Surgeons dressed as poor people in the Republic of China

"No. 7 needle, 2% procaine. Don't worry, it won't hurt. You close your eyes and go to sleep. Do you want me to help you cover your head?"

Ye Yibai took the syringe handed over by Laura, and pressed one hand to the midpoint of Bernard's collarbone while speaking.

Bernard moved uncomfortably, "That's unnecessary, doctor, my hand seems to be hurting."

"Does it hurt?" The needle pierced Bernard vertically 1 cm above the midpoint of the collarbone. "How does it hurt? Numb?"

"Yes, it's a little numb, sour and swollen."

"Oh." Ye Yibai gently withdrew the syringe, saw no blood and no air, and slowly pushed the medicine in.

After pulling out the needle, Ye Yibai looked at Bernard as if remembering something, "Does it still hurt now?"

Bernard: ...

"Okay, it's okay." Bernard murmured.

"Billy, take out the severed limb." Ye Yibo read Bernard's medication list. The dosage of painkillers is not low. At this point, the effect of the medicine is impossible to pass, and if it really hurts, the patient is not like this reaction.

Although this little Mr. Bernard has been calm since he entered the hospital, Ye Yibai has seen many patients, and he was in a normal mood just like a normal person when he was sent to the hospital after an accident. My parents don't even know each other anymore.

This little Mr. Bernard probably belongs to this kind of slow-response nerve.

Billy nodded and carefully took out the refrigerated severed palm, carefully placing it on a sterile towel.

In the operating room, Michelle and Lin Tongsheng occupied the best positions without blocking Ye Yibai's line of sight. Billy... Well, it seems that Dr. Michelle took over the position of first assistant. He is not the assistant appointed by Dr. Ye, he will probably be squeezed out by Dr. Michelle and Dr. Lin.

Who says there are no fights between doctors!The "rejection" of a junior doctor by these two big doctors is clearly on the surface!

In the observation room next door, the struggle of the white coats was also taking place, but they did not have the luck of Michelle and Lin Tongsheng. There was a little doctor like Billy who could bully them. Everyone in the observation room had similar qualifications and ages. It can't be so bright.

The chat room inadvertently occupies a favorable position. Although the glass of the observation room is not small, there are no more than [-] people standing on it. Those who have rich experience in fighting and thick-skinned will have an advantage at this time.

"This palm was cut and completely broken. There are some contusions on the distal limb wound and here." Ye Yibai explained, without stopping the movement of the hand at all.

Jihe's conditions for replantation of amputated limbs are much better than those of Huaning Hospital in Hangzhou. The medical magnifying glass is much lighter, and the magnification is obviously much larger than that of Huaning Hospital.

"How many times is the maximum magnification of this surgical magnifying glass?" Ye Yibai increased the magnification.

Upon hearing this, Laura looked at the English letters on the other one in her hand, and replied, "Eight times."

"Oh, the [-]x mirror." Dr. Ye thought of the "artifact" in a certain game in later generations, bowed his head and said to Como Bernard: "It's a good sign to get the artifact at the beginning of the game."

Little Bernard's forehead was covered with fine beads of sweat. From time to time, he looked at the position of his severed palm not far away. Ye Yibai knew in his heart that the young man was beginning to recover. Little Bernard looked at Laura and winked at the same time.

Laura is indeed the No.1 nurse under Qiao Na. Ye Yibai just looked at her, and she knew what Dr. Ye wanted to do, so she quickly took a thin sterile towel and was about to go to Little Bernard face cover.

"No, no! I want to watch, don't cover my eyes! I want to watch." Little Bernard raised his voice, and his vocal cords trembled slightly.

Both Michelle and Lin Tongsheng are experienced doctors. They could tell at a glance that something was wrong with the patient's current condition. Michelle said softly, "Take the sedative."

Ye Yibai was about to nod when he heard Como Bernard say: "Doctor, doctor, please, don't let me fall asleep, I don't want to do this, I swear, I promise, I will keep calm, I will never It affects you, I swear."

The main ingredients of sedative and hypnotics in the period of the Republic of China are □□ and □□□, the toxic and side effects of □□□ needless to say, and Ye Yibai does not want to use this unless it is absolutely necessary.

"Then close your eyes and be quiet, Laura."

Laura let out an "ah", and the sterile towel gently fell on Como Bernard's face.

Everyone in the operating room could vaguely hear the sound of sobbing from behind the sterile towel, but the white coats are not in the mood to care about the patient's mental health.

I saw Dr. Ye use small blood vessel forceps to gently extend into the sheath to clamp out the retracted tendons one by one, "Although he suffered a broken palm, the front of the wound started from the root of the index finger, so we are equivalent to doing a severed tendon." Finger and palm replantation operations."

Billy has completed the basic debridement work, but it can be seen that Billy's debridement is a bit conservative, and some bruised subcutaneous tissue has not been completely cut off.

"Scissors." Ye Yibai said.

"The number one priority in replanting amputated limbs is always to restore function, so..."

The scissors "clicked" the doctor, and a piece of contused soft tissue fell into the treatment tray with a "click".

After the sterile towel, Mr. Bernard Jr.'s eyelids trembled quickly. Although under the effect of anesthesia, his entire arm did not feel pain, but the pulling feeling was clearly transmitted to his brain.

The illusion that the whole hand was cut off made Como Bernard extremely disturbed.

"Doctor...doctor."

"Tranquilizer."

"Oh." The sterile towel shook twice and became quiet.

"Stitches."

Ye Yibai took the suture that Laura handed over, and first dipped one end of the suture in the purple potion, "We will start with the replantation of the index finger. The replantation of the severed finger and severed palm is actually a matching process. , After knowing the method and method, it’s just practice makes perfect.”

Ye Yibai marked the sheath that had just been clipped out with the sutures that were dipped in purple syrup on the tail, and marked the digital nerve next to the flexor tendon, the digital artery, and the finger vein in the superficial fascia with sutures that were not stained with purple syrup.

"Scissors."

After the fingers are marked, the same is true for the broken palm. The fascia cavity is cut open, and the blood vessels that can be repaired are found and marked one by one.

"The next step is fixation. The broken bones and joints are fixed with steel needles, followed by anastomosis of veins, tendons, blood vessels and nerves."

"Kirschner wire."

Lin Tongsheng and Dr. Michelle's eyes remained motionless, staring at Ye Yibai's movements. Although Billy was far away, he was tall, and the positions of the first assistant and the second assistant were taken away. Dr. Billy instead Can concentrate on observing the operation.

I don’t know where I got the surgical sheet next to me, and I can take notes when I turn it over, and the beautiful cursive characters pour out from the fingertips like flowing water, and then it becomes more and more scribbled, more and more scribbled... Finally, it enters the picture-text stage.

"The thumb of the palm is intact, and the second phalanx and the third to fifth metacarpal bones need to be fixed with Kirschner wires. The second phalanx is placed in the same way as the replantation of the severed finger, and it is directly fixed longitudinally along the direction of the phalanx."

Little Mr. Bernard behind the sterile cloth felt something hard go straight into his hand, and his whole body became restless, as if the steel needle was not inserted into his hand, but his hand. brain.

The sorrow and pain that I realized later disappeared in an instant, and only the steel needle that was inserted in my mind.

"The same goes for the third to fifth metacarpal bones, which run longitudinally through the internal fixation, and the tail of the needle can pass through here." Ye Yibai pointed to the back of the wrist of the severed palm.

The operating room was extremely quiet, so the sound of the steel needle piercing through the flesh was particularly obvious.

One, two, three, every time Ye Yibai made a movement, little Bernard's eyebrows twitched violently under the sterile cloth, as if countless steel needles pierced his head from all directions, and the steel rods stirred his brain Brain, little by little, faster and faster.

Como Bernard thought about it, the tear glands began to secrete continuously, and there was a faint dampness in the nasal cavity, and then he found that he could not breathe, and countless cases of accidental death on the operating table emerged in his brain.

Cuomo opened his mouth and breathed in the air with disinfectant solution. He felt his heart beat faster and faster, "Doctor...doctor, I can't breathe anymore." Cuomo said weakly.

Doctor Ye was startled, "Billy." He looked up at Billy.

Billy put down the pen in his hand and stepped forward quickly. He first took a closer look, and then quickly lifted the sterile towel covering Cuomo's face.

"Doctor, am I dying?" Cuomo said softly, looking at the white coat that appeared above his head.

Billy took the towel from the nurse and helped Cuomo wipe the sweat on his forehead, the tears on his face and the snot under his nose, "Oh, don't worry, it's caused by your snot sticking to the sterile towel. Breathing is not smooth, heart rate is a little fast, but within the normal range, it is probably a little nervous, take it easy." Billy said.

Hearing Billy's words, Cuomo didn't feel happy at all. He was the kind of belated patient that Ye Yibai said. When his hand was cut off by the machine, he only felt pain, and it became numb after the pain. When he was sent to the hospital, until the first steel needle was implanted in his palm, Cuomo still had a sense of unreality like a dream.

But now, smelling the smell of disinfectant in the room, looking at the white coat and two cameras around his left hand, and the feeling of pulling and breaking from his hand, Cuomo finally recognized this fact. His hand... broke.

His hand is broken!

He has no hands, and this realization made Cuomo panic like never before. Cuomo was young and only graduated from college last year. He traveled across the ocean with his mother to a foreign country.

What to do, what should he do in the future?Is there really anyone in the world who can take his hand back?The lacrimal glands began to secrete again, and the tears flowed down the cheeks, continuously, continuously...

"Doctor Ye, the patient's mood is a bit unstable." Laura reminded softly.

Ye Yibai didn't even raise his head. The difficulty of replanting a severed palm is much higher than replanting a severed finger. Moreover, although it is said that functional recovery is the priority, when it comes to his operating table, Dr. Ye always wants to take into account the aesthetics. Yes, if the metacarpal bone can be shortened by 0.5 cm, it will not be shortened by 1 cm, and the hand should be kept in normal shape as much as possible.

"It's quite stable, and he cried very quietly. The little nurse wiped his tears when he had time, otherwise the eyes would be dry and uncomfortable."

"Okay, Doctor Ye." Laura couldn't help but sigh inwardly, Doctor Ye is really gentle.

So the four white coats stared at Broken Palm without distraction, while Como Bernard on the other side wept silently, sobbing from time to time. If the sound was loud, a little nurse would help him wipe his face vigorously, and then softly reminded: "Cry softly, don't disturb Doctor Ye and the others."

Then, Como Bernard's tears flowed even more fiercely.

"After the fixation, the extensor and flexor tendons are sutured first, and the fingers are first extended and then flexed. What time is it?" Ye Yibai asked while suturing the extensor tendons with the figure-of-eight suture method.

"8:06"

"It's too late, then we still have the conditions to repair the superficial and deep flexor muscles."

"Laura, wipe your sweat."

After being called up early in the morning and having two operations in a row, Ye Yibai couldn't help showing a trace of fatigue on his face, but when he heard Bernard's soft sobs, he distracted himself and comforted him, "Be optimistic, unfortunately. Fortunately, the broken palm of yours is quite beautiful, it was cut cleanly, and after replantation it will recover better than others, I won’t lie to you.”

Hearing this, the little nurse seemed to want to see what the beautiful wound in the doctor's mouth was like. She stood on tiptoe and looked sideways, then immediately looked away and stopped looking.

Cuomo said that he was not comforted at all, but his sobs were still a little bit softer, and he knew... This group of white coats looked cold and heartless, hiding their entire faces under the masks, but they all working hard for myself.

The little nurse wiped Cuomo's face again with a towel, "Cry softly, I just watched half of the stitches, and it's almost healed, really."

"After the anastomosis of the index finger vein and the suture of the dorsal skin of the finger, the nerve repair is completed. Nerve repair is the key to the recovery of hand sensation. The median nerve in the palm and the sensory branch of the finger nerve must be anastomosed, as well as the thenar muscle. The anastomosis of the interosseous and interosseous muscular branches should also be completed as far as possible in the first stage."

"Line 9."

"Ok."

Once they entered the anastomosis of nerves and blood vessels, Lin Tongsheng and Michelle could see that Dr. Ye had done a lot of work. On both sides of the tiny nerves, a needle of [-] mm is a needle of [-] mm. There is no difference at all. In addition, he inserts and exits the needle, no matter where he enters and exits, he does not move other places, which shows that he inserts the needle quickly and accurately.

"The vascular anastomosis follows the rule of one artery matching two veins. Here, the anastomosis of the main trunk of the ulnar radial artery and the common digital artery is more suitable." Dr. Ye came to the conclusion with almost a glance.

Michelle and Lin Tongsheng are fine, but Billy is a little confused. There are countless reasons hidden in his head, but he started to write, don't think about it, write it down first...

The operation time passed by every minute.

In the operating room, in addition to Mr. Bernard Jr.’s persistent sobbing, there was also a bowel sound called "cuckoo" one after another. Under the white coats, the intestines of the doctors wriggled dissatisfiedly, reminding their masters to eat Time is up.

But neither the white coats in the operating room nor the white coats in the observation room meant to take care of his intestines. Dr. Michelle and others finally understood what Ye Yibai meant by trying to match as much as possible.

This Dr. Ye asked Laura to report the time every half hour, and then immersed himself in the nerve and blood vessel anastomosis work. He seemed to be very comfortable working under the surgical magnifying glass. Blood vessels and nerves intertwine and dance, accompanied by the sound of blood flowing, like a beautiful movement of life.

Just when all the white coats were immersed in this wonderful art of life.

"Sneeze!" A loud sneeze sounded.

The needle holder in Dr. Ye's hand paused, and he looked at the operating table with some dissatisfaction.

Seeing this, the little nurse quickly covered Bernard's mouth, "Doctor Ye, I promise, it won't happen next time!" the little nurse said loudly.

Hearing this, Ye Yibai nodded, picked up the scissors, gently cut off a small piece of blood vessel, and continued to anastomose, arterial blood supply, venous blood return, high-quality vascular anastomosis can ensure the blood supply of the broken palm, so that the broken palm can survive as soon as possible.

Bernard, whose mouth was covered, felt dry eyes and itchy nose, and wanted to sneeze again, but he felt that if he sneezed again, the little nurse would probably pinch his nose directly...

Then he might become the first patient in the world to be smothered to death by a nurse on the operating table, so... he should bear with it.