Because Uncle Zhuang was sleeping, Wang Rui didn't immediately start to check, but only made a simple visit from his naked condition.

"Xiao Rui, most of your Uncle Zhuang's leg can't be saved. After coming to the hospital in the morning for a simple bandage, we did a lot of tests, and after reading the examination reports, the doctor asked us to make a decision today, otherwise the consequences would be ......."

When the mother said this, her voice trembled a little, watching her old friend who had known her for so many years suffer this crime, Wang Rui's mother felt very uncomfortable, and her eyes were full of tears. Zhuang Boming and Wang Rui's family have also been friends for decades, and their feelings are irreversible, Zhuang Boming usually goes up the mountain to collect medicine during the slack time, and then half sells it and sends it to Wang's clinic. This time, Zhuang Boming also wanted to take advantage of his leisure time to go to the mountains to pick some wild medicinal herbs and come back, but he didn't expect an accident to happen.

"Dad, did the doctor say Uncle Zhuang's condition is bad?" Helping his mother, who was a little excited, to sit down, Wang Rui asked his father.

"Hmmm! The doctor said that Lao Zhuang's injured calf had thromboangiitis obliterans, accompanied by Raynaud's phenomenon. If the leg is amputated, the leg will still have insufficient blood supply and eventually die! ”

Father Wang was obviously in a bad mood, and he seemed weak when answering Wang Rui's words. And after listening to his father's words, Wang Rui's heart couldn't help but tighten, if Uncle Zhuang's situation was really like what his father said, this calf would definitely not be able to be saved.

Thromboangiitis obliterans, which is characterized by ischemia, pain, and weakened or absent dorsalis pedis artery pulses, etc., if the condition is particularly severe, ulcers and necrosis of the affected limbs will occur. However, through the visual inspection that Wang Rui began, Uncle Zhuang's condition has not yet reached the step of Yan zhòng, is it that he has lost his eyes?

As for the Reynaud phenomenon, Wang Rui recalled what he had learned in medical school, which corresponded to the situation of Uncle Zhuang in front of him. No underlying cause can be found, only local dysfunction and symptoms are more common in vascular disease, which are indications of Raynaud's phenomenon.

In order to have a deeper understanding of Uncle Zhuang's condition, Wang Rui couldn't help but stretch out his finger to catch the other party's pulse, and the "inch ruler" of his left hand. The pulse is thin, the blood congestion is blocked, the pulse is introverted, and the evil is stagnant...... Judging from the pulse, Uncle Zhuang's condition is not very good, and it seems that he still needs to go to the doctor to see the specific examination report.

"Zhuang Boming's family, have you made a decision? Doctor Qin is still waiting for your reply! Just as Wang Rui was thinking about Uncle Zhuang's pulse, a high-pitched voice sounded in the ward.

The ward originally needed to be quiet, but this abrupt voice was so high-pitched that Wang Rui couldn't help frowning. Zhuang Boming lived in a two-bed room, and the other bed had not yet been arranged for patients to stay at this time, and Zhuang Boming was also awakened by this voice, and when he saw Wang Rui beside him, he couldn't help but struggle to get up and say hello.

"Uncle Zhuang, don't move yet, what you need now is to recuperate!" Wang Rui hurriedly stopped Zhuang Boming's struggle, the other party is not in a good situation now, but he must stay in bed, how can he toss so vigorously.

Following the high-pitched voice, a young man wearing gold-rimmed glasses with a stethoscope around his neck and an alloy case clip under his arm. At this time, I was holding my head high, looking like I was a national player and I was a bull fork.

"Doctor Xiao Yang, please tell Doctor Qin, we still need to discuss for a while, and we will definitely give you an answer before six o'clock!" Father Wang obviously knew this arrogant man, so he hurriedly went up and whispered.

"Still procrastinating? The situation has explained to you, this leg must not be saved, or take advantage of Dr. Qin's lack of surgery today, and do it earlier. Otherwise, the longer it drags on, the more the sick will suffer! The man who was called Dr. Xiao Yang by his father still looked arrogant, and said to everyone with an indifferent and disdainful tone.

Regarding Dr. Xiao Yang's behavior and attitude, Wang Rui is very unhappy. Shouting in the ward that needed to be quiet, discussing the amputation in front of the patient, didn't he see Uncle Zhuang's gloomy and lonely look when he heard that his calf was not in danger? Also, with the arrogant and disdainful appearance of the other party, Wang Rui had the urge to rush up and slap him a few times.

However, reason told him that it was not advisable to do so, and after exhaling a few deep breaths, Wang Rui forcibly pressed down the anger that had risen in his chest.

"Doctor Yang, can I see Uncle Zhuang's examination report?" Although there was some anger in his heart, Wang Rui still politely asked the young doctor.

Yang Congjian, Intern, No. 130011. When he stood up and spoke to the other party, Wang Rui clearly saw the other party's badge, and the appearance of an intern doctor was like a bull fork, which made Wang Rui feel unreasonable.

"Uncle Zhuang? Oh, you mean Zhuang Boming! Yang Congjian didn't turn a corner for a while, and after listening to Wang Rui's words, he pretended to take out the case clip under his armpit and flipped it over, and continued: "It's generally not okay to see medical records, but if you have any questions, you can ask me, and I will explain them to you." ”

Have a question for you? Do you still explain it to me? What I want is Uncle Zhuang's inspection report! When he heard Yang Congjian's answer, the anger that was suppressed by Wang Ruiqiang had a tendency to explode.

"Thank you then, but I don't have any doubts now!" Wang Rui no longer paid attention to Yang Congjian, and after comforting Zhuang Boming for a few words, he informed Wang's father that he was going to the attending doctor Qin Fan, and walked out of the ward directly.

Originally, after hearing Wang Rui's words, Yang Congjian was ready to answer questions and solve doubts, and his profound appearance had just been put on the table. As a result, Wang Rui didn't bird himself, let him mix it coldly, but walked over himself and went directly to Dr. Qin, which made Yang Congjian's face cold. After casually recording a few strokes on the case folder, Yang Congjian slammed the door and walked out, and the sound of his leather boots showed that he was very unhappy.

Qin Fan's office is easy to find, and the only deputy chief physician's office on this floor belongs to him. At this time, Qin Fan was rubbing a jade carved lion, carefully looking at and tasting it by the light in the room.

"Woo Woo ......"

A knock on the door woke up Qin Fan, who was immersed in the jade lion, and when he looked up, he saw a young man standing at the door, and the other party was also staring at him with blazing eyes at this time. This kid's eyes are so sharp, he actually has a feeling of seeing through people, and when Qin Fan met Wang Rui's gaze, such a thought involuntarily rose in his mind.

"Director Qin, hello! I am a family member of the patient Zhuang Boming, and I just rushed back from Shengjing today to know some of his specific circumstances! Wang Rui asked without humility or arrogance, although when he saw the other party playing with the jade lion when he knocked on the door, he felt that this person was too disrespectful. But now that I saw the other party sitting on his lap and smiling, my impression just now had changed.

Quickly put the jade lion on the side shelf, Qin Fan reined in his mind, and the temperament on his body immediately became much calmer and heavier. After listening to Wang Rui's questioning, Qin Fan took the mouse on the table and clicked to bring up Zhuang Boming's electronic medical record.

Now the hospital has fully realized paperless office, all kinds of prescriptions, medical records, examination reports, etc., are networked through the internal network of the hospital. Except for some real-time test records of hospitalization, which require nurses and doctors to write handwritten records, the rest of the records are basically entered by computers.

After calling up Zhuang Boming's electronic medical record, Qin Fan quickly glanced at it. After organizing the language a little in his heart, he began to talk about Zhuang Boming's illness and treatment plan.

Qin Fan said a lot of things, analyzed Zhuang Boming's condition from all aspects, and finally came to a conclusion that Wang Rui already knew - amputation. The surgery should be completed today at the latest, otherwise after 12 hours, the problems of tissue necrosis and inflammation will become extremely difficult.

While listening to Qin Fan's treatment plan, Wang Rui also saw some of Zhuang Boming's examinations. Abnormal blood count, comminuted fracture of the lower leg, color ultrasound showed slight damage to some organs, and then CT, MR and other films.

"Because your uncle had symptoms such as thromboangiitis obliterans, plus the nerve in his leg was injured, I had to amputate my leg quickly, so the current fracture has not been surgically treated." Qin Fan finally said what he had to say, picked up some cold tea on the table and drank it all.

As a leader in the hospital's orthopedics, he knows that a major operation will increase his income. Although Zhuang Boming's injury is as he said, there is still one thing he did not tell Wang Rui, that is, if it is treated conservatively, there is also a chance, but it is relatively small.

"Doctor Qin, if we don't want to amputate our limbs, can we treat them conservatively?" After thinking for a while, Wang Rui said to Qin Fan in a deep voice.

It is indeed very difficult for Wang Rui to make this decision, and he basically does not have much experience in this kind of surgical injury. In particular, Uncle Zhuang's lower leg has been comminuted and fractured, and there is no surgical treatment until now. Although it is not an open fracture, if the golden time for treatment is missed, the consequences are also very severe, although Qin Fan pushed this qiē down to his conclusion, saying that as long as there is an amputation, these problems are not a problem.

After listening to Wang Rui's words, Qin Fan's unfinished tea couldn't help choking in his throat. I have already made it so clear, why is this young man still so stubborn, isn't he afraid that tissue necrosis will cause systemic problems, which will cause the death of the patient?

"I can understand your feelings, young man, but I have explained it very clearly to you just now. If your uncle doesn't amputate the limb immediately, the tissue inflammation will be aggravated, which will ......" Qin Fan tried to give Wang Ruixiao reason and emotion.

"Doctor Qin, I just want to ask about the success rate of conservative treatment!" As long as Wang Rui decides something, there is little room for repentance, so he didn't wait for the other party to finish speaking, and directly asked what he said.

Qin Fan's face was a little unsightly, seeing that a generous bonus was about to be in the bag, he didn't expect the other party to refuse directly. The atmosphere in the office became a little cold, and after a slight pause, Qin Fan said: "Since your family members want conservative treatment, we as doctors will also respect your decision." But are you in charge? ”

"He can call the shots!"

Before Wang Rui could answer, Wang's father's majestic voice came from behind him.

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The yard is out, come on!!