"If you still want to transfer the patient to Ji City, wait another two hours, there's basically no chance of survival."

"That's the fact. It's not just a simple fracture."

"You've seen it yourself..."

"Director Xiang suggests stump embedding, which has a hundred percent success rate and can resolve everything with one surgery."

The boy isn't very old, probably around sixteen or seventeen, looking pale with bloodshot eyes, but he's not crying, just not crying.

"Thirty percent, isn't that too low?" The expression on the middle-aged woman's face was somewhat desperate.

Lin Qianlong nodded, "It's a bit low, but low is still a fact. You can't expect us to guarantee it's done well, it's impossible!"

"I can absolutely tell you now, there's no way to guarantee it's done well, and the chance of failure is even higher!"

"Hurry up and choose, either transfer or go for stump embedding. Don't waste any more time," urged Lin Qianlong.

"If you delay any longer, there might not even be a thirty percent chance."

The woman's phone rang at this moment. She answered it in a panic and relayed Lin Qianlong's words over.

A hurried and hoarse middle-aged man's voice came from the other end: "Why is it so low?"

"The doctors here say they can't do it," the woman replied.

"It's just that Xiao Dao is quite young; otherwise, they wouldn't want to gamble. The chance of failure is extremely high, and such a surgery can't basically be done in the county."

"Then just do it, what else can we do?"

"I should have known not to let Xiao Dao learn woodworking, just do it."

"Xiao Dao, Dad is sorry for you."

The young man called Xiao Dao then panicked, his voice breaking hoarsely: "Dad, am I going to be ruined?"

The patient seems to have visited the town health center, so the severed hand is relatively well-preserved, stored in an ice bag.

Lu Cheng approached, and the woman nodded, "His dad said to do the surgery, Director. But we'll have to pay a bit later."

"I came hastily and didn't bring a card."

Lin Qianlong said, "This isn't about money now, we're heading to the operating room immediately."

"Zhang Tiesheng, you're in charge of getting the signatures; bring the materials to the operating room later."

"Director Xiang, can you help with the consent and talking?" Lin Qianlong asked Xiang Kuihua.

Actually, the best person to talk is Lu Cheng, but if Lu Cheng doesn't enter the operating room, the surgery can't proceed.

Xiang Kuihua didn't hesitate: "Okay, Director Lin, you go first, I'll come over in a bit."

"You come with me. Your son's situation is extremely urgent. I'm not going to waste words and time; surgery is needed immediately."

"The risks have been clearly explained to you..." Xiang Kuihua and Zhang Tiesheng headed to the emergency department doctor's office together.

Lu Cheng and Lin Qianlong then personally took the patient to the emergency operating room.

After taking over the patient, Lin Qianlong immediately made several phone calls, first to the general duty officer, regarding the unpaid surgery situation.

Then he called the anesthesiology department...

By the time Lu Cheng and Lin Qianlong reached the operating room, the director of the anesthesiology department, Hou Jiagui, was already present.

The head nurse of the emergency operating room and two nurses and two nurse aides were already there.

This was the hospital's first independent re-implantation of a severed limb, and neither Lin Qianlong nor anyone in the operating room dared to be careless.

The patient was very smoothly anesthetized, opting for a rapid general anesthesia.

Time had to be saved; they wouldn't waste it on any nerve block anesthesia.

Lu Cheng and Lin Qianlong also quickly completed the disinfection draping process.

Zeng Huanqi was also called to the operating room!

After putting on the gown and gloves, Lu Cheng said, "Director Lin, because of the special timing of this patient's injury, we'll have to reverse the standard surgical procedure, first perform the arteriovenous anastomosis, then fix the fracture internally."

Lu Cheng finished speaking and quickly instructed the circulating nurse and surgical nurse: "Heparin, saline, prepare more."

"Prepare several more syringes with needles."

"Best to have cardiology on standby, as this severed limb patient requires attention to reperfusion injury, and there's a possibility of electrolyte imbalance during surgery," Lu Cheng told anesthesiologist Hou Jiagui.

"Okay, no problem, as long as you surgeons can handle it, this minor reperfusion issue should be manageable," Hou Jiagui was quite confident.

Previously, orthopedist Tong Yuan'an had performed quite a few severed limb and finger re-implantations, so he had some handling experience.

"Start with debridement!~" Lu Cheng picked up the scalpel and officially announced the start of the surgery.

The circulating nurse responded, "Time, eleven twenty-three forty-seven in the morning, surgery begins. Limb re-implantation."

No matter how much time is dragged on, thorough debridement is required before vascular suturing, otherwise, suturing first and then debriding would tear the sutured vessels, causing secondary injury.

Serrated injuries cause local blood vessels and nerves to be damaged, so local necrotic tissue must be removed. Of course, all of this was within Lu Cheng's expectations...

Long County, within the Tianyue District.

Peng Haibo received a call from the surgery room: "Director Peng, the emergency department operating room is performing a limb re-implantation. It's led by Director Lin of the emergency department."

Peng Haibo was watching TV, and his expression froze upon hearing this.

He was silent for a few seconds before saying, "Director Lin has such capability, he can handle it himself."

"But isn't limb re-implantation a surgery for your orthopedics department?" The duty nurse of the operating room felt slightly puzzled.

"Professor Tong has already gone back; embarking on such a surgery, is this in accordance with regulations?"

Peng Haibo's response was quite official: "Whether it's within regulations, Director Lin of the emergency department can decide for himself, after all, our orthopedics department can't perform this kind of surgery."

"Oh, okay, Director Peng, I was just reporting it to you." The duty nurse hung up the phone.

She only knew the head nurse personally went to the emergency department operating room, but since she was the duty nurse today, if the surgery had any accidents, she might be held accountable, so she asked for reassurance.

Peng Kun was also at home, originally watching TV, but he no longer had the mood.

Peng Kun glanced at Peng Haibo, "Lu Cheng? Really?"

Peng Haibo sighed, putting down his crossed leg. "Don't think too much, Lu Cheng has already made it clear he won't stay at our hospital for long."

"What you should think about now is how to break through the gap in hand surgery within orthopedics and solidly learn the skills."

Peng Haibo continued, glancing at Peng Kun, "Also, don't take to heart what Xiang Kuihua and the others say to you. These people are seasoned and won't open up to you."

Peng Kun felt deeply about this: "They don't even consider you."

Peng Haibo sighed lightly, "Whether they consider me doesn't matter, does it?"

"I've reached where I am in my career, and can't learn more even if I wanted to!~~"

"At least for now, I know a bit more than they do, and as long as I don't make mistakes, no matter what they think, they can only hold it in."

"But this situation won't last much longer."

"I reckon, by the time for the next director rotation. Forget it, let's not talk about this." Peng Haibo was also quite helpless.

He truly hadn't expected that after a clash with Xiang Kuihua, it would backfire on him.

Xiang Kuihua significantly improved after a study trip, and of course, Executive Luo and others began seeking opportunities outside, causing the dynamics within the department to shift once again.

Listening to these words, Peng Kun got up, "I'll go practice for a bit more..."

Ultimately, it's about not being strong enough. If Peng Haibo were strong, or if he, Peng Kun, had skills like Lu Cheng, the department's situation wouldn't be what it is now.

Even if Peng Kun's only backup is Peng Haibo, having enough ability means that the backing of Xiang Kuihua and others wouldn't be able to sway him.

Being inexperienced is the original sin!~~