Seven Hundred and Sixtieth Eight Chapters Defective
"Don't move around, I'm not skilled, I'll tell you in advance, when the time comes, I'll give you paraplegia or something, don't blame me." Ma Yanlin was operating on the operating bed in a rambling manner.
Compared to anesthesia, Ling Ran was more interested in the operation itself. As the only official doctor in Guozheng Charity Hospital, Ma Yanlin had no choice but to take over this job and became the main anesthesiologist in the hospital.
Selina also had no choice but to work as a temporary nurse for a few days. At this time, she helped out and asked, "Should I translate what you said to the patient?"
"Translation, why don't you translate?" Ma Yanlin put the needle on his side, like an evil doctor, turned his head and said, "You have to explain the risks to him. If he really doesn't want to do it, let's talk about it later."
"If it were me, I would rather not do it knowing that you don't understand anesthesia." Saline pouted.
"Look at him. If you don't do it, the three toes will definitely be lost." Ma Yanlin shrugged and said, "I asked him to sign the pre-operative consent form, the English version."
Selina shrugged, turned her head and explained the conversation between the two to Nardo.
Naldo looked down at his feet, and he was dumbfounded: "There is no anesthesiologist? Why is there no anesthesiologist? I will sue your hospital."
"The anesthetist has left." Selina said helplessly, "You can sue the anesthetist, or wait for the road to pass before performing the operation."
"The road is clear, so there is no need for surgery, right?" Naldo laughed at himself, and his face changed again: "With this level of medical care, how can you treat more than 100 patients, and no one died? "
Salina translated.
Ma Yanlin thought for a while, and said, "Either the doctor's skills are good, or it's luck."
Anyway, since Ling Ran wasn't around, Ma Yanlin didn't want to flatter him so much.
Naldo naturally regarded it as luck, and his face changed again.
However, he couldn't say if he didn't want to have an operation.
There are three toes, including a big toe. If they are lost, Naldo will have problems walking, let alone carrying weight.
"I'm going to be anesthetized right now.
To be honest, how many people died in the hospital in recent days? Let me judge. "There was sincerity in Naldo's eyes. He really wanted to know, not only for his own surgery, but also for his own news.
"Not yet." Ma Yanlin replied indifferently, and then said to Selina who was translating: "Ask him if he wants to sign. If he doesn't sign, I will go to see other patients."
Naldo hesitated for a moment, and had no choice but to sign. In the current environment, he really couldn't get up.
Ma Yanlin immediately began to inject anesthesia.
Compared to the beginning, his skills are much better. After all, now that he has a satellite phone, he can also call a real anesthetist to consult a real anesthetist. He won't be like in the beginning, learning from books with Ling Ran.
Within minutes, Nardo was unconscious.
Normal severed finger replantation can be given local anesthesia, but on the one hand, Ling Ran prefers general anesthesia, and on the other hand, it is enough for Ma Yanlin to barely learn intravenous anesthesia, and it is impossible to learn local anesthesia temporarily.
"The patient with broken three fingers, tsk tsk, it's like a gift to celebrate..." Ma Yanlin couldn't help but pause when he said this, and whispered suspiciously to Selina next to him: "This person can't be Tian Qi Is it a gift from Miss to Doctor Ling?"
"How could Ms. Tian Qi give people as gifts to others?" Selina smiled, and in a flash, as if she had just thought of it, she asked: "By the way, I remember that in our traditional Chinese culture, there are dowry girls." Institutional?"
"I've never heard that there is a system for dowry girls." Ma Yanlin shook his head quickly: "You can call Dr. Ling for surgery."
When Selina heard "Doctor Ling", she was too lazy to talk to Ma Yanlin, and immediately went to get the walkie-talkie.
In a quarter of an hour.
Ling Ran was fully dressed and came to the operating room.
After the road between Kuba Town and Guozheng Charity Hospital was completed, the first thing to bear the brunt was the increase in a large number of patients.
The general practitioners in Kuba Town are also inferior among general practitioners. Their ability to deal with diseases is inferior to that of Australian doctors. After all, Australian doctors can use Google proficiently, and the native language of general practitioners in Kuba Town It's Portuguese.
Patients who have been sick or injured in recent days have been given either anti-inflammatory painkillers and fever-reducing medicines, or the most basic debridement. Of course, on the bright side, this general practitioner is a doctor after all. Although his handling ability is weak, he is not a big mistake, like Naldo’s toe. With sutures, there are more problems.
Furthermore, the general practitioner's preservation of the severed toe is also remarkable.
He first wrapped the severed toe with clean gauze, then put it in a plastic bag, sealed it tightly, and placed it in the only small refrigerator in the clinic to keep it at a constant low temperature. During transportation, the broken toes are also placed in an incubator to ensure quality.
It can be said that such amputated toes have a high probability of surviving even if left for another 24 hours.
In fact, if you are lucky, some severed fingers can be stored in this way for a week, and the transplant survives. In terms of prognosis, it is naturally not comparable to that of a severed finger that was only stored for one day. To get a good result, it is estimated that They are all very reluctant, but it is not easy to survive itself.
The best replantation of amputated fingers still needs to be done within 24 hours. Nardo’s time has been exceeded, but with good storage conditions, better results can still be obtained.
That is, better.
"The bone must be shrunk." Ling Ran held Nardo's severed toe under a 10x microscope to observe for a while, then looked at the broken end of the foot, shook his head slightly, and said, "The fractured end must be completely removed and inactivated. and contaminated tissue, get some Andover gauze, 10-0 nylon thread, and mark blood vessels and nerves..."
Compared to the Yun doctor's operating room, Ling Ran had more issues to consider.
It is tantamount to increasing the difficulty in vain.
As an assistant, Ma Yanlin was quite busy. In fact, the skills of the nurses in the operating room were not enough.
However, the imperfect operation must be carried out after all.
In the final analysis, most surgeries are not perfect, just like the world Ling Ran is familiar with.
"The section has been cleaned up." Ma Yanlin was so busy that he was sweating, and was roughly wiped by the part-time aunt next to him, feeling as if his skin was about to fall off.
"Loosen the tourniquet." Ling Ran gave the order, and then he breathed a sigh of relief when he noticed active bleeding: "Tighten the tourniquet. Wipe off the sweat."
Selina next to her only translated the part of the tourniquet, then picked up the gauze herself, and gently dabbed it on Ling Ran's forehead, her movements were gentle and careful.