For things like leg protection, one hundred Sun Lien can do less than a big role. The only thing that can determine whether limb protection is successful is the orthopedic doctor who performs the operation.

Zheng Guoyou rushed to the scene with the backbone doctors in the department and then started an emergency assessment. Liu Tangchun led Zhou Jun to organize rescue. After a brief exchange of opinions from Vice President Liu and Zheng Guoyou, they looked embarrassed.

"The damage area is too large." Zheng Guoyou is most worried about the risk of forcibly performing limb protection surgery. "According to past experience, it takes about two hours to damage the foot and calf to be debride and suture. This time there are knee joints and femurs... Even if the femoral dislocation is not handled, the operation time may be more than six hours. After such a long time, the tissue may be necrotic - his femoral nerve is also broken. Once this nerve breaks, it will be useless to connect it back."

Six to eight hours is the upper limit for connecting the disconnected nerves and blood vessels. After this time, the patient's disconnected nerves and blood vessels will suffer irreversible hypoxic damage and even necrosis. The six hours of the operation means that during the doctors' operation, Tan Junni's entire right leg will be in a state of continuous blood-flow perfusion and hypoxia. Irreversible hypoxic damage will cause Tan Junni's legs to continue to lose function. Even if gangrene is not formed due to necrosis, after a long and painful treatment, what remains on him may be just a useless tissue that "looks like a leg".

Liu Tangchun's view was even more extreme, "He is still bleeding too much now... The pressure of the hemostatic air sac is almost 60 kPa, and the bleeding is still too fast. You must do hip relief as soon as possible and then close the blood vessels, otherwise this person will have to bleed and die."

Neither director recommended limb protection surgery. However, Song Wen was stubborn like a cow, "active treatment and priority for limb protection!"

As the dean, there is no problem with Song Wen making medical decisions for Tan Junni here, but she is obviously a little irrational now. After Liu Tangchun and Zheng Guoyou looked at each other, Liu Tangchun walked over with a tough bullet.

"Director Song, please calm down first." Liu Tangchun whispered, "Otherwise, you should contact your family first, right? At least listen to their opinions..."

"What can they have?" Song Wen glared at Liu Tangchun, "He is an industrial injury, and the hospital has covered all the treatment costs. Do you do your best to understand?"

The senior official was crushed to death. Although Liu Tangchun still insisted that Song Wen contacted his family first, the family members on the other end of the phone could not express their opinions clearly - Tan Junni's mother was a schizophrenia patient and did not have civil capacity. Tan Junni's father was paraplegic at a high position and could no longer speak. The person who answered the phone was Tan Junni's second uncle, and he gave his opinions very directly, "We all follow the leader."

Song Wen obtained clear authorization, and under her promotion, the treatment process was also rapidly unfolding. Even though Zheng Guoyou and President Song had discussed for a long time, they could not change her idea. Sun Lien stood aside and could only watch Tan Junni being sent to the operating room.

"Director Song..." Song Wen and Sun Lien stood outside the operating room together. He thought about it and felt that he had to explain it clearly. "It is unlikely that his leg could be kept."

"I know." After seeing Tan Junni enter the operating room, Song Wen sat in the waiting seat as if he had lost all his motivation. She stared at the operating room door and sighed, talking about a completely different topic, "When the school recruitment, he could not get in."

·

·

·

After graduating from university, Tan Junni, like many other classmates, worked hard to find a job. He applied for several IT industry companies, but because a lot of overtime took up Tan Junni's usual volunteer time, he did not choose any well-paid company in the end. Instead, he turned to apply for a position in Ningyuan Medical College.

Among all applicants, Tan Junni has the lowest education, the most worn out, and the least related work experience. But compared with this, his major is most in line with the recruitment requirements, has the longest volunteer service experience, and has the most blood donation records.

And it happened that during this application process, Song Wen attended the interview and saw this uniqueness at a glance. After communicating with the personnel department and the information department, Tan Junni successfully entered the information department of the Medical School and became an operation management staff member.

The reason why President Song has such a big reaction now is also related to this. Although it is difficult to say whether Tan Junni’s employment is directly related to Song Wen’s tendency, she feels something is in trouble.

A large part of Song Wen's decision was emotional factors, while a small part was based on rational considerations.

As a school staff member, Tan Junni, for reasons of considering the work of the school and hospital, in order to save scientific research funds and protect the safety of national property, participated in the transportation and handling of equipment during non-working hours, and was seriously injured. Such selfless behavior should be positively motivated. This should be the case whether it is treatment costs or other aspects.

As a doctor, Song Wen is well aware of the challenges and difficulty of limb conservation surgery. But she is also very clear that the main reason why some grassroots hospitals tend to take amputations rather than limb conservation is not because they are worried that the surgery will fail, the patient does not have the ability to pay for treatment or... they think limb conservation treatment is too cumbersome and hard. Doctors must first be responsible for the patient's life, and the damaged tissue will release a large amount of potassium, myoglobin and other toxic substances. Many hospitals do not have enough ability to deal with this kind of squeeze syndrome. In this case, the legs that are picked up are not even "meat that looks like legs" - it is just an irregular time bomb.

However, although Song Wen was very clear about the reason why Zheng Guoyou refused to protect the limb. She still forced her to protect the limb first. On the one hand, she believed in the orthopedic technology and capabilities of the Fourth Hospital - she was sure that Zheng Guoyou would make the right decision, and on the other hand, it was also to make the Fourth Hospital first in possible public opinion disputes in the future - we attached great importance to Tan Junni's situation and used all the best means that could be used.

She is not only a handsome middle-aged and elderly woman, but also the director of a hospital and the dean of a medical school. The three identities make Song Wen need to make comprehensive considerations in three aspects before making any decision.

Even if it is such a...it seems like a hysterical behavior.

·

·

·

In the operating room, Zheng Guoyou is deploying personnel to perform surgery.

The damage to the foot involves the most bones and nerves, and also has the greatest impact on the patient's subsequent recovery. In this area, Zheng Guoyou chose the youngest deputy director under his command - the surgery in this area is expected to take about four hours. Without a good physique, you can't keep it off.

The femur part is usually managed by the young orthopedics. Although this area is critical, the diameter and nerves of the blood vessels are thicker than the foot. It is not difficult to suture, and it can also accumulate valuable experience for him.

And Zheng Guoyou... After experiencing a myocardial infarction, he no longer went directly to the operating table. This time, he acted as a technical guide and the role of Dinghai Shen Needle.

"Prioritize the repair of blood vessels and nerves, and place the skin flap and bones behind - if there is no time to do the tendon suture, you can leave it for the second phase before proceeding." Zheng Guoyou assigned work in the operating room, using the usual tone of "the farmer shouting at the dog". "Be careful when suturing, don't be careless in the sewing because of rushing - President Song can wait outside. Whoever dares to drag his legs? Then wait for the skin and weeds to be slapped by President Song and hung it at the hospital gate!"

Although Zheng Guoyou told a joke, no one of the doctors present could laugh. Tan Junni's injuries were so serious that they had even reached the point where they were a little scared.

To sew this pile of rotten meat into a leg again... the difficulty cannot be simply overcome by just saying "skin-cutting".

"Old Zheng." Liu Tangchun, who had put on the surgical gown, also appeared in the operating room. Although multiple surgeries performed the surgery at the same time this time, it was different from the previous Shenwai-orthopedic multidisciplinary joint surgery. Strictly speaking, this should be the home court of orthopedics. Liu Tangchun came here not to direct and coordinate multidisciplinary treatment, but to make decisions for his old friends. "I think President Song is a little... not calm enough."

"You have to tell me this?" Zheng Guoyou glared at his old classmate, "If you have a fart, please let it go. I'm so anxious that I'm going to have a room."

"Try to choose the shortest time of the technique, you must understand this principle." Liu Tangchun whispered, "Don't break the axes when it comes to bones. There is no need to spend time playing puzzles there - replace them if you can replace them."

Zheng Guoyou glanced at Liu Tangchun, "Is there anything wrong?"

"Hey... I'm kind enough to come here for you... forget it." Liu Tangchun glared at her eyes and then became kind again. "It doesn't matter if you spend some effort on the joints, but you can grasp the overall time. Anyway, it's the medical school that you don't have to save money for the college."

"I'm not stupid. You, a deputy director, can even think of this kind of thing. I, Old Zheng, can't figure it out? Don't get out of here, hurry up." Zheng Guoyou whispered Liu Tangchun, stood at the door, crossed his waist to see the situation on the scene, and then cleared his throat and said, "Listen to the command of the mentally retarded Hu. I really thought that if I became the vice president, I could stretch my hand to me? The tibia platform was smashed. I'm on the prosthesis? Where did the prosthesis be nailed? I'm just making a fool of myself!"

The orthopedic doctors finally let out a knowing laugh. However, Zheng Guoyou did not laugh. He turned around and looked behind him, and after confirming that the entire operating room was his orthopedic doctor, except for anesthesia and nurses, all the others in his orthopedic doctors were all his orthopedic doctors.

"Okay, put down the knife." Zheng Guoyou sighed, "Prepare for hip liberation... I'll take the lead in the surgery."
Chapter completed!