medical simulator

Chapter 155 What Are You Doing? (seeking subscription)

"Director Cai, calm down, calm down, Dr. Du definitely doesn't mean that. The main thing is that although glucose is sweet, it's really unpalatable."

"You must not be polite." Yang Min quickly persuaded.

First of all, a bottle of sugar water is not worth much, even if it is worth money, it is still not Cai Dongfan's turn to pay for it.

It was only after Yang Min stepped down from the stage that he found out that Zhou Chengcai had completed Tan Yuanwu's operation, and he didn't have to stop halfway, so he was called here by Tan Yuanwu, and he didn't have time to rest and drink his saliva.

Zhou Cheng and Cai Dongfan came to consult and operate, and they were guests from afar, and now they want to drink glucose to replenish their strength, which was also made by Tan Yuanwu.

However, Xing Zhou, the orthopedic department, seemed to know the truth of some things, so he stepped forward and said with a bit of embarrassment: "Director Cai, this, the fact that Tan Yuanwu was transferred to the Second Affiliated Hospital of Shonan University may not have been his original intention."

"Yuan Wu's wife and mother's family have come forward, and it's inappropriate not to go when the favor is gone, there is no other meaning."

Xing Zhou knew that Cai Dongfan's strange words at the moment were definitely not only because of Dr. Du from the anesthesiology department's words about glucose, but mainly because of Tan Yuanwu.

Let's not mention the mess here, let Cai Dongfan bring Zhou Chenglai to save Tan Yun's limb, which is not Cai Dongfan's original wish.

It was also heard that after Zhou Cheng performed an excellent replantation of severed limbs for Tan Yuanwu, Zhou Cheng took the initiative to suggest that Tan Yuanwu go to the No. [-] Hospital for postoperative rehabilitation.

Now it's good in a blink of an eye, Tan Yuanwu was directly transferred to the Second Affiliated Hospital of Shonan University. No matter how you say it, it's a bit like crossing the river and tearing down the bridge.

Cai Dongfan glanced at Xing Zhou and said, "Doctor Xing, you don't need to explain too much."

"The Second Affiliated Hospital of Shonan University is more advanced than our No. [-] Hospital, and the technology is better. We can still admit it, and we won't slap our faces to look fat."

"It is his blessing and the best choice for Yuan Wu to be able to go there."

"He can get better treatment and recovery there."

Xing Zhou heard that Cai Dongfan was obviously angry, but he also knew that it was not good to go deeper, so he just changed the subject and said: "Director Cai, Director Mi and Director Chen asked Director Cai if it would be convenient for him to stay in the town for a light meal. Or is it convenient to go back to the star area to eat?"

There is a way to treat guests. If you make people hungry, it will make people laugh.

Cai Dongfan said: "Stop eating, after Xiao Zhou comes out later, Xiao Zhou and I will drive back."

Xing Zhou's expression changed a little when he heard the words, and he said bravely, "Then I'll reply to Director Mi and Director Chen, and go back to the Star District to eat."

The star area is the county seat of Sha County.

Luzhen is a town under the jurisdiction of Shaxian County. It is not far away, and it only takes half an hour to drive.

"No need, let's arrange meals ourselves."

"Don't bother Director Mi and Director Chen. Xiao Zhou and I may go back to the department to eat. We made an appointment with the brother on duty before we came. Although I am the director, it is not easy to break the contract." Cai Dongfan did not let Xing Zhou go too far Difficulty, just found a step and excuse for him to step down.

Cai Dongfan's attitude was firm, so Xing Zhou couldn't interrupt.

Tan Yuanwu is the one who is familiar with Cai Dongfan, and the only two directors who can communicate with Cai Dongfan on an equal footing are Mi Huan and Chen Kelong.

Therefore, Xing Zhou can only repay Cai Dongfan's decision to Mi Huan and Chen Kelong.

It's just that Mi Huan and Chen Kelong went back to the department after Tan Yuanwu's operation, and when they heard that Cai Dongfan was a little angry, and went down to the operating room, Cai Dongfan had already brought Zhou Cheng to change clothes, and came out of the underground garage. drove away.

Well, when I left, my stomach was empty and I hadn't eaten any rice. Cai Dongfan even paid 15 yuan for parking.

-

"Director Mi, do you still need to call Director Cai?" Chen Kelong asked Mi Huan with a tangled expression.

Mi Huan sighed, and said: "We have no contact with Director Cai on weekdays, and Tan Yuanwu is doing this now, so what's the use of you calling again? Director Cai has almost understood that Tan Yuanwu's friendship is over. "

"You're still calling, isn't that embarrassing Director Cai?"

"Put yourself in the shoes, if I were Director Cai, I wouldn't feel good either."

Chen Kelong also sighed slightly and nodded.

The reasoning is also the same. Cai Dongfan came here just to see Tan Yuanwu's face, but he gave Tan Yuanwu face, but Tan Yuanwu didn't take Cai Dongfan seriously.

Then Mi Huan lit a cigarette, greeted Chen Kelong and said, "Let's tell the brothers in the department, let's have dinner together later, although Director Cai is gone, we are tired all day and need to rest..."

Cai Dongfan was driving, Zhou Chengcheng was sitting in the passenger seat, looking at Cai Dongfan with a stern expression.

Zhou Cheng then suggested: "Mr. Cai, why don't we change seats, you rest for a while, and let me drive?"

Zhou Cheng got his driver's license during the summer vacation of the year he graduated from high school, but he never drove it. However, the road from Luzhen along Huangxing Avenue to Huixing District is wide and winding, so it is no problem to drive back.

Cai Dongfan glanced at Zhou Cheng, his expression immediately turned sullen, and said, "You've been tired all afternoon, did you just have hypoglycemia? How dare I let you take it?"

Hypoglycemia can directly pass out, this is a private car and not a coach car, Zhou Cheng fainted suddenly, Cai Dongfan had nowhere to find the brakes.

Zhou Cheng didn't try to be brave anymore, and nodded with a smile: "Just now I felt a little dizzy, the operation cost too much."

"I'll treat you to something delicious later, not to drink." Cai Dongfan's tone gradually softened.

The anger in his heart gradually calmed down, and he felt that there was really no need to get angry with Tan Yuanwu.Tan Yuanwu's doing this will save him a debt of favor in the future.

It's just that the friendship between adults is mostly maintained by various debts of favor, so you can barely say that you have a few friends.

When the favor dissipates, you gradually become a stranger, and your friends gradually become less and less.

Over the years, Cai Dongfan has had many wine and meat friends, but not many people who really have friendship.

However, Cai Dongfan, who had settled down, began to look at Zhou Cheng again, and then asked calmly, "When did you learn how to replant your severed finger?"

Cai Dongfan felt more and more that he couldn't understand Zhou Cheng. He used to think that he had seen Zhou Cheng thoroughly, but now that he thought about it, it seemed that what he said before was just a joke.

It's not that Zhou Cheng doesn't know how to do it, it's just that he doesn't have authorization.

In the medical field, before getting a high professional title, unauthorized surgery is courting death, and it is frantically wandering on the verge of death!

Zhou Cheng replied with a silly smile: "I watched some videos on the Internet. When I was learning second-level surgery, I watched traumatic tendon suture, and later verified that vascular anastomosis and nerve anastomosis are also second-level surgery, so I watched them all." a bit."

"Before this..."

Cai Dongfan didn't let Zhou Cheng finish his sentence, and once again felt the divine beast in Luo Yun's and others' hearts - grass mud horse!

According to your division, all grade IV surgeries are grade II surgeries.

Then he rolled his eyes and said, "Forget it, don't talk, let me be quiet for a while."

Cai Dongfan's mind was even more messy, even more messy than when Tan Yuanwu was transferred to another hospital——

Limb replantation, in essence, is nothing more than broken bone fixation + tendon suture + vascular anastomosis + nerve anastomosis + debridement and suture.

Is there something wrong?

There is nothing wrong with it, but do you think the health committee is a fool, combining a bunch of level II operations into a level III operation?
Regardless of Zhou Cheng's replantation of amputated limbs, the degree of completion and the effect of postoperative rehabilitation, as long as he can complete it, it will be awesome.

That's replanting a severed finger!

At present, in each prefecture-level city, there are not many directors who can independently perform replantation of severed limbs.

If you talk to Tan Yuanwu and make friends, you will get angry and feel uncomfortable.

But talking to Zhou Cheng, he might have been pissed off by Versailles that day.

……

On the 120 transfer vehicle of Shaxian First Hospital, Tan Yuanwu frowned, and asked his colleague to dial his wife's number, and asked, "Wife, are you still in Shaxian First Hospital?"

"How is Qin Yun's injury? Is the operation over?"

But on the other side of the phone, there was silence for a while, and then he said with a particularly indifferent tone: "Tan Yuanwu, as I said, not taking the initiative to pursue Tan Yuanwen's criminal responsibility is already the biggest concession I can make. If you really want to make a deal with If I get divorced, you can continue to force me to associate with them."

"Let's not say anything else. After you are discharged from the hospital, we will go to the Civil Affairs Bureau and divorce the marriage. Each of the two children is fair."

Tan Yuanwu looked tired at the moment, but still bit the bullet and explained: "Honey, haven't I explained everything to you? My elder brother used to."

What my wife yelled was Tan Yuanwen's name, not eldest brother, which meant that she was really full of hatred for Tan Yuanwen.It will definitely be broken in the future.

"Don't say anything to me. I married you, Tan Yuanwu, not your entire family. It is only natural to report the kindness of your parents."

"But the relationship between brother and sister-in-law depends on how they behave. How he favors you has nothing to do with me. I don't know either."

"But what I saw with my own eyes is that he, Tan Yuanwen, ruined my husband's life. If you still recognize him as your eldest brother in the future, that's your own business. Don't drag me in."

"I'll tell you one last time. If you want to get along with Tan Yuanwen's family in the future, that's your own business. He's your brother, so I can't stop him. But don't tell me anything about their family."

"If he kills you again, don't cry out in front of me."

"Not only Tan Yuanwen, Tan Min, Qin Yun, but also your sister-in-law, whoever dies has nothing to do with me. As long as it's not caused by me, I don't care if they live or die?"

"Don't ask me. If you keep asking, I'm going to die of answering. Don't blame me for not showing affection!?" On the other end of the phone, Tan Yuanwu's wife had a firm attitude.

The words also became more and more ugly, but there were not many dirty words, at most they were dead, not so friendly.

Some colleagues in the 120 ambulance frowned when they heard this, but they didn't think that Tan Yuanwu's wife was that kind of aggressive person, but thought she was quite reasonable.

In her vision, Tan Yuanwen chopped off Tan Yuanwu's hand today, that is the guy who cut off his meal.Once a surgeon's hand is not as good as it was before, it is like smashing someone's job.

If she didn't tell Tan Yuanwu to cut off contact with Tan Yuanwen, she was considered a reasonable person.

It is also reasonable to refuse to answer anything about Tan Yuanwen's family.

Tan Yuanwu sighed, knowing that the estrangement between his wife and his elder brother's family has opened up from today, and it may not be closed in this lifetime.

However, Tan Yuanwu still felt that it was quite out of context for his wife to curse the two juniors, Tan Yun and Tan Min.

"Honey, what does this matter have to do with the younger generation?" Tan Yuanwu still wanted to persuade him.

"That's his father's business. You let them ask why they have such an old man. This is the relationship they can't get rid of. There is no reason to say it."

"Tan Yuanwu, if you still want to live a good life, you should take good care of your wounds. Even if you transfer to internal medicine in the future, you will still be alive. Let's live a good life as a family."

"You only think about other people's children. Have you ever thought about your own children? Can you prepare your son for his future life? Can you prepare a generous dowry for your eldest daughter?"

"Do you know how much it scares them today? Is there any possibility of leaving some psychological trauma in their hearts?"

"I'll also tell you that from today onwards, it doesn't matter how you and Tan Yuanwen get along, don't bring your children. All right." Tan Yuanwu's wife continued to warn.

"Then?" Tan Yuanwu wanted to speak again.

The other side interrupted forcefully again: "You are his brother, and he doesn't even blink when he hurts. What are my son and daughter to him?"

……

After Tan Yuanwu hung up the phone, he smiled wryly.

In the future, I'm afraid that the relationship between my wife and my brother will be completely broken, and the two families will have less communication.

And if even his own son and daughter stopped visiting Tan Yuanwen's family, then the relationship with the younger generation would be broken at this point.

They were originally two brothers who came from the same family, but the relationship was cut off when they were cousins.This is something he never thought about.

However, what surprised Qin Yuanwu was that when his 120 ambulance arrived at the emergency department of the Second Affiliated Hospital of Shonan University, it was his uncle who was waiting for him.

After the other party saw him, he didn't say much, but took the initiative to help with the emergency transfer procedures.

I went to the emergency department to register first, and then asked for a consultation.And because he had already said hello before, he called quickly, and the other person responded that he would rush to the hospital as soon as possible.

In the corridor of the emergency department, the doctor on duty in the emergency surgery clinic saw that Tan Yuanwu's hand was no longer blood-stained, and it seemed that he had undergone an operation, so he did not deal with it urgently.

"Brother, Zhuo Lin?" Tan Yuanwu turned to ask his uncle.

Zhuo Zhiyang said to Tan Yuanwu: "You should cultivate yourself first. My sister is just a woman, and girls are such dim sum lovers that they don't care about so much. Don't blame her. She is just really worried about you, that's why she said so much talk."

As Tan Yuanwu's eldest uncle, he naturally wanted to talk about his sister, not Tan Yuanwu's faults.

Bringing in Tan Yuanwu's perspective, Zhuo Zhiyang didn't think there was anything wrong with what Tan Yuanwu did.

Parents, brothers and sisters in the family, sometimes there are really no reasons. Do you want Tan Yuanwu to look at Tan Yun on the operating table and not care about anything?
Let me just ask, if Tan Yuanwu's children were injured, he would not be able to sit on the sidelines.

Even if Zhuo Lin accidentally hurt him, he probably wouldn't take his anger out on his nephew and niece.

Zhuo Zhiyang's words made Tan Yuanwu feel a little guilty: "Brother, I think what Zhuo Lin said is actually reasonable. Is she very angry now?"

"I'm sure I'm angry when I'm angry, but I'm mainly worried about you. Otherwise, I wouldn't have called me after hearing that you were injured. You are the same. You don't know how to tell me about such a big thing."

"But the timing is really unfortunate. It's too late. I've only contacted Dr. Wei, not Professor Deng. But, it's not much different if I contacted Dr. Wei and Professor Deng."

"If Dr. Wei is unsure, he will ask Professor Deng to come to the department as soon as possible."

After finishing speaking, Zhuo Zhiyang was afraid that Tan Yuanwu would not understand the importance of Professor Ding, so he continued to add: "Professor Deng of Attachment [-] and Professor Chen of Attachment [-] are the best in the field of hand surgery or microsurgery in Hunan Province. "

Trauma surgery also has sub-specialties such as thin branches, flap transplantation, hand surgery, bone defects, complex fractures...

Qin Yuanwu naturally knew Professor Deng's reputation, nodded and said: "Thank you, brother, I have caused you trouble."

Zhuo Zhiyang is not a doctor, but he is also related to the medical industry. He is currently a civil servant in an office in the Department of Health.

Zhuo Lin is a nurse at the Sha County No. [-] Hospital. She graduated from a junior college. It was only through family connections that she got her staff. She originally planned to enter the city, but Zhuo Lin was working as a springboard at Sha County No. [-] Hospital.

When I met Tan Yuanwu, the springboard became an abyss.

"This is what should be done, it's nothing. You should have told me earlier, it's all a family."

"Now that you have encountered something, you must find the best solution as soon as possible. Although I am not a practitioner in the medical industry, I have been familiar with it for so many years, and I know about replantation of amputated limbs. Although there are many people who can do it, but Different people do it, and the degree of recovery is different."

"Professor Chen from the Affiliated Hospital of Shonan University, there is really no time there today. Of course, Professor Deng's level is also very good." Zhuo Zhiyang said.

"The better your function recovers in the future, the more you can support this family."

"Your big brother, alas, I don't know what to say." After explaining the matter clearly, Zhuo Zhiyang still raised Tan Yuanwu a little bit.

Although they are brothers, there are differences between brothers. Sometimes a biological brother may not be more useful to you than a friend, it just looks close.

Even if Tan Yuanwen didn't intend to hurt you intentionally, but he acted so recklessly, this time he cut you off, then maybe you will survive next time.

While the two were talking, a person hurriedly came to the emergency room from outside the emergency department. He was wearing casual clothes instead of work clothes, so he should have come from home.

After coming to the emergency department, he just asked the emergency department staff where the patients with severed palms and fingers were.

And then in front of Tan Yuanwu, it was Dr. Wei.

When he came to Tan Yuanwu and Zhuo Zhiyang, Dr. Wei just introduced his name as Wei Hong, and then ignored Zhuo Zhiyang's polite greetings.

Ask Tan Yuanwu directly about the situation.

He must have been approached too many times, and when he agreed, he was only responsible for doing things, and he didn't particularly care about the face-to-face exchanges.

Zhuo Zhiyang was inconvenient to disturb, and because Tan Yuanwu himself is a practitioner of orthopedics, he went through the whole process in detail and concisely.

Wei Hong frowned tightly: "Doctor Qin, you have already dealt with your severed finger and severed palm. There is really no need to transfer to us. It has been more than four hours since you were injured."

"It doesn't make much sense if you turn around at this time." Wei Hong explained the difficulty.

As a practitioner, Qin Yuanwu naturally knew what Wei Hong meant at this moment: "Professor Wei, don't worry, I'm here just to pursue better treatment and minimize sequelae."

"Under the circumstances at that time, if left unattended, there might be too much bleeding. Although we quickly performed a replantation of a severed finger and a severed limb, it was completed in three hours, mainly to complete the bleeding. Recanalization and fixation of broken bones."

"Professor Wei, you also know that in replantation of amputated limbs, in addition to smooth blood supply to ensure activity, the stitching of tendons and nerves is the most beneficial to the recovery of postoperative function."

"So I came here, in fact, for better functional recovery after surgery." Tan Yuanwu said clearly.

He hadn't seen the details of the operation, so he probably wouldn't have understood it too much after seeing it. He just heard from Mi Huan and Chen Kelong that the operation was well done.

But Tan Yuanwu knew that Mi Huan and Chen Kelong didn't have much understanding and insight into the replantation of amputated limbs.

So the so-called doing well is nothing at all, they are all from their own family, and they know the level of their own family very well.

Now that he has been transferred to the Second Affiliated Hospital of Shonan University, Tan Yuanwu is not afraid of having another operation.

Just to avoid minimal sequelae.

It's all here, Cai Dongfan must have offended him, so naturally he has to go in the best direction.

At most, don't tell Cai Dongfan.

Wei Hong asked: "Doctor Tan, what's the name of the doctor who operated on you?"

Wei Hong didn't dare to be careless. The replantation of the amputated finger has been completed now. If Professor Chen or Deng and the professor from the Provincial People's Hospital went to the countryside to do the operation, then Wei Hong would not dare to pull Tan Yuanwu into the operating room again. surgery again.

"It was done by Director Cai Dongfan of the No. [-] Hospital and Dr. Zhou Cheng who lived under him." As a practitioner, Tan Yuanwu naturally told the truth and would not leave any pitfalls for Wei Hong.

Shashi Eighth Hospital?A tertiary hospital with a Chinese medicine brand?
There were no characters. As for who Cai Dongfan was, it was beyond Wei Hong's cognition circle.

Wei Hong then asked: "Dr. Qin, do you have the whole process in your operation records? I want the real whole process."

"Yes, my colleague has already finished writing it, and it's in my medical record. I didn't tell you before that it's not good to be an axe." Tan Yuanwu hurriedly asked his uncle Zhuo Zhiyang to hand it to Wei Hong.

When Wei Hong looked at the operation records, he couldn't see anything.Surgical records do not pay attention to the process, but only pay attention to what has been done and how to do it, which is a written description.

However, when Wei Hong saw the last part of the operation record, injecting sodium hyaluronate injection into the flexor tendon of the finger, his expression flickered immediately.

I thought to myself, the co-authors of these two elder brothers simply don’t understand at all. They have read some literature, but they are only limited to the literature. It is controversial that sodium hyaluronate can benefit postoperative functional recovery.

However, Wei Hong and his research group agreed that this is grandstanding.

So after pondering for a while, he said, "Director Tan, is there any video recording of your operation?"

Tan Yuanwu shook his head and said embarrassedly: "Professor Wei, we are a small unit and don't have teaching video equipment. Besides, Director Cai is also an expert we invited, so it's not easy to video."

Wei Hong nodded, but he was disdainful in his heart. If the experts in the eighth hospital could be called experts, then it would be a mess.

However, there is no need to step on or flatter people.

He just said: "Doctor Qin, the situation is like this. The blood circulation of your fingers is smooth. It is estimated that there will be no problem when they grow up."

"However, we don't know the specific suture of the tendon. Even if I perform surgery, it will not improve the survival rate of the severed finger. On the contrary, it will increase the probability of necrosis and non-survival to a certain extent."

"You are a practitioner yourself, you should know that."

"If you are going to be admitted to our hospital and require surgery, strictly speaking, it is not replantation of severed limbs, tendon and nerve revision. Do you agree with this?"

"This is a one-stage revision surgery. Strictly speaking, it is not a therapeutic operation, but a cosmetic operation." Wei Hong said to Tan Yuanwu very solemnly.

If the surgery is performed for non-therapeutic purposes, it must be informed and agreed by the patient himself, and repeated notification is required.

Wei Hong didn't make it clear, and directly pulled the stage up. If his colleagues reported it, it would be miserable.Can't tell.

"Well, I know." Tan Yuanwu naturally knew too.

Wei Hong went on to say: "Okay then, you also have the results of the blood draw here. Let's do another electrocardiogram and draw a blood coagulation to ensure the safety of the operation. You should understand the cost."

"It's all right, Professor Wei, from what you said, I am a doctor myself, I am conscious now, and my uncle is here to testify for me."

"I am conscious and know the pros and cons of the matter, so I demand an operation!"

……

Although Wei Hong sent Tan Yuanwu to the operating room, he still felt uneasy.

One is that he seldom takes the initiative to take over such cases. The outer courtyard has done replantation of severed limbs, and his second-stage renovations are usually the second-stage renovations.However, in the second phase of renovation, there will not be many functions that can be restored.

Therefore, before the operation started, Wei Hong still called his superior doctor.

After explaining the situation, Wei Hong asked: "Professor Deng, Director Cai Dongfan of the No. [-] Hospital, do you know something about it? Is it appropriate for us to repair the replantation of the amputated limb?"

Deng Liangen, is Professor Deng's name, he frowned when he heard this: "Cai Dongfan?"

"I do recognize Cai Dongfan, but when will he have a limb replanted, why don't I know?"

"Did Cai Dongfan personally perform the replantation of this patient's amputated limb?" Deng Lianggen asked puzzled.

Wei Hong said, "That's what the patient said."

"Okay, then you guys start to do it first, and I will come to the operating room in person later. Then try to be cautious and say as little as possible." Deng Liangen said.

Hearing this, Wei Hong breathed a sigh of relief.

Rest assured, since Professor Deng Liangen knew Cai Dongfan, and was so surprised that Cai Dongfan would do replantation of amputated limbs, then he would feel at ease.

In this way, after Tan Yuanwu was put down by the anesthesiologist, the subordinate doctor disinfected the patient's lower limbs and spread the drape.

Wei Hong said: "Let's leave the more serious left hand untouched, and you can deal with the right hand with me first."

Several graduate students and professional doctors nodded one after another, and then surrounded them.

After getting dressed, Wei Hong sat down at the chief surgeon's position in person, then looked at the sutured skin after replantation of the amputated palm, looked at the level of the suture, and said in a little surprise: "See for yourself, you can suture to such a level. Is it?"

"Don't underestimate the attending and deputy directors or directors of lower-level hospitals. Although their education is not as good as yours, their surgical skills can hang you up and beat you."

"Such skilled skin sutures are called high-quality sutures. Look at the skins you usually suture, what are they called?"

"Also, don't you usually say that the suture spacing of the replantation of the severed palm is difficult to control? Take a look at others?"

After Wei Hong finished his lecture, he felt that it was a pity to pick up the outer suture, and then said: "Oh, such a good suture, that's all."

After finishing speaking, he turned his head and glanced at the anesthesiologist: "Mr. Anesthesiologist, is the patient under general anesthesia?"

"Well, this is an emergency department. Where is there a nerve block for him? He's under general anesthesia." The anesthesiologist on duty said indifferently.

Emergency surgery is all about safety.

After confirming that it was impossible for Tan Yuanwu to hear it, Wei Hong continued, "Let me tell you, the more basic the operation is, the higher the level is in fact in lower-level hospitals."

"It's like you guys. I'm asking you to get an internal fixation now. You probably don't know how to do it, and you haven't even seen a few of them. Why, because you haven't touched it before."

"Needless to say debridement and suture, our hospital does not encounter a few in a year. Such patients are all sent away by our general hospital."

"The first is that the total number of patients who have been hospitalized is not large. The second is that the surgeries they focus on are no longer simple debridement and sutures. Even the surgeries you have encountered since the beginning are at least complex fractures. Operation."

"That is to say, when you came to study with us, the lowest-level surgery you came into contact with was level III or even level IV surgery, and occasionally there was a little bit of level II surgery."

"However, don't forget that all surgeries, fundamentals and basic skills must be practiced well."

Wei Hong then sighed: "The decline of simple surgery is a trend, and even in the future, the level III and level IV surgery will be down."

"Replantation of amputated limbs is a Class III operation. It has already sunk to prefecture-level hospitals."

"Today, I just want you to take a look at what the hospital below is doing for replantation of severed limbs. We can also observe and learn together."

Then, after Wei Hong opened the skin layer to the subcutaneous layer, he saw the tendon layer.

After seeing the tendon layer, Wei Hong's voice was slightly taken aback: "Improved Kessler method of tendon suture."

A graduate student next to Wei Hong was stunned, and asked Wei Hong: "Mr. Wei, are lower-level hospitals already in such a state? Any prefecture-level city has already started to use the most cutting-edge tendon suture technology." ?”

Wei Hongdao: "Then what do you think? You have only read a few documents and seen some operations, and you think it's great? Now the documents are all public, you can read them, and others can read them too."

"Let me also tell you that the doctor who performed this operation has read a lot of literature, and even used sodium hyaluronate."

"However, the improved Kessler method is worth learning, but it is too early to catch the literature heat of sodium hyaluronate. Moreover, the suture port does not have enough tension. If there is no retraction like this, the tensile strength between the muscles is not enough. powerful."

"Just a little bit." Wei Hongzheng commented on the flaws in the suture process, and he demonstrated how to separate the muscles on both sides with tweezers.

But did not move.

Like the legs of a girl with yellow flowers, she refuses to separate.

Several graduate students and doctors looked at Wei Hong.

???

a little what?
Wei Hong rotated the tendon a little, and then re-selected a point of focus, using tweezers to separate the ends of the tendon, preferably to be able to stretch the sutures!

It's just that, after dividing it again, it still didn't move.

The corners of Wei Hong's eyes opened slightly, like the eyes of a tiger!
Hey!
It's not scientific.

A sodium hyaluronate player, why is the seam so tight?
Wei Hong said: "This doctor's suturing skills are not bad, but he made a common-sense mistake, thinking that the tighter the tendons are sutured, the better."

"You know, if the tendon is sutured too tightly, it will lose its own mobility, that is, the finger extension work of the finger extensor tendon itself."

Originally, in order to check the extensor tendons, the muscles need to be in a relaxed state, so the hand is in the functional position, that is, the fist state.This will facilitate checking the function of the extensor tendons.

However, when Wei Hong stretched the extensor tendon he pointed out to the 'students', he saw that the tendon he just stimulated immediately straightened his middle finger——

————————//)
——————/—-/
—————- / —- /
————//'——'/`·_
———-/'/——/—-/——-/¨\
———('(———-~/'——')
———\—————'——/
———-'\'———_-·
————\————(
—————\————
Then Wei Hong discovered that the eyes of those students were like this.

).

It doesn't seem to be what you said, Mr. Wei.

Then look at the hand, the rest of the fingers are still in functional positions, and the middle finger is raised up.

╭∩╮.

Wei Hong is feeling a little irritable at this moment, why does this thing seem to be a little unreasonable, can't explain it.

Under normal circumstances, tendon sutures should not be like this. At least the tendon sutures he saw would have some protrusions or bumps.

After all, the convex and concave are the 'cool point' of the tight fit and connection.

Can?
Then Wei Hong tried a few more times, and it seemed to be the same.

It seems that the tendon is poisonous, and it is against Wei Hong.

Finally, seeing that Wei Hong tried several times, he still pretended to fail again and again.

A graduate student couldn't help but picked up the thread scissors, and said sensiblely: "Mr. Wei, why don't we go straight to the operation. It's getting late."

"There's no need to look for something that's not right. We don't think it's quite right when we look at the stitching. At most, we can wait for Teacher Deng to come and ask Director Deng to explain it."

Wei Hong felt that what he said made sense. It was indeed getting late. It was estimated that the operation would end after midnight, so he nodded.

Never seen a tendon stitch like this before.

The graduate student snapped a piece of thread, but after the thread was cut, it seemed that the tendon only split a small opening, instead of directly splitting half of the opening as they imagined.

The graduate student didn't really believe in evil, so he cut another thread, click, click, the movement of cutting the thread was extraordinarily crisp...

I don't know how long it took, but finally Wei Hong led the talents to completely expose the stumps of the two tendons, and when they pulled the sutures, they almost tore the stumps of the tendons into a ball of wool!

This abnormality finally made Wei Hong feel that something was wrong, so he quickly stopped the operation.

Preconceived, the tendon suture performed by Cai Dongfan is a bad tendon suture, which made him fall into a rather panicked state at the moment.

This seemed to be different from what he had imagined.

At this moment, Professor Deng came in from the operating room.

Seeing Wei Hong and the others looking at each other face to face, you look at me, I look at yours, they are just looking at each other, neither talking nor doing anything.

One is the appearance of having nothing to do.

Then he stepped forward and asked, "What are you doing? Are you so leisurely?"

"Let me take a look, how is your surgery going?" The tone was kind, very accommodating, without any airs at all.

Professor Deng is not tall, and he is a little fat, with a fat belly and the faint smell of smoke coming out of the mask, which will never connect him with the giants of hand surgery in the province.

I just feel like a middle-aged man who is a little greasy.

"Teacher Deng."

"Master."

"Master."

Wei Hong and the others immediately stood up to clear the view for Professor Deng, and they were also afraid that Professor Deng would touch them and violate the principle of sterility.

However, Professor Deng just glanced into the field of surgery, and his expression was immediately taken aback.

Immediately afterwards, he said to Wei Hong, "Wei Hong, help me test the stability of these tendons."

While speaking, he pointed to Wei Hong the several tendons that had been sewn together.

Wei Hong did as he did, and also tested the functions of finger extension and flexion.

Then Professor Deng took off his eyes, rubbed his glasses, and watched Wei Hong's actions again.

Then he looked at Wei Hong with complicated eyes, pointed to the broken tendons and asked, "What are you doing?"

The tone of voice lost its previous kindness, and the emotion was empty.

In the operating room, needles could be heard in an instant, only the wind from the central air conditioner on the top of the operating room, and the slight sound that could reach the ears, and the intermittent beeping sound from the anesthesia equipment, which was quite aggressive.

(End of this chapter)