The inpatient building in Yiyuan County was surrounded by more than a dozen small flower beds. It was the season of blooming flowers. Looking at the colorful plants around, Ling Ran also felt at ease.
On both sides of the inpatient building are tall trees that are dozens of years old, many of which were planted at the beginning of the founding of the People's Republic of China. From a distance, many of them are three stories high, which is really dense.
In the corner of the courtyard wall, there is also a small basketball court. There are some patients in hospital gowns sitting in the surrounding stands, but some young students who look like students are playing on the court.
Kong Xiangming wanted to show his affection to Ling Ran, so he started the topic by introducing him, saying: "Our hospital used to have a medical technical secondary school, but later it was changed to an ordinary school. The basketball court was built at that time, and now there are still students coming to play. , Our hospital also welcomes it. The basketball court was actually closed for a while, and everyone had opinions, but it was finally opened. The inpatient department also added a water dispenser to the basketball court, so that children who come to play and watch can feel free drink."
It was only then that Ling Ran noticed that there was indeed a drinking fountain and several buckets in the corner of the basketball court.
Wang Haiyang nodded slowly: "The hospital is very cloudy, and if some young boys come here, everyone will feel comfortable."
The very feng shui statement made Ling Ran smile, and everyone started talking, talking and laughing.
The ward of the Second Department of Orthopedics is located on the fourth floor of the inpatient building.
After coming out of the elevator, all the doctors naturally restrained their smiles. Headed by Wang Haiyang, under the guidance of Kong Xiangming, they came to a separate ward and met the patients and their families.
Wang Haiyang has small ears, his face is downcast, and he is majestic, and he can no longer see the slightest kindness.
When the patient and his family saw him, they all became serious without saying a word.
Especially the patients with wounds covered, they didn't want to talk, but they sat up and listened to them.
Kong Xiangming said first: "Mr. Cha, Mrs. Cha, let me say something first. I actually said it before. Director Wang and his party rushed here from Yunhua, and they took two bites for lunch, just to hurry over here. Now that the person is here, let's not be too anxious, let's spend a little time doing some pre-operative diagnosis, analysis and research, sharpening the knife and chopping wood."
He had seen too many "urgent" patients, so he was afraid that the other party would be unhappy, so he said, "Under normal circumstances, it would be very troublesome and expensive for you to go to Yunyi Hospital or Provincial Hospital. We invite experts to come here now, not only to ease your difficulty in seeking medical treatment, but also to save time. However, saving time is not blindly saving time. We are going to have a conversation now, so let’s have a good talk, don’t worry, and try to speak well. things, all right."
The patient and a group of family members nodded silently.
In the relationship between doctors and patients, patients are always in a disadvantaged position, especially those waiting for treatment, no matter how the informed consent is written, they will eventually have to sign it.
Of course, hindsight is another yardstick.
Wang Haiyang waited for Kong Xiangming to speak clearly, and then said: "I have seen the films of Mr. Zha's severed finger. From the perspective of our doctors, the hope of successful severed finger is relatively high, but I also have to Just to clarify, even if the amputated finger is successfully replanted, the finger cannot be used as freely as it used to be. In terms of functionality, it will be subject to some restrictions... "
Wang Haiyang then talked about some sequelae, such as postoperative pain, fear of cold and so on.
The more patients and their families listened, the more anxious they became.
When Wang Haiyang's words were almost in place, Kong Xiangming stood up again and said, "We invite Director Wang to come over, in fact, we hope that the operation can be done better and the complications will be less. How should I put it, it is with good wishes." , to pursue the best results, but we also have to have a steelyard in our hearts, surgery is still risky, especially the replantation of severed fingers, the risk is not small... "
After finishing what he needed to say, Kong Xiangming looked at Wang Haiyang again, and after getting confirmation, he announced the start of the operation.
The patients began to be pushed to the operating room. Wang Haiyang and Ling Ran followed Kong Xiangming to change clothes. A group of doctors from the Second Orthopedic Department of Yiyuan County Hospital waited for them to finish their work, and they also changed their hand washing clothes one after another, preparing to go to visit and study.
Taking advantage of the time when he was alone, Wang Haiyang said to Ling Ran: "Let's make flying knives, not like doing it in this hospital. We must adopt a low-risk plan and make it as beautiful as possible."
"Understood." Ling Ran had never had the experience of throwing knives, so he naturally obeyed the command in all actions.
The so-called low-risk solution falls on the replantation of severed fingers, the first thing is to get more blood vessels. The core element of severed finger replantation is blood circulation, as long as the blood circulation is unblocked, the severed finger can survive. Blood is the supply line of the body, and the body without blood supply is bound to be necrotic.
However, taking more blood vessels means either prolonging the operation time, or finding ways to save time in other ways. It is easier to replant with a single finger, and the connection time of other fingers has to be taken into account when replanting with multiple fingers.
However, for Wang Haiyang and Ling Ran, no matter how the severed finger is connected, there will be no major problems. Which plan to adopt is a matter of tendency and possibility. Leaving aside the doctor's skills, if we only talk about the plan, The element of luck may be greater.
"Director Wang, Dr. Ling, are you used to our equipment?" Kong Xiangming waited for a while before entering the operating room, and asked with a smile, showing a little pride.
It is not cheap to buy a full set of microsurgical instruments, especially when Kong Xiangming chose a two-person microscope set with a monitor, which almost cost Jianke hundreds of thousands of dollars.
The operating room is also a laminar flow operating room with positive pressure ventilation. Although it is only a low-end 100,000-level third-level operating room, it is more than enough for replantation of severed fingers. Replaced with a 100-level operating room, Yiyuan County Hospital could not afford to build it.
Wang Haiyang tried the microscope, looked at the monitor above the operating table, and said with a smile, "I just like the one you installed."
"All great doctors like it." Kong Xiangming laughed heartily, then looked at Ling Ran who was silent, and asked, "Doctor Ling can make any special requests, and we will try our best to meet them."
"Okay." Ling Ran smiled lightly. The surgical habits and requirements were sent in advance, and what Kong Xiangming said was just a scene.
After a while, the patient was pushed in. After checking again, the anesthesiologist put on a laryngeal mask and was paralyzed in seconds.
Immediately afterwards, other doctors from the Second Orthopedic Department of Yiyuan County entered the operating room one after another, and stood in the corners to act as spectators.
Kong Xiangming continued to talk about the scene, which made the atmosphere in the operating room quite harmonious.
Wang Haiyang's friendliness also emerged again. A group of people chatted about the weather and food, food and surgery, and surgery and finance. It was very comfortable.
Only Ling Ran asked the roving nurse to insert more MRI films, and watched them silently.
He has always disliked chatting nonsense, perhaps because he was teased too much since he was a child, so that he has a rebellious mentality.
In contrast, the large amount of information provided by the magnetic resonance film made Ling Ran feel happy.
Kong Xiangming only thought that Ling Ran was nervous, and didn't say much. Anyway, Ling Ran was just a helper, and he was brought by Wang Haiyang. As long as he didn't do too badly, nothing bad would happen...
The other doctors in the Second Department of Orthopedics also had the same thoughts. Many of them still smiled tolerantly towards the young Ling Ran. The Second Department of Orthopedics is a newly separated department, and the youngest residents in the operating room have three years of experience. Looking at Ling Ran, there is always some psychological advantage brought by age. After all, surgeons need time to accumulate...
Everyone's smiles have not yet subsided, and with Wang Haiyang's operation, Ling Ran's accumulation suddenly burst out.
On the way from Yunhua to Yiyuan County, Ling Ran had nothing to do, so he watched the MRI film for a long time. After arriving in Yiyuan County, he still had nothing to do, so he watched the MRI for a long time. piece.
With his film reading ability and the excessive information provided by the MRI film, Ling Ran can almost reproduce all the details of the patient's severed finger in his mind, which is better than his state in Yunhua's operating room.
The essence of nuclear magnetic resonance scanning is hydrogen atoms, and its cross-sectional information can be hundreds or thousands of resonance images of hydrogen atoms. For high-level radiologists who can understand, there are many imaging methods. Show body information based on the atomic level, and see information that cannot be seen through perspective, such as t1, t2, fir, di...
As far as modern medical technology is concerned, technical resources can be said to be in excess, and the shortcoming is that doctors have no time to master a large number of emerging technologies. Every new technology added is a new sieve with a finer sieve.
For quasi-third-level hospitals such as Yiyuan County Hospital, no high-end imaging doctor who can see di (magnetic resonance diffusion-weighted imaging) can be found after searching all hospitals. operating room.
For Ling Ran, who has mastered the perfect level of finger replantation, since he has already constructed the details of the patient's severed finger in his mind, performing surgery is just a process.
As the chief surgeon, Wang Haiyang made a cut for the muscle, and Ling Ran peeled off the rest; as soon as he took out the bone, Ling Ran put it together, and prepared a suitable Kirschner wire; only then did the tendon come out. Come on, Ling Ran has already cleaned up the wounds in minutes, and he got up and sewed Wang Haiyang...
Wang Haiyang is as comfortable as his fingers are dancing. As an elderly doctor, if there is anything that is more comfortable than stretching out his clothes, opening his mouth when eating, knocking his legs while drinking tea, and walking with his elbows, it is Ling Ran who is waiting for the operation. up.
He has the feeling of being hugged and running a marathon. The 42.195 kilometers of charming scenery, the cheers of thousands of people, the cool breeze, and the ease of waving his arms when he has nothing to do, and the ease of grabbing a bottle of water Freehand, more expectations for the hedge line, the pursuit of honor...
Kong Xiangming and his six second orthopedic surgeons were stunned. No matter how hard they thought about it, they never imagined that there was such a superb medical feeding technique in the world.
Kong Xiangming looked at the taciturn Ling Ran again, and a sudden realization rose in his heart: Why does this gentleman need flattery, this medical feeding technique is the most high-end surgical flattery. I don't know if there are any surgeons in this world who can resist it.