Chapter 324: First Day

Under the familiar microscope, Ling Ran gently connected the little fingers of the patient together.

If the importance of the fingers is not considered, in the eyes of outsiders, the replantation of amputated fingers is probably a small operation, just suturing the fingers together. After a little treatment of the blood stains on the outside, and after connecting the severed fingers together, ordinary people will not feel scared.

But in the world of microscopes, replanting a severed finger is like stitching together a broken building.

It is even more complicated if it can be used flexibly.

Fortunately, the blood vessels in 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 still tenaciously re-grow. Plant the foundation.

But even so, the expected time for a limb replantation operation of four severed fingers is more than 20 hours.

When it comes to the hospital's operating room management, the operating room occupied by Ling Ran will not be scheduled for surgery within the next 20 hours, unless he ends the operation early, the operating room will be used for temporary mobility.

Lu Wenbin, Ma Yanlin, Yu Yuan and others came in and out. When the operation time was up to 6 hours, they ran out to rest when they had the opportunity.

The surrounding doctors naturally disappeared long ago.

Although the doctors in Yunyi's emergency department envied Ling Ran's surgical operations, if they had no chance to improve in hand surgery, they wouldn't spend hours watching the operation.

It took Ling Ran and Director Wang Haiyang a total of about 8 hours to sew all 4 fingers together.

The gray-haired Wang Haiyang was tired and his back was aching, and he muttered, "It's finally finished."

Ling Ran stretched happily, and took off the mask.

Lu Wenbin and Ma Yanlin stood on one side, quickly suturing the skin flaps.

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

After more than half a year of practice, Lu Wenbin and Ma Yanlin's skill in suturing skin flaps has already caught up with the little surgeons in surgery, and the latter may not necessarily have as many opportunities to use their hands.

Wang Haiyang looked at the assistants, rubbed his waist, and said with a smile, "It's good to be young, unlike my old bones. If I have to do this kind of operation again, I should retire."

"Retired to become a throwing knife?" Ling Ran asked.

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

"Let me press it for you." Ling Ran said, holding Wang Haiyang's arm, and using his fingers to push, he slightly relaxed the muscles around Wang Haiyang's spine.

The corner of Wang Haiyang's mouth "hissed" inhaled, and his face really relaxed.

"You can do this." Wang Haiyang nodded cheerfully, and said again: "Your trick is good and useful... By the way, you are very good at Achilles tendon repair now, do you want me to help you contact some people?" Throwing knife?"

"Is it possible?" Ling Ran was a little moved.

"Of course, you are the one who repaired the Achilles tendon for Liu Weichen. I heard that there are foreign patients coming to your door. I'll help you spread the word. After sitting together for a few meals, you will get to know each other."

Ling Ran gave an "en" and said, "I won't go to eat."

"Socializing still requires socializing." Wang Haiyang laughed and said, "If you don't socialize, how will people know you?"

Ling Ran said with experience: "Sometimes you will get more opportunities if you don't participate in social interaction than if you participate in social interaction."

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

Wang Haiyang was stunned, but he couldn't refute.

With a character like Ling Ran, if he forcefully pulls him out, he really won't necessarily offend anyone.

After hesitating for a while, Wang Haiyang decided to skip this topic.

He said: "Anyway, let me arrange the throwing knife for you first. As long as you are willing to do it, you should be fine. By the way, what do you ask for? Expert fees, venue or number of people, etc."

Ling Ran had made flying knives with Wang Haiyang before, and he was not interested in the income that flying knives could provide, so he blurted out: "As long as it can increase the turnover rate."

Wang Haiyang was silent for a few seconds, and said, "You mean the turnover rate of hospital beds, right?"

"En. Save words." Ling Ran explained perfectly.

"That means arranging a few more surgeries at a time, but you don't need to ask for a price, right?" Wang Haiyang took off his surgical gown as he spoke, and said, "It's not right for you to do this. You should raise the expert fees first. Then we will talk about the number of operations.”

Ling Ran thought for a while and said, "The number of operating tables is more important."

"Okay." What could Wang Haiyang say.

The two went out while talking, and left the operating room to others.

The doctors and nurses in the department are used to it. Some small attendings will help with finishing work. When it comes to senior attendings, even if they want to help, they have more than enough energy to help. Not to mention, most people are not in the mood Do menial jobs.

"I can still do arthroscopic meniscectomy." Ling Ran walked a few steps and reminded Wang Haiyang again.

Wang Haiyang's eyes lit up: "You went to Academician Zhu to learn it?"

Ling Ran didn't bother to explain, so he just said: "I have done about 50 cases in the Bone Joint and Sports Medicine Center, and the results are very good. When the time comes, I will ask Yu Yuan to write a follow-up report and show it to you."

"Well, meniscus plastic surgery is very suitable for flying knives, but...you have to give the patient and the patient's family a little confidence." Wang Haiyang said it more tactfully, that is, he felt that Ling Ran's reputation in this area had not yet risen.

Ling Ran, who had mastered the perfect-level meniscus plastic surgery, nodded and did not refute.

Not famous is not famous, no special explanation is needed, as the number of surgeries increases, there will be what should be.

Wang Haiyang was worried that Ling Ran would be unhappy, and said with a smile: "It is correct for you to practice a meniscus plastic surgery. This is an elective surgery, and it is more convenient to raise flying knives. When you become famous, you can go out and do four or five at a time." Can……"

Among the four surgeries Ling Ran currently masters, replantation of severed fingers and tang suture are basically within the emergency department, and if the sutures cannot be sutured within 24 hours, there is basically no need for sutures.

The Achilles tendon repair can be delayed for a few days, but if you want to pursue good results, the fresh Achilles tendon repair should not be delayed too much. After all, it is calculated in days. The old Achilles tendon repair can wait, but The effect is definitely not as good as fresh.

Only knee arthroscopic meniscusplasty, including athletes, can be delayed for many days before surgery.

Wang Haiyang judges heroes based on the convenience of throwing knives, so he naturally thinks that meniscus plastic surgery is the best.

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

In terms of patient absorption capacity, Yunhua Hospital is stronger than 100 bone joint and sports medicine centers. In Changxi Province, Yunyi Hospital, the Army General Hospital and the provincial government are three pillars, and each department has its own emphasis, radiating the whole province and even the surrounding areas. The other hospitals in the province are theoretically subordinate hospitals of the three hospitals and have business guidance relationships. Unless the patients in the whole province can't feed the tertiary hospitals, otherwise, there will be no patients.

In fact, if all the patients in the province could be treated by the three top tertiary hospitals, the life expectancy of Changxi province would increase 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 had just returned to Yunyi Hospital, and there were actually not many patients available for rounds, mainly to see how the patients with severed fingers were doing.

When I arrived at the ward, I saw that the patient had already woken up, was holding a mobile phone, and was happily watching a drama.

The sound of the doctor entering woke up the accompanying mother. She raised her head and brushed her hair twice, then frowned and looked at her daughter: "It is said that looking at the screen hurts your eyes after the operation. Why are you looking at it again?"

"I don't have time to watch dramas at work, so it's easy to rest. I'll be fine watching dramas." The girl couldn't move one hand, so she paused with the other hand, and smiled at the doctors, saying: "I I think I'm recovering very quickly, and I don't feel much anymore, can I go home?"

"You're still under anesthesia." Ling Ran looked at the anesthesia pump hanging on her body, and said, "You need to be prepared for a long hospital stay. Although the survival rate of replanted severed fingers is relatively high, 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 rushed to say something.

"I understand, I understand." The girl waved her hand, turned her head and said, "Mom, look, the doctors have already said that the survival rate of replanted severed fingers is very high now, so don't worry about it all day long."

"Am I just worrying about it? You just didn't worry about it, so you made your hands like this."

"It's because you care too much, so I don't worry about it..."

"Well... the patient and his family members should not quarrel. The patient should try to keep his mood as calm as possible. If he is too emotional, his blood pressure fluctuates, which could easily lead to dangers such as blood clots. Be careful." Yu Yuan stood up and reminded, Xiao Xiao tall, big voice.

The patient and family members were a little embarrassed, and pretended to regain their calm faces.

The doctors continued to round the ward without surprise.

All kinds of strange things may happen in the hospital, and quarrels between patients and their families can only be regarded as daily life.