It's not that difficult to open a hospital in another world, right? Chapter 580: If a fish bone pricks your hand, will it be amputated? (Please vote for double monthly tickets on the last day)
Chapter 580: If a fish bone pricks your hand, will it be amputated? (Please vote for double monthly tickets on the last day)
A woman in her forties.
He has a strong body, a ruddy face, and a loud voice.
Numbness in the hand.
So, what kind of numbness is it? Tenosynovitis? Carpal tunnel syndrome? Or is it caused by cervical bone hyperplasia and compression?
Grete asked her to sit down with a smile and looked down. His eyes fell and his pupils shrank instantly:
The entire hand was swollen like a carrot, and the skin on the five fingers of the right hand was tight, shiny, and purple. There was a large area of abnormal waxy white on the back of the palm, with a large number of blood type blisters on it, which looked shiny at first glance.
The edge is blue-purple, extending from the back of the palm to the wrist, outlining an equilateral triangle.
This hand...
Grete intuitively felt something was wrong. He maintained a calm smile and spoke in a relaxed tone:
"Aunt Rita, what's wrong with your hands? When did the numbness start? How many days has it been? Are there any other discomforts you usually feel?"
"Hi!" The woman waved her hand nonchalantly. Gretel, who was sitting opposite her, could see a trace of deeply hidden nervousness in her smile:
"I'm usually in great health! Everywhere in the house, inside and out, there are a few old men and two little grandsons, who are all under my care! It's just this hand, I stabbed it when I was killing fish the day before yesterday.
, it’s actually swollen like this today! Look, look!”
History of trauma. Gretel secretly noted it down and patiently asked:
"How many days has this hand been hurting?"
"Two days. It was a little swollen and painful yesterday. I took some medicine and applied it myself, and it seemed to be a little better." The woman talked gushingly:
"It turned out that the pain was severe at night. Thinking about it being late at night, I didn't want to bother anyone at this time. Besides, the temple doesn't accept patients at night - it's okay today, it doesn't hurt much..."
Severe swelling from fingers to wrist.
Large areas of blue and purple.
From severe pain to not much pain...
This was not a good sign. Gretel would rather her hand still hurt - it still hurt, which meant that the inflammatory reaction was still going on and the body was still alive. He reached out and pinched the woman's fingertips:
"Does it hurt?"
"It doesn't hurt! I don't feel anything at all!"
Aunt Rita shouted louder and louder. To either side of Gretel, at several square tables lined up for free clinics, priests looked back. Gretel smiled at them, took out the smallest syringe, and pointed it at the woman.
Blood vessels on the back of the hand:
"Aunt, can I draw a little blood from your hand to see if it's okay? Your hand is a bit swollen. Drawing some blood will make it easier to figure out what's going on. If you can, put your palm flat here, don't
Move. Don’t worry, it won’t hurt.”
"Hey, you little guy. If you smoke casually, will Auntie still be afraid of the pain?"
The woman answered unusually readily. Gretel forced a smile at her, held her fingertips, and gently inserted the needle into the vein on the back of her palm. After inserting and withdrawing, the needle tip——
No blood!
Grete's scalp exploded all of a sudden. There was no blood in the veins on the back of the palm, which meant that the underlying tissue was about to die, or had even begun to die. Can these fingers, or even this palm, be saved?
He immediately stood up. He took the woman's hand and gently but firmly invited her to the operating room:
"Aunt, your hand is in trouble. You need to look inside. Come with me - by the way, are your family nearby? It's best to ask them to come over. It's better for your husband to come over..."
"My old man? He should be patrolling in the city today. Should I call him over?"
"Don't! I'll ask someone to call you!"
The woman followed him in a daze. While Grete was pulling the person inside, he called over the nearest priest apprentice and said in a quick voice:
"Please come here, teacher! Please come here, the bishop! Please come here with her family! Hurry!"
As he said that, he had already settled the person into the operating room. He threw away [Delaying Pain], tied the tourniquet, and arranged a row of instruments beside the operating table. The silver light was shining and the air-conditioning was thick. The woman immediately became nervous:
"Little...Mage Nordmark, what's wrong? What's wrong with my hand?"
"Aunt Rita, please don't worry." Grete tried to persuade her as gently as possible. When he touched her forehead with his palm, sure enough, the temperature was quite high. Without thinking, Grete took out a thermometer:
"Put it in your mouth and press it under your tongue. Yes, that's it. Hold it with your lips and don't bite it with your teeth. Hey, someone, help me look at her. After five minutes, take it out and read the reading. I'll go brush my hands.
——”
Five minutes later, the report showed that the patient's temperature was as high as 39.2 degrees and the infection was obvious. Grete returned in a hurry and started the operation:
The skin on the back of the palm was cut open, and a familiar stench hit his nostrils. Grete sniffed and immediately had an ominous premonition:
Oops! Don’t run into an old friend with this smell!
When the skin flap was opened, a large amount of necrotic fat was seen in the lower part; when it was cut further downward, a large amount of dishwater-like pus appeared in the superficial fascial plane of the necrotic tissue; when the aponeurosis was incised, the dorsal metacarpal artery was slightly touched, and there was almost no elasticity.
Grete became more and more panicked. He cut open the dorsal palmar artery, and a dark bruise slowly flowed along with a small amount of blood. Even the artery was almost blocked...
It looks like necrotizing fasciitis. The onset of this disease is sudden and fast. Moreover, the patient was delayed for three days!
Never have diabetes, never have diabetes, never have diabetes...
Gretel prayed repeatedly in his heart. He took a small tube of blood from the woman's radial vein and let the little snake taste it. The little snake jumped in. After a moment, it raised its head and reported back:
"It's so sweet! This blood is so sweet!"
It’s over, I really have diabetes, combined with necrotizing fasciitis. Gretel’s eyes darkened:
The combination of diabetes and necrotizing fasciitis is particularly prone to attacks, particularly difficult to heal, and particularly prone to recurrence. Diabetic foot has always been one of the difficulties in surgical wound repair.
What's more, the structure of the hand is dense and complex, and it is more difficult to retain its function than the foot...
Can this hand be saved?
Just as he was thinking about it, the door of the operating room opened, and Elder Erwin and the bald bishop came together. Their eyes fell on the hand at the same time, they were slightly startled, and looked at each other:
"This hand..."
"This hand has almost no life left!"
The bald bishop shouted quickly and quickly. The woman's whole body was shocked:
"What?!"
"This hand may need to be amputated." Gretel interrupted with a stern face:
"Master Bishop, please go and explain to Aunt Rita's husband. I will try my best to save this hand, but if I can't save it, for the sake of life, I will have to amputate it in the end. Of course, the premise is that they agree -"
"What? Do you want... to cut off this hand?" The woman's face suddenly turned pale. Her right hand subconsciously retracted, and her left hand covered it, as if to protect the palm that was about to be lost:
"Little Gretel——"
"Hands down!"
Gretel shouted out faster than her. With a finger, two vines flew out and tied her left arm tightly to her side:
"Aunt Rita, I know it's painful and inconvenient to lose a hand, and I will try my best to save it - but if you can't save it and a dead hand is attached to your body, you will die!"
****
Please subscribe! Please give me monthly tickets! Please recommend votes! Please give me book reviews! Please ask for all kinds of things!
Double time on the last day, please vote for me!
Crowdfunding in the last 4 hours, please give me a reward...
ps: The fever has not gone away today... a low fever of 37.3 degrees... I will push it all day long (24 hours) on January 9th the day after tomorrow. I am working hard to compile the manuscript. I will pay back all the rewards and updates I owe you...