Great Doctor Ling Ran
Chapter 15: an examination
Jinyunhua Hospital is one of the most famous hospitals in Yunhua City, and its comprehensive strength is not to mention its strength in hand surgery is recognized in the industry and abroad.
Yang Hu wants his father to do a review, and Yunhua Hospital is naturally the first choice.
The extremely high fame brought with it astounding traffic.
Not only Yunhua City, but also nearby towns and outsiders to see a doctor.
Yang Hu asked his wife to register in advance, and then pushed his father to the place with a wheelchair. He saw countless patients covering their hands, holding their hands, wrapping them, and reaching out.
Looking at the bustling crowd, Yang Hu couldn't help but be dizzy: "How come there are so many people."
Yang Zhongshu was a little happy, saying, "I thought your dad was careless. The human hand is the most used, and it is easy to be injured. I have been making noodles for so many years, and sometimes I miss it ..."
Last night, he was not complained by his family. At this time, he saw a lot of patients and couldn't help being inspired.
Yang Hu looked at the smiling dad at the corner of his mouth, and said helplessly, "Dad, you got hurt by picking up the knife with your hand, and then ran to the small clinic for suture, and then we came."
"In fact, the stitching is also very good. Didn't the doctor in the emergency department say that it was okay yesterday?" Yang Zhongshu couldn't help but feel guilty.
"The doctor in the emergency department didn't think you were serious and didn't look good." Yang Hu grumbled dissatisfied, and said, "You shaved noodles in a small restaurant and became the master of your own. Then you want to go to the big hotel. As a master, do you want it? Can a small clinic compare to a large hospital. Just let us go to the clinic in Xiagou where doctors come to Yunhua Hospital and it is not enough to raise shoes. "
"Okay, I've lost your people in the small restaurant? I haven't brought you up yet, and I haven't been sick or sick. Otherwise, you have to be a regular visitor to Xiagou Clinic." Yang Zhongshu opened the restaurant, He never loses.
Yang Hu couldn't say enough, hurriedly lowered his head and pushed the wheelchair of Xiagou Clinic fast.
When the call came to Yang Zhongshu, the chief physician Wang Haiyang was already a little sleepy. He turned around and yawned and took a sip of tea before opening the case of Yang Zhongshu. He half-read and said, "He bleeds from the right hand due to a cutting injury. More than that, check again after suture ... Well, let me see. "
He checked the color and temperature of the skin, touched it with his hand a few times, and then asked, "Where is it uncomfortable?"
"No." Yang Zhongshu shook his head.
Yang Hu quickly added: "Well, because my dad was in a hurry, he went to the small clinic for sutures, and I was more worried ..."
"Hurt so badly, ran to the small clinic for suture?" Wang Haiyang suddenly sobered and frowned, "You are responsible for your own body."
"I mean ..." Yang Hu complained in his tone.
Yang Zhongshu smiled guilty again.
Honestly, if Dr. Xiong stitched it, he could still have two points of confidence. After all, people retired from the big hospital. Although they are old, they are not too outrageous.
However, it is Ling Ran who is responsible for the suture, which is difficult to say.
忠 Yang Zhongshu whispered, "Is my injury serious?"
He did not say the judgment of the emergency doctor yesterday, lest the doctors and doctors interact with each other.
Wang Haiyangdao: "The wound is so deep, the tendons are probably torn, and the nerves must have been injured. This is basically unrecoverable. The most important thing is that the blood vessels are well anastomated. If the blood supply is insufficient, the distal end will be necrotic. Like fingers, if they die, they can only amputate. "
King Wang Haiyan frowned, and said, "How can such a serious injury be seen in a small clinic. The injuries you send to our emergency department in Yunhua will be transferred to surgery and hospitalized."
Both Yang Zhongshu and Yang Hu changed color.
"Doctor, I'm a shaved noodle shop, I stopped my hands ..." Yang Zhongshu's regrets were growing.
Yang Hu also asked, "Is there any remedy?"
King Wang Haiyan sighed and said, "You reach out first, and I'll give you a skin edge bleeding check."
"Oh." Yang Zhongshu endured the pain and stretched his arm.
Wang Haiyang instructed the graduate student nearby to make preparations, explaining in his mouth: "Examination of skin edge bleeding is to check peripheral blood flow. Blood flow is blood transport and circulation, which is an important indicator of recovery. The examination of skin edge bleeding is to cause A little hurt, I didn't do it for you just now, and I didn't expect you to be so brave. "
"The other party stitched it directly." Yang Zhongshu was frightened, and his voice changed.
Yang Hu was even more anxious: "When people say you just sew, you don't know how to refuse."
Yang Zhongshu swallowed and did not speak.
"You do the test first." Wang Haiyang didn't bother with this topic and signaled the graduate student to operate.
From his point of view, it is difficult to get a good result from the inspection.
The suture of palms is a very delicate job, that is, Yunhua Hand Surgery, whether it can meet high standards, is often luck. It is basically impossible for the other party to restore the full function of the hand.
Now, what can struggle is the question of whether the far end is necrotic.
In fact, Wang Haiyang is not optimistic about this.
Qi Yunhua's Hand Surgery performed so many cases every day, inevitably all failed. What level can a small clinic achieve?
When I was sutured, I didn't think it was good to cause dead space and cavity. He has even seen clinic wounds that can't be done with debridement.
"Director, a little blood is coming out." The graduate student opened the curtain in the corner and came out to report.
"Is this good or bad?" Yang Zhongshu and Yang Hu were nervous.
"I'll take a look." Wang Haiyang didn't immediately reach a conclusion. He first looked at himself and said, "Good luck."
忠 Yang Zhongshu and Yang Hu breathed a sigh of relief.
"Blood circulation seems to have passed." Wang Haiyang glanced at Yang Zhongshu's palm again, thinking while explaining smoothly: "In general, no bleeding or purple blood indicates that there is a problem with blood circulation. . Your bleeding situation is almost the same as that of a normal person. It may also be that the injury is better ... "
King Wang Haiyang shook his head and said, "You said there was a major bleeding?"
"There is more to the blood." Yang Zhongshu explained in semi-professional terms.
这么 "So, the vascular suture is not bad. I'll show you the nerves again." Wang Haiyang then performed a tap test and found that the nerves grew very well.
Suddenly, Wang Haiyang suddenly became interested and asked, "Can you move your hand now?"
"It's more difficult," Yang Zhongshu said.
"It was definitely more difficult to perform the operation performed yesterday, but it will be more difficult to move today, but this is called rehabilitation, which is also very important." Wang Haiyang paused and put his hand on the table, saying: "You follow my movements, let's try flexion and extension first."
Yang Zhongshu's fingers flexed.
"Thumb for abduction and adduction." Wang Haiyang said as he demonstrated.
Yang Zhongshu's fingers followed. Although the amplitude was smaller and the movement was slower, it was all done.
"Come on the palm again."
Yang Zhongshu completed as usual.
"Another paper jam experiment ..."
Yang Zhongshu is still complete.
Director Wang Haiyang fell into a long silence.
"Doctor? What do you do now?" Yang Zhongshu and Yang Hu were both careful.
King Wang Haiyang took a big sip of tea, and UU read the book at www.uukanshu.com and then slowly asked, "Did you have the surgery yesterday?"
"Yes, it was stitched at the small clinic yesterday."
"You go to a private clinic." Wang Haiyang tried to correct their perception of size.
缝合 Sutured yesterday, and basically restored the function of the hand today. Yunhua Hospital also did it. However, more cannot be done.
Considering the conditions of the clinic and Yunhua Hospital, this is even more incredible.
From another perspective, one of the residents of Yunhua Hand Surgery counts one, and it is impossible to sew it so well. In the attending, there are also a few top-notch people who occasionally can get similar results.
As for the deputy chief physicians and chief physicians, who are not promoted based on theories and crooked ways, and who are praised by surgery, they must sew such an effect, which is a probability of 20% or 30%.
Rather, it is a private clinic with high fees.
Yang Zhongshu knew what he meant, and shook his head blankly: "Private is private, but it is also a neighbourhood clinic. It has been open for two or three decades."
Yang Hu said: "It's a small clinic in the community, usually give an injection or something."
For a moment, Wang Haiyang didn't know what to say, but he bowed his head and opened a bunch of charge slips, saying, "Look now, there is nothing wrong with it. You can do a few more checks."
Yang Hu obediently took it into his hands, hesitated, and asked, "So, is there any problem in stitching?"
"Now it looks okay. Well, I'll prescribe some medicine for you, and come back for a review in a few days ... To actively do rehabilitation, it's to move hands ..." Wang Haiyang said, and issued two more bills .
Yang Hu went out and took a look at the payment figures. He almost didn't throw them out: "The hospital is really dark!"
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