Every job has its bitterness, but it also has its sweetness.
The bitterness of working in a project came from being the party B, while the sweetness came from being the party A. The bitterness of working in a business came from having to pay wages and rent, while the sweetness came from making money. The bitterness of carrying bricks came from the aching muscles and uncertainty about the future, while the sweetness came from the daily wages and the smiles of family members. The bitterness of being a leader came from being bullied by his superiors, while the sweetness came from being bullied by his subordinates.
The bitterness of being a surgeon came from having to put in a lot of effort, while the sweetness came from being a surgeon when the surgery went smoothly.
When the surgery went particularly smoothly, the chief surgeon would feel even happier, more anxious, and refreshed than going home with four beautiful women on the side of the road …
Chief Physician Wang Haiyang looked around. He felt a little regretful that there was no one to admire his surgery and share his happiness with. Lu Wenbin was an exception, as he was a resident doctor in the Emergency Department.
"It's rare that we can perform a three-finger suture today. Why don't we ask the students to come and learn?" Wang Haiyang quickly found a suitable reason.
He was a chief physician in the Hand Surgery Department. Even though he did not have as much power as a department director, it was still very easy for him to ask a group of interns to cheer him on.
After he made the call, a few interns and housemen came to the scene not long after.
"Go and wash your hands or something. Leave six of you here. The rest of you, go to the waiting room and watch the big screen." Wang Haiyang and the others came, and they felt that the operating theater was crowded, so they chased the people who came later out.
Finger replantation did not have a high requirement for the cleanliness of the operating theater. Modern laminar flow operating theaters had good ventilation and bacteria absorption capabilities, so dust was relatively rare. The focus of finger replantation was on blood supply. Only when the blood vessels were successfully sutured could the severed finger survive, and there were fewer cases of infection.
The group of interns bleated as they left the operating theater. Then, they were led to the waiting room and cheered loudly.
"The finger suture we're performing now is a Level 4 surgery in the surgical catalog. It means that only assistant lecturers can perform it. You might not be able to come into contact with it within a short period of time, but through finger sutures, you can understand the most advanced tendon sutures, vascular anastomosis, nerve anastomosis, and so on in the country … "Wang Haiyang adjusted the position of the microphone and camera while facing the students and housemen who were watching from the side. He was in high spirits, and his condition was obviously better than before.
Ling Ran continued to work hard. Not only did he do his job as the first assistant, but he also did what the chief surgeon wanted and what the chief surgeon could not do.
Once Ling Ran familiarized himself with the Perfect Level Finger Replantation Skill, he would be able to provide him with a lot of skills and train of thought. The experience he gained from using the M-Tang technique and the experience he gained from dissecting three thousand hands made Ling Ran's movements almost perfect.
In fact, if Ling Ran had not cooperated with Wang Haiyang, he might have performed the surgery faster and with better results.
However, for Wang Haiyang, who was used to a normal speed, he was already performing beyond his usual level.
It was unbelievably smooth!
It felt so good!
"Forceps, change the needle." Wang Haiyang slapped the scissors down, making a soft sound, which scared the scrub nurse.
"Be careful." The scrub nurse could not help but remind him.
Wang Haiyang laughed and said, "Today's surgery was very comfortable. Yes, you have to be careful. Don't learn from me."
When he said that last sentence, it was naturally directed at the interns.
"Yes."
"Alright."
"Understood."
The interns shouted "666" tiredly. After watching for dozens of minutes, many of them were tired.
"Why are all of you falling asleep? Alright, go out and change another group of people to come in. " There was no way Wang Haiyang could tolerate such an attitude. The suture just now was so strong that not a single person could praise it. He could not be bothered to teach this group of people.
"Ling Ran, you suture the tendon." Wang Haiyang was a little embarrassed to let Ling Ran suture the tendon. It was also because he considered that Ling Ran was best at using the M-Tang technique that he carefully sutured the tendon.
"Alright." Ling Ran responded. He picked up the scalpel and pinched a tendon. As if he was peeling a prawn, he cleaned it quickly and easily. Then, he changed the needle holder, sutured the tendon in a moment, and stuffed it back.
When it was about time, the students who were going to change shifts came in.
Wang Haiyang became excited again and laughed. "Yes, let's prepare to suture the blood vessel now. This is the most complicated part … Doctor Ling, do you want to rest for a while?"
"No need, I'm not tired yet," Ling Ran answered without hesitation.
He often performed three or even four surgeries in one go. His back and waist had been trained for a long time, so he never felt that continuous surgeries were a burden.
Wang Haiyang could not do it. He was a person who was going to be sixty years old. Forget about continuous surgeries, he could not even complete one surgery.
"Let's take a break. I'll talk to everyone." Wang Haiyang rubbed his waist and turned to look at Lu Wenbin. He said, "You should change your clothes too. You'll help later. Why are you so silly?"
"Yes." Lu Wenbin was about to die from waiting. He turned around and wanted to change into his surgical gown.
"Go and wash your hands. Come back later and wear the surgical gown." Wang Haiyang spread his palms and moved them up and down between his abdomen and collarbone. He said, "Put your hands in the right place."
"Yes." Lu Wenbin ran to wash his hands with a long face.
Recently, he had performed more than a hundred surgeries with Ling Ran. Naturally, he would not forget the principle of asepsis. It was just that he had waited for a long time, and his mind was a little muddled.
Ten minutes later, Lu Wenbin returned to the operating theater.
Wang Haiyang began to concentrate on the operation again.
If he had to say it, the most normal thing for Wang Haiyang to do right now would be to hand over the patient in his hands to Ling Ran.
Wang Haiyang had seen Ling Ran's operation before, and he had also tested the patients after Ling Ran sutured them. He had also heard that Ling Ran had performed a lot of M-Tang technique surgeries. Judging from the bone replantation just now, Ling Ran had actually done all the preparations for finger replantation.
Originally, Huo Congjun had asked Wang Haiyang to be the judge because he was a little worried. After performing a surgery, Ling Ran displayed an extraordinary standard and actively participated in every step. Wang Haiyang should have been at ease and let go.
However, Wang Haiyang could not bear to do so.
He really could not bear to do so!
Wang Haiyang was as excited as he could be right now. He had gone through five trials and killed six generals. Heads were rolling on the ground.
He had been in the Hand Surgery Department for half of his life, and he could count the number of surgeries he had performed that felt so good.
This was like playing Go. When you were evenly matched, you killed the opponent's dragon.
When you were playing chess, when you were evenly matched, you killed the opponent's chariot.
When you were playing chess, when you were evenly matched, you killed the opponent's commander with a bomb.
The white severed finger was stitched up just like that. How cool would that be?
How could Wang Haiyang be willing to give up his position as chief surgeon and give it to Ling Ran?
In comparison, what was a sore waist?
What was a sore leg?
What was a tired finger?
"Get me a bottle of glucose." Wang Haiyang wanted to conserve his energy and fight another three hundred rounds.
Lu Wenbin raised his hand and looked at Wang Haiyang pitifully.
"Give him a change of scrubs." Ling Ran was obviously more relaxed, so he had time to observe Lu Wenbin's condition.
The circulating nurse originally did not want to bother with Lu Wenbin, but after Ling Ran spoke, she tore open a bag of scrubs and changed Lu Wenbin into scrubs.
Ling Ran continued doing his own things. He had just started performing finger replantation surgeries, and he was willing to see a few more cases. Besides, Ling Ran, who had eaten Snickers, was not hungry at all.
Two minutes later, Wang Haiyang continued to operate bravely, and Lu Wenbin took over Ling Ran's retraction.
"When it comes to blood vessels, generally speaking, the more sutures there are, the better. However, the four arteries in the finger mainly rely on the volar artery, which has a thicker diameter, to supply blood. The dorsal artery is smaller, so it plays a smaller role. So, when we perform finger replantation surgeries, we just need to anastomose the volar artery … "Wang Haiyang made an intraoperative judgment and told Ling Ran the reason. He could be considered to have fulfilled his duty of teaching.
The other interns and housemen also nodded as they listened. They felt that they had learned a lot.
Lu Wenbin looked at the bloody surgical field in excitement.
Ling Ran also made his own evaluation in his heart.
He also had to consider the risk of suturing only one artery. To put it in a more modern way, there was less redundancy in suturing one artery. If he failed and there was insufficient blood supply, the finger would be useless.
However, the duration of the surgery was also an important indicator. It would be fine if it was just one finger, but for the three fingers that were being sutured right now, if each finger were to be sutured for two to three hours, wouldn't the risk be even greater? What if the surgery time was longer?
The chief surgeon's judgment was not set in stone. Wang Haiyang was a doctor whose suturing skills were very stable, but his speed was normal. So, his intraoperative judgment was to suture only one main artery.
If Ling Ran was the chief surgeon himself, the situation would naturally change.
However, Ling Ran followed Wang Haiyang's instructions for today's surgery.
He exposed the blood when it was necessary, stopped the bleeding when it was necessary, tied the knot when it was necessary, and aspirated when it was necessary.
Wang Haiyang did whatever he wanted, and he chose the volar artery, which had a larger diameter. He sutured one artery to his heart's content.
"Continue!" Wang Haiyang shouted and drank another bottle of dextrose.
After he sutured one finger, he sutured another.
One after another.
The housemen and interns beside him had changed a few times, and Wang Haiyang finally finished suturing all three fingers.
By then, the sky was already dark. Wang Haiyang leaned against the wall of the operating theater and mumbled to himself.
"This feels so good …"
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