Plague Doctor

Department of Traumatology and Orthopedic Surgery, Dongda Affiliated Hospital.

A large number of patients with orthopedic diseases are treated here every day, including joint trauma, fractures, arthroscopy, joint replacement, deformity orthopedics, etc. It is the leading trauma orthopedic surgery department in Dongzhou, with more than 30 doctors, many of whom are experts from Dongda Master's and Ph.D. tutor at the medical school.

Amputations are a common occurrence in the operating rooms here, most of the time for emergencies and sometimes for pathological changes.

Chief physician Chen Yunping is preparing to perform an amputation of the right upper limb. This operation is not special. The patient is 36 years old, male. The affected limb suffered extensive severe burns due to an accident at the workshop. Before being transferred here, he worked at the town level. Hospital treatment, because the wound inflammation could not be effectively controlled, tissue necrosis, suppuration, and poor blood flow occurred before skin transplantation could be performed. Debridement was no longer applicable, and the only option now was amputation.

This is not the first time that Chen Yunping has faced such a case. Right forearm amputation is a difficult operation, but it can be done with confidence and there will generally be no accidents.

However, at the pre-operative meeting, their surgical team was suddenly told that someone from the Tianji Bureau Medical Department was here to observe the operation, and Gu Jun was the leader.

Nowadays, Gu Jun is a celebrity in Dongzhou University and Dongda Affiliated Hospital, the pride of Dongzhou University.

If this news hadn't been kept confidential and the young nurses in the department knew about it, they might have even taken out their signature pens in excitement.

Neither Chen Yunping, anesthetist Ji Quan, nor the first assistant, second assistant, and others understood the purpose of the Tianji personnel's trip.

The person from the medical department said solemnly: "It's not because of this operation, it's because I need to observe a right limb amputation. He didn't tell us the reason, and the Tianji Bureau has nothing to do with it. You just do your own surgery as usual. That’s it, you have to be prepared in your mind that something unusual might happen. Anyway, if you feel anything weird, just say it. If something does happen, the Tianji personnel will take over."

Gu Jun brought a team of more than ten medical staff, and it was said that they could all go to the operating table at any time.

There is also a group of heavily armed personnel, but they are not wearing white coats. They should be Tianji personnel from other departments.

It was at this preoperative meeting that Chen Yunping and others met with Gu Jun and others to communicate about the patient's condition and surgical plan.

"Director Chen, we are the ones disturbing you." Gu Jun was very humble and did not have any pretensions to being a genius. Although Chen Yunping was not a professor, he was also a doctoral student at the School of Medicine at Dongda University. He was Gu Jun's senior. Now he really feels the influence from Respect from the other party.

"No, we understand that your Tianji Bureau's affairs are important." Chen Yunping replied, sincerely feeling so, and did not ask any further questions as per the rules.

Gu Jun nodded, "Something happened, but the environment here is still safe. Director Chen, please feel free to do it."

Currently, there are five patients with foreign hand syndrome admitted to the emergency department and orthopedic outpatient department of Dongda Affiliated Hospital.

However, Chen Yunping and others did not know it. Even the doctor on duty who knew about it was told that he should be a BiID patient.

The number of patients with alien hand syndrome is still increasing. The medical base has put Zhou Yibao and many other patients into artificial coma. The patients' vital signs were stable while in the coma. This method has temporarily relieved the pain. But their right hands are still moving, still struggling, and still deteriorating.

Now, the burn amputation patient was already waiting in the operating room. Without further ado, the group immediately went to the changing room outside the operating room and put on the air-tight protective clothing brought by the Tianji team to prevent possible accidents. This will naturally have some impact on the body's flexibility, but Chen Yunping took over the job with confidence.

It has been a while since Gu Jun entered an orthopedic operating room. The light of the shadowless lamp, the operating bed, the anesthesia machine, the monitor...

The patient who has been under general anesthesia is lying on the dark brown operating table in a supine position. The nurse puts his sick side torso as close to the edge of the operating table as possible, abducts the sick limb, and lays it flat on another small operating table, with his upper arm An inflatable tourniquet was placed and his vital signs were stable.

Gu Jun saw that the affected limb was extensively burned. Only a small section of the upper arm was still intact. In addition, from the upper arm to the elbow, the entire forearm, wrist and palm were covered with black and red skin. It was swollen and swollen, and there was pus everywhere on the wound...

Even if I am used to seeing filthy things, even if I have just dissected that leg of lamb that is a hundred times weirder,

He still had heart palpitations that he hadn't experienced in a long time, just because there was a human face on this body with connected limbs, a sleepy face.

An ordinary middle-aged man, whom I have never met.

But that sense of phantom came back, the phantom that had existed since the dissection of the black goat cub...

Bang bang, bang bang.

He seemed to hear the sound of something falling to the ground.

"Director Chen, let's get started." Seeing Chen Yunping and the others looking at each other, Gu Jun said again, "Don't worry about us."

He, Uncle Dan, Zhang Huohuo and others all walked aside.

Chen Yunping and others walked to the small operating table where the affected limb was placed. It would be false to say that the pressure did not increase when the Tianji team was suddenly watching. They calmed down, concentrated their attention, and took the Pick up the equipment and use your own abilities and experience.

This is a forearm amputation, and the osteotomy plane is set at point 13 in the middle of the upper arm. This position is ideal, as the blood supply to the skin flap is good, and it is also more suitable to install a prosthetic limb after surgery.

The first step in the surgery is to make an incision.

At the moment, Chen Yunping followed the pre-operative plan and designed a skin flap of equal length before and after the predetermined osteotomy plane. Then he used a scalpel to incise the skin, subcutaneous tissue and deep fascia along the incision line, and then freed it proximally to the osteotomy plane. above. At the same time, the first assistant and the second assistant

, equipment nurses and others are all busy.

Gu Jun stood not far away and watched, not hindering their operation but also having a clear view of the operating area.

Although the arm that had become suppuratively infected had been debrided, pus was still flowing out, mixed with blood.

Chen Yunping's hand strength was very stable and was not affected much by the airtight protective clothing. Under his leadership, the surgical team went to the affected limb to cut off the blood vessels, and then separated and cut away the radial nerve, median nerve and ulnar nerve...

The operating room was very quiet, everyone was focused on the operation.

But the banging and banging sounds that Gu Jun heard became heavier and heavier, as if they were falling on his heart, hitting him one after another.

His eyes suddenly flickered, and something flashed across his face...

This is exactly the purpose of coming here to observe the operation, and it seems that he can also trigger illusions...

In that blurry and broken scene, there was a figure of a child patting the ball... Bang bang, bang bang, it was the sound of the ball falling to the ground... No, it was not that child, it was another child next to him, standing on the basketball stand. Looking from a distance.

The child has no hands, and there is nothing under the shoulders exposed by the short-sleeved T-shirt.

Love the Plague Doctor.