Just when the operation of the Department of Obstetrics and Gynecology was about to be completed, Director Wang of the Department of Orthopedics was urgently called to the operating room by the summons order issued by the emergency department to the director."
Lao Wang, this patient is only 33 years old, take a look."
Director Xiang pointed out the stump of the severed finger to Director Wang.Of the five fingers of the right hand, only the little finger remained, and the ring finger was cut off in half.The worst of all was severe bruising of the severed finger stump and distal end.The most disappointing thing is that the thumb is missing.It's the right hand!
The right hand of a young man engaged in manual labor."
How long have you been injured?"
Director Wang asked with a frown."
More than 4 hours."
The patient endures palpitation and pain."
I don't know why I didn't find my thumb.But the last time I watched TV, I heard that you had all your arms alive.Director, doctor, help me, help me!
I can't work without my right hand. ”Xiang comforted the director and said, "When you enter the operating room, we are going to give you a finger." ”"Thank you, thank you.Thank you. ”The patients are still grateful to them in their panic.Director Xiang has worked hard in the Department of Orthopedics for so many years, and he has been ahead of his counterparts in the provincial capital, that is, the province, in terms of finger replantation.Over the years, he has cooperated with Director Wang, and the success rate has been maintained at more than 90%.But except for Director Wang, he doesn't believe in and doesn't allow anyone to get involved in disinfection.Even if Wang Qiang, the former resident of the orthopedic department, wanted to reach out for disinfection, he had to watch Dr.
Wang's operation.Wang Qiang has been able to touch the operating table of the severed finger replantation in the past two years, which is why he usually follows Director Xiang closely, and is careless and intimate to Director Xiang, and often slaps the horse.But Director Xiang didn't call Wang Qiang today.The reason is very simple, because Wang Qiang did a case of finger replantation with Li Min during the Spring Festival.But Director Xiang didn't care if it was a special point in time like Chinese New Year's Eve, anyway, the operation made him quite angry.And what made him most angry was that the severed finger finally survived.This means that after he squeezed Lao Li and Lao Liang out of orthopedics, Li Minneng led by Chen Wenqiang intervened in orthopedics.It's just unbearable.Hum!
I can't do anything to Li Min, but Wang Qiang, who asked Li Min to do the replanting of his fingers, was crossed out of the reserve training list by him.Therefore, the person who Director Xiang brought into the operating room today was Zhang Zhengjie, and Xiao Wang, who was left in the emergency department by him.Xiao Wang has recently replaced Wang Qiang's former position in the orthopedic ward, circling around the director.Director Wang looked at the fingers that had been disposed of, and pondered for a while before asking, "What are you going to do?"
”"That's what I think, if you keep your thumb and its function, you can also keep 50% of the function of your hand.I'm going to amputate his big toe and replace the missing thumb.Then, with both the index and middle fingers alive, the function of the whole hand can be guaranteed to be 85% or more.If the ring finger is also alive, and the hand can basically have 90% function after suffering a little more during rehabilitation exercises.What do you think?
”Without waiting for Director Wang to speak, the patient lying on the operating table immediately said, "Okay."
Good. ”Director Xiang said, "This is the best-case scenario.If you don't take the job, not only will you lose your thumb, but you will also lose a big toe, you think?
”"I figured it out.I do. ”The patient hurriedly made a statement.Director Wang grinned reluctantly and nodded, and said in his heart that you only showed off your power with me in the afternoon, and dragged me to stay up late this night, I want to say no, * ancestor, you can make trouble with Chen Wenqiang.After Director Wang scolded Director Xiang in his heart, he put aside the afternoon's affairs.He thought carefully for a while, and said very seriously: "Then we should take the thumbs first, so that the time for separation is short, and the probability of survival is also high."
Young man, let me tell you, the best time to have a severed finger in is within 6 to 8 hours.If you catch your index and middle fingers first, it may be too late for your thumb. ”The patient had already understood the importance of the thumb for a while, and he hurriedly said, "I listen to you, you can come with the thumb first." ”"It's good that you understand.Let's keep half of the function of the hand first.Lao Xiang, then, and then the index finger and middle finger you take Zhang Zhengjie to do it.I still have the post-operative patient of the spinal neurofibroma to see, and there is an elective surgery tomorrow, and I can't stay up all night without sleeping. ”"Your surgery didn't go well today?"
Xiang asked the director with fake concern."
Smooth.It's that I'm worried about hematoma and edema.Forget it, let's not talk about that, let's do this surgery first. ”Director Wang became upset."
Okay."
Director Xiang was happy, he patted Director Wang's shoulder and said, "Lao Wang, you have to worry about hematoma about that fibroid, do a CT or MRI tomorrow, if not, push it back as soon as possible to stop the bleeding." ”Director Wang immediately sank his face and was unhappy.The cold air was coming out of my body.Confessed to the director, the surgeon is the most taboo to enter the palace.But this was the time for him to ask for help, so he pretended not to see Director Wang's dissatisfaction, and immediately changed to another attitude of thanking Director Wang."
Lao Wang, if you are willing to come, this patient's hand will be able to retain half of its function.On the weekend, I invite you to my house for a drink, Wuliangye, Xifeng, you can drink whatever you like.If you like to drink Moutai, I'll buy it for you the day after tomorrow. ”"Moutai."
Director Wang simply ordered his own wine.If you don't order it, you don't order it, but if you do, you can ......
Estimated also white spots.Lao Xiang will not prepare Moutai for himself.When Director Xiang saw that Director Wang agreed, he turned his head to Zhang Zhengjie and Xiao Wang and said, "Director Wang will disinfect for a while, you two will take a good look." ”"Yes."
The two spoke in unison.Zhang Zhengjie is like receiving a military order.And Xiao Wang was so excited that he trembled a little.Director Wang brushed his hands, and after the director was successfully anesthetized, he carefully drew the disinfection range of the right lower limb to Zhang Zhengjie and explained the importance of disinfection."
The prerequisite for the success of this operation is sterilization.Our toe amputation disinfection is stricter than the requirements of saphenous vein decortication, and there are more explanations.That little Wang, you can't lift his big toe for a while, so as not to affect the local blood circulation.You're going to mention his 345 on these three toes.Finally, use a sterile slip to support the heel, and you can disinfect 345 toes.Xiao Zhang, you remember that the gap between your toes must be 100% clean.Also, Xiao Zhang, you first cut all the nails of his feet short, as short as possible, and don't cut the skin.I will leave the disinfection of this foot to you this time, and you will be optimistic about Director Wang's disinfection action for a while, and you can't be out of shape. ”"Yes, yes."
Zhang Zhengjie listened carefully to Director Xiang's teachings.Then I asked the nurse for nail clippers and carefully cut the stinking toenails.Director Xiang was only one step away from Zhang Zhengjie from beginning to end.He stared at the nail clippers in Zhang Zhengjie's hand with good eyes, as if what Zhang Zhengjie was holding in his hand was not stinky feet, but rare treasures.A few minutes later, Director Wang came back with two arms.Xiang said to the director: "Xiao Zhang, you come and raise your arm." ”"Yes."
Following the replanting of the broken arm last time, Zhang Zhengjie came to do this work again.But he didn't have as many mental activities as last time, because Director Xiang began to teach him and Xiao Wang some tips to get started."
You two take a closer look at Director Wang's disinfection.Other surgeries are performed from the outside in, that is, to sterilize the contaminated wound, but I did the amputated finger replantation, and the most important thing is to sterilize the contaminated wound from the outside.This ensures that the wound of the severed finger is no longer contaminated.The less this pollution, the less likely it is to be infected after surgery, and the more likely it is to survive. ”"Yes, yes."
Zhang Zhengjie nodded again and again.Xiao Wang said: "No wonder you and Director Wang's severed fingers have a high survival rate."
It turns out that there is another way from the beginning of disinfection. ”Director Xiang smiled slightly smugly and continued, "Also, you two are optimistic about the disinfection of the wound.The first is to ensure that the wound is clean, and the second is to ensure that the wound is sterile.That's not disinfection, that's contaminated wounds. ”"And most importantly, during the disinfection process, the wound damage should not be extended.The movements of the hands should be light, gentle, and lighter, but it is still necessary to ensure that the disinfection is thorough. ”…… How long Director Wang disinfected, he told the director for a long time.After Director Wang finished disinfecting the severed finger stump, he asked Director Xiang Zhang Zhengjie and Xiao Wang to brush their hands, and he took out the treated residual finger from the ice cube in the incubator and showed Director Wang the stump with oval pliers."
Lao Wang, I think the skin lesions on this stump are serious, and I want to take a pedicle flap from the chest as a pocket, so as to ensure that the distal end of the severed finger has enough blood circulation and can also promote the survival rate of these three fingers.What do you think of this possibility?
”Director Wang nodded and said, "Okay." ”Director Wang is essentially a rule-abiding person, he has been working according to textbooks, guidelines, etc. all his life, and he lacks the desire and ability to pioneer and innovate.But he knew that Director Xiang was different from himself.Director Xiang often has some outlandish ideas.For example, if there is a pedicled flap for blood supply, not only the survival of the index finger and middle finger can be guaranteed, but also the survival probability of the ring finger will be greatly improved.When these three fingers are alive, do a second-stage plastic surgery, perfect!
As for the wounds and scars on the chest, compared to the final results of the operation, it is simply not worth mentioning.After thinking about it before and after, Director Wang gave Director Xiang a thumbs up in his heart, and he still admired Director Xiang for thinking about the patient and being willing to take such a complex operation.And Director Xiang was relieved to have the support of Director Wang.He understands the strengths and weaknesses of himself and Director Wang, and if it is impossible to realize many of his "reckless" and "advanced" ideas, Director Wang, with his cautious instinct, will oppose his radicalism for the sake of self-preservation.
*After carefully preparing for Thursday's surgery, Li Min still watched the breathing part of His's internal medicine, and then English.Waiting for the alarm clock to ring, at 9:50, Xiaofang brought Li Min a small bowl of wine-stuffed eggs."
What about yours?
Ate together. ”Li Min entered the second trimester of pregnancy, not to mention the increase in the amount of food, if she didn't eat something real at night, she would be woken up hungry in the early morning, which directly affected her sleep quality.Xiao Fang hurriedly shook her head."
I don't dare eat at night.Aunt Min, you see my clothes are going to be stretched on my body.I've weighed more than a dozen pounds. ”The little girl was distressed.Li Min looked at Xiaofang and suddenly realized that she was a fat girl now.So instead of persuading her to eat wine-stuffed eggs, he advised her: "You can start running tomorrow morning."
Run until it snows in the winter, and you're sturdy.It won't be fat. ”Xiao Yan shook her head, extremely frustrated."
Aunt Na is running too fast for me to follow.She can run two laps.I tried a few times and I couldn't run.I ran around these buildings for half a lap, and I couldn't get out of breath. ”Li Minwaner, Liu Na was forced to gain weight after giving birth.But she still said to Xiaofang very seriously: "Don't run with your aunt at first, you can't run as fast as her."
You start by running slowly, even if it's a lap as fast as you can walk.After two weeks of running, you'll be able to run faster than you are now. ”Xiao Fang nodded again and again.She was very convinced of Li Min.She immediately said: "I will go for a run at 5:30 tomorrow morning, run a lap slowly, and come back without delaying 6 o'clock to make breakfast." ”"Then you must remember to drink a glass of warm water before you run.Prepare your aunt for activities before running, so as not to suffer sports injuries. ”Li Min told Xiaofang."
Uh-huh."
Xiaofang agreed and took the empty bowl away.After Li Min washed up, he went back to the bedroom and waited for Mu Jie's call.The call arrived on time as scheduled.She happily picked up the microphone and fed it sweetly, and then Mujie's mellow voice rang out."
Minmin, how are you doing these three days?""
That's good."
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Li Min's smiling face bloomed like a flower in Mu Jie's voice, and her smile spread to Mu Jie along the phone line, and also infected Mu Jie.The little couple talked sweetly about what they had experienced in the past three days, and then the work schedule for the remaining three days of the week.At the end, Mu Jie said with some hesitation: "Minmin, we may disarm this year." ”"Huh?
Will it involve you?
”"It's not clear.It's just been rumored that this has just happened. ”"I'll lay you off and I'll come back to the provincial capital.I'm not happy.Anyway, if you are given a computer, you can make money at home. ”Mu Jie laughed on the phone: "Now I just hear the wind."
If you want to do so at the end of this year, your application will be approved.If it's really going to be large-scale, it will have to be this time next year. ”Li Min regretfully expressed his heart: "I thought you could be the person my son saw at first sight." ”This is tantamount to adding a heavy weight to the already wavering balance of will.He paused for a moment and said, "Minmin, if I go back to the place, I will run my own software company, what do you say?"
”"Okay.Of course I'm glad you're back in the provincial capital.But what about your Rommel?
What about your multi-arms cooperative operation and your dream of being a general?
”Mu Jie did not hesitate at all, and immediately replied to Li Min's "what should I do"."
When I was 17 years old, I just wanted to go to a university where I could eat and wear," he said.As for those generals' dreams or something, they are all after the third year of college.But, alas!
Now that I have changed careers like this, I am sorry for the education and cultivation that the country has taught me for more than ten years.But it was decided with the above.If the country wants me, I will stay in the army.I'm not allergic, if that's the case, the person I saw at the first sight of my son's birth wouldn't be me. ”Mu Jie's regret made Li Min laugh out loud: "The first person he saw must be a midwife."
I'm kidding you.Of course, you learn to deliver babies, and if you can catch up, you can be seen at first sight. ”"It's not hard to learn, is it?"
Mujay was eager to give it a try."
I still wanted to go to medical university.""
It's not hard to learn.Those who have graduated from health schools are eligible to study.But are you sure you want to learn?
Why didn't you apply for the Military Medical University in the first place?
”"It will take six years for the second army.It will also take five years for the four armies to be large.Well, the main thing is that my mom had passed away at that time, and I didn't want to study medicine. ”"Uh-huh."
Li Min saw that Mu Jie had mentioned his mother, and quickly responded in a reassuring tone.Then he immediately changed the subject and asked Mu Jie: "My brother said that he sent you a few books, have you received them?"
”"Got it, it was received yesterday.He also gave me two small programs, both of which are very simple, it must be his senior brother who takes care of him, and I can send them to him when I get home this weekend. ”"Okay.By the way, my brother came over the day before yesterday and left his laptop for you.Say you want it from him.Isn't it?
”"Hmm.Didn't I bring the machine here?
I used to have a computer on the weekends and I could work. ”"Shall I give him money, then?
How much is appropriate for him?
”"You don't have to give him money.I sent him these two mini programs on Sunday, enough for him to buy a new handbook. ”The two of them talked about trivial matters, and the operator's prompt tone came out of the phone: "Captain Mu, your preset call time is up." ”"Good.Goodbye Minmin. ”"Goodbye
.
"* Leng Xiaofeng hugged the child, she didn't know when she fell asleep.When she was awakened by Wu Dongxi's movement of Suo Suo going to bed, she found the child sleeping in the crib by the night light."
What time is it?"
Leng Xiaofeng sat up to go to the watch on the bedside table."
It's almost eleven o'clock."
Wu Dong replied."
Sleep.It's late. ”"Mom, what's the matter with you?"
Leng Xiaofeng stroked her short hair, she didn't want to continue sleeping for the time being.She got up and touched the child's diaper, and it was dry."
You just changed it?""
Hmm.My parents came to me to talk about Yuanyuan.My dad also thinks Yuanyuan is too much trouble tonight.He said that if my mother was at home, he might not dare. ”"So, what did you tell your parents?
Forget it, just tell me how to fix it. ”Wu Dong looked at Leng Xiaofeng like that, and said in his heart that if he didn't explain this matter clearly, he wouldn't be able to sleep.He sat up and said, "Let them in when the food is served."
When Yuanyuan entered the house, he tied him to the children's high chair and let them go home when he was done. ”"High chair?"
Leng Xiaofeng's concept does not correspond to these four words."
You come out and have a look."
Wu Dong pulled Leng Xiaofeng out of the bedroom.He turned on the fluorescent lamp, and the new chair on the side of the large dining table entered Leng Xiaofeng's sight."
Xiaofeng, Yuanyuan stuffed him into a chair when he entered the door.And then the strap is able to hold him in place. ”Wu Dong explained to Leng Xiaofeng how to use the dining chair."
Yuanyuan, that kid is quite naughty.If he had figured it out on his own, if he writhed too much, would he have fallen with a chair?
”Leng Xiaofeng was worried: "This chair is quite tall."
Don't drop the kid. ”Leng Xiaofeng, who spoke like this, made Wu Dong happy, she was really the person her mother said had a good heart.He thought about it and said, "Then should I put this chair in this corner?"
Let his mother and his father sit next to him. ”Wu Dong moved the chair to the corner."
This table has rounded corners, and I am not afraid of him knocking it.And I deliberately chose this chair with a plate in front of it that can put him on a plate. ”Leng Xiaofeng nodded and said, "That's okay."
It's good that the two children are safe.Anyway, it's an adult who gives him vegetables.But—Wu Dong, do you think he will obediently sit in this chair?
”"Anyway, it's either his mother or his dad who brought him up, at most let Sister Xu help him again, and the two adults can still press him into the chair.Before Yuanyuan is sensible, let's restrict him like this, it's not good to talk about it.If, I mean, if that doesn't work, let's think of something else.Anyway, don't worry, I won't let him scare Zhuang Zhuang anymore. ”After Wu Dong finished speaking, he turned off the fluorescent lamp.He hugged his wife and walked to the bedroom.As he walked, he said in Leng Xiaofeng's ear: "Xiaofeng, I went to the friendship store just now, my mother took me a handful of money, and I bought you a gold bracelet with water ripples, do you like it?"
I also bought a silver bracelet of a dragon and phoenix.Didn't you say last time that Li Min's silver bracelet was very good-looking?
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”On the bedside table, next to Leng Xiaofeng's watch, there is a pair of jewelry boxes.Leng Xiaofeng wanted to put a big pillow towel on the railing of the crib to shade the child, then turned on the table lamp, and couldn't wait to open the red velvet jewelry box."
It's beautiful.More delicate than Li Min's silver bracelet dragon and phoenix. ”Leng Xiaofeng put the open silver bracelet on his hand, turned his wrist back and forth, and happily admired the patterns on the bracelet.Wu Dong reminded her: "In that box is a gold bracelet. ”"Uh-huh."
Leng Xiaofeng admired the silver bracelet enough, and hung the water rippled gold bracelet on his wrist.Shake it a few times and ask, "24K gold?"
”"yes.4 of 9's. ”Leng Xiaofeng carefully took off the gold bracelet, handed it to Wu Dong and said, "You help me lock the small safe underneath."
I wear this silver bracelet. ”"Why?""
My mother taught me that pure gold is soft.I'm in pediatrics, and sometimes I have to check my children and make sure they don't catch my glasses.You said that if you broke this bracelet, I would be distressed.I don't even dare wear a gold necklace. ”"If you buy it, you can wear it.Even if it is broken, it can also be repaired. ”"No need.When, well, wear it again on holidays. ”Leng Xiaofeng smiled contentedly."
It's in the safe.I knew in my heart that I had it. ”Wu Dong put away the things as he said.He put the lamp and laid out the pillow, but saw Leng Xiaofeng still sitting on the bed, smiling and rubbing the pattern of the silver bracelet on his wrist.Just be happy!
But I have to go to work tomorrow, so I really have to sleep.As for whether the wife sleeps or not, she is at home on maternity leave, whatever she wants.The room was quiet, one of the husband and wife fell asleep soundly, and the other was full of joy in the dark night.Well, I'll wear that dark short-sleeved dress for a walk tomorrow night and show Minmin her new bracelet.
*The lights of thousands of homes at the end of summer reflect each other with the lights of the hospital not far away.However, while there are only a few lights left in the dormitory, the individual operating rooms in the operating room are still brightly lit.In the operating room where Director Xiang was, all the shadowless lights were on.The big shadowless lamp above is illuminating the director and director Wang of the trimming creation.Under the small shadowless lamp below, Zhang Zhengjie and Xiao Wang had already made all the preparations, and they only waited for the director to give an order, and they were going to move the knife where he drew the line, and cut off the big toe and transplant it to the missing thumb of the right hand."
Almost."
Director Wang reminded Director Xiang and nodded to the director."
I think it's okay.Xiao Zhang, amputate the big toe.Follow where I drew the line and take it off the capsule. ”"Yes."
Zhang Zhengjie agreed, and reached out to ask for a leather knife.For him, the job of amputating the big toe was a piece of cake.Tonight's big dish and hard dish are the index finger and middle finger replantation promised by Director Wang just now.By the way, there is also a transfer flap with a pedicle on the front chest.These are projects he's heard of and haven't done.Xiao Wang, who cooperated with Zhang Zhengjie, was very excited, what if he could have this operation, even if the operation list was three helpers?
Not to mention that the surgeons all get up from the assistants, as Director Zhang and Dr.
Liu often say, Li Min entered the trauma surgery department and started the operation with disinfection, anti-thigh, prescribing laboratory tests, writing medical records, and changing dressings for patients.Zhang Zhengjie, with Xiao Wang's cooperation, calmly took off the big toe.When the "big toe" was passed to Director Xiang's hands, he was praised by Director Xiang with the word "good", and Director Wang also gave a "good" comment."
Xiao Zhang, you two take care of the wound on your toes, come up.""
Yes."
The treatment of the remaining wound of the big toe is a very simple matter for Zhang Zhengjie.He took Xiao Wang and completed it quickly.The challenge of transplanting the big toe to the missing thumb has already begun.The patrol nurse said to Director Xiang: "Director Xiang, in addition to the microscope and eyepieces, you can make up an application form for me later." ”"Okay."
Xiang agreed without raising his head.After a while, he said again: "You help me fill out the application form, and I will sign and stamp it when I step down, okay?"
”"Of course."
The patrol nurse happily went to look for the application form.Zhang Zhengjie and Xiao Wang brought eyepieces and stood to look at the director and Director Wang's anastomosis blood vessels.The two have been working together in the field of orthopedics for many years, and the tacit understanding that has been formed has made them calm and orderly to advance the surgical process.…… Zhang Zhengjie watched Director Xiang and Director Wang complete the thumb transplant, and after the tourniquet was released, the slightly weird and clumsy "thumb" had a color and a temperature, and he completely forgot where he was.Director Wang stood up and said, "Lao Xiang, you take the rest of these fingers with them."
I'll have to go back to Corey to catch up on sleep, and I've got elective surgery tomorrow. ”"Good.Thank you. ”He said yes to the director, and stared at the wounds of the wounded man's index and middle fingers, gushing blood.Zhang Zhengjie sat in the assistant position poured out by Director Wang, and he gave the director a little careful prompt: "Director, is this bleeding handled?"
”Director Xiang replied absentmindedly: "Wait for now." ”Then he suddenly said to Zhang Zhengjie seriously: "This blood vessel has been deflated for too long, fill it up first, and then we can proceed to the next step of anastomosis."
This little bit of blood loss actually has little effect on the patient.Don't believe in the guidelines to stop the bleeding as soon as possible, our surgery is different from the usual disconnected wound treatment. ”Zhang Zhengjie fully accepts these experiences outside of books.He even had time to think about if he had followed Director Xiang's instructions ten years ago, would he have gone further in orthopedics."
Xiao Wang, you disinfect his chest.I've drawn the range. ”"Yes."…… As the day dawned, the sound of walking in the hall of the operating room gradually came to pass.It's a new day, the anesthesiologists who come to work and the nurses in the operating room.Director Xiang's hands were on the edge of the operating table, he shook his waist from side to side, and suddenly sighed: "Old man, after staying up for half a night, my old waist is simply stiff and can't take a step." ”The patient, who woke up after a long night's sleep, picked up his words and asked, "Director Xiang, is my operation done?"
”"It's done.In order to keep your fingers alive, I've attached these three fingers of yours to my chest.After the operation, you should listen to Director Zhang's command and cooperate with his treatment.We'll give you another plastic surgery in a few days, and we'll try to get three good fingers. ”"Yes, yes, I will cooperate.Thank you, thank you. ”The patrol nurse pushed the flat cart in."
It's over.""
Okay."
Zhang Zhenjie and Xiao Wang acted as the main force, "1, 2, 3!"
”The four big men worked together, and the patient was leisurely put on a flat car."
You don't look fat, but at this weight, you have to be 160 if you don't have 150.""
I'm doing manual work, and my flesh is strong.Or wait for me to leave. ”Xiao Wang hurriedly scolded the patient who wanted to sit up: "You lie down and don't move."
Falling down is no joke.You haven't had any numbs yet.Director, we're going to have to push him back from the second floor. ”Nodding to the Director.Zhang Zhengjie immediately said: "I'm going to call."
Ask the head nurse to open the door to the hallway on the second floor. ”*Chen Wenqiang arrived at the hospital early.He changed into a white coat and went to the orthopedic department.Yesterday, the patient with spinal neurofibroma, Director Wang asked himself and Lao Liang to go for a consultation, and he was happy, but the pressure was thrown on him Chen Wenqiang."
Lao Wang, how is the patient?"
Chen Wenqiang went to the orthopedic office and asked when he saw Director Wang."
It's ok.I didn't see edema and hematoma. ”Director Wang had two big dark circles under his eyes, and the whole person looked a little sluggish."
You stayed overnight?"
Chen Wenqiang followed Director Wang to the custody room."
Nope.Last night, I accompanied Lao Xiang to do a severed finger replantation.I lost my thumb and transplanted my big toe. ”"That's good.Our orthopedic department has added another achievement this year. ”Chen Wenqiang's tone seemed to be quite happy.Director Wang said with a smile: "With the replantation of the broken arm in the front, it is difficult for the orthopedic department to surpass the achievements either this year or in recent years."
This patient had three and a half fingers severed this time, and after the index finger, middle finger, and ring finger were replanted, Lao Xiang took a pedicle flap on his chest to nourish the severed finger.It's a technical highlight.But I'm going to come back and look at the fibroid patients, there is an elective operation today, and the latter part is what he took Zhang Zhengjie to do. ”"Well, yes, that's good.There are more and more orthopedic people who can do finger replantation, and there is hope for our hand surgery ward. ”After Chen Wenqiang finished speaking, he went into the intensive care unit to examine the patient.Director Wang stood at the door a little distracted, hand surgery ward?
Is the provincial hospital going to have a single hand surgery ward?
Could it be that after Chen Wenqiang came back, in a provincial hospital with only general surgery and orthopedics, he forcibly pulled out a nondescript trauma surgery ward, in just a few years, it was not enough to have cardiothoracic surgery, neurosurgery, and emergency surgery, and it was necessary to develop surgical surgery?
Director Wang began to count the finger replantation surgeries he had done last year and this year.There is a surgery to replant the broken arm on TV, cough cough, outsiders don't know that it is a joint operation done by all the elite surgeons of the provincial hospital, and the area where the provincial TV station can radiate, people only know that they can even take their arms alive, and their fingers are naturally not a problem.Counting the patients who come here, it is almost enough to support a hand surgery team.Director Wang leaned against the door and didn't go inside.He had only examined the patient a quarter of an hour earlier.He stood there quietly looking at Chen Wenqiang.The sun shone on Chen Wenqiang's side face, making his whole person in half-light and half-darkness.In the past, Chen Wenqiang, who was not good-looking, is still the Chen Wenqiang of medium stature and without any bright spots on his body.However, Director Wang had to admit that it was such a stubborn donkey who was not stunned that in less than two years, with an invincible spirit, he pulled the provincial hospital into the ranks of veritable provincial hospitals......
Chen Wenqiang straightened up after examining the patient.The patient's family looked at his badge, and the medical dean, the director of neurosurgery, admired him spontaneously.The patient asked nervously, "Dean Chen, am I okay?"
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”"It's okay at the moment.You take care of it according to Director Wang's doctor's instructions. ”Chen Wenqiang comforted the patient, nodded to the patient's family as a greeting, and then walked out the door.After leaving the intensive care room, Director Wang asked, "Lao Chen, what do you think of this patient after surgery?"
”Chen Wenqiang nodded and said, "It's okay for the time being."
Don't forget to do a CT follow-up this afternoon. ”"Yes."
Director Wang showed his attitude towards senior doctors.Obviously, he graduated earlier than Chen Wenqiang, but unconsciously, Chen Wenqiang had the prestige and momentum of a senior physician in front of him."
Lao Xiang last night's operation, you told him to at least write a case report.Hmm, wait for the successful transplant before submitting.The big toe is transplanted into a thumb, and we have not heard of a few cases in our province.The number of such cases in the country should not be large.You're orthopedic and know more about progress in this area than I do.In my opinion, in terms of ensuring the function of the injured hand, this autologous transplant surgery still has unique merits. ”"Good.I'll call them in a moment.It's time for them to step down. ”"Fractured finger with internal fixation?"
Chen Wenqiang asked uneasily."
Mm-hmm, it must be internally fixed.There is a pedicle flap on the chest. ”Director Wang felt that Chen Wenqiang had worried too much.Internal fixation of broken finger fracture is a piece of cake for Director Xiang."
That's good.Then I'll go back first.I have elective surgery today and I have to go out of the clinic in the afternoon. ”Chen Wenqiang hurriedly left the orthopedic ward with a word of explanation.
*Chen Wenqiang took the stairs back to the 11th floor.He wanted to go to the ward again before the morning meeting, so that he could feel at ease when he went to the operating table.But he had just arrived at the nurse's office, and before he could open his mouth to call Li Min, he saw Director Hong in the ICU (who had not yet changed into a white coat), so he hurriedly came and dragged him: "Dean Chen, find a place to say a few words." ”Chen Wenqiang had no choice but to say to Li Min: "You take someone to check the ward first."
Director Hong, you come with me to the duty room. ”The head nurse, Xiao Jiang, was very discerning and gave him the key to the plate."
These two are the keys to the duty room."
Chen Wenqiang pinched the two keys and ran to the duty room across the corridor.I inserted the key, rotated it slightly, and opened the door smoothly.The air is filled with the unique smell of young men living in groups.Chen Wenqiang stood at the door for a moment before leading in.In the eyes of him and Director Hong, this duty room is simply a boys' dormitory.There are four iron beds with bunk beds, but fortunately, the quilts on each bed are neatly folded and the windows are open.Barely able to tolerate the taste."
Dean Chen, who are you?"
Director Hong was surprised, he had never seen the duty room of any department of the provincial hospital like this."
There are two young doctors in Corey and four interns, and they live in Corey every day."
Chen Wenqiang explained, and then looked at his watch, which meant that Director Hong had something to say quickly.The time before the morning meeting is hard to buy.Director Hong immediately understood what Chen Wenqiang meant by looking at his watch, he coughed and said, "Dean Chen, Dr.
Huo's lover in the Department of Pathology Liu Hong called me this morning, and she agreed to come to work in the ICU of our provincial hospital. ”"What?"
This was too unexpected for Chen Wenqiang."
Dr.
Huo's lover, what does she do?
I read Dr.
Huo's resume last year, and I can't remember it well for too long.His lover seems to work at a medical university, doesn't he?
”"Yes.Liu Hong works in the Department of Patient Teaching and Research of the University of Medicine.Graduate student of Pathophysiology Tarzan originator.She is a graduate student who is guaranteed by merit.He was a classmate of Dr.
Huo.Her sister Liu Na works in the Department of Stomatology of our provincial hospital, and she was assigned to Li Min and lived in a dormitory. ”Director Hong's few words almost explained the origin of Liu Hong.Chen Wenqiang nodded, indicating that he had a concept of Liu Hong.But then he asked: "Do you think Liu Hong can handle the work of the ICU?"
The internal medicine department has sent the attending physician to you on a rotational basis. ”Director Hong was not surprised at all, Chen Wenqiang asked such a question.Because the college students who were assigned to the Department of Internal Medicine in the past few years were not as successful, they were not as good as those who came from the medical class in 77 and 78.Not only is the basic course not solid enough, but the clinical practice is not as hard as those who have gone to the countryside for many years to read the book.In desperation, he could only draw a hard standard, and the attending physician and above were eligible to go to the ICU."
Dean Chen, I talked to Liu Hong a few days ago, and her basic knowledge is very solid.She has pathophysiology as a foundation, and she comes to the ICU, so I don't have to give her the basic theory.As for her lack of clinical experience, it can be compensated for by the large number of patients in the ICU.I took her for three months to make sure she could be on duty independently. ”The lack of manpower in the ICU is a headache for the whole hospital.Now that Director Hong himself proposed a person who he thought could do it, Chen Wenqiang immediately said happily: "Lao Hong, you can do it."
Then come here.If the medical university doesn't let people go, let Dean Shu negotiate. ”Director Hu was very happy, he knew that Chen Wenqiang was busy, so he immediately said, "Then Dean Chen, you are busy, I'll go."
I went back to Corey and called to tell Liu Hong that you agreed. ”Chen Wenqiang sent Director Hong to the stairs.He said: "It's not as fast as waiting for the elevator to take the stairs. ”"yes.It's faster to climb stairs. ”"Lao Hong, there is a shortage of people in the ICU, you can say it if you look at the right one.After 77 years, undergraduate graduates came to have a two-bedroom apartment at half price. ”"Dean, do you still have a room in your hand?""
Well, it's for your ICU.Am I funny enough?
”Regardless of whether what Chen Wenqiang said was true or not, Director Hong received Chen Wenqiang's affection.※※※※※※※※※※※※※※※※※※※※ catch insects () is a bit far away