Great Doctor Ling Ran

Chapter 146 I Have A House Of Terror

Surgery day.

The wind is sunny, the weather is clear, and there is no cloud in the sky, which perfectly matches the weather configuration of the sports meeting.

Lu Wenbin brought the trotters, elbows, and chicken feet, which were carefully boiled, to the lounge in the operating area.

Several doctors rushed up and divided up most of them.

Lu Wenbin hugged a lock box tightly and waited for Ling Ran to come out. It was like a tribute. He offered it with a smile on his face and said with a smile: "Dr. Ling, I picked from thousands of trotters. Select the two front hoofs carefully. You look at the thickness, you see the flexibility, I went to the meat joint factory to pick it at two in the morning ... "

The doctors around laughed. "That's not pig trotters."

"Doctors are not the same as doctors. Can pig trotters and pig trotters be the same?" Lu Wenbin seriously retorted.

Zhao Leyi, who was sitting beside him, laughed and said, "So you pig trotter is equal to Director Huo?"

"One pig trotter is Director Huo, what about the other pig trotter?" Comrade Zheng Pei, a senior hospital doctor who also held pig trotters, strengthened his provocation.

Dr. Zhou thought: "Become Director Liu of the Army General Command."

Zhao smiled cheerfully: "The trotters are a bit old ..."

Hurry

Yo yo yo yo ...

Several doctors were chatting happily, and heard strange noises.

Turning to look again, I saw that Ling Ran had sat upright on the chair with two hands in gloves, holding the pig's trotters upright and swiftly, and even juice splashed on the table.

"Is it delicious?" Zheng Pei, also holding pig trotters, was curious.

Ling Ran looked up, like a dinosaur swallowing a pig, swallowed the hooves in his mouth, and thought for a moment, saying, "It's delicious."

Hurry

Yo yo yo yo ...

The doctors looked at each other.

Lu Wenbin smiled: "In fact, the trotter is still that trotter, which is thicker, and the tendons are thicker. In this way, it is cooked soft and sticky and chewy. In addition, the trotters taken directly from the meat factory are also fresh. Pork trotters, I estimate that they are big pigs with a weight of 400 kg, and they are the ones that have been raised for a year or two. It can't be longer. The trotters that are too long are not as good as this ... "

Gollum.

Someone was obviously drooling.

Everyone has eaten Lu Wenbin's trotters,

Looking at Ling Ran again, it's still that expression, it's still the action, but the pig's trotters holding it have become much smaller.

Zheng Pei turned his pig's trotters silently and smiled with a hint: "Listening to you, Dr. Ling's trotters are quite heavy."

"Live pig's trotters, less than two pounds each." Lu Wenbin couldn't say anything, and the complacency in that expression couldn't be masked.

Ordinary hog trotters are usually around 1 kg. Generally speaking, the weight of raw hoofs in the braised meat shop sold by catties is more than 1.2 kg. It weighs more than 0.8 pounds. In the era when the modern pork industry chain is so developed, when you see pig trotters outside the standard, you can first make a judgment: this is a talented and fat pig!

Zheng Pei, who often eats pig trotters, shook his hands, put down the pig trotters in his hands, and hummed, "I said, differential treatment."

"That's no way. I'm helping Dr. Ling." Lu Wenbin said something and leaned on Ling Ran.

Several doctors looked at Lu Wenbin in surprise.

Although the fact is true, listening to Lu Wenbin's words is still very strange.

Looking at Ling Ran again, the action expression remained the same, and a pig's hoof was basically eaten.

"Dr. Ling, shall we replant the severed fingers today?" Lu Wenbin said stepping forward, and would cover the snap-lock box containing another trotter.

Snapped.

Ling Ran's hand suppressed Lu Wenbin.

Lu Wenbin laughed twice: "That ... it's more insulated when it's covered."

Ling Ran asked, "Why do you keep warm after eating?"

Lu Wenbin took a moment to choke, and then appeared a well-behaved smile.

After speaking, Ling Ran picked up another pig's hoof.

After one minute, Ling Ran washed her hands and face, and said, "I will do the broken finger first and then plant it, and then do the tang method. Specifically, do some tang methods to see the time. If you can't finish it today, do it tomorrow.

"Tomorrow is tomorrow morning?" Lu Wenbin asked.

"Of course. Four o'clock, a little later, lest you do too late today, not enough rest." Ling Ran said naturally, several other doctors around just looked at Lu Wenbin sympathetically, no one nonsense.

The main knife likes to have surgery, that is, what time to do surgery. At this point, don't mention that there is no choice, and the patient has no choice. Of course, the patient can choose not to have surgery, but if you decide to do surgery, the specific The operation time is arranged by the hospital.

In large hospitals, there are actually many doctors who like to have surgery in the early morning. On the one hand, the morning is quieter and the surgical equipment and instruments are better arranged. On the other hand, doctors not only have problems with their personal habits, they also have various social part-time jobs naturally when they do it. For example, a doctor who goes to medical school, if there is a class at 10 o'clock in the morning, then he will go out at 9 o'clock, and there may be a rounds at 8 o'clock. If there is surgery or other things in the afternoon, then do not choose surgery in the early morning. , You can only choose to have surgery at night.

Compared with the latter, the former is naturally more suitable.

The hospital also encourages doctors to perform surgery at night and only perform surgery during the day, which is a waste of operating room and medical equipment resources.

Of course, the old broken small hospital is indifferent, and there is no doctor who performs surgery in the early morning. The hardware conditions are not available, and the number of patients is small. Young doctors are used to the life of going to work to check in. After being promoted to the attending service for many years, they will neither come to the hospital in advance or return to the hospital at night. Naturally, they will live longer.

Lu Wenbin has already realized.

At this time, I heard that Ling Ran had delayed the time to "four o'clock", and even a little relaxed, and laughed: "Then I will come at three o'clock and prepare in advance."

If the tang method is a powerful technique in tendon suture of the orthopedic specialty of surgery, replantation of broken fingers is a powerful technique in surgery. Powerful surgeons do not have to learn to replant the broken fingers, but those who learn to replant the broken fingers are powerful surgeons.

Just like Ling Ran.

Lu Wenbin waited for Ling Ran to agree, and then asked, "I am going to prepare the operation of the broken finger first and then transplant it?"

"Well, the patient was a finger broken by a mahjong machine, don't get it wrong." Ling Ran was also careful.

Dr. Zhou, who has already begun to use his mobile phone, suddenly came to the spirit: "Is the Mahjong machine broken? This is special."

Ling Ran nodded: "It is a middle-aged man who opened a mahjong hall. When he cleaned up the mahjong machine, the forefinger's fingertip was pinched off and was sent directly by the emergency department."

"Alas, the blood vessels at the fingertips can be thin." Dr. Zhou extended his **** and made two strokes.

Zhao Leyi reluctantly said: "Lao Zhou, don't point people at random."

"I'm sorry, Ling Ran, where is it broken?" Dr. Zhou's curiosity has not yet passed.

"With less than one-half of the first knuckle, the bone is exposed and the fingers are not completely broken."

"Is this difficult?"

"Mainly vascular anastomosis, there is not much difficulty." Ling Ran said easily.

If the difficulty is judged by the thickness of the blood vessel, the difficulty of suture of the distal end of the finger is naturally extremely great.

For microsurgery, this is indeed the main difficulty. The diameter of the blood vessels at the distal end of the finger is only half of the blood vessels in the middle of the finger. The doctor shakes it and pierces it. It is very difficult to sew 24 needles.

However, for Ling Ran, not to mention that he originally had perfect level of broken finger suture, his master level of suture and hand anatomy knowledge can still play a role to bless himself.

The blood vessels at the distal end of the finger were narrowed down and were not seen in Ling Ran's eyes.

"No, I want to see what you stitched." Dr. Zhou got up and shook himself, then took out his mobile phone and sent a message to Huo Congjun: "Director Huo, I want to see Ling Ran's broken finger replanting in the afternoon, the I will not go to the theme day of the general branch. "

Not long after, Dr. Zhou's mobile phone "ding", and Huo Congjun's reply: Yes.

Dr. Zhou smiled proudly, took a full glass of white water, and drank it.

...

Several ill doctors followed Ling Ran into the operating room.

Zhao Leyi was a little bit late, staying in the treatment room for a while before getting into Ling Ran's operating room.

I saw on the bed, the patient was about forty years old, with wide shoulders and arms and a big belly, afraid of more than 200 kilograms. The supine position was numbed, and the whole body was almost **** with various instruments.

Looking at the large screen on the operating bed, it seems that the debridement has just begun and the time is just right.

"I don't give a large amount. I'll see if I add milk later." Su Jiafu said to Ling Ran. He said that the milk was propofol and was referred to for its similar appearance.

For more than 200 kilograms of fat, Su Jiafu's experience is not enough, both worried about insufficient amount, and worried about apnea and the like.

Ling Ran lowered her head and said only "OK".

Zhao Leyi approached quietly, then touched Dr. Zhou with his elbow, and asked, "Where is it?"

"The surprised part." Dr. Zhou smiled.

Zhao Leyi asked, "What's surprised?"

"You can't even imagine that a fat man with more than 200 kilograms has a diameter of 0.15 millimeters in the blood vessels of the fingertips." Dr. Zhou asked, "Are you surprised?"

Zhao Leyi laughed abruptly.

The diameter of the fingertip artery of an average person is about half of the blood vessels of a finger, that is, 0.2 mm to 0.3 mm. The diameter of 0.15 millimeter is indeed too small, and it really does not deserve the identity of a middle-aged man weighing more than 200.

"The patient is still the owner of the Mahjong Pavilion and wears Daikin Chain." Dr. Zhou said again.

Zhao Leyi couldn't bear it anymore, he grinned and shook his head again: "It's a pity, a professional joke, or else I can tell his wife to listen to him and kill him."

"Then you get on her, don't you?" The nurse in the audience was right next to the two of them, and naturally took the sentence, very operating room.

"So, the key to whether you can be your wife is the 40-year-old middle-aged mahjong pavilion owner who weighs more than 200." Dr. Zhou calmly added a knife: "You might as well buy a donkey for your wife The bag. "

Zhao Lei, who was preparing to refute, heard the donkey, but suddenly lost the interest of chatting in the operating room, sighing, "My wife doesn't like LV anymore."

"why?"

Zhao Leyi showed off slightly, saying: "There are more people carrying around, she wants Chanel now."

"A Chanel sleeps for one night? Old Zhao ~ www.wuxiaspot.com ~ Your wife is a bit expensive." Su Jiafu cheerfully said, following Ling Ran's surgery, there are many benefits, but the disadvantage is also obvious, that is surgery There was a lack of entertainment and a good chat atmosphere. The main knife is not chatting, the assistant is trembling, and the operating room that the nurse can't let go is an hypnotic room for the anesthesiologist.

A few doctors who watched the battle are different. Everyone laughs, time flies.

At the back, even if someone peeped at Su Jiafu's round stool, he just refused expressionlessly, and would not really get angry.

"The blood vessels are okay." Ling Ran looked up and said a word, instantly blowing off the happy air in the operating room.

Dr. Zhou looked at his watch. Only one hour passed.

"This guy!" Zhao Leyi also watched the time, there was no thought of chatting for a moment.

He never stitched a 0.15 mm blood vessel.

Ordinary emergency doctors have no chance to sew such blood vessels. If it is not at the fingertips, similar blood vessels will be left alone by doctors. After a period of time, blood vessels will naturally find their way out.

However, Zhao was happy to know how many cows sutured a 0.15 mm blood vessel in an hour.

Not only did he know, the other doctors present also knew.

As a result, everyone was discouraged and lost the idea of ​​chatting.

The crowd didn't even want to leave, and the atmosphere in the operating room became heavy again.

Su Jiafu is most sensitive to this change. He even thinks of a horrible scene: In the future, if Ling Ran replants the broken finger for a long time, it means that his operating room will be kept for 5 hours, 6 hours, or even long. At 8 hours, 10 hours of silence.

In the operating room at three in the morning, without a word, cut the human body? Su Jiafu always felt that this style of painting was not suitable for him.