The limbs that are severed generally have a good survival rate if the surgery is conducted within six hours. If the preservation conditions are decent and the temperature is low, there is still hope within eight hours.
There have even been cases where successful reattachment was achieved after 12 hours.
The four fingers of this man, even after more than twenty-four hours post-replantation, are still pale and wrinkled, which is a very bad sign.
Only fingers that have lost their vitality look .
Doctor Shan carefully examined the patient and then asked about some postoperative symptoms.
Such as whether the fingers are in pain?
Did he pay attention to keeping them warm?
Did he follow the doctor's orders post-surgery, etc.
Zhou Can just stood at the end of the bed listening.
When doctors do their rounds, the order of entry and position are all particular.
The right side of the patient is generally left for the director and attending physicians, the left side for resident doctors. When the director does rounds, there are usually several resident doctors present, and their positions are determined by seniority.
Those with higher seniority stand at the front, those with lower at the back.
The head nurse usually stands in front of the bed to easily 'care for' the patient.
The remaining position at the end of the bed is for those who are not so important.
Such as trainees, interns, post-graduate students, and visiting scholars. All of these only have the place at the end of the bed.
After Doctor Shan finished examining the patient, her expression was quite grave.
Others also felt this oppressive atmosphere.
A failed surgery is a bad outcome for the patient and their family, as well as all doctors and nurses.
"Could you show me the medical records?"
Zhou Can wasn't trying to stand out, but remembered a situation his teacher had mentioned.
He wanted to confirm the patient's basic situation before making further analysis.
The bed-managing doctor was a somewhat greasy young doctor, around thirty years old. Perhaps due to an excess of adolescence, his face bore the deep marks of past acne.
He just glanced at Zhou Can indifferently and didn't respond.
He probably thought, this silly trainee, didn't see that the attending physician is doing rounds? Who does he think he is?
"Bring the medical records over!"
Doctor Shan, seeing the greasy man not reacting, spoke with an especially cold tone.
Many doctors actually despise bureaucracy and the bureaucratic style.
Because patients can't wait, delays are unacceptable, and the medical condition cannot be treated with anything but the utmost seriousness.
Physicians and nurses normally try to please their superiors and higher-level doctors, which everyone can understand. Everyone wants to advance and gain more support and resources.
But no doctor likes bureaucracy.
Because it implies a high mortality rate, high accident rate.
The greasy doctor was so frightened that he shivered, not understanding why Doctor Shan was so angry?
He respectfully handed over the medical record with both hands.
"Please take a look!"
Doctor Shan took it and immediately handed it to Zhou Can.
"Doctor Zhou, if there's any information you want to know that's not recorded in the medical record, feel free to ask."
By doing this, she was essentially publicly supporting and encouraging Zhou Can.
Zhou Can took the medical record and read it carefully.
The patient was operating a chisel with a coworker when the coworker mishandled it, severing his four fingers.
After the accident, he was immediately taken to the local community hospital.
The doctors there did a simple bandage on the victim's wound and provided an ice pack for the severed fingers, recommending that they immediately go to a major hospital for finger replantation surgery.
Consequently, they rushed to Tuya Hospital.
After receiving them, Director Shen led the team to perform the replantation surgery on the patient.
To shorten the surgery time, Doctor Shan and Director Shen both worked on the replantion simultaneously, each attaching two fingers. Director Shen completed all the bone reattachment for the four fingers.
She primarily conducted tendon anastomosis, vascular anastomosis, and nerve anastomosis for the patient's two fingers, as well as the severed finger dermis suturing.
The entire surgery was very smooth.
At that time, the blood supply for all four fingers was also unobstructed.
After reviewing the medical record, Zhou Can went to carefully examine the patient's palm and back of his hand.
There, near the wrist and near the base of the thumb, were several dark purple bruises.
"You mentioned to Doctor Shan earlier that your thumb had numbness, correct?"
"Yes! Initially, I thought the pain made it numb. After the surgery, I thought it would be fine once the anesthesia wore off. But even now, my thumb still feels numb."
The patient honestly described his genuine sensations.
Zhou Can nodded, picked up a straw from the bedside metal cabinet, and touched the near-palm end of the patient's index finger.
"A little bit, but it seems like it's through a layer of clothing."
The patient's limited education made his description less specific.
But the metaphor was quite vivid.
Zhou Can then tested his other three fingers in turn, and they were almost the same.
The sensation was very dull, and the tactility was extremely poor.
By this stage, Zhou Can roughly had a conclusion in his mind.
He then picked up the patient's imaging and studied it closely.
Doctor Shan waited patiently, and although other doctors were somewhat dissatisfied with Zhou Can, they had to endure.
"Doctor Shan, the injury on the patient's hand, is it right where the median nerve branches back?"
"Yes! The branch of the median nerve is approximately in this position."
Then, her eyes gradually brightened.
Her face also showed a hint of sudden realization.
"Are you suggesting that damage to the median nerve has affected the blood flow?"
Doctor Shan's expression at this moment lacked the usual aloof and serious demeanor of an attending physician.