godfather of surgery

''Mr. Liang, do you have some divine vision to recruit such a powerful character to your orthopedics department? "Director Long admires Professor Liang.

Professor Liang shook his head: "Where can I dig it? Xiao Yang is a guest star now, but it would be good to be a guest star." "

"Can you help me and come to our basic surgery department to make a guest appearance?" Director Long said enviously.

In Union Medical College, pancreatic surgery is a sub-specialty within basic surgery. Strictly speaking, Director Long is the chief director of basic surgery. Union Medical College’s basic surgery department is very, very good and unrivaled in the country.

"Don't just go to your basic surgery department, come and visit our cardiac surgery department when you have time." Director Wen was very anxious.

Such a talent can theoretically publish 13 CNS articles. It goes without saying what level he is at. Others may not know his practical surgical ability, but the two directors have seen it with their own eyes. As long as he takes the stage, no matter how difficult the operation is, , basically nothing happened to anyone else.

Professor Liang smiled and said: "It's easy for you to say that. Do you know that many hospitals are rushing to invite him to be a guest star? If every one of them goes, he will be too busy even if he has the cloning technique. 301 invites him to be a guest star. The matter has not been finalized yet, and many hospitals in Europe and the United States have invited him to make guest appearances, but he does not have time to go."

As soon as these words came out, there was no way to continue the conversation, and the three of them fell into silence.

After Director Liao led the junior doctors to thoroughly flush the surgical area, they found that there was still no bleeding in the surgical area. This hemostatic skill was a bit too solid. Which surgeon would not be envious and would not want to have such a unique hemostatic skill.

After Professor Liang, Director Long and Director Wen were silent for a while, everyone changed the topic and chatted again.

"Mr. Liang, you can't just let a talent like Professor Yang come to our place as a guest. We have to find a way to introduce him and settle in our Xiehe. Our cardiac surgery department can allocate a few beds and let him lead the team. It's no problem. What's the deputy director of the department? No problem." Director Wen couldn't help but return to this topic.

Professor Liang sighed softly and said: "I have no choice but to give him the position of director of an independent department, but he still disagrees and is only willing to make a guest appearance. He is the director of the surgical research institute at Sanbo Hospital. This institute It is equivalent to a hospital within a hospital, with extremely high independent authority. Take surgical authority as an example, he has the entire surgical authority in Sanbo."

Director Long originally wanted to say it, but the words were stuck in his mouth and he didn't know how to say it, so he changed his perspective: "After all, the Sanbo hospital platform is a bit small. If nothing else, in terms of scientific research funding alone, Sanbo cannot compare to a fraction of ours. Bar."

Professor Liang originally didn’t want to say too much, but since he has already said it, it doesn’t matter if he adds a few more words: “When it comes to scientific research funding, our entire hospital’s funding is probably a fraction of his. He has a dedicated scientific research fund. , there is a fund dedicated to him.”

When I went, everyone suddenly fell into silence again. Director Long and Director Wen had never found it so difficult to chat with Professor Liang before. They finally managed to make the conversation work, but he continued to talk to death.

Dr. Liao and his junior doctors have completed the abdominal closure. Like the cardiac surgeon, the anesthetist is also in the same predicament. It may take a long time for the patient to wake up.

There are a lot of surgeries coming up later, but we can’t delay the treat.

After the patient with pancreatic cancer regained consciousness, he was safely transferred to the ICU for postoperative monitoring. There was nothing special about the orthopedic surgery, and everyone completed it step by step.

Director Long and Director Wen discussed that although the treat would be divided into two days and each would have a separate treat, the treat would be for three departments every day: Orthopedics, Basic Surgery, and Cardiac Surgery. It was rare for everyone to get together, so if they wanted to do it, the scale would be bigger. , lively and lively.

Because there were a large number of people, we also wanted to have the specialties of the imperial capital, and the location was near Xiehe, so the final location was decided to be in nearby Dadong.

Orthopedics, basic surgery, and cardiac surgery all ended their operations at around nine o'clock in the evening. This did not affect everyone's enthusiasm at all. The doctors, graduate students, and advanced students in the three departments, except those who were on duty, all went there happily. During the banquet, several cars were packed solidly.

It is rare for the doctors of Xiehe University to relax like this. The big boss is treating them. Everyone has been empty stomach for a long time, so they are all ready for a big fight.

These big guys have good connections in the imperial capital. The store manager personally came out to greet the big guys, led everyone into the private room, and personally arranged for the food to be served.

Professor Liang accompanied Yang Ping, and then on the left and right were Director Wen and Director Long, who were elegant and somewhat bold. The others sat down casually, and everyone was enjoying themselves.

Except for not drinking, everyone can do whatever they want. It is relaxing when they come out. Everyone eats and drinks to make it lively. Of course, they drink all kinds of drinks.

During the dinner, it was inevitable that Director Long and Director Wen would take turns inviting Yang Ping to guest appearances in their departments. The two directors were so gracious that they would not have time to make official regular guest appearances, but during the guest time in the orthopedics department, it was still possible to communicate together in private.

This matter is not urgent. We will consider it in the long run. Director Long and Director Wen each have their own plans. Today is just the beginning.

Because the meal started late, everyone was still not satisfied after eating until after twelve o'clock. In fact, their stomachs were already full, but everyone still wanted to get together and continue chatting. It's not easy to go out anyway, so just enjoy it.

At this time, Dr. Lu didn't know whether he received a call or saw the news in the WeChat group, and said to Director Long: "Director, the emergency department ambulance has just pulled back a patient who fell from a height. He fell from the eighth floor and has multiple injuries all over his body." Comminuted fractures, craniocerebral injury, hemopneumothorax, abdominal visceral injuries, and two steel bars penetrated the entire body, one penetrated from the perineum and exited from the head; the other penetrated from the anus and passed through the left chest There are many specialties involved, and the injury is very complicated. All the inpatients in our department and the second line have been rushed to the hospital."

When Director Long heard this, he realized that the injury was indeed quite complicated. The injury caused by falling from a height was originally a severe multiple trauma. Now there were two steel bars running through it. Judging from the description, the paths taken by these two steel bars were quite complicated.

Union Medical College has a specialized emergency surgery department with a very high level. At that time, the emergency surgery department was established under the leadership of the Basic Surgery Department led by Director Long. Professor Xu, the director of the Emergency Surgery Department, used to be the leading doctor of the Basic Surgery Department and was a soldier under Director Long.

"Through the left chest? Does that involve the heart? We should send someone there too."

Director Wen said.

"I heard that the heart and lungs in the chest were damaged, and the liver, gallbladder, pancreas, spleen and gastrointestinal tract in the abdominal cavity were also damaged. The latest news just now is that there are not only two steel bars, but two with longer paths, and there are a few that are not as long." Dr. Lu explained to several directors.

Director Long thought for a moment. Such serious injuries were very rare even in Xiehe. He was a little worried. Since he was near the hospital, he wanted to go and have a look, so he said, "Let's go and have a look."

''I'll go over too, Xiao Chu, and ask the waiter to come over and pay the bill. "Director Wen also wants to go with him. Judging from Dr. Lu's introduction just now, there must be something about cardiac surgery. He doesn't know if his department's total hospitalization and second-tier hospital can handle it.

Professor Liang heard that he fell from a high place and suffered such complicated injuries, so he wanted to follow everyone.

Several directors are going, so all the doctors who are eating want to go with them. Everyone is full now and worried about having no work to do. If it is not possible, just watch the excitement.

In this way, Director Wen hurriedly paid the bill, and several cars carrying Xiehe doctors set off from the hotel and rushed to the emergency department.

When these dozens of people suddenly rushed toward the emergency department, the nurse on duty in the emergency department immediately turned pale. She thought that trouble was coming. When she was about to call for help, she realized that all she saw were familiar faces. , aren’t the leading eldest brothers some of the directors of our hospital?

The nurse on duty was frightened just now, but now she breathed a sigh of relief after seeing the person clearly.

Director Long said to the nurse on duty behind the nurse's desk: "Where is the patient who just received the patient who fell from a height and suffered a penetrating steel bar injury? Let's come over for consultation!"

consultation? What's going on today? Several big guys came for consultation in person and brought such a huge team with them.

"Go get some white coats!" Director Wen said to the nurse.

The intern nurse next to me was very smart and quickly went to get white coats, but the number of free white coats was obviously not enough, so she could only get a few pieces for the boss to use. Others either sent people to the department to get them, or just wore casual clothes. Just stay.

Everyone had no time to put on their white coats and rushed to the emergency room immediately. The doctor they met on the way reported that the patient had just completed a CT scan and was now on his way to the operating room.

In fact, many emergency patients nowadays are impatient, such as patients with abdominal trauma. In the past, doctors performed a diagnostic abdominal puncture. If non-coagulable blood was extracted, no other tests were needed. Based on this, they could judge whether there was organ damage in the abdominal cavity, and then dare to The patient is directly sent to the operating table for laparotomy, and it only takes half an hour from the patient to the hospital to the operation.

It’s different now. Patients with abdominal trauma must undergo a CT scan. The CT scan alone takes almost half an hour. There are also various other examinations. Why, doctors have to protect themselves.

If these examinations are not done, the patient can be saved easily, but if he is not saved, he will have to wait for the defendant to be harassed. As long as he is the defendant, if he performs surgery directly without objective evidence such as CT blood test, he will basically lose the lawsuit and pay money. Therefore, no doctor dares to rely on abdominal puncture now. Send the patient to the operating table.

Nowadays, a set of examinations are done first, and then everything is done after the examinations are completed. Even if the patient dies due to the delay in examinations, the doctor is not wrong, and everything is done in accordance with the medical procedures.

In the past, it was about saving lives, and everything else took a back seat.

Now it is about legal compliance to save lives. Legal compliance is the prerequisite. The priority should be put in advance and other things should be put on the sidelines.

Xiehe's emergency department is very large, with seven areas in total: emergency flow clinic, emergency rescue and resuscitation room, emergency observation room, emergency comprehensive ward, and emergency ICU. There are more than 150 beds in total, including more than 70 monitoring beds. Now doctors and nurses Busy as hell.

Hearing that the patient had gone to the operating room, everyone drove into the operating room in a mighty manner, almost running forward.

In this kind of multi-team collaborative rescue, the nurses in the operating room will not be overwhelmed by the sterile system.

I don’t know if today is the busiest night shift in the Union Medical College operating room. In addition to the doctors on duty, almost all doctors, graduate students and training doctors from the orthopedics, cardiac surgery, and basic surgery departments are here.

Even the nurse was surprised why so many people came today.

In addition to these people, at least one doctor from other surgeries is in place. Most of them are second-line doctors, graduate students and training doctors with total hospitalization and on-duty visits. The team is also very large.

The chief residents of each department, the directors with second-tier senior professional titles, and the graduate students and advanced students on duty all took action. They had already been in place.

This patient involved the cooperation of several departments, including neurosurgery, cardiac surgery, thoracic surgery, vascular surgery, liver surgery, basic surgery, urology surgery, and orthopedics. Almost all surgeries were involved, and Director Long’s pancreatic surgery was in the basic surgery department. A professional group, Director Long is the chief director of basic surgery.

Director Xu of the Emergency Surgery Department is now the commander of the rescue organization. The first priority of the operation is to control bleeding and save lives, and other matters can be dealt with later.

Even with Concordia, such large, complex trauma is extremely rare.

"Vascular Surgery!"

"arrive!"

"The inferior vena cava is damaged and must be repaired. We will open the abdomen together later. You must deal with the large blood vessels first."

''Understood, the blood vessels have to be cut and re-anastomized. "

"We deal with the liver, pancreas and spleen, and there are penetrations of the liver, spleen and pancreas."

"Out of my heart! Out of my chest!"

"Here we are, I've seen a CT scan. There is damage to the pericardium, and the steel bar has penetrated the pericardium and both lungs!"

"The abdominal and thoracotomy will be performed at the same time, and the chest cavity will be left to you."

"The craniotomy must be performed at the same time, no problem, neurosurgery!"

''The one who went on stage brushed his hands. "

"Let's go to the urology department later. The orthopedics department needs to stop bleeding in the pelvis, and there can't be enough room for so many people."

Union Medical College is Union Medical College. The patients in other hospitals would have disappeared long ago. In just half an hour, the preoperative preparations were completed. Director Xu was calm-minded and a general who had experienced many battles. He quickly planned the operation. These doctors had already begun to review Hands ready to go on stage.

The young doctor was disinfecting and draping the patient. Everyone was cooperating in a tacit understanding, moving quickly and racing against time.

"Director Long, why are you here?" Dr. Xu saw Director Long in the crowd.

Director Long said: "I'm here to take a look. If you need help, just let me know and the people here will help you."

In the past, Director Xu was still a soldier under Director Long. Later, when the emergency surgery department was established, Director Xu was assigned as the director of the emergency surgery department, so he had special respect for Director Long.

There are so many people in the operating room, which looks very messy, but this is only a superficial phenomenon. Everyone is very knowledgeable and does not dare to waste a second while participating in the operation. If you are not involved in the operation, you will never interfere with the rescue. Those who can help will be found immediately. Take your own position and participate in the rescue together.

"what's the situation?"

Song Yun grabbed a doctor and asked.

The doctor said: "I don't know. I heard from the doctor who came out of the emergency room that a man, naked and wrapped in a blanket, fell from the eighth floor and landed on a shed made of steel bars below. The shed was probably buffered, so he had a chance to get up." Operating table.”

The doctor explained the situation in a few words, but the amount of information was quite large.