"Okay, Lu Wenbin can go to rest. Xiao Ma will be the first assistant, and Yu Yuan will be the second assistant." Ling Ran waited for the assistants to chat happily before reassigning the work.
Lu Wenbin was already looking like he was about to die of exhaustion, but when he heard that he could rest, he quickly asked, "How long?"
He also knew that it was impossible for Ling Ran to leave it to him all day, otherwise, Ma Yanlin would be exhausted.
"Wake up and come back." Ling Ran didn't set a specific time. He drank two bottles of energy potion in a row and worked continuously for more than 40 hours. Three bottles of energy medicine.
As a doctor, it is too much to test the medicine by oneself, and the dose is too high to make people feel uncomfortable.
Lu Wenbin listened to Ling Ran's words, took off his gloves and left, and put it in the drama, because he was worried that "if it's too late, things will change."
Ma Yanlin looked at Lu Wenbin's back enviously, dropped the tweezers casually, sat on the seat before Lu Wenbin, looked into the eyepiece for a few seconds, stretched out his hand and said, "Ring pliers."
Ma Yanlin's voice was a little louder, and Huan's pronunciation was even more heavy.
The itinerant nurse patted the forceps to Ma Yanlin, and said, "Circle forceps, right? It made me dizzy."
Ma Yanlin laughed a few times, then looked at Ling Ran, but he didn't even raise his head, he couldn't help being a little disappointed... He also wanted to return home.
On the other side, Yu Yuan put on the surgical gown with the help of the nurse.
She is only 1.5 meters tall, and she looks a bit long in a small surgical gown, but her expression is very serious.
With her hands stretched out in front of her chest, she stepped on the step stool and came to Ling Ran's side, then looked down at the part being stitched.
"It's a contusion." Yu Yuan saw it at a glance, and said, "If the soft tissue damage is serious, replantation will be very difficult to succeed. Even if it recovers, it will be very difficult to recover the function of the fingers."
"Patients and family members strongly demand replantation of amputated fingers." Ling Ran replied, and asked, "Have you been in contact with orthopedics before?"
Crushing bruises are the most commonly encountered conditions in orthopedics.
Yu Yuan put on the big plastic glasses and said, "I noticed it when I was studying the diseases that are often encountered in the emergency department. However, at that time, I mainly paid attention to foot crush bruises, because they are relatively common."
"Oh, how much do you know about grinding bruises?" Ling Ran asked casually. After all, it is inevitable to ask questions like a senior doctor to know the situation of the new assistant.
In fact, although 70% of the questions asked by superior doctors to subordinate doctors are for their own pleasure, 10% of them are to know the situation of the assistants so that they can be used effectively.
Although Yu Yuan is a resident doctor with some qualifications, facing Ling Ran, she still thought about it seriously, and said, "I don't know much. Generally speaking, foot crush injuries are mostly caused by traffic, industry and others. It occurs in construction accidents. Therefore, when receiving a doctor, it is necessary to understand the accident process in detail, so as to understand the injury mechanism, and at the same time pay attention to the general condition... When it comes to the affected foot, the main artery of the dorsum of the foot and the posterior tibial should be palpated first The pulsation... Initial treatment includes debridement and drainage, pressure measurement and decompression of the fascial compartment, antibiotics to prevent infection, and wound closure or coverage... Some scholars believe that internal fixation can effectively restore the anatomical structure of the foot... mubarak, etc. Humans divide the foot into four compartments... The pressure of 4mpa is the critical value, which will lead to irreversible muscle and nerve necrosis, and secondary fibrosis... "
"Well, can you stop for a while..." Ma Yanlin couldn't help it, interrupted Yu Yuan's words, and said again: "I know it's not polite, but I'm really going to fall asleep like this..."
Ma Yanlin barely opened his eyes, feeling that they were about to close in the next moment.
As a young man from a small town in the Baoyou District, Ma Yanlin has always been sweet-talking, but now he can't take care of it, for fear that if he speaks late, he will be hypnotized.
Yu Yuan stopped indifferently, and smiled, "I don't know what I know, that's about it."
"Enough." Ling Ran commented. Although he has mastered the perfect finger replantation skill, his understanding of crushing injuries is not as rich as Yu Yuan's.
The most important thing is that what Yu Yuan said was logical and detailed, and it was not prepared in advance, which meant that she had something in her stomach.
Su Jiafu, who was half asleep and half awake, was also woken up.
Because the cases were all prepared for him, Lu Wenbin and Ma Yanlin could sleep alternately, but Su Jiafu could not. At most, Ling Ran would sleep for half an hour when he was doing Tang to change his mind.
Sleep but can't go back to sleep in the room, because Ling Ran often massages Su Jiafu for a minute or two, so that he can sleep more deeply. In order to be greedy for this comfort, Su Jiafu always slept in the operating room.
After more than 30 hours like this, Su Jiafu's consciousness was going to be confused. However, anesthesiologists do this all year round, and they can always get through it.
Hearing Yu Yuan's voice, Su Jiafu opened his eyes, wiped his face, took the opportunity to fill out the report, and observed the data by the way.
The temperature in the operating room is constant at 23 degrees Celsius all year round, which is comfortable and refreshing.
From the small speakers hanging in the four corners, faintly faint music sounds.
Since Ling Ran didn't like chatting, the entertainment mode of listening to music was inevitably carried forward by the nurses. Different nurses always had different hobbies, but they all kept their voices extremely low so as not to interfere with the operation of the surgeon.
Ling Ran has never interfered with these things.
His concentration has always been extremely high, and when he does various mental tests, he has unusual numerical performance in this regard. Specifically, in life, Ling Ran didn't care whether the clinic at home was noisy or not, since he was doing homework since he was a child, he could do his own things even in a busy city.
When he arrived in the operating room, Ling Ran felt like a duck to water.
"Have you ever done replantation of severed fingers?" Ling Ran asked again.
Yu Yuan said "no" without any surprise. She is a doctor specializing in anorectal surgery and works in the emergency department. Under normal circumstances, how could it be possible to replant a severed finger.
Ling Ran nodded, and said, "Then take a pliers and come over to expand your vision."
He first assigned a simple job to him.
Yu Yuan waited for the pliers to slap her hands, then stretched her waist to do a facelift.
The double microscope was already occupied, and Yu Yuan could either use a head-mounted microscope or operate it with the naked eye. For the second assistant, it all depended on personal preference.
Yu Yuan was not very familiar with microscopes yet, so she lowered her head to get a face lift, and then watched Ling Ran's operation boredly.
"You are looking for veins." Yu Yuan said suddenly.
Ling Ran was surprised: "Can you see it?"
"Looking at you peeling off the vein layer retrogradely, I guessed it." Yu Yuan said it so simply that Ma Yanlin was at a loss when he said it.
"You knew it without doing your homework in advance?" Ma Yanlin didn't quite believe it, feeling like she had memorized the questions in advance and came to perform.
Yu Yuan nodded calmly, and said, "Just now I saw Dr. Ling loosen the tourniquet, which means the artery has been sewn up, and now it's natural to look for the vein."
"That's the truth..." Ma Yanlin laughed three times, feeling terribly guilty: Is this the writer of the journal in the first district? Too strong! My position is in jeopardy... Tomorrow I will ask my grandma to send some dried fish...
"Shower." Ling Ran paused, raised his head and turned his neck.
The itinerant nurse immediately brought over the prepared heparin saline, which was a basin filled with normal saline mixed with heparin, which was specially used for wetting the field of view. Because it takes a long time for the blood vessels to be sutured, in order to avoid the blood vessels being exposed for too long and drying out, they should be rinsed with heparin saline frequently.
The nurse passed the basin across the shelf to Yu Yuan, the second assistant. Yu Yuan took it carefully, aiming at the field of view of the operation, and poured out the salt water with a splash.
"Be careful, don't splash the lens." Ma Yanlin quickly reminded.
Yu Yuan said "ah", and quickly turned the basin in one direction, but it was moved far away, and half of the basin of water fell to the ground, and the splashes picked up woke up Su Jiafu.
"The water can't be poured correctly." Su Jiafu was so angry that he finally took a break during the operation and woke up several times.
Yu Yuan hurriedly apologized, with annoyance on her face.
"Make up a basin, and pour it later." Ling Ran didn't force it, and lowered his head and began to sew up the veins.
After a few minutes, one vein was sutured, and Ling Ran said ahead of time, "Shower again."
Yu Yuan quickly took the basin from the nurse, tilted it slightly, and poured it accurately on the operation area with a thin line of water.
"Hurry up." Ling Ran frowned.
"Oh." Yu Yuan tilted her head slightly.
"Quicker."
"oh."
"Quicker."
Crash.
Yu Yuan poured down a whole pot, flooding the surgical field of vision.
Several people looked at Yu Yuan in a daze.
Ma Yanlin wanted to laugh even more: it turned out to be a broken hand.