Chapter 146 I also have a House of Horrors
Surgery day.
The wind was gentle, the weather was clear, and there was not a cloud in the sky. It was a perfect match for the weather conditions for the sports meeting.
Lu Wenbin brought carefully cooked pig trotters, elbows and chicken feet to the rest room of the operating area.
Several doctors rushed forward and carved up most of it.
Lu Wenbin held a Lock Box tightly, and waited for Ling Ran to come out before offering it as a tribute. He said with a smile on his face: "Doctor Ling, this is what I carefully selected from thousands of pig trotters.
I carefully selected two front hooves. Look at the thickness and elasticity. I went directly to the meat factory to pick them out at two in the morning..."
The doctors around laughed: "That's still pig's trotters."
"Doctors and doctors are different. Can pig's trotters and pig's trotters be the same?" Lu Wenbin retorted seriously.
Chief Zhao Lele, who was sitting next to him, laughed: "Then you, pig trotters, are equivalent to Director Huo?"
"One pig's trotter is Director Huo, but what about the other pig's trotter?" Comrade Zheng Pei, a senior resident doctor who also held a pig's trotter in his hand, strengthened the provocation.
Dr. Zhou thought about it: "Let's just think of him as Director Liu of the Army General Hospital."
Zhao Le laughed loudly: "Then this pig's trotters is a bit old..."
Chiliu...
Chiliuchiliu...
Several doctors were chatting happily when they heard a strange noise.
Turning around to look, I saw Ling Ran sitting upright on the chair, wearing gloves on both hands, holding up the pig's trotters upright, gnawing so fast that some juice even splashed on the table.
"Is it delicious?" Zheng Pei, who was also holding the pig's trotters, was curious.
Ling Ran raised his head and swallowed the tendons in his mouth like a dinosaur swallowing a pig. He thought for a moment and said, "It's delicious."
Chiliu...
Chiliuchiliu...
All the doctors looked at each other.
Lu Wenbin smiled: "Actually, the pig's trotters are still the same, just a little thicker and the tendons are thicker. When cooked this way, they are soft, glutinous and chewy. In addition, the pig's trotters taken directly from the meat factory are also fresh. I chose this one.
The pig's trotters, I estimate, are big pigs weighing over 400 kilograms, and they are the kind that have only been raised for a year or two. They cannot be kept any longer. Pig's trotters that have been too long are not as tasty as this one..."
Guji.
Someone was obviously swallowing saliva.
Everyone has eaten Lu Wenbin’s braised pig trotters.
Looking at Ling Ran again, he still had the same expression and the same movements, but the pig's trotters in his hands were much smaller.
Zheng Pei silently bumped his pig's trotters and said with a pointed smile: "Listen to what you said, Dr. Ling's pig's trotters are quite heavy."
"Pig's trotters weigh less than two kilograms each." Lu Wenbin said it was less than that, and the pride in his expression could not be concealed at all.
Ordinary raw pig's trotters normally weigh around 1 kilogram. Generally speaking, the weight of raw pig's trotters sold in braised pork shops is about 1.2 kilograms. The raw pig's trotters sold in braised pork shops only weigh
The weight is usually around 0.8 kilograms. In an era when the modern pork industry chain is so developed, whenever you see pig trotters that are outside the standard, you can first make a judgment: this is a fat pig with extraordinary talents!
Zheng Pei, who often eats pig's trotters, shook his hands, put down the pig's trotters in his hands, and hummed: "I said, differential treatment."
"That can't be helped. I work as an assistant to Dr. Ling." Lu Wenbin said and leaned towards Ling Ran.
Several doctors looked at Lu Wenbin in surprise.
Although this is indeed the case, hearing Lu Wenbin say it still makes people feel strange.
Looking at Ling Ran again, his movements and expressions were still the same, and he had basically eaten a pig's trotter.
"Dr. Ling, shall we replant the severed finger today?" Lu Wenbin said and stepped forward to cover the Lock box containing the other pig's trotter.
Snapped.
Ling Ran's hand suppressed Lu Wenbin.
Lu Wenbin laughed twice: "That... covering it will keep it warmer."
Ling Ran asked: "How can I keep it warm after eating?"
Lu Wenbin was stunned for a moment, then smiled sweetly.
After saying that, Ling Ran picked up another pig's trotter.
A minute later, Ling Ran washed his hands and face, and said: "I will cut off the finger first, then replant it, and then do the Tang method. How many Tang methods will be done depends on the time. If you can't finish it today, I will do it tomorrow."
"Tomorrow means tomorrow morning?" Lu Wenbin asked.
"Of course. Four o'clock, a little later, to avoid being too late today and not getting enough rest." Ling Ran said it naturally. Several other doctors around him just looked at Lu Wenbin sympathetically, and no one said anything nonsense.
The time the surgeon likes to do the surgery is that time. At this point, not to mention that the first assistant has no choice and the patient has no choice. Of course the patient can choose not to have the surgery, but if he decides to have the surgery, then the specific time of the surgery is
, it is arranged by the hospital.
In large hospitals, there are actually a lot of doctors who like to perform surgeries in the early morning. On the one hand, it is quieter in the early morning and surgical equipment and instruments are better arranged. On the other hand, doctors not only have personal habits, but they also do it
Later, there will naturally be various social part-time jobs. For example, if a doctor who goes to medical school to teach has a class at 10 o'clock in the morning, he will have to go out at 9 o'clock, and there may be ward rounds at 8 o'clock. If it is in the afternoon
If you have surgery or other matters, if you don’t choose to have surgery in the early morning, you can only choose to have surgery at night.
Compared to the latter, the former is naturally more suitable.
The hospital also encourages doctors to perform surgeries at night and only perform surgeries during the day, which is a waste of operating room and medical equipment resources.
Of course, it doesn't matter that it's an old and small hospital, and there are no doctors who can perform surgeries in the early morning. The hardware conditions are not good enough, and the number of patients is small. Young doctors are used to the life of punching in and clocking out for work. After working through the years and being promoted to attending physician, they will not come in early.
I don't want to go back to the hospital at night, so naturally... I will live longer.
Lu Wenbin has already come to his senses.
At this time, when he heard that Ling Ran had postponed the time to "four o'clock", he even felt 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 technique in tendon suturing in orthopedic surgery, finger replantation is a powerful technique in surgery. A powerful surgeon does not have to learn to replant a broken finger, but he must learn to replant a broken finger.
, are all powerful surgeons.
Just like Ling Ran.
Lu Wenbin waited for Ling Ran to agree, and then asked: "Should I prepare for the operation of amputating the finger and replanting it now?"
"Well, the patient's finger was broken by a mahjong machine, don't make a mistake." Ling Ran warned carefully.
Dr. Zhou, who had already started scrolling through his mobile phone, suddenly became more energetic: "Did the mahjong machine break? This one is quite special."
Ling Ran nodded: "He is a middle-aged man who runs a mahjong parlor. When he was cleaning the mahjong machine, the tip of his index finger was pinched off. He was sent directly from the emergency department."
"Hey, the blood vessels on the fingertips are really thin." Dr. Zhou stretched out his middle finger and made two gestures.
Zhao Le said helplessly: "Old Zhou, don't point fingers at random people."
"Sorry, sorry, Ling Ran, where was it broken?" Dr. Zhou's curiosity was not over yet.
"Less than half of the first knuckle, the bone is exposed and the finger is not completely severed."
"Is this difficult?"
"It's mainly about the blood vessel anastomosis, there's no big difficulty." Ling Ran said easily.
If the difficulty is judged by the thickness of the blood vessels, then suturing the distal ends of the fingers will naturally be 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. It is extremely difficult to sew 24 stitches.
However, for Ling Ran, not to mention his already perfect suturing skills for broken fingers, his master-level knowledge of suturing and hand anatomy can still be used to bless him.
The blood vessels at the distal ends of the fingers were very thin, but Ling Ran didn't notice them.
"No, I want to see what you sewed." Dr. Zhou stood up and shook himself, then took out his mobile phone and sent a message to Huo Congjun: "Director Huo, I want to see the replantation of the amputated finger done by Ling Ran this afternoon. Party
I won’t go to the theme day activities of the main branch.”
Not long after, Dr. Zhou's cell phone dinged, and there was Huo Congjun's reply: OK.
Dr. Zhou smiled proudly, picked up a full glass of water, and drank it all in one gulp.
…
Several doctors who were fine followed Ling Ran into the operating room.
Zhao Lele was a little late and stayed in the treatment room for a while before getting into Ling Ran's operating room.
On the hospital bed, the patient was about forty years old, with broad shoulders and thick arms and a big belly. He probably weighed more than 200 pounds. He was lying on his back and was numb, and his whole body was tied up with various instruments.
Looking at the big screen on the operating bed, it seems that the debridement has just started and the time is just right.
"The amount I gave is not large. I'll see if I need to add more milk later." Su Jiafu said to Ling Ran. The milk he was talking about was propofol, which he referred to because of its similar appearance.
For fat people weighing more than 200 kilograms, Su Jiafu is not very experienced. He is not only worried about not enough weight, but also worried about problems such as apnea.
Ling Ran lowered his head to operate and only said "Okay".
Zhao Lele quietly walked closer, bumped Dr. Zhou with his elbow and asked, "Where are you?"
"That's the surprising part." Dr. Zhou smiled.
Zhao Le asked: "Why are you surprised?"
"You can't imagine that a fat man weighing more than 200 pounds would only have a blood vessel diameter of 0.15 mm in his fingertips." Dr. Zhou asked, "Are you surprised?"
Zhao Le laughed dumbly.
The diameter of the average person's fingertip artery is about half that of the finger blood vessel, which is between 0.2 mm and 0.3 mm. The diameter of 0.15 mm is indeed too small, and it is indeed not suitable for a middle-aged man who weighs more than 200.
identity.
"The patient is also the owner of a mahjong parlor and wears a big gold chain." Dr. Zhou said again.
Zhao Le couldn't help it any longer, he laughed out loud, and shook his head: "What a pity, it's a professional joke, otherwise if you tell it to your wife, it will make her laugh to death."
"Then you took the opportunity to have sex with her, right?" The nurse in the audience happened to be next to the two of them and answered naturally, "It's very operating room."
"So, the key to whether you can have sex with your wife is this forty-year-old middle-aged mahjong parlor owner who weighs over 200 years old." Dr. Zhou added calmly: "You might as well buy your wife another donkey card.
Where’s the bag?”
Zhao Leyi, who was about to retort, suddenly lost interest in chatting in the operating room when he heard the donkey sign. He sighed and said, "My wife doesn't like LV anymore."
"Why?"
Zhao Lele said with a slight show off: "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 has many benefits, but the disadvantages are also obvious, that is, there is no entertainment during the surgery.
A good chatting atmosphere. The operating room where the surgeon doesn't chat, the assistants are trembling, and the nurses can't let go is simply a hypnosis room for the anesthesiologist.
It was different when a few doctors who were watching the battle came. Everyone was laughing and time passed quickly.
At the back, even if someone peeked at Su Jiafu's round stool, he would just refuse with an expressionless face and would not really get angry.
"The blood vessels are fine." Ling Ran raised his head and said, instantly blowing away the cheerful air in the operating room.
Doctor Zhou looked at his watch and saw that only one hour had passed.
"This guy!" Zhao Leyi also looked at the time and instantly lost the idea of chatting.
He has never sutured a 0.15 mm blood vessel.
Ordinary emergency doctors don't have the opportunity to sew such a blood vessel. If it's not on the fingertip, doctors will just let it flow freely. After a while, the blood vessel will naturally find its way out.
However, Zhao Leyi knew how impressive it was to sew a 0.15 mm blood vessel in an hour.
Not only did he know it, but the other doctors present also knew it.
As a result, everyone was a little frustrated and lost the idea of chatting.
But no one wanted 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 replanted his severed fingers for a long time, it would mean that his operating room would remain open for 5 hours, 6 hours or even
8 hours, 10 hours of silence.
Chapter completed!