In fact, when Jincheng came before, the director of the emergency department had spoken.
He doesn't accept idlers here. If his expected performance cannot be achieved within a week, Jin Cheng will pack up and leave!
To put it bluntly, even the emergency department doesn't want him. Who would want a stained person? The director of the emergency department was trying to give Director He face by letting Jin Cheng stay for a few days and then send him away! The emergency room is not a place to collect rags.
Today is the last day!
"Doctor, my daughter-in-law is bleeding a lot, hurry up!" an aunt in her sixties shouted anxiously at the door of the debridement room.
Jincheng trotted into the debridement room and saw a 40-year-old woman lying on the flat car. She was dark and thin. The gauze on her right hand had been soaked with blood. Drops of blood fell along the gauze into the yellow trash can.
Opening the Eye of Reality, Jin Cheng saw a bloody hand through the gauze.
"Open fractures of the 2nd, 3rd, and 4th proximal phalanx, combined with extensor tendon injury, and severe skin contusion and laceration!"
Jin Cheng quickly made a diagnosis.
After putting on his gloves, Jin Cheng quickly untied the gauze and asked, "How did it hurt?"
The aunt pointed a finger at a man in his 40s next to the flat car and said angrily: "My bad son drank some cat urine and his brain is not functioning properly. My daughter-in-law is getting on the car and her hands are still on the door frame." , he just closed it hard and it was broken!"
"Get out of my way!"
The aunt became more and more angry as she talked, and slapped his son on the head, causing his little hair to stagger.
The man moved to the other side of the flat car angrily, his face full of annoyance, and he watched nervously as Jin Cheng took off the gauze.
Although the extent of the injury is already known, due examination procedures must still be carried out, otherwise the family members will think that they are irresponsible.
When the gauze was lifted, she saw several torn fingers. The aunt raised her hand again to slap her son, but the man quickly dodged.
"Doctor, how are you? It's not serious, right?" the aunt's son asked anxiously.
"The tendons are exposed and the phalanges are fractured. Emergency surgery is needed! Let's take a X-ray first!"
Jincheng opened a dressing bag, and the emergency nurse poured iodine complex on him to prepare for disinfection and bandaging.
"Doctor, my daughter-in-law cannot take X-rays!" the aunt said quickly.
"Huh? What's wrong?"
"She's pregnant, five months!" the aunt said cautiously.
Jin Cheng looked at the patient's lower abdomen. He was still young and only slightly bulging when lying flat. It would be difficult to find it without telling him.
This is more difficult. The patient has three broken fingers. Although Jin Cheng is confident that the operation can be performed without using a C-arm machine for fluoroscopy during the operation.
But without X-rays before surgery, why should we make a surgical plan? There needs to be objective evidence! Otherwise, the family members will not understand.
Fracture fixation is not difficult, just apply Kirschner wires. If the fixation is unsuccessful, post-operative radiographs cannot be taken. If the patient's hand function does not recover well in the future, the patient's family may think that they did not perform the operation well, and there is not even a single piece of evidence. No, I can’t tell!
"Let's go to the hospital first. No matter what, emergency surgery must be done, otherwise the function of this hand will be seriously damaged!"
Jin Cheng said, quickly bandaging the patient.
"Doctor, you can just deal with it briefly. She can't be given anesthesia!" the aunt said cautiously.
"Without anesthesia? How can we do the surgery?"
"Doctor, you don't know, my daughter-in-law is 38 this year, and she finally got pregnant with a son, so there must be no problem! I have a single pregnancy, we can't have it cut off here!" The aunt felt embarrassed.
Judging from the way this family dresses and behaves, they should be from average families in the city. Why are they still so old-fashioned in their thinking? ?
Jin Cheng nodded and said: "Don't worry, she only needs brachial plexus anesthesia, which only numbs the arm. It is a local anesthesia. The anesthetic does not enter the blood vessels, does not participate in blood circulation, and has basically no impact on the fetus!"
"snort!"
The father-in-law who was standing nearby and kept silent suddenly said in a cold voice: "You also said that it has basically no impact on the fetus, but it must still have an impact. Can you guarantee that there will be no problems with my grandson? If you can guarantee that, you can give me an injection Anesthetic! If my grandson has any problems in the future, you will be responsible!"
Hearing this, Jin Cheng's blood surged! I almost yelled back!
Fortunately, I have been working in the clinic for five years and have frequent contact with family members like this, and now I can control my emotions.
If he had just entered the clinic, he would have transferred the patient to another hospital as soon as possible!
No anesthesia, what a joke!
Jin Cheng calmed down quickly and patiently advised: "Anesthetics are relatively safe now, let alone local anesthesia. You have to believe in modern medicine!"
"We don't believe it!"
The patient's father-in-law raised his hand and said with a bit of an old leader's attitude: "My colleague's granddaughter was given anesthesia during the operation. Her memory has deteriorated a lot, and her academic performance has been directly reduced! I don't want my grandson to be harmed by anesthesia in the womb. Got it!"
Jin Cheng sighed for a while, common sense hurts people!
He looked at the patient's husband and said, "Don't you agree with anesthesia either?"
The man was greasy, with obvious seborrheic hair loss on the top of his head. His eyes were evasive, and he hesitated: "I...I listen to my parents!"
well! Jin Cheng shook his head inwardly, this man... was hopeless!
Jin Cheng looked at the patient again. She was only 38 years old. She was dark and thin, but she looked like she was in her 40s. She must have been in poor health. She had probably had several miscarriages. If nothing else, they should all be girls. , so now that she is finally pregnant with a boy, no one except herself will care whether her hand will be disabled in the future.
"Don't you want to take anesthesia? Without anesthesia, you will definitely not be able to do the surgery. Your hand function will be very poor in the future! It's not easy to grab a milk bottle!"
The woman bit her lower lip and turned to look at the family.
At this time, the aunt comforted and said: "Huiping, don't worry, I don't want you to take care of the baby in the future, our family will take good care of you two!"
The woman's eyes were dim and lifeless, and she seemed to have no choice as she was unaccompanied!
She nodded with difficulty and said: "Doctor, I'm not afraid of pain! Just perform the surgery on me!"
Jin Cheng shook his head and said: "Finger to heart, no one can bear your injury, not even Guan Yu! What's more, the pain and stimulation may cause you to contract and cause miscarriage!"
"Ah! That won't work!"
Her mother-in-law said anxiously: "Huiping, don't be stupid, your children are the most important!"
Jin Cheng's words frightened even women!
She sighed.
Without this child, I would have no good hands, and I would not have a good life in the future! After having a child, I have a certain status in this family. At least, a mother is more valuable than a child. For the sake of the child, this family will not make it too difficult for me!
"Ding! Attention, host, Sky Eye has released mission No. 1! This hand injury patient successfully completed the operation without anesthesia. The mission reward is king-level skin suturing technology!"
