Every job has its bitterness and its sweetness.
The bitterness of engineering is to be Party B, and the sweetness is to be Party A; the bitterness of business is to pay wages and rent, and the sweetness is to make money; the bitterness of moving bricks is muscle pain and confusion about the future, and the sweetness is the daily salary and the family Smile; the bitterness of being a leader is being bullied by superiors, and the sweetness is bullying subordinates.
The bitterness of being a surgeon is a lot of effort, and the sweetness is the pleasure when the operation goes well.
When the operation went very smoothly, the cheerfulness of the chief surgeon was simply happier, more apprehensive, and refreshing than picking up four beauties on the side of the road and going home together...
Director Wang Haiyang looked around, he now regretted that no one appreciates his surgery, no one shares his happiness. Not counting Lu Wenbin, he was a resident doctor in the emergency department.
"It's rare to suture three severed fingers today, why don't we ask the students to learn it." Wang Haiyang quickly found a suitable reason.
He is the Chief Physician of Hand Surgery. Even though he is not as powerful as the Director, it is still very easy to call a group of interns to call "666".
A phone call was made, and within a short time, many interns and regular trainees came to the scene.
"Everyone go to wash their hands, leave six of them, and the others go to the lounge to watch the big screen." Wang Haiyang and others all came, and felt that the operating room was crowded, so they drove out the later ones.
Replantation of amputated fingers does not have a particularly high requirement for the cleanliness of the operating room. Modern laminar flow operating rooms have good ventilation and bacterial adsorption capabilities, and relatively little dust. The key point of replantation of severed fingers is blood supply. If the blood vessels are sutured successfully, the severed finger has the possibility of survival, and the infection is less.
A group of interns yelled "baaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa noaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaless a group of 666 going to operating room.
"The suturing of amputated fingers we are doing now belongs to the fourth-level operation in the surgery catalogue, which means that it can only be performed at the deputy senior level. You may not be able to touch it in a short time, but through suturing the amputated fingers, you can understand Up to now, the most advanced tendon suture, vascular anastomosis, nerve anastomosis, etc...." Facing the students and Gui Peisheng who were watching, Wang Haiyang adjusted the position of the microphone and camera. up.
Ling Ran still kept his head down and worked hard. Not only did he do a good job as a first aid, but he also thought about what the chief surgeon thought, and what the chief surgeon couldn't do.
The perfect level of finger replantation, after getting familiar with the operation, can provide Ling Ran with a lot of skills and ideas, the experience of Tang method, and the acquisition of 3000 cases of hand anatomy experience, which makes Ling Ran's movements almost Perfect.
In fact, if it wasn't for Wang Haiyang's cooperation, Ling Ran's own surgery might be faster and the effect better.
However, for Wang Haiyang, who is used to the normal speed, he has already performed super-level now.
Shun is unbelievable!
Cool flying!
"Pliers, change the needle." Wang Haiyang slapped the scissors down with a soft sound, which startled the equipment nurse.
"Be careful." The equipment nurse couldn't help but remind her.
Wang Haiyang laughed and said, "Today's operation is comfortable. Well, you have to be careful. Don't learn from me."
When he said the last sentence, it was naturally for the interns.
"yes."
"OK."
"clear."
The interns shouted "666" tiredly, and after watching for dozens of minutes, many of them were tired.
"Everyone is about to fall asleep. It's okay, you go out, and another group of people will come in." How could Wang Haiyang tolerate such an attitude? , He is too lazy to teach this group of people.
"Ling Ran, you can sew up the tendon." Wang Haiyang gave up the tendon suture a little bit embarrassedly, and he also carefully gave up the tendon suture because Ling Ran was best at the tang method.
"Okay." Ling Ran responded, picked up the scalpel, and began to pinch a tendon, like peeling a shrimp, and cleaned it up with three strokes, five cuts, and two, and then changed the needle forceps , the tendon was sutured and stuffed back in a moment.
At about the same time, the students who were changing classes also came in.
Wang Haiyang cheered up again, and laughed: "Well, we are going to suture the blood vessels now, this is the most complicated part... Doctor Ling, do you want to rest for a while?"
"No, I'm not tired yet." Ling Ran replied happily.
He often performs three or even four surgeries in one go, and his well-trained back and waist never feel the burden of consecutive surgeries.
Wang Haiyang can't do it anymore, he is already in his 60s, let alone consecutive operations, he can't complete a single operation.
"Let's take it easy, I'll tell you about it later." Wang Haiyang rubbed his old waist, then turned his head to see Lu Wenbin, and said, "You change your clothes too, and help out later, how stupid you are."
"Yes." Lu Wenbin, who was waiting to die, turned around and wanted to change the surgical gown.
"Go wash your hands again, and put on the surgical gown when you come here later." Wang Haiyang spread his palms up and down between his lower abdomen and collarbone, and said, "Put your hands in the right place."
"Yes." Lu Wenbin ran to wash his hands with a bitter face.
He has recently performed hundreds of operations with Ling Ran, and naturally he will not forget the principle of asepsis, but he has been waiting for a long time, and he is a little dazed.
Ten minutes later, Lu Wenbin returned to the operating room.
Wang Haiyang began to concentrate on operating again.
If anything, the most normal thing for Wang Haiyang to do now is to hand over the patient in his hands to Ling Ran.
Wang Haiyang has seen Ling Ran's operation before, and has also tested the patients he sutured, and he has heard of a large number of tang methods Ling Ran has done. Judging from the bone setting just now, Ling Ran has actually done the severed finger again. All preparations for planting.
Originally, when Huo Congjun asked Wang Haiyang to check it out, he was just a little worried. After one operation, Ling Ran showed a good level and actively participated in every step. Wang Haiyang should have let go with peace of mind.
However, Wang Haiyang was reluctant.
That is really reluctant!
Passing five levels and beheading six generals, killing heads rolling, Wang Haiyang is as excited as he is right now.
He has been doing hand surgery for half his life, and he has performed such cool operations that he can count them.
It's like playing Go, when you meet your opponent, you kill the opponent's dragon.
When playing chess, you meet your opponent and you capture the opponent's double rooks.
When the military flag was lowered, you met your opponent, and you hit the opponent's commander with a bomb.
Bai Sensen's severed finger was stitched together, how cool would that be
Now let Wang Haiyang give up the position of chief surgeon and give it to Ling Ran, how could Wang Haiyang be willing.
What is backache in comparison
What a sore leg.
It's nothing if your fingers are sleepy.
"Get me a bottle of glucose." Wang Haiyang wanted to recharge his batteries and fight for another 300 rounds.
Lu Wenbin raised his hand and looked at Wang Haiyang pitifully.
"Change his clothes." Ling Ran was obviously more relaxed, and only had time to observe Lu Wenbin's situation.
The itinerant nurse didn't bother to talk to Lu Wenbin at first, but because Ling Ran had something to say, she tore open a bag of clothes again, and changed Lu Wenbin into a surgical gown.
Ling Ran continued to do his own thing. He has just started to do finger replantation, and he is willing to see a few more cases. Moreover, Ling Ran, who has eaten Snickers bars, is still not hungry at all.
Two minutes later, Wang Haiyang continued to operate bravely, and Lu Wenbin took over Ling Ran's hook work.
"In terms of blood vessels, generally speaking, the more sutured the better. However, the four arteries of the finger mainly rely on the palmar artery with a relatively large diameter to supply blood, while the dorsal artery is relatively small and plays a similar role It's relatively small, so when we replant the amputated finger, we can anastomose the palmar artery..." Wang Haiyang made an intraoperative judgment and informed Ling Ran of the reason, which can be regarded as fulfilling his teaching duties.
The other interns and regular trainees also nodded their heads, consciously learning a lot.
Lu Wenbin was even more excited looking at the bloody Shu Ye.
Ling Ran was also making his own assessment in his heart.
The risk of suturing only one artery also needs to be considered. To put it in a more fashionable way, the safety redundancy of sewing a blood vessel is relatively small. Once it fails and the blood supply is insufficient, the finger will be considered useless.
However, the operation time is also an important indicator. If it is a single finger, it is fine. For example, if the three-finger suture is being carried out now, if each finger takes two to three hours, will the risk be greater after a set of operations? Woolen cloth? What if the surgery takes longer
The judgment of the chief surgeon is not static. Wang Haiyang belongs to a doctor with a stable suture level but an average speed. Therefore, his intraoperative judgment is to suture only one main artery.
If Ling Ran was to perform the surgery himself, the situation would naturally change even more.
However, for today's surgery, Ling Ran followed Wang Haiyang's instructions.
Expose when it's time to expose, stop bleeding when it's time to stop bleeding, tie a knot when it's time to tie a knot, and pump when it's time to pump.
No matter what Wang Haiyang did, he chose the palmar artery with a larger diameter. It was sutured in one piece, and it was hearty.
"Continue!" Wang Haiyang shouted and drank another bottle of glucose.
Just sew one and sew another.
One by one.
The regular trainees and interns who shouted 666 by their side had switched several times before Wang Haiyang finally sewed all three fingers together.
It was already dark at this time, and Wang Haiyang leaned limply against the wall of the operating room, muttering to himself:
"It's so cool..."
Turning his head to see the young Dr. Ling who was also leaning against the wall with a straight back, Wang Haiyang felt a little regretful. If he had had such an assistant ten years ago, he would have been a member of the Orthopedics Branch by now...