Volume 2 Chapter 286 Amputation

Zhuang Poshi's big hat is really not small, and ordinary doctors would have turned their faces long ago when other doctors said this, but Du Lin was not angry, and even a little happy.

Du Lin has always felt that Zhuang Poshi has always insulted and slandered traditional Chinese medicine, tried every possible way to elevate Western medicine, derogatory traditional Chinese medicine, and had bad intentions.

But Zhuang Poshi's scolding just now made Du Lin's impression of Zhuang Poshi change.

Because in that case just now, if Zhuang Poshi really felt that Du Lin's diagnosis was wrong, and he wanted to make Du Lin ugly, then he should keep silent, and even persuade the patient to adopt the methods of Chinese medicine.

In this way, when the methods of Chinese medicine are ineffective, he can jump out and accuse Chinese medicine methods more forcefully that they are useless and deceitful.

But Zhuang Poshi did not, but immediately pointed out the error of the diagnosis of traditional Chinese medicine, of course, it was the "mistake" in his eyes, he was afraid that the patient would be moved by Du Lin's words, and finally chose the "wrong" diagnosis and treatment plan.

In doing so, he proves that his medical ethics are still relatively noble, and he is able to put aside personal feelings and likes and dislikes, and put the interests of patients first.

"Doctor Zhuang, if there is really a blood clot caused by a malformation in the blood vessel in the patient's fundus, what method do you think can be used to detect it?" Du Lin asked Zhuang Poshi calmly.

After Zhuang Poshi said that, he thought that Du Lin would refute himself fiercely, but it turned out that Du Lin was talking to him in a consultative tone.

"If it's a blood clot, you should do an angiogram of the area, and by the way, you can see if it's really pressing down on the optic nerve as you said. ”

"Okay, just as Dr. Zhuang said," Du Lin said to the emergency doctor, "and then do an upper and lateral brain CT, a total of two examinations, I will pay for the examination, expedited." ”

"This ......"

The doctor turned his head to look at Fang Xiaoru sitting in the front row, although Fang Xiaoru was not the director of the emergency department, or even the leader of the affiliated hospital, but he was the tutor of his graduate students, and at this time he still habitually asked for the supervisor's opinion.

Fang Xiaoru nodded at the emergency doctor, and the emergency doctor helped the drunk to do an examination.

These two tests would take more than half an hour to produce results even if they were expedited, so Du Lin and Zhuang Poshi began to treat the second patient.

The second patient was also brought in by a group of uniformed men, but not by the traffic police, but by the fire department.

This patient is a fat man, visually measured to be 250 pounds away, more than 1.80 meters tall, but with a head of greasy hair that seems to have not been washed for half a month, wearing a dirty fat David coat, supported by the fat on the waist and stomach, as if a lifebuoy is stuffed inside, a pair of black-framed glasses on the nose full of blackheads, a typical "dead otaku" image, Du Lin looked at him, frowned, he is a bit clean, every time he encounters this kind of patient, he always feels weird.

He hesitated, and was taken advantage of by Zhuang Poshi, the otaku's right index finger was stuck at the root of the finger by a large hexagonal screw, and the finger root to the fingertip has been suffocated into black and purple because of poor blood flow, but fortunately, the patient is fat, and the subcutaneous fat layer is thicker, which still helps the blood vessels open up some space, and the blood passage is not completely blocked, which is probably the reason why the emergency doctor did not let him be the first to diagnose and treat. If you are a little thinner, you may have your fingers dead because the blood flow is not flowing at all, but then again, if you are really thinner, you won't get stuck in your fingers, right?

Zhuang Poshi asked the patient to sit on the ground and raise his right hand high, so that under the effect of gravity, there would be relatively less blood rushing to the right hand. Because Zhuang Poshi is very short, and this patient is quite tall, he raised his hand and raised it in front of Zhuang Poshi, which also made it convenient for Zhuang Poshi to observe this big fat hand carefully.

The hexagonal bolt is made of steel, which looks very strong, and there are a few scratches on it, which should be the marks left by the firefighters who just wanted to use some tool to cut the bolt.

The patient's fingers were very thick, and the bolts were almost "buried" by the fat on his hands, and the firefighters on the side said:

"We were going to use hydraulic scissors to cut the buckle open, but the flesh on his fingers was almost completely attached to the buckle and we had nowhere to lay the guy. ”

"This situation is very difficult to do, my opinion is to operate, find a neurosurgeon to cooperate with me, and establish an extracorporeal blood circulation channel on the upper and lower sides of the screw on the patient's finger to keep the blood circulation unimpeded, so that the swelling of the upper part of the finger can be eliminated first, and then find a way to cut the screw buckle. ”

"What can you do?" the firefighter asked.

"What do you usually do?" Zhuang Poshi raised his eyes to look at the firefighter, he couldn't help but raise his eyes, the firefighter soldier was 1.8 meters tall, and he was wearing thick firefighting boots, almost a head taller than Zhuang Poshi.

"Generally speaking, it is three methods: cutting, cutting and other methods, don't think about it, you can't insert anything, and if you cut it with a toothless saw, it will not work, and the violent friction will produce heat, such a thick screw buckle, and when it is cut, it is estimated that his meat will be almost cooked. ”

"So you can only cut it?"

"It's also very difficult to cut, and our hydraulic shears are big and heavy, which is not suitable for such delicate work. ”

"Where is it, I'll see. ”

"Put it offstage. After saying that, Zhuang Poshi and the firefighters went to study the hydraulic shears.

Only then did Doolin have the opportunity to get started and see the patient's condition up close.

This otaku doesn't seem to be very talkative, and when Zhuang Poshi and the firefighters discussed his fingers around him just now, he just looked a little scared, but he never said a word, as if they were talking about other people's fingers.

"What is this little brother called?" Durin also raised the patient's hand and looked at the stuck position carefully.

The "......" patient did not speak.

"What do you usually do at home? Are there any fun games or good movies? ”

As if he liked this topic more, he glanced up at Du Lin and said,

"The games are pretty much the same, there's nothing to recommend, but I've been watching a good one lately, called "Bloodthirsty Doctor", you can take a look. ”

"Well, I'll take a look when I have time. Du Lin nodded, this is the second person to recommend this book to him after Gu Amei.

"Isn't this finger usually used the most?"

"Yes, you need this finger with a mouse, you need a mobile phone. ”

"Then you should get used to life without this finger in advance. ”

"What do you mean?" the otaku suddenly became nervous, trying to open his chubby eyelids and keep his eyes open.

"I mean, you can't save this finger, you have to have it amputated. ”