Chapter 15 Inspection
Yunhua Hospital is one of the most famous hospitals in Yunhua City. Not to mention its comprehensive strength, its strength in hand surgery is recognized both within and outside the industry.
Yang Hu wanted his father to undergo a review, so Yunhua Hospital was naturally his first choice.
The extremely high reputation also brings staggering traffic.
Not only Yunhua City, but also nearby towns and outsiders come to see the doctor.
Yang Hu asked his wife to register in advance, and then pushed his father to the place in a wheelchair. What he saw were countless patients covering their hands, holding their hands, wrapping their hands, and stretching their hands.
Looking at the bustling crowd, Yang Hu couldn't help but feel dizzy: "How come there are so many people here?"
Yang Zhongshu was a little happy and said: "I thought your dad was the only one who was careless. People's hands are used the most, so they are naturally easily injured. I have been making noodles for so many years, and I have made mistakes sometimes..."
Last night, he received a lot of complaints from his family. When he saw many patients, he couldn't help but feel a little inspired.
Yang Hu looked at his father with a smile on his face and said helplessly: "Dad, you were injured when you used your hand to pick up the knife, and then you ran to a small clinic for stitches, and then we came here."
"Actually, the stitches were quite good. Didn't the doctor in the emergency department yesterday also say there was no problem?" Yang Zhongshu couldn't help but feel guilty.
"The doctor in the emergency department didn't think you were serious and didn't take good care of you." Yang Hu snorted dissatisfied and said: "You are cooking noodles in a small restaurant and becoming your own boss and master chef. Then you want to go to a big hotel?"
Do people want to be a master? Can a small clinic compare with a big hospital? Just like our clinic in Xiagou, the doctors there can’t even carry shoes when they come to Yunhua Hospital.”
"Okay, okay, I'm going to lose you by opening a small restaurant? I've raised you to be healthy and healthy, otherwise, you'd have to be a frequent visitor to Xiagou Clinic." Yang Zhongshu, who owns a restaurant,
He never loses his words.
Yang Hu couldn't say anything anymore, so he quickly lowered his head and pushed the wheelchair of Xiagou Clinic very fast.
When the call came to Yang Zhongshu, chief physician Wang Haiyang was already feeling sleepy. He turned around, yawned, and took another sip of strong tea before opening Yang Zhongshu's case. He half-read and half-questioned: "My right hand is bleeding due to a cut injury."
More than that, check again after suturing...well, let me take a look."
He first checked the color and temperature of the skin, touched it a few times with his hands, and then asked: "Is there any discomfort somewhere?"
"No." Yang Zhongshu shook his head.
Yang Hu quickly added: "Well, because my dad was anxious, he went to a small clinic to do the sutures, so I was more worried..."
"The injury was so serious that you went to a small clinic for stitches?" Wang Haiyang suddenly woke up and frowned: "You have to be responsible for your own body."
"I'm just saying..." Yang Hu's tone was filled with complaints.
Yang Zhongshu smiled guiltily again.
To be honest, if it had been done by Dr. Xiong, he would still have some confidence. After all, he retired from a big hospital. Even though he was older, he wouldn't be too outrageous.
However, it is hard to say since Ling Ran was the one responsible for suturing.
Yang Zhongshu asked in a low voice: "Is my injury serious?"
He didn't say anything about the emergency doctor's judgment yesterday, so as not to interfere with the doctor-doctor interaction.
Wang Haiyang said: "The wound is so deep, the tendons are probably torn, and the nerves must have been injured. This is basically irreversible. The most important thing is whether the blood vessels are well anastomotic. If the blood supply is insufficient, the distal end will become necrotic."
Just like a finger, if it becomes necrotic, it will have to be amputated."
Wang Haiyang frowned as he spoke and said: "How can such a serious injury be treated in a small clinic? If you have an injury like yours, if it is sent to our emergency department in Yunhua, it will be transferred to a surgical department for hospitalization."
Yang Zhongshu and Yang Hu both changed their expressions.
"Doctor, I work in a noodle shop, and my hands stop talking..." Yang Zhongshu also felt regret growing in his heart.
Yang Hu also asked: "Is there any remedy?"
Wang Haiyang sighed and said, "Please reach out first, and I'll check for bleeding at the edge of your skin."
"Oh." Yang Zhongshu endured the pain and stretched his arms.
Wang Haiyang asked the graduate student next to him to prepare, and explained: "The skin edge bleeding test is to check the peripheral blood supply. Blood supply is the transportation and circulation of blood, which is an important indicator of recovery. The skin edge bleeding test is to check the cause of peripheral blood supply.
I didn’t do it for you just now because it’s a bit damaged, and I didn’t expect you to be so courageous.”
"The other party immediately sewed it up." Yang Zhongshu was so frightened that his voice changed.
Yang Hu became even more anxious and said, "I'll sew it if I ask you to. You don't even know how to refuse."
Yang Zhongshu swallowed and said nothing.
"You do the test first." Wang Haiyang did not dwell on the topic and motioned to the graduate student to do the test.
From his point of view, it is difficult to get a good result from the inspection.
The suturing of the palm is a very delicate work. Even if Yunhua Hand Surgery can meet the high standards, it often depends on luck. If the patient wants to restore the full function of the hand, it is basically impossible.
Now, what can be struggled with is the issue of whether the distal end is necrotic.
In fact, Wang Haiyang is not optimistic about this.
Yunhua Hand Surgery performs so many operations every day, and inevitably some operations fail. What level can a small clinic achieve?
When suturing, it is not expected that a dead space will be created, but the cavity will be fine. He has even seen wounds in clinics where debridement could not be done well.
"Director, a little bit of blood is coming out." The graduate student opened the curtain in the corner and came out to report.
"Is this good or bad?" Yang Zhongshu and Yang Hu looked nervous.
"Let me take a look." Wang Haiyang did not draw a conclusion immediately. He took a few glances before saying, "You're lucky."
Yang Zhongshu and Yang Hu both breathed a sigh of relief.
"The blood supply seems to have passed." Wang Haiyang turned over Yang Zhongshu's palm and looked at it a few more times. While thinking, he explained smoothly: "Generally speaking, if there is no bleeding or purple blood, it means there is a problem with the blood supply.
.Your bleeding situation is almost the same as that of normal people. It may also be that the location of the injury is better..."
Wang Haiyang shook his head and said, "You said there was heavy bleeding?"
"The bleeding doesn't stop." Yang Zhongshu explained in semi-professional terms.
"So, the blood vessels are well sutured. Let me check the nerve condition for you." Wang Haiyang then did a percussion test and found that the nerve growth was also very good.
At this moment, Wang Haiyang suddenly became interested and asked: "Can you move your hands by yourself now?"
"It's more difficult." Yang Zhongshu said.
"The surgery was performed yesterday. It will definitely be more difficult to do it today, but it still needs to be done. This is called rehabilitation, and it is also very important." Wang Haiyang paused, put his hands on the table, and said:
"You follow my movements. Let's try flexion and extension first."
Yang Zhongshu flexed and stretched his fingers.
"Abduct and adduct your thumbs." Wang Haiyang said while demonstrating.
Yang Zhongshu's fingers moved accordingly. Although the amplitude was smaller and the movements were slower, they were all completed.
"Here comes the palm again."
Yang Zhongshu completed it as usual.
"Let's do another paper-clipping experiment..."
Yang Zhongshu still finished.
Director Wang Haiyang fell into a long silence.
"Doctor? What should we do now?" Yang Zhongshu and Yang Hu both said cautiously.
Wang Haiyang took a sip of tea and asked slowly: "Did you have the surgery yesterday?"
"Yes, they were sutured yesterday at the small clinic."
"You went to a private clinic, right?" Wang Haiyang tried to correct their views on size.
The hand surgery was sutured yesterday and the function of the hand has been basically restored today. The hand surgery department of Yunhua Hospital has also been able to do this. However, there are more things that cannot be done.
This is even more unbelievable considering the conditions of the clinic and the conditions of Yunhua Hospital.
To put it another way, none of the residents at Yunhua Hand Surgery could be so good at suturing. Among the attending doctors, there are also some top-notch ones who can occasionally achieve similar results.
As for the deputy chief physician and chief physician, not to mention those who were promoted based on theory and crooked ways, and those who were praised for their surgeries, there is a 20 to 30 percent chance of achieving such results.
On the contrary, it is a private clinic with high fees, and the chance of being visited by acupuncture masters is higher.
Yang Zhongshu knew what he meant and shook his head blankly: "It's private, but it's also a neighborhood clinic. It's been open for 20 or 30 years."
Yang Hu said: "It's just a small clinic in the community. I usually give injections and so on."
At this moment, Wang Haiyang didn't know what to say. He could only lower his head, opened a bunch of charges, and said: "Looking at it now, there is no problem. You can do some more inspections."
Yang Hu obediently took it into his hand, hesitated for a moment, and asked: "So, there is no problem with the stitches?"
"It seems that there is no problem now. Well, let me prescribe you some more medicine and come back for a check-up in a few days... To actively do rehabilitation is to move your hands..." Wang Haiyang said and wrote two more bills.
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Chapter completed!