"Yes, number 1329 at the top right of the medical record," Chief Li said in a deep voice.
"Is there a problem?" Zheng Ren asked.
This … He had countless questions, but Zheng Ren asked so directly. It was simply too sharp.
Chief Li did not know how to answer for a moment.
He calmed himself down and immediately said, "I have three radiographic films in my hand. I can see the existence of four groups of capillaries."
There was no need to be polite. Let's just have an academic exchange.
"There are a total of seven groups of capillaries. Because the observation time after the thrombectomy was not enough, the slightly distal position has not expanded significantly. However, the radiographic films can provide evidence. "Zheng Ren's voice was a little tired but very firm.
Chief Li was silent.
There were seven groups of capillary networks?
"Chief Li, please put the first radiographic films on the radiographic film viewer," Zheng Ren seemed to guess that Chief Li did not understand, so he said.
Chief Li was a little absent-minded, but he still followed Zheng Ren's instructions on the phone and inserted the radiographic films into the radiographic film viewer.
"Chief Li, are you calling the relatives and friends hotline for help?" The orthopedic chief had just finished washing his hands and walked back to disinfect and put on his clothes. Seeing that he was looking at the radiographic films while holding the phone, he joked.
Everyone was about to collapse from the surgery, so they joked a little to relax the atmosphere here.
However, Chief Li did not hear it at all. He had his back to the operating table and was focused on looking at the radiographic films.
"Doctor Zheng, the position of the upper and lower left corner of the radiographic films." Chief Li asked the question in his heart, but before he could finish, 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 ignore. It can't be seen here on a normal silhouette. During the surgery, the position that this blood vessel feeds may be directly cut off. "
Chief Li looked at the silhouette on the radiographic film viewer without blinking. With one sentence, he was suddenly enlightened.
"Guide the orthopedic doctor. This is not something that can be covered by local anatomy. Everyone's capillary branches are different, so it reflects the value of an interventional doctor."
"Yes, yes, please continue." Chief Li's tone subconsciously became countless times more respectful.
"Look at the first quadrant of the first radiographic film. There is a blood vessel there. It is the eighth branch of the popliteal artery. If we were to remove the bone, with the brutality of the orthopedic department, we would not leave this blood vessel intact. "
His words weren't pleasant to hear, but they were the truth.
Orthopedic surgery, also known as carpentry, includes chisels, chisels, axes and saws. Moreover, no one would be so meticulous in performing a destructive surgery like amputation.
However, Zheng Ren did not want that to happen.
Being as detailed as possible would be of great help to the patient's postoperative recovery and the installation of prosthetics.
Chief Li smiled. He felt that Doctor Zheng was really a practical person. However, these words could not be heard by the orthopedic surgeon.
"This blood vessel is only faintly visible because the thrombus has just been removed. The patient's blood pressure is relatively low, and the capillary blood supply has not completely recovered. There's no time to wait now, so I only waited on the stage for ten minutes before starting the imaging. "
"The area covered by this blood vessel can be completely preserved … In other words, the amputation position can be moved down by about 1.3cm. Don't worry, there won't be any problem with the skin flap. "
Chief Physician Li was silent.
If not for Zheng Ren's reminder, he would not have noticed the faint outline of the blood vessel. Even if they noticed it, they wouldn't say for sure that there was no problem.
But …
"Doctor Zheng, are you sure that all the capillaries near this blood vessel can be opened?" Chief Li asked hesitantly.
"I'm sure." Zheng Ren's voice came from the other end of the phone. It was very firm and did not have the usual ambiguity of a doctor's words. "Ten minutes ago, this blood vessel couldn't be seen. However, ten minutes after the embolus was removed, the image could be seen. This shows that the embolus did not take long, so … "
"Look at the third quadrant of the second silhouette. There is a blood vessel in the lower left silhouette. Compare it with the first radiographic films. It's easy to see the extension of the capillaries. "
Chief Li carefully compared the two radiographic films. Under Zheng Ren's guidance, he found the changes in the blood vessels.
He looked at the time on the radiographic films and found that the two silhouettes were 52 seconds apart.
Although the changes in the capillaries were not obvious, it was already very gratifying to be able to change in such a short period of time.
"Hey, Old Li, I'm going to start. Do you have anything to say?" Chief Lu of the orthopedics department asked.
"Wait a minute. I'll be over in three minutes." Chief Li seized the time to ask. He looked at the three radiographic films from the beginning again.
According to the surgeon, the information these three radiographic films brought to him could be said to be a huge amount.
So this was what the radiographic films he made were about! Chief Li quickly figured it out.
However, figuring it out and being able to grasp such a huge amount of information in a short period of time to distinguish between useful and useless capillaries were two different things.
However, he just had to do his best.
"Doctor Zheng, our surgery has already begun. Keep in touch. If there's anything I don't understand, I'll call you for advice," Chief Li said very politely.
"Okay, thank you for your hard work," Zheng Ren said.
Hard work … He was a local doctor, but he was being praised by a doctor from outside … Chief Li's mood was a little strange.
However, all irrelevant emotions had to be put aside now. All his attention had to be focused on the injured.
Chief Li took one last look at the radiographic films. He turned around and walked behind the surgeon. He began to communicate with Chief Lu.
..
Zheng Ren sat in front of the operating table. He was about to fall asleep.
His lips were dry and chapped like a riverbed during a drought.
"Doctor Zheng, eat and rest." Chief Jiang walked in with a plate of rice and blocked Zheng Ren's way to the operating theater.
This time, he was very determined to let Doctor Zheng eat.
He had not eaten a hot meal for a few days and nights. Who could stand it if he wore a lead apron to perform surgery?!
Zheng Ren glanced at him, took off his sterile mask, and grinned.
Before his expression could appear, the quadrate muscle on his lower lip moved. It pulled at the bruised wound, and a piercing pain came over him.
"I can't open my mouth. Forget it," Zheng Ren said with narrowed eyes.
Chief Jiang did not say anything. He only used his body language to express his dissatisfaction with Zheng Ren.
Helpless, Zheng Ren could only take the rice from Chief Jiang. He lay on the table and almost fell asleep. He struggled with all his might and tried not to sleep. He held his chopsticks and tried his best to shove the food into his mouth.
He was usually unwilling to eat. Now that the hormone level in his body was high, he did not feel hungry at all. Zheng Ren ate like he was taking medicine.
"Boss, the way you eat is exactly the same as the search and rescue dogs that went to Nanchuan Town later," Su Yun happened to walk in and said loudly when he saw Zheng Ren eating with his head lowered.
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