Chapter 196 I Have an Idea
"Today's operation, our goal is to improve the functionality of the patient's severed finger as much as possible." Standing on the operating table, Ling Ran made an announcement before starting.
Su Jiafu had seen many doctors. Seeing Ling Ran's actions, he winked at Lu Wenbin and said, "Do you know what Doctor Ling said?"
Lu Wenbin asked, "What do you mean?"
"It means that you don't even have a share in debridement." Su Jiafu laughed twice: "Still arguing with me!"
"What nonsense are you talking about?" Lu Wenbin felt a little guilty when he heard it, and said to Ling Ran, "Doctor Ling, look at Su Jiafu, he belongs to disturbing the morale of the army."
Ling Ran nodded and said, "That's right."
"It's to disturb the morale of the army."
"yes."
Lu Wenbin was happy: "I just said, you can't clear the wound yourself."
"I'm going to complete the debridement by myself." Ling Ran paused for a while, and then said: "But Su Jiafu still belongs to disturbing the morale of the army."
Lu Wenbin was stunned: "What...what do you mean?"
"What Su Jiafu said is correct, but there's no need to say it." Ling Ran organized his words logically while clearing the wound on his own.
Lu Wenbin smirked again: "I didn't make a mistake."
"You don't need to make mistakes, I can also complete the debridement." Ling Ran talked about the logic first, then turned it over, and said: "Whether Su Jiafu is telling the truth or not, it is indeed disturbing the morale of the army. You pull the hook."
"Yes..." Lu Wenbin, who had degenerated into a hook man again, sighed helplessly, and glared at Su Jiafu.
Su Jiafu finished mixing the medicine, rubbed the round stool boredly, made a gesture of surrender with one hand, and said jokingly: "It's not my fault, I shouldn't point out the truth."
"Pull the hook well." Ling Ran reminded again, he needs Lu Wenbin to expose his vision now.
Lu Wenbin whimpered like a bullied dog, but he still had to pull the hook obediently.
Debridement will affect the final result, not necessarily a lot, but it will eventually.
so,
If he wanted to get a perfect result, Ling Ran was more willing to do the debridement himself.
Of course, there is actually no problem with Lu Wenbin's debridement surgery. It is even better than most surgeons. As far as the effect is concerned, the effect may not necessarily be worse than Ling Ran's. At least there is a few percent chance. He can be comparable to Ling Ran.
It is nothing more than a debridement, even under a microscope, the standard remains the same.
As far as this aspect is concerned, Ling Ran's debridement by himself is just pure mistrust.
Surgeons always trust themselves most.
This is a common problem.
There is no cure.
No matter how much Lu Wenbin whimpered, he had to obediently pull the hook.
He usually doesn't really care about this. After an operation, the surgeon can play whatever he wants, dig out shit if he wants to, wear a catheter if he says it...
At this moment, Lu Wenbin was just a little angry at Su Jiafu's bullying.
Yu Yuan, who was the second assistant, could see it. He stepped on a step stool, looked up at Lu Wenbin, who was 1.8 meters tall and had an arm circumference of 38, and said, "Doctor Lu, don't worry about the anesthesiologist. To make a better surgery, let's study hard, and we should be able to get better training than usual..."
"You used to be a study committee member, right?" Lu Wenbin said suddenly.
"How do you know?" Yu Yuan smiled: "I have been a study committee member since I was a child."
"Your school must be the key point. The conditions are very good." Lu Wenbin smiled again.
"How do you know?" Yu Yuan was so surprised that she realized the problem in an instant, and she didn't realize that there were veins popping up on her forehead, like Corgi who was about to lose his mind: "You found my information? How did you get my information?" of."
Lu Wenbin said: "Who cares about your information, I guess."
"Guess? How do you guess?"
"If the school wasn't good, mothers like you who have been beaten as a study committee member wouldn't even know you, so how could you be raised like a political commissar..." Lu Wenbin let out his words unscrupulously, and his mood didn't feel so bad anymore.
Yu Yuan was beaten and the step stool was only 1.48 meters. She made up her mind that when she writes a thesis next time, she won't even give it to Lu Wenbin as the second author!
Ling Ran completely ignored the content of the chats of the assistants beside the operating table. After the debridement was completed, he threw the surgical instruments aside and said, "Clean the blood vessels."
Fresh severed fingers often do not need to clean the blood vessels, but like Yuan Wei, after a long time of severed fingers, countless blood clots will coagulate in the blood vessels, which must be cleaned bit by bit, especially at this time. Be careful not to damage the blood vessels.
Theoretically, blood vessel cleaning is also a part of debridement. However, cleaning the inside is always more difficult than cleaning the outside. The so-called external itching is easy to stop, but internal itching is difficult to stop. If you don’t want to break the skin, the difficulty will be even higher.
Ling Ran straightened his posture and sat upright, ready to clean out the blood vessels.
The surgery under the microscope is too detailed, and most of the failures are not because the doctor's skills are not up to standard. Doctors who are not up to the standard will not continue to do microsurgery. In comparison, traditional orthopedics earns more and is easier.
As the most tiring category of surgeons, microsurgery operations often fail due to the fatigue and lack of energy of doctors.
Long-term surgery is like a long-term model assembly, tiring and easy to miss inadvertently.
At this time, it is necessary to ensure your own comfort.
Ling Ran judged his own state, and at the same time considered the follow-up operation.
Today's patient Yuan Wei's trauma is very simple, it is the most basic cutting injury, the steps are still those steps, there is basically no room for improvement, and this is the most difficult part... If you want to say it forcefully, it is better to use it It is possible to improve the degree of completion of medical consumables and equipment.
"Wang Jia, give me a call, give..." Ling Ran originally wanted to call Director Huo, but changed his mind immediately, and said, "Use my mobile phone to find the medical representative Huang Maoshi."
"Oh... yes." Wang Jia is an itinerant nurse today, so she hurried over to get Ling Ran's cell phone, opened it with a little excitement, dialed the number as Ling Ran requested, and held it 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 surgical madman who performed more than 50 level 4 surgeries in a single month, Ling Ran's status in the hearts of the medical representatives was second only to the leaders of the treatment groups.
At first, Huang Maoshi was deeply worried about how to maintain this relationship, but the moment he saw the phone number, Huang Maoshi threw away all his thoughts, and just wanted to tell the gossiping men and women in the office with the loudest response: Doctor Ling Did you call me.
"I want the best consumables and instruments for microsurgery, for replantation of amputated fingers, can you provide them?"
"Of course, the consumables for microsurgery that our Changxi Pharmaceutical Company is currently making are all selected from the best, and the ones you often use now..."
"Ignoring the medical insurance list and the price, what are the best consumables and equipment you can get? Can they be delivered to the hospital within an hour?" Ling Ran interrupted Huang Maoshi's bragging.
Just like most pharmaceutical companies, Chauncey Pharmaceuticals not only has its own products, but also acts as an agent for other products. The best-selling product is always in the medical insurance list, but not necessarily the best or most profitable.
Master Huang Mao became even happier when he heard Ling Ran's request. It's nothing to send him to the hospital within an hour. He has seen more bizarre doctor clients.
In just two seconds, Huang Maoshi responded in a louder voice: "Do you want to try it now? Then I recommend Medtronic's imported products from major manufacturers. There are many types, clear standards, and the price will not be too high." too expensive..."
Ling Ran said, "I'm undergoing surgery, can you deliver it within an hour?"
It is estimated that it will take him 20 to 30 minutes to do the blood vessel cleaning. If the speed is slightly slowed down, 30 to 40 minutes is also normal.
Master Huang Mao calmed down for two seconds, and said, "One hour...I will try my best..."
"It has to be sent to make sense."
"I understand, I will definitely deliver it, and I will go get the goods now." Huang Maoshi has already galloped away.
"still have a question."
"Tell me." Master Huang Mao gasped a little, as if he was climbing stairs or something.
Ling Ran continued to clean his blood vessels, tilted his head slightly, and said into the microphone, "I don't have any money."
"You... ouch..." Master Huang Mao gasped even faster, as if he had fallen down the stairs.
"If there is no problem, I will wait for you for an hour. If there is any problem, please let me know in advance." Ling Ran turned his head away from the microphone and nodded to Wang Jia.
Wang Jia immediately hung up the phone and gave Ling Ran a thumbs up in admiration.
Ling Ran smiled.
He regrets that he didn't think of changing equipment and consumables in advance, but it's normal to not think of it, because the core issue of imported consumables and equipment is price.
Yuan Wei's family conditions are obviously not good. As He Jinxiu said, they are already heavily in debt.
At this time, it is difficult for them to afford imported consumables and the like, even if it will have better results.
Not to mention, some imported goods cannot receive obvious effects.
But in terms of the effect of severed finger replantation, medical equipment and consumables from major foreign manufacturers always have advantages over domestic ones.
How to solve this problem, Ling Ran just came up with a solution: directly use the medicine company.
Pharmaceutical companies are at an absolute disadvantage in promoting drugs or medical devices, and their abundant capital pushes them to keep turning around.
Up to now, any new product developed by a pharmaceutical company will give more compromises to doctors.
It's pretty common to try something out.
On the contrary, Ling Ran made phone calls like this to try it out, and there were only a few of them.
When Huang Maoshi figured it out, he would naturally bring the goods.
For the next half an hour, Ling Ran's cell phone didn't ring again.
Then, a nurse delivered washed Medtronic instruments and consumables.
"Are things free?" Ling Ran asked purposely.
"Yes." The nurse replied and went back. All materials and expenses in the operating room are kept by the nurse. She is too busy to stay.
Ling Ran stretched out his head to look again, and saw microscopic forceps, micro scissors, microvascular clamps, microneedle holders, microvascular spreaders, etc. lined up in a row, all in triplicate...
Ling Ran nodded in satisfaction. The medical representative can still be useful at such a time.
:. :