It's not that hard to open a hospital in another world, right?

Chapter 585 A Fishbone Pricked Your Hand, Amputation? (Last day for double monthly tickets)
more than 40-year-old woman.

He has a strong figure, a rosy face, and a loud voice.

Numbness in the hand.

So, what is the numbness of the situation?Tenosynovitis?Carpal tunnel syndrome?Or cervical bone hyperplasia, caused by compression?
Gretel smiled and asked her to sit down and looked down.When the eyes fell, the pupils shrank instantly:
The entire hand was swollen like a carrot. The five fingers of the right hand were taut, shiny, and purple.The back of the palm is a large area of ​​abnormal waxy white, with a large number of blood type blisters on it, which looks shiny at first glance.

The bluish-purple edges extend from the back of the palm across the wrist, outlining an equilateral triangle.

this hand...

Gretel instinctively felt bad.He maintained a calm smile and said in a relaxed tone:

"Aunt Rita, what's wrong with your hand? When did it start to be numb? How many days? Do you have any other discomfort?"

"Hi!" The woman waved her hand nonchalantly.Gretel, who was sitting face to face with her, could see a trace of deep-hidden tension from her smile:

"I'm usually in good health! Up and down the house, inside and out, several old men and two grandchildren, who are not in my care! Just this hand, I stabbed it when I was killing fish the day before yesterday , It’s actually swollen like this today! Look, look!”

History of trauma.Gretel secretly wrote it down and asked patiently:

"How many days has this hand hurt?"

"Two days. It was a bit swollen and painful yesterday. I applied the medicine myself, and it seemed to be better." The woman talked eloquently:

"It turned out to be very painful at night. Thinking about it at night, I don't want to trouble people at this time. Besides, the temple doesn't accept clinics at night-it's okay today, it doesn't hurt much..."

Severe swelling from fingers to wrist.

Large bruises.

From severe pain to not so much pain...

This is not a good sign.Gretel would rather her hand was still hurting—it was still hurting, which meant that the inflammatory reaction was still going on and the body was still alive.He reached out and pinched the woman's fingertips:

"Does it hurt?"

"It doesn't hurt! I don't feel anything at all!"

Aunt Rita yelled louder.On the left and right of Gretel, pastors looked back at several square tables lined up for free clinics.Gretel smiled at them, took out a syringe of the smallest size, and pointed to the blood vessels on the back of the woman's hand:
"Auntie, let me take a little blood from your hand, is it okay? Your hand is a bit swollen, and it will be easier to draw some blood to figure out what's going on. If possible, put your palm here flat, don't Move. Don't worry, it won't hurt very much."

"Hey, you little guy. If you smoke casually, can aunt be afraid of pain?"

The woman answered very frankly.Gretel forced a smile at her, took her fingertips, and gently inserted the needle into the vein on the dorsal palm of her hand.Penetration, withdrawal, needle point—

No blood!

Gretel's scalp exploded.The lack of blood in the dorsal palmar vein means that the underlying tissue is about to die, or even has begun to die.Can these fingers, or even this palm, be saved?
He got up immediately.He took the woman's hand, gently but firmly invited her to the operating room:
"Auntie, your hand is a little troublesome. You have to go inside to see. Come with me—by the way, are your family around? It's better to ask them to come here, and it would be better if your husband came..."

"My old man? He should be patrolling the city today. Shall I call him over?"

"Don't! I'll have someone call me!"

The woman followed him in a daze.While pulling people in, Gretel recruited a certain apprentice pastor who was closest, with a hasty voice:

"Please come here, teacher! Please come here, my lord bishop! Please invite her family members to come here! Hurry up!"

Said that the person has been settled into the operating room. [Delay Pain] Throw it away, tie the tourniquet, and discharge a row of instruments beside the operating table.The silver light was shining and the air was cold, and the woman was a little nervous immediately:
"Little...Master Nordmark, what's wrong? What's wrong with my hand?"

"Aunt Rita, please take it easy." Gretel tried to persuade her softly.When I touched her forehead with my palm, the temperature was quite high, as expected.Without even thinking about it, Gretel pulled out a thermometer:

"Hold it in your mouth and press it under your tongue. Yes, that's it. Hold it with your lips and don't bite it with your teeth. Hey, someone, help me watch her. After 5 minutes, take it out to read the reading, and I will brush my hands -"

Reported after 5 minutes, the patient's body temperature was as high as 39.2 degrees, and the infection was obvious.Gretel hurried back to start the operation:
The skin on the back of the palm was cut open, and a familiar stench came out.Gretel sniffed, and immediately had an ominous premonition:
Oops!This taste, don't run into old friends!
The skin flap was pulled open, and a large amount of necrotic fat was seen in the lower part; further down, a large amount of dishwashing water-like pus appeared on the superficial fascia plane of the necrotic tissue; the aponeurosis was cut, and the dorsal palmar artery was slightly touched, and there was almost no elasticity.

Gretel panicked more and more.He cut open the dorsal palmar artery, and there was a black congestion, accompanied by a small amount of blood flowing slowly.Even the arteries are almost blocked...

It looks like necrotizing fasciitis.This disease has an acute onset and rapid onset.Moreover, the patient was delayed for three days!
Don't have diabetes, don't have diabetes, don't have diabetes...

Gretel prayed repeatedly in his heart.He took a small tube of blood from the woman's radial vein and let the little snake taste it.The little snake jumped in, and after a while, raised its head and returned:

"So sweet! This blood is so sweet!"

It's over, I really have diabetes and necrotizing fasciitis.Gretel's eyes darkened:
The combination of diabetes and necrotizing fasciitis is particularly prone to attack, difficult to heal, and easy to recur.Diabetic foot has always been one of the difficulties in surgical wound repair.

What's more, the structure of the hand is dense and complex, and it is more difficult to preserve the function than the foot...

Can this hand be saved?

Just as he was thinking, when the door of the operating room opened, Elder Erwin and the bald bishop came together.The eyes of the two fell on that hand at the same time, they were slightly startled, and looked at each other:
"This hand..."

"This hand, the breath of life is almost gone!"

The bald bishop spoke quickly and had already roared out.The woman was shocked:
"what?!"

"This hand may have to be amputated." Gretel interrupted with a sullen face:
"Master Bishop, please go and explain to Aunt Rita's husband. I will try my best to keep this hand, but if I can't, I will have to amputate it for the sake of my life. Of course, the premise is that they agree—"

"What? Want...to cut off this hand?" The woman's face suddenly turned pale.The right hand retracted subconsciously, and the left hand covered it, as if to protect the palm that was about to be lost:

"Little Gretel—"

"Hands down!"

Gretel yelled out faster than she could.With a finger, two vines flew out, tightly binding her left arm to her side:

"Aunt Rita, I know it's painful and inconvenient to lose a hand, and I'll try to keep it—but if you can't get it back, you'll die with a dead hand attached to you!"

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ps: The fever has not subsided today... 37.3 degrees low fever... The day after tomorrow, January 1, the whole day (9 hours) will be uploaded, and I will work hard to collect the manuscripts, and the rewards and changes owed to everyone will be returned at that time...

　Thanks to @香食 for the 500 starting coins

　　ps: Necrotizing fasciitis is really, very dangerous, especially diabetes combined with necrotizing fasciitis...

　　Don't take it seriously just because you have a small cut on your hand, foot or other parts. If you feel something is wrong, you must seek medical attention in time. According to the information I found, the fatality rate is as high as 20.8%, and 29.2% of patients have amputated...

　　
　
(End of this chapter)