Chapter 0008 Brother, Can You Do It?
It was Zhang Lin's turn to work the night shift.
"In the evening, we work the night shift, come early, and be full! There are many emergency rooms at night. Uncle Zhang Lin commanded.
Yes! You said it was early, you are an uncle now, and there is no way to mess with you.
Shift at half past five in the afternoon.
Yang Ping came over at four o'clock and ate a bowl of Lanzhou ramen, with beef and fried eggs, which was enough to be full. I also brought a bucket of instant noodles to come over for backup.
"Dr. Zhang, you're bringing a new intern." The nurse on duty greeted her, and the guy was lying on the marble platform of the nurse's station, flirting with the nurse.
Yang Ping looks a little young, has worked for several years, and is always considered to have just graduated.
"Which is an intern, a new doctor, the director asked me to take him for a while and teach him." Zhang Lin said proudly, his voice raised a few degrees.
"Doctor Zhang, it's so powerful, take the doctor to pull." Nurse compliment.
"Treat! On duty today! ”
"Hey Tea? How many cups? ”
"There were four of us, two on duty and two trainee nurses." The nurse said with a smile.
It's an old rule, when you're on duty, the doctor on duty asks the nurses to have something to drink, and they don't sneeze the patient, and they all rattle the bell to wake you up.
"Hey! That, Dr. Yang - Doctor Yang! Come here! Zhang Lin beckoned.
Yang Ping walked over, thinking that he was going to introduce the nurse sister to him, but this guy said: "Five cups of happy tea, can you drink it yourself?" Those six cups. ”
I don't drink it, but I watch you drink it. Yang Ping scolded a few words. Well, a treat is a treat, and it's not a stingy person.
Yang Ping hurriedly took out his mobile phone to order takeout, and when he saw it, the cheapest Hey Tea was more than ten yuan a cup, and he thought it was a few yuan a cup, it was okay, it was all small money, and he was not a person who was short of this money.
Zhang Lin saw that he was so refreshing, and he usually abused him, and he didn't complain, but suddenly he was a little embarrassed, and said, "It's okay to take a break, the medical records, make up for it slowly." ”
This is the most normal sentence Yang Ping has ever heard him say, a few days ago, as if he owed him millions, the face he spoke with was like a pig's liver.
These resident doctors are really hard, stressful, and don't get much money, and they go around the ward almost 24 hours a day, so they are like crazy people, which is understandable, so they don't say anything.
"Tonight must be Christmas Eve!" A trainee nurse drank hey tea and smiled.
"Pipipi, crow's beak!" Zhang Lin was so anxious that he stomped his feet and pretended to spit on the ground.
There is a rule among doctors that you can't talk a lot, for example: none of the surgeries I did were infected; I'm definitely not going to take a patient on duty today; The patients in my care don't get into disputes.
Legend has it that so it goes. No? Then I'll show you one right away.
"How did the teacher bring it, and the basic rules were not taught?" Zhang Lin squinted his eyes and glared at the senior nurse.
The senior nurse immediately said, "Okay, okay, I'll give you a few severed finger replantation today, it's all right?" ”
Finger amputation replantation surgery is hard and time-consuming, and some doctors are a little afraid that when they receive such a patient on duty, they will get this in one night.
A few people took advantage of the free time to chat for a few days.
The phone at the nurse's station rang, everyone look at me, I look at you. It won't be so godly, the senior nurse grabbed the phone: "Hello, I'm an orthopedic department, urgent consultation, what kind of patient, broken finger?" ”
No way! Zhang Lin's eyes were about to breathe fire.
The nurse gently put down the phone, spread her hands, and shrugged: "No way, did you hear me?" Emergency Department, Consultation, Severed Finger! ”
"Is there such a thing as fun?" Zhang Lin suppressed the anger that was about to roar, got up, and gently patted the little nurse on the shoulder: "Brother obeyed you." ”
Then he said to Yang Ping: "You guard the ward, I'll go down and take a look, wait for my news, maybe the broken bones will be opened, and the broken fingers will be said." ”
Zhang Lin cut his hair and got into the emergency elevator.
Ten minutes later, Zhang Lin's call came.
"Really severed fingers, right thumbs, cut off by a cutter, broken into two sections, ready for emergency surgery."
The little nurse was almost crying.
The innocent eyes seemed to say--
"It's not my fault!"
Hung up the phone, and there was another photo on WeChat, the thumb was cut into two sections, which was miserable, and the two free sections were spread on the white gauze one by one, which was particularly dazzling.
Corey's severed finger replantation, there are three people who can do it, Director Han, Director Tian, and Song Zimo, the others are only a little basic at most, Director Han and Song Zimo have all gone to the meeting, and only Director Tian is left.
"I just called Director Tian, and he said to arrange surgery first, and he was rushing over." Zhang Lin said, "You go directly to the operating room, draw blood, electrocardiogram, preoperative examination and emergency have been done, I am talking and signing, and I will go to the operating room immediately." ”
This kind of emergency surgery can generally go through the green channel, and there is no need to be hospitalized first and then operated. In order to save time, I made preoperative preparations in the emergency department, completed the interview and signed it, and then sent directly to the operating room for surgery, and then admitted to the ward after the operation.
Yang Ping instructed the nurse to call the preparatory class to come and see the ward, and then go to the ward to check on a few seriously ill and critically ill people to make sure that there was no danger. Take the emergency elevator directly to the operating room, change slippers, change hand clothes, and wear masks and hats.
The operating room was brightly lit, caesarean section, general surgery for appendicitis, thoracic surgery for hemopneumothorax, neurosurgery in craniotomy - wow, frog-like cry, this is the obstetrics and gynecology cesarean section out of the child.
The automatic door opened, the patient had not yet come, Yang Ping was waiting in the operating room, and the itinerant nurse was already preparing things.
After about ten minutes, the nurse pushed the patient in, and Zhang Lin also changed his clothes and came in.
The Xiaoice box where the severed finger was kept rested on an instrument cart, and Yang Ping opened it to see that the fracture was not even even.
"Director Tian, haven't you come yet?" The itinerant nurse was a little anxious and asked Zhang Lin, her voice a little unfriendly.
Zhang Lin felt that the nurse was talking to him like this, and he had no face and no anger and said: 'Rinse first!' ’
Senior doctors are not on the first-line shift, but only on the second-line shift. There is an emergency operation, and the doctor below first disinfects the sheet, and then slowly does the foreshadowing work. This is the regular process.
Yang Ping helped raise his hand, Zhang Lin put on gloves, and began to rinse the wound on his hand and the severed finger that was separated from his body. Normal saline, hydrogen peroxide, normal saline, and type 3 of al-iodine were rinsed twice in this order.
"You raise your hand, hold it up! I went to wash my hands. Zhang Lin commanded Yang Ping.
The instrument nurse has washed and dressed his hands, the sterile instrument table has been paved, the instruments are placed on the table one by one, a pair of dexterous hands keep fiddling, and soon, the instruments are divided into several areas, and the commonly used ones are placed in the most convenient place.
He washed his hands, disinfected his hands, laid out the sheets with the instrument nurse, disinfected his hands again, and put on a surgical gown. Asked Yang Ping to wash his hands and help on stage.
The two of them were ready for everything, put on their surgical gowns and sat face to face, but Director Tian had not yet come.
Debridement, we debride first.
Zhang Lin's expression was a little unnatural, and the confidence he pretended to be at the beginning was discounted.
Rinse - debride - rinse again!
A little bit of K-wire, electric drill!
The sound of a rustling miniature electric drill, the bones of both broken ends are fixed with crossed K-wires.
The microscope was pushed, adjusted, eyes to the eyepiece, began to adjust, focal length, interpupillary distance, and after adjustment, finally saw the field of view clearly.
Fix the patient's hand so that it does not move around and affect the operation. The preparations are all done, and all that remains is the crucial step, finding the blood vessels and anastomosing them.
Zhang Lin can only operate under the microscope and kiss the blood vessels, no. So then, I didn't dare to continue. This is no joke, the three-legged cat's microscope work, even if it is barely connected, it can't get blood.
Zhang Lin picked up microscopic tweezers and scissors, trying to find blood vessels, and his hands trembled a little.
"Brother, are you okay?" Yang Ping asked softly.
I originally wanted to show myself in front of Yang Ping, but I didn't know that my hand didn't listen to the call, so I immediately put down the microscopic tweezers and scissors, and said, "Wait for Director Tian." ”
"It's been more than an hour, why haven't you been there!" The itinerant nurse whispered in Zhang Lin's ear that other surgeries can wait, but this finger replantation is a race against time, and it can't wait.
"Urge!" Zhang Lin also lowered his voice.
The anesthesia is a brachial plexus block, not a general anesthetic, only one arm is numbed, and the patient cannot be heard talking on the phone, so as not to worry about the urgency.
The itinerant nurse ran out to make a phone call again, and after a few minutes, she came in dejected, shook her head, and whispered: "Traffic jam, traffic jam in the city, even if the traffic is opened immediately, it will take an hour." ”
Today he was preparing for class, how did he go to the city, Zhang Lin secretly complained.
"What then? What about Director Han and Song Zimo? The itinerant nurse asked.
"We're all out for a meeting, and we'll be back in two days."
"Wait, just wait on stage! He's going to have to come over, right? ”
"Anesthesiologist, put the patient to sleep." Zhang Lin commanded.
"Ding Dong, task: Solve the siege for the team, complete the case of replanting a broken finger, and reward 1600 points."
The subtitle appears in the upper right corner of Yang Ping's field of vision, and disappears after a moment.
It should now be the end of the Starter Period, there are no Starter Packs, and the bonus points have begun.
Through several tasks, Yang Ping felt a little systematic temperament. Real-life events can trigger system tasks, and completing tasks can obtain rewards, such as points, and then the points can be exchanged for some surgical training in the system to improve skill points.
That's probably the case, Yang Ping thought, after all, he had just obtained the system, and he was not very familiar with it, so he would have to explore more in the future and make the best use of it.
Zhang Lin was chatting softly with the nurse, and Yang Ping said, "Wait a little longer, I'm afraid of delaying the condition, I'll do it?"
"Have you ever had a finger replantation?"
Yang Ping said lightly: I have done it!
"Is it much?"
"Not much, a few hundred!"
Depend on! Hundreds, I didn't look at hundreds of units, you made hundreds of units, not much?
"You try!" It doesn't hurt to give it a try, Zhang Lin agreed.
Under the microscope, a blood vessel has been trimmed with the adventitia and is anastomosed, and the operation is very skillful.