Chen Cang is honest. The price of a thread ranges from a few dollars to thousands of dollars.
Even Chen Cang felt confused about the price of medical devices.
An orthopaedic instrument like an ear scoop costs you 10000 yuan. Like a vise, it costs tens of thousands of yuan. The key is that it can not be produced in China.
Chen Cang doesn't understand these things, but he always feels that this is a profiteering industry.
However, there is still a big gap between these large and small hemostatic gauze, micro bridge thread and other consumables. After stitching into the human body, the outer coating can effectively play a good role.
After hearing Chen Cang's introduction, the cook man was slightly stunned: "is it really that powerful?"
Chen Cang nodded: "Well, for example, if you are a cook and have the same kitchen knife, you should know the difference between good and cheap? Moreover, this kind of thread is always in your body, and the gap is very large. Moreover, this kind of thread is bought by root, and each thread costs hundreds of yuan. There is also a gap in toughness and patience. Tendons are stretchy sports tissue, so you should pay attention to it when sewing quite a lot.
After Chen Cang finished, he looked at the cook and smiled: "of course, as a doctor, I can only tell you these things. How you choose depends on yourself."
After listening to this, the chef became silent. After thinking about it, he muttered: "I only sell a bowl of noodles for 10 fast. I earn a few hundred dollars a day. Your thread will hold me for two or three days. It's really..."
After that, the cook man obviously hesitated: "doctor, I have no culture. Don't lie to me..."
Chen Cang couldn't help laughing: "your money is also handed over to the hospital. I'll earn technical money."
The man couldn't help sighing: "in fact, I know you're not cheap. I just went to the Wu bureau orthopedic hospital next door. As a result, when I asked the price, the guy scared me to death. He said that the whole set was more than three or five thousand, and he also said that I was very sick and would lose my good hands."
Chen Cang smiled and didn't comment.
After hesitating for a long time, the man clenched his teeth and made a decision: "sew!"
The size of tendon suture is an operation. Unless those patients need emergency suture, other people still need to do routine examination, and there is no shortage of signatures.
Although the cook man was uneasy, he was also more worried about what to do with his fingers in the future.
After all, they eat by craft. If they fall behind the root cause of the disease, it will be troublesome to make money!
Moreover, the index finger is still a highly functional finger. If something really goes wrong, it will be in trouble.
Thinking of this, although I bite my teeth, I still have to do what I should do.
When I came to the hospital, I didn't care whether I had money or not. I was reluctant to spend money. The cook earned a lot a month, but I always felt some meat pain.
……
……
Generally, people are willing to come to the emergency department for such minor surgery. They come and go quickly. They can save a lot of money.
Unless the situation is serious and the operation is relatively difficult, at this time, we hope to get surgical hospitalization. Frankly, we have to be hospitalized.
One advantage of the emergency department of the second provincial hospital is that there is an emergency inpatient department, which can receive short-term inpatients to deal with this small operation.
What endoscopic acute appendectomy, gallbladder surgery and so on, is because we don't need to spend too much time.
The same is true for hand surgery. In fact, after suture, you don't need to live in the hospital all the time. Take some anti-inflammatory drugs and leave the hospital.
Even Chen Cang felt that bract skin surgery could be opened in the emergency department in the future. After all, he came and went in a hurry. He solved the battle in an hour. Just get up and go and wait for the stitches to be removed.
Therefore, the emergency department is not afraid that you have no patients, just afraid that you have no strength. Well done, the patient is afraid that you can't be busy.
Of course, tendon suture is easy to say. After all, it is an acute trauma that can be treated in the emergency, but this... Bract skin surgery can't be linked to the emergency.
After all, no patient came to the emergency department because of bract skin problems.
Thinking of this, Chen Cang can't help feeling a little regretful. After all, there is no place to use the Dragon subduing technique. He has a small feeling of depression and frustration.
After the operation, Chen Cang specially came to the newly built operating room.
Still brachial plexus anesthesia, Chen Cang called Qin Yue.
Because Chen Cang has an idea now.
He was thinking that his master level tendon suture had two special effects.
One is to reduce adhesion and the other is to accelerate recovery.
The reason why special effects are special effects is not without scientific basis, but after suturing with special surgical techniques, they get a special purpose.
In that case, Chen Cang wondered whether he could separate these special effects.
What do you mean?
Is targeted research.
What is the reason for this effect, such as reducing adhesion, and what skills and surgical methods can get this result.
This is very important!
If studied, it will promote and promote value for the whole industry.
And to do this work, you need a helper!
That is Qin Yue. She has a unique scientific research perspective and thinking. Chen Cang feels that there are many things he can't think of, and Qin Yue can think of.
If we can separate and summarize these special effects, each of them is a great paper, or even a great technique.
Tang Jinbo's Tang suture repair of flexor tendon is a good case.
He plays an important guiding role in the repair principles and methods of flexor intrathecal tendon injury, and improves the curative effect from the original excellent and good rate of 60-70% to 85%.
This zoning theory and treatment principle have a great influence in the international academic circles and are called "Tang's zoning" abroad.
Chen Cang suddenly felt that if he did a good study, could he also improve the success rate of extensor tendon repair?
Anyway, dreams always need to be there!
Qin Yue skillfully tied a tourniquet at the top 13 of his upper arm and paved a hole towel.
The damaged area is in area 1. Chen Cang has helped the patient with early debridement before the start.
Chen Cang has master tendon suture technology, which not only includes tendon suture, but also tendon debridement.
Early thorough debridement is the key to directly affect the prognosis. The removal of necrotic tissue pollution and foreign bodies is related to the next treatment. The purpose of debridement is to reduce the post-traumatic inflammatory reaction and avoid a large amount of exuded blood gathering at the wound, resulting in severe adhesion of postoperative tendons.
The principle of tendon repair is no tension, no torsion and no injury.
Chen Cang said to Qin Yue while dealing with it: "you should write down all links. I feel that tendon suture is definitely not only a suture problem, but also has a vital relationship with early debridement and later rehabilitation."
Qin Yue nodded and didn't speak. Her big eyes were thinking all the time.
The operation is progressing smoothly. Chen Cang's suture method is different from others. This is an original method. Even Qin Yue frowned slightly.
Chen Cang had few tendon sutures in the second provincial hospital. Qin Yue met him last time. After seeing it at that time, he was a little surprised. When he watched it again, it was still inevitable that there were some novelty.
Chen Cang's suture speed is very fast. He found that this speed brings obvious advantages, and this speed does not affect Chen Cang's stability.