Chapter 155 What are you doing? (Please subscribe)
"Director Cai, calm down, calm down, Dr. Du definitely doesn't mean this. The main reason is that although glucose is sweet, it is really unpleasant to drink."
"Don't be polite." Yang Min quickly persuaded.
Not to mention how much a bottle of sugar water is worth, even if it is valuable, it’s not Cai Dongfan’s turn to pay for it.
Only after Yang Min stepped down did she find out that Zhou Chengcai had just finished the operation on Qin Yuanwu. He didn't even have to stop in the middle when Qin Yuanwu called him over. He didn't have time to take a break to drink water.
Zhou Cheng and Cai Dongfan came for consultation and surgery. They were guests from afar, and now they came to drink glucose to replenish their strength. It seems that it was Qin Yuanwu who made them.
However, Xing Zhou, an orthopedic surgeon, seemed to know some of the truth, so he stepped forward and said with a somewhat embarrassed expression: "Director Cai, this, the matter of Qin Yuanwu being transferred to the Second Affiliated Hospital of Xiangnan University, may not have been his original intention."
"Yuanwu's wife and family have come forward, and the favor has been granted. It would be inappropriate not to go. There is no other intention."
Xing Zhou knew that Cai Dongfan was speaking strangely at the moment, and it was definitely not just because Dr. Du from the anesthesiology department said something about glucose, but mainly because of Qin Yuanwu.
Not mentioning the mess here, Cai Dongfan was not willing to bring Zhou Chenglai to save Tan Yun's limbs.
I also heard that after Zhou Cheng performed an excellent replantation of Qin Yuanwu's amputated limb, Zhou Cheng proactively suggested that Qin Yuanwu go to the Eighth Hospital for postoperative rehabilitation.
Now, in a blink of an eye, Qin Yuanwu was transferred directly to the Second Affiliated Hospital of Shonan University. No matter how you put it, it is a bit like burning bridges and taking fire under the cauldron.
Cai Dongfan glanced at Xing Zhou and simply said, "Dr. Xing, you don't need to explain too much."
"The Second Affiliated Hospital of Shonan University is more advanced and has better technology than our Eighth Hospital. We can still afford it and we won't try to make it look fat."
"It is his blessing and the best choice for Yuan Wu to go there."
"He can get better treatment and recovery there."
Xing Zhou heard that Cai Dongfan was obviously angry in what he said, but he also knew that it was not good to dwell on it further, so he just changed the subject and said: "Director Cai, Director Mi and Director Chen asked Director Cai if it would be convenient to stay in the town for a simple meal.
Or is it convenient to go back to the star area to eat?"
There is a way to treat guests, and making people hungry will make people laugh.
Cai Dongfan said: "I won't eat anymore. After Xiao Zhou comes out later, Xiao Zhou and I will drive back."
Xing Zhou's expression changed slightly when he heard this, and he said bravely: "Then I'll tell Director Mi and Director Chen and go back to the star area to eat."
The star district is the county seat of Sha County.
Luzhen is a town under the jurisdiction of Shaxian County. It is not far away and only takes half an hour by car.
"No need, we can just arrange the food 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 here. Although I am the director, I can't break the contract." Cai Dongfan did not let Xing Zhou go too far.
He was embarrassed and just found a step and an excuse for him to step down.
Cai Dongfan's attitude was firm, and Xing Zhou couldn't interrupt much.
The person who is familiar with Cai Dongfan is Qin Yuanwu, and the only two directors who can communicate with Cai Dongfan on an equal footing are Mi Huan and Chen Kelong.
Therefore, Xing Zhou could only report 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 Qin Yuanwu's operation. When they heard that Cai Dongfan was a little angry and went down to the operating room, Cai Dongfan had already changed clothes with Zhou Cheng and left from the underground garage.
drove away.
Well, when I left, my stomach was empty and I hadn’t eaten a drop of rice. Cai Dongfan even paid fifteen yuan for the parking fee.
——
"Director Mi, do you still need to call Director Cai?" Chen Kelong asked Mi Huan with a tangled look.
Mi Huan sighed and said, "We have not had much contact with Director Cai in the past. Now that Qin Yuanwu is doing this again, what's the use of you calling again? Director Cai has almost understood that the friendship with Qin Yuanwu is over.
"
"You still call, isn't this embarrassing Director Cai?"
"Put yourself in his shoes, if I were Director Cai, I wouldn't feel good either."
Chen Kelong also sighed slightly and nodded.
The truth is the same, Cai Dongfan came here just to see Tan Yuanwu's face, but he gave Tan Yuanwu face, but Qin Yuanwu didn't take Cai Dongfan seriously before and after.
Then Mi Huan lit a cigarette, called to Chen Kelong and said: "Let's tell the brothers in the department that we will have dinner together later. Although Director Cai is gone, we have been tired for a day and have to take a rest..."
Cai Dongfan drove the car, and Zhou Chengcheng sat in the passenger seat, looking at Cai Dongfan's face with a stern expression.
Zhou Cheng then suggested, "Teacher Cai, how about we change places, you rest for a while, and I'll drive?"
Zhou Cheng got his driver's license in the summer after graduating from high school, but he never drove it. However, the road from Luzhen along Huangxing Avenue back to Xing District is wide and winding, so it is no problem to drive back.
Cai Dongfan glanced at Zhou Cheng, his expression immediately turned irritated, and said, "You've been tired all afternoon. Did you just suffer from low blood sugar? How dare I let you open it?"
Hypoglycemia can lead to fainting. This was a private car, not a coach. Zhou Cheng suddenly fainted, and Cai Dongfan couldn't find a way to brake even if he wanted to.
Zhou Cheng stopped trying to be cowardly and nodded with a naive smile: "I just felt a little dizzy just now. The operation was too expensive."
"I'll treat you to something delicious later, but no alcohol." Cai Dongfan's tone gradually softened.
The anger in his heart gradually calmed down, and he felt that there was really no need to vent his anger with Tan Yuanwu. What Qin Yuanwu did would actually make him less of a debt of gratitude in the future.
Most of the friendships between adults are maintained by various debts of favor, so we can barely say that we have a few friends.
When the favor fades away, we slowly become strangers and have fewer friends.
Over the years, Cai Dongfan has had many fair-weather friends, but not many people with whom he has true friendship.
However, Cai Dongfan calmed down and began to look at Zhou Cheng again, and then asked calmly: "When did you learn to replant a 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 a joke.
It’s not that Zhou Cheng doesn’t know how to do it, it’s just that he doesn’t have the authorization.
In the field of medicine, before you have a high professional title, operating without authorization is seeking death, and you are wandering crazily on the edge of seeking death!
Zhou Cheng replied with a naive smile: "I watched some videos on the Internet. When I was learning about level II surgery, I watched traumatic tendon suture. Later I found out that vascular anastomosis and nerve anastomosis are also level II surgeries, so I watched them all.
one time."
"Before that..."
Cai Dongfan didn't even let Zhou Cheng finish his words before he once again felt the sacred beast in the hearts of Luo Yun and others - the grass mud horse!
According to your classification, all Level IV surgeries are Level II surgeries.
Then he rolled his eyes and said, "Forget it, stop talking and let me be quiet for a while."
Cai Dongfan's mind was even more messy, even more messy than before when Qin Yuanwu was transferred to another hospital——
Replantation of severed limbs, in essence, is nothing more than bone fixation + tendon suturing + vascular anastomosis + nerve anastomosis + debridement and suturing.
Is there something wrong?
Nothing wrong, but do you think the Health Commission is a fool for putting a bunch of Level II surgeries together to make it Level III surgeries?
Regardless of the degree of completion and post-surgery recovery of Zhou Cheng's amputated limb replantation, as long as he can complete it, he will be awesome.
That's a severed finger and replantation!
At present, there are not many directors in each prefecture-level city who can perform replantation of severed limbs alone.
If you talk to Qin Yuanwu and make friends, you will get angry and feel uncomfortable.
But when I talked to Zhou Cheng, I couldn't believe that he was so angry at Versailles that day.
…
On the 120 transfer car of Shaxian First Hospital, Qin Yuanwu frowned and asked his colleague to dial his wife's phone number and asked: "Wife, are you still in Shaxian First Hospital now?"
"How is Qin Yun's injury? Is the operation over?"
However, there was silence on the other side of the phone for a while, and then he said with a particularly cold voice: "Qin Yuanwu, I said, not taking the initiative to pursue Qin Yuanwen's criminal responsibility is the biggest concession I can make. If you really want to talk to
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. It is fair to have two children each."
Qin Yuanwu looked tired at this moment, but he still had the courage to explain: "Honey, haven't I already explained it to you? My eldest brother used to."
His wife called Tan Yuanwen's name instead of eldest brother, which meant that she was really full of hatred for Tan Yuanwen. She would definitely break off the relationship in the future.
"Don't say anything to me. I am marrying you, Qin Yuanwu, not your entire family. It is only natural to report the kindness of my parents."
"But the affection between brothers and sisters depends on how each other behaves. How he favors you has nothing to do with me. I don't know either."
"But what I have seen with my own eyes is that he, Qin Yuanwen, has ruined my husband's life. If you still recognize him as your eldest brother in the future, that is your own business. Don't let me get involved."
"Let me tell you one last time. If you want to interact with Tan Yuanwen's family in the future, that is your own business. He is your brother, and I can't stop him. But don't tell me anything about their family."
"If he kills you again, don't cry out about pain in front of me."
"Not only Qin Yuanwen, Qin Min, Qin Yun, but also your sister-in-law, I have nothing to do with who they live or die. As long as I am not the one who caused them, I don't care whether they live or die?"
"Don't ask me. If you continue to ask hesitantly, I will answer to death. Don't blame me for not being polite!?" On the other end of the phone, Qin Yuanwu's wife had a firm attitude.
The words became more and more unpleasant as they were spoken, but they didn't contain many curse words. The most they said was "death" and not very friendly.
Some colleagues on the 120 ambulance frowned when they heard this, but they did not think that Qin Yuanwu's wife was that kind of shrewd person. Instead, they thought she was quite reasonable.
In her field of vision, Qin Yuanwen chopped off Qin Yuanwu's hand today, which meant that he was cut off from his livelihood. Once a surgeon's hand is disabled and is no longer as good as before, it is like destroying someone's job.
She did not let Qin Yuanwu and Qin Yuanwen sever contact, so she was already considered a reasonable person.
It is reasonable to refuse to answer any questions about Tan Yuanwen's family.
Qin Yuanwu sighed, knowing that the gap between his wife and his eldest brother's family would become a chasm from today on, and it would probably never be closed in his lifetime.
However, Qin Yuanwu still felt that his wife's curse on the two juniors, Qin Yun and Qin Min, was quite out of context.
"Honey, what does this matter have to do with the younger generation?" Qin Yuanwu still wanted to persuade him.
"That's his father's business. If you ask them why they want to deal with such a father, this is a relationship they can't get rid of. There is no reason to explain."
"Qin Yuanwu, if you still want to live a good life, you should take good care of your injuries. Even if you are transferred to internal medicine in the future, you will still be alive and our family will live a good life."
"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 scared they were today? Is it possible that there is any psychological trauma left in their hearts?"
"I also tell you that from today on, it doesn't matter how you interact with Tan Yuanwen. Don't bring the children with you. Okay." Tan Yuanwu's wife continued to warn.
"What?" Tan Yuanwu wanted to speak again.
The other person interrupted again forcefully: "You are his brother, and he doesn't even blink when he hurts you. What do my son and daughter mean to him?"
…
After Qin Yuanwu hung up the phone, he smiled bitterly.
In the future, I am afraid that the relationship between my wife and my brother will be completely severed, and the two families will have less contact.
And if even his son and daughter no longer interact with Tan Yuanwen's family, then the friendship between the younger generation will be cut off.
The two brothers were originally from the same family, but their relationship ended as cousins. This was something he had never thought of.
However, what surprised Qin Yuanwu was that when his 120 ambulance arrived at the emergency department of the Second Affiliated Hospital of Shonan University, his uncle was waiting for him.
After seeing him, the other party didn't say much, and just took the initiative to help with the emergency transfer procedures.
I first went to the emergency department, registered, and asked for a consultation. Since I had already said hello before, I made a call quickly, and the person who responded would rush to the hospital as soon as possible.
In the corridor of the emergency department, the doctor on duty at the emergency surgery clinic saw that there was no blood on Qin Yuanwu's hand, and it seemed that he had undergone surgery, so he did not treat it urgently.
"Brother, Zhuo Lin?" Qin Yuanwu turned to ask his uncle.
Zhuo Zhiyang said to Qin Yuanwu: "You should cultivate yourself first. My sister is just a woman. Girls are so carefree and don't care about so much. Don't blame her. She is just really worried about you, that's why she says so much.
Words."
As Tan Yuanwu's eldest brother-in-law, he naturally wanted to talk about his sister, but not Qin Yuanwu's fault.
Putting it from Tan Yuanwu's perspective, Zhuo Zhiyang didn't think there was anything wrong with what Tan Yuanwu did.
Parents, brothers and sisters of the family, sometimes really don't have so many reasons. Do you want Qin Yuanwu to watch Qin Yun on the operating table and not care about anything?
Then let me ask, if Tan Yuanwu's children were injured, he would not be able to just stand by and ignore it.
Even if Zhuo Lin accidentally hurts him, he probably won't take his anger out on his nephew and niece.
Zhuo Zhiyang's words made Qin Yuanwu feel a little guilty: "Brother, I think what Zhuo Lin said is actually reasonable. Is she very angry now?"
"I'm definitely 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, too, didn't know to tell me about such a big thing."
"But the timing is indeed unlucky. It's too late. I have only been able to contact Dr. Wei now, not Professor Deng. But, it doesn't make much difference if I contact Dr. Wei and Professor Deng."
"If Dr. Wei has something he can't handle, he will ask Professor Deng to come to the department as soon as possible."
After finishing speaking, Zhuo Zhiyang was afraid that Qin Yuanwu would not understand the importance of Professor Ding, so he continued to add: "Professor Deng from the second attachment and Professor Chen from the first attachment are the best in the field of hand surgery or microsurgery in Hunan Province.
"
Trauma surgery also has sub-specialties such as skin flap transplantation, surgery, bone defects, complex fractures...
Qin Yuanwu naturally knew Professor Deng's reputation, so he nodded and said: "Thank you, brother, I have caused you trouble."
Zhuo Zhiyang is not a doctor, but he is related to the medical industry. He is currently a civil servant in an office of the Department of Health.
Zhuo Lin is a nurse at Shaxian No. 1 Hospital. He graduated from a junior college. He also relied on family connections to obtain the establishment. He originally planned to enter the city, but Zhuo Lin was working as a stepping stone at Shaxian No. 1 Hospital.
When he met Qin Yuanwu, the springboard turned into an abyss.
"This is all what we should do, it's nothing. You should have told me earlier, we are all part of the same family."
"Now that you have encountered a problem, you must find the best solution as soon as possible. Although I am not a practitioner in the medical industry, I have been exposed to it for so many years and I also know about the replantation of severed limbs. Although there are many people who can do it,
Different people can recover at different levels."
"Professor Chen from the Affiliated Hospital of Xiangnan University is really unavailable today. Of course, Professor Deng's skills are also excellent." Zhuo Zhiyang said.
"The better your function is restored in the future, the better you will be able to support the family."
"That big brother of yours, well, I don't know what to say." After the matter was explained clearly, Zhuo Zhiyang still gave Tan Yuanwu a little encouragement.
Although they are brothers, there are differences between brothers. Sometimes biological brothers may not be more useful to you than friends, they just seem to be close to you.
Even if Qin Yuanwen didn't mean any harm intentionally, he acted so recklessly. If he cut you off this time, he might not be able to survive next time.
While the two were talking, a man hurriedly came to the emergency room from outside the emergency department. He was wearing casual clothes and no work clothes. He must have come from home.
After arriving at the emergency department, he just asked the emergency department staff where the patients who came with severed hands and fingers were.
Then when he came to Qin Yuanwu, it was Dr. Wei.
When he came to Qin Yuanwu and Zhuo Zhiyang, Dr. Wei just introduced his name as Wei Hong, and then did not pay much attention to Zhuo Zhiyang's politeness and greetings to him.
Ask Qin Yuanwu directly about the relevant situation.
I must have been approached too many times. Once I agreed, I was only responsible for doing things and didn't particularly care about face-to-face human interactions.
It was inconvenient for Zhuo Zhiyang to interrupt, and because Qin Yuanwu himself was a practitioner of orthopedics, he went over the whole story in detail and concisely.
Wei Hong frowned: "Doctor Qin, your severed finger and hand have been dealt with. There is really no need to transfer him to us. It has been more than four hours since he was injured."
"It doesn't mean much if you turn around now." 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 came here just to pursue better treatment and leave as few sequelae as possible."
"Under the circumstances at that time, if we left it alone, we might bleed too much. Although we quickly replanted a severed finger and a severed limb, it was completed in three hours. The main reason was to complete the blood loss.
Recanalization and fixation of broken bones.”
"But Professor Wei, you also know that in replantation of severed limbs, in addition to ensuring unobstructed blood circulation and ensuring activity, the suturing of tendons and nerves is the greatest benefit to postoperative functional recovery."
"So I came here actually for better functional recovery after surgery." Qin Yuanwu said clearly.
He had never seen the specific conditions during the operation, and he probably wouldn't have understood it clearly. He only heard from Mi Huan and Chen Kelong that the operation was well done.
But Qin Yuanwu knew that Mi Huan and Chen Kelong had little understanding or knowledge of replantation of severed limbs.
So the so-called good job doesn't mean anything at all. It's all about the family members, and they know the level of the family members very well.
Now that he has been transferred to the Second Affiliated Hospital of Shonan University, Qin Yuanwu is not afraid of having another surgery.
Just to avoid minimal sequelae.
After all, Cai Dongfan must have been offended, so he naturally had to go in the best direction.
At most, the best thing is not to tell Cai Dongfan.
Wei Hong asked: "Dr. Qin, what is the name of the doctor who performed the surgery on you?"
Wei Hong didn't dare to be careless. The replantation of the severed finger had been completed. If Professor Chen or Professor Deng and the professor from the Provincial People's Hospital went to the countryside to do the surgery, then Wei Hong didn't dare to drag Qin Yuanwu into the operating room again.
Need another surgery.
"It was done by Director Cai Dongfan of the Eighth Hospital and Dr. Zhou Cheng, the resident doctor he led." As a practitioner, Qin Yuanwu naturally told the truth and would not leave any trap for Wei Hong.
The Eighth Hospital in Shashi? A top-level hospital with the brand of traditional Chinese medicine?
There are not many characters. As for who Cai Dongfan is, it is even beyond Wei Hong's cognitive circle.
Wei Hong then asked: "Dr. Qin, do you have the entire operation record? I want the true entire process."
"Yes, my colleague has already written it, and it's in my medical record. I didn't tell you before that it's hard to do what you want." Qin Yuanwu quickly asked his uncle Zhuo Zhiyang to hand it to Wei Hong.
When Wei Hong looked at the operation records, he couldn't tell anything. The operation records did not focus on the process, but only on what was done and how it was done. It was a literal description.
However, when Wei Hong saw the last part of the operation record, which was about injecting sodium hyaluronate injection into the finger flexor tendon, his expression immediately flashed.
I secretly thought to myself that these two eldest brothers who co-authored the work did not understand it at all. They had read some literature, but they were only limited to the literature. Although there are international standards for tendon suture surgery, do you need to give it to me?
It is controversial whether sodium hyaluronate can facilitate postoperative functional recovery.
However, Wei Hong and his research team unanimously believe that this is just sensationalism.
So after pondering for a while, he said: "Director Qin, is there a video of your operation process?"
Qin Yuanwu shook his head and said embarrassedly: "Professor Wei, ours is a small unit and we don't have teaching video equipment. And Director Cai is also an expert we invited, so it's naturally difficult to videotape."
Wei Hong nodded, but he was disdainful. If the experts in the Eighth Hospital could also be called experts, it would be a mess.
However, there is no need to step on others or praise them.
He just said: "Doctor Qin, the situation is like this. The current condition of your finger is that the blood supply is smooth. It is estimated that there will be no problem in the long run."
"However, we don't know how the tendon will be sutured. Even if I perform surgery, it will not improve the survival rate of the amputated finger. On the contrary, it will increase the probability of necrosis and inability to survive to a certain extent."
"As a practitioner yourself, you should know."
"If you want to stay in our hospital and require surgery, strictly speaking, it is not replantation of a severed limb, revision of tendons, or nerves. Do you agree with this?"
"This is a one-stage revision surgery. Strictly speaking, it is not a therapeutic surgery, but a cosmetic surgery." Wei Hong said to Qin Yuanwu very solemnly.
If surgery is to be performed for non-therapeutic purposes, the patient must be informed and consented, and must be informed repeatedly.
Wei Hong didn't explain clearly and just went to the stage. If he was reported by his colleagues, it would be terrible. He couldn't explain clearly.
"Well, I understand." Naturally, Tan Yuanwu also understood.
Wei Hong continued: "Well, you also have the results of the blood draw here. We will do an extra electrocardiogram and draw a coagulation test here to ensure the safety of the operation. You should be able to understand the cost."
"It's okay, Professor Wei. As you said, I am a doctor myself. I am conscious now. My uncle is also here to vouch for me."
"I am conscious and aware of the pros and cons of things. I ask for surgery!"
…
Although Wei Hong sent Qin Yuanwu into the operating room, he still felt uneasy.
First, he rarely takes the initiative to do this. When a broken limb is replanted in another hospital, he usually performs second-stage reconstruction. However, the functions that can be restored in the second-stage reconstruction are not particularly large.
Therefore, before the operation started, Wei Hong still called his superior doctor.
After explaining the situation, Wei Hong asked: "Professor Deng, do you know anything about Director Cai Dongfan of the Eighth Hospital? Is it appropriate for us to renovate the severed limbs he performed?"
Deng Lianggen is Professor Deng's name. He frowned when he heard this: "Cai Dongfan?"
"I recognize Cai Dongfan, but when will he replant his severed limbs? Why don't I know?"
"Did Cai Dongfan personally perform the replantation of this patient's severed limb?" Deng Lianggen asked confused.
Wei Hong said: "That's what the patient said."
"Okay, then you start working on it first. I will come to the operating room in person later. Then I will try to be careful and speak as little as possible," Deng Lianggen said.
When Wei Hong heard this, he breathed a sigh of relief.
I was completely relieved. Since Professor Deng Lianggen knew Cai Dongfan and was so surprised that Cai Dongfan could replant amputated limbs, he would feel more at ease.
In this way, after Qin Yuanwu was put down by the anesthesiologist, the subordinate doctor disinfected and draped the patient's lower limbs.
Wei Hong said: "Leave the more serious left hand untouched. You can work with me to deal with the right hand side first."
Several graduate students and professional doctors nodded one after another, and then gathered around.
After Wei Hong put on his clothes, he personally sat at the surgeon's position. Then he looked at the skin sutures after the replantation of the severed palm. Looking at the level of suturing, he was a little surprised and said: "See for yourselves, you can suture to such a level."
What?"
"Don't underestimate the chief surgeon, deputy director or director of lower-level hospitals. Although their academic qualifications are not as good as yours, their surgical skills can make you hang up and beat you."
"Such skilled skin suturing is called high-quality suturing. Look at the skin you usually sew, what are they called?"
"Also, don't you usually say that you can't control the stitching distance between severed palms and replanted ones? Look at others?"
After Wei Hong finished his lecture, he felt a pity and opened the outer suture line, and then said: "Oh, such a good suture is just like this."
After saying that, he turned to look at the anesthetist and said, "Teacher anesthesia, is the patient under general anesthesia?"
"Well, this is an emergency. Where can we give him a nerve block? He's under general anesthesia." The anesthesiologist on duty said nonchalantly.
In emergency surgery, safety is the first priority.
After Wei Hong was sure that Qin Yuanwu could not hear it, he continued: "Let me tell you, the more basic the surgery, the level in lower-level hospitals is actually higher."
"Just like you, if I ask you to get an internal fixation now, you probably won't know how to do it, and you haven't even seen a few. Why, because you haven't had any experience with it."
"Needless to say debridement and suturing, our hospital only encounters a few cases a year. All such patients are taken away by our general hospital."
"The first is that the total number of hospital contacts is not very large. The second is that the surgeries they specialize in are no longer simple debridement and suturing. Even the surgeries you have been exposed to from the beginning are at least complex fractures.
Operation."
"That is to say, when you come to study here, the lowest level of surgery you will come into contact with is level III or even level IV surgery, and occasionally there will be some level II surgery."
"But don't forget that all surgeries, basics and basic skills must be practiced well."
Wei Hong then sighed: "Simple surgeries are sinking. This is a trend. In the future, even level III and IV surgeries will have to sink."
"Replantation of amputated limbs is a level III surgery. It has already reached prefecture-level hospitals."
"Today, I just want to show you how the replantation of amputated limbs is done in the hospital below. We can also observe and learn together."
Then, Wei Hong opened the skin layer to the subcutaneous layer and saw the tendon layer.
After seeing the tendon layer, Wei Hong's voice was slightly startled: "Modified Kessler tendon suture."
A graduate student next to Wei Hong was stunned and asked Wei Hong: "Teacher Wei, are all lower-level hospitals already doing this? Prefecture-level cities have already begun to use the most cutting-edge tendon suturing technology.
?”
Wei Hongdao: "What do you think? You have only read a few documents and seen some surgeries, and you think it's amazing? Now the documents are all public. If you can read them, others can also read them."
"I also tell you that the doctor who performed this surgery has read a lot of literature and even used sodium hyaluronate."
"However, the improved Kessler method is worth learning, but it is still too early to jump on the literature on sodium hyaluronate. Moreover, the suture port does not have enough tension. If there is no retraction, the tensile strength between the muscles will be insufficient.
powerful."
"Just a little bit." Wei Hongzheng commented on the flaws in the suturing process. He demonstratively separated the muscles on both sides with tweezers.
But it didn't move.
Like the legs of a young girl who refuses to part.
Several graduate students and PhD students looked at Wei Hong.
???
A little bit what?
Wei Hong rotated the tendon slightly, then chose a new focus point, and used tweezers to separate the broken end of the tendon. It would be best to stretch out the sutures!
However, 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!
This is unscientific.
How can a sodium hyaluronate athlete sew so tightly?
Wei Hong said: "This doctor's suturing skills are pretty good, but he made a common-sense mistake, thinking that the tighter the tendons are sutured, the better."
"You must know that if the tendon is sutured too tightly, it will lose its own mobility, which is the ability of the finger extensor tendon itself to extend the finger."
Originally, in order to check the extensor tendons of the fingers, the muscles need to be in a relaxed state, so the hand is in a functional position, that is, a fist state. This can facilitate checking the function of the extensor tendons of the fingers.
However, when Wei Hong pulled the extensor tendon he pointed out to the 'students', he saw that the tendon he had just stimulated 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, Teacher Wei.
Then look at the hand. The other fingers are still in functional positions, so the middle finger is raised.
╭∩╮.
Wei Hong was feeling a little irritable at the moment. Why did this thing seem to make no sense? He couldn't explain it.
Under normal circumstances, tendon sutures should not look like this. At least the tendon sutures he saw would have a slight protrusion or bump.
After all, the convexity and concavity are the "cool points" of perfect fit and connection.
Can?
Then Wei Hong tried it a few more times, and it seemed to be like this.
It seems that this tendon is poisonous and is working against Wei Hong.
Finally, I saw that Wei Hong had tried several times, but still failed again and again.
A graduate student couldn't help but pick up the thread scissors and said sensibly: "Teacher Wei, why don't we just do the surgery? It's getting late."
"There's no need to look for anything that's not quite right. We don't think it's quite right with this suture. At most, we can wait until Teacher Deng comes and ask Director Deng to explain a thing or two."
Wei Hong felt that what he said made sense. It was indeed getting late. It was estimated that the operation would be completed after early morning, so he nodded.
I have never seen such a method of tendon suturing.
The graduate student clicked and cut a thread, but after the thread was cut, the tendon seemed to have only cracked a small opening, not half of the opening as they imagined.
The graduate student didn't believe in evil, so he cut another thread, click, click, the thread was cut very neatly...
I don’t know how long it took, but finally Wei Hong and his team completely exposed the severed ends of the two tendons. When they pulled the sutures, they almost tore the severed ends of the tendons into pieces like balls of wool!
This abnormality finally made Wei Hong feel that something was wrong, so he quickly stopped the operation.
The preconception was that the tendon suturing performed by Cai Dongfan was a bad tendon suturing, which put him in a rather panicked state at the moment.
This seemed to be different from what he imagined.
At this moment, Professor Deng walked in from outside the operating room.
Seeing Wei Hong and others looking at each other face to face, you look at me, I look at you, they are just looking at each other, neither talking nor doing anything.
One is the appearance of having nothing to do.
Then he walked up and asked, "What are you doing? Are you so free?"
"Let me see how your surgery went?" The tone was kind and easy-going, without any pretensions at all.
Professor Deng is not tall, and is a little chubby. His fat belly and the faint smell of cigarette smoke emitted through the mask will never associate him with the giant of hand surgery in the province.
I just think he is a somewhat greasy middle-aged man.
"Teacher Deng."
"Master."
"Master."
Wei Hong and others immediately stood up and made room for Professor Deng's view. They were also afraid that Professor Deng would bump into them and violate the principle of sterility.
However, Professor Deng just glanced into the surgical field and his expression immediately became startled.
Then, he said to Wei Hong: "Wei Hong, help me test the stability of these tendons."
While talking, he pointed to Wei Hong some tendons that were sewn together.
Wei Hong did as he was told, and also tested the functions of extending and flexing his fingers.
Then Professor Deng took off his eyes, rubbed his glasses, and looked at Wei Hong's movements again.
He looked at Wei Hong with complicated eyes, pointed at the broken tendons and asked, "What are you doing?"
His tone had lost its previous kindness, and his emotions were empty.
In the operating room, the sound of needle drop instantly became audible. Only the wind and slight sound from the central air conditioner on the top of the operating room could reach my ears, and the intermittent beeping sound from the anesthesia equipment was quite aggressive.