My Medical Skills Give Me Experience Points-Chapter 227 - 126: Consequences of Damaged Nerve Branches, Thumb Reconstruction_3

Chapter 227 -126: Consequences of Damaged Nerve Branches, Thumb Reconstruction_3

Zhou Can smoothly pulled back the bedding to check the middle-aged uncle’s foot.

The swelling had subsided, and the subcutaneous purpura was gone too. The color of the foot looked alright. But the skin of the foot was still a bit wrinkled. This was normal.

The patient would need to do some rehabilitation exercises on the foot after he could stand and walk.

It would naturally return to normal by then.

“After his first operation, a blood clot formed in the blood vessel, possibly related to damage in that segment of the vessel. Later Director Shen took a section of a vein and replaced it, thus completely resolving the issue.”

Doctor Shan explained from behind.

Perhaps she also wanted to tell Zhou Can that the blood clot was not because she had not sutured properly but rather due to damage in the patient’s vessel.

In fact, it all came down to a lack of experience and expertise.

If it had been Dr. Xu performing the vascular anastomosis in that surgery, this kind of issue would not have occurred.

Soon, they finished checking all the beds in the two wards.

The patients here all had various issues, requiring careful nursing or focused monitoring, and many had undergone major surgery.

For example, Director Shen’s sternectomy from yesterday, Zhou Can was fortunate to see it in the inpatient ward.

The ultimate goal of this surgery is usually to remove a thymic tumor.

It belongs to major thoracic surgery.

The minimum level is Level 3, with a very high-risk factor.

Sometimes Orthopedics alone cannot complete such a surgery, and needs to join with Cardiothoracic Surgery doctors.

If the hospital has a specialized department for thymus surgery, they might also directly ask doctors from that department to join the operation.

In today’s increasingly subdivided field of medicine, excelling in a particular specialty is indeed impressive.

Speaking of which, one cannot help but mention the craftsmanship spirit of Japan.

Their craftsmen, who pursue one thing their entire lives, are truly worthy of our study.

Even in making a single piece of sushi, there are those who have perfected this craft.

Who could imagine that something as simple as making sushi, someone could become a master through continuous improvement? And after refining the sushi-making process, several schools of thought have emerged.

This is another subdivision.

Micro insights reveal major truths.

One can imagine why Japan has been successful in multiple fields; there are reasons for it.

“Let’s head to the operating room! You three newcomers, after work each day, you need to be fully aware of all the surgical patients in our group. Information on patients and surgery schedules can be checked over the intranet. Additionally, you’re also expected to keep up-to-date on newly admitted surgical patients and those post-op who have not been discharged.”

Doctor Shan taught the three how to log into the intranet.

First, they need to verify their login identity. Once the hospital information center receives the verification request, it will contact the department where the trainee is located. After getting the department director’s approval, the viewing permissions will be granted.

This is actually quite convenient.

Zhou Can logged in to check, and found that the surgical patients in his group were categorized into three groups: pre-surgery, upcoming surgery, and post-surgery.

For upcoming surgeries, the time, which operating room, and who is the leading surgeon were all clearly listed.

The Emergency Department doesn’t have this condition.

Basically, they treat whatever patient comes in. If they can’t perform surgery on the same day, the emergency must be transferred to a specialist.

It was now past eight in the morning; surely there would be no more time left for them to check the patient information of their group.

Doctor Shan directly led them into the operating room.

Today, they were entering a Level 100 operating room. It seems they were preparing to participate in a major surgery.

Upon entering, there was already an unfamiliar male doctor who had arrived early with two Resident Doctors.

The male doctor appeared to be in his mid-to-late thirties, with a tall and burly figure, emanating a strong presence. He was intently studying a dozen images displayed on the light screen.

“Good morning, Doctor Chi! As expected of our team’s strongest attending doctor, you came early to study the patient’s films.”

Doctor Shan greeted him with a smile.

“Don’t flatter me! If you weren’t taking care of the ward rounds, would I be able to come into the operating room so leisurely to look at the materials?”

After Doctor Chi responded, he continued to focus on reviewing the patient’s films.

To become the team’s strongest attending doctor surely had its reasons.

Not to mention others, his focus alone was not something ordinary people possess.

Doctor Shan also went over to look at the films.

The films are not complicated, displaying an X-ray image of a patient’s right hand.

It was evident that the patient’s thumb bone was missing.

The base and the entire thumb was absent.

Uncertain whether it was a congenital deformity or an accidental disability acquired later in life.

What kind of surgery are they preparing for?

Zhou Can was inwardly curious.

His status was very low, so he could only stand behind Doctor Tang and Doctor Hee, watching from a distance.

Soon after, Director Shen strode into the operating room.

A Director, two very competent attending doctors, several Resident Doctors, and trainees, along with three surgical nurses.

Just from the arrangement, it was evident this was a major surgery.

Replantation of a severed finger was just a Level 2 surgery.

There was no need for so many doctors to be mobilized.

“Everyone is here! Good, everyone’s working attitude is quite proactive.”

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When Director Shen looked towards Doctor Shan and Doctor Chi, it was as if he was looking at two of his most trusted generals.

Zhou Can had just joined Orthopedics a few days ago and didn’t know how many teams there were in Orthopedics?

Nor did he know who the doctors in his team were.

Director Shen was the team leader; Doctor Shan and Doctor Chi were two attending doctors. There were also Doctor Tang, Doctor Hee, and four other Resident Doctors.

These were the people he knew so far.

“This screen displays the patient’s missing right hand. It’s a congenital malformation. The thumb accounts for over 50% of the hand’s functionality; it’s very important! The patient is a twenty-one-year-old young man who has saved up some money from his job. When I was seeing patients, he happened to get my number. He said over the years, the absence of his right thumb has caused him much trouble.”

“Writing is inconvenient, grasping objects is difficult, he can only use his left hand even to wipe his backside. When looking for a partner, girls run away as soon as they see his hand is disabled. He asked if our doctors could think of a way to help him make a thumb.”

Director Shen briefly introduced the patient’s circumstances.

Encountering such persevering disabled patients, doctors not only sympathize but are also deeply moved.

They are willing to think inventively to help them.

To recreate a thumb?

How could that be done?

With today’s advancing medical technology, I’ve heard of artificial hip joints, artificial blood vessels, but never of an artificial thumb.

Lower limb amputations can be equipped with prosthetics, restoring most of the patient’s leg movement functions.

But what about the thumb on the hand?

Director Shen laughed and swiped on the light screen’s display.

“Take a look, this is the patient’s foot X-ray.”

Zhou Can took a close look, and the patient’s right foot bones were clearly complete.