Under the familiar microscope, Ling Ran gently connected the patient's little fingers together.
If one did not consider the importance of the fingers, in the eyes of an outsider, finger replantation was probably a very small surgery. It was just stitching the fingers together. Ordinary people would not be afraid of it if they just cleaned up the blood on the outside and connected the severed fingers together.
But in the world of microscopes, finger replantation was as difficult as stitching a broken building back together.
It was even more complicated if it could be used flexibly.
Fortunately, the blood vessels in the human body had the ability to repair themselves. As long as the fingers did not die, the severed blood vessels, especially the capillaries, would still grow back tenaciously. It could be said that the human body's self-healing ability was the foundation of finger replantation.
But even so, the estimated time needed for a replantation of a severed limb with four severed fingers was more than twenty hours.
According to the hospital's management of the operating theater, the operating theater that Ling Ran occupied would not be scheduled for surgery for the next twenty hours unless he ended the surgery in advance. Only then would the operating theater be used for temporary mobility.
Lu Wenbin, Ma Yanlin, Yu Yuan, and the others went in and out. When the surgery was six hours old, they ran out to rest when they had the chance.
The onlooking doctors had naturally disappeared a long time ago.
Although the doctors in the Emergency Department of Yun Hua Hospital were envious of Ling Ran's surgical skills, if they did not have the chance to improve their skills in the Hand Surgery Department, they would not spend a few hours watching the surgery.
Ling Ran and Chief Physician Wang Haiyang spent about eight hours in total before they managed to stitch all four fingers together.
The gray-haired Wang Haiyang was so tired that his back ached. He muttered, "We're finally done."
Ling Ran stretched his body in satisfaction and took off his mask.
Lu Wenbin and Ma Yanlin stood by each side and quickly sutured the skin flaps.
In some small hospitals, suturing skin flaps was a very difficult task. If the suture was not done well, the patient's skin would be like a Suture Monster. It would change colors here and there, and it would wrinkle like a robe. If the suture was good enough, it would not be invisible, but it would not make people feel disgusted.
After practicing for more than half a year, Lu Wenbin and Ma Yanlin's skill in suturing skin flaps had already caught up to the young attending physicians in the Hand Surgery Department. The latter might not even have as many opportunities to practice as they did.
Wang Haiyang looked at his assistants and rubbed his waist. He smiled and said, "It's good to be young. I'm not like this old man. If I have to do this kind of surgery again, I'll retire."
"Are you going to become a freelance surgeon after you retire?" Ling Ran asked.
Wang Haiyang laughed out loud. When he looked at Ling Ran's serious face, he wondered if he was really joking.
"Let me press it for you." As Ling Ran spoke, he grabbed Wang Haiyang's arm and used a pushing technique to slightly loosen the muscles around Wang Haiyang's spine.
The corners of Wang Haiyang's mouth made a hissing sound as he inhaled. As expected, his expression relaxed.
"You can do it." Wang Haiyang chuckled and nodded. He then said, "This is a good move. It's very useful … By the way, you're pretty good at Achilles tendon repairs now, right? Do you want me to contact a few freelance surgeons for you?"
"Can I?" Ling Ran was a little tempted.
"Of course. You're the one who performed Achilles tendon repairs on Liu Weichen, right? I heard that there are even foreign patients coming to you. I'll help you publicize it. Everyone will be familiar with each other after eating a few meals together."
Ling Ran hummed in acknowledgment and said, "I'm not going to eat."
"You still have to socialize." Wang Haiyang chuckled and said, "If you don't socialize, how will people know you?"
Ling Ran said with great experience, "Sometimes, not participating in social activities will give you more opportunities than participating in social activities."
This was indeed Ling Ran's conclusion based on his experience.
Wang Haiyang was stunned, but he could not refute it.
With Ling Ran's personality, if Wang Haiyang forcefully dragged him out, he might not necessarily offend anyone.
After hesitating for a moment, Wang Haiyang decided to skip this topic and said, "Anyway, I'll help you arrange freelance surgeries first. As long as you're willing to do it, there shouldn't be a problem. By the way, do you have any requirements? Specialist fees, venue, or number of people? "
Ling Ran had done freelance surgeries with Wang Haiyang before, so he was not interested in the income that freelance surgeries could provide. He blurted out, "As long as it can increase the turnover rate."
Wang Haiyang was silent for a few seconds and said, "You're talking about the turnover rate of hospital beds, right?"
"Yes. I'll omit the words. "Ling Ran's explanation was perfect.
"Then, I'll arrange for a few more surgeries at once, but I won't ask for a price, right?" As Wang Haiyang spoke, he took off his surgical gown and said, "It's actually not right for you to do this. You should increase the specialist fees first before you talk about the number of surgeries."
Ling Ran thought about it and said, "The number of surgeries is more important."
"Alright." What else could Wang Haiyang say?
Both of them talked as they walked out, and they left the operating theater to the others.
The doctors and nurses in the department were already used to it. Some of the junior attending physicians would even help to clean up the mess, but when it came to senior attending physicians and above, even if they wanted to help, they would not be able to. Besides, most of them were not in the mood to do trivial tasks.
"I can also perform knee arthroscopic meniscoplasty." Ling Ran took a few steps forward and reminded Wang Haiyang.
Wang Haiyang's eyes lit up. "Did you learn it from Academician Zhu?"
Ling Ran was too lazy to explain. He only said, "I've performed around fifty cases in the Orthopedic and Sports Medicine Center, and the results were very good. I'll ask Yu Yuan to write a follow-up report and show it to you."
"Yes, meniscoplasty is very suitable for freelance surgeries, but … you have to give the patients and their families more confidence." Wang Haiyang spoke in a tactful manner. He felt that Ling Ran had not become famous in this area yet.
Ling Ran, who had mastered Perfect Level Meniscoplasty, nodded and did not refute.
If he was not famous, then he was not famous. There was no need for any special explanation. As the number of surgeries increased, he would naturally have what he needed.
Wang Haiyang was worried that Ling Ran would be unhappy, so he chuckled and said, "You're right to practice meniscoplasty. This is an elective surgery, and it's easier for you to get freelance surgeries. When you become famous, you can go out and perform four or five surgeries at once …"
Among the four surgical methods Ling Ran had mastered, finger replantation and M-Tang technique were basically within the scope of emergency surgeries. If he could not suture it within twenty-four hours, he basically did not need to suture it.
The Achilles tendon repair surgery could be delayed for a few days, but if he wanted to pursue good results, the delay for fresh Achilles tendon repair surgery could not be too long. It was always calculated in days. Old Achilles tendon repair surgery could be delayed, but the effect was definitely not as good as fresh Achilles tendon repair surgery.
Only knee arthroscopic meniscoplasty surgery could be delayed for a few days, including athletes.
Wang Haiyang naturally felt that meniscoplasty was the best because it was convenient for him to perform freelance surgeries.
Ling Ran did not explain much. He returned to the office and sent a WeChat message to Huo Congjun. Three hours later, he settled on two patients who needed meniscoplasty.
In terms of patient absorption, Yun Hua Hospital was stronger than one hundred Orthopedic and Sports Medicine Centers. In Changxi Province, Yun Hua Hospital, the People's Liberation Army General Hospital, and the provincial hospital were the three pillars of power. Each department had its own focus, and it radiated to the whole province and even the surrounding areas. The other hospitals in the province were theoretically subordinate to the three hospitals, and they had business guidance relationships. Unless the patients in the province could not fill the tertiary Grade A hospitals' stomachs, they would not run out of patients.
In fact, if all the patients in the province could be treated by the three top tertiary Grade A hospitals, the average lifespan of the people in Changxi Province would increase by at least five to six years.
Therefore, the patients who were transferred to Yun Hua Hospital had nothing to be unhappy about.
…..
The next day.
Ling Ran only started his ward round at eight o 'clock.
He had just returned to Yun Hua Hospital. In fact, there were not many patients for him to check on. He mainly wanted to see the condition of the patient with four severed fingers.
When he arrived at the ward, he saw that the patient had already woken up. He was holding his phone and watching a drama happily.
The sound of the doctor entering the ward woke up the patient's mother. She raised her head and combed her hair a few times before she frowned and looked at her daughter. "They say that watching the screen after surgery hurts your eyes. Why are you watching it again?"
"I don't even have time to watch a drama when I'm working. It's not easy for me to rest, so I'll be fine watching a drama." The girl could not move one of her hands, so she used her other hand to press the pause button. She smiled at the doctors and said, "I feel that I'm recovering quite quickly. I don't feel much pain anymore. Can I go home now?"
"You're still under the effects of the anesthetic." Ling Ran looked at the anesthetic pump on her body and said, "You need to be prepared to stay in the hospital for a long time. Although the survival rate of finger replantation is higher, perioperative care is essential."
"Oh." The girl was not stubborn. She smiled and said, "My fingers should be alive now, right?"
"We can't be sure yet," Lu Wenbin rushed to say.
"I understand, I understand." The girl waved her hand, turned around, and said, "Mom, look, the doctor said that the survival rate of finger replantation is very high now. You don't have to worry about it all the time."
"Am I worrying about it all the time? You just don't worry about it, that's why your hand is in this state. "
"You're the one who meddles too much, that's why I don't worry …"
"Um … don't quarrel with the patient's family. The patient should try to remain calm. If you're too emotional and your blood pressure fluctuates, it will easily cause the risk of thrombosis. You must be careful. "Yu Yuan stood up and reminded them. She was small, but her voice was loud.
The patient and her family were a little embarrassed. They pretended to be calm again.
The doctors were not surprised and continued their ward round.
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