"Okay, Lu Wenbin can go and 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 redistributing the work.

Lu Wenbin looked like he was almost exhausted. As soon as he heard that he could rest, he quickly asked: "How long."

He also knew that Ling Ran could not devote a whole day to himself, otherwise Ma Yanlin would be exhausted.

"Come back after you wake up." Ling Ran did not set a specific time. He drank two bottles of energy potion in a row and continued to work for more than 40 hours. After working for a few more hours, he was ready to take a rest and was not ready to drink the third potion now.

Three bottles of energy potion.

As a doctor, it is too much to test the medicine on one's own body, and the dosage that is too high always makes people uneasy.

Lu Wenbin listened to Ling Ran's words, took off his gloves and left. In the play, he was worried that "delay will lead to change".

Ma Yanlin looked at Lu Wenbin's back with envy, dropped the tweezers, sat down in the seat in front of 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 the pronunciation of "Huan" was even heavier.

The circulating nurse patted the object-holding forceps on Ma Yanlin and said, "Ring forceps, right? It almost knocked me out."

Ma Yanlin chuckled twice, then looked at Ling Ran, but he didn't even raise his head. He couldn't help but feel a little disappointed... He also wanted to return home.

On the other side, Yu Yuan put on surgical clothes with the help of the nurse.

She is only 1.5 meters tall and looks a bit too long in her small surgical gown, but her expression is extremely serious.

She stretched her hands in front of her chest, stepped on the step stool, came to Ling Ran's side, and then lowered her head to look at the part being sutured.

"It's a crush injury." Yu Yuan saw it at a glance and said, "If the soft tissue damage is serious, it will be difficult for replantation to succeed. Even if it recovers, it will be difficult to restore the function of the finger body."

"The patients and their families strongly demand replantation of severed fingers." Ling Ran replied and asked, "Have you ever been in contact with orthopedics before?"

Crushing injuries are the most common conditions encountered in orthopedics.

Yu Yuan held up her big plastic glasses and said: "I paid attention to it when I was studying the diseases commonly encountered in the emergency department. However, the main concern at that time was foot contusions because they were relatively common."

"Oh, how much do you know about bruises?" Ling Ran asked casually. After all, he had to understand the new assistant's condition, so it was inevitable to ask questions like a superior doctor.

In fact, although 70% of the questions that superior doctors ask junior doctors are for their own pleasure, the other 10% are always to know the assistant's condition so that he can use it effectively.

Although Yu Yuan was a resident doctor with some qualifications, she still thought seriously about it when facing Ling Ran and said: "I don't know much. Generally speaking, foot bruises are mostly caused by traffic, industry and

It occurs in construction accidents. Therefore, when receiving a consultation, you must understand the accident process in detail to understand the injury mechanism. At the same time, you must pay attention to the general condition... Specifically for the affected foot, you should first palpate the main points on the dorsum of the foot and the back of the tibia.

Arterial pulsation... Initial treatment includes debridement and drainage, pressure measurement and decompression of the fascial compartment, antibiotics to prevent infection, and closing or covering the wound... Some scholars believe that internal fixation can effectively restore the anatomical structure of the foot.

... Mubarak and others divided the foot into four compartments... The pressure of 4 MPa is the critical value, which will lead to irreversible muscle and nerve necrosis and secondary fibrosis..."

"Um, can you stop for a moment..." Ma Yanlin couldn't help it anymore, interrupted Yu Yuan's words, and said: "I know it's a bit rude, but I'm really going to fall asleep like this..."

Ma Yanlin barely kept his eyes open, feeling like they would close them the next moment.

As a young man from a small town in the free shipping area, Ma Yanlin has always been sweet-mouthed, but now he can't care less, for fear that if he speaks too late, he will be hypnotized.

Yu Yuan stopped indifferently and said with a smile: "I actually don't know what I know. That's probably it."

"It's enough." Ling Ran commented. Although he had mastered the perfect skill of replanting severed fingers, his understanding of bruises was not as rich as Yu Yuan's.

The most important thing is that Yu Yuan's words are logical and detailed, and they are not prepared in advance, which shows that she has something in her stomach.

Su Jiafu, who was half asleep, was also woken up by the noise.

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 be allowed to sleep for half an hour while Ling Ran was doing the Tang method to change his brain.

But he couldn't go back to his room to sleep, because Ling Ran would often massage Su Jiafu for a minute or two to help him sleep more deeply. In order to covet this comfort, Su Jiafu always slept in the operating room.

After more than 30 hours of this, Su Jiafu's consciousness was almost confused. However, the anesthetist was like this all the time, so he could always get through it.

But listening to Yu Yuan's voice, Su Jiafu opened his eyes. After wiping his face, he took the opportunity to fill out the report and observed some data.

The temperature in the operating room is constant at 23 degrees Celsius all year round, making it comfortable and refreshing.

From the small speakers hanging in the four corners, there was the faint sound of soft music.

Since Ling Ran didn't like chatting, the entertainment mode of listening to music was inevitably promoted by the nurses. Different nurses always had different hobbies, but they all kept the sound very low to avoid disturbing the surgeon's operation.

Ling Ran never interfered in these matters.

His concentration has always been extremely high. When he took various mental tests, he showed unusual numerical results in this aspect. Specifically in life, Ling Ran did not care whether the clinic at home was noisy or not when he was doing homework since he was a child. He was in a busy city.

You can also do your own thing.

After arriving in the operating room, Ling Ran felt even more at home.

"Have you ever had a severed finger replanted?" Ling Ran asked one more question.

Yu Yuan said "no" without any surprise. She was a doctor specializing in anorectal surgery and worked in the emergency department. Under normal circumstances, how could she replant an amputated finger?

Ling Ran nodded and said, "Then get a pair of pliers and come over to expand the view."

He first assigned a simple task.

Yu Yuan waited for the pliers to come into her hands, then stretched her waist to do the skin lift.

The double microscope was already occupied. 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 microscopic glasses, so she lowered her head to do the face lift, and then watched Ling Ran's operation in boredom.

"Are you looking for a vein?" Yu Yuan suddenly said.

Ling Ran was surprised: "Can you tell?"

"Looking at your retrograde stripping of the vein layer, I guessed it." Yu Yuan said so simply that Ma Yanlin was at a loss.

"You knew it without doing your homework in advance?" Ma Yanlin didn't believe it. It felt like she had memorized the questions in advance and came to perform.

Yu Yuan nodded calmly and said: "I just saw Dr. Ling loosen the tourniquet, which means that the artery has been sutured, so now it is natural to look for the vein."

"This is the truth..." Ma Yanlin laughed three times, feeling extremely guilty: Is this the writer of the journal in District 1? He is too strong! My status is in jeopardy... I want my grandma to send some dried fish tomorrow.

coming……

"Take a shower." Ling Ran paused, raised his head and turned his neck.

The circulating nurse immediately brought over the prepared heparin saline, which was a basin filled with normal saline mixed with heparin, specifically used to moisten the field of vision. Because the suturing of blood vessels took a long time, in order to avoid exposing the blood vessels for too long,

It is dry, so rinse with heparin saline frequently.

The nurse handed the basin to Yu Yuan, the second assistant, across the shelf. Yu Yuan carefully took it, aimed at the surgical field, and poured out the salt water.

"Be careful, don't splash the camera." Ma Yanlin quickly warned.

Yu Yuan said "Ah" and quickly turned the basin in one direction, but it suddenly moved far away. Half of the basin of water fell to the ground, and the splash she picked up made Su Jiafu wake up.

"The water is not even poured properly." Su Jiafu was so angry that he finally took a break during the operation and woke up several times.

Yu Yuan apologized in a panic, with annoyance on her face.

"Fix a basin and pour it out later." Ling Ran didn't force it, lowered his head and began to sew up the veins.

After a few minutes, a vein was sutured, and Ling Ran said in advance: "Shower again."

Yu Yuan quickly took the basin given by the nurse, tilted it slightly, and poured it accurately into the surgical area with a thin line of water.

"Hurry up." Ling Ran frowned.

"Oh." Yu Yuan leaned slightly wider.

"Faster."

"oh."

"Faster."

Wow.

Yu Yuan poured the entire basin down, filling the surgical field with flood water.

Several people looked at Yu Yuan blankly.
Chapter completed!