While the people in the first group debrided the wound, Ling Ran crossed his arms in front of his chest and stood in front of the screen to read the scans.
Lu Wenbin disinfected the patient's toes, and Yu Yuan accompanied Ling Ran, acting as a human remote control for him.
While Ling Ran looked at the MRI scan, Yu Yuan was also quietly reading it.
She had once studied imaging seriously, and her MRI reading skills were not bad. At this time, she could not help but be eager to give some suggestions.
Yu Yuan paid attention to Ling Ran's expression and guessed his thoughts. Then, she sighed softly and was about to speak …
"Alright, turn it off." Ling Ran finished reading the scan and returned to the operating table.
Yu Yuan was stunned. She had no choice but to turn off the big screen, put the remote control back, and walked to Ling Ran's side.
"Go wash your hands." Ling Ran's tone was calm, but it scared Yu Yuan so much that she almost fell.
A few doctors in the operating theater looked at Yu Yuan strangely.
For today's surgery, the senior resident doctor, Hou Kang, was considered lucky to be able to come in. No one expected that someone would need to be reminded to wash their hands.
Yu Yuan blushed and went out of the operating theater to wash her hands. She had to wash her hands after touching the remote control. She remembered it in the beginning, but she forgot about it later.
After Ling Ran drew the incision and picked up the scalpel, Yu Yuan hurriedly returned to the operating theater.
"Doctor Ling is such a nice person. He's willing to bring his students to see the world for such a surgery. "The nurse chatted quietly, and her voice was so loud that everyone in the operating theater could hear her.
Yu Yuan became more and more embarrassed.
It was not that she did not know these things. Her master's thesis even talked about nosocomial infections, and it was even published in the first district's SCI.
However, she had very little practical experience. After she came to the hospital, she did not get many opportunities. Speaking of which, she could not compare to other resident doctors who had been hospitalized for three years and stayed in the same group …
"Gauze." Ling Ran's orders came from beside her ears, and it woke up the second assistant, Yu Yuan.
"Stop the bleeding."
"Give me another piece of gauze."
"Aspirate."
Ling Ran's orders came one after another. Amputation was a super weakened version of finger replantation. Although there was no need to do the most troublesome blood vessel anastomosis and nerve anastomosis, the patient still had to manage the blood, sort out the nerves, and take care of them.
For the current Ling Ran, amputation was a piece of cake. Lu Wenbin could already cooperate with him with ease, and his requirements for Yu Yuan were even lower.
Yu Yuan lowered her head and worked. Slowly, she regained some confidence.
"What do you think?" Ling Ran glanced at Yu Yuan during the surgery.
Yu Yuan only thought for a few seconds before she blurted out, "The patient's first toe is already deformed. Based on the MRI scan, it's better to release the joint after the osteotomy."
She had been holding these words in her heart ever since she saw the MRI scan.
Now that he had taken the risk to say it, he immediately felt relieved.
Lu Wenbin looked at Yu Yuan in surprise and thought, 'She's quite bold.'
The joint release that Yu Yuan mentioned was a separate step, and it was equivalent to putting forward further requirements for the surgical method. It increased the degree of complexity of the surgical method, and it also indirectly increased the risk of the surgery. Most importantly, the steps of the surgery were already planned by Chief Physician Wang Haiyang. If they were to increase it rashly, it would be equivalent to challenging his authority.
If he ran into a doctor with a lot of power and authority, just one sentence from the doctor could cause a small resident doctor to be put on a different list.
Of course, Wang Haiyang was not the chief physician of the department, and Yu Yuan's actions were just bold.
Ling Ran hummed in acknowledgment, but he did not agree or object to it.
He had also read the information shown by the MRI scan. From this point of view, Yu Yuan did indeed have the ability to read scans, and it could be said that it was rare and precious.
However, Ling Ran was already a skilled surgeon. Now, when he encountered cases that had certain surgical indications but were incomplete, he no longer only made judgments based on imaging data. He would first think like a surgeon. 'Be good, I'll open it and take a look.'
Therefore, Ling Ran completed the amputation first, then observed the exposed joints in his field of vision. After confirming that the MRI scan was correct, he said, "Chief Physician Wang, I want to perform an extensive release of the soft tissue around the first toe."
"Okay." Wang Haiyang did not even raise his head as he was busy looking for blood vessels. He immediately agreed to it. His trust in Ling Ran could be said to be very high.
Hence, Ling Ran performed arthrolysis along the amputation wound.
Compared to the surgical methods directly given to him by the system, such as the M-Tang technique and finger replantation, Ling Ran did not directly obtain joint release. However, joint release books were only Level 1 surgeries in the Orthopedics Department. It was the lowest in terms of difficulty and complexity. Ling Ran only needed to follow the surgical method instructions in the most common books, and with his experience in dissection of three thousand times, he could easily perform it.
This was how surgeons worked. It was normal for them to continuously carry out a certain surgical method. However, when a surgeon inadvertently encountered a situation where he did not have any experience, his previous experience would come into play. The countless theoretical experiences he learned from university would also burst forth in an instant, and they began to provide detailed and indescribable information.
If it were an intern who had never been to the operating table and performed joint release for the first time, they might need to spend one or two hours, and they would be sweating profusely.
But for Ling Ran, he had too many resources to use as reference.
It was just a simple joint release. Other than the different steps and positions, he had performed every movement used before.
With a little practice, he could perform it easily.
"Chief Physician Wang, I'm done here." Ling Ran sutured the amputated part, checked both sides, and moved out of the operating position.
Lu Wenbin followed his usual practice and checked the wound from top to bottom. After confirming that there were no problems such as bleeding, he began to bandage the wound.
Wang Haiyang raised his head and looked at the time. He sighed secretly and said, "Ling Ran, are you tired? If you're not, come and help me."
"Okay." Ling Ran was very interested.
He took off his gloves and changed into a new pair. He stood in the first assistant's position and pushed Hou Kang to the second assistant's position.
No matter how experienced Hou Kang was, he was still a resident doctor. He could participate in the surgery today because Wang Haiyang did not want to find an attending physician who was too powerful. Therefore, when he saw Ling Ran enter the line, Hou Kang had to obediently give up his position.
When he stood in the second assistant's position and turned his head, he saw the scrub nurse smack the forceps into Ling Ran's hand with a smile on her face. She even brushed her fingers against Ling Ran's hand.
"I can connect the blood vessels now." Ling Ran operated under the two-headed microscope, and his speed obviously increased.
For some reason, Wang Haiyang was a little used to this state. He felt quite comfortable being pushed by Ling Ran.
He connected the arteries of the fingers to the corresponding arteries of the toes, then connected the veins and nerves. About an hour later, the patient's size 35 right big toe was connected to the right hand.
The palm was rough, the toes were wrinkled, and the proportions were not harmonious.
The scrub nurse who participated in this kind of surgery for the first time craned her head to take a look. She could not help but comment, "At first glance, it looks good. But when you look closely, it's a little disgusting."
Wang Haiyang said faintly, "If you think it doesn't look good, you can look for someone from the Plastic Surgery Department to do it. After some adjustments, it will look relatively better. Our work will be considered completed. "
"Getting plastic surgery will cost a lot of money, right?" The nurse clicked her tongue. "I want to get fake eyelashes, but I think it's expensive."
Wang Haiyang sneered. "Since you don't have money, don't worry about whether it looks good or not. Once the thumb is connected, it's still labor. If the thumb can't be connected, will it look good?"
The young nurse was speechless. She pouted and said, "If it doesn't look good, it doesn't look good. Department director, you can just point at a deer and make it look like a horse."
Even if a young and beautiful nurse retorted unreasonably, people would think that she was acting coquettishly.
Wang Haiyang laughed and became proud. "Today's surgery was awesome. Let's end it here. Young Hou, you finish up. Ling Ran, add me on WeChat, I'll send you a few photos."
"Oh, okay." Ling Ran took off his gloves and surgical gown. He took out his phone and asked, "What photos?"
"We just bought a C-arm. It's pretty good. I'll send it to you." As Wang Haiyang spoke, he actively opened his photo album and sent more than ten photos to Ling Ran in one go.
Chief Wang Haiyang sent Ling Ran all the way to the elevator before he reluctantly left.
Lu Wenbin followed Ling Ran and felt honored. Yu Yuan was even more surprised.
During the few years in Yun Hua Hospital, Yu Yuan had followed three groups, and the leaders were all chief physicians and associate chief physicians. Their positions were equivalent to Wang Haiyang's, but she had never been treated in such a pleasant manner.
When she thought of this, Yu Yuan could not help but feel physically and mentally exhausted.
"Rest for ten minutes … Let's rest for fifteen minutes. I'll ask when the next patient will enter the operating theater." When Ling Ran was about to reach the Emergency Department, he began to arrange the next surgery. He also looked excited.
Compared to working with Chief Wang, he preferred to be the chief surgeon himself.
"Doctor Ling …" Yu Yuan called out softly, "Can I not participate in the next surgery?"
"Hmm?"
"I … I think I can sort out the surgery process just now and write a medical report." Yu Yuan quickly said, "The surgery was performed by you and Chief Wang, so you and Chief Wang will definitely be the first authors. I'll be the third."
Medical report was a type of research paper, and it was also the most common type of medical research paper. Many medical journals, including the New England Journal of Medicine, had a column for medical report. The more famous medical report, such as AIDS and legionnaires' disease, were discovered through medical report.
Of course, the medical case reports written by ordinary doctors would not report so many new diseases. Therefore, most of the medical case reports were about the special clinical manifestations of known diseases, new discoveries in radiology and laboratory tests, or special lessons learned, and so on.
It was easier said than done. Short medical report often required vivid descriptions, research from multiple angles, and in-depth elaboration. In fact, it was not easy to write.
Ling Ran thought for a few seconds and asked, "Where do you want to publish it?"
"At least a core journal." Yu Yuan had chatted with Su Jiafu before, and she could somewhat understand Ling Ran's intentions.
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