The 80% new second-hand Jetta was whining at three o'clock in the morning as it took Ling Ran from Xiagou Clinic to Yunhua Hospital.

Ling Ran controlled the car with concentration, like a racing driver, making the dial speed infinitely close to 35 kilometers per hour on a road with a speed limit of 35 kilometers per hour.

I hurriedly and slowly arrived at the hospital. It was just after a quarter past three.

Ling Ran finally breathed a sigh of relief. After seeing off Meng Xue and others yesterday, he wrote a paper for a while, so that he didn't go to bed until almost 10 o'clock. It was almost three o'clock before he reluctantly got up. If it wasn't for the early morning

There are few cars and the speed is so high that you might be late.

As usual, he washed the surgical area thoroughly and put on a new pair of underwear. Ling Ran finally felt back to his normal state.

Ever since he got the surgery fee, the most purchased product was underwear. Moreover, as the surgery took longer and longer, the precision of the surgery became more and more sophisticated, and most importantly, his income became higher and higher. Ling Ran bought the underwear

It is also becoming more and more expensive, which is in line with economic laws. When a doctor stands in the operating room for ten to twelve hours a day and sleeps naked for six hours, buying clothes other than underwear is a complete waste.

The air in the surgical area is clean, has a constant temperature, and has an attractive "no" smell.

Ling Ran was wearing hand washing clothes and new underwear that were smooth, soft and close-fitting, and walked easily.

Entering the lounge again, Lu Wenbin brought out a bowl of hot braised pork.

There is a slight yellow hidden in the brown color of the braised pork, and it trembles slightly with the bumps of the aluminum basin.

The six doctors on the night shift, plus one Ma Yanlin, all cheered. They held bowls with one hand and used WeChat to send money to Lu Wenbin with the other hand. Their movements were neat and skillful, as if they had done it thousands of times.

.

"After working all night, it's great to have a late-night snack at the end. It's great." Zheng Pei, a senior resident, sighed repeatedly. He accurately pulled out a pig tail and stuck it in with chopsticks. After confirming the ownership,

, then put it into his bowl with a smile.

Lu Wenbin placed an extra portion of rice, pickles and cold vegetables on Ling Ran's usual seat, and said with a smile: "We have rice for breakfast today. What kind of meat does Doctor Ling want?"

"Cut me a strip of pork belly and put it directly on the rice." Under normal circumstances, Ling Ran would have to have surgery for more than six hours in the morning before eating his second meal, so his appetite for breakfast was excellent.

Lu Wenbin seemed to have guessed Ling Ran's choice. He smiled evilly and said, "I have something better."

As he said that, he took out a steaming pot from the small kitchen, opened it, and saw a plate of pork belly cut into strips, steaming hot.

"Pork with pickled vegetables?" Zheng Pei said with a pig tail in his mouth, unable to speak fluently.

"Tiaozi meat." Lu Wenbin smiled proudly and said: "The key point of Shaanxi's famous dish is tender meat, tasty, fat but not greasy. I have a secret for this."

"What's the secret?" Several doctors looked at the strips of meat held by Lu Wenbin in his hand, and each one cooperated better than the other.

Lu Wenbin said mysteriously: "Put in the sweet potatoes and absorb the oil."

"oh……"

The crowd let out perfunctory sighs of emotion.

Lu Wenbin hummed, first placed the plate in front of Ling Ran, took two of the largest and best strips of meat, covered him with the hot bowl, and then placed it back on the table.

A group of extremely hungry doctors on duty, like vultures, pinched their bellies with one hand and ate away the large plate of slivers of meat with the other.

"Cut the meat."

"Go together and go together."

Several residents had eaten and drank enough and returned to the treatment room with their waists supported, ready to play with debridement and suturing for a while.

In the emergency department of a hospital of the size of Yunyi Hospital, there is always a shortage of patients for debridement and suturing. Cutting and cutting flesh is basically a compulsory course for junior doctors.

Ling Ran took out the pad attached to the lounge and drank tea while watching the MRI of the first surgery of the day.

He will not enter the operating room when he has just eaten. Fullness affects thinking and judgment, and judgment at the beginning of the operation will affect the entire operation process.

Lu Wenbin didn't need to be reminded, so he called another doctor and asked him to help clean up the pots and pans. He quickly rushed to the operating room with Ma Yanlin to confirm various preoperative procedures.

After a while, Lu Wenbin returned to the lounge, briefly introduced the patient's condition, and then said with some embarrassment: "The patient has a history of smoking for 15 years."

"Started smoking at 16?"

"Yes. I asked my family members and they said they need at least two packs of cigarettes a day." Lu Wenbin paused and said, "I think it may be more than that."

"Does the patient intend to quit smoking?" Ling Ran asked. If he cannot quit smoking, there is no need to replant the severed finger. After the operation, just one cigarette will make the reattached finger black and necrotic.

The most important thing for replantation of a severed finger is blood supply, which is supported by small blood vessels, and small blood vessels are most likely to produce thrombus. For this reason, during the early recovery of replantation of a severed finger, the skin must be continuously cut to

Heparin is used to resist blood coagulation. Nicotine has the opposite effect. The dose in cigarettes is too large. The vasospasm caused by it can easily cause blood clots. At that time, whether it is amputating the limb or cutting off the necrotic part bit by bit, it will cause

Secondary injury is meaningless and a waste of time and money. The patient will also suffer more, so it is better to have the limb amputated.

Lu Wenbin curled his lips and said: "Tell them that if they don't quit smoking, they can only have their limbs amputated. Then they must quit smoking, but people heal their scars and forget the pain. How can it be so easy to quit smoking after 15 years of smoking?"

Ma Yanlin came from the hand surgery rotation, but said: "I have heard of a patient who said he would smoke until he died."

Lu Wenbin was surprised: "What's the result?"

Ma Yanlin glanced at him and said: "The result must be that the patient has the best wishes. If someone wants to smoke, you forcefully replant the severed limb and then cut it off. Doesn't that mean you are defrauding the medical expenses? The director, the patient, and the patient's family members

After repeated confirmation, the leg was amputated."

"That's easy." Lu Wenbin chuckled: "It takes three to four hours to replant a severed limb, and the recovery time is half a year. It's ruined by just one cigarette. It's better to make the decision in advance."

"Yes, if the patient can make a decision, it will be easy for us." Ma Yanlin nodded in agreement. Microsurgery is the most difficult part of surgery. The operation time is unusually long and the pressure is high. After a long operation, the doctor

Naturally, we hope to gain something from our labor, not just personal income, but also a sense of identity and accomplishment.

It is destructive for a doctor to see a patient unable to bear the temptation and lighting up a cigarette with a sense of luck.

"Doctor Ling, what should I do?" Lu Wenbin looked at Ling Ran.

The patient can decide whether to replant or amputate the severed finger, and the doctor can also make a standard decision.

Many foreign doctors now refuse to replant amputated fingers of smokers. Alcoholism and other bad lifestyle habits will also be rejected. Now, similar opinions are also appearing in China. Qi Zhenhai of the Provincial Medical University and President Liu of the Army General Hospital

, argued about this.

Ling Ran was silent.

To be honest, he really hasn't had such an experience.

"Dr. Ling, do you want to meet the patient's family?" Lu Wenbin asked.

Many doctors like to chat with the patient or the patient's family before deciding on such a decision. Huo Congjun is a typical example. He is a carefree old military doctor, but he is very good at reading people.

Ling Ran only thought about it for a few seconds, then shook his head without hesitation: "We don't need to meet again. Has the patient's family decided to replant the severed finger?"

"yes."

"Did you sign the informed consent form?"

"Signed."

"Check the other documents again, and then ask the family members for their opinions. If they still decide to replant the severed finger, we will do it." Ling Ran's answer was a bit beyond Lu Wenbin and Ma Yanlin's expectations.

Lu Wenbin had to remind Ling Ran: "The patient said he wanted to quit smoking, but it is difficult to quit smoking, especially if he has been a smoker for more than ten years. It is not as easy as quitting smoking."

"We can only support his current decision." Ling Ran paused, looked at Lu Wenbin and Ma Yanlin, and said, "What do you think?"

The two of them thought about it carefully and couldn't say anything against it.

The patient may quit smoking, or he may not, and no one can guess the final outcome and have no way of influencing it.

In democratic European and American countries, doctors may be able to make categorical decisions about whether to do something or not. As long as they write down a standard medical opinion, there won't be any problems. Domestic doctors may not necessarily care about how many hours of work they have to do.

Lu Wenbin originally thought that Ling Ran was a doctor who cared about time and efficiency, but found that he had almost no hesitation when making decisions.

Lu Wenbin muttered to himself and went to the patient's family to confirm again.
Chapter completed!