The eighty percent new second-hand Volkswagen Jetta drove Ling Ran from Lower Groove Clinic to Yun Hua Hospital at three o 'clock in the morning.
Ling Ran was focused on driving the car like a racer. On a road with a speed limit of thirty-five kilometers per hour, he drove the car infinitely close to thirty-five miles per hour.
When he arrived at the hospital in a hurry, it was only a quarter past three.
Ling Ran finally breathed a sigh of relief. After sending Meng Xue and the others away yesterday, he wrote a research paper for a while and only went to bed when it was almost ten o 'clock. He only managed to get up when it was almost three o' clock. If it were not for the fact that there were not many cars in the early hours of the morning, he would have been late.
As usual, Ling Ran took a shower in the Operating Area and changed into a new pair of underwear. Then, he finally felt that he had recovered.
Ever since he received the surgery fees, the item he bought the most was underwear. Moreover, as the surgery went on longer and the surgery became more delicate, the most important thing was that his income increased, and the underwear Ling Ran bought also became more expensive. This was in line with the law of economics. When a doctor stood in the operating theater for ten to twelve hours a day and slept naked for six hours a day, buying clothes other than underwear was a complete waste.
The air in the Operating Area was clean, the temperature was constant, and there was a charming smell of nothingness.
Ling Ran wore scrubs and a new pair of slippery, soft, and close-fitting underwear. His footsteps were relaxed.
When he entered the waiting room, Lu Wenbin just happened to bring out a pot of hot braised meat.
The braised meat was brown with a hint of yellow, and as the aluminum pot shook, it trembled slightly.
The six doctors on the night shift and Ma Yanlin cheered in unison. They held their bowls with one hand and used their other hand to send money to Lu Wenbin on WeChat. Their movements were smooth and skillful, as if they had done this thousands of times before.
"After a night of work, I can finally eat supper. This is so good, so good." Zheng Pei, a senior resident doctor, sighed with emotion. He accurately found a pig's tail and directly stabbed it with a pair of chopsticks. After confirming its ownership, he smiled and put it into his bowl.
Lu Wenbin placed an extra bowl of rice, pickled vegetables, and cold vegetables on Ling Ran's usual seat. He smiled and said, "We'll have rice for breakfast today. Doctor Ling, what kind of meat do you want?"
"Cut me a strip of streaky pork and put it directly on the rice." Under normal circumstances, Ling Ran had to perform surgeries for more than six hours in the morning before he ate his second meal. Hence, he had a great appetite for breakfast.
Lu Wenbin seemed to have guessed Ling Ran's choice. He smiled evilly and said, "I have a better one."
As he spoke, he took out a steaming pot from the small kitchen. When he opened it, he saw a plate of sliced streaky pork, steaming hot.
"Braised pork with preserved vegetables?" Zheng Pei had the pig's tail in his mouth, so he couldn't even speak fluently.
"Strip meat." Lu Wenbin proudly laughed and said, "This is a famous Shaanxi dish. The main point is that the meat is tender and flavorful, fat but not greasy. I have a secret. "
"What's the secret?" The doctors looked at the strips of meat in Lu Wenbin's hands, and each of them was more cooperative than the last.
Lu Wenbin said mysteriously, "Put in the sweet potatoes. Absorb oil. "
"Oh …"
Everyone let out a perfunctory sigh.
Lu Wenbin snorted a few times and placed the plate in front of Ling Ran. He took two of the biggest and best strips of meat and covered Ling Ran's bowl with a lid. Then, he put the plate back on the table.
The group of hungry doctors on duty were like vultures. They pinched their bellies with one hand and finished the large plate of strips of meat with the other.
"Let's go cut the meat."
"Let's go together."
The resident doctors had their fill. They held their waists and returned to the treatment room to play with debridement and suturing for a while.
The Emergency Department of a hospital of the scale of Yun Hua Hospital never lacked patients who needed debridement and suturing. Cutting, cutting, and trimming the meat was basically a compulsory course for young doctors.
Ling Ran took out the tablet that was tied to the waiting room. He drank tea while he looked at the MRI scan of the first surgery of the day.
He would not enter the operating theater when he was full. A full meal would affect his judgment, and his judgment at the beginning of the surgery would affect the entire surgery process.
Lu Wenbin did not need to be reminded. He called for another houseman and asked him to help clean up the pots and pans. He brought Ma Yanlin and quickly rushed to the operating theater to confirm all kinds of preoperative procedures.
After a while, Lu Wenbin returned to the waiting room. He briefly introduced the patient's situation before he said in a slightly troubled manner, "The patient has a history of smoking for fifteen years."
"He started smoking at the age of sixteen?"
"Yes. I asked his family, and they said that he smoked at least two packs of cigarettes a day. "Lu Wenbin paused for a moment and said," I think it might be more than that. "
"Does the patient intend to quit smoking?" Ling Ran asked. If he could not quit smoking, there was no need for finger replantation. After the surgery, he only needed to smoke, and the reattached finger would turn black and die.
The most important thing in finger replantation was blood supply. Blood supply was supported by small blood vessels, and small blood vessels were the easiest to cause thrombosis. For this reason, during the early stages of finger replantation recovery, the patient had to continuously cut the skin to use heparin to fight against blood clots. Nicotine had the opposite effect. The amount of nicotine in cigarettes was also very high. It would cause vasospasm and easily cause thrombosis. At that time, regardless of whether the patient amputated the finger or cut off the necrotic part bit by bit, it would cause secondary damage. It was meaningless, and it was also a waste of time and money. The patient would also suffer more, so it was better to amputate the finger.
Lu Wenbin pursed his lips and said, "If I tell them that if they don't quit smoking, they will definitely choose to quit smoking. But people forget the pain once the scar is healed. It's not that easy to quit smoking after smoking for fifteen years."
Ma Yanlin was transferred from the Hand Surgery Department, but he said, "I heard that there was a patient who said that he would smoke even if he died."
Lu Wenbin was surprised. "And the result?"
Ma Yanlin glanced at him and said, "The result was that the patient was the most willing. He wanted to smoke, but you forced him to perform a finger replantation, and then cut it off. Isn't that the same as cheating him for medical fees? After the department director, the patient, and the patient's family repeatedly confirmed it, you amputated the finger. "
"That's easy." Lu Wenbin chuckled. "It might take three to four hours to perform a finger replantation, and the recovery time will take half a year. If a cigarette is ruined, it's good to make a decision in advance."
"Yes, if the patient can make a good decision, it'll be easier for us." Ma Yanlin nodded in agreement. Microsurgeries were the most difficult surgeries. The surgery time was long, and the pressure was great. After a long surgery ended, doctors naturally wanted to get something out of their labor. It was not just a personal income, but also a sense of recognition and achievement.
Seeing a patient unable to resist the temptation and lighting up a cigarette while hoping for a fluke was a torture for a doctor.
"Doctor Ling, what should we do?" Lu Wenbin looked at Ling Ran.
The patient could decide whether to perform finger replantation or amputation, and the doctor could also make a decision according to the standard.
Many foreign doctors now refused to perform finger replantation for smokers. Alcoholics and other bad habits would also be rejected. Now, there was a similar saying in China. Qi Zhenhai from the provincial hospital and Associate Director Liu from the People's Liberation Army General Hospital had argued about this.
Ling Ran thought about it and did not say anything.
To be honest, he had never experienced such a thing.
"Doctor Ling, do you want to meet the patient's family?" Lu Wenbin asked.
Many doctors preferred to talk to the patient or the patient's family before making such decisions. Huo Congjun was a typical example. He was a carefree old military doctor, but he had a good eye for people.
Ling Ran only thought for a few seconds before he shook his head without hesitation. "There's no need to meet them anymore. Has the patient's family decided to perform finger replantation?"
"Yes."
"Has the informed consent form been signed?"
"Yes."
"Check the other documents again and ask the family's opinion. If they still decide to perform finger replantation, we'll do it." Ling Ran's answer was a little out of Lu Wenbin and Ma Yanlin's expectations.
Lu Wenbin had to remind Ling Ran, "The patient said that he wants to quit smoking, but it's very difficult to quit smoking, especially for a smoker who has been a smoker for more than ten years. It's not as easy as quitting smoking."
"We can only support his current decision." Ling Ran paused for a moment and looked at Lu Wenbin and Ma Yanlin. He said, "What do you think?"
The two thought about it carefully, but they could not say anything against it.
The patient might quit smoking, but he might not. No one could guess the final outcome, and they could not influence it.
In democratic countries in Europe and the United States, doctors might be able to decide whether to perform the surgery or not. As long as they wrote down the standard medical advice, there would not be any problem. However, doctors in China might not necessarily care about a few hours of labor.
Lu Wenbin originally thought that Ling Ran was a doctor who cared a lot about time and efficiency, but he realized that when he made a decision, he almost did not hesitate.
Lu Wenbin mumbled to himself and went to confirm with the patient's family.
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