Start as an Emergency Physician

Zhou Yuan directly drank a bottle of energy potion, because he didn't have time to eat breakfast, he took physical strength medicine by the way and rushed to hand surgery.

Before the elevator stopped, Zhou Yuan saw a group of people outside the hand surgery clinic.

There are doctors in white coats, and there are also doctors in civilian clothes, who should be family members of patients.

After all, if you can come to hand surgery, you can't watch the excitement here with broken hands and feet.

Zhou Yuan walked up quickly and squeezed into the crowd.

"What's wrong?"

Zhou Yuan saw Wu Guohui, Director Wang, and Hikaru Morimoto in the crowd.

"There was a problem with the factory machinery, and the workers of the entire assembly line were injured!" Wu Guohui saw that it was Zhou Yuan who came, and immediately stood up.

"The three worst ones on the ground!"

Zhou Yuan looked around, and basically everyone on the lookers had a little injury, but it was basically a bruise, and there was no major problem.

There were three people on the ground, one with blood on his hands, and his palms were separated from his wrists, which was a cutting injury caused by the machine.

One had his right thumb and index finger amputated, and another had severed fingers of varying degrees on both palms.

"Zhou Yuan, these two severed fingers, severed fingers have lost the possibility of transplantation... You might be able to give it a try. "

Zhou Yuan nodded, "Director Wu, you guys should operate on the person with the broken palm as soon as possible!"

Compared to the two people with broken fingers, broken palms are obviously more dangerous.

The palm of the hand belongs to the large limb, and the distal injury energy of the large limb is large, and the local tissue contusion will be very serious, and the impact on the whole body is also great.

If left untreated, it's not just a matter of amputation, it can cause systemic damage.

"I'll come. Hikaru Morimoto walked out at this time.

Wu Guohui and Director Wang glanced at each other and nodded, "You go." "

Hikaru Morimoto beckoned several doctors to lift the patient with a broken palm, examine it, and say, "Send it to the emergency room immediately for rescue!"

Just as Hikaru Morimoto was about to leave, he suddenly stopped, glanced at Zhou Yuan, who was squatting next to the patient, and said, "My suggestion is to amputate the limb immediately, having a few fingers is always like delaying to the point of life-threatening, or losing a few toes!"

Wu Guohui and Director Wang's faces were a little ugly.

Saying this kind of thing at this time is nothing more than a blow to Zhou Yuan.

"Zhou Yuan, it's really not good... Just amputate the leg and save the remaining fingers..."Director Wang said.

Zhou Yuan was silent for a moment, looked at the patient on the ground, and said, "I can operate on you to transplant your toes to your fingers, and the transplanted toes can partially replace the function of your fingers, but the risk is very high." There is no such precedent in the world, and I have only experimented on mice..."

The two patients were stunned.

Their severed fingers have been processed and stopped

Anyway, I can't take it back with my severed finger, so I don't need to be in a hurry.

As the minutes ticked by, the two sufferers made a choice.

At this time, the crowd suddenly stirred, and a person squeezed in.

"Wait, I'm involved in the operation too!"

Zhou Yuan was stunned for a moment and looked at Dean Fang who rushed over.

"This surgery has been successful in mice, so it can theoretically be done in humans as well. If it succeeds, your operation will go down in history!" said Dean Fang.

The two men with severed fingers looked at each other with fear in their eyes.

"I've seen you on TV, you seem to be our hand surgeon in Yanjing City... I believe in you!"

That's when the patient with a broken index finger and thumb said.

Dean Fang's mood relaxed a little, and said: "This operation, our hand surgery will use the greatest strength to complete, if it fails in the end, our Yanjing International Hospital will not charge any operation fees, and the cost of all subsequent treatments will be borne by our hospital." "

Hearing this, the patient with severed fingers on both hands was also a little moved.

They were originally workers struggling at the bottom, and a person's salary was only two or three thousand yuan, and how much did a limb replantation operation cost... Tens of thousands, even hundreds of thousands.

"I... Willing to try!" The patient with two mutilated palms trembled and raised his bloody hands.

Zhou Yuan was stunned for a moment, was silent for a few seconds, and said, "You have too many severed fingers, I suggest that you still don't have a regenerative finger transplant..."

At present, the regenerative finger transplantation is still in the theoretical stage, Zhou Yuan's plan is only to regenerate the thumb, if you add other fingers, there are too many structures that need to be anastomosed and adjusted, and Zhou Yuan may not be able to persevere.

What's more... According to the number of mutilated fingers of this brother, is this to cut off the entire soles of the feet and transplant them to the fingers...

Zhou Yuandao: "Your situation is different, it is not suitable for reconstructive fingers, my suggestion is to amputate the leg and save the remaining fingers." "

The patient with two mutilated palms was stunned.

Dean Fang glanced at Director Wang and said, "Director Wang, this patient has been handed over to you." "

Then, he looked at the patient and said, "Thank you for your trust in our hospital, after the successful treatment, our hospital will reduce part of the fee for you." "

Zhou Yuan stood up.

The remaining patient with a mutilated thumb and index finger was his.

"Sent to the emergency room, first for rescue and preoperative examination, and... The patient's family needs to come and sign it!"

Since this is the first surgery that has never been performed, there are far more informed consent forms that need to be signed. And there is also the problem of amputation of the toe, if it is not coordinated, let the patient and the family confirm the signature, if there is a problem, the patient can completely sue the hospital for the reason that the hospital has amputated the toe privately.

After arriving at the emergency room, Zhou Yuan carefully examined the patient's condition.

The patient is pale, apathetic, has a weak pulse, and has a blood pressure of 10/5 kPa.

The palm, index finger, and thumb outside the middle of the finger were crushed and damaged, only part of the skin was connected, the wound was seriously polluted, and there was no blood circulation at the end.

Among them, the residual severed finger of the thumb was comminuted and fractured, the skin of the index finger was defected in a large area, the muscle crushed necrosis caused the finger to lose vitality, and the hand bone was exposed.

In other words, the patient's remaining index finger and thumb remnants are also useless and need to be amputated, the toes grafted, and the limb reconstructed.

"No problem with the inspection. Surgery is possible. Wu Guohui hurriedly ran over.

Zhou Yuan nodded, and Dean Fang and the others pushed the flat bed and ran to the operating room.

Wu Guohui followed, looked at the checklist in his hand, and fell into silence.

Why...... I, an associate chief physician, became an errand runner to report the results of the examination?

Isn't this the job of an intern and a low-level resident?

Operating room.

Under the shadowless lamp, Zhou Yuan had already put on his surgical gown and stared at the patient on the operating table with a serious expression.

"Zhou Yuan, do you plan to amputate your severed finger first, or cut off your toe first?"

Feilu reminds you: there are three things to read - collection, recommendation, and points