Start as an Emergency Physician

"It just so happens that I'm also free today, let's go test it?" Dean Fang looked at Zhou Yuan.

Zhou Yuan nodded: "Then test it now." "

All three stood up at the same time and walked towards the hand surgery.

After receiving the news, Wu Guohui and Director Wang had already greeted them at the elevator entrance, while Hikaru Morimoto hid in the office and watched here.

The group came to Wang Dong's hospital room.

After Wang Dong finished the test, he entered the single VIP ward.

Wang Dong is so important, his hand now represents not just a hand, but a new surgical method in the medical field!

If it does, it will mean that a new chapter will be opened for the replantation of amputated limbs in hand surgery.

Therefore, it is impossible for Wu Guohui and others to be imprudent.

"Doctor Zhou, hey, why are there so many doctors here today?"

Wang Dong, who was eating melons, was stunned.

In prison, this is also the posture of dying on the verge of death...

Thinking that he had been served with delicious food and drink in the past few days, the doctors and nurses were also laughing, and the melon in Wang Dong's mouth fell.

"What's the matter, you can't catch the melon with your hands?" Wu Guohui frowned.

Don't have a hand that has been operated on, but a hand that has not been operated on has a problem.

"Don't worry, we're just here to test the function of our hands. "

After Zhou Yuan obtained the ability to obtain the high-level treasure chest reward, he captured the details more meticulously, so he noticed the change in Wang Dong's expression and guessed the reason.

"Huh, I'm scared to death..."Wang Dong patted the murderer.

Zhou Yuan walked up and began to conduct the test.

The previous first test was only an approximation, and only the anastomosis of the blood vessels and other parts could be seen.

If there is micro-penetration of the blood vessels, or there is occult bleeding, it will definitely not be detected, and the problem can only be seen in the long run.

This time it is a systematic test, if there is a problem, there is a problem, and if there is no problem, then there will be basically no problem after that.

The system test is more complex, and it needs to test shallow sensations such as pain, temperature, touch, and pressure, deep sensations such as joint sensation and vibration sensation, as well as complex sensations such as positioning sensation, graphic sensation, and mass store discrimination.

After that, it is also necessary to take the Carro11 Hand Function Rating Scale, which is a more comprehensive test, grasping, pinching, pronation and supination, etc., almost all hand functions will be tested.

The first is the assessment of pain.

The numeric scale, also known as VAS, is a scale that expresses the level of pain from 0 to 10, a total of 11 numbers. 0 means no pain, 10 means the most painful, and the patient can choose one of these eleven numbers to represent the pain level according to their own pain.

A score of 0 means no pain. 3 or less is mild pain but tolerable, 4 to 6 is pain and interferes with sleep, but tolerable. 7 to 10 points mean that there is a strong pain, affecting appetite, and making it impossible to sleep.

The evaluation results are more subjectively affected, and the tolerance of each pain is different, so the results that Zhou Yuan finally referred to fluctuated up and down the answer given by Wang Dong.

"Do you have any pain in your hands on a regular basis?"

Wang Dong nodded, "I feel like it should be two points." "

Zhou Yuan was a little surprised.

Dean Fang and the others looked at each other.

It's been less than a week, and there are only 2 left in the pain in the hand...

Although it is not ruled out that Wang Dong is more tolerant of pain, so the results given are more optimistic, but this number is definitely worth being happy about!

Zhou Yuan stabbed Wang Dong's finger with the tip of the pen again.

Wang Dong suddenly frowned, groaned, and groaned: "It hurts! Don't prick me with your needle!"

Zhou Yuan's face darkened: "Why don't you hurt me to stab you?"

Wang Dong thought for a while, "You can bear it, 8 points." "

Zhou Yuan nodded.

In this link, the more sensitive it is, the better the recovery of hand pain, and a score of 8 is also a very surprising score.

Zhou Yuan did some experiments again.

The main thing is to test the three basic functions of the hand.

Forceful grip, precise grip, and palm-to-hand movement.

As the name suggests, force gripping is mainly aimed at grasping heavy objects and requires the use of hand strength.

At this point, the wrist joint must remain in an extended position to allow the finger flexors to grip the object tightly. At the same time, the thumb, middle finger, and little finger are the most important participants in the grasping function, and the thumb is more important to fix the object.

The more stable and the greater the mass of the heavy object grabbed, the better the recovery.

As for the precise grip, it is the grip on lightweight, small items.

In a precise grip, the position of the wrist joint is not important, but the thumb is positioned opposite the finger in the semi-flexed position, working with the intrinsic muscles of the hand that produce the fine movement of the fingers.

Depending on where the fingers are in contact with the object being grasped, fine grip can also be divided into fingertip pinching, fingertip pinching, and side pinching.

The thumb and middle finger are used for force gripping, which is mainly to test the comprehensive function of the two regenerated fingers and determine whether the transplanted finger can perform some basic functions.

The precise grip is mainly to test the internal muscles of the hand, and this step can see whether the reconstructed fingers are properly connected with the muscles of the palm, etc.

The last palm-to-palm activity, which is actually the movement of the tip of the thumb to the tips of the other fingers, is a necessary condition to ensure the normal function of the hand.

The test results came down one by one.

The expressions of Dean Fang and the others changed from calm at the beginning, to strong and calm, and then they couldn't help but be overjoyed, and the smiles that couldn't be concealed were on their faces.

Finally, the Carro 11 Hand Function Rating Scale has a total of 33 items.

Each item has zero to three points.

A zero score means that it cannot be completed, and a score of three points means that there is no difference between a good hand and a good hand can complete the activity normally.

Rating of function: 0~25 points for weak hand function recovery, 26~50 points for poor hand function, 51~75 points for poor hand function recovery, 76~89 for incomplete function, 90~98 for complete function, that is, most of the functions can be completed. A score of 99 is a perfect score, which is no different from a good hand.

In the field of amputated limb replantation, a score of 99 is just a decoration, and after undergoing amputated limb replantation surgery, it is impossible for the hand function not to be affected, so it is never possible to reach a score of 99.

Finally, Wang Dong's test results also came out.

77 points.

This result is based on the patient's operation time and other factors, in other words, 77 points is a constant score, Wang Dong is 77 points today, a year later, ten years later it is still 77 points.

Other words...... Wang Dong's hand function will reach 77% before the severed hand!

This result means that Wang Dong can complete most of his daily activities, except for the work that requires delicate operations such as that of a surgeon, Wang Dong is competent!

This result, even if it is a simple amputated hand replantation for other people, is very impressive...

For example, Hikaru Morimoto, the patient who had undergone amputated limb replantation surgery, the final evaluation score was 71 points.

And now, in a patient who reconstructed his finger, there were 77 points..._

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