Chapter 193: Modesty

Although a little embarrassed, Kong Xiangming went into battle and sewed up the skin.

After all, it is a skin flap of a finger, and there are rich capillaries and fat underneath, and the sutures are also exquisite. Kong Xiangming would rather put his face down now and sew it up in front of Wang Haiyang and Ling Ran, than seek help everywhere if something goes wrong in the future.

He actively invites well-known doctors from various hospitals to make flying knives, and it is not always possible to get a chance to suture the skin flap.

Ling Ran left the position of the chief surgeon and fell into deep thought while looking at the screen. After Kong Xiangming finished suturing and Wang Haiyang announced that the operation was over, he took off his gloves.

"Please, Director Wang, and Dr. Ling." Kong Xiangming shook hands with Wang Haiyang and Ling Ran respectively, and helped open the door of the operating room.

Everyone left one by one, leaving only the little doctor in charge of the bed to deal with the follow-up. This is also why Yiyuan County Hospital attaches great importance to this case. If it were changed to Yunyi Hospital, people would leave in a hurry.

"Director Wang, it's lunch time, so don't rush back, let's sit down and have a light meal in the cafeteria?" Kong Xiangming warmly invited.

In the normal flying knife mode, the flying knife doctor will leave as soon as he arrives. If one operation is completed and he stays there, he is waiting for the second operation.

However, the chief physician of the Cardiac Surgery Department can do three heart bypasses in one go, but the doctor in the Hand Surgery Department has no chance to replant three severed fingers in one go.

Wang Haiyang was not busy, so he looked at Ling Ran and smiled again: "Then have a meal in the cafeteria without drinking, and then we have to rush back."

"Okay, okay, I don't dare to drink if you want to, and I'm in trouble now." Kong Xiangming complained a little, and welcomed everyone into the cafeteria. He pleaded guilty and said, "I'll tell the family members that the patient should just wake up from anesthesia."

"It should." Wang Haiyang nodded with a smile.

Kong Xiangming hesitated for a moment, then smiled and asked: "We expect that there should be a good result."

"Ling Ran, what do you think?" Wang Haiyang gave up the most important suturing of blood vessels and nerves, so his judgment was not so accurate.

Ling Ran said: "The chance of reaching excellent will not be very high, the possibility of good is relatively high, and there is a certain probability of necrosis."

"Ah?" Kong Xiangming didn't expect Ling Ran to say that.

Wang Haiyang also looked at Ling Ran in surprise.

In his impression, the results of Ling Ran's severed finger replantation were excellent.

Thinking of this, Wang Haiyang specifically asked: "Ling Ran, are you not very comfortable with the equipment?"

"The equipment is pretty good, but the quality of the patient's blood vessels and nerves are relatively poor. Probably... Let's consider it based on the survival rate of the replantation of the amputated finger of a 70-year-old man." Ling Ran briefly explained.

From his point of view, the replantation of the amputated finger has been done very well. However, there is always a certain probability of surgical failure. Much taller.

Wang Haiyang's complexion was a little ugly. If he had known in advance that the opponent's blood vessels were in such a bad condition, he might not have thrown the knife.

The doctors who were going to eat and chat together lost interest in talking as the air pressure dropped.

Kong Xiangming was also a little disappointed, forced a smile, and said, "If that's the case, I'll tell the patient... Well, Dr. Ling, what do you think is the probability of being good?"

According to the scores of replanted severed fingers, "excellent" and "good" are relatively satisfactory. If the score of "fair" is just 50 points, the use of fingers will be greatly affected, and there will be more damage. Too many side effects are only a little better than the failure of amputated fingers, which cannot be regarded as functional.

In other words, the patient Feidao invited a famous doctor to perform the operation on himself, hoping to get a good replantation operation, not just satisfied with what is possible.

Ling Ran thought carefully for a few seconds, and said, "The possibility of being good is about 90%."

"What do you mean?" Kong Xiangming frowned: "Didn't you just say that the probability is not very high, and there is still a certain probability of necrosis?"

Ling Ran shook his head: "I'm saying that the probability of being excellent is not very high, and the probability of being good is relatively high. In addition, there is a certain probability of necrosis. It is not surprising that a 70-year-old blood vessel has any accident. Explain to the patient's family Don’t you have to be a little more humble when you’re here?”

Kong Xiangming looked at Ling Ran and thought suspiciously: You probably don't know how to write modestly.

"That's why." Kong Xiangming summed it up and said, "You think the probability of being good is 90%."

"yes."

"What is the probability of being excellent?"

"I can't give an accurate judgment right now, it's probably less than 50%." Ling Ran said helplessly: "At most, it's half the possibility."

"The probability of necrosis is less than 10%?" Kong Xiangming made a subtraction.

"For such a finger condition, if the answer is 'yes', complications may easily occur." Ling Ran paused, and said: "If it is serious, an amputation may be requested."

Kong Xiangming's cheek muscles twitched twice, and said, "Even so, you think the possibility of necrosis is 10%."

"Well, personal judgment." Ling Ran said it very easily, and then said: "I'm worried that you made unrealistic promises to the patient's family."

"Okay, I understand. Thank you, Dr. Ling, for your explanation." Kong Xiangming looked at Wang Haiyang with a stiff smile.

What could Wang Haiyang say? He could only spread his hands and said, "Our Dr. Ling's excellent and good rate in Yunyi is 95%."

The doctors present could do a random calculation and knew that Ling Ran had performed 100 surgeries, of which less than 300 fingers were performed, and only 15 fingers were "ok" or failed, which may also include various patients, such as Unavoidable diabetics, common high blood pressure patients, three-high patients or elderly patients similar to Boss Cha, maybe there are 25-year-old white-haired programmers, doctors who stayed up late for 6 months during the internship...

Kong Xiangming could easily draw an inference: when Ling Ran was faced with a 70-year-old blood vessel, he thought that the rate of good and bad was 90%.

Inexplicably, Kong Xiangming suddenly wanted to laugh. He wanted to laugh to himself, and then to Ling Ran, mockingly and gratifyingly.

"Director Wang, Doctor Ling." Kong Xiangming held the hands of the two of them and said with sincere eyes, "You must try the yellow throat in our cafeteria. Dry pot yellow throat is the specialty of our Yiyuan County."

Wang Haiyang didn't know why Kong Xiangming mentioned Huanghou again, but he was sure that he didn't want to continue chatting.

Seeing Kong Xiangming turning around and leaving with a smile, Wang Haiyang felt inexplicably natural, as if it was a matter of course.

Half an hour later, Kong Xiangming returned to the cafeteria.

When he came back again, he had readjusted his mood, and solemnly reported to Wang Haiyang and Ling Ran: "The patient's condition is quite good, the color of both fingers is quite good, and the edema is not very serious."

Wang Haiyang also breathed a sigh of relief, and said with a smile: "After all, he is in his 40s, not really 70."

"It's not much better." Ling Ran was deeply impressed by the blood vessels undergoing surgery today. Just as the chef started serving dishes, he pointed to the yellow throat in the middle and said, "If the aorta can be seen, the thickness may not be as thick as this Level, hardness should be there."

The bezoar throat is the aorta of cattle, so it is very appropriate to compare it with the yellow throat.

Kong Xiangming laughed loudly: "When Boss Zha wakes up, I'll tell him the story. Hey, he's also a problem caused by eating and drinking with him. How can a normal person act like him."

Everyone laughed, and a doctor under Kong Xiangming took the opportunity to be a little aggressive and said, "When Dr. Ling saw the MRI before, did he find any hardening of the patient's blood vessels?"

"Isn't it written in the medical records?" Ling Ran looked at him strangely.

The doctor was stunned for a few seconds before his face turned red.

"Doctor Ling taste a piece of yellow throat." Kong Xiangming stood up, took a piece of yellow throat for Ling Ran with his serving chopsticks, and said with a smile: "Doctor Ling, our yellow throat is obviously white. Do you know why it is called yellow throat?" ?"

Ling Ran shook his head.

"Because diphtheria is already a disease, hahahaha..." Kong Xiangming laughed loudly as he told the doctor's joke.

Ling Ran and Wang Haiyang stared blankly at Kong Xiangming, who didn't have time to laugh. His subordinates had heard it too many times and couldn't laugh, so the atmosphere froze again.

Kong Xiangming coughed twice, and the little doctors who were joking around laughed dully.

Wang Haiyang sighed secretly: the level is too bad, as long as he is in Yunyi, he will not be able to pass the internship period.

At this moment, Ling Ran laughed out loud.

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