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By Village Of Ambitious Birds
Chapter 155 I can quit smoking (seeking a monthly pass)
Eighty percent of the new used Jetta, at 3 o'clock in the morning, screamed, will be sent from Xiagou clinic to Yunhua Hospital.
Lingran's concentrated control of the car, like a racing driver, on the road with a speed limit of 35 kilometers, the dial speed is infinitely close to 35 kilometers per hour.
I rushed to the hospital, just after three o'clock.
Ling Ran finally breathed a sigh of relief. Yesterday, Meng Xue and others were sent away. He wrote a paper again, so that he could only sleep at 10 o'clock. It was almost three o'clock, and he barely climbed up. If it wasn't in the early morning, the car was flying all the way. I am going to be late.
As usual, I washed a transparent in the operating area, and changed a new underwear, Ling Ran finally felt the state of recovery.
Since he got the surgery, the most expensive item he bought was underwear. Moreover, as the operation time is getting longer and longer, the fineness of the operation is getting higher and higher, the most important thing is that the income is getting higher and higher, and the underwear bought by Lingran is getting more and more expensive - this is very economical, when one A doctor is standing in the operating room for ten to twelve hours a day. When he is not naked for 6 hours, buying clothes other than underwear is completely wasteful.
The air in the operating area is clean, the temperature is constant, and there is a charming "no" smell.
Ling Ran is wearing a hand-washing suit and wearing a new slippery, soft and close-fitting new panties.
Then enter the lounge, Lu Wenbin just took out a pot of hot meat.
The brown meat is hidden in the brownish brown, and it trembles slightly with the bumps of the aluminum basin.
The six doctors who work night shifts, plus a horse unicorn, Qi Qi issued a burst of cheers, everyone with a hand-handed bowl, one hand to operate WeChat to Lv Wenbin to play money, the action is neat and skilled, as if it has been done thousands of times .
"It’s good to have a night's work, and it's good to have a night's sleep at the end." Zheng Pei, a senior resident doctor, sighed with emotion and accurately pulled out a pig's tail and inserted it directly with chopsticks. Then, I put it in my own bowl.
Lu Wenbin put an extra rice, pickles and salad vegetables in a sitting position, laughing: "Today, eat rice, what kind of meat does Dr. Ling want?"
"Five pork cuts for me, put rice directly." Ling Ran under normal circumstances, do more than six hours of surgery in the morning, only to eat a second meal, breakfast appetite is excellent.
Lu Wenbin seems to have guessed the choice of Ling Ran. The evil charm smiled and said: "I have better."
As he said, he took out a steaming pot from the small kitchen and opened it. He saw a slice of pork with a cut into pieces, and steamed hot.
"Mei Cai buckle meat?" Zheng Pei mouth licking the pig's tail, the words are said to be unfavorable.
"Strip meat." Lv Wenbin smiled smugly two times, said: "Shaanxi famous dishes, the focus is tender, taste, fat but not greasy. I have secrets."
"What secret?" Several doctors looked at the meat of Lu Wenbin's hand, and one matched one.
Lu Wenbin’s mysterious saying: “Put sweet potato. Oil absorption”
"Oh……"
The people gave a perfunctory feeling of emotion.Lu Wenbin screamed twice, first placed the plate in front of Ling Ran, took the two largest and best sliver meats, hotly placed him on the bowl, and put it back on the table.
A group of hungry doctors on duty, like vultures, held their own intestines in one hand and swept away the sliver of meat in one hand.
"Cut the meat."
"Go with you."
Several resident doctors satiated their feet, returned to the treatment room with their waists, and prepared for a playful debridement.
In the emergency department of the hospital of this size, there is no shortage of patients with debridement and suture, and it is basically a compulsory course for young doctors.
Ling Ran took the PAD in the lounge and watched the nuclear magnetic resonance film of the first operation today while drinking tea.
He does not enter the operating room when he is full. The satiety affects the judgment of thinking, and the judgment at the beginning of the operation will affect the whole surgical procedure.
Without a reminder, Lu Wenbin shouted another ruler, let him help to clean up the pots and pans, and took him to the operating room to confirm the various preoperative procedures.
After a while, Lu Wenbin returned to the lounge, briefly introduced the situation of the two patients, and then slightly embarrassed: "The patient has a history of smoking for 15 years."
“Is smoking at the age of 16?”
"Yes. I asked my family and said that I need at least two packs of cigarettes a day." Lu Wenbin paused and said: "I think it may be more than that."
“Does the patient have an intention to quit smoking?” Ling Ran asked. If you can't quit smoking, it is not necessary to replant the finger. If you have a cigarette after surgery, the finger will be black and necrotic.
The most important thing for replantation of the broken finger is blood supply. The blood supply is supported by tiny blood vessels, and the small blood vessels are most likely to produce blood clots. To this end, when the finger is replanted in the early stage of replantation, it is necessary to continuously cut the skin to use heparin to resist blood coagulation. Nicotine is a reverse action. The dose in cigarettes is still too large. The blood vessels caused by it will easily cause blood clots. At that time, whether it is amputation or a little bit of necrosis, it will cause secondary damage. It is a waste of time and money, and patients are more likely to suffer from sin than to amputate.
Lu Wenbin grinned and said: "Tell them not to quit smoking, they can only amputate, it must be quit smoking, but people are so good that they forget the pain, 15 years of smoking history, where is so good to quit."
Ma Qilin was transferred from the hand surgery, but said: "I have heard of patients, clean and neat to say that they must smoke."
Lu Wenbin was amazed: "What is the result?"
Ma Qilin glanced at him and said: "The result is definitely the patient's willingness to be the most. People want to smoke. You force the limb to replant, and then cut it off. Doesn't that mean defrauding medical expenses? Director and patient, patient's family After repeated confirmation, I am amputated."
"That's simple." Lv Wenbin smiled and said: "It takes three or four hours to replant a broken limb. The recovery time is half a year. A cigarette will be destroyed and a decision will be made in advance.""Yeah, if the patient can make a decision, we can easily." Ma Qilin nodded in agreement. Microsurgery is the hardest part of surgery, with extraordinary surgery and stress. After a long period of surgery, doctors naturally hope that labor has income, not only personal income, but also hope to gain a sense of identity and achievement.
Looking at the patient can not stand the temptation, holding the luck to ignite the cigarette, for the doctor, it can be described as devastating.
"Dr. Ling, what should I do?" Lu Wenbin looked at Ling Ran.
The patient can decide whether to replant or amputate, and the doctor can make a decision.
Many foreign doctors now refuse to re-plant the smokers, and other bad habits such as alcoholism will also be rejected. Today, there are similar statements in the country. The provincial Qi Zhenhai and the president of the Army General’s General Court have argued for this.
Ling Ran is silent.
To be honest, he really has no such experience.
"Dr. Ling, do you want to see the patient's family?" Lu Wenbin asked.
For this measurable decision, many doctors like to talk to the patient or the patient's family before deciding. Huo Congjun is one of them. He is a big old military doctor, but he is quite a person.
Ling Ran just thought for a few seconds, he shook his head without hesitation: "No need to meet again, the patient's family decided to do the finger replantation?"
"Yes."
"Is the informed consent bookmark?"
"Signed."
"You check another instrument and then ask your family's opinion. If they still decide to re-plant the finger, we will do it." Ling Ran's answer is somewhat unexpected to Lu Wenbin and Ma Qilin.
Lu Wenbin had to remind Ling Ran: "The patient said that he wants to quit smoking, but it is difficult to quit smoking, especially for the old smokers of more than ten years. It is not easy to quit smoking."
"We can only support his current decision." Ling Ran paused to see Lu Wenbin and Ma Qilin, said: "What do you think?"
The two thought about it and couldn’t say anything against it.
The patient may quit smoking or not, and no one can guess the final result.
In a democratic European and American country, doctors may be able to make decisions that are made and not done. As long as they are written with standardized medical advice, there will be no problems. Domestic doctors don't necessarily care about their own hours of labor.
Lu Wenbin originally thought that Ling Ran was a doctor who cares about time and efficiency, but found that he did not hesitate when he made the decision.
Lu Wenbin secretly groaned and went to the patient's family to confirm it again.
Ten minutes later, Ling Ran, Lu Wenbin and Ma Qilin went into battle to deal with the pollutants and necrotic tissue of the surgical section and trimmed the damaged parts.
(End of this chapter)
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