While the people in the previous group were doing debridement, Ling Ran stood alone in front of the screen with his hands folded on his chest and reading the pictures.

Lu Wenbin was doing tasks such as disinfecting the patient's toes, while Yu Yuan accompanied Ling Ran and acted as a humanoid remote control for him.

Ling Ran looked at the MRI film, and Yu Yuan was also reading quietly.

She had studied imaging seriously, and her ability to read magnetic resonance imaging was not weak. At this time, she was eager to give some suggestions.

Yu Yuan paid attention to Ling Ran's expression, guessing his opinion, and then breathed a sigh of relief before speaking...

"Okay, turn it off." Ling Ran finished watching the movie and returned to the operating position.

Yu Yuan was stunned for a moment, but she had no choice but to turn off the big screen, put the remote control back to its original place, and walked to Ling Ran's side.

"Go and wash your hands." Ling Ran's tone was tepid, but it frightened Yu Yuan and she almost fell down.

Several doctors in the operating room looked at Yu Yuan strangely.

As for today's surgery, senior resident doctor Hou Kang was lucky to come in. No one thought that anyone would need to be reminded to wash their hands.

Yu Yuan blushed and left the operating room to wash her hands. The hands that had touched the remote control must have been washed again. She remembered it at first, but then she forgot about it.

After Ling Ran had drawn the line and picked up the scalpel, Yu Yuan returned in a hurry.

"Dr. Ling is such a kind person. He is willing to bring students to see the world for such an operation." The nurse chatted quietly, so loud that the whole operating room could hear it.

Yu Yuan became increasingly embarrassed.

It's not like she doesn't understand these things. Her master's thesis even talked about nosocomial infections, and she even issued a SCI in the first district.

However, she really has very little practical experience. After arriving at the hospital, she did not get many opportunities. Speaking of which, she is not as good as other residents who have been admitted to the hospital for three years and stayed in the same group...

"Gauze." Ling Ran's command came from his ears, waking up his second assistant Yu Yuan.

"Stop the bleeding."

"Give me another piece of gauze."

"Sniffed."

Ling Ran's orders came one after another. Amputation is a super weakened version of replantation of severed fingers. Although there is no need to perform the most troublesome vascular anastomosis and nerve anastomosis, the blood and nerves still have to be managed and managed one by one.

Handle it well.

For Ling Ran at this time, amputation was easy. Lu Wenbin could already cooperate with ease, and the requirements for Yu Yuan were even lower.

Yu Yuan lowered her head to work, and slowly gained some confidence again.

"What are your thoughts?" Ling Ran glanced at Yu Yuan during the operation.

Yu Yuan thought for a few seconds and blurted out: "The patient's first toe is already deformed. From the magnetic resonance imaging point of view, it is better to perform a certain degree of joint release after osteotomy."

She had been holding this in her mind since she watched the MRI film.

I took the risk to say it at this time, and I suddenly felt relieved.

Lu Wenbin looked at Yu Yuan in surprise and thought to himself: You are quite brave.

The joint release mentioned by Yu Yuan is a separate step, which puts forward further requirements for the operation, increases the complexity of the operation, and also increases the risk of the operation in disguise. The most important thing is that the operation

Director Wang Haiyang has already drawn up the steps. To add them rashly is tantamount to challenging authority.

When encountering a doctor with powerful parents, just one word, and a young resident doctor may be put into another book.

Of course, Wang Haiyang is not the chief physician of the department, and Yu Yuan's behavior is just bold.

Ling Ran said "Yes" without agreeing or disagreeing.

He also read the information displayed by the MRI. From this point of view, Yu Yuan did have the ability to read the MRI, which can be said to be valuable.

However, Ling Ran is already a skilled surgeon. Now when he encounters such incomplete cases that have certain indications for surgery, he no longer makes judgments based only on imaging data. He will first act like a surgeon.

Think like this: Be good, I'll open it and take a look.

Therefore, Ling Ran completed the amputation first, then observed the joints exposed to the field of vision, confirmed that the MRI reading was correct, and then said: "Director Wang, I want to do extensive release of the soft tissue around the first toe."

"Okay." Wang Haiyang was busy looking for a blood vessel without raising his head, and he responded immediately. His trust in Ling Ran could be said to be extremely high.

Ling Ran followed the amputation wound and performed joint release surgery.

Compared with the procedures directly sent by the system, such as the Tang method and replantation of severed fingers, Ling Ran did not directly obtain joint release surgery. However, joint release surgery is only a first-level orthopedic surgery, both in terms of difficulty and complexity.

At the lowest level, Ling Ran could play it easily just by following the instructions in the most common books and with 3,000 dissection experiences.

Surgeons are like this. It is normal to continue to perform a certain operation. However, when a surgeon inadvertently encounters an inexperienced situation, past experience comes into play. Countless theoretical experiences learned since college

, also burst out instantly and began to provide detailed and indescribable information.

If an intern who has never been on the operating table performs joint release surgery for the first time, it may take an hour or two and involve endless sweating.

But for Ling Ran, he had too many resources for reference.

Apart from the different steps and positions, he has done every action used in joint release surgery before.

With a little proficiency, you can do it easily.

"Director Wang, I'm done here." Ling Ran sutured the amputation site, finally checked both sides, and then evacuated the surgical site.

As usual, Lu Wenbin also checked up and down to make sure there was no bleeding or other problems before starting to bandage.

Wang Haiyang looked up at the time, sighed secretly, and then said: "Ling Ran, are you tired? If not, come and help me."

"Okay." Ling Ran was very interested in this.

He took off his gloves and changed into a pair, then stood in the position of the first assistant, pushing Hou Kang into the position of the second assistant.

No matter how senior Hou Kang is, he is still a resident doctor. He can come to participate in the operation today because Wang Haiyang does not want to find an attending surgeon who is too powerful. Therefore, when he saw Ling Ran join the team, Hou Kang had to give up his seat obediently.

When he stood in the second assistant's position and turned around, he saw the instrument nurse with a smile on her face, slamming the tweezers into Ling Ran's hand and wiping them with her fingers.

"The blood vessels can be connected." Ling Ran operated under the double microscope, obviously speeding up.

Wang Haiyang was inexplicably used to this state, and he felt quite comfortable being pushed along by Ling Ran.

The artery in the finger was connected to the corresponding artery in the toe, and then a corresponding vein and nerve were connected. In about an hour, the patient's size 35 right big toe was connected to the position of the right hand.

The palms are rough, the toes are wrinkled, and the proportions are even more uncoordinated.

The instrument nurse who was participating in this type of surgery for the first time stretched her head and took a look, and couldn't help but comment: "It looks fine at first glance, but it's a bit jarring if you look closely."

Wang Haiyang said calmly: "If you think it doesn't look good, you can find someone from the plastic surgery department to do it. Adjust it and you can look better. Our work is considered completed."

"Going for plastic surgery will cost a lot of money." The nurse tutted twice: "I think even getting false eyelashes is expensive."

Wang Haiyang sneered: "Since you don't have money, don't worry about whether it looks good or not. Once the thumb is reattached, it's still a labor force. If the thumb can't be reattached, will it look good?"

The little nurse was speechless and pouted: "If it doesn't look good, it doesn't look good. The director can just call it a deer."

A young and pretty nurse is considered coquettish even if she refutes unreasonably.

Wang Haiyang laughed and became proud: "Today's surgery was great. Let's stop here. Xiaohou, please clean up. Ling Ran adds me on WeChat and I'll send you some photos."

"Oh, okay." Ling Ran took off his gloves and surgical gown, took out his cell phone, and asked, "What photo?"

"The new C-arm machine we bought is very easy to use. Let me send it to you for a look." Wang Haiyang said as he actively opened the photo album and sent a dozen photos to it.

After taking Ling Ran all the way to the elevator, Director Wang Haiyang reluctantly left.

Lu Wenbin followed Ling Ran and met Yourong, and Yu Yuan was even more surprised.

During her years at Yunyi Medicine, Yu Yuan had worked in three groups led by chief physicians and deputy chief physicians, whose status was equivalent to that of Wang Haiyang, but she had never been treated so kindly.

Thinking of this, Yu Yuan couldn't help but feel physically and mentally exhausted.

"Take a break for ten minutes... Let's take a break for a quarter of an hour. I'll ask when the next patient will enter the operating room." When Ling Ran was about to arrive at the emergency department, he began to arrange the next operation, and his expression was also excited.

Look.

Rather than cooperating with Director Wang, he still prefers to be the surgeon himself.

"Doctor Ling..." Yu Yuan shouted softly: "Can I not participate in the next surgery?"

"kindness?"

"I...I think I can sort out the surgical process just now and write a medical record report." After Yu Yuan finished speaking, she quickly said: "The surgery was done by you and Director Wang, and the first authors must be you and Director Wang.

I ranked third."

Case reports are a type of paper, and they are also the most common type of medical papers. Many medical magazines, including the New England Journal of Medicine, have columns for case reports. The more famous case reports, such as AIDS and Legionnaires

Diseases are discovered through case reports.

Of course, case reports written by ordinary doctors do not have so many new diseases to report. Therefore, the most common case reports are special clinical manifestations of known diseases, or new findings in imaging and laboratory science, as well as special cases.

lessons learned, etc.

This is easier said than done. Short case reports often require vivid descriptions, multi-angle research and in-depth elaboration, which is actually not easy to write.

Ling Ran pondered for a few seconds and asked, "Where do you want to publish?"

"At least the core journals." Yu Yuan chatted with Su Jiafu, and she could feel Ling Ran's pulse.
Chapter completed!