crazy scalpel

Xie Ke was on the night shift that day. After rounds of the ward round, he returned to the office, reading a book while drinking old fire soup.

Li Shiguang has recently become obsessed with one thing every Cantonese woman has to learn before getting married-making soup.People in the past paid attention to the longer the soup was boiled, the better the taste and the higher the nutritional value.But I heard that it is actually unscientific to cook this thing for so long, so after Li Shiguang's improvement, plus various health formulas that have been passed down for hundreds of years, it is conceivable that he will never tire of eating it every day.

So Xie Ke is blessed, even on duty days, he can still drink a sip of delicious hot soup.

After Li Shiguang specially made it at home, he packed it in a thermos and delivered it to him.

Today's soup is black-bone chicken stewed with figs and mushrooms.Figs are sweet and produce body fluids, matsutake mushrooms are delicious and smooth, both of which are anti-cancer, and black-bone chicken, white meat and black bones, is tender and nourishing.The soup is thick but not greasy, clear but not too much.It is just one person drinking soup, and the room is full of fragrance.

Even Xie Ke, who was rarely distracted by other things when reading, couldn't help but look away from the book and bowed his head in admiration.I don't know how much of this delicacy is due to the ingredients and craftsmanship, and how much is the taste of the legendary love.

Unexpectedly, before the soup was finished, the pager started to ring, and a car accident patient was transferred to the emergency department.

Xie Ke hurriedly went down to take a look, the injured was still an elderly man covered in blood.

The injury was more serious. Xie Ke only glanced at it, then touched several important places on his body, and said to the nurse beside him: "Come with me and send him to the operating room immediately, and then you send someone to go to the operating room." Find Mr. Zhang, and immediately notify Zhao Hua or other chief physicians to perform surgery. In addition, you have to go to the eighth, ninth, and tenth floors to find doctors from the abdominal surgery, ENT and maxillofacial surgery, and ophthalmology for joint surgery. "

This kind of emergency department received a lot, and although the nurse moved quickly, she did not appear to be in a hurry. Seeing her so satisfied, Xie Ke said, "I'm going to prepare to enter the operating room, and you will draw blood for him on the way. The blood coagulation needs to be done. After the blood type comes out, the blood bank is notified to send a blood bag, and CT scans are required, including the head, chest and abdomen. I just ask the radiology department to take a special film for him. When the surgeons from other departments arrive, there may be some need."

The nurse agreed, and hurriedly pushed the bed to the operating room.

Only then did Xie Ke look back at the person who brought the wounded over. He was a middle-aged man. His eyes were bloodshot and red at this moment, so he asked him, "Are you the family of the wounded?"

The man shook his head numbly at first, then suddenly grabbed Xie Ke's arm, knelt down and cried loudly: "Doctor! You are all the reincarnation of Avalokitesvara Bodhisattva! You must help me save him. If he dies, I will But I can’t afford to pay that much money!”

"..." Xie Ke held his forehead, "We will do our best. Then you can find a way to inform the family here, I am going to prepare for the operation."

It turned out that this man was the driver who caused the accident, and he was driving fatigued.

He was driving a truck, and it hit people very hard.

The subway is being built next to the accident site, so the road is much narrower and there are no sidewalks. There is a sign that the speed limit is 20 kilometers per hour.

It's okay during the day, with clear vision and speed limit, it's not so easy to have an accident.

At night, the street lights are far away, and sometimes short and thin people like the injured are not easy to be seen walking along the construction railings on the road.The driver who caused the accident couldn't see clearly at first, and because there were few pedestrians at night, he increased his horsepower, reaching almost 40 kilometers per hour. He drove for too long and reacted slowly. He didn't realize what had happened until he knocked people into the air.

The injured just happened to be hit by him into the nearby construction site, which was full of messy soil, and various metal excavating machines and tools just stopped there.The wounded fell with large and small wounds all over his body, which looked very scary.

Fortunately, the driver who caused the accident had a conscience and rushed the injured to the hospital.Otherwise, if this kind of injury is delayed for a few hours, it will definitely be hopeless.

Seeing the injured man like this, Xie Ke couldn't help but feel a little sad when he remembered that his parents were also killed in a car accident, so he didn't bother to talk to the driver.While thinking about what to do later, he rushed to the operating room.

When he arrived, the other three on-duty doctors from the departments he had named just now also arrived.They are also residents, but the surgical part they are responsible for is relatively simple and can be handled by themselves.The reason why Xie Ke wanted to call Zhao Hua or another chief physician was that he suspected that the injured person had a burst fracture of the thoracic and lumbar vertebrae.This can be confirmed after getting the x-ray film.

Sure enough, CT showed that the spinal canal was severely blocked and the nerves were being compressed. In this case, surgery was definitely necessary, and a plaster fixation bracket could not be used to allow the fracture to heal by itself.

Therefore, for orthopedic surgery, he can only be responsible for debridement at most, and the chief physician must do the subsequent plate addition, screw placement, and reset.

Xie Ke and several doctors from other departments explained the patient's situation. Those doctors seemed to be more comfortable, because the part they had to do was relatively easy, mainly stitches and the like.

Even though Xie Ke had described the injury, the doctors were still taken aback when they first saw the injured.

At this time, all the clothes of the injured person had been cleaned up, and it could be seen that there was hardly a good spot on his frontal body, and his whole body was as miserable as if he had been crushed by a mudslide.

Fortunately, the eyeballs were not blinded, but the eyelids were worn out, and the nose was crooked, and the bridge of the nose was definitely broken.One ear is fine, and the other one has sand and stones embedded in its flesh. It's hard to say now, as long as it doesn't affect the ear canal, it's fine.The upper lip was almost torn off, several teeth were knocked out, and the mouth was full of blood.Xie Ke opened his mouth and took a look. Fortunately, his tongue was fine, otherwise he would have to call a dentist.As for the teeth, it's not a big deal anymore, let's wait until the person is saved.

Some operations cannot be decided by the doctor without permission. Only the consent and signature of the patient's family can be performed.

Now we can only do first aid, save our lives first.

Although it looked scary, how could a doctor be afraid of this, and the few of them quickly took their positions, dealing with the parts that belonged to their own departments.

From the neck up to the doctors, what Xie Ke needs to do is to debride the whole body, and then wait for Zhao Hua to come. As for whether to remove the broken lamina or decompress through other approaches, it is necessary to carefully study the line. Decide after the movie.

Xie Ke is very good at this kind of minor operation of suturing.His movements are obviously much faster than others.The doctors in other departments had already heard of his reputation, and if they didn't have important work to do, they really wanted to appreciate Xie Ke's skills.

Cover the wound with a sterile cloth, prepare the skin, clean the dirt, then wash the skin around the wound with saline, and then use povidone iodine to disinfect from the center of the wound to the surroundings.Then start checking the wound.With a scalpel in his hand, Xie Ke quickly and accurately removed blood clots and other foreign objects, as well as those skin and flesh tissues that had lost their vitality and were no longer useful.After hemostasis, flush with normal saline again.

After cleaning up, Shayk began to sew.Sewing is not as simple as sewing a piece of cloth.Human tissue is layered. Lighter wounds don’t need stitches at all and they can grow back on their own. Some wounds only need to be stitched on the surface, but some wounds are deeper and larger, and they need to be stitched layer by layer.

There was no need to use his magical fingers at all, Xie Ke did it extremely quickly.

When he sewed up the upper and lower parts of the wounded and put sterile gauze on the wound, the others were still competing with the part they were responsible for.

The problem now is that the skin and flesh of the injured right hand are all torn, and almost only the bones are left after cleaning, so if the skin flap is not used, the hand will not be able to be used in the future.However, this flap operation is not within the scope of life-saving, and the family members must sign and agree.

Xie Ke walked aside and asked the itinerant nurse to go out and ask if the family members had been contacted.

After a while the nurse came back and said that she was connected by phone and would be there soon.

Xie Ke thought about it, and probably had to say it in person, so he simply took off his surgical gown and walked out.

When the driver who caused the accident saw him coming out, he ran over excitedly and grabbed Xie Ke, asking how he was doing.

Xie Ke turned around, pulled out his arm, and said to him: "Calm down first, you are fine for the time being, but the injury is very serious, and you will need surgery on the thoracic spine, lumbar spine, and limbs in the future. How to do it, you have to wait for the director." Physicians and families can decide when they arrive."

At this time, Zhao Hua and his family members arrived one after another.

After Zhao Hua heard what Xie Ke said about the situation, he went to get the film to watch, leaving Xie Ke outside to deal with the family members and the perpetrator.

Leaving aside the issue of the thoracic and lumbar spine, Xie Ke explained the situation to the family of the injured man, that is, the son of the injured man, about his right hand.

In fact, this situation is quite simple, it is a question of whether to perform flap repair.

The choice is also very simple, if you do it, it can be repaired, if you don't do it, then amputation.

Amputation is generally not a last resort, and no one will accept it.

But here comes the problem, money.

For this kind of operation, all kinds of expenses add up, at least hundreds of thousands are always required.

And whether to do it or not needs to be decided immediately. After a long time, the flesh on the hand will not grow back.

When the injured man's son heard that he wanted so much money, his eyes turned red, but it was his father's hand!

He grabbed the perpetrator by the collar, spit and poohed him: "You bastard! You have to pay my dad's medical expenses! You heard it too, the doctor said it would cost hundreds of thousands, which is just One project, and other projects, the doctor said when he took the film just now, what kind of burst fracture, it sounds very serious when you hear it! Take out the money quickly, or it will be too late for my dad's hands It’s gone wahhhhhhhh!” Cursing and cursing, he began to cry.