Since 1981 Health School

  Chapter 383 Fingers and Toes Who Matters

  All the doctors at home were called.

  Yan Shifan, the "first assistant" went back to Huang Tan's hometown, while Bianmeng, the "second assistant" came with his uncle Bian Pengfei, and at the same time director Ma Shouli of the Orthopedics Department.

  However, junior doctors such as Lu Mingqiu and He Chengxuan, who were trained in orthopedics, and Yang Tihao, Zhang Xingshun, and Wang Yuelei, who were trained in surgery, also appeared in the surgical emergency room in the shortest possible time.

  These young doctors are actually lying in the collective dormitory and did not go home to celebrate the New Year, because they know that today is the day when Dean Chen is on duty.

   This is the expression of high emotional intelligence. Although Chen Qi never said what they were going to do, I was very relieved to see that the little doctors below were so self-conscious and eager to learn.

  Of course he may have forgotten that he is only 24 years old in the new year.

  The car from Yue Steel Works arrived soon. Zhu Shuijin's hands were wrapped in gauze, and he was helped out of the car by his father Zhu Zhirong, followed by many workers.

  The characteristics of a large state-owned enterprise. Whether the workers are on business or private, the factory will try its best to treat them and work hard.

   This group of people immediately started yelling: "Doctor, doctor, save people~~~"

  Yang Tihao had been waiting in the yard for a long time. As soon as he saw the person arriving, he immediately shouted: "This way, this way, hurry up, we are all ready."

  In the surgical emergency room

  Chen Qi, Director Bian, and Director Ma shook their heads as they looked at the two **** hands.

  Especially when I saw the **** that were blown off, I felt even colder.

  I saw the patient's right thumb and left index finger were brought, but they were placed in the enamel bowl. Those who knew it were fingers, but those who didn't knew they thought they were two pieces of rotten flesh.

   Let me describe it this way, from skin to muscle to bone, it has been broken into an unknown number of pieces.

  Even if the doctor has the ability of a fairy, he is helpless with such a pile of minced meat.

   "Doctor, doctor, please help my son, he is a steel worker, he has only been on the job for a month, he is only 18 years old, he cannot be disabled~~"

  Zhu Zhirong is also a fine person. When he saw the expressions of the doctors, he immediately understood that his son's finger might not be able to keep it. After all, he had seen the finger and knew it well.

  But as a father, I always had hope in my heart when I rushed to Keqiao Town dozens of kilometers away, even if there was only a glimmer of hope.

  Chen Qi didn't say a word, his mind was spinning rapidly about the possibility of replantation of the amputated limb. As a doctor, especially the director of the Foreign Hand Surgery Society, Chen Qi's first choice is definitely not amputation.

  As long as there is a glimmer of hope, he will not give up.

  When he gently pinched the thumb in the enamel plate and wanted to take a closer look, the meat on his hand was crushed, and the thumb fell directly.

  The meat is still pinched in the hand.

   This scene made everyone on the scene chill, but Chen Qi already understood that these **** were completely useless.

   "The patient goes to take an X-ray first."

  After the patient's family members left in a hurry, Chen Qi pulled all the doctors up, and everyone began to discuss the treatment plan.

  Director Bian smacked his lips:

   "The wound is seriously polluted, the severed finger is crushed, and the blood vessels alone have been broken into several pieces, and the possibility of replantation has been lost."

  Wang Yuelei raised his hand: "If there is no chance of replantation now, can we do the allogeneic foster surgery in the first stage like last time, and then wait for the second stage to recover before transplanting?"

  Director Ma shook his head, went over and directly took the two severed fingers:

"Come on, you all put on your gloves and feel it yourself. Look here, and here, yes, the distal and middle joints of the thumb have been broken into countless pieces. In addition, the index finger, you see, the metacarpal body is jagged. , From an orthopedic point of view, it is difficult to take over."

   Several young doctors took turns to check, but they could only shake their heads. Everyone turned their attention to Dean Chen.

  Chen Qi can create miracles from time to time, and everyone wants to see, in this extreme situation, what tricks does this Dean Chen have to keep his fingers.

  Chen Qi glared at everyone:

   "What do you look at, I can't transplant my finger to the patient, right? Besides, you have to consider the rejection of the allogeneic transplant."

  Yang Tihao was also happy when he heard it: "Then he must have his own fingers that can be transplanted. This is not a leek. If you cut off a crop, you can regenerate it yourself."

   Several doctors laughed bitterly.

  Suddenly, Chen Qi seemed to have caught some inspiration, and his mind was like a super computer, quickly running at the fastest speed.

   "Own finger, own finger?"

  Chen Qi spread out his palm and thought over and over again. The patient's critical left thumb and right index finger are gone, so can the next **** and ring finger be transplanted there?

  Everyone has five fingers, in terms of their respective functions:

  The thumb is helpful for holding, pinching, grasping, taking and fixing;

  The index finger and **** complete the finger-to-finger movement with the thumb to complete the action of removing objects.

  The ring finger and little finger are generally only used as power-assisted and direction-controlling, cushioning fingers, such as making a fist, pulling, and pulling postures, with the thumb fixed, the index finger and **** assisting force, and the ring finger and little finger assisting orientation.

  Of course, the little finger also has other uses: for example, to make picking movements, which other fingers cannot do. In short, each finger has its own function.

  In terms of function ratio, the thumb accounts for 40% of the functions of the fingers, which is the most important finger.

  It will be very inconvenient if you don’t use your thumb to work, such as holding chopsticks for eating, writing with a pen, brushing your teeth with a toothbrush, these ordinary things in life will become very difficult without your thumb.

  The index finger and thumb cooperate to complete actions such as holding a pen, turning over a book, unbuttoning, and screwing, so the index finger function accounts for 20%.

  The rest of the **** also accounts for 20%, and the ring finger and little finger each account for 10% of the functions.

   That is to say, each of the five fingers has its own function, and each has its own strengths. Whether it is from the perspective of aesthetics or functional recovery, they are all indispensable.

  If my fingers cannot be transplanted, what about my toes?

  Chen Qi looked at his feet again, as if looking through the leather shoes.

   While Chen Qi was in a daze, the patient Zhu Shuijin had returned from the imaging department. Zhu Zhirong was sweating profusely with the X-ray film in his hand.

   "Doctor, the movie is out."

  Several doctors quickly formed a circle with Chen Qi as the center, and began to study the film head to head.

  Director Ma is from the orthopedics department, so he explained to the little doctor:

"The patient's metacarpal body is well preserved, and both fingers come from the distal and middle phalanxes, especially the middle phalanx. You see, this wound is like a broken bamboo pole, irregular. The only option is osteotomy and shortening.”

  Osteotomy shortening is to completely remove the missing or severely damaged bones, leaving only the proximal phalanx for suture.

  Because the bones of the fingers are not a whole, for example, the thumb is composed of 3 bones, and other fingers are composed of 4 small bones.

  If one bone is missing, the finger will be shortened. Like Zhu Shuijin, only the thumb and **** will be left in the future, which means that these two important fingers will lose their function from then on.

  This consequence is unacceptable to Zhu's family.

  When Zhu Zhirong heard that his son’s finger was hopeless, he knelt down without thinking:

"President Chen, I know that you are a very high-level doctor, and you also perform operations on foreigners. Please save my child. He is only 18 years old. Tell me how much medical expenses you need. No matter what it means, we wish the family all the best." bear."

  Chen Qi was taken aback when he saw it, and thought to himself, how come the master workers of the Yue Steel Factory are like the people in Huangtan Mountain, kneeling down at every turn?

   "I can't help it, get up quickly, let's think of a way?"

   At this time, Zhu Shuijin was also in tears beside him. Seeing his father, who is usually strict at home, kneeling to others, as a son, he couldn't bear it, and he also burst into tears:

   "Dad, I'm sorry, I'm playful, I'm sorry for you, I'm sorry for my mother~~~"

   "Son~~~"

  The father and son hugged their heads in pain, which brought down the tears of several workers nearby.

   Seeing that the emergency room was about to burst into tears, and the family was about to suffer another tragedy, Chen Qi always felt that his heart was in a panic.

  A doctor, like a man, cannot say "no". Suddenly a bold idea appeared in his mind.

  Chen Qi glanced at the patient's feet unconsciously, and went directly to take off Zhu Shuijin's shoes and socks.

   Then, under the surprised eyes of everyone, regardless of the smell of the patient's feet, he held up his feet, up and down, inside and out, and carefully inspected them.

  The father and son of the Zhu family also forgot to cry bitterly, and they were a little confused all of a sudden.

   I wonder if there is something wrong with this doctor? He hurt his fingers, why is he looking at his toes?

  Director Bian and Director Ma are more experienced, and they have sharp eyes.

  Last time, Zhang Xiaodong’s palm was severed. This Dean Chen also looked at his feet for a long time, and finally came up with an allogeneic foster care and replantation technique. Did he have a new idea this time?

  Suddenly, Chen Qi beckoned, signaling for everyone to gather around, and then asked several doctors, big and small, next to him:

   "You said, can we take off a section of this toe and transplant it to a finger?"

  Zhang Xingshun suddenly shouted: "Wonderful, this method is so wonderful, why didn't I think of it?"

  Everyone rolled their eyes at him, cursing in their hearts: sycophant.

  Director Bian’s expression is as uncomfortable as constipation:

   "You mean, turning toes into fingers? Is it feasible? Besides, it will affect the patient's ability to walk, will it not be worth the loss?"

  The 5 toes have great flexibility in sports, and mainly adjust the relationship between the metatarsophalangeal and other parts of the foot, and play a balancing role to adapt to changes in the foot.

  People can stand more stably with toes, and walk more stably with grip. Without toes, they can’t keep their balance.

  In ancient times, there was a kind of punishment. In order to prevent prisoners from escaping, the big toe was cut off directly, so that they could not run, let alone fight on the battlefield.

  This shows the importance of the five toes.

  Using toes instead of fingers, not to mention whether it is technically feasible or not, just whether it is worth it or not, makes everyone fall into entanglement and contemplation.

  (end of this chapter)