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104, Give the patient the right to choose (currently coding, more to come)

"No more planting? What do you mean?"

The patient's family members were stunned for a moment, not understanding such professional terminology.

Dr. Meng could only continue to explain in plain language: "I won't sew up your broken finger. I will just treat the wound and bandage it for you."

"ah?!"

The patient's family members immediately became unhappy and stretched their necks to look for Su Jie: "Where is that young doctor? You are not very skilled and let him come here. He can even sew up Li Man's fingers. Shouldn't it be easy for someone like my brother?"

"

Su Jie walked up to Dr. Meng with a wry smile and said, "He is a professional orthopedic surgeon. He is the most authoritative about your condition."

Dr. Meng is not unhappy because the patient does not trust him. This is not because there is a camera staring at his face, but because the person the patient trusts more... is Su Jie.

If it's Su Jie.

Oh, that'll be fine.

When the patient had doubts, Dr. Meng could only show his professionalism and explain seriously: "Replantation also depends on the situation. The avulsion-like amputated finger of your worker was indeed very difficult to operate, but it is necessary."

"The middle joints of the index finger and middle finger are severed. If they are no longer replanted, the function of the fingers will be almost gone."

"But this patient's distal phalanx is severed, even if it is no longer transplanted, it will not have a big impact on the function of the fingers. Daily grasping, holding, lifting, etc. can be performed normally."

"Replantation of the distal phalanx is of little significance, and you still have five separated fingers. The operation is very difficult and expensive. I don't recommend surgical replantation."

The patient probably understood, but still couldn't accept it, and his eyes always fell on Su Jie.

Li Man's surgery gave them great confidence and great hope. If this surgery really shouldn't be done, then at least this highly skilled doctor should tell them personally.

Su Jie sighed and glanced at Dr. Meng, asking for his opinion.

"Say, it's okay, this is also exercise." Dr. Meng nodded.

Jiang Wu also said: "Don't worry about the cameras, just think about it. Regardless of whether there are cameras or not, a doctor should be watertight, rigorous and appropriate when speaking."

"Really what I think?" Su Jie hesitated.

"Well, say whatever you want!" Jiang Wu said with rare encouragement.

"All right."

Su Jie nodded, thought for a moment, ignored the camera next to him that was pointed at him, and said to the patients' earnest eyes:

"For replantation of severed fingers, we mainly emphasize three points in clinical practice: survival, function, and appearance. Function is the most important. The purpose of replantation is actually very simple. The main purpose is to retain the function of the finger without affecting daily life.

Life."

"The principle of replanting: Don't replant for the sake of replanting."

"The patient's five fingers were severed. The operation is very difficult and expensive. The risk of replantation failure is very high. Once a vascular crisis occurs, the entire finger may be affected. This operation is indeed of little significance."

After hearing what Su Jie said, the patient immediately hesitated.

In fact, for them, strongly requesting finger replantation is nothing more than a fixed mindset.

If a 'finger is broken', of course it should be 'reattached'.

Is there anything else to consider?

But after Dr. Meng and Su Jie had a popular science talk, they suddenly discovered that it turns out that if a 'broken finger' is broken, it does not necessarily have to be 'reattached'.

Sometimes 'not picking up' may be better than 'picking up'.

Now they were a little confused and didn't know what to do.

Dr. Meng and Jiang Wuze both nodded with satisfaction. Su Jie's explanation was very profound and simple, unlike some doctors who have just entered clinical practice and always like to use some unclear medical terminology to show off their skills.

After talking for a long time, the patient didn't understand a word, which meant he was lonely.

The doctor explains the condition, lets the patient clearly and clearly understand his current condition, and then decides on a treatment plan based on the individual's situation. This is the kingly way. Everything else is just showing off skills and useless efforts.

Giving the patient the right to choose...this is the highest level of doctor's conversation.

At this time, Su Jie suddenly turned to look at Dr. Meng and whispered: "I have some other ideas, I don't know if I can tell them."

Dr. Meng now fully trusted Su Jie's communication skills, so he nodded and said, "It's okay, just say it boldly."

"Um."

Su Jie turned to look at the confused family members of the patients, changed the subject, and continued: "But having said that, the distal knuckles of fingers are also called 'people's second pair of eyes'. There are rich sensory nerves on them.

To touch and perceive the world, the role of fingers is still very important."

"Medical treatment has advanced a lot now. In the 1970s, people who had severed distal phalanxes would basically choose not to replant them. But now, there are more and more cases of replantation."

"Replantation after severed five fingers is very risky and has little effect on functional improvement. However, whether to replant or not depends on the patient's own opinion."

Su Jie objectively put everything on the table and gave the patient the right to choose again.

The patient, who was in so much pain that he could breathe coldly, almost did not hesitate at all: "I want another transplant."

The family members were hesitant: "Brother, the risk is too great, is it necessary..."

The patient nodded stubbornly, indicating that it was necessary and his attitude was very determined.

At this time, the reporter next to him said: "You don't have to worry about the expenses. This is a work-related injury. We will report the whole process. Your factory will definitely reimburse you for all medical expenses."

The development of modern medicine may bring the greatest benefit to patients, which is that the choice is no longer one-dimensional.

Maybe some people don't care about their knuckles and don't dare to take the huge risk of surgical failure, so they choose conservative debridement and bandaging.

But there are still more people who don't believe that they will be so unlucky and insist on trying to replant their five fingers so that their "second pair of eyes" can regain their light and be able to clearly touch the world for the rest of their lives.

The patient has made his choice, and now the problem is placed in the hands of the doctor.

"Let me perform the surgery on him. I will complete the pre-operative preparations later and go directly to the operating room." Dr. Meng rubbed his eyebrows and did not complain. He was now thinking about how to deal with the replantation of the five fingers later.

Jiang Wu nodded, called for a nurse to draw blood for the patient, and made an appointment for examination.

But just when everyone was busy flying, the patient suddenly stretched out his still intact hand and pointed forward unsteadily.

"What's wrong, brother?" The patient's family members looked at him doubtfully, not understanding what he meant.

The patient was in so much pain that he couldn't utter a complete sentence. He could only mumble, as if holding an ice cube in his mouth: "He..."

"he?"

The patient's family members looked in the direction pointed by the finger and instantly understood what the brother meant.
Chapter completed!
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