"Old Lu, old Lu, it's your time." Ma Yanlin kicked Lu Wenbin, and fell on the bed next to him, losing his voice.
Of course, Lu Wenbin was also silent.
The doctor on the next bed had no choice but to get up, put his finger on Ma Yanlin's neck first, and after confirming that he had a pulse, he pushed Lu Wenbin: "Old Lu, old Lu... Lao Lu got up... Lao Lu, the pig's trotters are mushy."
"Impossible!" Lu Wenbin sat up straight instantly.
The resident doctor who woke him up was frightened to death, and said with a smile: "You didn't die suddenly, I should die suddenly."
"You can sleep for 6 hours a day, how could you die suddenly." Lu Wenbin smiled self-deprecatingly.
The doctor in the next bed nodded in agreement and said, "I heard that American residents only sleep for 4 hours. We have to learn from them."
With that said, he went back to bed, wrapped himself in the quilt, stretched himself, and continued playing with his phone.
Lu Wenbin got up angrily and kicked Ma Yanlin, put on his slippers to wash his face twice, and then went to the operation area with a toothbrush and jar.
When he arrived at the operation area, Lu Wenbin brushed his teeth and washed his face while taking a shower, and then came out to change into his washing clothes, looking like a dog.
The emergency department, which has its own operating room, is more comfortable for doctors than for major operations, and for patients, there are relatively fewer resistant bacteria that are prone to appear in the operating room. Super bacteria and so on are easily encountered in hospitals.
"Doctor Ling, I'm here." Lu Wenbin stepped on the door of the operating room and yawned again.
"En." Ling Ran had just finished the operation, so he focused on the wound without turning his head to look.
Yu Yuan, who was in good spirits, was familiar with the process, and immediately introduced: "The patient is 67 years old. After falling down, he supported his right hand, resulting in a fracture of three fingers and a half-severed index finger..."
"It's so miserable." Lu Wenbin clicked his tongue twice, and said, "I've seen someone who jumped off a building and broke his finger. Last time, there was a person who broke his finger while parachuting, and someone who broke his finger while playing outdoors. He also broke his finger on the flat ground at home. Bad luck, if I had to say..."
"Doctor Lu." Su Jiafu coughed twice on the round stool, and said: The patient is half numb today.
"I'm going to go!" Lu Wenbin was taken aback: "Why is it half numb? Aren't we always numb?"
"Isn't it half numb?" Lu Wenbin was terrified when the patient spoke suddenly.
During this time, he followed Ling Ran to do the tang method and the replantation of severed fingers every day, all of which were under general anesthesia with a laryngeal mask. The patient suddenly spoke, and the sense of horror was like the most terrifying dream when the general teacher suddenly sat up and began to criticize his knife skills when he was in medical school.
"Be careful not to move. Relax your whole body. If you are half numb, you are most afraid of moving. If you move, all previous efforts will be wasted." Su Jiafu couldn't help reminding the patient.
Yu Yuan's round glasses trembled as she laughed, and said, "The patient refused general anesthesia and strongly demanded partial anesthesia for surgery. Dr. Ling agreed."
Lu Wenbin couldn't help curling his lips. He was used to surgery under general anesthesia, so he really didn't want to have surgery under partial anesthesia.
Although Ling Ran's operating room was always silent, he was not afraid of saying the wrong thing after all.
"Give me the tweezers." Lu Wenbin sat up straight, and rested his eyes on the microscope.
"Why did you change?" The patient's attention rose sharply.
Yu Yuan smiled and said, "Dr. Lu's skills are better than mine."
"Oh, but..."
"Change to another pair of tweezers." Lu Wenbin threw the original tweezers on the tray, interrupted the patient's questioning, and opened another topic: "Old Su, why did your paper disappear? How is it?"
"Isn't this still accumulating cases?" Su Jiafu played with the round stool with a guilty conscience, his eyes were red.
"Where is Yu Yuan, I heard that you are also writing a thesis, have you written it yet?"
"A case report? It's been written out and submitted to "reports" online." Yu Yuan replied easily, and she was a little aware that Lu Wenbin didn't want her to chat with patients.
Although she entered the hospital earlier than Lu Wenbin, Yu Yuan followed Lu Wenbin's experience.
On the contrary, Lu Wenbin was a little surprised and asked, "Is your case report published in English?"
"certainly."
"What is the impact factor?"
"About 0.3." Yu Yuan said.
Without waiting for Lu Wenbin to heave a sigh of relief, Su Jiafu said, "Most journals that publish case reports don't have impact factors. A case report of a few hundred words can get an impact factor of 0.3, which is very cost-effective."
Yu Yuan smiled: "They have higher requirements for pictures."
"Well... What will be the aftereffects of my half anesthesia?" The patient looked up at them.
Su Jiafu felt a little embarrassed, and said, "Didn't I tell you about the sequelae?"
The patient said, "I don't remember clearly."
"The drugs used for anesthesia are metabolized quickly, so you don't have to worry too much. Both general anesthesia and partial anesthesia are metabolized quickly." Lu Wenbin did not ask Su Jiafu to read the list of sequelae, but said it in a chatting tone.
"Metabolized?"
"Well, it won't matter after a few weeks."
"A lot of them say it affects memory or something..."
Lu Wenbin said angrily: "As people get older, their memory will decline. That's not the effect of anesthesia."
"I'm only sixty-seven!" The patient said emphatically.
Lu Wenbin was stunned for two seconds, resolutely admitted his cowardice, and said in a more soothing tone, "Let's not talk about this side effect. Now that your finger is broken, you have to fix it. You can't do it without anesthesia."
"Yeah, people are unlucky. Drinking cold water will get stuck between the teeth." The 67-year-old man sighed heavily: "I don't know how long I have to lie in bed now, and how long it will take to heal."
Lu Wenbin had no choice but to be an assistant while chatting with him, feeling his forehead swell.
Ling Ran was always doing stitching without distraction.
He does surgery, it feels like he's playing a game, and once it starts, he doesn't care what's going on around him.
The 67-year-old patient is too old. Compared with young people, he not only has problems with recovery ability, but also has inevitable osteoporosis, muscle weakness, blood and blood vessel problems, etc.
In the replantation of severed fingers, internal fixation is difficult for osteoporosis, brittle blood vessels are difficult for suturing, and high blood viscosity affects blood supply...
Ling Ran had to carefully avoid the pits one by one in order to perfectly complete the replantation of the severed finger.
For doctors, success means that they have completed a difficult surgical game, and failure means mistakes from beginning to end.
"Okay, the index finger is done, Lu Wenbin." Ling Ran asked Lu Wenbin to sew the skin, and he continued to deal with the fractures of the remaining two fingers.
Although he didn't get a special fracture skills book, the bone treatment technology included in the replantation of severed fingers is more than enough to deal with the phalanx. Ling Ran has encountered it a few times before, and soon even bandaged it.
After the patient was pushed out of the ward, Lu Wenbin first snatched Su Jiafu's round stool and sat down, then obediently pointed his neck in Ling Ran's direction, waited for Ling Ran's hand to rest on his neck, and let out a long breath.
"Doctor Ling, didn't you use to treat semi-numbed patients? Why did you do this today?" Lu Wenbin asked while breathing in.
"There is no more suitable patient." Ling Ran answered clearly.
"Didn't Director Huo contact a lot of hospitals? Didn't they send them today?" Lu Wenbin was a little surprised. In recent days, the emergency department has sent over many patients with replanted severed fingers every day, so that there are endless cases. sent to hand surgery.
Ling Ran could only shake his head: "It was done too quickly in the first half of the night, and the remaining amount was finished. Considering that this patient is older and really wants to be slightly numb, I did it for him."
This answer made Lu Wenbin dumbfounded. He realized something immediately and asked, "How many fingers did you do in the middle of the night?"
"Five."
"No wonder Ma Yanlin seems to be a donkey." Lu Wenbin felt a burst of sympathy.
Su Jiafu looked at Lu Wenbin, and laughed heartily.
"What are you laughing at?" Lu Wenbin couldn't help but groan.
Su Jiafu looked at Lu Wenbin pitifully, and said, "Doctor Ling has asked Director Huo to raise the injection."
"Plus..." Lu Wenbin felt that his hands and feet were going to go numb, and said in disbelief, "It's already midnight, shouldn't it be easier?"
"It's quiet in the second half of the night." Ling Ran replied with a very reasonable look.
One after another.
Bed after bed.
Lu Wenbin became numb, so he changed to Ma Yanlin, and when he woke up, he went to check the ward and fill in the medical records. Ma Yanlin stopped thinking, and then changed to Lu Wenbin, and went to fill in the medical records and make rounds by himself. Yu Yuan has been working as a second assistant for a long time, also as a first assistant, followed by Tang method, and has been checking wards and medical records for a long time, and soon got tired and forgot about the low-level mistakes and crimes.
Ling Ran knocked down 4 more bottles of energy potions one after another, plus two forced rests, and inadvertently advanced the mission to 50/50, and immediately heard the mission prompt:
Mission accomplished: 50 cases of severed finger replantation.
Mission Reward: Intermediate Treasure Chest.