Even though Kong Xiangming was a little embarrassed, he still went ahead to stitch up the skin.
No matter what, it was still a finger flap, and there were plenty of capillaries and fat beneath it. There were also many things to pay attention to when suturing. Kong Xiangming would rather put down his pride now and suture the wound in front of Wang Haiyang and Ling Ran than ask for help from others when something went wrong in the future.
He actively invited well-known doctors from various hospitals to perform freelance surgeries, but he did not always get the chance to suture the skin flap.
Ling Ran left the chief surgeon's position and fell into deep thought as he stared at the screen. He only took off his gloves when Kong Xiangming finished suturing and Wang Haiyang announced the end of the surgery.
"Thank you, Chief Physician Wang. Thank you, Doctor Ling." Kong Xiangming shook hands with Wang Haiyang and Ling Ran respectively before he stepped open the door of the operating theater.
Everyone left one after another, leaving only the young doctor in charge of the bed to deal with the aftermath. This was also why Yiyuan County Hospital paid more attention to this case. If it were Yun Hua Hospital, everyone would have left immediately.
"Director Wang, it's time for lunch. Don't be in a hurry to go back. Let's sit down and have a meal in the cafeteria, shall we?" Kong Xiangming invited him warmly.
In normal freelance surgeries, freelance surgeons would leave as soon as they arrived. If they stayed after one surgery, they would be waiting for the second surgery.
However, while a chief physician from the Heart Surgery Department could perform three heart bypass surgeries in one go, a doctor from the Hand Surgery Department did not have the chance to perform three finger replantation surgeries in one go. This was an urgent task, and it was impossible for the doctors from the Hand Surgery Department to perform three finger replantation surgeries in one go.
Wang Haiyang was not in a hurry. He looked at Ling Ran, smiled, and said, "Then let's have a meal in the canteen. We won't drink. After that, we have to rush back."
"All right, all right. Even if you want to drink, I wouldn't dare to do it. It's troublesome now," Kong Xiangming grumbled and led everyone into the canteen. He excused himself and said, "I'll go and inform the family. The patient should have just woken up from the anesthesia."
"Of course." Wang Haiyang smiled and nodded.
Kong Xiangming hesitated for a moment. Then, he smiled and asked, "Based on our estimation, we should be able to get an excellent result, right?"
"Ling Ran, what do you think?" Wang Haiyang had given up the most important parts of suturing blood vessels and nerves, so his judgment was not as accurate.
Ling Ran said, "The probability of it reaching 'excellent' is not very high. The probability of it reaching 'good' is higher, and there is a certain probability that it will die."
"Huh?" Kong Xiangming did not expect Ling Ran to say this.
Wang Haiyang also looked at Ling Ran in surprise. In his impression, Ling Ran's results in finger replantation surgeries were extremely good.
When he thought of this, Wang Haiyang deliberately asked, "Ling Ran, are you not used to using machines?"
"The equipment is quite good, but the quality of the patient's blood vessels and nerves are relatively poor. Perhaps … I'll consider it based on the survival rate of a seventy-year-old old man's finger replantation, "Ling Ran explained a little.
From his perspective, the finger replantation this time was already done very well. However, there was always a certain probability that the surgery would fail. For example, the failure rate of a seventy-year-old man's finger replantation was much higher than that of a young adult's.
Wang Haiyang's expression was a little unpleasant. If he had known in advance that the condition of the other party's blood vessels was so bad, he might not have come as a freelance surgeon.
The doctors who were prepared to eat and chat lost their interest in talking as the atmosphere became less tense.
Kong Xiangming was also a little disappointed. He forced a smile and said, "If that's the case, I'll tell the patient … Hmm, Doctor Ling, what do you think is the probability that the replantation will be excellent?"
According to the scores given for finger replantation surgeries, 'excellent' and 'good' were relatively satisfactory. If the replantation was rated at fifty, the use of the finger would be greatly affected, and there would also be more side effects. It was only slightly better than the failure of the finger replantation, and it could not be considered as having a functional function.
In other words, when the patient hired a famous doctor as a freelance surgeon to operate on him, he also hoped that he could get an excellent replantation surgery, and he would not be satisfied with just a good result.
Ling Ran thought about it carefully for a few seconds and said, "The probability of the replantation being excellent is about 90%."
"What do you mean?" Kong Xiangming frowned. "Didn't you just say that the probability is not very high, and that there is a certain probability of necrosis?"
Ling Ran shook his head. "I said that the probability of the replantation being excellent is not very high, and the probability of the replantation being good is higher. Also, there is a certain probability of necrosis. It's not surprising for a seventy-year-old blood vessel to have any accidents. When you explain this to the patient's family, shouldn't you be a little more humble?"
Kong Xiangming looked at Ling Ran and thought doubtfully, 'You probably don't know how to write the word humble.'
"So," Kong Xiangming concluded and said, "You think that the probability of the replantation being excellent is 90%."
"Yes."
"What about the probability of the replantation being excellent?"
"I can't give an accurate judgment right now. It's below 50%," Ling Ran said a little helplessly, "At most, it's 50%."
"Then, the probability of necrosis is less than 10%?" Kong Xiangming did a subtraction.
"With this kind of finger, if you get a 'good' result, I'm afraid that it's very easy for complications to occur." Ling Ran paused for a moment and said, "If it's serious, you might ask for amputation."
The muscles on Kong Xiangming's cheeks twitched a few times, and he said, "Even so, you think that the probability of necrosis is only 10%."
"Yes, it's my personal judgment." Ling Ran said it in a very relaxed manner, and he said, "I'm worried that you'll make unrealistic promises to the patient's family."
"Okay, I understand. Thank you for your explanation, Doctor Ling." Kong Xiangming smiled stiffly and looked at Wang Haiyang.
What else could Wang Haiyang say? He could only shrug and said, "Our Doctor Ling's excellent rate in Yun Hua Hospital is 95%."
The doctors in the room did a simple calculation and knew that Ling Ran had performed one hundred surgeries, and he had treated less than three hundred fingers. Only fifteen fingers were 'good' or 'failed'. Among them, there might be all kinds of patients, such as unavoidable diabetes patients, common high blood pressure patients, people with high blood pressure, people with high blood pressure similar to Boss Cha, or elderly patients. There might even be a twenty-five-year-old white-haired programmer, or a doctor who stayed up late for six months during his internship …
Kong Xiangming easily came to a conclusion. When Ling Ran faced a seventy-year-old blood vessel, he thought that his excellent rate was ninety percent.
For some reason, Kong Xiangming suddenly wanted to laugh. He wanted to laugh at himself, then laugh at Ling Ran. He wanted to laugh at himself, and then laugh at Ling Ran.
"Chief Physician Wang, Doctor Ling." Kong Xiangming held both of their hands and said with a sincere gaze, "You must try the yellow aorta in our canteen. Dried pot yellow aorta is the specialty of Yiyuan County."
Wang Haiyang did not know why Kong Xiangming mentioned yellow aorta again, but he was sure that he did not want to continue the conversation.
As he watched Kong Xiangming turn around and leave with a smile, Wang Haiyang felt that it was very natural, as if it was a matter of course.
Half an hour later, Kong Xiangming returned to the canteen.
When he returned, he had already adjusted his mood, and he solemnly reported to Wang Haiyang and Ling Ran, "The patient's condition is quite good. The color of both fingers is quite good, and the edema is not very serious."
Wang Haiyang also breathed a sigh of relief. He smiled and said, "After all, he's in his forties, not really seventy years old."
"It's not much better." Ling Ran had a deep impression of the blood vessel that was operated on today. Just as the chef started to serve the dishes, he pointed at the yellow aorta in the middle and said, "If we can see the aorta, the thickness might not be this high, but the hardness should be there."
Calculus Bovis was the aorta of a cow, so it was very appropriate to compare it with the yellow aorta.
Kong Xiangming laughed out loud. "When Boss Cha wakes up, I'll tell him this story. Sigh, he's also sick because he eats and drinks with us. How can a normal person be like him? "
Everyone laughed when they heard this. One of Kong Xiangming's subordinates took the opportunity to be a little aggressive and said, "Doctor Ling, when you read the MRI scan just now, did you notice the hardening of the patient's blood vessels?"
"Isn't it written in the medical record?" Ling Ran looked at him strangely.
The doctor was stunned for a few seconds, and his face immediately turned red.
"Doctor Ling, try a piece of yellow aorta." Kong Xiangming stood up and used serving chopsticks to pick up a piece of yellow aorta for Ling Ran. He smiled and said, "Doctor Ling, look, our yellow aorta is clearly white. Do you know why it's called yellow aorta?"
Ling Ran shook his head.
"Because diphtheria is already a disease, hahahaha …" Kong Xiangming laughed out loud when he said the doctor's joke.
Ling Ran and Wang Haiyang looked at Kong Xiangming in a daze. They did not even have the time to laugh. His subordinates had heard it too many times, and they could not laugh. Hence, the atmosphere became tense again.
Kong Xiangming coughed a few times, and the young doctors who were acting as a supporting actor started to laugh sluggishly.
Wang Haiyang sighed secretly. 'Their standards are too low. If these people were in Yun Hua Hospital, they wouldn't even be able to pass their internship.'
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