"Hello Auntie, I am a new doctor Lin, has the pain of your wound been reduced today compared to yesterday?......

"Hello this big brother, your body temperature has risen today, 38 °C, considering that the operation was only completed yesterday, and the heat is absorbed after surgery, it is recommended that you drink more water, I am prescribing an ice pack for you and putting it in the armpits, physical cooling, and if there is any other discomfort, ring the bell in time, let the nurse notify me ......"

"Hello, this uncle, your arm still needs to be raised after surgery, otherwise the wound will be swollen and ...... slowly."

......

Lin Chen came to the ward, carefully checked all the patients in this group, and by the way, he also learned a little about the patients in other groups in the emergency department, and then he returned to the office excitedly.

Carefully looking at the surgical records of all the patients in the hospital, this is simply a nutritious meal for Lin Chen, it is very timely, he learned from these surgical records, each professor has a different surgical style, these surgical skills are very precious to Lin Chen.

Due to Lin Chen's excellent memory, he only needs to read all the patient's information once, and all the surgical records only need to be read once, so that he can never forget it.

It took a morning to quickly complete the medical records of the hospital, and all the medical records of the discharge were printed out on the computer.

Lin Chen pushed the medical record cart to the attending physician's office, and he knocked lightly on the door.

"All these medical records have been completed?" Gu Mingjie looked at Lin Chen suspiciously, 40 medical records, according to the usual trainees and residents to write medical records, it would take a day, and Lin Chen only took one morning to complete.

Is there any moisture in the quality of this medical record?

Gu Mingjie's attending physician stared at Lin Chen and said, "Have you ever been to the ward rounds of the patients in our group?"

Before writing these medical records, Lin Chen had not only carefully inquired about all the patients in the group, but also learned about the other patients in the department.

"Teacher Gu, I have asked carefully, and I have also changed the medicine today if I need to change the medicine, and you can sign these medical records," Lin Chen said with a smile.

Gu Mingjie casually picked up the medical records on the car and looked at them.

"15 beds, Liu XX, was admitted to the hospital with bleeding pain for half an hour after traumatic injury to his left index finger. First trip, admission record, disease course record, surgery record......"

"Bed 16, He XX, bleeding and painful from the cut injury of the right middle finger, limited movement for half an hour, admitted to the hospital......"

"17 beds, Chen XX, bleeding pain caused by a broken right index finger for 1 hour......"

......

Gu Mingjie looked approvingly and said, "Xiaolin, you have a good foundation and have done a good job!"

Just kidding, Lin Chen's memory is not something that ordinary people have.

"Xiao Lin, just now the military region sent a soldier, this soldier was training, due to a trigger accident caused his right index finger to be broken, you follow me to the operation" Gu Mingjie looked at Lin Chen lightly and said.

"Okay," Lin Chen replied.

Jiangzhou Military Region Hospital stands on the north bank of the river in Jiangzhou City, and the south of the river is the provincial medical center, and the two modern super buildings in Jiangzhou echo each other.

The operating theatre of the hospital, on the 17th floor.

The operating room of Jiangzhou Military Region Hospital is a laminar flow level, modern high-end configuration.

"Xiaolin, have you ever done replanting your severed fingers?"

"I've only ever had my wrists cut, and I really haven't done this severed finger"

"You will be an assistant for a while, and I will take you to make one today" Gu Mingjie looked at Lin Chen proudly.

The soldier on the operating table was only about 20 years old, and he looked at Gu Mingjie and Lin Chen with rolling eyes.

"Doctor, you have to pick up my hand, I can't go to the training ground if I can't catch it, please"

"Young man, the risk of this finger replantation operation is already very high, and we can't guarantee that we will be able to pick it up and take it back, but we will definitely do our best"

......

Wash hands, disinfect and spread sterile wipes.

After brachial plexus anesthesia, the inflatable hemostatic time of the tourniquet on the upper arm begins;

Lin Chen once again disinfected the young soldier's saline, hydrogen peroxide, and painless iodine, and then spread it on the operating table.

"Xiaolin, you have prepared well before the operation, and these tasks will be handed over to you in the future."

"Hello, I need 7 1/2 gloves"

This is the first finger amputation surgery, Lin Chen attaches great importance to it, and the finger replantation of the military hospital is definitely a first-class technology.

Gu Mingjie carefully picked up the young soldier's right index finger and looked at it, and then looked at the DR film on the display screen on the wall

"Hey, the distal finger part of the right index finger is completely severed, and the digital arteries and veins are not easy to find, this operation is not easy to do" After the debridement of the right index finger was completed, Gu Mingjie shook his head helplessly.

At this point, the nurse had already turned on the microscope.

After adjusting the aperture of the microscope and the focal length of the two pupils, Gu Mingjie put the soldier's right index finger under the aperture and continued to debride with microscissors and microscopic forceps.

He shook his head and said, "Young man, you really can't catch this finger, and the finger arteries are gone!"

Lin Chen looked down from the microscope, and one side of the index finger was completely avulsed off on the side of the finger artery and nerve.

On the radial side of the right index finger, perhaps under a 10x microscope, this strong light source can cause dizziness over time.

He shook his head, "This artery near the radial side of the right index finger is still good, I can only try."

From the cold storage box, take out the end of the severed finger, sterilize, rinse with saline, and debride.

When Gu Mingjie put the severed finger together on his right index finger, he pulled the proximal digital artery with microscopic forceps

"The length of this artery is not enough, and it can't be connected again!"

Lin Chen said softly: "Let's free this digital artery, or shorten the distal finger a little more!"

Gu Mingjie suddenly looked at Lin Chen: "Have you done a severed finger replantation?"

Lin Chen saw from the surgical records of other professors who did finger amputation and replantation that the digital artery on this side could not be anastomosed, and the opposite digital artery existed, so the opposite digital artery should be anastomosed, and then two veins could be anastomosed to survive the residual finger replantation.

"Forget it, if this operation is replanted, it will not be a dismantling operation, for the sake of you completing all the medical records this morning, you can come and try this operation," Gu Mingjie said.

This is a good opportunity, Lin Chen has been waiting for Gu Mingjie's words for a long time.

Lin Chen picked up the vise, and removed part of the proximal and distal phalanges, and the bones were smoothed.

"1.2mm Steel Needle, Electric Drill"

"Please let me take another look at the DR film"

The high-speed rotating steel needle fixes the stump on the index finger, because the position of the stump is coincidental, it does not hurt the flexor and extensor tendons, and after the stump is fixed, only the digital artery needs to be anastomized, and the operation of two finger veins can be completed on the anastomosis.

After this stump is fixed, the length of the digital artery is resolved.