The inpatient building of Yiyuan County Hospital was surrounded by more than ten small flower beds. It was the season when flowers bloomed. As Ling Ran stared at the colorful plants around him, he felt happy.
On both sides of the inpatient building were trees that were dozens of years old. Many of them had been planted since the founding of the country. From afar, many of them were as tall as a three-story building, and they were very dense.
There was also a small basketball court in the corner of the hospital wall. Some patients in hospital gowns sat in the stands around it, and the people playing basketball on the court were young people who looked like students.
Kong Xiangming wanted to be friendly to Ling Ran, so he used the introduction to start a conversation. "Our hospital used to have a medical technical secondary school, but it was later changed to a normal school. The basketball court was built at that time, and there are still students playing basketball there. Our hospital also welcomes them. There was a period of time when the basketball court was closed. Everyone was against it, but in the end, it was still opened. The inpatient department even added a water dispenser to the basketball court, and the children who come to play and watch can drink as much as they want. "
It was only then that Ling Ran noticed that there was indeed a water dispenser and a few buckets in the corner of the basketball court.
Wang Haiyang nodded slowly. "The hospital is full of negative energy. Everyone will feel comfortable when some young and energetic boys come here."
Ling Ran chuckled at the explanation of Feng Shui. Everyone started chatting and laughing.
The ward of the Department of Orthopedic Surgery was located on the fourth floor of the inpatient building.
When they came out of the elevator, the doctors naturally stopped smiling. With Wang Haiyang in the lead, under Kong Xiangming's guidance, they came to a separate ward and met the patients and their family members.
Wang Haiyang had small ears, and his face darkened. He looked dignified, and there was not a hint of friendliness in him.
When the patients and their family members saw him, they did not need to say anything, but they also became serious.
This was especially so for the patient whose wound was bandaged. He did not want to talk, but he still sat up and listened to them.
Kong Xiangming was the first to speak. "Mister Zha, Madam Zha, let me say something first. I've actually said this before. Chief Wang and his group rushed over from Yun Hua, and they even ate two mouthfuls for lunch so that they could rush over as soon as possible. Now that he's here, let's not be too anxious. Let's spend a little time to do some preoperative diagnosis, analysis, and research. Sharpening the axe will not delay the work of cutting firewood. "
He had seen too many "urgent" patients. At this time, he was afraid that the other party would be unhappy, so he said, "Under normal circumstances, it will be very troublesome and expensive for you to go to Yun Hua Hospital or the provincial hospital. Now that we've invited an expert over, it will not only reduce the difficulty in seeking medical treatment for you, but also save time. However, saving time is not blindly saving time. Since we're going to have a conversation now, let's have a good talk. Don't be anxious.
The patient and his family members nodded silently.
In the doctor-patient relationship, patients were always at a disadvantage, especially patients waiting for treatment. No matter how the informed consent form was written, they would eventually have to sign it.
Of course, the aftermath was another matter.
Wang Haiyang waited for Kong Xiangming to speak clearly before he said, "I've seen Mister Cha's scan. From a doctor's point of view, there's a high chance that his finger will be successfully replanted. However, I have to make this clear. Even if the finger replantation is successful, the finger will not be able to be used as freely as it was before. There will be some limitations in terms of its functionality …"
Wang Haiyang then talked about some of the sequelae, such as postoperative pain, fear of cold, and so on.
The more the patient and his family members listened, the more anxious they became.
When Wang Haiyang was almost done talking, Kong Xiangming stood up again and said, "We invited Chief Physician Wang over because we hope that the surgery can be performed better and that there will be fewer complications. How should I put it? We have good intentions, and we're pursuing the best results. However, we have to be careful. There are still risks in the surgery, especially in finger replantation. The risk is not small … "
After he finished saying what he needed to say, Kong Xiangming looked at Wang Haiyang again. Once he got confirmation, he announced the start of the surgery.
The patient began to be pushed into the operating theater. Wang Haiyang and Ling Ran followed Kong Xiangming to change their clothes. The doctors from the Department of Orthopedic Surgery of Yiyuan County Hospital also changed into scrubs after they were done. They were ready to go for a learning tour.
While they were alone, Wang Haiyang said to Ling Ran, "When we perform freelance surgeries, it's not like when we do it in our own hospital. We have to use a low-risk plan and do it as beautifully as possible."
"Understood." Ling Ran had never performed freelance surgeries before, so naturally, he listened to Wang Haiyang's instructions.
When it came to finger replantation surgeries, the so-called low-risk plan was to connect more blood vessels first. The core element of finger replantation surgeries was blood supply. As long as the blood supply was smooth, the severed finger could survive. Blood was the body's supply line. Without blood supply, the body would definitely die.
However, connecting more blood vessels meant that the surgery time would be extended, or they would have to think of ways to save time in other areas. If it was a one-finger replantation surgeries, it would be easier, but if it was a multi-finger replantation surgeries, they would have to consider the time needed to connect other fingers.
However, for Wang Haiyang and Ling Ran, there would not be any major problems no matter how the finger was replanted. The plan they used was also a matter of inclination and possibility. Aside from the doctor's skills, if they only talked about the plan, luck might be more important.
"Chief Wang, Doctor Ling, are you used to our equipment?" Kong Xiangming waited for a while before he entered the operating theater. He put his hands together and asked with a smile. He was a little proud.
It was not cheap to buy a full set of microsurgical equipment, especially when Kong Xiangming chose a two-person microscope set with a monitor. He had almost spent hundreds of thousands of RMB from the Construction Department on it.
The operating theater was also a laminar flow operating theater with positive pressure ventilation. Although it was only a low-end Level III operating theater with a hundred thousand RMB, it was more than enough for finger replantation surgeries. If it were a Level III operating theater, Yiyuan County Hospital would not be able to afford it even if they could build it.
Wang Haiyang tested the microscope and looked at the monitor above the operating table. He smiled and said, "I like the one you installed."
"All good doctors like it." Kong Xiangming laughed and looked at Ling Ran, who did not say a word. He asked, "Doctor Ling, if you have any special requests, you can tell us. We will try our best to fulfill them."
"It's done." Ling Ran smiled gently. The surgical habits and requests were sent to them in advance, and Kong Xiangming was just being polite.
After a while, the patient was wheeled in. After checking again, the anesthetist put a laryngeal mask on the patient, and the patient was anesthetized within seconds.
Then, the other doctors from the Department of Orthopedic Surgery of Yiyuan County Hospital entered the operating theater one after another. They stood at the corners and acted as spectators.
Kong Xiangming continued to speak politely, and the atmosphere in the operating theater was quite harmonious.
Wang Haiyang's friendliness also appeared again. The group of people talked about the weather, food, surgery, surgery, and finance. It was very comfortable.
Ling Ran was the only one who asked the circulating nurse to insert more MRI scans and watched them quietly.
He never liked chatting. Perhaps it was because he had been teased too much since he was young, so much so that he had a rebellious mentality.
In comparison, the large amount of information provided by the MRI scans made Ling Ran happy.
Kong Xiangming only thought that Ling Ran was nervous, and he did not say much. After all, Ling Ran was only the first assistant, and he was brought by Wang Haiyang. As long as he did not perform too badly, nothing bad would happen …
The other doctors from the Department of Orthopedic Surgery also had the same thoughts. Many of them even showed tolerant smiles to the young Ling Ran. The Department of Orthopedic Surgery was a newly separated department, and the youngest resident doctor in the operating theater already had three years of experience. When he looked at Ling Ran, he always had a psychological advantage because of his age. After all, surgeons needed time to accumulate their experience …
Before everyone could stop smiling, as Wang Haiyang made the incision, Ling Ran's accumulated experience suddenly erupted.
On the way from Yun Hua to Yiyuan County Hospital, Ling Ran had nothing to do, so he spent a long time reading MRI scans. After he arrived at Yiyuan County Hospital, he still had nothing to do, so he spent a long time reading MRI scans.
With his ability to read scans and the large amount of information provided by the MRI scans, Ling Ran could almost reproduce all the details of the patient's severed finger in his mind. This was even better than when he was in Yun Hua Hospital's operating theater.
The essence of an MRI scan was hydrogen atoms. The cross-sectional information could be hundreds or even thousands of hydrogen atom resonance images. For a high-level radiologist who could read MRI scans, there were many imaging methods that could display the body's information based on the atomic level. Information that could not even be seen through X-ray scans, such as T1, T2, FLAIR, DWI …
In terms of modern medical technology, there was an excess of technical resources. The shortcoming was that doctors could not grasp the large number of emerging technologies in time. Every time a new technology was added, it was equivalent to using a finer sieve to make a new screening.
For example, in a quasi-tertiary Grade A hospital like Yiyuan County Hospital, there was not a single high-end radiologist who could read DWI (diffusion-weighted magnetic resonance imaging) even if they searched all the hospitals in the country. But in the top-notch hospitals under the Ministry, everyone was fighting to build an intraoperative MRI operating theater.
For Ling Ran, who had mastered Perfect Level Finger Replantation Surgery, since he had already constructed the details of the patient's severed finger in his mind, performing the surgery was just a process.
As the chief surgeon, Wang Haiyang only needed to make a cut on the muscle, and the rest was peeled off by Ling Ran. When the bone was taken out, Ling Ran pieced it together and prepared a suitable Kirschner needle. When the tendon was taken out, Ling Ran had already debrided it in a matter of minutes and covered it up for Wang Haiyang to suture …
Wang Haiyang felt so comfortable that he felt as if his fingers were dancing. As an old doctor, if there was anything more comfortable than being served by Ling Ran's hands, eating food, drinking tea, and walking with his elbows, it would be being served by Ling Ran during surgery.
He felt as if he was running a marathon while being carried by Ling Ran. The enchanting scenery, the cheers from thousands of people, the cool breeze, the leisurely swinging his arms when he had nothing to do, the relaxed manner in which he casually took a bottle of water, the anticipation of crossing the finish line, and the pursuit of glory …
Kong Xiangming and his six doctors from the Department of Orthopedic Surgery were dumbfounded. No matter how hard they thought, they would never have thought that there was such a superb medical feeding technique in the world.
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