Chapter 343

After Fang Ziye went out, Xiong Jinhuan knew he had gone to the Hand Surgery Practice Room once. But Xiong Jinhuan had not yet found out exactly what Fang Ziye did inside.

The people in Hand Surgery were all busy eating melons; how could they have a chance to notify Xiong Jinhuan?

After Fang Ziye finished operating and ran off, he immediately took Xiong Jinhuan to the Emergency Operating Room of the Emergency Department.

Xiong Jinhuan went to print the template for the surgical informed consent discussion document for the mangled extremity patient and find the patient's family member to sign, while Fang Ziye had the Emergency Department prepare the preoperative orders for the emergency surgery!

After the consultation ended, the patient's condition was indeed concentrated only on the mangled extremity of the lower segment of the right lower leg, with no major artery or chest and abdominal injuries found.

After the CT and other test results were completed, and all specialties had consulted, the diagnosis was clear. The indication for emergency surgery was beyond doubt.

However, as Fang Ziye was preparing the preoperative orders for emergency surgery, the patient herself pushed a wheelchair close to Fang Ziye: "Doctor, do I have to have an amputation?"

A girl of sixteen or seventeen, her face pale, her willow brows slightly furrowed. Her skin was fair, her figure slender and even thin, her arms and wrists like bamboo poles, long but fragile, seeming to break at a touch.

She wore a dancer's practice clothes, with a coat over them. Her right lower limb, wrapped in gauze, was swollen like a bag! Fresh blood seeped through the gauze, as if her foot were a bamboo skewer stringing an irregular large steamed bun with chili pepper meat filling...

Fang Ziye glanced at her, his heart stirred, but he dared not answer.

A girl in the flower of her youth, her life had not yet begun; an art student, on the way to practice, her right lower limb was crushed by a bicycle, the crushing plane above the ankle joint.

"Doctor? Can I not have an amputation? I'm going to school, I have the college entrance exam next year, I've been practicing dance since elementary school, I can give up the extra points, I can stop dancing..." The little girl began to sob.

Fang Ziye turned around and said: "Don't cry first, you're almost an adult."

"We're not children anymore; we're about to start facing reality."

"Whether to amputate or not cannot be fully determined for now; I can only say that your current injury situation is probably..."

The girl didn't hear what Fang Ziye said at all, burying her head and continuing to sob, her shoulders, back, hands, and feet all trembling...

At this moment, the girl's mother, who had been talking with Xiong Jinhuan, came closer and glanced at Fang Ziye!

Fang Ziye quickly said first: "You, as parents and guardians, should still communicate with her about her emotions a bit; I need to prepare the surgery details on my end."

"The longer the delay, the later the surgery, the worse it is for postoperative recovery."

The human world doesn't have so many miracles.

Mangled extremity, both domestically and internationally, is still considered an incurable disease. Zhongnan Hospital doesn't have such great energy to enable every mangled extremity patient to have the ability to receive limb-preserving treatment.

The Orthopedics Department of Zhongnan Hospital is quite capable.

So the middle-aged woman hesitated and asked: "Doctor, if my daughter's situation is like this, even if the Professor takes action, there's no way?"

"As long as there's a chance, spending more money is fine."

"Our requirements aren't high; we just want to save the leg, and preferably be able to walk."

She hugged her daughter, doing her best to fight for a glimmer of hope for her.

"Big Sister, I really am not being alarmist or deliberately trying to scare you; the requirement you're making now is quite high, even a bit too much."

"I told you it's a mangled extremity; you must have looked it up on Baidu and seen what mangled extremity means. Those that can be called mangled crushing injuries—wanting to preserve the limb—with current medical levels, is almost impossible."

"Although some people are exploring this direction, that also involves mobilizing the top professor resources from across the country, concentrating them together, and doing it once or twice occasionally."

"But the result of such concentrated resources is mixed quality, so that to this day, within the whole world, no standardized limb-preserving surgical technique and procedure has been coordinated..."

"Therefore, the optimal solution for mangled extremity is still amputation surgery!" Fang Ziye naturally felt the little girl was pitiful.

But it wasn't just the little girl who was pitiful; the teenage boys he had encountered before, the thirty or forty-year-old men who were the pillars of their families, were equally pitiful.

Things even the professors couldn't do, and Fang Ziye was supposed to figure out a way—wasn't that urging a man to bear children, a rooster laying eggs?

"Immature limb-preserving surgery will ultimately lead to limb necrosis; necrotic limbs seeping into the blood can even lead to bacteremia, water-electrolyte imbalance, and even endanger life."

"So, no matter what level of expert you consult, the answer you get will definitely be the same as mine!" Fang Ziye still had such professional confidence.

Naturally, if top-tier institutions like Peking Union Medical College Hospital or Mayo Clinic said they could try limb-preserving surgery, Fang Ziye would believe it.

But not everyone's doorstep has Peking Union Medical College Hospital or Mayo Clinic!

"I sent my daughter's photos to many friends and consulted many doctors."

"But I still hope for a miracle, sorry, Doctor..." The woman said, hugging her daughter, her eye sockets red but not crying.

She was also heartbroken, but she was no longer young; she was still a mother, so she had no right to cry in front of her child, only able to pretend to be strong.

Fang Ziye could only continue to persist in his cold ruthlessness.

Giving people deceptive promises about the future is equivalent to strangling others' hopes for the future.

Soon, Xiong Jinhuan came over, looking at the girl who had stopped crying but was still very beautiful, and sighed: "Brother Ye, the signature is done, and the fee has been paid."

"Mm, prepare to send her to the operating room; call today's emergency duty shift." Fang Ziye ordered.

Xiong Jinhuan was also a doctor and also a follow-up resident; he had many resources and rights, so naturally Fang Ziye didn't need to personally handle some things.

Just as Fang Ziye finished giving orders, Guan Qiquan and Teacher Liu arrived outside the Surgical Clinic of the Emergency Department.

The Fang Songlin on duty inside didn't know Guan Qiquan, who was two classes above him, but Fang Songlin happened to know Liu Huanglong, who was in the same class as him and was once a legendary figure in Orthopedics.

"Liu? Long Ge?" Fang Songlin changed his address twice, finally choosing the more fitting Long Ge.

Liu Huanglong, actually, was from the same era as Yuan Weihong. It's just that Liu Huanglong was many times more excellent than Yuan Weihong, belonging to that kind of super genius...

It just seemed that Liu Huanglong was not familiar with Fang Songlin.

Liu Huanglong nodded at Fang Songlin, waved his hand, then looked at Fang Ziye and said: "Ziye, you ran out of the practice room; I've been worried about this, today I really need to consult with you properly."

"Uh~"

"This girl is? Mangled extremity?" After Liu Huanglong greeted Fang Ziye, he looked at the patient Fang Ziye was currently seeing, his expression tightening.

"Mm, Teacher Liu, a mangled crushing injury below the middle-lower segment of the tibia; so far only a general look, right foot degloving injury..." Fang Ziye explained to Liu Huanglong.

Liu Huanglong, upon hearing this, also immediately gritted his teeth slightly.

The family member, upon hearing Liu Huanglong was a professor, immediately asked again: "Teacher Liu, can my daughter avoid amputation?"

Liu Huanglong shook his head: "This requirement is a bit too much to ask!"

"Mangled injury of the ankle joint and foot; even if fusion surgery is done, there's fear of postoperative limb necrosis and infection. The statistical probability of amputation after limb-preserving surgery is as high as over 95%."

"The remaining few percent mostly end up as stiff feet."

"It has only the form, but no function."

Fang Ziye continued explaining to the family: "Family member, this really isn't me being alarmist, but with this disease type of mangled extremity, at the current treatment level, there are almost no teams that can conquer it."

"So it really isn't that I'm unwilling to find a way for you."

"Professor Liu is a professor at Peking Union Medical College Hospital, and also a professor of our Orthopedics Department, a Chief Physician."

The family fell silent again, and the young girl in her arms also had her lips trembling slightly.

"Doctor Fang, you go to surgery first, Professor Guan and I will go to the operating room first..." Liu Huanglong was a very mature adult, impossible to hot-headedly promise anything.

But these words actually hinted at something.

Professor Liu Huanglong is a professor of Hand Surgery; Hand Surgery has unique experience in finger replantation and handling soft tissue defects, blood vessels, and nerve defects.

"Alright, Professor Liu." Fang Ziye saw them off two steps, then turned back.

Then he saw the family looking up Hand Surgery experts at Peking Union Medical College Hospital online, and he nodded: "Yes, that's Professor Liu, his appearance is the same as in the photo; this time he's come to our hospital as a guest and to serve as a teaching instructor."

"He happened to be passing by, but he does limb replantation; this kind of mangled extremity belongs to our Trauma Surgery's disease type."

"Alright then, Doctor Fang, we agree to amputation."

"But I request you, if, suppose, my daughter still has hope for limb salvage, even if it's only one percent, during the surgery, please bother to come out and tell us."

"Even one percent is fine, as long as there's a glimmer of hope, under the condition of not being life-threatening, before reaching a dead end, we're all willing to gamble."

"She's still young..."

Fang Ziye had actually answered in his heart long ago: the so many mangled extremity patients I've encountered are all young. Because mangled extremity patients who aren't young had long since been amputated in lower-level hospitals and prefecture-level city hospitals.

But after they came, the vast majority would still be amputation.

These several top professors of Hubei Province Trauma Surgery combined, currently haven't "gloriously" rescued a single 'mangled extremity' patient; even our own profession's Huang Kai, Orthopedics' own professional Deputy Director Huang Kai, is still wheelchair-bound...

This disease is a sudden emergency; it doesn't pick people.

"Good!" Fang Ziye still nodded in agreement.

"I'll go to the Emergency Department operating room with Doctor Xiong to prepare first; you all also slightly make psychological preparations, have the nurse help insert a urinary catheter."

"Because you have such a strong limb salvage surgery request, you need to be prepared in all aspects for the surgery time to be elongated."

Fang Ziye finished instructing and left.

On the way to the Emergency Department operating room with Xiong Jinhuan, Fang Ziye indeed encountered Professor Liu Huanglong. Liu Huanglong at this moment had already transformed into a very serious professor, discussing with Guan Qiquan the interpretation and treatment principles of mangled extremity in the field of Hand Surgery.

Seeing Fang Ziye enter, Liu Huanglong politely asked: "Doctor Fang, actually I also had some thoughts on mangled extremity before, but because I myself belong to the Hand Surgery sub-specialty, I had no opportunity to implement them; I wonder if I have the luck to be invited by you to go on stage together, for us to do a mangled extremity amputation, or limb salvage surgery together?"

Liu Huanglong, this is him developing strong interest in Fang Ziye, not satisfied playing in the training room, but wanting to play with Fang Ziye on stage as well.

(Chapter End)