"In today's surgery, our goal is to improve the functionality of the patient's severed finger as much as possible." Ling Ran stood on the operating table and made an announcement before he started.
Su Jiafu had worked with many doctors. When he saw Ling Ran's actions, he winked at Lu Wenbin and said, "Do you know what Doctor Ling meant?"
Lu Wenbin asked, "What do I mean?"
"I mean that you don't even have a chance to perform debridement." Su Jiafu even chuckled. "You're still arguing with me!"
"What nonsense are you talking about?" Lu Wenbin felt a little guilty when he heard that, so he said to Ling Ran, "Doctor Ling, look at Su Jiafu. He's disrupting the morale of the soldiers, right?"
Ling Ran nodded and said, "Yes."
"Disrupting the morale of the soldiers, right?"
"Yes."
Lu Wenbin was amused. "I told you, you can't debride the wound yourself."
"I'm going to complete the debridement on my own." Ling Ran paused for a moment and said, "But Su Jiafu is still disrupting the morale of the soldiers."
Lu Wenbin was confused. "What … what do you mean?"
"Su Jiafu is right, but there's no need to say it out loud." Ling Ran organized his words logically while he debrided the wound himself.
Lu Wenbin giggled again. "I didn't make any mistakes."
"You don't need to make any mistakes. I can also complete the debridement." Ling Ran first spoke logically, then he changed the topic and said, "Whether what Su Jiafu said is true or not, he is indeed disrupting the morale of the soldiers. Operate the retractor. "
"Yes …" Lu Wenbin, who had degenerated into a retractor man again, sighed helplessly and glanced at Su Jiafu with a snort.
Su Jiafu mixed the medicine and rubbed the stool in boredom. He made a gesture of surrender with one hand and said jokingly, "It's my fault. I shouldn't have pointed out the truth."
"Operate the retractor." Ling Ran reminded him again. He needed Lu Wenbin to expose his field of vision now.
Lu Wenbin was like a bullied dog. He whimpered, but he still obediently operated the retractor.
Debridement would affect the final result. It might not affect it a lot, but it would still affect it.
Therefore, to get a perfect result, Ling Ran was more willing to debridement himself.
Of course, Lu Wenbin actually had no problem performing debridement. In fact, he was even better than most surgeons. In terms of the effect, he might not necessarily be worse than Ling Ran. At least, there was a high chance that he could perform debridement at the same level as Ling Ran.
It was just debridement. Even debridement under a microscope was still the standard.
In this aspect, Ling Debridement was simply because he did not trust.
Surgeons always trusted themselves the most.
It was a common.
There was no cure.
No matter how much Lu Wenbin whimpered, he had to obediently pinky swear.
Usually, he did not pay much attention to this. After a surgery, the chief surgeon could do whatever he wanted. He could dig out his feces and put on a urinary catheter whenever he was told to …
Yu was not. he. he was not. he. he was not. he.
Yu Yuan, who was the second assistant, could somewhat tell what was going on. She stepped on the stepping stool and looked up at Lu Wenbin, who was six feet nine inches tall and had an arm circumference of 38 inches. She said, "Doctor Lu, don't bother about the anesthetist anymore. Doctor Ling wants to perform a better surgery now. Let's learn from him, and we should be able to get better training than usual …"
"You used to be a study commissary, right?" Lu Wenbin suddenly said.
"How did you know?" Yu Yuan smiled. "I've been a study commissary since I was young."
"Your school is definitely one of the top universities, the kind with the best conditions." Lu Wenbin smiled again.
"How did you know?" Yu Yuan was shocked. She immediately noticed the problem. Veins popped up on her forehead. She looked like a corgi that was about to lose its mind. "You looked for my information? How did you get my information? "
Lu Wenbin said, "Who cares about your information? I guessed."
"Guessed? How? "
"If the school wasn't good, a study commissary like you would have been beaten up so badly that your mother wouldn't be able to recognize you. You wouldn't have been raised like a political commissary …" Lu Wenbin talked without restraint. He was no longer in a bad mood.
Yu Yuan was so humiliated that she was only 1.48 feet tall. She decided that next time she wrote a research paper, she would not even let Lu Wenbin be the second author!
Ling Ran did not care about the conversation between the assistants beside the operating table. After debridement, he threw the surgical instruments aside and said, "Clean up the blood vessels."
Fresh severed fingers usually did not need to be cleaned up. But in Yuan Wei's case, if the finger was severed for a long time, countless blood clots would form in the blood vessels. They had to be cleaned up bit by bit. At this time, he had to be especially careful not to damage the blood vessels.
In theory, cleaning up the blood vessels was also a part of debridement. However, it was always harder to clean the inside than the outside. It was easy to stop external itching, but difficult to stop internal itching. If he did not want to pierce the skin, it would be even more difficult.
Ling Ran adjusted his posture and sat upright. He was ready to properly clean up the blood vessels.
Surgeries under microscopes were too meticulous. Most of the failures were not because the doctor's skills were not up to standard. Doctors who were not up to standard would not continue to work in microsurgery. In comparison, traditional orthopedics made more money, and it was easier for them.
As the most tiring category among surgeons, microsurgeries often failed because the doctors were tired and did not have enough energy.
Long-term surgeries were like putting together a model for a long time. It was tiring, and it was easy to make mistakes inadvertently.
At this time, it was very necessary to ensure his own comfort level.
Ling Ran judged his own condition and thought about the follow-up operation at the same time.
Today's patient, Yuan Wei's injury was very simple. It was the most basic incision injury. The steps were still the same, and there was basically no room for improvement. This was also the most difficult part … If he had to force himself to improve, he might be able to use better medical consumables and instruments to improve the completion rate a little.
"Wang Jia, help me make a call to …" Ling Ran originally wanted to call Department Director Huo, but he immediately changed his mind and said, "Use my phone to look for the pharmaceutical sales representative, Huang Maoshi."
"Oh … Okay." Wang Jia was the circulating nurse today. She quickly took Ling Ran's phone and opened it with a little excitement. She dialed the number according to Ling Ran's request and brought the phone to Ling Ran's ear.
After a few rings, the phone was connected, and Huang Maoshi's voice was extremely excited. "Doctor Ling? Hello, Doctor Ling, what's the matter? "
For a surgery maniac who performed more than fifty Level 4 surgeries in a month, Ling Ran's position in the pharmaceutical sales representative's heart was second only to the leaders of the treatment groups.
Huang Maoshi was originally very worried about how to maintain this relationship, but the moment he saw the phone number, Huang Maoshi threw away all his thoughts. He only wanted to use his loudest response to tell the gossipy men and women in the office, "Doctor Ling called me."
"I want the best medical consumables and instruments for microsurgery now. Can you provide them for finger replantation?"
"Of course, the medical consumables for microsurgery in Changxi Medical Company are the best of the best. The ones you usually use now …"
"Without considering the list of medical insurance and the price, what are the best medical consumables and instruments you can get? Can they be sent to the hospital within an hour? "Ling Ran interrupted Huang Maoshi's bragging.
Just like most pharmaceutical sales companies, Changxi Medical Company not only had its own products, but it also acted as an agent for other products. The best-selling products were always those in the list of medical insurance, but it was not necessarily the best or the most profitable.
Huang Maoshi was even happier when he heard Ling Ran's request. Sending the medical consumables to the hospital within an hour was nothing. He had seen stranger doctor clients.
In just two seconds, Huang Maoshi responded in a louder voice, "Do you want to try it now? Then, I recommend Medtronic. It's an imported product from a big factory. It has a lot of accurate products, clear standards, and the price is not too expensive … "
Ling Ran said, "I'm performing surgery. Can you send it to me within an hour?"
He estimated that it would take him twenty to thirty minutes to clean the blood vessels. If he slowed down a little, it would be normal for him to take thirty to forty minutes.
Huang Maoshi calmed down for two seconds and said, "One hour … I'll try my best …"
"It has to be delivered to be meaningful."
"I understand. I'll definitely deliver it. I'll go and get the goods now." Huang Maoshi had already started running.
"There's one more question."
"Go ahead." Huang Maoshi panted a little. He seemed to be climbing the stairs or something.
Ling Ran continued to clean the blood vessels. He tilted his head a little and said into the phone, "I don't have money."
"You … Ouch …" Huang Maoshi panted even faster, as if he had fallen down the stairs.
"If there's no problem, I'll wait for you for an hour. If there's any problem, notify me in advance." Ling Ran's head left the phone and nodded at Wang Jia.
Wang Jia immediately hung up and gave Ling Ran a thumbs up in admiration.
Ling Ran smiled.
He regretted not thinking of changing the equipment and consumables in advance, but it was normal that he did not think of it, because the core problem of imported consumables and equipment was the price.
Yuan Wei's family was obviously not well off. Just as He Jinxiu said, they were already in a state of debt.
At this time, they could not afford to forcefully import consumables and the like, even if the effect would be better.
Not to mention that some imported products would not bring about obvious effects.
However, when it came to the effect of finger replantation, the medical equipment and consumables from foreign big factories would always have an advantage over domestic ones.
As for how to solve this problem, Ling Ran had just thought of a solution: he could use the pharmaceutical sales company.
Pharmaceutical sales companies were at an absolute disadvantage when it came to promoting drugs or medical equipment. Their strong capital pushed them to sell their products continuously.
Nowadays, any new product developed by a pharmaceutical sales company would give more compromises to doctors.
It was already quite common for them to try it out.
However, there were fewer people like Ling Ran who called to try it out.
Once Huang Maoshi figured it out, he would naturally bring the goods over.
In the next half an hour, Ling Ran's phone did not ring again.
Then, a nurse sent over Medtronic's equipment and consumables that had been washed.
"Are these things free?" Ling Ran deliberately asked.
"Yes," the nurse replied and went back. All the materials and expenses in the operating theater were accounted for by the nurse. She was already so busy that she did not have time to stay.
Ling Ran stretched his head to take a look and saw a row of microscopic forceps, microscopic scissors, microscopic vascular clamps, microscopic needle holders, microscopic vascular dilators, and so on. There was a dazzling lineup, and there were three sets of them …
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