524 Ectopic Implantation (1/2)

”Okay then. Take out your Kirschner needle and let me have a look.” Ling Ran checked the Kirschner needle in Huang Maoshi's box. He nodded and asked, ”Is it free?”

”Yes. We have a portion of needles from the manufacturers to promote…” Huang Maoshi quickly briefed Ling Ran of the situation.

Ling Ran selected some of the commonly used types and nodded to Nurse Liu before he said, ”Please clean and disinfect them. We'll be using them as a backup later.”

”Okay.” Nurse Liu waved her hand in a familiar motion and left with Huang Maoshi.

The medical staff in the hospital had long since become familiar with the existence of pharmaceutical sales representatives. Pharmaceutical sales representatives would also move about in the operating theaters.

This was especially so when doctors needed to use medical consumables that the hospital seldom used. The hospital or doctors would then order through phone calls, and they would be sent by pharmaceutical sales representatives.

Hospitals that were below tertiary Grade A hospitals found pharmaceutical sales representatives with suitcases like portable medical consumables. The hospitals themselves could not build medical consumable storehouses or had small medical consumables storehouses, hence, this was how they got their supplies. Usually, the pharmaceutical sales representatives were notified a couple of days earlier, and the pharmaceutical sales representatives would send the medical consumables the next day. The nurses would then clean them and send them to the operating tables.

However, the cheap Kirschner needles were only around 100 RMB, and the expensive ones were about 800 to 1,000 RMB. Usually, they were only available in a hospital's medical consumables storehouses.

Pharmaceutical sales representatives were also too lazy to deliver them.

Of course, just like how there were actually doctors who did not mind performing drapings, there were always exceptions.

Pharmaceutical sales representatives were now trying to get close to Ling Ran. Forget Kirschner needles, they would even bring pinheads to the operating theaters just so they could get see Ling Ran's face. Huang Maoshi was also very content to endure this hardship.

When it was around the time for surgery, the patient was pushed in.

Su Jiafu first stood up to do various check-ups before he administered anesthesia.

Lu Wenbin, Yu Yuan, and the others busied themselves with the draping.

Ling Ran leaned over to examine and assess the patient's wound.

Suturing four severed fingers were already difficult, and worse still, these fingers were severed because of the explosion from firecrackers. It was considered as a complex injury among hand-related injuries. Suturing them was also very difficult.

The most difficult part was that the small patient's fingers now had defects in his skin and arteries.

As Ling Ran was examining and pondering about it, he took the X-ray scan that has just been taken a while ago.

After examining it for a while, Ling Ran shook his head and said, ”Give Chief Physician Wang Haiyang a call. You can't treat these fingers, the blood vessels are too thin. Hmm... we might need to give up on the index finger.”

In medical terms, the index finger was the second finger, and this time, it was the finger that suffered from the most severe injuries from the firecrackers. Not only had the bone shattered, the skin in the middle and the tendons were also largely torn and burnt. While they performed debridement later, they might need to remove those parts.

Lu Wenbin and Ma Yanlin were disappointed. The two of them had followed Ling Ran for the longest time and performed the most finger replantations. If two chief surgeons were required for this surgery today, both of them would have the opportunity to be chief surgeons.

However, the blood vessels of the fingers had always been thin, and they were even more so when they were on children. The wounds by the firecrackers were so complicated that neither Lu Wenbin nor Ma Yanlin had the confidence to handle it.

”Call the interns over as well.” Ling Ran gave them another instruction before he returned to look back at the scan.

A huge difference between a chief surgeon and the assistants was that the chief surgeon determined the flow of the surgery.

In every successful surgery, the chief surgeon must be familiar with everything before he or she started the surgery. He must have every step properly thought out, and those who were better will even think about how to handle every accident conceivable.

Of course, when the same procedure had been performed multiple times, thought about how they wanted to handle accidents many times, and also had many experiences in handling accidents, they could cut down many of the preoperative steps. However, looking at medical imaging scans was something that could not be dismissed.

”There's no MRI scan?” Ling Ran asked the people at the operating table.

Yu Yuan said, ”They're cleaning the MRI scanner now…”

None of the departments could escape from having their facilities receiving a deep clean with the explosion of the MRSA infection.

Ling Ran said in resignation, ”Alright then, we can basically tell what his condition is through the X-ray scan. How long will it take for Chief Physician Wang Haiyang to arrive?”

”Three minutes.”

”Then, we'll wait for a while. Have the forms been signed?”

”Both have been signed. The child's parents are divorced. The mother is not in Yun Hua City. His father and aunt signed it.” Yu Yuan briefly explained, but she did so meticulously.

Ling Ran nodded and continued to look at the patient's wounds.

Lu Wenbin opened the draping to look at the patient's face. He said, ”This brat is only about eight or nine years old.”

”Seven or eight years old? There's a reason why even dogs don't like a child at this age,” Zuo Cidian said, ”When we were in the town hospital, the injuries suffered by these brats are the most amazing ones when we performed the emergency treatment. I have encountered those who got hospitalized by eating diarrhea and tasting feces…”

”Why would anyone taste feces?” Yu Yuan was in disbelief.

”Guess what the brat said? He said his family always says dogs' feces are stinky, so he wanted to give it a try just to know whether it's true.”