Chapter 340: Playing in the Operating Room (Second Update, Asking for Subscription)
After Fang Ziye went out, Xiong Jinhuan knew about a trip to the hand surgery practice room. But what Fang Ziye did in it, Xiong Jinhuan has not yet inquired.
The people in the hand surgery are busy eating melons, how can they have the opportunity to inform Xiong Jinhuan?
After Fang Ziye ran away after the operation, he took Xiong Jinhuan to the emergency operating room of the emergency department as soon as possible.
Xiong Jinhuan went to print out the template of the informed consent form for the surgery of the injured patient, and asked the patient's family to sign it, while Fang Ziye asked the emergency department to prepare the preoperative order for emergency surgery!
At the end of the consultation, the patient's condition was indeed only focused on the damage to the lower calf of the right lower limb, and there was no damage to the major arteries and thorax and abdomen.
After the results of CT and other examinations are completed, and each specialty is diagnosed, the diagnosis is clear. There is no doubt that emergency surgery is indicated.
It's just that when Fang Ziye was about to open a preoperative order for emergency surgery, the patient approached Fang Ziye with a wheelchair in his hand: "Doctor, can I only amputate my leg?" ”
A sixteen or seventeen-year-old girl, with a pale face and a slight frown. Her skin was fair, her body was slender and even thin, her arms and wrists were like bamboo poles, slender but brittle, and she was ready to fold to the touch.
She was dressed in a dance student's practice uniform and a coat. The right lower limb is swollen like a sac after being wrapped in gauze! The blood seeped through the gauze, as if the feet were like bamboo sticks, and an irregular bun filled with chili meat was strung together......
Fang Ziye glanced at her, his heart was touched, but he didn't dare to reply.
A girl of the same age, whose life has not yet begun, and who is an art student, on the way to practice, was crushed in her right lower limb while riding a bicycle, and the crushing plane was above the ankle joint.
"Doctor? Can I not have my leg amputated? I'm going to study, I'm going to take the college entrance examination next year, I've been practicing dance since elementary school, I don't have extra points, I don't have to practice dance......" The little girl sobbed.
Fang Ziye turned around and said, "Don't cry first, you are also close to adulthood." ”
"We're not kids anymore, and we're going to start facing reality."
"Whether the limb is amputated or not, it is not completely conclusive for the time being, it can only be said that the situation of your injury now, there is a high probability of yes! ~”
The girl didn't listen to what Fang Ziye said at all, she buried her head and continued to sob, her shoulders, back, hands and feet trembled......
At this time, the girl's mother, who was talking to Xiong Jinhuan, approached and glanced at Fang Ziye!
Fang Ziye hurriedly said first: "As a parent guardian, you still have to communicate with her a little bit about your emotions, and I have to prepare the details of the operation." ”
"The longer the delay, the later the surgery will be detrimental to the postoperative recovery."
There are not so many miracles on earth.
Damage is an incurable disease both domestically and internationally. Zhongnan Hospital does not have so much energy, so that every patient who is damaged has the ability to receive limb salvage treatment.
The orthopedic department of Zhongnan Hospital is good.
Therefore, the middle-aged woman hesitated and asked, "Doctor, if the professor takes action in my daughter's situation, can't I do anything?" ”
"Whenever you have the opportunity, it's okay to spend a little more."
"We don't have high requirements, as long as we can save our legs, it's best to be able to walk."
She hugged her daughter and tried her best to fight for a glimmer of life for her.
"Eldest sister, it's really not that I'm alarmist or deliberately scary, the request you are making now is quite high, and even a little difficult for a strong person."
"I told you that you were ruined, and you must have seen what it means to be damaged. It is almost impossible to save a limb that can be called a disfigured crushing injury, with the current level of medicine. ”
"Although some people are trying to do this direction, it is also scheduling the top professor resources in the country, gathering them together, and occasionally doing it once or twice."
"But the results of such a concentration of resources have been mixed, so much so that at present, there is no standard limb salvage and procedure in the world......"
"Therefore, the best solution to destroy the injury is amputation!" Fang Ziye naturally felt pitiful for the little girl.
But it's not just the little girl who is pitiful, the young boy I met before, the thirty or forty-year-old man who is the pillar of the family, they are also pitiful.
The professors can't do anything, they have to find a way for Fang Ziye, isn't this just urging men to lay cubs and roosters to lay eggs?
"Immature limb salvage surgery will eventually lead to limb necrosis, and after the necrotic limb penetrates like blood, it can even lead to bacteremia, water and electrolyte balance disorders, and even life-threatening."
"So, no matter what level of expert you consult, the answer you get is definitely the same as mine! ~"Fang Ziye still has such professional self-confidence.
Naturally, if Concord or a top institution like the Mayo Clinic said they could try limb salvage, Fang Ziye would believe it.
But not everyone's doorstep is Concord, it's all Mayo Clinic!
"I sent my daughter's photos to a lot of friends and consulted a lot of doctors."
"But I'm hoping for a miracle, I'm sorry, doctor......" The woman said, hugging her daughter up, her eyes red but not crying.
She is also sad, but she is no longer young, she is still a mother, so she is not qualified to cry in front of her children, she can only pretend to be strong.
Fang Ziye could only continue to insist on his ruthlessness.
Giving people deceptive promises of the future is tantamount to stifling other people's hopes for the future.
……
Soon, Xiong Jinhuan walked closer, looked at the girl who had stopped crying, but was still good-looking, and sighed: "Brother Ye, I have signed and paid." ”
"Well, let's send it to the operating room, call today's emergency class." Fang Ziye commanded.
Xiong Jinhuan is also a doctor, and he is also the general manager of the hospital, and he also has a lot of resources and rights, so naturally he doesn't have to do some things in person.
Just after Fang Ziye finished instructing, Guan Qiquan and Professor Liu Huanglong went outside the surgical clinic of the emergency department.
Fang Songlin, who was on duty inside, didn't know Guan Qiquan, who was two terms higher than him, but Fang Songlin happened to know Liu Huanglong, a legendary figure in orthopedics who was in the same session as him.
"Liu? Brother Long? Fang Songlin changed two titles, and finally chose the more appropriate Brother Long.
Liu Huanglong is actually the same era as Yuan Weihong. It's just that Liu Huanglong is too many times better than Yuan Weihong, and he belongs to that kind of super genius......
It only seems that Liu Huanglong is not familiar with the pine forest.
Liu Huanglong nodded at Fang Songlin, beckoned, and then looked at Fang Ziye and said, "Ziye, you ran away from the practice room, this hurdle in my heart is erected, and I really want to have a good discussion with you today." ”
"Uh~"
"Who is this girl? Damage? After Liu Huanglong greeted Fang Ziye, he looked at the patient Fang Ziye was currently treating with a tense expression.
"Well, Professor Liu, the damage and crushing injury in the middle and lower part of the tibia, so far, I have only taken a general view, and the right foot is ...... off the batter," Fang Ziye explained to Liu Huanglong.
When Liu Huanglong heard this, he immediately bared his teeth slightly.
As soon as the family heard that Liu Huanglong was a professor, they immediately asked: "Professor Liu, can my daughter not have her leg amputated in this situation?" ”
Liu Huanglong shook his head: "This request is a bit embarrassing!" ”
"Ankle and foot injuries are damaged, even if fusion is done, there is a fear of postoperative limb necrosis and infection. The statistical probability of re-amputation after limb salvage is as high as more than 95%. ”
"The remaining percent, in the end, is mostly stiff."
"It's nothing, it's not functional."
Fang Ziye continued to explain to the family: "This family member, it's really not that I'm alarmist, but that I am destroying this disease, and with the current level of treatment, few teams can overcome it." ”
"So, it's really not that I don't want to figure it out for you."
"Professor Liu is a professor at Union Hospital, a professor in the Department of Orthopedics, and a senior chief physician."
The family was silent again, and the girl in her arms also trembled slightly.
"Doctor Fang, you can send the operation first, Professor Guan and I, let's go to the operating room first......" Liu Huanglong is a very mature adult, and it is impossible to promise anything as soon as his brain is hot.
But this is actually a hint of something.
Professor Liu Huanglong is a professor of hand surgery and has unique experience in the replantation of fingers and the treatment of soft tissue, vascular and nerve defects.
"Okay, Professor Liu." Fang Ziye saw off two steps, and then turned back.
Then I saw that my family was checking the hand surgery experts of Union Medical College Hospital on the Internet, so I nodded and said, "Yes, it is this Professor Liu, his appearance is the same as in the photo, he came to our hospital this time as a guest and as a teacher." ”
"I happened to be passing by, but he was doing amputated limb replantation, this kind of destruction and injury, which belongs to our trauma surgery."
"Okay, Dr. Fang, we agree to amputation."
"But I beg you, if, if my daughter still has hope of saving her limbs, even if it is only one percent, you will be tired of coming out and telling us about it during the operation."
"One percent is fine, as long as there is a glimmer of life, if it is not life-threatening, we are willing to gamble before we reach a desperate situation."
"She's still young......"
Fang Ziye actually replied in his heart a long time ago, so many patients I met were very young. Because they are not young, the injured patients have already had their limbs amputated in lower-level hospitals and prefecture-level city hospitals.
But after they came, there was a high probability that it would still be amputation.
The top professors of trauma surgery in Hubei Province are combined, and there is no "scenery" to rescue a 'ruined' patient, even Huang Kai of our bank, deputy chief physician of Huang Kai, the deputy chief physician of orthopedics, is still in a wheelchair......
This disease is a sudden emergency, and it does not pick people.
"Good!" Fang Ziye still nodded in agreement.
"I'll go to the operating room with Dr. Xiong to prepare first, and you should also be mentally prepared a little and ask the nurse to help insert a urinary catheter."
"Because you have a particularly strong request for limb salvage, you need to be prepared for all aspects of the extended duration of the operation."
Fang Ziye left after explaining.
On the way to the operating room of the emergency department with Xiong Jinhuan, Fang Ziye really met Professor Liu Huanglong. At this moment, Liu Huanglong has become a very serious professor, discussing with Guan Qiquan the interpretation and treatment principles of destruction and injury in the field of hand surgery.
After seeing Fang Ziye come in, Liu Huanglong asked politely: "Doctor Fang, in fact, I also had some ideas about destruction before, but because I belong to the subspecialty of hand surgery, I didn't have the opportunity to implement it, I don't know if I was lucky to be invited by you to come to the stage together, and we will do a ruined amputation or limb salvage together?" ”
Liu Huanglong, this is a strong interest in Fang Ziye, not satisfied with playing in the practice room, but also playing with Fang Ziye on stage.
(End of chapter)