Han Shengxue couldn't help but glare at Fang Le. The patient's family members were nearby. This kid was getting more and more shameless. How could he say such nonsense?
"You may not understand the complexities of hand tendons."
Han Shengxue was a little helpless and whispered: "The tendons of the hand are complex and closely connected, so injuries to the flexor muscle keys of the hand, after suturing or tendon transplantation, often affect the function of the fingers due to the formation of dense adhesions, leading to the probability of surgical failure.
It’s very high, it doesn’t just depend on your sewing skills.”
"Director Han is right."
Ma Liangliang said: "The tendons of the hand are divided into five areas. Area 1 refers to the base of the distal phalanx to the middle of the middle phalanx, and is far from the attachment point of the flexor digitorum superficialis tendon. There is only one tendon, which is the flexor digitorum profundus or flexor pollicis longus tendon.
Zone 2 refers to the insertion point of the flexor digitorum superficialis tendon in the middle of the middle phalanx to the metacarpal neck, that is, the proximal end of the tendon sheath located on the distal palmar crease. In this area, the flexor digitorum superficialis and profundus tendons are stacked up and down. Once the tendons are ruptured, they can be repaired.
It’s quite difficult.”
“Nowadays, area ii can be said to be basically no man’s land, while area 3 of the hand refers to the area from the metacarpal neck to the distal edge of the transverse carpal ligament. There are many tissues in this area, including the deep and superficial digital flexor tendons, lumbrical muscles, and finger muscles.
Common artery and common digital nerve; Zone 4 is located deep to the transverse carpal ligament, Zone 5 is from the proximal edge of the transverse carpal ligament to the transition point of the tendon..."
Ma Liangliang told Fang Le in detail: "So, suturing a broken finger is not as simple as you think."
In Ma Liangliang's opinion, Fang Le was a little afraid of tigers, so he took it for granted.
Ma Liangliang didn't know Fang Le's suturing level. Fang Le just said that his suturing level was very high, so let's just assume that it was very high. But high level of suturing doesn't mean you can sew your fingers.
Some young people tend to think of things too simply, skin, subcutaneous, tendon?
But is it actually that simple?
If he hadn't been in the emergency department and Han Shengxue obviously valued Fang Le, Ma Liangliang wouldn't have been so polite.
If this was an intern under him in their department, he would have scolded her a long time ago.
I have learned some basics, maybe I am better than my peers, I am better than other doctors, but I have been praised for a few words, and I don’t know what my last name is?
If fingers were so easy to sew, Ma Liangliang would have become a leader in the field of hand surgery. Perhaps he would have led his team to become independent and become the director of the hand surgery department.
Even though a watch is just a hand, this field is quite difficult and the market is also quite large. Ma Liangliang is from Xijing and he also knows that many hospitals such as Yanjing and Shanghai already have independent hand surgery rooms.
, Xijing Hospital will definitely not lag behind in this regard.
A new department means new opportunities and new positions. Who doesn’t want that?
"I know."
Fang Le's answer was short.
"I do!"
Suddenly a voice sounded from the side.
Both Han Shengxue and Ma Liangliang were a little bitter, but it was the child's mother who spoke out.
"I'm willing to give it a try."
The child's mother said: "Even if I really have to recover badly and have to have my leg amputated, I still have to give it a try. The child is still young..."
As she said this, the child's mother shed tears again.
Today's accident made the child's mother feel a little abnormal at the moment.
If I really want to talk about the injuries, apart from a broken right leg and a slight concussion, I was suddenly hit by a car. As a woman, I was very frightened. Plus the child, I didn’t know what was going on at the time. The child was in chaos.
His hand got caught in the chain.
All kinds of blows have caused the mother of the child to be slightly neurotic at the moment, but no matter how neurotic she is, the first thing a mother thinks about is her child.
For Ma Liangliang and Han Shengxue, they have many issues to consider, such as the possibility of surgery, prognosis, poor recovery, etc. But for the child's mother, she only has one issue to consider at the moment.
She was about to have her leg amputated, and if someone was willing to give it a try, why would she hesitate?
If it really fails to be reattached and the leg is amputated, will it be any different from the current situation?
As for the child suffering from pain, if he really can save his finger, it is not impossible to suffer some pain.
"You think about it carefully."
Han Shengxue solemnly said to the mother of the child: "This operation is not a minor operation, and the prognosis cannot be guaranteed..."
Ma Liangliang had already explained the situation just now, and Han Shengxue didn't say any more, but just emphasized it again.
"I do."
said the child's mother.
"Since the patient's family agrees, let's prepare for the surgery."
Han Shengxue said to Huang Xiaolong who had just taken a break: "Let the patient's family sign the agreement and explain the relevant situation clearly."
As far as the hospital is concerned, if the patient's family is willing, most doctors have no reason to refuse.
The reason why the doctor refused to persuade me before was just because he was not very sure. If he was sure that the disease was cured, naturally everyone would be happy, but if the disease was not cured, it would be somewhat troublesome.
Therefore, in situations like this, the doctor will first talk about the consequences and give a plan that is suitable for both parties. If the patient's family does not agree and insists on doing it, then just do it.
While talking, Han Shengxue, Ma Liangliang and Fang Le also came to the side.
"The surgery needs to be done, but Fang Le, you can't come."
Han Shengxue said: "This is not a minor operation. Since you have to do it, you must be responsible for the patient and not play around."
With that said, Han Shengxue said to Ma Liangliang: "How sure is Doctor Ma?"
"How can I be sure? I'd better call our Director Dong. I guess even if our Director Dong comes, I won't be too sure."
Ma Liangliang said bitterly.
"So I'll do it."
Fang Le said again.
Han Shengxue frowned: "Fang Le, are you serious?"
"Director Han, I haven't been in our department for a long time, but it has been a while. Have you ever seen me making fun of patients?" Fang Le asked.
Young doctors and interns are not old enough, have insufficient professional titles, and do not have enough say in this kind of matter. Fang Le knows this very well.
However, Fang Le also has his own advantage, that is, he has participated in a lot of large and small treatments since he came to the emergency department, and has even participated in the treatment of critically ill patients, whether it is debridement and suturing in the treatment room, or ICU first aid, or
pdt.
These cases alone are not something that ordinary interns can accumulate.
The reason why Fang Le was able to get started immediately after arriving at the emergency department was partly related to his influence at Xijing Hospital years ago, and partly because that time he stopped bleeding with his bare hands impressed Han Shengxue. In addition, he was a student of Sun Qingping, so he had all these advantages.
.
Just as Cheng Zai guessed next year, some things may seem insignificant, but at the critical moment, they can give Fang Le extra points. In fact, Fang Le did not do it deliberately, but in the end, everything he did was given to Fang Le.
He brings convenience.
Otherwise, no hospital would easily let newcomers get started.
After all, if we really count, Fang Le came to the emergency department less than a month ago.
What can an intern who has been in the department for less than a month do?
Almost nothing can be done.
But Fang Le has done a lot.
And I have done a lot before, but now it is a bargaining chip in negotiations with Han Shengxue.
It is true that Fang Le has never done anything outside the surgery, but as Fang Le asked Han Shengxue, have any of the patients he treated ever had problems?
"hiss......"
Han Shengxue took a breath when asked by Fang Le.
To be honest, Fang Lelai's emergency department was like a guerrilla, shooting here and there, touching many fields and treating many patients, but it was precisely because of the hammer in the east and the mallet in the west.
On the contrary, no one feels that it has accomplished any great achievements. The most famous one is the Aconite Incident.
Without a major battle, it would never attract attention.
But now that Fang Le asked this question, Han Shengxue seemed to be summarizing the end of the year. When he took a closer look, he was stunned.
Yes, Fang Le didn't have any big battles, but such a small unit could build a tower today and seize a stronghold tomorrow. If you look carefully, the merits are considerable, and they have never been defeated.
If such a general wants to fight now, how can you say that he is a rookie?
Can you say that people are overestimating their abilities?
For a moment, Han Shengxue was a little shaken: "Are you really sure?"
"Sixty to seventy percent," Fang Le replied.
"Sixty-seven percent?"
Ma Liangliang, who was standing next to him, was holding back his voice. What the hell?
I dare to say it.
"you sure?"
Han Shengxue asked again.
"I am sure."
Fang Le nodded.
"That....."
As soon as Han Shengxue spoke, Ma Liangliang hurriedly interrupted: "Director Han, please think carefully, this is not a child's play."
"How about this."
Han Shengxue pondered for a while and said: "Call your Director Dong and ask Director Dong to be Fang Le's deputy. Fang Le will do it first. If it can be done, then keep doing it all the way. If it doesn't work, your Director Dong will take over."
"Director Han, if this is the case, I don't dare to make this call. You go ahead and make the call."
Ma Liangliang was speechless.
Let our Director Dong be Fang Le's deputy?
Where did Han Shengxue get such a big face?
The Director Dong mentioned by Han Shengxue and Ma Liangliang is Dong Wenxu, the deputy director and chief physician of the General Surgery Department.
Before it was split several times, general surgery was still very popular in many hospitals. In the 1980s and 1990s, general surgery could be said to be the largest surgical department, and it was involved in many fields, such as liver and gallbladder, pancreas, gastrointestinal, anorectal, etc.
Vascular diseases, etc. In other words, except for the surgical fields that a certain hospital has become independent, almost all other general surgeries are involved.
Then, as many fields were gradually split, such as liver, gallbladder, pancreas, digestion, etc., these fields gradually became independent, and the status of general surgery gradually declined.
It has only been a few years since the emergency department developed from an outpatient emergency room to a department. It plays a small role in the hospital, but general surgery is one of the large departments of the hospital. Although Dong Wenxue is only the deputy director of the general surgery department, Han Shengxue cannot instigate it.
of.
Let Dong Wenxu, a chief physician and the deputy director of a major department, serve as an assistant to an intern?
Ma Liangliang felt that Han Shengxue had a fever, otherwise he would have such thoughts?