surgery day.
The weather was sunny and sunny, with no clouds in the sky, which perfectly matched the weather configuration of the sports meeting.
Lu Wenbin brought the carefully cooked pig's trotters, elbows and chicken feet to the waiting room of the operation area.
Several doctors rushed forward and divided most of it.
Lu Wenbin held a lock box tightly, and waited for Ling Ran to come out before offering it as a tribute, and said with a smile on his face: "Doctor Ling, this is the one I picked out from thousands of pig's trotters." The two front hooves were carefully selected. Look at the thickness, look at the elasticity, I went directly to the meat joint factory to pick them at two o'clock in the morning... "
The surrounding doctors laughed: "That's still a pig's trotter."
"Doctors are different from doctors, so can pig's trotters be the same as pig's trotters?" Lu Wenbin retorted seriously.
Zhao Le, who was sitting next to him, laughed and said, "Then you, pig's trotter, is equivalent to Director Huo?"
"One pig's trotter is Director Huo, what about the other trotter?" Comrade Zheng Pei, a senior resident who also held a trotter in his hand, strengthened his provocative force.
Doctor Zhou thought about it: "It's Director Liu of the Army General Hospital."
Zhao Le let out a chuckle: "Then this pig's trotter is a bit old..."
Chi Liu...
Chi Liu Chi Liu...
Several doctors were chatting happily when they heard strange noises.
Turning around to look again, I saw that Ling Ran was already sitting upright on the chair, with gloves on, holding the pig's trotter upright, gnawing on it so fast that some juice even splashed on the table.
"Is it delicious?" Zheng Pei, who was also holding a pig's trotter, was a little curious.
Ling Ran raised his head, swallowed the tendon in his mouth like a dinosaur swallowing a pig, thought for a while, and said, "It's delicious."
Chi Liu...
Chi Liu Chi Liu...
The doctors looked at each other.
Lu Wenbin smiled: "Actually, the pig's trotters are still the same ones, just thicker and the tendons are thicker, so that they are soft and chewy after cooking. In addition, the pig's trotters directly from the meat joint factory are also fresh. I chose this one." The trotters, I guess they are big pigs weighing up to 400 jin, and they are the kind that have been raised for a year or two. They can’t last longer. The trotters that have been too long are not as tasty as this one... "
guji.
Someone was obviously drooling.
Everyone has eaten Lu Wenbin's braised pig's trotters,
Looking at Ling Ran again, it was still the same expression, still the same movement, but the pig's trotter in his hand was much smaller.
Zheng Pei shook his pig's trotter silently, and said with a pointed smile: "Listen to what you said, Dr. Ling's pig's trotter is quite heavy."
"Pig trotters, each weighs less than two catties." Lu Wenbin said that he couldn't, and the complacency on his expression couldn't be concealed at all.
Ordinary raw pig's trotters are usually about 1 catty. Generally speaking, the weight of the pig's trotters in the stewed meat shop sold by the catty is more than 1.2 catties. The weight is more than 0.8 catties. In the era when the modern pork industry chain is so developed, whenever you see a pig's trotter that is out of standard, you can first make a judgment: this is a fat pig with extraordinary talent!
Zheng Pei, who often eats pig's trotters, shook his hands, put down the pig's trotters in his hand, and hummed, "I just said, differential treatment."
"That can't be helped. I'm helping Dr. Ling." Lu Wenbin leaned towards Ling Ran while speaking.
Several doctors looked at Lu Wenbin in surprise.
Even though the fact is true, it is still very strange to hear Lu Wenbin say it.
Looking at Ling Ran again, his movements and expressions remained the same, a pig's trotter was basically eaten.
"Doctor Ling, shall we do finger replantation today?" Lu Wenbin said as he stepped forward to cover the lock box containing another pig's trotter.
Snapped.
Ling Ran's hand pressed down on Lu Wenbin.
Lu Wenbin laughed twice: "That...it's more insulated when covered."
Ling Ran asked, "Why keep warm after eating?"
Lu Wenbin was stunned for a moment, and then smiled cutely.
After speaking, Ling Ran picked up another trotter.
A minute later, Ling Ran washed his hands and face, and said, "After a while, do the replantation of the amputated finger, and then do the tang method. Specifically, how many tang methods should be done to see the time. If you can't finish it today, do it tomorrow."
"Tomorrow is tomorrow morning?" Lu Wenbin asked.
"Of course. Four o'clock, a little later, so as not to be too late today and not get enough rest." Ling Ran said it naturally, and the other doctors around only looked at Lu Wenbin sympathetically, and no one was talking nonsense.
The chief surgeon likes when to perform surgery, that is when to perform surgery. In this regard, not to mention that the first assistant has no choice, neither does the patient. , it is arranged by the hospital.
In large hospitals, there are actually a lot of doctors who like to perform operations in the early morning. On the one hand, it is quieter in the early hours of the morning, and surgical equipment and instruments are better arranged. On the other hand, doctors not only have problems with personal habits, but doctors will naturally have various part-time jobs in the society after they do it. For example, a doctor who goes to a medical school to teach, if he has a class at 10 o'clock in the morning, he will go out at 9 o'clock, and there may be a ward round at 8 o'clock. If he has surgery or other things in the afternoon, he will not choose to have surgery in the early morning , you can only choose to have surgery at night.
Naturally, the former is more suitable than the latter.
The hospital also encourages doctors to perform operations at night, and only perform operations during the day, which is a waste of operating room and medical equipment resources.
Of course, old and small hospitals don't matter, and there are no doctors who perform operations in the early morning. The hardware conditions are not available, and the number of patients is small. Young doctors are used to the life of clocking in at work. After waiting for a few years to be promoted to the attending doctor, they will neither come to the hospital in advance nor return to the hospital at night. Naturally, they will live longer.
Lu Wenbin had already come to his senses.
Hearing that Ling Ran delayed the time to "four o'clock" at this time, he was even a little relaxed, and said with a smile, "Then I'll come over at three o'clock and make preparations in advance."
If the tang method is a powerful surgical procedure in the orthopedic department of tendon suture, the replantation of severed fingers is a powerful surgical procedure. A strong surgeon does not have to learn how to replant severed fingers, but those who have learned how to replant severed fingers are all strong surgeons.
Just like Ling Ran.
Lu Wenbin waited for Ling Ran to agree, and asked again: "I am going to prepare for the operation of replanting my severed finger first?"
"Well, the patient is the one whose finger was broken by the mahjong machine, don't make a mistake." Ling Ran also advised him carefully.
Dr. Zhou, who had already started to swipe his mobile phone, regained his energy in an instant: "Did the mahjong machine break? This is quite special."
Ling Ran nodded: "It's a middle-aged man who runs a mahjong parlor. When cleaning the mahjong machine, the tip of his index finger was pinched off. He was sent directly to the emergency room."
"Hey, the blood vessels on the fingertips are so thin." Dr. Zhou stretched out his middle finger and gestured twice.
Zhao Le said helplessly: "Old Zhou, don't point at people."
"I'm sorry, I'm sorry, Ling Ran, where is it broken?" Dr. Zhou's curiosity has not yet passed.
"Less than half of the first knuckle, the bone is exposed, and the fingers are not completely severed."
"Is this difficult?"
"The main thing is the anastomosis of blood vessels, there is no big difficulty." Ling Ran said very easily.
If the difficulty is judged by the thickness of the blood vessels, then the suture at the distal end of the finger is naturally extremely difficult.
For microsurgery, this is indeed the main difficulty. The diameter of the blood vessel at the distal end of the finger is only half that of the blood vessel in the middle of the finger. The doctor punctured it with a shake of his hand, and it was extremely difficult to suture 24 stitches.
However, as far as Ling Ran was concerned, not to mention his perfect suturing of severed fingers, his knowledge of master suturing and hand anatomy could still be of use to bless him.
The blood vessels at the far end of the fingers were thin and thin, and Ling Ran didn't notice them.
"No, I want to see your sewing." Doctor Zhou got up and shook himself, then took out his mobile phone and sent a message to Huo Congjun: "Director Huo, I want to see Ling Ran's finger replantation this afternoon. I will not go to the theme day activities of the general branch."
Not long after, Dr. Zhou's cell phone made a "ding" sound, and Huo Congjun replied: Yes.
Doctor Zhou smiled triumphantly, picked up a full glass of white water, and drank it down in one gulp.
…
Several doctors who were fine followed Ling Ran into the operating room.
Zhao Le was a bit late, and stayed in the treatment room for a while before entering Ling Ran's operating room.
On the hospital bed, the patient was about 40 years old, with broad shoulders, thick arms and a big belly. He seemed to weigh more than two hundred kilograms. He was paralyzed while lying on his back, and his whole body was almost bound up by various instruments.
Looking at the big screen on the operating bed, it seems that debridement has just started, and the timing is just right.
"I don't give too much, I'll see if I need to add milk later." Su Jiafu said to Ling Ran. The milk he was referring to was propofol, referred to because of its resemblance.
For fat people weighing more than 200 kilograms, Su Jiafu is not very experienced. He is worried that the amount is not enough, and he is also worried about problems such as apnea.
Ling Ran operated with his head down, and only said "OK".
Zhao Lexi approached quietly, then nudged Dr. Zhou with his elbow, and asked, "Where are you?"
"The surprising part." Doctor Zhou smiled.
Zhao Le asked: "What are you surprised about?"
"You can't even imagine that a fat man weighing more than 200 kilograms has a blood vessel at the tip of his finger with a diameter of 0.15 mm." Dr. Zhou asked, "Are you surprised?"
Zhao Le laughed dumbfoundedly.
The diameter of the fingertip artery of an average person is about half of that of the blood vessel in the finger, that is, between 0.2 mm and 0.3 mm. The pipe diameter of 0.15 mm is indeed too small, and it is indeed not worthy of the identity of a middle-aged man who weighs more than 200.
"The patient is still the owner of the mahjong parlor, wearing a big gold chain." Dr. Zhou said again.
Zhao Le couldn't help it anymore, he laughed out loud, and shook his head again: "It's a pity, it's a professional joke, or if you tell your wife, you can kill him with joy."
"Then you took the opportunity to fuck her, didn't you?" The nurse in the audience happened to be beside the two of them, and answered the sentence naturally, very much in the operating room.
"So, the key to whether you can fuck your wife is this 40-year-old middle-aged mahjong parlor owner who weighs more than 200." Doctor Zhou added a knife calmly: "You might as well buy another donkey brand for your wife." bag."
Zhao Le, who was about to refute, heard the donkey brand, but suddenly lost interest in chatting in the operating room, and sighed: "My wife doesn't like lv anymore."
"Why?"
Zhao Le showed off slightly, and said: "There are too many people around me, she wants Chanel now."
"A Chanel for one night? Old Zhao, your wife is a bit expensive." Su Jiafu said cheerfully, following Ling Ran's surgery, there are many advantages, but the disadvantages are also obvious, that is, the lack of entertainment during the operation, no Good atmosphere for chatting. The operating room, where the surgeon doesn't talk, the assistants are trembling, and the nurses can't let go, is like a hypnosis room for anesthesiologists.
It was different when a few doctors who watched the battle came. Everyone laughed and the time passed quickly.
In the back, even if someone peeps at Su Jiafu's round stool, he will just refuse with a blank face, and will not be really angry.
"The blood vessels are fine." Ling Ran raised his head and said a word, instantly blowing away the happy air in the operating room.
Doctor Zhou looked at his watch, only one hour had passed.
"This guy!" Zhao Le also looked at the time, and lost the idea of chatting for a moment.
He has never sewed a 0.15mm blood vessel.
Ordinary emergency doctors have no chance to sew such blood vessels. If it is not at the fingertips, the doctors will let the similar blood vessels flow freely. After a period of time, the blood vessels will naturally find a way out.
However, Zhao Lexie knows how awesome it is to suture a 0.15mm blood vessel in an hour.
Not only he knew it, but other doctors present also knew it.
As a result, everyone was a little frustrated and lost the idea of chatting.
But everyone didn't want to leave yet, and the atmosphere in the operating room became heavy again.
Su Jiafu was the most sensitive to this change, and he even thought of a terrifying scenario: In the future, if Ling Ran underwent long-term replantation of amputated fingers, it meant that his operating room would be kept for 5 hours, 6 hours or even At that time, 10 hours of silence.
In the operating room at three o'clock in the morning, cutting up the human body without saying a word? Su Jiafu always felt that this style of painting was not suitable for him.