it to you."

"Well, meniscaloplasty is very suitable for flying knives, but ... you give the patient and the patient's family a little more confidence." Wang Haiyang said more euphemistically, which means that Ling Ran's reputation in this regard has not yet risen.

Ling Ran, who had mastered the perfect meniscioplasty, nodded and did not refute.

Without fame, there is no fame. No special explanation is needed. As the number of surgical cases increases, there should be some.

Wang Haiyang was worried about Ling Ran's unhappiness, and said with a smile: "You are right to practice a meniscusplasty. This is an elective operation. It is more convenient to raise a flying knife. When the fame rises, you go out and do four or five at a time. can……"

Ling Ran currently has four types of operations. Broken finger replantation and tang suture are basically within the scope of the emergency department. If the suture is not good within 24 hours, it is basically unnecessary to sew.

Achilles tendon repair can be delayed for a few days, but if you want to achieve good results, fresh Achilles tendon repair cannot be delayed too much. It is calculated in days. The old Achilles tendon repair can wait. The effect is certainly not new.

Only meniscioplasty under knee arthroscopy, including athletes, can postpone surgery for many days.

Wang Haiyang talked about heroes with the convenience of flying swords, and naturally felt that meniscioplasty was the best.

Ling Ran didn't explain much, returned to the office, and sent a WeChat to Huo Congjun. Three hours later, two meniscioplasty patients were finalized.

In terms of patient absorptive capacity, Yunhua Hospital is stronger than 100 bone, joint and sports medical centers. In Changxi Province, Yunyi, the Army General Hospital and the provincial government are three-legged. Each department has its own focus, which radiates the entire province and even the surrounding areas. The other provincial hospitals are theoretically the lower-level hospitals of the three hospitals and have business guidance relationships. Unless the patients in the province are not fed to the top three hospitals, otherwise there will be no patients.

In fact, if patients in the province can be seen by three top three top-level hospitals, the average life expectancy of Changxi Province will be increased by at least five or six years.

Therefore, patients who were referred to Yunhua Hospital were not unhappy.

...

The next day.

Ling Ran didn't start rounds until 8 o'clock.

He has just returned to Yunyi, and actually there are few patients available for rounds. The main thing is to see how the patient with broken four fingers is. Www.novelhall.com ~ When he arrives in the ward, he sees that the patient is awake. Holding a mobile phone and watching a show in elation.

The doctor's voice awakened the accompanying mother. She raised her head and folded her hair twice, and frowned at her daughter. "Everyone said that looking at the screen after the surgery hurts your eyes, why do you look again?"

"I didn't have time to chase the drama at work, so it was easy to take a break. I saw that the drama was okay." The girl could not move with one hand, so she paused with the other hand, and smiled at the doctors. "I I think I'm fine and fast, I don't feel much, can I go home? "

"You haven't had the power of anaesthetics." Ling Ran looked at the anesthesia pump hanging on her and said: "You need to be prepared for a long hospital stay. Although the survival rate of broken finger replantation is higher, the perioperative period Care is essential. "

"Oh." The girl was not stubborn, but smiled, and said, "My fingers should be alive."

"Not sure yet." Lu Wenbin hurriedly said.

"I know, I know." The girl waved her hand and turned her head. "Mom, look, the doctors have said that the survival rate of broken finger replanting is now very high, so you don't have to worry about it all day and night."

"Did I worry about it blindly? You just didn't worry about it, you just made your hands look like this."

"I don't worry if you manage too much ..."

"That ... patients and their families should not fight. Patients should try to keep their mood as calm as possible, and their emotions are too excited. After the blood pressure fluctuates, they may easily cause dangers such as blood clots. Be sure to pay attention." Yu Yuan stepped out to remind him, Xiaoxiao A big voice.

Both the patient and the family were a little embarrassed, pretending to restore a calm face.

The doctors continued their rounds when they were not surprised.

Any strange thing in the hospital may be encountered, and the quarrel between the patient and the family can only be regarded as a daily routine.