"Yes, the number on the upper right corner of the medical record is 1329." Director Li said solemnly.
"Is there any problem?" Zheng Ren asked.
This... I have countless questions, but Zheng Ren asked them so directly, which was simply too sharp.
Director Li didn't know how to answer for a moment.
He calmed down and said immediately: "I have three silhouette films in my hand. I can see the existence of four groups of capillaries."
You're welcome, let's just have academic exchanges directly.
"There are a total of 7 groups of capillaries. The more distal ones have not expanded significantly due to insufficient observation time after thrombectomy. But the video clips can provide evidence." Zheng Ren's voice was a little tired, but firm.
Director Li was silent.
Are there 7 sets of capillary networks
"Director Li, please put the first silhouette film on the reader." Zheng Ren seemed to have guessed that Director Li didn't understand, so he said.
Director Li was a little dazed, but he still followed Zheng Ren's instructions on the phone and inserted the film into the reader.
"Director Li, are you calling the family and friends hotline for help?" the director of orthopedics just finished brushing his hands and came back to disinfect and put on clothes. Seeing him watching the film and holding the phone, he joked.
Everyone was almost collapsing during the operation, joking a bit to make the atmosphere here more relaxed.
But Director Li didn't hear it at all. He turned his back to the operating table and concentrated on watching the film.
"Doctor Zheng, it's the lower left corner of the film." Director Li expressed his doubts, but before he could finish his words, he was interrupted by Zheng Ren on the other side of the phone.
"That position was specially made by me. The third branch of the anterior tibial artery is relatively thin and easy to be ignored. You can't see it on the normal silhouette picture. In general, during the operation, the position of the supply of this blood vessel may be It’ll be cut right off.”
Director Li stared at the silhouette on the reader without blinking. With one sentence, he suddenly became enlightened.
"To guide orthopedic surgeons, this cannot be covered by local anatomy. Everyone's capillary branches are different, so this reflects the value of interventional doctors."
"Yes, yes, please continue." Director Li subconsciously sounded more respectful.
"Look at the first quadrant of the first clip. There is a blood vessel there, which is the eighth branch of the artery. If the bone is removed, this blood vessel will not be preserved based on the roughness of orthopedics."
It doesn't sound nice, but it's true.
Orthopedic surgery is also called carpentry work, with chisels, axes and saws all available. Moreover, no one would do such a destructive surgery like amputation in such detail.
But Zheng Ren didn't want this.
Being as meticulous as possible will be of great help to the injured patient's postoperative recovery and installation of prosthetic limbs.
Director Li smiled and felt that Dr. Zheng opposite him was really a real person. But these words cannot be heard by the orthopedic surgeon.
"This blood vessel is only lightly visualized because the blood pressure of the injured person was relatively low just after the thrombectomy was completed, and the blood supply in the capillary segment has not been fully restored. There is no time to wait now, so I only waited on the table for ten minutes before starting the angiography."
"The entire area covered by this blood vessel can be preserved... In other words, the amputation position can be moved downward by about 1.3cm. There will definitely be no problem with the skin flap, don't worry."
Director Li was silent.
If Zheng Ren hadn't reminded him, he would never have noticed the faint blood vessels. Even if you notice it, you can't say for sure that there is no problem.
but…
"Dr. Zheng, are you sure that the capillaries near this blood vessel can be opened?" Director Li asked hesitantly.
"OK." Zheng Ren's voice came over the phone, very firm, without the ambiguity that doctors usually say: "Ten minutes ago, this blood vessel could not be seen. But ten minutes after the embolus is removed, it can be seen The imaging showed that the embolism did not last long, so..."
"Look at the third quadrant of the second silhouette. There is a blood vessel in the lower left silhouette. If you compare it with the first photo, you can easily see the extension of the capillary end."
Director Li carefully compared the two films, and under Zheng Ren's guidance, discovered the changes in blood vessels.
He glanced at the time on the film and found that the two silhouettes were 52 seconds apart.
Although the capillary changes are not obvious, it is very gratifying to see changes in such a short period of time.
"Hey, Lao Li, I'm going to take action here. Do you have anything to say?" Director Lu of the Department of Orthopedics asked.
"Wait a minute, I'll be here in three minutes." Director Li took the time to ask and watched the three silhouette films again.
According to the practitioner, the information these three films brought to him can be said to be massive.
It turns out that this is what happened to the cut-out video he made! Director Li quickly figured it out.
But understanding it and being able to master such a huge amount of information in a short time and identify useful and useless capillaries are two different things.
But just do your best.
"Dr. Zheng, our operation has begun. Keep in touch. If I don't understand anything, I will call you for consultation." Director Li said very politely.
"Okay, thank you for your hard work." Zheng Ren said.
It's hard work... I am a local doctor, and let the doctors who support me from outside say it's hard work... Director Li felt a little strange.
But now all irrelevant emotions must be put aside, and all attention must be put on the wounded.
Director Li glanced at the film for the last time, turned around and walked behind the surgeon, and began to communicate with Director Lu.
…
Zheng Ren sat in front of the operating table and was about to fall asleep.
The lips were dry and chapped, like a river bed during a drought.
"Doctor Zheng, have a bite to eat and take a rest." Director Jiang came in with a plate of rice bowl and blocked Zheng Ren's way to the operating room.
He was very determined this time and must let Dr. Zheng eat.
Who could endure going for days and nights without a single bite of hot food and wearing a lead suit for surgery? !
Zheng Ren glanced at him, took off his sterile mask, and grinned.
Before the expression could appear, the quadratus muscle of the lower lip moved and stretched to the bruised area, causing a heartbreaking pain.
"If you can't open your mouth, let's forget it." Zheng Ren said with narrowed eyes.
Director Jiang did not speak, but used his body language to express his dissatisfaction with Zheng Ren.
Helpless, Zheng Ren had no choice but to take the rice bowl from Director Jiang and lay on the table almost falling asleep. He struggled hard, trying not to fall asleep. He took the chopsticks and tried his best to put the food into his mouth.
He usually doesn't want to eat, but now the hormone levels in his body are so high that he doesn't feel hungry at all. Zheng Ren eats like he's taking medicine without knowing the taste.
"Boss, the way you eat is exactly the same as the search and rescue dog that went to Nanchuan Town later." Su Yun just walked in and saw Zheng Ren eating with his head down, so he said loudly.