medical simulator
Chapter 154 The Unexplainable Evil Account
Chapter 154 Unexplainable Evil Account (Please Subscribe)
Isn't it nonsense to ask them to take care of Zhou Cheng?
I'm afraid Cai Dongfan thinks we are old, so it's easy to talk about it.
The two smiled, nodded and responded: "Director Cai just confesses, it's easy to talk about, and I will have to trouble Director Cai to move around more in the future."
Mi Huan thought to himself, although Cai Dongfan is younger than him.In the past, he was quiet in the circle, but outsiders know that Cai Dongfan has a wide social circle. He is said to drink very well, and the wine quality is not very good, but he can drink with wine and has many friends.
But now it seems that this Cai Dongfan is not only the bastard he heard on the surface, he will definitely be someone who can stir up troubles in Shashi in the future.If you can make friends with it, you may have the upper hand in the future.
Mi Huan was thinking.
Tan Yuanwu, who was not fully anesthetized, suddenly interrupted and said, "Director Cai, can you and Dr. Zhou work hard to see how my nephew is doing? Just take a look at it?"
Qin Yuanwu's words immediately changed the expressions of Mi Huan, Chen Kelong and others.
Mi Huan immediately said, "Tan Yuanwu, it's time for dinner, Director Cai and Doctor Zhou are both hungry, what nonsense are you talking about?"
Cai Dongfan came here because of you, Tan Yuanwu, not to starve and suffer from cold. Can you be reasonable and humane?
Chen Kelong also hurriedly interrupted: "Director Cai, Dr. Zhou, you must be starving, right? It's almost six o'clock, let's go eat quickly!"
The operation has been going on for more than three hours.
During this period, Zhou Cheng almost kept performing the surgery without resting for a moment, and the replantation of severed limbs and severed fingers was not a minor operation of debridement and suture.
Although the speed is fast, the steps are actually done in place.
I was exhausted long ago, and Zhou Cheng was required to do other operations. Wouldn't it mean that people are not treated as human beings, but just used as machines?
Cai Dongfan's expression darkened a little, but he asked jokingly, "Tan Yuanwu, tell me the truth, is this child your illegitimate child? That's why you care so much about him?"
Tan Yuanwu immediately replied with an oath: "Director Cai, don't talk nonsense! This is not a matter of human relations?!"
Then the tone became a little more formal: "It's just, Director Cai, I think it's my brother who did this, and it has nothing to do with the younger generation. And it's a good thing that the injured person is me and not someone else. So?"
When Cai Dongfan heard what Tan Yuanwu was still explaining, he sighed and said, "Tan Yuanwu, today, I won't tell you much. I'll just tell you directly."
"I came here just to look at your face. I don't know who your brother and nephew are at all."
"I don't know how they usually behave, but I just hold back my anger."
"After all, you were the one who spoke before. I went and read it."
"People don't die, but it's hard to keep their legs."
"Now you let Xiao Zhou watch it again, I can take him there, just?" Cai Dongfan didn't say the rest.
Then said:
"I'll take someone to see it."
"Xiao Zhou, come with me."
After speaking, he called out to Zhou Cheng, and walked out of the operating room.
"Director Cai, Director Cai, don't be angry. Yuanwu him." Seeing Cai Dongfan's back, Mi Huan immediately stepped forward and pulled Cai Dongfan, but he didn't pull Cai Dongfan.
Zhou Cheng followed behind Cai Dongfan without saying a word, letting Cai Dongfan decide.
Mi Huan then walked back to the operating room and said to Tan Yuanwu, "Yuan Wu, why are you doing this?"
"Director Cai has no medical relationship with your nephew. He came here because of your favor. He was only on good terms with you. Although your elder brother didn't do it on purpose, what he did was called human affairs?"
"Have you thought about it, if Director Cai arrives early, then he is the one lying on the operating table now!"
"You still ask him to go again and again at this time, isn't it difficult for others?"
"Do you have to waste this last bit of favor here?"
Tan Yuanwu pondered for a moment, and then sighed: "Director Mi, no matter who is right or wrong about this matter, this is the result now, and I can't go back to the clinic anymore. I will go to the auxiliary department at most in the future."
"After leaving the department, you are no longer in the same circle. Where is there any human friendship?"
"I don't look at my brother's face, I also want to look at my mother who is still alive, and I can't let my nephew have a chance to save his limb. Even if it is just a glimmer of hope."
Speaking of this, Tan Yuanwu's voice was exhausted: "When friendship is exhausted, it will gradually fade away if it is not used."
"Director Cai's departure may have nothing to do with him from now on, but in this way, I have a clear conscience."
"I've tried my best. From then on, no matter how I get along with you, I don't have to bear anything anymore."
"I had good grades back then, but my family was very poor. My brother dropped out of school and asked me to go to school. This debt is very tiring..." Tan Yuanwu said calmly, with a feeling of suddenness.
When Mi Huan heard what Tan Yuanwu said, he stopped talking.
Don't persuade others to be kind without suffering from others, don't say that people are absurd without other family affairs.
Qin Yuanwu is not a fool.
Chen Kelong patted Tan Yuanwu on the shoulder and said, "Take a good rest and don't think too much. Your operation today is very good."
"It may not be time to return to the clinic. Don't be discouraged, the brothers in the department will be waiting for you."
"There is still your place in the department."
Tan Yuanwu has been with Chen Kelong for more than ten years, conscientious and diligent, not to mention how superb the surgical technique is, but he is reliable in his work.
Chen Kelong couldn't do the bottom line thing. He was willing to leave a place for Tan Yuanwu in the department, or as an outpatient.
"Thank you, Director Chen."
Chen Kelong didn't take Tan Yuanwu's thanks, but followed Mi Huan to the operating room where Cai Dongfan went.
When Cai Dongfan and Zhou Cheng arrived at the operating room, they saw that the people in the Second Department of Orthopedics had already amputated their limbs, and they had cut off all the bone segments of the right lower limb, and they were now doing muscle storage.
On the other side, a general surgery doctor was laboriously performing angiotomy and thrombectomy, but it was obvious that he was sweating profusely.
Zhou Cheng actually felt that his stomach was a little empty at the moment, but seeing this scene, he suppressed his hunger and asked Cai Dongfan, "Teacher Cai, what's going on here?"
Cai Dongfan said: "The preoperative examination showed atrial fibrillation and multiple arterial embolisms. When I came back, the most serious one was left renal artery thrombosis."
"Fortunately, there were no blood clots in the coronary arteries and lungs, nor did they enter the brain vessels. Otherwise, there would be no way for people to be saved."
"Director Yang, has the thrombus in the left renal artery been removed?" After Cai Dongfan explained to Zhou Cheng, he asked the director of general surgery, Yang Min.
The vascular surgery department in a hospital in Shaxian County is classified as general surgery department.
Although Yang Min is only the director of general surgery, he actually does everything from gastrointestinal surgery, hepatobiliary surgery, and vascular surgery. His business volume seems to be extensive, but he is not particularly proficient in any of them.
Yang Min's head was covered with sweat at the moment, he turned his head and said to the people around him, "Wipe off the sweat for me."
The assistant quickly leaned over and leaned towards Yang Min with his shoulder.
After Yang Min rubbed his forehead left and right on the assistant's back, he turned around and said to Cai Dongfan: "Director Cai, the thrombus from the left renal artery was removed, and the thrombus from the right femoral artery was also removed, but the downstream blood vessels Still not clear. Can only be amputated."
"Whether the left lower limb can be preserved or not is uncertain. We are trying our best to protect it."
As Yang Min said, she moved back the stool slightly, then twisted her neck, and let out a long sigh.
Today's operation took a lot of his physical strength and energy, and he is still supporting it for the sake of his colleague Tan Yuanwu.
This kind of thrombus caused by atrial fibrillation produced a lot of emboli, and CTA was performed before the operation.
Zhou Cheng walked to the viewer and saw it.
Sure enough, there were thrombi in the left renal artery, the double femoral artery, the internal pudendal artery branched from the femoral artery, and the superior pudendal artery branched from the internal iliac artery.
The distant part of the femoral artery cannot be visualized.
This surgery is not easy.
Yang Min has taken out the thrombus in the left renal artery and superior pudendal artery.But the thrombus in the internal pudendal artery has not been exhausted yet.
The superior pudendal artery and the internal artery supply blood to the little brother. If this thing is not cleared, the consequences will not be too good, but in order to save life, we can only wrong the little brother for the time being.
Cai Dongfan nodded, took a few steps back, went to Zhou Cheng, and asked Zhou Cheng: "In this situation, do you think it is possible to save your limbs?"
Zhou Cheng asked: "How many hours has it been since the injury?"
If the embolism time of both lower limbs exceeds six hours, it is time to amputate or amputate, don’t struggle anymore, otherwise, once the soft tissue is necrotic and the lysate and metabolite return to the blood circulation along the vein, the person will be paralyzed.
This is reperfusion injury.
"A little more than four hours." The elder brothers of the orthopedics department who had completed the debridement and amputation on the opposite side were more precise in controlling the time.
"Then you can try it. If the speed is fast, it is still possible. It is the moment when the blood vessels recanalize. It may take a lot of work for the anesthesiologist." Zhou Cheng said objectively.
Reperfusion injury is no joke, it is fatal.
But whether this level can be overcome depends entirely on the strength of the anesthesiologist.
At this moment, the doctor in charge of anesthesia frowned and said, "Reperfusion after five hours of embolization, you are giving me a problem."
"But before dredging the blood vessels, tell me first, you can take a risk and try it." The anesthesiologist smiled and said under pressure.
"Wash your hands and go on stage." After Cai Dongfan said something to Zhou Cheng, he whispered in Yang Min's ear for a while.
When Yang Min heard this, she turned her head and asked, "Director Cai, did you say that Xiao Zhou had rescued such patients in your hospital before?"
"Yes! Anyway, the worst result is amputation." Cai Dongfan explained.
"Director Yang, if you don't take a break and just stand aside, it will be treated as Xiao Zhou's care. It's also a good turnaround."
Zhou Cheng, a young guy, was exhausted after three hours of high-intensity surgery. At Yang Min's age, the continuous surgery lasted longer than Zhou Cheng's, so he must be exhausted.
Yang Min also nodded. It would be great if someone could take over for him at this time.
It's just that these young people in his department are too weak to reassure him.
This Zhou Cheng?
But he can only be a dead horse as a living horse doctor, he can't remove the embolism in his left lower limb now.
……
The child was injured because of a fight, and the debridement has been done, but I don't know why there is atrial fibrillation, which leads to multiple embolisms.
Moreover, after trauma, the blood will be hypercoagulable due to stress.
Zhou Cheng quickly washed his hands and went to the stage, Yang Min stepped off the stage, but Bu Hao, who was in his group, stayed on the operating table to help Zhou Cheng.
After Yang Min stepped off the stage, she found a nearby stool and sat down, not far away from the stage.
His back was completely drenched with sweat, and a large area was wet.
The wind from the central air conditioner was blowing down, it was a little cold, but it also made him a little more awake.
As soon as Zhou Cheng put on his clothes and gloves, he immediately went to Yang Min's place to check the progress of the operation.
The shape of the femoral artery has been exposed, and the embolus of the femoral artery has been removed, and what is being done now is the embolization of the deep femoral artery.However, Yang Min's exposure of the deep femoral artery is a little problematic at this moment.
Zhou Cheng took the hooks from several assistants and made changes one by one.
Using the S retractor to change a few directions, immediately, it seems that the surgical field has been expanded.
Seeing this, Yang Min's eyes lit up immediately, and he sighed from the side: "It turns out that when the deep femoral artery is exposed, it is better to be in these positions."
"Director Cai, you just told me that Xiao Zhou can perform thrombectomy. I was a little skeptical, but now, I believe it."
Being able to know how to expose the deep femoral artery so clearly proves that he really understands the anatomy of the deep femoral artery and knows the anatomical approach to expose it, not joking.
Cai Dongfan just laughed along and didn't reply.
He also only heard that Zhou Cheng had undergone limb salvage surgery, but he didn't witness it with his own eyes, so he was still a little uneasy.
However, Zhou Cheng's control of the surgical field is really in place, the same incision, but Zhou Cheng achieved different exposures.
In surgery, the wider the exposure and the larger the surgical field, the easier the operation will be.
Then Zhou Cheng held two vascular forceps in both hands, and without knowing how, he bluntly opened the intermuscular tissue, and then Zhou Cheng quickly pulled out the branch of the femoral artery, because the femoral artery had already been tied off the proximal end.
Therefore, Zhou Cheng was not worried about bleeding.
Moreover, the deep femoral artery was pulled out, as gracefully as pulling out a bird.
Yang Min and others have not yet had time to react.
Zhou Cheng directly opened the deep femoral artery with a sharp knife.
Seeing this speed, Bu Hao, who was directly opposite Zhou Cheng, was shocked!
If it was him, he would definitely not dare to expose the artery so quickly. There are also femoral vein and femoral nerve near the deep femoral artery.Is it because Zhou Cheng is an orthopedic specialist and is very familiar with the anatomy here, so he dares to be so bold?
If he hadn't seen Zhou Cheng first expand his view of the deep femoral artery, and then watched it take out the deep femoral artery with his own hands, he would probably have cursed.
but?
Now Bu Hao knows that he is a younger brother in front of Zhou Cheng, and he is also the same as Tan Yun's younger brother - he probably won't be able to get an erection.
Qin Yun is the name of the patient and the son of Tan Yuanwen.
After Zhou Cheng clamped the proximal end of the blood vessel with a blood vessel clip, Zhou Cheng didn't cut off the deep femoral artery directly, but cut half of it, and then extended the catheter in——
Zhou Cheng was very surprised when he saw the catheter.
This Sha County No. [-] Hospital is very interesting, or this Yang Min, very interesting, it has an arterial embolism catheter in the operating room that is not available in eight hospitals!
Although this thing is not high-tech, it is many times more convenient than using conventional equipment to remove the thrombus.
Catheter thrombectomy is an instrumental supplement to incision thrombectomy, which makes the operation easier.
The tip of the catheter was only inserted for less than ten seconds before it was rotated slightly. Zhou Cheng used the balloon catheter to inflate, and then pulled back to take out the first thrombus strip!
The thrombus strip has hardened slightly at this moment, like a small eel...
The speed at which the eels were pulled out was simply terrifying.
Bu Hao, who was at the opposite door from Zhou Cheng, had his hands stiff, and he tightly squeezed the S hook, his palms were full of sweat.
There is a hypothesis in my heart, if the thrombectomy is performed from the beginning with this speed and precision, I am afraid that this kid's two legs may be saved.
Then he looked at the leg that had been chopped off at the opposite door.
Complicated thoughts——
This is a living example and a gap that has to be admitted.
Yang Min's old face was flushed at the moment, and when he looked at Cai Dongfan who had a serious face, he immediately put away his contempt, and never wanted to talk about giving Cai Dongfan face.
However, Yang Min, Bu Hao and other vascular surgeons have different ideas.
After Zhou Cheng took a closer look and took out the first thrombus, he frowned slightly!
Then he asked: "Director Yang, does this look like a new embolism in the deep femoral artery?"
If new emboli continue to be produced, then the previous CTA will be in vain, and there is no need to talk about leg protection.
When Zhou Cheng asked this question, Bu Hao's thinking was a little bit crooked, thinking that he was just a little younger.
It's not your little one.
This is the nasty joke thinking of the fixed operating room. He must have said it on weekdays, but he didn't dare to say it today.
Looking at it, I feel that the diameter is a bit wrong. The embolus of the deep femoral artery is not only so small?
"The color doesn't look quite the same either. It looks like an embolus in the medial and lateral circumflex femoral artery. The deep femoral artery is not so small." Zhou Cheng looked at it for a while and said to himself.
Yang Min: "..."
The medial circumflex femoral artery is a branch of the deep femoral artery, and the lumen of the vessel is thinner. Zhou Cheng said it so naturally, don’t you think there is something wrong with your attitude and tone?
But he didn't dare to curse, he just cheered up and said, "It's really incredible that Dr. Zhou can remove the embolism in the branch of the deep femoral artery."
"Dr. Zhou did a lot of thrombus removal before, right?" he said sideways, wondering if he could let Zhou Cheng come to the county hospital more often in the future.
"The first time I used a catheter, I used a sharp knife before. The sharp knife can't get to this position, so I'm not familiar with it." Zhou Cheng replied naturally, and then quickly removed the thrombus in the lateral circumflex femoral artery. 'Cut' it out.
Really pull blood.
Hey.
Yang Min immediately rolled his eyes, Zhou Cheng's words almost sent him away on the spot.
Co-author, buddy, are you planning to cut open the thrombus of the medial and lateral circumflex femoral artery with a sharp knife?
Then why don't you do a sharp knife incision and thrombectomy of the capillary arterial network?
Thrombectomy is generally limited to large arteries.
The medial femoral circumflex artery is a branch of the deep femoral artery. The deep femoral artery originates from the femoral artery. The femoral artery originates from the external iliac artery. The external iliac artery originates from the common iliac artery. Above the common iliac artery is the abdominal aorta!
Aorta, common iliac artery, external iliac artery, femoral artery, deep femoral artery, medial circumflex femoral artery.
These are the sixth-level branch arteries...
Yang Min wanted to hit someone, and he also wanted to be such a young man who liked to act aggressively, but he didn't dare to hit, and only watched seriously.
Zhou Cheng took out the thrombus again, but judging from the appearance of the embolus, Zhou Cheng should have just clamped the embolus from the middle when he took it out, and it was not a complete embolus.
So may have to do it all over again.
"Damn it, it was actually cut off." So Zhou Cheng's expression was a little dissatisfied.
Yang Min and Bu Hao heard Zhou Cheng's tone of dissatisfaction, so they lowered their heads.
What is this person saying?
Don't you fucking feel so frustrated?
What you are taking now is the embolus of the medial circumflex femoral artery. Do you know how biased it is?
I don't know if others can plug the catheter in, but you almost got through it.
You talk like that?
"Thank you, Xiao Zhou." Cai Dongfan stood on tiptoe in line with Zhou Cheng's tone.
After all, when people speak, they need to respond.
And Zhou Cheng must be very hungry at the moment, and he came here mainly to give him Cai Dongfan's favor. He was hungry and had an extra operation, and he didn't know when he would be able to step down.
But if Zhou Cheng can continue to do it, he still has to continue to finish Tan Yuanwu's work.
Cai Dongfan's calm tone and unhurried movements,
Bu Hao, who was on the opposite side, was so stimulated that his eyeballs rolled around five times before stopping.
I'm sorry, do your Shashi No. [-] Hospitals usually talk so casually?
This kind of arterial embolus can be removed, how hard is it for you?
Finding thrombus from tiny arteries and finding thrombus from the trunk of the artery are completely two concepts.
Bu Hao interjected and asked, "Director Cai, this little Zhou doctor, is he really an orthopedic doctor? Isn't he a doctor from our vascular surgery department?"
Bu Hao asked this question mainly because he wanted to find out whether it was a fact. Zhou Cheng possessed such an excellent technique of vascular thrombectomy, but he turned out to be an orthopedic surgeon. Why bother?
Shouldn't he be a rising star in vascular surgery?
Zhou Cheng was still concentrating on finding the thrombus in the medial circumflex femoral artery, and did not reply.
Cai Dongfan nodded and said, "Xiao Zhou is not bad, and arteriotomy and thrombectomy is also within the scope of our orthopedic department. It is not limited to vascular surgery."
At this moment, Zhou Cheng just pulled out the remaining embolism in the medial circumflex femoral artery, and said, "Yes, arteriotomy and thrombectomy is only a Class II operation in our department of orthopedics."
"Who said that?"
"Director Cai, the operation that Dr. Xiao Zhou is performing now is not an ordinary operation. It is so beautiful." Yang Min immediately exclaimed.
He felt that if he didn't speak, he wouldn't be able to talk today.
If Cai Dongfan and Zhou Cheng had been chatting like this all the time, he felt that he would have to think about this beauty again.
Otherwise, fear of breaking the law!
Therefore, he had to quickly give Zhou Cheng a thumbs up, for fear that Bu Hao and others would be pissed to death by Cai Dongfan, a master of Fanxue.
"Director Yang made you laugh at the level II surgery disclosed in the Huaguo Health and Health Commission's Surgical Grading Suggestion Table." Zhou Cheng really replied.
very official.
Very formal.
For good reason.
You can't refute the reason in China.
"Uh!~" Yang Min and Bu Hao's tone froze.
Yang Min stretched his neck, swallowing the breath in his heart, while Bu Hao glanced a few times on the operating table, his eyes fixed on the big knives, sharp knives, and electric knives in the curved pans of the orthopedic brothers.
Thoughts.
But, just when Bu Hao was in a daze.
Zhou Cheng let out another long sigh of relief: "It's been taken out, the embolus in the internal pudendal artery should not be bad."
Zhou Cheng had heard from Yang Min before that the embolus in the superior pudendal artery was removed, but the embolus in the medial artery was not removed.
There is an old saying in Huaguo.
Women are like clothes and brothers are like siblings.
For the sake of brothers, you don't need clothes, but women have to.
You don't have to have siblings, but you have to have little brothers, otherwise the woman doesn't belong to you anymore.
After hearing Zhou Cheng's words, Yang Min yelled directly to the patrolling nurse, "Tourist, take a look at the blood supply."
Xun Xun immediately pricked the wrapped wrinkled skin with a needle, and after a while, he shouted happily: "It's bleeding, it's bleeding. Now there's blood."
The voice was excited, as if to avenge the man who was poked and bleeding.
And it must have been poked more than once.
……
However, Zhou Cheng did not wait, but continued to take the thrombus along the femoral artery towards the far end of the body.
Of course, this time the thrombectomy, because of the participation of the catheter, naturally it is not like the last embolectomy. It is probed bit by bit by hand. With the catheter, the catheter is another part of the thrombectomy. An artifact, Zhou Cheng's thrombus incision and thrombectomy is perfect...
Without this thing, it can be said that at most it can only be proficient or proficient.
So, the operation was quickly carried out step by step again.
Both Bu Hao and Yang Min were fascinated.
It didn't take long, and even the orthopedic surgeon at the Shaxian First Hospital on the other side of the amputation hadn't completely stepped down, and placed a subcutaneous drainage strip there.
After the amputation, the stump will definitely bleed, and the drainage strip is placed because the subcutaneous hematoma is too large, which will cause severe postoperative pain.
It's just that when their amputation was completed, they saw Zhou Cheng's side——
Limb salvage is complete.
That's called a big head, and the expressions of each of them are very exciting!
The complexity in the eyes seems to be able to write a book.
Not really.
We did the finishing touches on the amputation, and the person opposite me finished the limb salvage.
Do you mean coincidence?
This is strength, this is ability, this is a living comparison, and it is also a comparison of the same body and different limbs at the same time.
One can protect and the other can intercept.
One dares to protect, the other dares to intercept.
After wrapping the stump of the affected limb in a hurry, he got off the stage in despair, and when he reached the door of the operating room, he still felt extremely painful...
"Director Xing, what is the origin of this elder brother? He is not very old, but he does things well?"
"Our side is amputated, but his leg is kept. Isn't this just to slap the face?" A doctor muttered, feeling uncomfortable, as if he had just spent a century in the operating room.
His face turned red.
Director Xing said: "Don't talk nonsense. The person was called by Tan Yuanwu. If he doesn't come, you have both legs amputated. You have saved face. What's the use?"
After finishing speaking, Director Xing sighed with emotion: "Tan Yuanwen's stupid thing is purely for harming others and himself."
"If Director Cai and Dr. Zhou had come to the operating room here earlier, maybe Tan Yun would not have had to amputate."
"Heaven can do evil, but if you do evil yourself, you can't live."
"That's a good sentence"
Another doctor asked: "Then how do we talk to Qin Yun's family now?"
"To be honest, one leg was saved, but one was also amputated! How else can I say it?"
When Xing and Zhou walked to the door of the operating room, they found that Mi Huan and Chen Kelong were at the door of the operating room, explaining something to Qin Yun's mother, sister, and his grandmother.
Except for the three of them, Tan Yuanwu's family is no longer at the door of the operating room.
Naturally, Mi Huan and Chen Kelong didn't know much about the situation in the operating room, so they were dragged by Qin Yun's mother, and they could only vaguely explain that their legs were not in good condition and they had tried their best, so they might have to amputate.
Talked in the worst direction.
But Tan Yun's mother held on to Mi Huan tightly and said, "Director Mi, Director Chen, you two can't stop treating the doctors in your hospital just because my bastard father killed them?"
"His father was blinded by lard, and has nothing to do with Qin Yun."
"Director Mi, Director Chen, please do me a favor, you must save my son's leg." She almost knelt down, her tone full of fear.
Mi Huan sighed with emotion, the corners of his mouth twitched for a while, and said, "Sister, it's not because of us for revenge or something, you have to think about it, why Tan Yuanwu in our department was injured."
"Isn't it just to explain the actual situation to you, and Qin Yun's father is unwilling to accept this result?"
"We are all just doctors. When we enter the hospital, we are all patients. We will not take sides because of what he has done. Just like Tan Yuanwu, he didn't give up his heart because the other party beat his nephew, but instead devoted himself to treating him. .”
"At present, the patient has returned to the department and is in good condition."
Speaking of this, Mi Huan said again: "By analogy, we will definitely not slow down or fail to do our best because Qin Yun's father hurt the staff of our department, but if it is beyond our ability Unexpected things, you have to be considerate."
Mi Huan patiently explained that the main reason was that he was afraid of Tan Yun's family, that is, Tan Yuanwen. Who knows if he would go crazy and kill people again?
Although he ran away now, he didn't know if he was caught or not, but Tan Yuanwu hadn't reported the crime yet, but the hospital called the police.
So, when he said this, he looked around carefully.
While Mi Huan was talking, Xing Zhou came out. The slightly fat man did not report to Chen Kelong and Mi Huan after he walked out, but explained to Qin Yun's mother: "We tried our best, but we can only keep Lost one leg. The other must be amputated."
"Fortunately, it's not life-threatening now. It is estimated that he will be transferred to the ICU in the future. If he recovers normally, he will wake up soon."
Hearing that only one leg was saved, Tan Yun's mother was so frightened that her body went limp and collapsed.
Weeping and shouting: "Yun'er, Yun'er. Son, son, son..."
Weeping and crying, looking very pitiful.
However, after Tan Min supported her mother, she still bit her lips and asked, "Did Director Cai go to treat my uncle's hand? After treating my uncle's hand, he went to perform surgery on my brother?"
She is in the hospital herself, so she probably knows the tricks in it.
Xing Zhou was a little embarrassed when he heard this, but Mi Huan immediately replied to Qin Min's words.
"Director Cai rushed to your brother's place to check the situation immediately. The consultation form sent by Qin Yuanwu was invited by Director Cai Dongfan, and Director Cai Dongfan did not contribute much."
"In the end, one leg was saved, and it was Dr. Zhou Cheng brought by Director Cai Dongfan. After finishing your uncle's operation, he had to save it for free."
"However, our hospital has never issued any consultation form to Dr. Zhou. You have to be clear about this. In terms of procedure, our hospital is right."
Mi Huan knew that Tan Min was a nurse, so he knew a little bit, but it was troublesome to know a little bit, and it was the hardest thing to find fault with.
So you have to explain it to her.
Qin Min tightly closed her eyes.
But her mother stopped doing it: "The doctor we invited, why didn't we operate on my son first? What are you doing?"
"I'm going to sue you."
"I'm going to sue you. I know that your hospital is playing tricks and deliberately not saving my son."
"Are you still worthy of being a doctor?" She pointed at Mi Huan's face and cursed.
Mi Huan didn't move his body, his face didn't move. After Tan Yun's mother scolded her for a while, he said, "Sister, I want to explain to you because you are Tan Yuanwu's sister-in-law."
"Our hospital invited Director Cai Dongfan from the No. [-] Hospital to consult and operate, but Director Cai is willing to come or not, that is his choice!"
"He refused the surgery on your son and didn't sign the surgery consultation form. He came here just to perform surgery on Tan Yuanwu."
"After the operation, it was Tan Yuanwu who begged Director Cai before agreeing to visit Tan Yun. You have to figure out the procedure."
"Experts from the outer courtyard are not just invited if you want to."
Tan Min's mother immediately questioned: "Why doesn't he want to come? Why doesn't he come? You must be behind the scenes. What did you say?"
"You guys are just that!"
When she wanted to say more, Tan Min grabbed her tightly and said in a low voice: "Mom, stop scolding, it's useless, things are already like this."
"My brother will be hospitalized and recover later. It's not good to have a falling out now."
"Think about it, if Dad didn't make trouble before, how could it be so now?"
"What are you going to do?" Qin Min glanced at Mi Huan, Chen Kelong and the others, and then his eyes narrowed a little, as if he had hidden a lot of words and didn't say them out.
This look made Mi Huan and Chen Kelong feel a little apprehensive.
But in the end he still bite the bullet and said: "That's the fact. Director Cai didn't sign your son's consultation and surgery order. If you think he saved an extra leg with an extra shot, it's an extra problem."
"Actually, amputation is still too late."
Mi Huan's words were very inhumane, but these words scared Tan Min and the woman.
It was so hard to save one leg, how could she give up like this, she immediately sat down on the ground limply, completely lost her spirit, her eyes were dull, her expression was bitter, but she didn't say a word.
The husband beheaded someone, and now I don't know what's going on.
Son amputated.
The man who beat his son had an excellent operation, and it was performed by his own brother himself!
No matter what he thinks, it doesn't taste right.
Why didn't Tan Yuanwu perform the operation on Tan Yun himself?
Why do you have to devote yourself wholeheartedly to curing the other party?
After Mi Huan, Chen Kelong and others left, Tan Min helped her mother and went to the gate of the ICU.
At this time, Tan Min's mother asked Tan Min: "Minmin, you have to remember that at critical times, no relatives or brothers can be relied on. Only yourself is the most reliable."
Tan Min took care of her mother's hair, and said in a low voice, "Mom, when my uncle was transferred to another hospital, he said something to me."
"I think it makes sense."
"My brother was fighting each other. The specific circumstances depend on the different results. If the other party has no disabilities, at most they will pay some money. If there are any incurable sequelae, they may have to go in!"
"That's what ruins a lifetime."
"He doesn't give my elder brother an operating room. The doctor doesn't treat himself, and he doesn't treat his close relatives. And uncle, he can't do anything about my elder brother's illness, so he invites consultations from various places. He has tried his best."
The woman turned her head and looked at Tan Min in astonishment.
"Then why didn't he say it earlier?" Her mother burst into tears.
"You want dad to listen to uncle." Tan Minmin said, her dad has the same temper as her elder brother, impatient, and can't wait at all.
"How stubborn is he?" The two mother and daughter cried while hugging each other.
But at the gate of the ICU, it wasn't just the two of them who were crying, there were others who were also crying, and there was someone who cried more sadly than them, and quickly suppressed the voices of the two of them...
By the time Zhou Cheng could step down, it was already ten past eight.
True chest to back.
While others were still finishing stitching on the stage.
When he got off the stage and took off his clothes, Zhou Chengcheng rushed to the anesthesiologist and said, "Teacher anesthesiologist, open a bottle of glucose for me. I can't bear it anymore. I'll give you the money later."
Hearing Zhou Cheng's words, the anesthesiologist was startled, looked at Zhou Cheng, and immediately prescribed Zhou Cheng a bottle of [-] sugar water without any medicine.
Zhou Cheng took it and rushed directly into the back corridor of the operating room.
While running, he took off a glove, and then pushed open the door. The hand wearing the blood-stained glove was holding the glucose, while the right hand took off the glove, closed the door back, and gulped it down.
The feeling of fainting seems to have eased a little bit.
With his back against the back door of the operating room, he stood for a while, then sipped small mouthfuls and continued feeding it into his stomach, then squatted down slowly, and finally sat down on the ground.
This movement made the anesthetist a little confused.
He muttered: "Is it too tired to exaggerate?"
Cai Dongfan took a look at him, then stood guard at the door, watching Zhou Cheng inside like a lonely drinker.
"Two amputated palms, three amputated fingers, and one limb salvage, other people's mature teams may not be able to do it in more than 20 hours."
"Time can be saved, but the steps must not be missed."
"The money for glucose, I will transfer it to Mi Huan of the orthopedics department later. I won't let you pay it." Cai Dongfan was not in a good mood, his tone was very cold, and he seemed very angry.
Yang Min and others in the operating room immediately persuaded him.
During the festival, I need to reunite with my family for a few days, and I will update one [-]D for the time being.It will be made up after the festival, and I will still try to update it this month.
(End of this chapter)
Isn't it nonsense to ask them to take care of Zhou Cheng?
I'm afraid Cai Dongfan thinks we are old, so it's easy to talk about it.
The two smiled, nodded and responded: "Director Cai just confesses, it's easy to talk about, and I will have to trouble Director Cai to move around more in the future."
Mi Huan thought to himself, although Cai Dongfan is younger than him.In the past, he was quiet in the circle, but outsiders know that Cai Dongfan has a wide social circle. He is said to drink very well, and the wine quality is not very good, but he can drink with wine and has many friends.
But now it seems that this Cai Dongfan is not only the bastard he heard on the surface, he will definitely be someone who can stir up troubles in Shashi in the future.If you can make friends with it, you may have the upper hand in the future.
Mi Huan was thinking.
Tan Yuanwu, who was not fully anesthetized, suddenly interrupted and said, "Director Cai, can you and Dr. Zhou work hard to see how my nephew is doing? Just take a look at it?"
Qin Yuanwu's words immediately changed the expressions of Mi Huan, Chen Kelong and others.
Mi Huan immediately said, "Tan Yuanwu, it's time for dinner, Director Cai and Doctor Zhou are both hungry, what nonsense are you talking about?"
Cai Dongfan came here because of you, Tan Yuanwu, not to starve and suffer from cold. Can you be reasonable and humane?
Chen Kelong also hurriedly interrupted: "Director Cai, Dr. Zhou, you must be starving, right? It's almost six o'clock, let's go eat quickly!"
The operation has been going on for more than three hours.
During this period, Zhou Cheng almost kept performing the surgery without resting for a moment, and the replantation of severed limbs and severed fingers was not a minor operation of debridement and suture.
Although the speed is fast, the steps are actually done in place.
I was exhausted long ago, and Zhou Cheng was required to do other operations. Wouldn't it mean that people are not treated as human beings, but just used as machines?
Cai Dongfan's expression darkened a little, but he asked jokingly, "Tan Yuanwu, tell me the truth, is this child your illegitimate child? That's why you care so much about him?"
Tan Yuanwu immediately replied with an oath: "Director Cai, don't talk nonsense! This is not a matter of human relations?!"
Then the tone became a little more formal: "It's just, Director Cai, I think it's my brother who did this, and it has nothing to do with the younger generation. And it's a good thing that the injured person is me and not someone else. So?"
When Cai Dongfan heard what Tan Yuanwu was still explaining, he sighed and said, "Tan Yuanwu, today, I won't tell you much. I'll just tell you directly."
"I came here just to look at your face. I don't know who your brother and nephew are at all."
"I don't know how they usually behave, but I just hold back my anger."
"After all, you were the one who spoke before. I went and read it."
"People don't die, but it's hard to keep their legs."
"Now you let Xiao Zhou watch it again, I can take him there, just?" Cai Dongfan didn't say the rest.
Then said:
"I'll take someone to see it."
"Xiao Zhou, come with me."
After speaking, he called out to Zhou Cheng, and walked out of the operating room.
"Director Cai, Director Cai, don't be angry. Yuanwu him." Seeing Cai Dongfan's back, Mi Huan immediately stepped forward and pulled Cai Dongfan, but he didn't pull Cai Dongfan.
Zhou Cheng followed behind Cai Dongfan without saying a word, letting Cai Dongfan decide.
Mi Huan then walked back to the operating room and said to Tan Yuanwu, "Yuan Wu, why are you doing this?"
"Director Cai has no medical relationship with your nephew. He came here because of your favor. He was only on good terms with you. Although your elder brother didn't do it on purpose, what he did was called human affairs?"
"Have you thought about it, if Director Cai arrives early, then he is the one lying on the operating table now!"
"You still ask him to go again and again at this time, isn't it difficult for others?"
"Do you have to waste this last bit of favor here?"
Tan Yuanwu pondered for a moment, and then sighed: "Director Mi, no matter who is right or wrong about this matter, this is the result now, and I can't go back to the clinic anymore. I will go to the auxiliary department at most in the future."
"After leaving the department, you are no longer in the same circle. Where is there any human friendship?"
"I don't look at my brother's face, I also want to look at my mother who is still alive, and I can't let my nephew have a chance to save his limb. Even if it is just a glimmer of hope."
Speaking of this, Tan Yuanwu's voice was exhausted: "When friendship is exhausted, it will gradually fade away if it is not used."
"Director Cai's departure may have nothing to do with him from now on, but in this way, I have a clear conscience."
"I've tried my best. From then on, no matter how I get along with you, I don't have to bear anything anymore."
"I had good grades back then, but my family was very poor. My brother dropped out of school and asked me to go to school. This debt is very tiring..." Tan Yuanwu said calmly, with a feeling of suddenness.
When Mi Huan heard what Tan Yuanwu said, he stopped talking.
Don't persuade others to be kind without suffering from others, don't say that people are absurd without other family affairs.
Qin Yuanwu is not a fool.
Chen Kelong patted Tan Yuanwu on the shoulder and said, "Take a good rest and don't think too much. Your operation today is very good."
"It may not be time to return to the clinic. Don't be discouraged, the brothers in the department will be waiting for you."
"There is still your place in the department."
Tan Yuanwu has been with Chen Kelong for more than ten years, conscientious and diligent, not to mention how superb the surgical technique is, but he is reliable in his work.
Chen Kelong couldn't do the bottom line thing. He was willing to leave a place for Tan Yuanwu in the department, or as an outpatient.
"Thank you, Director Chen."
Chen Kelong didn't take Tan Yuanwu's thanks, but followed Mi Huan to the operating room where Cai Dongfan went.
When Cai Dongfan and Zhou Cheng arrived at the operating room, they saw that the people in the Second Department of Orthopedics had already amputated their limbs, and they had cut off all the bone segments of the right lower limb, and they were now doing muscle storage.
On the other side, a general surgery doctor was laboriously performing angiotomy and thrombectomy, but it was obvious that he was sweating profusely.
Zhou Cheng actually felt that his stomach was a little empty at the moment, but seeing this scene, he suppressed his hunger and asked Cai Dongfan, "Teacher Cai, what's going on here?"
Cai Dongfan said: "The preoperative examination showed atrial fibrillation and multiple arterial embolisms. When I came back, the most serious one was left renal artery thrombosis."
"Fortunately, there were no blood clots in the coronary arteries and lungs, nor did they enter the brain vessels. Otherwise, there would be no way for people to be saved."
"Director Yang, has the thrombus in the left renal artery been removed?" After Cai Dongfan explained to Zhou Cheng, he asked the director of general surgery, Yang Min.
The vascular surgery department in a hospital in Shaxian County is classified as general surgery department.
Although Yang Min is only the director of general surgery, he actually does everything from gastrointestinal surgery, hepatobiliary surgery, and vascular surgery. His business volume seems to be extensive, but he is not particularly proficient in any of them.
Yang Min's head was covered with sweat at the moment, he turned his head and said to the people around him, "Wipe off the sweat for me."
The assistant quickly leaned over and leaned towards Yang Min with his shoulder.
After Yang Min rubbed his forehead left and right on the assistant's back, he turned around and said to Cai Dongfan: "Director Cai, the thrombus from the left renal artery was removed, and the thrombus from the right femoral artery was also removed, but the downstream blood vessels Still not clear. Can only be amputated."
"Whether the left lower limb can be preserved or not is uncertain. We are trying our best to protect it."
As Yang Min said, she moved back the stool slightly, then twisted her neck, and let out a long sigh.
Today's operation took a lot of his physical strength and energy, and he is still supporting it for the sake of his colleague Tan Yuanwu.
This kind of thrombus caused by atrial fibrillation produced a lot of emboli, and CTA was performed before the operation.
Zhou Cheng walked to the viewer and saw it.
Sure enough, there were thrombi in the left renal artery, the double femoral artery, the internal pudendal artery branched from the femoral artery, and the superior pudendal artery branched from the internal iliac artery.
The distant part of the femoral artery cannot be visualized.
This surgery is not easy.
Yang Min has taken out the thrombus in the left renal artery and superior pudendal artery.But the thrombus in the internal pudendal artery has not been exhausted yet.
The superior pudendal artery and the internal artery supply blood to the little brother. If this thing is not cleared, the consequences will not be too good, but in order to save life, we can only wrong the little brother for the time being.
Cai Dongfan nodded, took a few steps back, went to Zhou Cheng, and asked Zhou Cheng: "In this situation, do you think it is possible to save your limbs?"
Zhou Cheng asked: "How many hours has it been since the injury?"
If the embolism time of both lower limbs exceeds six hours, it is time to amputate or amputate, don’t struggle anymore, otherwise, once the soft tissue is necrotic and the lysate and metabolite return to the blood circulation along the vein, the person will be paralyzed.
This is reperfusion injury.
"A little more than four hours." The elder brothers of the orthopedics department who had completed the debridement and amputation on the opposite side were more precise in controlling the time.
"Then you can try it. If the speed is fast, it is still possible. It is the moment when the blood vessels recanalize. It may take a lot of work for the anesthesiologist." Zhou Cheng said objectively.
Reperfusion injury is no joke, it is fatal.
But whether this level can be overcome depends entirely on the strength of the anesthesiologist.
At this moment, the doctor in charge of anesthesia frowned and said, "Reperfusion after five hours of embolization, you are giving me a problem."
"But before dredging the blood vessels, tell me first, you can take a risk and try it." The anesthesiologist smiled and said under pressure.
"Wash your hands and go on stage." After Cai Dongfan said something to Zhou Cheng, he whispered in Yang Min's ear for a while.
When Yang Min heard this, she turned her head and asked, "Director Cai, did you say that Xiao Zhou had rescued such patients in your hospital before?"
"Yes! Anyway, the worst result is amputation." Cai Dongfan explained.
"Director Yang, if you don't take a break and just stand aside, it will be treated as Xiao Zhou's care. It's also a good turnaround."
Zhou Cheng, a young guy, was exhausted after three hours of high-intensity surgery. At Yang Min's age, the continuous surgery lasted longer than Zhou Cheng's, so he must be exhausted.
Yang Min also nodded. It would be great if someone could take over for him at this time.
It's just that these young people in his department are too weak to reassure him.
This Zhou Cheng?
But he can only be a dead horse as a living horse doctor, he can't remove the embolism in his left lower limb now.
……
The child was injured because of a fight, and the debridement has been done, but I don't know why there is atrial fibrillation, which leads to multiple embolisms.
Moreover, after trauma, the blood will be hypercoagulable due to stress.
Zhou Cheng quickly washed his hands and went to the stage, Yang Min stepped off the stage, but Bu Hao, who was in his group, stayed on the operating table to help Zhou Cheng.
After Yang Min stepped off the stage, she found a nearby stool and sat down, not far away from the stage.
His back was completely drenched with sweat, and a large area was wet.
The wind from the central air conditioner was blowing down, it was a little cold, but it also made him a little more awake.
As soon as Zhou Cheng put on his clothes and gloves, he immediately went to Yang Min's place to check the progress of the operation.
The shape of the femoral artery has been exposed, and the embolus of the femoral artery has been removed, and what is being done now is the embolization of the deep femoral artery.However, Yang Min's exposure of the deep femoral artery is a little problematic at this moment.
Zhou Cheng took the hooks from several assistants and made changes one by one.
Using the S retractor to change a few directions, immediately, it seems that the surgical field has been expanded.
Seeing this, Yang Min's eyes lit up immediately, and he sighed from the side: "It turns out that when the deep femoral artery is exposed, it is better to be in these positions."
"Director Cai, you just told me that Xiao Zhou can perform thrombectomy. I was a little skeptical, but now, I believe it."
Being able to know how to expose the deep femoral artery so clearly proves that he really understands the anatomy of the deep femoral artery and knows the anatomical approach to expose it, not joking.
Cai Dongfan just laughed along and didn't reply.
He also only heard that Zhou Cheng had undergone limb salvage surgery, but he didn't witness it with his own eyes, so he was still a little uneasy.
However, Zhou Cheng's control of the surgical field is really in place, the same incision, but Zhou Cheng achieved different exposures.
In surgery, the wider the exposure and the larger the surgical field, the easier the operation will be.
Then Zhou Cheng held two vascular forceps in both hands, and without knowing how, he bluntly opened the intermuscular tissue, and then Zhou Cheng quickly pulled out the branch of the femoral artery, because the femoral artery had already been tied off the proximal end.
Therefore, Zhou Cheng was not worried about bleeding.
Moreover, the deep femoral artery was pulled out, as gracefully as pulling out a bird.
Yang Min and others have not yet had time to react.
Zhou Cheng directly opened the deep femoral artery with a sharp knife.
Seeing this speed, Bu Hao, who was directly opposite Zhou Cheng, was shocked!
If it was him, he would definitely not dare to expose the artery so quickly. There are also femoral vein and femoral nerve near the deep femoral artery.Is it because Zhou Cheng is an orthopedic specialist and is very familiar with the anatomy here, so he dares to be so bold?
If he hadn't seen Zhou Cheng first expand his view of the deep femoral artery, and then watched it take out the deep femoral artery with his own hands, he would probably have cursed.
but?
Now Bu Hao knows that he is a younger brother in front of Zhou Cheng, and he is also the same as Tan Yun's younger brother - he probably won't be able to get an erection.
Qin Yun is the name of the patient and the son of Tan Yuanwen.
After Zhou Cheng clamped the proximal end of the blood vessel with a blood vessel clip, Zhou Cheng didn't cut off the deep femoral artery directly, but cut half of it, and then extended the catheter in——
Zhou Cheng was very surprised when he saw the catheter.
This Sha County No. [-] Hospital is very interesting, or this Yang Min, very interesting, it has an arterial embolism catheter in the operating room that is not available in eight hospitals!
Although this thing is not high-tech, it is many times more convenient than using conventional equipment to remove the thrombus.
Catheter thrombectomy is an instrumental supplement to incision thrombectomy, which makes the operation easier.
The tip of the catheter was only inserted for less than ten seconds before it was rotated slightly. Zhou Cheng used the balloon catheter to inflate, and then pulled back to take out the first thrombus strip!
The thrombus strip has hardened slightly at this moment, like a small eel...
The speed at which the eels were pulled out was simply terrifying.
Bu Hao, who was at the opposite door from Zhou Cheng, had his hands stiff, and he tightly squeezed the S hook, his palms were full of sweat.
There is a hypothesis in my heart, if the thrombectomy is performed from the beginning with this speed and precision, I am afraid that this kid's two legs may be saved.
Then he looked at the leg that had been chopped off at the opposite door.
Complicated thoughts——
This is a living example and a gap that has to be admitted.
Yang Min's old face was flushed at the moment, and when he looked at Cai Dongfan who had a serious face, he immediately put away his contempt, and never wanted to talk about giving Cai Dongfan face.
However, Yang Min, Bu Hao and other vascular surgeons have different ideas.
After Zhou Cheng took a closer look and took out the first thrombus, he frowned slightly!
Then he asked: "Director Yang, does this look like a new embolism in the deep femoral artery?"
If new emboli continue to be produced, then the previous CTA will be in vain, and there is no need to talk about leg protection.
When Zhou Cheng asked this question, Bu Hao's thinking was a little bit crooked, thinking that he was just a little younger.
It's not your little one.
This is the nasty joke thinking of the fixed operating room. He must have said it on weekdays, but he didn't dare to say it today.
Looking at it, I feel that the diameter is a bit wrong. The embolus of the deep femoral artery is not only so small?
"The color doesn't look quite the same either. It looks like an embolus in the medial and lateral circumflex femoral artery. The deep femoral artery is not so small." Zhou Cheng looked at it for a while and said to himself.
Yang Min: "..."
The medial circumflex femoral artery is a branch of the deep femoral artery, and the lumen of the vessel is thinner. Zhou Cheng said it so naturally, don’t you think there is something wrong with your attitude and tone?
But he didn't dare to curse, he just cheered up and said, "It's really incredible that Dr. Zhou can remove the embolism in the branch of the deep femoral artery."
"Dr. Zhou did a lot of thrombus removal before, right?" he said sideways, wondering if he could let Zhou Cheng come to the county hospital more often in the future.
"The first time I used a catheter, I used a sharp knife before. The sharp knife can't get to this position, so I'm not familiar with it." Zhou Cheng replied naturally, and then quickly removed the thrombus in the lateral circumflex femoral artery. 'Cut' it out.
Really pull blood.
Hey.
Yang Min immediately rolled his eyes, Zhou Cheng's words almost sent him away on the spot.
Co-author, buddy, are you planning to cut open the thrombus of the medial and lateral circumflex femoral artery with a sharp knife?
Then why don't you do a sharp knife incision and thrombectomy of the capillary arterial network?
Thrombectomy is generally limited to large arteries.
The medial femoral circumflex artery is a branch of the deep femoral artery. The deep femoral artery originates from the femoral artery. The femoral artery originates from the external iliac artery. The external iliac artery originates from the common iliac artery. Above the common iliac artery is the abdominal aorta!
Aorta, common iliac artery, external iliac artery, femoral artery, deep femoral artery, medial circumflex femoral artery.
These are the sixth-level branch arteries...
Yang Min wanted to hit someone, and he also wanted to be such a young man who liked to act aggressively, but he didn't dare to hit, and only watched seriously.
Zhou Cheng took out the thrombus again, but judging from the appearance of the embolus, Zhou Cheng should have just clamped the embolus from the middle when he took it out, and it was not a complete embolus.
So may have to do it all over again.
"Damn it, it was actually cut off." So Zhou Cheng's expression was a little dissatisfied.
Yang Min and Bu Hao heard Zhou Cheng's tone of dissatisfaction, so they lowered their heads.
What is this person saying?
Don't you fucking feel so frustrated?
What you are taking now is the embolus of the medial circumflex femoral artery. Do you know how biased it is?
I don't know if others can plug the catheter in, but you almost got through it.
You talk like that?
"Thank you, Xiao Zhou." Cai Dongfan stood on tiptoe in line with Zhou Cheng's tone.
After all, when people speak, they need to respond.
And Zhou Cheng must be very hungry at the moment, and he came here mainly to give him Cai Dongfan's favor. He was hungry and had an extra operation, and he didn't know when he would be able to step down.
But if Zhou Cheng can continue to do it, he still has to continue to finish Tan Yuanwu's work.
Cai Dongfan's calm tone and unhurried movements,
Bu Hao, who was on the opposite side, was so stimulated that his eyeballs rolled around five times before stopping.
I'm sorry, do your Shashi No. [-] Hospitals usually talk so casually?
This kind of arterial embolus can be removed, how hard is it for you?
Finding thrombus from tiny arteries and finding thrombus from the trunk of the artery are completely two concepts.
Bu Hao interjected and asked, "Director Cai, this little Zhou doctor, is he really an orthopedic doctor? Isn't he a doctor from our vascular surgery department?"
Bu Hao asked this question mainly because he wanted to find out whether it was a fact. Zhou Cheng possessed such an excellent technique of vascular thrombectomy, but he turned out to be an orthopedic surgeon. Why bother?
Shouldn't he be a rising star in vascular surgery?
Zhou Cheng was still concentrating on finding the thrombus in the medial circumflex femoral artery, and did not reply.
Cai Dongfan nodded and said, "Xiao Zhou is not bad, and arteriotomy and thrombectomy is also within the scope of our orthopedic department. It is not limited to vascular surgery."
At this moment, Zhou Cheng just pulled out the remaining embolism in the medial circumflex femoral artery, and said, "Yes, arteriotomy and thrombectomy is only a Class II operation in our department of orthopedics."
"Who said that?"
"Director Cai, the operation that Dr. Xiao Zhou is performing now is not an ordinary operation. It is so beautiful." Yang Min immediately exclaimed.
He felt that if he didn't speak, he wouldn't be able to talk today.
If Cai Dongfan and Zhou Cheng had been chatting like this all the time, he felt that he would have to think about this beauty again.
Otherwise, fear of breaking the law!
Therefore, he had to quickly give Zhou Cheng a thumbs up, for fear that Bu Hao and others would be pissed to death by Cai Dongfan, a master of Fanxue.
"Director Yang made you laugh at the level II surgery disclosed in the Huaguo Health and Health Commission's Surgical Grading Suggestion Table." Zhou Cheng really replied.
very official.
Very formal.
For good reason.
You can't refute the reason in China.
"Uh!~" Yang Min and Bu Hao's tone froze.
Yang Min stretched his neck, swallowing the breath in his heart, while Bu Hao glanced a few times on the operating table, his eyes fixed on the big knives, sharp knives, and electric knives in the curved pans of the orthopedic brothers.
Thoughts.
But, just when Bu Hao was in a daze.
Zhou Cheng let out another long sigh of relief: "It's been taken out, the embolus in the internal pudendal artery should not be bad."
Zhou Cheng had heard from Yang Min before that the embolus in the superior pudendal artery was removed, but the embolus in the medial artery was not removed.
There is an old saying in Huaguo.
Women are like clothes and brothers are like siblings.
For the sake of brothers, you don't need clothes, but women have to.
You don't have to have siblings, but you have to have little brothers, otherwise the woman doesn't belong to you anymore.
After hearing Zhou Cheng's words, Yang Min yelled directly to the patrolling nurse, "Tourist, take a look at the blood supply."
Xun Xun immediately pricked the wrapped wrinkled skin with a needle, and after a while, he shouted happily: "It's bleeding, it's bleeding. Now there's blood."
The voice was excited, as if to avenge the man who was poked and bleeding.
And it must have been poked more than once.
……
However, Zhou Cheng did not wait, but continued to take the thrombus along the femoral artery towards the far end of the body.
Of course, this time the thrombectomy, because of the participation of the catheter, naturally it is not like the last embolectomy. It is probed bit by bit by hand. With the catheter, the catheter is another part of the thrombectomy. An artifact, Zhou Cheng's thrombus incision and thrombectomy is perfect...
Without this thing, it can be said that at most it can only be proficient or proficient.
So, the operation was quickly carried out step by step again.
Both Bu Hao and Yang Min were fascinated.
It didn't take long, and even the orthopedic surgeon at the Shaxian First Hospital on the other side of the amputation hadn't completely stepped down, and placed a subcutaneous drainage strip there.
After the amputation, the stump will definitely bleed, and the drainage strip is placed because the subcutaneous hematoma is too large, which will cause severe postoperative pain.
It's just that when their amputation was completed, they saw Zhou Cheng's side——
Limb salvage is complete.
That's called a big head, and the expressions of each of them are very exciting!
The complexity in the eyes seems to be able to write a book.
Not really.
We did the finishing touches on the amputation, and the person opposite me finished the limb salvage.
Do you mean coincidence?
This is strength, this is ability, this is a living comparison, and it is also a comparison of the same body and different limbs at the same time.
One can protect and the other can intercept.
One dares to protect, the other dares to intercept.
After wrapping the stump of the affected limb in a hurry, he got off the stage in despair, and when he reached the door of the operating room, he still felt extremely painful...
"Director Xing, what is the origin of this elder brother? He is not very old, but he does things well?"
"Our side is amputated, but his leg is kept. Isn't this just to slap the face?" A doctor muttered, feeling uncomfortable, as if he had just spent a century in the operating room.
His face turned red.
Director Xing said: "Don't talk nonsense. The person was called by Tan Yuanwu. If he doesn't come, you have both legs amputated. You have saved face. What's the use?"
After finishing speaking, Director Xing sighed with emotion: "Tan Yuanwen's stupid thing is purely for harming others and himself."
"If Director Cai and Dr. Zhou had come to the operating room here earlier, maybe Tan Yun would not have had to amputate."
"Heaven can do evil, but if you do evil yourself, you can't live."
"That's a good sentence"
Another doctor asked: "Then how do we talk to Qin Yun's family now?"
"To be honest, one leg was saved, but one was also amputated! How else can I say it?"
When Xing and Zhou walked to the door of the operating room, they found that Mi Huan and Chen Kelong were at the door of the operating room, explaining something to Qin Yun's mother, sister, and his grandmother.
Except for the three of them, Tan Yuanwu's family is no longer at the door of the operating room.
Naturally, Mi Huan and Chen Kelong didn't know much about the situation in the operating room, so they were dragged by Qin Yun's mother, and they could only vaguely explain that their legs were not in good condition and they had tried their best, so they might have to amputate.
Talked in the worst direction.
But Tan Yun's mother held on to Mi Huan tightly and said, "Director Mi, Director Chen, you two can't stop treating the doctors in your hospital just because my bastard father killed them?"
"His father was blinded by lard, and has nothing to do with Qin Yun."
"Director Mi, Director Chen, please do me a favor, you must save my son's leg." She almost knelt down, her tone full of fear.
Mi Huan sighed with emotion, the corners of his mouth twitched for a while, and said, "Sister, it's not because of us for revenge or something, you have to think about it, why Tan Yuanwu in our department was injured."
"Isn't it just to explain the actual situation to you, and Qin Yun's father is unwilling to accept this result?"
"We are all just doctors. When we enter the hospital, we are all patients. We will not take sides because of what he has done. Just like Tan Yuanwu, he didn't give up his heart because the other party beat his nephew, but instead devoted himself to treating him. .”
"At present, the patient has returned to the department and is in good condition."
Speaking of this, Mi Huan said again: "By analogy, we will definitely not slow down or fail to do our best because Qin Yun's father hurt the staff of our department, but if it is beyond our ability Unexpected things, you have to be considerate."
Mi Huan patiently explained that the main reason was that he was afraid of Tan Yun's family, that is, Tan Yuanwen. Who knows if he would go crazy and kill people again?
Although he ran away now, he didn't know if he was caught or not, but Tan Yuanwu hadn't reported the crime yet, but the hospital called the police.
So, when he said this, he looked around carefully.
While Mi Huan was talking, Xing Zhou came out. The slightly fat man did not report to Chen Kelong and Mi Huan after he walked out, but explained to Qin Yun's mother: "We tried our best, but we can only keep Lost one leg. The other must be amputated."
"Fortunately, it's not life-threatening now. It is estimated that he will be transferred to the ICU in the future. If he recovers normally, he will wake up soon."
Hearing that only one leg was saved, Tan Yun's mother was so frightened that her body went limp and collapsed.
Weeping and shouting: "Yun'er, Yun'er. Son, son, son..."
Weeping and crying, looking very pitiful.
However, after Tan Min supported her mother, she still bit her lips and asked, "Did Director Cai go to treat my uncle's hand? After treating my uncle's hand, he went to perform surgery on my brother?"
She is in the hospital herself, so she probably knows the tricks in it.
Xing Zhou was a little embarrassed when he heard this, but Mi Huan immediately replied to Qin Min's words.
"Director Cai rushed to your brother's place to check the situation immediately. The consultation form sent by Qin Yuanwu was invited by Director Cai Dongfan, and Director Cai Dongfan did not contribute much."
"In the end, one leg was saved, and it was Dr. Zhou Cheng brought by Director Cai Dongfan. After finishing your uncle's operation, he had to save it for free."
"However, our hospital has never issued any consultation form to Dr. Zhou. You have to be clear about this. In terms of procedure, our hospital is right."
Mi Huan knew that Tan Min was a nurse, so he knew a little bit, but it was troublesome to know a little bit, and it was the hardest thing to find fault with.
So you have to explain it to her.
Qin Min tightly closed her eyes.
But her mother stopped doing it: "The doctor we invited, why didn't we operate on my son first? What are you doing?"
"I'm going to sue you."
"I'm going to sue you. I know that your hospital is playing tricks and deliberately not saving my son."
"Are you still worthy of being a doctor?" She pointed at Mi Huan's face and cursed.
Mi Huan didn't move his body, his face didn't move. After Tan Yun's mother scolded her for a while, he said, "Sister, I want to explain to you because you are Tan Yuanwu's sister-in-law."
"Our hospital invited Director Cai Dongfan from the No. [-] Hospital to consult and operate, but Director Cai is willing to come or not, that is his choice!"
"He refused the surgery on your son and didn't sign the surgery consultation form. He came here just to perform surgery on Tan Yuanwu."
"After the operation, it was Tan Yuanwu who begged Director Cai before agreeing to visit Tan Yun. You have to figure out the procedure."
"Experts from the outer courtyard are not just invited if you want to."
Tan Min's mother immediately questioned: "Why doesn't he want to come? Why doesn't he come? You must be behind the scenes. What did you say?"
"You guys are just that!"
When she wanted to say more, Tan Min grabbed her tightly and said in a low voice: "Mom, stop scolding, it's useless, things are already like this."
"My brother will be hospitalized and recover later. It's not good to have a falling out now."
"Think about it, if Dad didn't make trouble before, how could it be so now?"
"What are you going to do?" Qin Min glanced at Mi Huan, Chen Kelong and the others, and then his eyes narrowed a little, as if he had hidden a lot of words and didn't say them out.
This look made Mi Huan and Chen Kelong feel a little apprehensive.
But in the end he still bite the bullet and said: "That's the fact. Director Cai didn't sign your son's consultation and surgery order. If you think he saved an extra leg with an extra shot, it's an extra problem."
"Actually, amputation is still too late."
Mi Huan's words were very inhumane, but these words scared Tan Min and the woman.
It was so hard to save one leg, how could she give up like this, she immediately sat down on the ground limply, completely lost her spirit, her eyes were dull, her expression was bitter, but she didn't say a word.
The husband beheaded someone, and now I don't know what's going on.
Son amputated.
The man who beat his son had an excellent operation, and it was performed by his own brother himself!
No matter what he thinks, it doesn't taste right.
Why didn't Tan Yuanwu perform the operation on Tan Yun himself?
Why do you have to devote yourself wholeheartedly to curing the other party?
After Mi Huan, Chen Kelong and others left, Tan Min helped her mother and went to the gate of the ICU.
At this time, Tan Min's mother asked Tan Min: "Minmin, you have to remember that at critical times, no relatives or brothers can be relied on. Only yourself is the most reliable."
Tan Min took care of her mother's hair, and said in a low voice, "Mom, when my uncle was transferred to another hospital, he said something to me."
"I think it makes sense."
"My brother was fighting each other. The specific circumstances depend on the different results. If the other party has no disabilities, at most they will pay some money. If there are any incurable sequelae, they may have to go in!"
"That's what ruins a lifetime."
"He doesn't give my elder brother an operating room. The doctor doesn't treat himself, and he doesn't treat his close relatives. And uncle, he can't do anything about my elder brother's illness, so he invites consultations from various places. He has tried his best."
The woman turned her head and looked at Tan Min in astonishment.
"Then why didn't he say it earlier?" Her mother burst into tears.
"You want dad to listen to uncle." Tan Minmin said, her dad has the same temper as her elder brother, impatient, and can't wait at all.
"How stubborn is he?" The two mother and daughter cried while hugging each other.
But at the gate of the ICU, it wasn't just the two of them who were crying, there were others who were also crying, and there was someone who cried more sadly than them, and quickly suppressed the voices of the two of them...
By the time Zhou Cheng could step down, it was already ten past eight.
True chest to back.
While others were still finishing stitching on the stage.
When he got off the stage and took off his clothes, Zhou Chengcheng rushed to the anesthesiologist and said, "Teacher anesthesiologist, open a bottle of glucose for me. I can't bear it anymore. I'll give you the money later."
Hearing Zhou Cheng's words, the anesthesiologist was startled, looked at Zhou Cheng, and immediately prescribed Zhou Cheng a bottle of [-] sugar water without any medicine.
Zhou Cheng took it and rushed directly into the back corridor of the operating room.
While running, he took off a glove, and then pushed open the door. The hand wearing the blood-stained glove was holding the glucose, while the right hand took off the glove, closed the door back, and gulped it down.
The feeling of fainting seems to have eased a little bit.
With his back against the back door of the operating room, he stood for a while, then sipped small mouthfuls and continued feeding it into his stomach, then squatted down slowly, and finally sat down on the ground.
This movement made the anesthetist a little confused.
He muttered: "Is it too tired to exaggerate?"
Cai Dongfan took a look at him, then stood guard at the door, watching Zhou Cheng inside like a lonely drinker.
"Two amputated palms, three amputated fingers, and one limb salvage, other people's mature teams may not be able to do it in more than 20 hours."
"Time can be saved, but the steps must not be missed."
"The money for glucose, I will transfer it to Mi Huan of the orthopedics department later. I won't let you pay it." Cai Dongfan was not in a good mood, his tone was very cold, and he seemed very angry.
Yang Min and others in the operating room immediately persuaded him.
During the festival, I need to reunite with my family for a few days, and I will update one [-]D for the time being.It will be made up after the festival, and I will still try to update it this month.
(End of this chapter)
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