"Does the patient have any allergic drugs? Does he have any medical history..." After asking the patient's family again for some key preoperative information. Lu Chenxi took Lin Yi and went to the operating room decisively. The shorter the delay in the finger reattachment surgery, the higher the possibility of success. After washing hands for disinfection, wearing surgical gowns, and quickly completing preoperative preparations. Lin Yi and the others came to the patient... "Lin Yi, you come to disinfect and clean the broken finger." "According to the patient's description, there is a high probability that animal feces, grass clippings and other debris will remain on the broken finger." "Be sure to pay attention to thorough disinfection to prevent the patient from postoperative infection." After explaining Lin Yi's precautions.
Lu Chenxi worked separately to treat the patient's foot wound. After tearing off the wound that was hastily bandaged with a mixture of plastic and cloth layer by layer, and thoroughly cleaning it with hydrogen peroxide. Lu Chenxi saw clearly that the degree of damage to the wound was more serious than she had imagined... Although the family members immediately asked someone to send the patient to the hospital. But because the family lives in the countryside, transportation is inconvenient, which delayed too much time. In addition, the patient's family lacks basic medical knowledge. When bandaging the wound, even the simplest disinfection was not carried out. As a result, animal feces, dirt and grass clippings, etc. were attached to the wound, and infection and inflammation had occurred... "How is the patient's severed finger?" Lu Chenxi, who was working non-stop on the debridement, frowned and asked. "The situation is not too optimistic." "The infection in the wound is very serious, and the blood vessels, nerves, tendons, etc. have atrophied to varying degrees." "It will take at least ten minutes to completely debride and free the contaminated affected area." After introducing the specific situation on his side. Lin Yi also reported a rough completion time. "I know." "Let's talk about it after the treatment is completed." Lu Chenxi responded sullenly and closed his mouth depressedly. According to past experience, the possibility of the patient saving the severed finger is almost non-existent...
Under normal circumstances, the patient's finger or toe is cut off by a joint. As long as it is simply disinfected, stored with cold compresses, and treated promptly within 8 hours, the possibility of successful reconnection is very high. But the situation of the patient in front of him is much more complicated than normal. Wound contamination and infection, vascular and nerve atrophy are just one of the aspects. The patient's five right toes were almost cut off from the root. Especially the big toe, which also has a part of the sole. This is much more difficult than the operation of reconnecting severed fingers, and this part is not well connected. It may also cause postoperative necrosis and require another resection operation... "Doctor, can my toes be reconnected?" "Please tell me clearly." "Also, how much does it cost to reconnect, and how much does it cost if it can't be reconnected?" "The baby is in school, and I have to save money for students." After hearing the conversation between Lin Yi and others. Wang Youcai, who was lying on the operating table, suddenly asked. Because the reconnection of severed limbs is generally done with local anesthesia. The patient is conscious and can hear everything the doctor says clearly. He knows his own situation. When the five toes and part of the sole were cut off by the guillotine. Wang Youcai knew that such a serious injury would have almost no chance of being reattached. If his wife hadn't threatened to die, he wouldn't have come to such a big hospital at all. Go to the village clinic and let the doctor bandage it casually. Now that things have come to this, regret is useless. It's better to save some money and let the girl Juanzi go to school and fly out of this poor mountain valley as soon as possible... Although he was forced into the operating room by his wife. But after hearing the unpleasant conversation between the doctors, Wang Youcai thought about giving up treatment again. No matter what. A simple bandage would definitely cost much cheaper than surgery... "Since you can still keep this calm."
"Then I won't hide it from you and tell you the truth." Lu Chenxi didn't expect that in the face of possible disability. The simple man in front of him could still keep this calm. And the meaning expressed in the other party's words was also very clear, the family was not rich, and not a penny could be spent carelessly. Given this situation, Lu Chenxi felt that there was no need to hide anything from the patient. "You are now faced with two choices." "First, we will try our best to help you connect the broken toe." "But I can tell you clearly that the chances of survival of the broken finger are very small." "If there is any infection or necrosis after the operation, it is very likely that another resection operation will be performed." "Reconnection and secondary resection are two different operations, the cost is not small, and the hospitalization time will not be too short." "Second, if you agree to give up the connection and directly suture and bandage the existing wound." "The cost is lower and the recovery time is also short, but you will also be disabled for life." When the two options were mentioned, Lu Chenxi felt very heavy in his heart. Although there are two options, for such a poor family, there is no second choice at all. Giving up the connection must be their final choice. They couldn't spend, nor could they afford, so much money to try to get a tiny chance... As a doctor for so long, I've seen a lot of similar things. But every time it happened, Lu Chenxi's heart felt like a stone blocking it, and he felt extremely depressed... At this time, Lin Yi wanted to interrupt Teacher Lu several times. But the debridement work on his hands had already reached the most critical part, and he couldn't be distracted. The more time he could save, the better the patient's recovery would be after the operation. He simply told Teacher Lu that he was fully confident that he could reattach the patient's severed finger after finishing the work on his hands. "Thank you, doctor, thank you for telling me the truth." After listening to Lu Chenxi's plan. Wang Youcai remained calm and expressed his gratitude. Fortunately, he met a good doctor who saved him from suffering and saved him a lot of money. If he really met a heartless and unscrupulous doctor, he would reattach it without saying a word, and then cut it off if there was an infection. He went bankrupt and still had to thank the doctor in the end.
Although Wang Youcai lives in the countryside, he has seen many such scenes... "I have decided on the doctor, and I will follow the second plan you mentioned." "Please tell my wife." "Just say that this is my own decision, no one can persuade me!" "Ah..." After hearing the patient's decision, Lu Chenxi sighed. He turned around and immediately left the operating room to find the patient's family to sign. "Teacher Lu...Teacher Lu." "I can do this operation, and I guarantee that the patient will be alive and kicking after it is done." Watching Lu Chenxi leave the operating room. Lin Yi, who was about to finish the debridement, shouted anxiously. However, Lu Chenxi, who was already outside the door, could not hear his shouting at all because of the sound insulation. "Forget it, I can only do it first and then report it!" Even if there is a master-level limb reattachment surgery from the elite blind box, the shorter the delay, the better the patient's recovery will be. Looking at the depressed patient on the operating table. Lin Yi made up his mind...
