Chapter 184: Keep It (1/1 Subscription on September 1st)
The four hospitals have seen a lot of damage, and it is not only the ambulance of the emergency center that will directly send patients from the place of injury to the four hospitals. Because of the sign of the major emergency center, the fourth central hospital, which has a much higher orthopedic capacity than the surrounding hospitals, often receives patients with injuries who are transferred from other hospitals.
Such patients generally have only one requirement after arriving at the hospital, "limb salvage".
Limb preservation is not only because of the concept of "parents who suffer from the skin of the body dare not lose" in the bones of the Chinese. At the same time, it is also because for the vast majority of patients, the loss of a part of a limb is equivalent to the loss of the ability to work. It means that he will become a burden to his family and society in the rest of his life. Driven by this perception, almost all patients and family members will ask for limb salvage.
But the doctors' perspective is somewhat different from that of patients and their families. Even the best orthopedic surgeon cannot restore the limbs of the injured patients to their original state. It's like a nail being driven into a piece of wood, and no matter how carefully the nail is removed, the nail hole will still be left in the wood – the damage has already been formed, and it is far beyond the limits of the body's own ability to recover. This means that any surgical option can only try to "promote recovery", and it is impossible to achieve "complete repair". The degree of repair depends on a series of factors such as the patient's limb injury and age.
Even if doctors judge that a patient has a chance to regain some degree of limb ability, there are a variety of risks associated with a lengthy operation. Here, the most common intraoperative risks are hemorrhagic shock and DIC. Human limbs have an abundant blood supply, and damage can cause almost all blood vessels in the injured area to rupture. Anesthesia for patients with massive bleeding is a high-risk behavior, and a significant number of these patients are transferred to the Fourth Central Hospital after being treated in other hospitals, and then undergoing prolonged surgery, which is extremely risky - prolonged bleeding will cause the body to spontaneously enter a hypercoagulable state, and deplete the coagulation substance, leading to the appearance of DIC.
In general, due to the difficulty of recovery and the difficulty of surgery, and the risk of more serious complications at any time during the operation, the orthopedic doctors of the four hospitals actually prefer amputation rather than limb salvage.
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"Upper tourniquet. Dr. Brunn pulled out the cloth tourniquet from his medical kit, quickly and rudely wrapped it around Tan Junni's right leg, and then riveted his strength to twist the torsion bar on the tourniquet four times.
Tan Junni's cry of pain became even louder. He yelled at Dr. Brunn, "Grass and mud horses!"
"He looks like he's in good spirits. Dr. Brunn ignored Tan Junni's thoughts at all, and he instructed the other workers who had finally come to their senses to move the cabinet a little bit. Then Sun Lien and Yuan Ping'an worked together and dragged Tan Junni and his legs out from under the cabinet.
"Boom!" The one-and-a-half-ton cabinet fell to the ground again, and Tan Junni's wound was shocking. The surrounding workers turned pale one by one, and two of them even turned their heads and vomited.
The damage looks more irritating than the detached injury. Sun Lien didn't even recognize the puddle of rotten flesh on Tan Junni's body at first glance, where was the femur and where was the tibia. He looked to the side - even Zhou Ce's face on the side was not very good-looking, probably the nephrology department generally did not see patients with such injuries.
"What's going on...... Xu Yourong rushed over in flat shoes at this time, and she was also taken aback by the scene in front of her. But after all, she was a doctor who had worked at the ER in Baltimore, and she was quickly shocked, and began to arrange for the transfer, "Xiao Guo!
Xiao Guo pushed the transfer bed alone, drifted all the way to Sun Lien's side, and then moved Tan Junni to the transfer bed with Dr. Brunn. Sun Lien was busy calling the rescue room, and he didn't see that when Xiao Guo and the transfer bed stopped, he could collide with him by five centimeters.
"Where is your boss?" Xu Yourong gave full play to the organizational skills that a high-level doctor should have. She grabbed a worker who looked a little better on the side and asked, "Let him come over quickly, and he will have to sign for the subsequent treatment and rescue - and let him contact the family immediately!"
Trauma at work is so severe that there is no doubt that it should fall under the category of work-related injuries. Xu Yourong's first reaction was to call the boss quickly, so that he could provide the hospital with the authorization and signature needed to rescue Tan Junni. As for the cost of treatment...... The boss couldn't run away.
"I ...... He...... We ......," the caught worker stammered for a while before reluctantly replying, "Mr. Tan is not with us, he ...... He is a teacher in medical school. ”
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Strictly speaking, Tan Junni is a staff member of Ningyuan Medical College, not a teacher. He is a staff member of the Information Department of Ningyuan Medical College.
Tan Junni, who graduated from the Department of Information of Song'an University with a major in computer network management the year before last, is an out-and-out "golden phoenix flying out of the ravine". Since junior high school, he has been living in a poor county and has been receiving funding from various institutions and channels to continue his education. And Tan Junni is indeed very serious and hardworking. While accepting kindness from society, he and his grandmother took care of his mother, who was suffering from schizophrenia, and his father, who was paraplegic because of a mining accident.
When he was in high school, Tan Junni was admitted to the county key high school with the first grade in the county, and also won a scholarship that was not too generous. And Tan Junni didn't use the money to buy some clothes for himself - he used the money to buy 14 servings of local bacon, and at the same time, each bacon was paired with 10 catties of sweet potatoes and 10 catties of potatoes he planted. The gifts were sent to the address of the donor that they had left since they received the first grant.
Along with the gift, there was a letter he wrote. The content was very simple, he briefly reported his high school entrance examination results, and thanked these donors for their help. At the same time, he also promised them that he would continue to study hard, and when he succeeded, he would definitely give back the help he had received to this society a hundredfold.
Tan Junni, who was wearing rubber shoes with his toes exposed, fulfilled his promise. With the seventh place in the county, he was admitted to the Department of Information of Song'an University. During the four years of college, he was stuck in time to donate blood and used all his time to work and study. At the same time, I participate in all the volunteer activities I can. After graduating from university, he applied for a job in the Information Department of Ningyuan Medical College. Living in a dormitory provided by the school, he sent almost all of his income back home. Grandma has passed away, and the second uncle's family takes care of his parents with the money sent back by Tan Junni.
Even so, he still deducted 200 yuan from between his teeth every month, and then donated the money to the financial aid organization. But living like this, the pressure is too great. That's why Tan Junni tried every means to make money - joining the project team led by Wu Youqian and being responsible for the work management of the computing center is one of the ways. The project team was able to give him an additional subsidy of 1,700 yuan per month.
Carrying the computer center cabinet was not originally Tan Junni's job content. But Tan Junni, who received a subsidy for 14 months, believes that he has the responsibility and obligation to help. After all, the handling work is outsourced to the moving company, but these workers lack the experience to move the precision equipment. The night before, Tan Junni also made a special trip to the Fourth Hospital Diagnostic Center, and then used a tape measure to measure the length of the track required for transportation.
Can be unexpected...... It still befell this young man.
Tan Junni's situation is particularly special in medical school, and when Song Wen rushed to the rescue room when he heard the news, he recognized this young man at first sight.
After seeing his right leg, Song Wen's eyes were red. She grabbed Sun Lien's clothes and shouted in a low voice, "I don't care what medicine you use, what equipment you use, or what doctor you want...... All I need is one, and no matter what, I'm going to save his legs!"
Sun Lien was taken aback by Song Wen's red-eyed appearance, and he was a little embarrassed, "But Dean Song...... The scope of the damage is too large......"
"I don't give the fuck!" Song Wenbian grabbed Sun Lien's collar with both hands, as if it was Sun Lien who had caused this poor young man to fall into such a situation. "I don't care what you do, save his leg!"
Sun Lien looked at Song Wen and didn't know how to answer for a while. After staring at it for a while, Song Wen slowly let go of his hands and said in a low voice, "You want to protect not only one leg, but also the future and future of a young man...... You are saving his life. She looked up, tears in her eyes, "I want you to do everything you can to keep it!"