Start with an emergency physician
Chapter 184
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Wu Guohui nodded, and the nurse left.
"You want to do it too?" Wu Guohui was a little surprised.
Zhou Yuan could do it because his suturing and anastomosis techniques had reached an incredible level. The replanted limbs could quickly restore blood circulation, and Zhou Yuan always started to measure hand function the day after the operation.
But Morimoto Hikaru... Wu Guohui admitted that Morimoto Hikaru was talented, but his skills were definitely not as good as his own who had been in hand surgery for so many years. The reason why he and Director Wang thought Morimoto Hikaru's skills were amazing was entirely because of Morimoto Hikaru's age.
But Zhou Yuan was different. Zhou Yuan's skills were amazing because they were really too good. Whether it's Wu Guohui, Director Wang, or even Dean Fang, they are all inferior to him!
Aren't you asking for trouble by comparing your hand function recovery with others now...
After a while, the nurse came with props.
A test board with four 20cm*28cm paper clips, a ballpoint pen, a timer, five 13cm*18cm cards, two paper clips...
Hand surgery often requires hand function tests, so these tools are very complete.
The nurse prepared two sets and ran happily to Zhou Yuan:"Doctor Zhou, your Jebsen hand function test props!"
Then, the other set was placed directly next to Morimoto Guang,"And yours."
The Jebsen hand function test includes a total of seven independent steps, including writing, turning over cards, picking up small objects and putting them into containers, imitating eating, stacking chess pieces, moving large and light objects, and moving large and heavy objects.
Scoring criteria:
0 points: None of them can be completed, including pushing objects out of their original position and outside the table, or being able to pick up a pen but not being able to write recognizable words.
1 point: Only part of it can be completed, and objects can be picked up, but they cannot be placed in the designated location.
2 points: It can be completed, but the movement is slow or clumsy.
3 points: It can be completed normally.
The scores of the above items are added together to calculate the total score. The higher the score, the better the recovery.
Before the test, the dominant hand, that is, the normal hand, must be tested to determine whether the dominant hand can be used as a reference target.
This test cannot directly judge the recovery based on the score, but requires a comprehensive analysis of the patient's age, gender, dominant hand and non-dominant hand, and finally determines whether it is normal.
"Let's get started." Zhou Yuan said.
Zhou Yuan first gave Wang Dong a hand-dominance test. The test result was normal, with full marks in all seven items, and a final score of 21 points.
"Try to use your non-dominant hand... the hand that had the operation, pick up a ballpoint pen, and write on the cardboard according to the letters on the card."
Because the Jebsen limb function test was proposed by foreigners, the letters written are also in English, and Chinese is not very useful for reference.
The writing step is very simple. There is a piece of white paper on the writing board, and there is a card with a sentence written on it but turned upside down in the upper left corner. The patient must turn the card over and copy down the subtitles on the card as quickly as possible, and judge according to the time taken by the dominant hand and the non-dominant hand.
Of course, this simplicity is for normal people. It is not easy for patients who have undergone limb replantation to complete the step of turning over the card.
Wang Dong nodded, stretched out his hand with difficulty, and finally made a circle, then turned over the card and started writing on the cardboard.
"Finished." Wang Dong smiled.
Zhou Yuan was silent.
"Wang Dong, why are you writing with the three fingers that did not have surgery?"
Wang Dong: Because the other two fingers that did have surgery hurt!"
Zhou Yuan:……
"Then what am I measuring?"
Zhou Yuan silently reset the stopwatch and said,"Test again, and follow the normal writing posture, don't avoid the thumb and index finger."
This time, Wang Dong just picked up the ballpoint pen and did write, but what he wrote was not recognizable at all.
On the other side, Morimoto Hikaru also completed the hand dominance test
"Hold the pen."Mitsu Morimoto ordered.
The patient raised his hand and tried to hold the pen, but he couldn't do it.
Morimoto turned his head and looked at the handwriting on Wang Dong's white paper, and his face suddenly darkened.
Why... is there such a big difference?
Wang Dong turned over five cards.
Patient Morimoto couldn't finish after turning over one card.
Wang Dong threw the small items into the can.
Patient Morimoto couldn't even hold the objects, let alone throw them into the can.
Wang Dong picked up the teaspoon and simulated the action of eating.
Click. Patient Morimoto's teaspoon fell down.
Tests were done one by one. After that, Morimoto Hikaru fell silent.
He had been in the field of hand surgery for so many years, so he could see that Wang Dong's recovery level had completely reached the level of a normal person one week after surgery...
But, it's only been one day!
Even if Kanhara Akira were to come, he probably wouldn't be able to do this, right?
Morimoto Hikaru put away the test tools and silently walked out of the ward with a bunch of tools.
I can't stay any longer... I'm too embarrassed... Zhou Yuan didn't care much, and tested Wang Dong's blood circulation at the end of his fingers, the sensitivity of his nerve reflexes, etc.
After a long time, Zhou Yuan smiled.
"Better than I expected." Zhou Yuan said.
Wu Guohui said nothing.
He was indeed amazed at the patient's recovery speed in the past, but after carefully observing Zhou Yuan's operation this time, just looking at the difficulty and perfection of the suturing and bone setting operations, he no longer felt surprised that such a result could appear.
Morimoto Hikaru's patient was confused:"Why did you just assign a doctor to me! Why is there such a big difference between Wang Dong and me!"
As he said, he tried to pick up the fruit next to him, but the fruit fell from his hand before he could hold it and fell to the ground.
Wang Dong silently picked up an apple, started to bite it, and said in a boastful tone:"It's delicious"
"……"
Zhou Yuan and Wu Guohui left the ward
"At present, Wang Dong mainly relies on the other three fingers to complete the hand function. It depends on the recovery effect of the severed fingers, and then a separate test will be carried out."Zhou Yuan said.
Too many tests just after the operation will affect the recovery of the limbs, so Zhou Yuan can only stop temporarily.
"About a week later, we will conduct a system test."Zhou Yuan said.
The system test is more complicated, including shallow sensations such as pain, temperature, touch and pressure, as well as deep sensations such as joint sensation, vibration sensation, and complex sensations.
Wu Guohui nodded and said,"You can start preparing for the paper."
Although there was no system test, the clues can be seen preliminarily. If nothing goes wrong, this finger reconstruction surgery should be successful.
Zhou Yuan also nodded,"I will go back and make some preparations."
Then, Zhou Yuan and Lu Chenxi left the emergency department. When passing by the office, they saw Morimoto Guang facing the wall and thinking about life.
Lu Chenxi was amused and caught up with Zhou Yuan in front.
Lu Chenxi returned to the emergency department to prepare for the night shift, while Zhou Yuan went home directly, his eyes fell on the advanced treasure chest in the system space.
Finally... another advanced treasure chest was obtained! _Feilu reminds you: Three things to do when reading - collection, recommendation, and sharing
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