Start From Emergency Doctor

Chapter 222

“It’s just right, I have time today, go to test?” Dean Fang looked at Zhou Yuan.

Zhou Yuan nodded: “Then test it now.”

The three stood up at the same time and walked towards the surgical department.

After receiving the news, Wu Guohui and Director Wang had already greeted them at the elevator entrance, while Hikaru Morimoto hid in the office and looked over here.

The group came to Wang Dong’s ward.

After Wang Dong finished the test, he entered the single VIP ward.

Wang Dong is really too important. His hand now represents not just a hand, but a new surgical method in the medical world!

If it succeeds, it means that the replantation of severed limbs in surgery will open a new chapter.

Therefore, Wu Guohui and others are not cautious.

“Doctor Zhou? Hey, why come so many doctors today?”

Wang Dong who was eating melon was taken aback.

In prison, it is usually in this posture when death is near…

When I think of myself being served by delicious food and drink these days, the doctors and nurses all laughed, and the melon in Wang Dong’s mouth fell off.

“What’s the matter, can’t grasp melons with good hands?” Wu Guohui frowned.

Don’t just treat the hands that have been operated on. The hands that have not been operated on have problems.

“Don’t worry, we are here to do a hand function test.”

After Zhou Yuan gained the ability to reward the advanced treasure chest, he captured the details more meticulously, so he noticed the change in Wang Dong’s expression and guessed the reason.

“Huh, I was scared to death…” Wang Dong patted fiercely.

Zhou Yuan walked up and started testing.

The first test before was just a rough idea, and only the anastomosis of blood vessels and other parts could be seen.

If there is micro-infiltration of blood vessels, or there is hidden bleeding, it is definitely not detectable, and the problem can only be seen in the long-term.

This time it is a systematic test. If there is a problem, there is a problem. If there is no problem, there will be no problems afterwards.

System testing is more complicated. It needs to test shallow sensations such as pain, temperature, touch and pressure, deep sensations such as joints and vibration, as well as compound sensations such as positioning, graphics, and store discrimination.

After that, a carroll hand function evaluation scale is required. This test is more comprehensive, including grasping, pinching, pronation and supination, etc., almost all hand functions will be tested again.

The first is the assessment of pain.

The numerical scoring method, also known as VAS, is a scale that uses 0 to 10, a total of eleven numbers. 0 means no pain, 10 means the most pain, the patient can choose one of these eleven numbers to represent the degree of pain according to their own pain.(Read more @ wuxiax.com)

A score of 0 means no pain. A score of three or less is mild pain, but it can be tolerated, and a score of four to six is ​​pain and affects sleep, but it can be tolerated. Seven points to ten points is a strong pain, affecting appetite, unable to sleep, etc.

The evaluation result is subjectively affected, and everyone has different tolerance to pain, so Zhou Yuan’s final reference result fluctuates by two points between the upper and lower answers given by Wang Dong.

“In normal times, do you feel pain in your hands~ˇ?”

Wang Dong nodded, “I think it should be two points.”

Zhou Yuan was a little surprised.

Dean Fang and others looked at each other.

In less than a week, the pain in the hand is only 2 left…

Although it is not excluded that Wang Dong is personally more tolerant of pain, so the results given are more optimistic, but this number is definitely worthy of joy!

Zhou Yuan pricked Wang Dong’s finger with the tip of the pen again.

Wang Dong frowned immediately, groaning and groaning: “It hurts! Don’t prick me with your needle!”

Zhou Yuan’s face was black: “Why do you prick you without hurting me? What’s the point?”

Wang Dong thought for a while, “I can bear it, 8 points.”

Zhou Yuan nodded.

In this link, the more sensitive, the better the recovery of pain in the hands. 8 points is also a very surprising score.

Zhou Yuan did some more experiments.

The most important thing is to test the three basic functions of the hand.

Power grip, precise grip and palm-to-hand movement.

As the name implies, force grip is mainly aimed at grasping heavy objects and requires the use of hand power.

At this point, the wrist joint must remain in an extended position to allow the finger flexors to grip the object tightly. At the same time, the thumb, middle finger, and little finger are the most important participants in the grasping function, and the thumb is more important for fixing objects.

Can complete the grasp of heavy objects, the more stable, the greater the weight of the grasped weight, the better the recovery.

As for precise grasping, it is the grasping of lightweight and compact items.

In precise grasping, the position of the wrist joint is not important, mainly because the thumb and the fingers in the semi-flexed position are in the opposite palm position and work together with the inner muscles of the hand that produce fine movement of the fingers.

According to the contact position between the fingers and the object being grasped, fine grasping can also be divided into fingertip pinch, finger pad pair pinch, and side pinch.

Force grasping requires the use of the thumb and middle finger, mainly to test the comprehensive functions of the two regenerated fingers, and to determine whether the transplanted fingers can perform some basic functions.

The precise grasp is mainly to test the inner muscles of the hand. In this step, it can be seen whether the reconstructed fingers and the palm muscles are properly connected, and so on.

The last palm-to-hand activity is actually the movement of the tip of the thumb to the tip of the other fingers, which is a necessary condition for normal hand function.

The test results come down one by one.

The expressions of Dean Fang and others went from being calm at the beginning to being strong and calm. Later, they couldn’t help themselves, and their faces filled with concealed smiles.

The final carroll hand function rating scale has a total of 33 items.

Each item has zero to three points.

A zero point means that it cannot be completed, and a three point means that there is no difference between a good hand and can complete the activity normally.

Function rating: 0-25 points for weak hand function recovery, 26-50 points for poor hand function, 51-75 points for poor hand function recovery, 76-89 for incomplete function, 90-98 for It is fully functional, that is, it can complete most of the functions. 99 points is a perfect score, which is no different from good hands.

In the field of replantation of severed limbs, 99 points are just a display. After undergoing (Nuo Li’s) replantation of severed limbs, it is impossible not to affect hand function, so it will never be possible to reach 99 points.

Finally, Wang Dong’s test results came out.

77 points.

This result is based on the patient’s operation time and other factors. In other words, 77 points is a constant score. Wang Dong measured 77 points today. One year later, ten years later, it is still 77 points.

In other words…Wang Dong’s hand function will reach 77% of that before he was severed!

This result means that Wang Dong can complete most of the daily activities, except for tasks such as surgeons that require meticulous operations, Wang Dong is competent!

This result, even a simple replantation of severed hands for other people, is very impressive…quality…

For example, Hikaru Morimoto, the patient who had undergone replantation of a severed limb, received a final score of 71 points.

And now, 77 points have appeared on a patient with a reconstructed finger…….