Hecheng No.1 Hospital.

Orthopedics, hand and foot surgery.

Deputy Director Wu had just completed a surgical consultation and returned to the office when the resident doctor below hurried over.

"Director Wu, the department has admitted an old aunt with a femoral artery injury. She was transferred from Tongshi Hospital. The condition is very critical and you need to see her."

Deputy Director Wu stood up quickly and soon arrived at the reception room. He was shocked when he saw the patient.

"Director Wu, the patient has undergone infusion, monitoring, support and other treatment measures to prevent and treat hemorrhagic shock. However, the current situation is very bad. If the operation is not performed as soon as possible, the leg may not be saved."

Hearing the nurse's report, the family members on the side suddenly panicked and urged: "Director Wu, we were at Tongshi Hospital just now. Director Huang there was not good at it and said he couldn't do it. He suggested that we come to the First Hospital of the City for surgery. He

I told you that the doctor at the First City Hospital is very confident about this operation. Did he lie to me?"

Deputy Director Wu looked at the patient's condition. Due to the transfer to another hospital, a lot of time was wasted. The thigh had been ischemic for nearly 75 minutes. The capillary response of the distal limbs was not very good. The pulse of the dorsalis pedis artery and skin temperature were mild.

exist.

Based on his experience, he certainly made a preliminary judgment: "Generally speaking, your mother's situation is still very difficult. Due to the delay in transfer to the hospital midway, pulsating bleeding in the wound, hematoma formed, and not only expanded...

"Now we can only save lives first and then salvage limbs. If the fracture is treated and fixed first, and then the damaged artery is repaired, amputation is very likely due to the limited tolerance of skeletal muscles to ischemia."

Hearing what Director Wu said, the patient's family became anxious: "Amputation is definitely not possible. Isn't your city's No. 1 Hospital very powerful? Isn't it possible that it can't even perform this operation?"

After hearing the patient's doubts, Deputy Director Wu certainly couldn't help it: "Don't worry, we can definitely cure your mother's injury. It is not impossible to save the limb. Our hospital's latest temporary blood vessel bridging technology can

This problem can be solved, just..."

Before Deputy Director Wu could finish his explanation, the patient's family directly held Deputy Director Wu's hand and said, "Okay, let's do this temporary blood vessel bridging surgery."

After saying that, Deputy Director Wu regretted it. In theory, this surgery can solve the problem of amputation that is commonly treated, but in practice, he has never done it!

I just watched the video of Tanglou. Without the guidance of a doctor who has done it, Deputy Director Wu cannot guarantee that it will be successful in the first try.

"What can I do?"

Deputy Director Wu suddenly felt a little bit stuck, but he couldn't save his face and asked Tanglou to perform the surgery. After all, he was also a deputy chief physician.

"It's not good, Director Wu. The patient is in shock again. The pulse of the dorsalis pedis artery is weak. If the operation is not performed, amputation will be necessary. It may also cause compartment syndrome and renal failure..."

The resident doctor monitors the patient's vital signs at all times.

"Doctor, hurry up and do the surgery. Why are you wasting your time? Don't you know how to do it?"

"Of course our hospital can do it, no problem. Prepare for surgery immediately."

Deputy Director Wu looked at the patient's condition and couldn't care less. He quickly arranged for the resident doctor to make preoperative preparations and went to the General Surgery Department to ask Tanglou himself.

Along the way, Deputy Director Wu also felt a bit ridiculous that he, a dignified deputy director of orthopedics, should be reduced to seeking a training doctor in general surgery.

"Ma En, where is Tanglou? I have something to do with him."

Deputy Director Wu walked into the general surgery office and asked immediately.

"Doctor Tang is in the dressing room now, debriding several burn patients."

Ma En said to Deputy Director Wu that originally, burn debridement and dressing change could be left to other interns and residents. However, the level of debridement in Tanglou was really too high and it was already famous in the general surgery department.

He was outside, so the patient strongly requested Tanglou to change the dressing and debridement.

In addition, Tanglou had just returned to work and there were no major surgeries scheduled for the time being, so the requirements of those patients were met.

"Okay, I get it."

Deputy Director Wu immediately rushed to the changing pharmacy and saw Tanglou very focused on changing a big brother's dressing.

The eldest brother stuck his butt out and held a tablet in his hand while watching Guo Degang's "The King of Pitfalls Comes", looking very proud of his virtues.

Looking at the perianal area of ​​the patient's cyst and the 0°C 2% lidocaine injection in Tanglou's hand soaked in a piece of 7cm x 8cm x 8cm sterile gauze for wet compress, Deputy Director Wu was also slightly surprised.

"Dr. Tang, your dressing surgery is a bit special."

Only then did Tang Lou notice Deputy Director Wu and quickly raised his head: "Oh, this is the lidocaine wet compress and dressing I modified before, which can greatly improve the patient's pain."

"Lidocaine actually has such a wonderful effect. I thought that in addition to anesthesia, I would just spray it for delay."

As an old player, Deputy Director Wu is of course very clear about the concentration and dosage of lidocaine for delayed treatment, but this is the first time he has seen it used in dressing changes.

The patient who was lying on his stomach was originally listening to Guo Degang's storytelling. When he heard about the delay, he suddenly turned his head, as if he was curious about the baby.

It says all over his face: Social experience has improved again!

"Deputy Director Wu is looking for me for something?"

Deputy Director Wu then remembered the business: "Yes, our department has just treated a patient with femoral artery injury, but due to the delay in transfer to another hospital midway, amputation may be possible according to the routine surgery. I took a look, and the last time you used it

The temporary blood vessel bridging technology is very suitable, so I would like to ask you to be the surgeon."

At the end, Deputy Director Wu himself felt a little blushing.

"It's not impossible to have an operation, but I still have a few debridements and dressing changes, especially for this big brother, who is already halfway done. Why don't you wait for me to finish his debridement first?"

"How is that possible? There's not enough time. This way, you go for the operation and I'll change the patient's dressing for you."

Deputy Director Wu is also willing to go all out. In his capacity, he has not personally done this kind of work for a long time.

Hearing what Deputy Director Wu said, Tang Lou thought for a moment: "That'll work, I'll leave it to you. But my dressing-changing technique is a bit special. If you're not familiar with it, you can use the conventional dressing-changing technique."

"Okay, okay, okay, go ahead. It's just a small dressing change."

Deputy Director Wu waved his hand impatiently, joking that he was also the deputy chief physician after all, so dressing changes were not easy to do.

After Tanglou left, Deputy Director Wu began to change the patient's perianal dressing.

"Hey...Ouyou...can you do it..."

In less than a minute, the patient turned off the tablet and turned his head to glare angrily at Deputy Director Wu.

"There's no way it won't hurt if you change the dressing. As for that. Just bear with it, it'll be fine soon."

Deputy Director Wu frowned. His skills were very good, yet he was still being looked down upon.

"It doesn't hurt when Dr. Tang changes the dressing. You are quite old, so why are your skills so poor? You are not a temporary worker, are you?"

The patient with perianal pain looked disgusted and did not want Deputy Director Wu to continue.

"Me? Temporary worker?"

Deputy Director Wu was also angry. How could he be that good?

"Let me tell you, I am a dignified deputy chief physician, and my dressing-changing skills are top-notch."

"Is this the level of a deputy director? Then wouldn't Dr. Tang be a chief physician?"

The patient looked at Deputy Director Wu in disbelief.

Feeling the patient's gaze, Deputy Director Wu also felt depressed. Of course, he knew that it wasn't that he was not good at it. The only explanation was that Tanglou's performance was too good.

"Okay, I'll be patient for a while and I'll be over. Dr. Tang is gifted and different."

"It's not like you're too good at it."

"Should I change it?"

"If you don't change, don't think I don't know. Changing the dressing is not something to worry about. I have read it all on Baidu. I have time to wait for Dr. Tang to come back."

The two people were confronting each other without giving in.

Deputy Director Wu almost cried with anger. He was rejected even if he changed his medicine. He said that he would not be able to get along if he went out.

"Ahem, if you ask me to change the dressing, I will tell you the concentration and dose of lidocaine."

Deputy Director Wu came up with a trump card.

"really?"

For the happiness of the front, then sacrifice the back.

The patient thought for a moment and asked the nurse for a small wooden stick, twisted his body and lay down, then turned around and said, "Let's start!"

"Oh, man!"

Looking at the heavily armed patients, Deputy Director Wu was really humiliated.

I finally replaced one.

When it came to the next one, it was a young woman in her thirties who looked at Deputy Director Wu coldly: "I can't use it. I have to wait for Dr. Tang to come."

Obviously, she heard about the previous py transaction between the perianal brother and the deputy director, and was very disdainful.

Deputy Director Wu smiled awkwardly, but at this point, he could only be shameless. He was driving in the operating room anyway:

"But you have a husband!"

The girl was thoughtful.

Think about the beneficiaries.

Think about a few minutes now and a few minutes in the future.

After pondering for a while: "Okay!"

Ten minutes later, the dressing change was completed while the girl was struggling.
Chapter completed!