"Does the patient take any allergy medicine, does he have any past medical history..."
After interviewing the patient's family again for some key preoperative information.
Lu Chenxi took Lin Yi and decisively went to the operating room.
The shorter the delay in finger reattachment surgery, the higher the chance of success.
After washing hands and disinfecting, put on surgical clothes and quickly complete preoperative preparations.
Lin Yi and the two came to the patient...
"Lin Yi, come and disinfect and debridement the severed finger."
"According to the patient's description, animal feces, grass clippings and other debris are likely to remain on the severed finger."
"We must pay attention to thorough disinfection to prevent patients from postoperative infection."
After explaining Lin Yi's precautions.
Lu Chenxi split up to treat the patient's foot wound.
The wounds that were hastily bandaged were pulled apart layer by layer, mixed with plastic and cloth, and then thoroughly cleaned with hydrogen peroxide.
Only then did Lu Chenxi see clearly that the damage to the wound was more serious than she imagined...
Although the family members immediately found someone to take the patient to the hospital.
But because my home is in a rural area, transportation is inconvenient and it takes a lot of time.
In addition, the patient's family members lack basic medical knowledge.
When the wound was bandaged, even the simplest disinfection treatment was not performed.
As a result, animal feces, soil and grass clippings, etc. are attached to the wound, and infection and inflammation have already occurred...
"How is the condition of the patient's broken finger?"
Lu Chenxi, who was working non-stop, frowned and asked.
"The situation is not too optimistic."
"The infection at the wound was very serious, and blood vessels, nerves, tendons, etc. all atrophied to varying degrees."
"It will take at least ten minutes to complete the complete debridement and free contamination of the affected area."
After introducing the specific situation here.
Lin Yi also reported an approximate completion time.
"knew."
"Let's finish it first and then talk about it."
After Lu Chenxi responded dully, he closed his mouth in depression.
Judging from past experience, the possibility of a patient saving a severed finger is almost non-existent...
Normally, a patient has a broken joint in a finger or toe.
As long as you simply disinfect, store with cold compress, and seek medical treatment promptly within 8 hours, the possibility of successful reconnection is very high.
But the situation of the patient in front of me was much more complicated than normal.
Wound contamination, infection, and vascular and nerve atrophy are just one of the aspects.
The patient's five right toes were almost cut off from the base.
Especially the thumb area, and also a part of the sole of the foot.
This is beyond the difficulty of surgery to reconnect a severed finger, and the connection at this location is not good.
It may also cause postoperative necrosis and require another resection...
"Doctor, can I reattach my toes?"
"Please tell me clearly."
"Also, how much does it cost to connect, and how much does it cost to not connect?"
"It's time for my baby to go to school, and I still have to keep money to support the students."
After hearing Lin Yi's conversation.
Wang Youcai, who was lying on the operating bed, suddenly asked.
Local anesthesia is generally used for limb replacement surgery.
When the patient is conscious, everything the doctor says can be heard clearly.
You know your own situation.
When five toes and part of the sole of the foot were cut off by a guillotine.
Wang Youcai knew that with such a serious injury, there was almost no chance of being rehabilitated.
If his mother-in-law hadn't threatened him with death, he wouldn't have come to such a big hospital at all.
Just go to the health center in the village and let the doctor bandage it casually.
The matter has come to this, and there is no use regretting it.
It's better to save some money, let the girl Juanzi go to school well, and fly out of this poor valley as soon as possible...
Although I was forced into the operating room by my mother-in-law.
But after hearing the not-so-good conversation between the doctors, Wang Youcai thought of giving up treatment again.
No matter what.
The cost of a simple bandage is definitely much cheaper than surgery...
"Since you can still maintain this composure."
"Then I won't hide it from you. I'll tell you the truth."
Lu Chenxi did not expect to face possible disabilities.
The simple man in front of him could still maintain his composure.
And the meaning expressed in the other party's words is also very clear. If the family is not rich, they cannot spend a penny indiscriminately.
In view of this situation, Lu Chenxi felt that there was no need to hide the patient.
"You now have two choices."
"First, we will try our best to help you reattach your broken toe."
"But I can tell you clearly that the chance of surviving a severed finger is very slim."
"If there is any point infection or necrosis after surgery, it is very likely that a resection operation will be performed."
"Continuation and secondary resection are two different operations, the cost is not small, and the hospitalization time is not too short."
"Second, if you agree to give up the continuation, directly suture and bandage the existing wound."
"It's less expensive and the recovery time is shorter, but you're also going to be disabled for life."
When the two options were told, Lu Chenxi felt very heavy.
It is said that there are two options, but for this kind of poor family, there is no second option at all.
Giving up on continuing must be their final choice.
It is impossible for them to spend, nor can they afford, that much money to gain a small possibility...
As a doctor for so long, I have seen many similar things.
But every time they met, Lu Chenxi's heart felt as if there was a stone blocked, extremely dull...
At this time, Lin Yi wanted to interrupt Teacher Lu several times.
But the debridement work at hand has already reached the most critical part, and there is no way to be distracted.
The more time you can regain, the better the patient will recover after surgery.
He simply waited until he finished the work at hand, and then told Teacher Lu that he was absolutely sure that he could successfully reattach the patient's severed finger.
"Thank you doctor, thank you for telling me the truth."
After listening to Lu Chenxi's plan.
Wang Youcai still remained calm and grateful.
Fortunately, he met a good doctor who saved him a lot of money.
If you really encounter a heartless and unscrupulous doctor, he will pick you up without saying a word, and then cut it for you if there is an infection.
After all the hard work, I went bankrupt, but in the end I still had to be grateful to the doctor.
Although Wang Youcai lives in a rural area, he has encountered many situations like the one above...
"I have decided on the doctor, and I will follow the second plan you mentioned."
"Please tell my mother-in-law."
"Just say this is my decision, no one can persuade me!"
"Why......"
After hearing the patient's decision, Lu Chenxi sighed.
He turned around and left the operating room immediately, looking for the patient's family members to sign.
"Teacher Lu...Teacher Lu."
"I can perform this operation and ensure that the patient is alive and well after the operation is completed."
Seeing Lu Chenxi leaving 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 shouts due to sound insulation.
"Forget it, we can only kill first and then play!"
Even if there is a master-level limb reattachment surgery available from the elite blind box, the shorter the time delay, the better the patient's recovery will be.
Looking at the depressed patient on the operating table.
Lin Yi made up his mind...
