"Don't move. I'm not familiar with the technique. I'm telling you in advance, don't blame me if I make you hemiplegia or something," Ma Yanlin muttered as he operated on the operating table.
Compared to anesthesia, Ling Ran was more interested in the surgery itself. As the only two legitimate doctors in Guozheng Charity Hospital, Ma Yanlin had to take over the job and became the main anesthetist in the hospital.
Selena was also forced to be a temporary nurse for a few days. At this time, she helped out and asked, "Do I have to translate what you said to the patient?"
"Translate, why don't you translate?" Ma Yanlin placed the needle sideways, and like an evil doctor, he turned his head and said, "You have to explain the risks to him. If he really doesn't want to do it, we'll talk about it."
"If it were me, I would rather not do it if I knew that you don't understand anesthesia." Selena pouted.
"Look at him. If he doesn't do it, these three toes will definitely be gone. "Ma Yanlin shrugged and said," Let him sign the preoperative consent form, the English version. "
Selena shrugged, turned her head, and explained the conversation between the two to Naldo.
Naldo looked down at his feet, and he was dumbfounded. "No anesthetist? Why is there no anesthetist? I'm going to sue your hospital. "
"The anesthetist left." Selena said helplessly, "You can sue the anesthetist, or wait for the road to be cleared before you perform the surgery."
"The road is cleared, so I don't need to perform the surgery, right?" Naldo laughed self-deprecatingly, and his expression changed again. "How can you treat more than one hundred patients with such medical standards, and no one died?"
Selena translated for him.
Ma Yanlin thought about it and said, "It's either the doctor's skills are good, or he's lucky."
Since Ling Ran was not around, Ma Yanlin did not want to flatter him.
Naldo naturally thought that it was luck, and his expression changed again.
However, he could not say that he did not want to perform the surgery.
He had three toes, and one of them was his big toe. If he lost them, Naldo would have a problem walking in the future, let alone carrying any weight.
"I'm going to perform anesthesia soon. Honestly, how many people have died in the hospital in the past few days? Let me judge for myself. " Naldo's eyes were filled with sincerity. He really wanted to know, not only for his surgery, but also for his own news.
"Not yet." He then said to Serena, who was translating, "Ask him if he wants to sign it. If he doesn't, I'm going to treat other patients."
Naldo hesitated for a moment, but he had no choice but to sign. In the current situation, he really could not be stubborn.
Ma Yanlin immediately started injecting the anesthetic.
Compared to the beginning, his skills were much better. After all, now that he had a satellite phone, he could also call and consult a real anesthetist. It was not like how it was in the beginning, where he only had to flip through books and learn with Ling Ran.
A few minutes later, Naldo lost consciousness.
Normal finger replantation surgeries could be performed with local anesthesia. However, Ling Ran preferred general anesthesia. On the other hand, it was already difficult enough for Ma Yanlin to learn intravenous anesthesia. It was impossible for him to learn local anesthesia on the spot.
"A patient with three severed fingers. Tsk tsk, it's like a celebratory gift …" When Ma Yanlin said this, he could not help but stop for a moment. He whispered to Serena, who was beside him, doubtfully, "Could this person be a gift from Miss Tian Qi to Doctor Ling?"
"Why would Miss Tian Qi give a person as a gift to others?" Serena smiled. In the next moment, as if she had just thought of something, she asked, "By the way, I remember that in China's traditional culture, there is a system of dowry girls?"
"I've never heard of a system for dowry girls." Ma Yanlin quickly shook his head. "You can call Doctor Ling to perform the surgery."
When Serena heard "Doctor Ling", she was indeed too lazy to talk to Ma Yanlin anymore. She immediately went to take the walkie-talkie.
Fifteen minutes later.
Ling Ran dressed neatly and came to the operating theater.
After the road between Cuba Town and Guozheng Charity Hospital was built, the first thing to bear the brunt was a large number of patients.
The general practitioners in Cuba Town were considered inferior among the general practitioners. Their ability to deal with diseases was even worse than that of Australian doctors. After all, Australian doctors could skillfully use Google, but the mother tongue of the general practitioners in Cuba Town was Portuguese.
The patients who were sick or injured in the past few days were either given anti-inflammatory, painkillers, and antipyretics, or the most basic debridement. Of course, on the bright side, this general practitioner was, after all, a doctor. Although his ability to deal with diseases was not good, he did not make any major mistakes. Take Naldo's toe for example. If he had not decisively cut it off and sutured it now, there would be more problems.
Moreover, the general practitioner's preservation of the severed toe was also commendable.
He first wrapped the severed toe with clean gauze, put it in a plastic bag, sealed it tightly, and placed it in the clinic's only small refrigerator to be stored at a constant low temperature. During the transportation process, the severed toe was also moved in an incubator to ensure its quality.
It could be said that such a severed toe had a high probability of survival even if it was stored for another twenty-four hours.
In fact, if they were lucky, some severed fingers could be stored like this for a week, and they could even be transplanted and survive. In terms of prognosis, it was naturally not comparable to a severed finger that was only stored for a day. It would probably be very difficult to get a good result. However, it was also very difficult to survive.
The best finger replantation still needed to be done within twenty-four hours. Naldo had already exceeded the time limit, but with excellent preservation conditions, he could still get a relatively good result.
It was just a relatively good result.
"Bone shrinkage is needed." Ling Ran held Naldo's severed toe and observed it for a moment under the 10x microscope. He then looked at the severed end of the foot, shook his head slightly, and said, "The fractured end must be completely rubbed to destroy the devitalized and contaminated tissues. Then, get some Andover gauze and 10-0 nylon thread to mark the blood vessels and nerves …"
Compared to when he was in the operating theater of Yun Hua Hospital, Ling Ran had more problems to consider.
It was equivalent to increasing the difficulty for nothing.
As an assistant, Ma Yanlin was also quite busy. In fact, the skills of the nurses in the operating theater were not enough.
However, imperfect surgeries still had to be carried out in the end.
At the end of the day, most surgeries were imperfect, just like in the world Ling Ran was familiar with.
"The severed end has been cleaned." Ma Yanlin was so busy that he was sweating. When the middle-aged woman who worked part-time next to him rudely wiped his sweat, he felt as if his skin was about to fall off.
"Loosen the tourniquet." Ling Ran gave the order, and when he noticed that there was active bleeding, he breathed a sigh of relief. "Fasten the tourniquet tightly. Wipe my sweat. "
Selena, who was next to him, only translated the part about the tourniquet. She then picked up the gauze and gently dipped it on Ling Ran's forehead. Her movements were gentle and careful.
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