The early morning air in Luming Town is fresh and pleasant. Even in a place like a hospital, which is always filled with a faint smell of disinfectant, breathing is more comfortable than other places.

Since Lu Ze provided a suitable route to play, Dr. Li's family did not come to the hospital again that day, but went for a happy trip.

The day of rotation still starts with following Dr. Li to rounds.

There are not many people in the town who have been hospitalized for a long time. Lu Ze has been here for more than half a month and has changed his face several times.

The two of them walked the ward for a while, and an emergency patient came over. He was a young man, only eighteen years old this year. He went to work in a canning factory and accidentally snatched his hands while operating the machine.

There was a mess of war in the canning factory. I searched for a car for more than ten minutes, and it took half an hour to send the injured to the town hospital.

Originally, the town hospital could only perform amputation, but could not undergo a broken limb replantation, but with the increase of tourists, this kind of surgery that requires a race against time has also been included in the list of township doctors' further study.

After the expansion of the town hospital last year, the conditions for replantation of the broken limb were met. Dr. Li was also sent by the hospital to study for public expenses, but the clinical practice has not been performed many times.

When the injured person was suddenly sent, Dr. Li looked a little solemn and helped the injured correct the shock as soon as possible. The patient's wound was too big and the injured person had severe blood loss. The blood pressure must be stabilized before the operation was performed.

Dr. Li worked hard for a while and finally let the injured escape from the danger of blood loss shock. While he asked someone to push the injured to do relevant examinations, he also asked someone to prepare for the operation.

Because it was strangled by a machine, the wound was not smooth, the skin was widely avulsed, the skin on the hands was a little pale, and it seemed that the blood supply had been lost.

Fortunately, the delivery was quite timely, and the injured were young, so the chance of success should be quite high. However, any surgery is risky, so they must come up with the best plan as soon as possible and let the patient's family explain it clearly.

As the results of the expedited examination came out, Dr. Li was generally confident. He did not make a decision for the family of the injured, but instead listed two choices for the other party: one was to do it in the town hospital, which is the best time for surgery and has a relatively high survival rate; the other was to transfer to the provincial hospital, which took more than three hours from here to the provincial hospital, which was barely within six hours, but if the road was delayed, the success rate would be greatly reduced, and by then the hand would not be saved.

The injured family members were honest farmers and couldn't understand many things very well. Dr. Li had to tell them apart.

Even if they didn't come to the hospital very much, everyone in the town knew Dr. Li and trusted Dr. Li quite well. The families of the injured were afraid that the best time for the operation would be delayed on the road, so they finally chose to perform the operation in the town hospital.

When the injured person saw Dr. Li, he asked nervously: "Doctor, can my hands be kept?"

The injured person was only eighteen years old, his life had just begun, and he had not even gotten married. He was an age full of longing for the future.

If he just lost one hand, it would be a very cruel thing for him. If he could have a healthy body, who would be a disabled person?

Faced with the hopeful gaze of the injured, Dr. Li could only tell the truth: "The delivery was very timely and the hope was relatively high, but there is still a certain possibility of failure."

Dr. Li was calm, and the injured person's heart was relaxed a little, and he lay obediently on the hospital bed waiting for the operation.

Dr. Li took Lu to conduct intense preoperative preparations.

Lu Ze was arranged by Dr. Li to debunk the injured person, and this step is not simple.

If you want to replant, you must thoroughly debride and prevent infection. If you want to have a thorough debridement, you must accurately distinguish which parts of the skin, muscles, tendons, nerves and blood vessels should be removed and which parts must be left behind.

Lu Ze was entrusted by Dr. Li with an important task, so he naturally did not dare to ignore it. After getting started, he focused on analyzing the wounds of the injured, and carpet-style debridement from the skin to the bones from shallow to deep, and accurately removed the removed part.

Lu Ze's movements were very fast, so fast that everyone around him could not keep up with his pace. It didn't take long to finish the debunking.

Dr. Li watched Lu Ze's operation with all his attention throughout the whole process. After Lu Ze completed debridement, he said nothing and immediately took over the injured person to perfusion the broken limb. He observed that the small blood vessels at the broken limb had been dilated. Dr. Li said to Liu Qian next to him: "Heparin blood."

Liu Qian quickly handed over it.

Dr. Li injected heparin blood into the broken limb and observed the fingers on the broken limb. He saw that the depression in the finger abdomen quickly became full, and there was also return fluid at the end of the vein, indicating that the blood vessels in the broken limb were normal.

Dr. Li is more confident about the success of replantation.

Since the skin, blood vessels, and tendons are missing to a certain extent, the humerus and ulnar radius must be treated with corresponding osteotomy. Dr. Li calmly calculated the length of the osteotomy and turned his head and said, "Periosteal peeler."

The periosteum is quickly stripped to the level of osteotomy.

“Electric saw.”

The excess bone segment was quickly removed.

Dr. Li simply and neatly completed the osteotomy treatment and fixed them as soon as possible.

The next thing is the sprint of tendon sutures and repair of nerves and blood vessels.

The entire process requires the doctor to be highly focused.

Dr. Li focused on completing each step, and dense sweat oozed out of his forehead.

In surgery, the hands are not as good as the shoulders, the lower back, and the back. Above the shoulders, below the waist and the entire back are contaminated areas. The doctor cannot raise his hand to wipe his sweat. Shen Lili, who is next to him, quickly helped him wipe his sweat.

Dr. Li ignored these and carefully sutured the muscles and blood vessels, so as to buy time for the injured as much as possible.

The operation lasted until after 1:00 noon and was finally completed. Seeing the joint broken limb slowly recovering from blood, everyone breathed a sigh of relief, Liu Qian, Shen Lili and others laughed even more.

Sometimes they feel hard and tiring in the medical work, but sometimes they feel that this job is very meaningful, at least they can often witness miracles with their own eyes.

Dr. Li asked Liu Qian and the others to transfer the injured to the ward, and took Lu Ze out to explain the operation to the family. Dr. Li said to the family: "The hand is saved, but whether it can survive depends on whether it is necessary to observe or not."

The family members thanked Dr. Li with relief.

This is an industrial injury. The medical expenses are paid by the canning factory owner, so they don’t have to empty their family. However, the family lost a salary and had to take care of the injured. The pressure is still a bit too high. The middle-aged couple in their fifties went to buy food for their son with a worried look on their faces.

The medical staff involved in the operation did not have lunch. After changing the surgical gowns, they went to the cafeteria downstairs to get their meals together.

Although the meal was over, the cafeteria still left them with food. While giving Lu Ze the hot rib spoon, the elder sister asked enthusiastically: "Doctor Xiao Lu, I heard that you have had a broken limb replantation today. Has the surgery been successful?"

Lu Ze said: "It's successful at the moment, and we need to take a look at it later."

The elder sister of the cafeteria gave him another spoonful of ribs: "Eat more to replenish your energy."

Liu Qian followed Lu Ze and laughed and joked: "Sister Zhang, I want to eat more, too."

The elder sister of the cafeteria also laughed: "You girl's movie." Even though she laughed, she still gave Liu Qian an extra portion of pork ribs to reward the heroes in the hospital.

The beginning of National Day is pretty good. Although many emergency patients have been sent here one after another, none of them are really life-threatening.

After nightfall, there were fewer patients, and Dr. Lu Ze, Dr. Li and others could sit in their own positions.

Old Man Ye observed the broken limb replantation surgery today, learned about many new tools, and recalled the daytime learning content with great satisfaction.

When he was young, he traveled all over the world, similar to Lu Ze. He learned from whoever he saw was good. He was sincere and never slacked off. After studying this for many years, he developed a medical skill.

In their time, he also read a lot of records similar to modern surgery in books, but patients could not get sick according to the cases the doctor wanted to study. The era he was in was in a prosperous era and there were not many opportunities to meet such patients. Therefore, he followed so many teachers and never had the opportunity to learn this kind of "breaking the belly". At most, he just used a knife to remove some obvious lesions on the body.

Now that I have the opportunity to observe modern surgical techniques up close, Old Man Ye still enjoys learning it.

For him, there is no difference between medical skills, no difference between inside and outside. As long as he can learn it, he uses the instant method he uses to cure diseases and save people.

His approach seemed a bit outrageous in the past. After all, doctors emphasize inheritance, and are generally passed down from generation to generation between father and son or master and apprentice. The practice of whoever is powerful is not very consistent with the concept of many people.

Fortunately, doctors are not Confucianism, and there are not so many restrictions, so no one will criticize him!

After digesting what he learned during the day, Old Man Ye couldn't help but sigh with Lu Ze: "You kid look very much like me when I was young."

Lu Ze glanced at Old Man Ye and said nothing.

Old Man Ye didn't say anything more, watching Lu restore the daytime surgery on his computer.

Old Man Ye thought he had no patience to sort out what he had already mastered. This was probably like his former disciple and the ancestor of the Lu family.

After twelve o'clock, another group of people poured into the emergency room, most of whom were half drunk, one of them was particularly drunk and shouting something loudly.

The nights of Chinese tourist towns are basically associated with late-night snacks and beer, and the same is true for Luming Town. This group of people go out to drink beer and eat barbecue.

Unexpectedly, someone broke the beer bottle, and the injured man fell down and fell on the broken glass, with blood flowing out like a twisted faucet.

Now that I was fine, many people woke up most of the drunken people and quickly took the drunk to the hospital.

The drunk man was very uncooperative, and the nurses could not get close to him at all. Doctor Li came forward to subdue him before barely controlling the person. It was just that the drunk man struggled desperately and could not check his wounds at all, let alone stop the bleeding from him.

Old man Ye suddenly spoke to Lu Ze: "Press three inches of his wound."

Lu Ze paused, and before his brain could think about Old Man Ye's words, his body had already taken action first, and he quickly stepped forward and held the position he said.

Lu Ze made a quick and accurate move. Before the others could notice his movements, he had already pressed it up accurately.

This method has been learned in class, called acupressure hemostasis, but now tourniquet is very convenient to use. In clinical practice, this hemostasis method that focuses on personal experience is rarely used.

Lu Ze also had no chance to practice. If Old Man Ye hadn't suggested the position, he wouldn't have dared to take action rashly, causing secondary damage to the injured.

Old Man Ye grasped the pressing position very accurately. In the eyes of others, Lu Ze just stepped forward to help support the drunk man, but the continuous bleeding on the wound was quickly alleviated.

Dr. Li looked at Lu Ze's position where he pressed, and worked with Lu Ze to control the drunkard and lift it onto the hospital bed.

The blood stopped briefly, and the wound should be treated later.

Dr. Li took Lu Ze again to start a new round of busyness.

Old Man Ye sighed: "It's a pity that there is no golden needle for me, otherwise the blood will stop faster."

It was already one o'clock in the morning when the drunk man was hospitalized and transferred to the ward. Dr. Li said to Lu Ze: "It should be nothing wrong in the first half of the night, you can take a look first."

Lu Ze nodded, but he still finished the first aid process just now before leaning on the chair and taking a nap.

In the second half of the night, Lu was awakened by a burst of rapid footsteps. He opened his eyes suddenly and found that the rest of the positions were empty.

Lu Ze put on his mask and walked out, and the nurses quickly pushed a patient into the emergency room.

The door of the emergency room was closed.

Lu Ze walked up to ask Liu Qian who was parked in front of the emergency room: "What's wrong?"

Liu Qian said: "A hospitalized elderly man had a sudden heart attack. Dr. Li is now giving him first aid."

Lu Ze did not leave, and stood in front of the emergency room and looked at the prompt light on the door.

The family members of the patient who was in charge of accompanying the bed were also anxiously waiting in the corridor.

Lu Ze kept guarding for a while, then went back to the duty room to continue on duty on behalf of Dr. Li.
To be continued...