"Alright, Lu Wenbin can go and rest. Young Ma will be the first assistant, and Yu Yuan will be the second assistant. "Ling Ran waited for the assistants to have a good chat before he reassigned the work.
Lu Wenbin was already exhausted. When he heard that he could rest, he quickly asked, "How long?"
He also knew that Ling Ran would not let him rest for the whole day, or else Ma Yanlin would be exhausted.
"I'll do it after I wake up." Ling Ran did not specify a specific time. He drank two bottles of Energy Serum in a row and worked continuously for more than forty hours. After working for a few more hours, he was also prepared to rest. He did not intend to drink the third bottle of Energy Serum right now.
As a doctor, it was already too much to test the medicine on his own body. If the dosage was too high, it would make people feel uneasy.
Lu Wenbin listened to Ling Ran, took off his gloves, and left. In a drama, he was worried that things would go wrong if he delayed.
Ma Yanlin looked at Lu Wenbin's back enviously. He threw away the forceps and sat in Lu Wenbin's previous position. He looked at the eyepiece for a few seconds, extended his hand, and said, "Ring forceps."
Ma Yanlin's voice was slightly louder, and the pronunciation of the word ring was very heavy.
The circulating nurse gave the forceps to Ma Yanlin and said, "Ring forceps, right? You've made me dizzy. "
Ma Yanlin chuckled. He looked at Ling Ran again, but he did not even raise his head. He could not help but feel a little disappointed … He also wanted to go home.
On the other side, Yu Yuan put on a surgical gown with the help of the nurse.
She was only five feet tall, and the small surgical gown made her look a little long, but her expression was very serious.
She stretched her hands out in front of her chest, stepped on the stepping stool, and came to Ling Ran's side. Then, she lowered her head to look at the part that was being sutured.
"It's a grinding contusion." Yu Yuan saw it at first glance and said, "If the soft tissue damage is serious, it will be very difficult for the replantation to succeed. Even if it recovers, it will be very difficult for the finger function to recover."
"The patient and his family strongly requested finger replantation," Ling Ran answered and asked, "Have you come into contact with the Orthopedics Department before?"
Grinding contusion was the most common situation in the Orthopedics Department.
Yu Yuan adjusted her plastic spectacles and said, "I noticed it when I was learning about the diseases often encountered in the Emergency Department. However, at that time, I mainly paid attention to foot grinding contusion because it is more common."
"Oh, how much do you know about contusions?" Ling Ran asked casually. After all, he had to understand the new assistant's condition, and it was inevitable that he would ask questions like a senior doctor.
In fact, even though seventy percent of the questions senior doctors asked junior doctors were for the sake of their own happiness, there was still another ten percent that they wanted to know about their assistants so that they could use them effectively.
Even though Yu Yuan was an experienced resident doctor, when she faced Ling Ran, she still thought about it seriously and said, "I don't know much either. Usually, foot grinding contusion mostly appears in traffic, industrial, and construction-related accidents. So, when we receive treatment, we must understand the process of the accident in detail and understand the mechanism of the injury. At the same time, we must pay attention to the condition of the whole body … When it comes to the affected part of the foot, we should first palpate the pulse of the main arteries behind the foot and the tibia … The 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 the others divided the foot into four compartments … The pressure of 4Mpa is the critical value, and it will lead to irreversible muscle and nerve necrosis, as well as secondary fibrosis …"
"Um, can you stop for a while …" Ma Yanlin could not help but interrupt Yu Yuan and said, "I know that it's a little rude, but I'm really going to fall asleep if you continue like this …"
Ma Yanlin forced his eyes open, and he felt like he was going to close them the next moment.
As a young man born in a small town in a postal area, Ma Yanlin had always been a sweet talker. But now, he could not care less. He was afraid that he would be hypnotized if he spoke any later.
Yu Yuan did not mind. She stopped and said with a smile, "Actually, I don't know much. That's about it."
"That's enough," Ling Ran commented. Although he had mastered Perfect Level Finger Replantation Skill, when it came to understanding ground contusions alone, he was not as knowledgeable as Yu Yuan.
Most importantly, Yu Yuan's explanation was logical, and the content was detailed. It was not as if she had prepared it beforehand, which meant that she had something up her sleeves.
Su Jiafu, who was half-asleep, was also woken up.
Since the cases were all prepared for him, Lu Wenbin and Ma Yanlin could take turns to sleep, but Su Jiafu could not. At most, Lu Wenbin would sleep for half an hour when Ling Ran performed the M-Tang technique to change his mind.
But he could not go back to his room to sleep, because Ling Ran would often give Su Jiafu a massage for one or two minutes so that he could sleep more soundly. For the sake of this comfort, Su Jiafu always slept in the operating theater.
After more than thirty hours, Su Jiafu's consciousness was about to become chaotic. However, anesthetists were like this all year round, and they could always endure it.
When Su Jiafu heard Yu Yuan's voice, he opened his eyes. After he wiped his face, he took the opportunity to fill in the report and observe the data.
The temperature in the operating theater was constant at twenty-three degrees Celsius all year round. It was comfortable and refreshing.
The small speakers hanging at the four corners could be heard faintly discernible soft music.
Since Ling Ran did not like to chat, it was inevitable for the nurses to promote the entertainment mode of listening to music. Different nurses had different hobbies, but they all made sure to keep their voices low to avoid disturbing the chief surgeon's operation.
Ling Ran had never interfered with these things.
His concentration had always been very high. When he did various mental tests, his performance in this area was extraordinary. In his daily life, Ling Ran did not care whether his family's clinic was noisy or not when he did his homework since he was young. He could do his own things even if he was in a busy city.
When he was in the operating theater, Ling Ran was like a fish in water.
"Have you performed finger replantations before?" Ling Ran asked.
Yu Yuan was not surprised. "No." She was a doctor specializing in colorectal surgery and worked in the Emergency Department. Under normal circumstances, it was impossible for her to perform finger replantations.
Ling Ran nodded and said, "Then, take a pair of forceps and come over to pull up the surgical field."
He first assigned a simple task to her.
Yu Yuan waited for the forceps to be placed in her hands before she stretched her waist to pull up the surgical field.
The double magnification microscope was already occupied. Yu Yuan either used a head-mounted microscope or operated with her naked eye. For the second assistant, it all depended on her personal preference.
Yu Yuan was still not very familiar with surgical magnification glasses. She lowered her head to pull up the surgical field and watched Ling Ran operate in boredom.
"You're looking for the vein, right?" Yu Yuan suddenly said.
Ling Ran was surprised. "You can tell?"
"I guessed it when I saw you stripping the venous layer in the opposite direction." Yu Yuan said it in such a simple manner that Ma Yanlin was at a loss.
"You knew it without doing your homework in advance?" Ma Yanlin did not quite believe it. He felt that she seemed to have memorized the questions in advance and came here to perform.
Yu Yuan nodded calmly and said, "I saw Doctor Ling loosen the tourniquet just now, which means that the artery has been sutured. Naturally, I'm looking for the vein now."
"That makes sense …" Ma Yanlin chuckled. He felt extremely guilty. 'Is this the power of an author in a District 1 journal? She's too good! My position is in jeopardy … I'll have to ask my grandmother to send me some dried fish tomorrow … '
"Rinse it." Ling Ran stopped what he was doing, raised his head, and rotated his neck.
The circulating nurse immediately brought over the prepared heparin saline. It was a basin filled with normal saline mixed with heparin, which was specially used to moisten the surgical field. Since the suturing of blood vessels took a long time, to prevent the blood vessels from drying out after being exposed for too long, heparin saline had to be rinsed frequently.
The nurse passed the basin to Yu Yuan, who was acting as the second assistant, across the shelf. Yu Yuan carefully took it, aimed at the surgical field, and poured the saline out.
"Be careful, don't splash it on the lens," Ma Yanlin quickly reminded her.
"Ah," Yu Yuan gasped and quickly turned the basin in another direction, but she moved it far away. Half of the basin of water fell on the ground, and the splash from the water she picked up woke Su Jiafu up.
"You can't even pour the water accurately." Su Jiafu was angry. He finally got some rest during the surgery, but he was woken up a few times.
Yu Yuan apologized in a panic, and there was a look of regret on her face.
"Fill the basin, and pour it later." Ling Ran did not force her. He lowered his head and began to suture the vein.
After a few minutes, a vein was sutured. Ling Ran said ahead of time, "Rinse it again."
Yu Yuan quickly took the basin from the young nurse, tilted it slightly, and poured it accurately into the surgical field with a thin line of water.
"Faster." Ling Ran frowned.
"Okay." Yu Yuan tilted the basin a little more.
"Faster."
"Okay."
"Faster."
* Splash. *
Yu Yuan poured the entire basin down, and the surgical field was flooded with water.
A few people looked at Yu Yuan in a daze.
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