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Chapter 178

"Lao Lu, Lao Lu, it's your turn." Ma Yanlin kicked Lu Wenbin and fell onto the bed next to him, losing his voice.

Of course, Lu Wenbin was also silent.

The doctor in the next bed had no choice but to get up. He first put his fingers on Ma Yanlin's neck, and after confirming that there was a pulse, he pushed Lu Wenbin: "Old Lu, Old Lu...Old Lu, get up...Old Lu, the pig's trotters are burnt.

."

"Impossible!" Lu Wenbin sat upright instantly.

The resident doctor who asked him to get up was frightened to death. He laughed and said, "If you didn't die suddenly, I should have died suddenly."

"You can sleep 6 hours a day, how could you die suddenly?" Lu Wenbin laughed at himself.

The doctor in the next bed nodded in agreement and said, "I heard that residents in the United States only sleep for 4 hours. We have to learn from them."

With that said, he went back to bed, wrapped himself in a quilt, stretched out, and continued playing on his phone.

Lu Wenbin kicked Ma Yanlin with an angry look on his face, put on his slippers, washed his face twice, and then ran to the operating area with his toothbrush and toothbrush.

When he arrived at the surgery area, Lu Wenbin took a shower, brushed his teeth and washed his face, then came out and changed into hand washing clothes, looking like a human and a dog.

The emergency department, which has its own operating room, is more comfortable for doctors than the major surgery floor, and for patients, there are relatively fewer resistant bacteria that are likely to appear in the operating room. Super bacteria and other things can be

They are all easily encountered in hospitals.

"Dr. Ling, I'm here." Lu Wenbin stepped open the door of the operating room and yawned again.

"Yes." Ling Ran had just finished the operation and concentrated on the wound without turning around to look.

Yu Yuan, who was in high spirits, was familiar with the process and immediately introduced: "The patient is 67 years old. After falling, he supported his right hand, causing three finger fractures and half-disconnection of the index finger..."

"So miserable." Lu Wenbin clicked his tongue twice and said, "I've seen people break their fingers after jumping off buildings. Last time, there was a man who broke his fingers while skydiving. There are also people who broke their fingers while playing outdoors. They also broke their fingers on the ground at home.

It's unlucky enough, if you ask me..."

"Doctor Lu." Su Jiafu, who was sitting on the round stool, coughed twice and said: The patient is semi-anesthetic today.

"I'm going to go!" Lu Wenbin was startled: "Why is it half anesthesia? Aren't we always fully anesthetized?"

"Isn't half anesthesia bad?" The patient suddenly spoke, which frightened Lu Wenbin even more.

During this period, he followed Ling Ran every day to perform Tang surgery and replantation of severed fingers, all using a laryngeal mask under general anesthesia. The patient suddenly spoke, and it was as scary as if the anatomy teacher suddenly sat up and started criticizing his knife skills in medical school.

The most terrifying dream came over me in panic.

"Be careful not to move. Relax your whole body. The most fearful thing about being half numb is moving. If you move, all your previous efforts will be wasted." Su Jiafu couldn't help but remind the patient.

Yu Yuan, whose round glasses trembled as she laughed beside her, said: "The patient refused general anesthesia and strongly requested semi-anaesthesia surgery. Dr. Ling agreed."

Lu Wenbin couldn't help but curl his lips. He was used to surgery under general anesthesia, and he really didn't want to undergo surgery under partial anesthesia.

Although Ling Ran was always silent in the operating room, he was not afraid of saying the wrong thing after all.

"Give me the tweezers." Lu Wenbin sat upright and put his eyes on the microscope.

"Why did you change the patient?" The patient's attention increased sharply.

Yu Yuan smiled and said, "Dr. Lu's skills are better than mine."

"Oh, but..."

"Change the tweezers." Lu Wenbin threw the original tweezers on the tray, interrupted the patient's inquiry, and started another topic: "Lao Su, why did your paper disappear? How is it?"

"Isn't this still accumulating cases?" Su Jiafu played with the stool a little guilty, his eyes red.

"Where's Yu Yuan? I heard that you are also writing a paper. Have you finished it?"

"A case report? I wrote it out and gave it to "reports" online." Yu Yuan answered easily. She was somewhat aware that Lu Wenbin didn't want her to chat with the patient.

Although she entered the hospital earlier than Lu Wenbin, Yu Yuan still followed Lu Wenbin's experience.

Lu Wenbin was a little surprised and asked: "Is your case report published in English?"

"certainly."

"What is the impact factor?"

"About 0.3," Yu Yuan said.

Before Lu Wenbin could breathe a sigh of relief, Su Jiafu said: "Most journals that publish case reports do not have impact factors. A case report of a few hundred words can get an impact factor of 0.3, which is very cost-effective."

Yu Yuan smiled: "They have higher requirements for pictures."

"Um...what kind of sequelae will I have after I'm half anesthetized?" The patient looked up at them.

Su Jiafu felt a little embarrassed and said, "Didn't I tell you about the sequelae?"

The patient said: "I don't remember clearly."

"Anesthetic drugs are metabolized very quickly, so you don't have to worry too much. Full and half anesthesia are metabolized very quickly." Lu Wenbin did not let Su Jiafu read the table of sequelae, but said it in a chatting tone.

"Just metabolized?"

"Well, it won't affect you in a few weeks."

"A lot of them say it affects memory and so on..."

Lu Wenbin said angrily: "As people get older, their memory will decline. That is not the effect of anesthetics."

"I'm only sixty-seven!" the patient emphasized.

Lu Wenbin was stunned for two seconds, then gave up decisively, and said in a more soothing tone, "Let's not talk about this side effect. Now that your finger is broken, you have to fix it. It won't work without anesthesia."

"Yeah, it's unlucky for people. Even if they drink cold water, their teeth will get stuck." The 67-year-old man sighed heavily: "I don't know how long I have to lie in bed now, and how long it will take to get better."

Lu Wenbin had no choice but to chat with him and act as an assistant at the same time. He felt that his forehead was swollen.

Ling Ran was always concentrating on sewing.

When he performed surgery, it felt like playing a game. Once he started, he didn't care what was going on around him.

The 67-year-old patient is on the older side. Compared with young people, he not only has problems with recovery ability, but also inevitably has osteoporosis, muscle weakness, blood and blood vessel problems, etc.

This is reflected in the replantation of severed fingers. Osteoporosis makes it difficult to perform internal fixation, brittle blood vessels make it difficult to suture, and high blood viscosity affects blood supply...

Ling Ran had to carefully avoid every pit in order to perfectly complete the replantation of the severed finger.

For doctors, success means they have completed a difficult surgical game, and failure means they made mistakes from beginning to end.

"Okay, the index finger is finished, Lu Wenbin." Ling Ran asked Lu Wenbin to sew the skin while he continued to deal with the fractures of the remaining two fingers.

Although he did not obtain a special fracture skill book, the bone processing technology involved in replanting severed fingers was more than enough to deal with the phalanges. Ling Ran had encountered it several times before, and he quickly had to bandage it.

After the patient was pushed out of the ward, Lu Wenbin first grabbed Su Jiafu's round stool and sat down, then obediently pointed his neck in the direction of Ling Ran. He waited for Ling Ran's hand to put on his neck and let out a long breath.

"Dr. Ling, weren't you a patient who didn't do semi-anaesthesia before? Why did you do this today?" Lu Wenbin asked while inhaling.

"There is no more suitable patient." Ling Ran answered clearly.

"Didn't Director Huo contact many hospitals? They didn't send them today?" Lu Wenbin was a little surprised. In the past few days, the emergency department has been sending an excessive number of patients with severed finger replantation every day, so that there is no end to the surgery.

Sent to hand surgery.

Ling Ran could only shake his head: "I did it too fast in the first half of the night and used up all the rest. Considering that the patient is older and really wants half anesthesia, I did it for him."

This answer made Lu Wenbin dumbfounded. He immediately realized something and asked: "How many fingers did you do in the middle of the night?"

"Five roots."

"No wonder Ma Yanlin seems to be a donkey." Lu Wenbin sympathized for a while.

Su Jiafu looked at Lu Wenbin and laughed.

"What are you laughing at?" Lu Wenbin screamed inwardly.

Su Jiafu looked at Lu Wenbin pitifully and said, "Doctor Ling has already asked Director Huo to raise the stakes."

"Add..." Lu Wenbin felt that his hands and feet were going numb, and said in disbelief: "It's already midnight, shouldn't it be easier?"

"It won't be quiet until midnight." Ling Ran answered very reasonably.

One after another.

Bed after bed.

Lu Wenbin became numb, so he switched to Ma Yanlin, and he went to do the ward rounds and fill in the medical records when he woke up. Ma Yanlin stopped thinking, so he switched to Lu Wenbin, and went to fill in the medical records and make the ward rounds himself. Yu Yuan has been the second assistant for a long time, and also works as the first assistant.

After following the Tang method, doing ward rounds and medical records for a long time, I soon became tired and forgot about the low-level mistakes.

Ling Ran knocked down four more bottles of energy potions one after another, and took two forced breaks. Inadvertently, he pushed the mission to 50/50, and immediately heard the mission prompt:

Mission accomplished: Fifty cases of severed finger replantation.
Chapter completed!
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