Falling behind at the start, the first surgery shocked the world.

Vibrio vulnificus infection can easily damage internal organs. Once internal organs are infected, it can cause the patient to fall into a coma immediately. Two-thirds of the infected arm has already turned black.

original.

Because of the patient's age and occupation, Xia Tian wanted to save his hand.

Treat with antibiotics first.

Once the antibiotics take effect, the arm might be saved.

but now……

Several hours after the antibiotics were administered, the inflammation in the patient's body worsened, and it was clear that the antibiotics were no longer effective in fighting the infection.

The entire infected arm must be cut off.

Only then can we protect lives!

Upon hearing about amputation, Liu Qiang's father was immediately stunned.

After being stunned for a few seconds, he shook his head frantically.

"No."

"No, my son is a chef. Without hands, he can't be a chef anymore. You're ruining him!"

Xia Tian explained, "The infection in my arm is very serious; it has spread to my lungs. The arm has to be amputated for the infection to stop..."

Therefore, the patient must have their limb amputated.

"Shut up!!!"

No sooner had Xia Tian finished speaking than Liu Qiang's father angrily rebuked him.

He pointed at Xia Tian's nose and cursed.

"Your son is so young, and you want to amputate his leg!"

"You doctors are all terrible. You want to amputate a limb just because you got a splinter in your hand? You're exaggerating."

"I request conservative treatment."

"If you're not going to be conservative, then discharge us from the hospital so we won't get treatment here anymore."

Faced with the patient's father's anger.

Summer remained expressionless. After working for several months, he had become accustomed to encountering all sorts of patients, including some who did not trust him. When faced with such patients, Summer had to treat them from a professional perspective.

He said calmly.

"Discharge is also an option."

"However, if the patient dies after being discharged, it is not the responsibility of the provincial hospital."

"You need to sign a waiver."

The patient's father was stunned.

When a normal person hears the word "death," their heart skips a beat. Even seeing a stranger die unexpectedly while scrolling through Douyin (TikTok) can make one feel heartbroken, let alone one's own son. The patient's father was stunned for a few seconds before...

Her cheeks quickly flushed red.

Pointing at Xia Tian's nose, he gritted his teeth and said angrily.

"What do you mean by that?"

"You cursed my son?"

If curses could kill, some scum would have died hundreds of times over.

Summer speaks softly.

"Your son, Liu Qiang, is in a very serious condition. He can no longer breathe on his own and is now on a ventilator."

"Amputation is certainly hard to accept."

"But if I don't have my leg amputated, I'll die."

"Do you want your life or your hand?"

It's a matter of life and death, or hands?

The patient's father was stunned when the question was asked.

Sudden.

His eyes reddened, his angry gaze filled with terror. At that moment, he looked at Xia Tian with pleading eyes, like a frightened child.

"Is there really no other way?"

Summer shook her head.

"there is none left."

"Amputation is necessary."

The patient's father lowered his head, caught in a dilemma.

At this time.

The restaurant owner came over, patted the patient's father on the shoulder, and comforted him.

"Brother, listen to the doctor."

"Don't worry, I will take full responsibility for the injuries Xiao Liu sustained in our store."

"If he can't be a chef in the future, he can work as a waiter in my shop. He can serve food with one hand."

"I won't treat him unfairly."

The boss was chubby and had a very greasy appearance, but his voice was full of confidence, giving people a very righteous feeling.

The patient's father glanced at the shop owner.

With red eyes, she nodded to Xia Tian.

"Doctor, I'm entrusting my son to you."

"Where do I sign?"

"Come with me."

Inside the office, the patient's father signed the papers.

Xia Tian immediately notified the operating room, and at the same time, said to Wang Boyi.

"Boyi, prepare the patient for the preoperative procedures."

"Also, is Sister Li at work?"

Wang Boyi shook his head: "Sister Li isn't here."

Amputation is no minor surgery. Sister Li has a lot of experience, and we originally wanted her to go on stage with him, but since she's not here, we'll just leave it at that.

"Boyi"

"Come up on stage with me."

"Okay." Wang Boyi nodded.

Preoperative preparation takes half an hour. Xia Tian put all her points into amputation surgery. Because Xia Tian has world-class bone-setting experience, she already has 5 points of expertise in amputation surgery. She added the other 5 points.

10 points, full marks.

The surgical procedure replayed in his mind over and over again, as if he had performed this surgery tens of thousands of times.

11 points.

Entering the operating room in the summer.

The patient is now under general anesthesia.

"Was compression applied to the armpits?"

Summer asked.

Wang Boyi nodded: "Added."

Because of amputation surgery, in order to avoid causing excessive bleeding and hemorrhagic shock to the patient, pressure is increased in the armpit area to slow down the blood flow.

"it is good."

"Let's begin."

"First, design the flap."

Two-thirds of the patient's arm had turned completely black.

The black parts must be completely removed.

After removing the necrotic part, a skin flap needs to be used to cover the wound to prevent the broken bone from being exposed and causing secondary infection.

Wang Boyi took a pen and drew the cut position a little below the patient's shoulder.

"If we make the cut at this location, the remaining skin flap can be used to wrap the incision."

Wang Boyi said.

"OK."

"This is fine."

Summer nodded.

"Number 10 knife."

Wang Boyi cut the skin flap, and the scalpel followed the curve he drew to remove the flap. Once the flap was removed, the surgery officially began.

"Come in the summer."

Summer nodded.

"Electrosurgical knife".

Amputation surgery sounds simple; you just cut it off.

Simple and rude!

With a swift motion, the knife fell without hesitation.

This is how the average person understands amputation surgery. In reality, amputation is not that simple.

The nerves and blood vessels must be treated.

The median nerve, brachial artery, meridian, and ulnar nerve are located within the biceps brachii muscle.

The separated blood vessels need to be ligated.

Nerves are the most difficult to treat.

If the nerves are not properly treated, the patient may experience wound pain and phantom pain later on.

It's very troublesome to deal with.

First, tie a knot in the nerve.

When the nerve is not paying attention, quickly cut it off 3 cm away from the cut. The knife technique must be fast, and the knife must not be dull. If it is too slow or dull, it will cause a neuroma.

After the nerves are treated.

Treating blood vessels.

To prevent hematoma formation, even the smallest blood vessels must be completely stopped, and major arteries must be double-ligated.

An hour and a half later.

call……

Summer breathed a sigh of relief; the nerves and blood vessels were finally taken care of.

He asked the nurse to wipe his sweat.

He then said to Wang Boyi, "You cut the muscle."

"it is good."

Wang Boyi took the knife and continued the surgery.

Take a break in the summer.

He asked.

"What time is it now?"

"It's 1 o'clock," a nurse replied.

He should have been off work by 12 o'clock, but the surgery wasn't over, so he couldn't leave.

He was originally supposed to be on the day shift today, but he took the night shift for Han Meiji. Now that he sees it, he won't be able to go home until dawn.

At this time.

A young nurse came in and said to Xia Tian.

"Dr. Xia."

"Dr. Han called."

Oh?

Call him in the middle of the night?

Could it be that she misses him?

Summer became interested and asked, "What did she say?"

The nurse said, "Dr. Han asked if you're hungry."

really!!!

I miss you!

Hehe, she just likes this handsome guy, even if she doesn't admit it.

Summer felt a surge of pride.

He inquired.

"What? Is she ordering takeout for me?"

The nurse shook her head: "No."

Xia Tian raised an eyebrow: "Then why did she ask me if I was hungry?"

The nurse said, "She said if you're hungry, she'll eat some snacks and chew them for you to hear."

------

Author:

Three years ago, the author's mother cut her thumb on an oyster shell. The infection persisted and her thumbnail eventually fell off.

Fortunately, the infection did not spread. I went to many hospitals and saw many experts. I was treated for three years but still did not recover. However, the condition was improving and I no longer felt pain.

The reason I'm writing about this case today is to remind everyone to be extra careful in everything you do. Even though the probability is low, it's still good to pay attention.