Chapter 769: 769
Chapter 769: Defective Products
“Don’t move around . I’m not skilled . I’m telling you this in advance so if you get hemiplegia from moving around so much, don’t blame me,” Ma Yanlin mumbled at the operating bed .
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Ling Ran was more interested in the operation itself than anesthesia . As the only licensed doctor in Guozheng Charity Hospital, Ma Yanlin had to take over the work and became the chief surgeon’s anesthetist in the hospital .
Selena was also forced to be a temporary nurse for several days . At that moment, while she helped out, she asked, “Should I translate what you said to the patient?”
“Of course, why not?” Ma Yanlin was fitting in a needle while his body was turned to the side . He turned around like an evil doctor and said, “Explain the risks to him . We can have a talk if he really doesn’t want to do the surgery . ”
“If it were for me and I know you didn’t know how to give anesthesia, I would not want to receive surgery . ” Selena pouted .
“It’s up to him . If he doesn’t want to do it, all three of his toes will have to go,” Ma Yanlin shrugged as he said, “Let him sign the pre-operation consent form . The English version is over there . ”
Selena shrugged, turned around, and translated the conversation just now to Naldo .
Naldo looked down at his feet, and he was dumbfounded . “Aren’t there any anesthetists? Why don’t you have an anesthetist? I’m going to sue your hospital . ”
“The anesthetist left,” Selena said helplessly, “You can either sue the anesthetist, or you can wait for the passageway to be open to do the surgery . ”
“After the passageway is opened, I don’t need the surgery anymore, right?” Naldo laughed self-deprecatingly, and his expression changed . “How can you treat more than a hundred patients with such standards? And you claim that there weren’t any deaths?”
Selena translated the question .
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Ma Yanlin thought for a moment and said, “It’s either a doctor’s skill or luck . ”
Ma Yanlin did not flatter Ling Ran so much since Ling Ran was not around .
For Naldo, of course, he thought it was just luck . His expression changed again .
But he could not bring himself to tell that he did not want to do the surgery .
There were three toes, and one of them was even the hallux . If he lost them, forget about carrying around weight when he walked around in the future, he might even have trouble walking .
“I’m about to receive the anesthesia now . Tell me the truth, how many people have died in the hospital recently? Let me make a judgment myself . ” Naldo’s gaze was full of sincerity . He really wanted to know, and it was not only for the sake of his surgery, but also for information for his news .
“So far, not yet,” Ma Yanlin replied indifferently and said to Selena, who was translating to Naldo, “Ask him if he wants to sign the form . If he doesn’t want to sign it, I will go see other patients . ”
Naldo hesitated for a moment, he had to sign the form . In his current situation, he really could not act tough .
Ma Yanlin immediately began to inject the anesthetics .
Compared to his initial skills, he had become much better in this . After all, now that he had a satellite phone, he could also make a phone call to consult a real anesthetist, which was not similar to how he learned it through reading books with Ling Ran .
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After a few minutes, Naldo became unconscious .
A regional anesthesia was enough for a normal toe replantation . However, on the one hand, Ling Ran preferred general anesthesia . On the other hand, Ma Yanlin already had a hard time learning how to do a venous anesthesia . It was even harder to learn regional anesthesia on the spot .
“A patient with three severed toes… tsk… it’s basically like a celebratory gift…” Ma Yanlin said, and he inevitably paused for a moment, he whispered to Selena doubtfully, “This man is not a gift from Miss Tian Qi to Doctor Ling, right?”
“How can Miss Tian Qi give a person as a gift?” Selena smiled, and in a flash, she thought of something and asked, “By the way, I remember that in traditional Chinese culture, there is a dowry system for girls?”
“I have never heard of there being a system for dowry . ” Ma Yanlin shook his head . “You can call Doctor Ling to perform the surgery . ”
The moment Selena heard the words “Doctor Ling”, she could not be bothered to talk to Ma Yanlin anymore . She immediately went to get her walkie-talkie .
After fifteen minutes, Ling Ran was dressed neatly and walked into the operating theater .
After the construction of the passageway between Cuba Town and Guozheng Charity Hospital, the first thing they had to bear was the increase of a large number of patients .
The general practitioner in Cuba Town was inferior compared to other general practitioners . His ability to deal with diseases was not even comparable to Australian doctors . After all, Australian doctors could use Google proficiently, but the mother tongue of the general practitioner of Cuba Town was Portuguese .
The patients who had been ill or injured over the past few days received either anti-inflammatory pills, painkillers, antipyretics, or the most basic debridement . Of course, on the bright side, this general practitioner was a doctor, no matter what . Although his treatment level was poor, there was no big mistake done . For example, if Naldo’s toes were not resolutely amputated, then it would be more difficult to replant it now .
Moreover, the preservation of the severed toes by the general practitioner was quite remarkable .
He wrapped the severed toes with clean gauze, then packed it in a plastic bag and sealed it tightly, then placed it in the only small refrigerator in the clinic . He kept the refrigerator at a constant low temperature . In the process of transportation, the severed toes were placed in an incubator to ensure the condition of the toes was good .
It could be said that severed toes like these still had a great probability of being replanted even after another twenty-four hours .
In fact, if Naldo were lucky, the severed toes could be stored for a week and still could be replanted successfully . In terms of prognosis, naturally, it could not be compared with severed toes that had only been stored for a day . It was very difficult to get a good result . However, it was not an easy feat to make sure the severed toes survived .
The best toe replantation needed to be done within twenty-four hours . Naldo’s time had exceeded the ideal time, but with excellent preservation conditions, he could still get rather good results .
The key word being “rather” .
“He needs to have bone atrophy . ” Under the 10X microscope, Ling Ran observed Naldo’s severed toe for a moment, looked at the severed end of the foot, shook his head slightly, and said, “The tissue of the severed end should be completely removed from the lifeless and contaminated tissues . After that, hand me some of Andover’s gauze and 10-0 nylon thread, then mark the blood vessels and nerves…”
Ling Ran had more issues to consider over here compared to when he was at Yun Hua Hospital’s operating theater .
This meant that the difficulty of the surgery had increased dramatically .
Ma Yanlin, as an assistant, was also busy in the corner . In fact, the nurses’ skills in the operating theater were not up to standard .
However, the imperfect surgery still needed to be carried out in the end .
At the end of the day, most surgeries were imperfect anyway, and that was just the world Ling Ran was familiar with .
“Clean this severed end . ” Ma Yanlin was so busy that he broke out in sweat . When his sweat was wiped off roughly by a middle-aged part timer next to him, he felt as if his skin would fall off .
“Loosen the tourniquet,” Ling Ran commanded . When he noticed the active bleeding, he let out a sigh of relief . “Fasten the tourniquet . Wipe my sweat . ”
Selena only translated the parts concerning the tourniquet . She then picked up the gauze herself, then dabbed it gently and carefully against Ling Ran’s forehead .
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