medical simulator

Chapter 182 Wolf Annihilation——Zhou Cheng! (seeking subscription)

"Stop talking, let's start the operation."

"By the way, Quan Zi, in the operating room next to him, did Teacher Cai start the operation there?" Zhou Cheng hurriedly changed the subject, this matter has come to an end!

"Well, Mr. Cai just passed the operating room here, and he said he would come back to see it later."

"Brother Zhou Cheng, why don't you go over and tell Teacher Cai, after all, Teacher Cai has become the director of the ward now." Zhang Zhengquan suggested.

When Cai Dongfan was just an ordinary team leader, he was very easy-going, but in the past two days, his temper has become particularly irritable.

It can't be ruled out that Cai Dongfan will drift away after becoming the director, and he will be scolded if he doesn't report to Cai Dongfan in advance.

Zhou Cheng thought for a while and said, "Okay, wash your hands first, I'll tell Teacher Cai and come over to help."

"I'll be in the same group as you later. Teacher Luo's outpatient clinic has almost finished seeing the morning patients, and the afternoon outpatient clinic has been called off, so we should be able to make it in time."

After Zhou Cheng finished speaking, he went to the operating room.

During special times, everyone is in full swing, wishing to squeeze 1 minute into 2 minutes.

Moreover, Zhou Cheng was on-site for first aid last night, so he didn't know what kind of patients were in the department, and when he arrived in the department, he was immediately driven out of the operating room.

Zhou Cheng arrived at the nineteenth operating room, and he saw Cai Dongfan meticulously performing the operation. When he saw someone stepping on the door, Cai Dongfan glanced over, and his eyes didn't change. He just continued to bow his head and go to the operation.

I don't know whether he is angry or not.

"Mr. Cai, I went to the outpatient clinic, but Mr. Luo said that his outpatient clinic was almost finished, and he would come to the operating room soon, and he was already in the outpatient clinic in the morning, and all the waiting patients outside recognized him. So let me come back again. .”

"Hmm! Go to the next door and get serious about the surgery first!"

Cai Dongfan explained one more sentence.

Zhou Cheng followed Cai Dongfan. Cai Dongfan knew Zhou Cheng well, and now he also knew that Zhou Cheng was very capable and powerful, but?
Ability and strength can only be used under certain conditions, and they must be used in the most appropriate position.

Special moments, special handling, urgent matters.

It's not that Zhou Cheng's operation was wrong, but his choice of operation was wrong.

In the emergency department of the entire hospital, the orthopedics department is a unit. If a patient in the orthopedics department has a problem, it is a problem with the orthopedics department.

In the face of such a large-scale accident, the Eighth Hospital is a unit. If a patient has a problem, it is the Eighth Hospital's problem.

It is not advisable to lose the big because of the small.

Cai Dongfan was very angry at first, but he didn't really hate Zhou Cheng, he just hoped that Zhou Cheng could understand this truth.

If you have no experience, how can you verify whether your choice is right or wrong?
Experience verification is experience.

……

After Zhou Cheng returned to his operating room and completed the preliminary work of disinfection and laying the sheets, he saw Luo Yun hastily came to the operating room again, took a look at him, and then immediately ran to room 21, stood in his own position.

At this time, Zhou Cheng glanced at the time on the operation timing panel, and it was only around 09:30.

That is to say, Luo Yunba saw more than 10 outpatient clinics in 20 minutes, and the process must have been very rough.

However, Luo Yun also knew that it was his duty to open an outpatient clinic and see patients in the outpatient clinic!
However, it is also his duty to perform surgery in the operating room.

Fish, what I want, bear's paw is also what I want; you can't have both, and those who give up the fish and take the bear's paw!

There are many choices in a person's life.

Zhou Cheng didn't think much about it, and then quickly entered the state. Moreover, he also knew that because of his choice just now, Cai Dongfan had already arranged the follow-up operation tables again!

All Zhou Cheng can do is to take care of all the patients who are arranged in his operating room!
"Quan Zi, take the tissue scissors!" Zhou Cheng said to Zhang Zhengquan.

In this operation, or today's operation, there is no hand washing nurse, only patrolling, so Zhang Zhengquan has to do the work of the hand washing nurse, transferring instruments and other tools for Zhou Cheng.

"Okay, Brother Zhou Cheng." Zhang Zhengquan hurried back, while still holding the hook with one hand.

Immediately afterwards, Zhou Cheng used the tissue scissors to start trimming the gas wound.

Most of the emergency patients this time were patients with open injuries and fractures, and there were quite a few patients with arterial injuries, and at this time, there were actually not many patients with arterial injuries, and more of them were due to defects caused by injuries. Hemorrhagic necrosis.

The time has come to this time. Although life is not in danger, the wound still needs to be treated. The necrotic tissue that should be cut off must be cut off...

Zhou Cheng's operation was very fast, about three to ten minutes. Zhou Cheng was about to debride and suture this machine, and then said to the itinerant and anesthesiologist: "Teacher, anesthesiologist, work hard to pick up the next patient!"

"Should I pick it up now?" Xun Xun was puzzled, just watching Zhou Cheng still operating.

"Hmm!~"

"Take it now. This operation is coming to an end. We will send the patients back to the ward later, and some people will prepare disinfection and drape in the operating room at any time. There are many patients in the department today, and we are trying to speed up the turnover. .” Zhou Cheng explained.

"Okay!" Zhou Chengcheng said so, and they didn't say much. The patrol immediately called the ward, and at the same time called the nurse who picked up the patient at the door of the operating room, and arranged for the next patient to come down to the operating room. .

Moreover, because the anesthesiology department has also made preparations in advance, in fact, in the preparation anesthesia room, the next patient can be anesthetized in advance.

There are still about ten minutes before Zhou Cheng finishes the operation. This time is enough to complete the pre-anesthesia. When this patient goes out, the anesthesiologist will push the patient in directly, and then he can directly make preparations for the next operation. To the real deal seamless connection!
It's just that if you do this, it will be very tiring. Usually, the anesthesiology department will not do this.

But special occasions require special preparations.

Seventeen minutes later, when Zhang Zhengquan sent the patient back to the ward with the intern doctor and tour of the anesthesiology department, Zhou Chengcheng and the anesthesiologist took the initiative to push the patient into the operating room.

Then Zhou Chengcheng immediately started the preparations before disinfection. He opened the debridement pack to the innermost layer, ran to disinfect it, and found the sterilized curved plate and oval forceps by himself, and asked the anesthesiologist to take the time to tear a pack. Gauze is used for disinfection.

When Zhang Zhengquan was about to arrive here, Zhang Zhengquan returned to the operating room. Zhou Cheng hurriedly asked him to put on sterile gloves and began to lift his legs...

And just when Zhou Cheng started to disinfect, the anesthesiologist had just finished the monitoring work in advance, and the roving nurse entered the operating room, and had no time to rest at all, so she had to deal with the drainage bottle left by the previous patient, and return it to the hospital. The electrode pads to be connected to the electrosurgical unit.

The operation started quickly and step by step.

The itinerant nurse had some free time, and complained to the anesthetist: "Hey, this orthopedic surgeon is still very motivated. I have never seen such a fast turnaround in surgery."

The anesthetist just smiled and explained to her, "What is it now?"

"A few times before, our director presided over the anesthesia of the Department of Orthopedics, and he spent the whole morning turning over patients and anesthesia. That was really half an hour of anesthesia, and the operation lasted for 3 minutes, and then we had to continue to the next rotation cycle."

"This open surgery is actually considered slow."

Then she pouted towards Zhou Cheng: "It seems to be this young man too!"

"You are young after all, and you are full of energy!"

This itinerant nurse was not the kind of girl who had just graduated. She blushed pretty when she heard what the anesthetist said. She was covered by a mask, and her eyes were sizing up and down Zhou Cheng's figure.

I thought to myself, are you full of energy?

Just started to think wildly, Zhou Chengcheng immediately said: "Teacher Tour, open a lower body bag!"

The second orthopedic ward mainly deals with lower limb trauma, while the first orthopedic ward deals with upper limb trauma, so the second orthopedic department mostly uses lower limb fracture kits.

"Okay, I'll get it." Xun Xun heard the words and hurriedly replied.

However, when she called to ask if there were any lower body packs in the disinfection room, she was told that all the previous lower body packs had been used up, and it would take at least 15 minutes for the disinfection to complete this batch of disinfection packs.

"I don't have a leg wrap, and it will take another 15 minutes." The roving nurse was a little shocked.

I even ran out of surgical kits and had to wait for re-sterilization.

An orthopedic doctor is worthy of being an orthopedic doctor, he is really very vigorous.

"Then is there any bag from other departments? If there is an upper limb bag, please order one. This patient has an open fracture, and the fracture must be reduced and fixed."

"Then open two vascular sutures." Zhou Cheng had to have tools for fractures, since these things were not in the simple debridement kit, so he could only think of other ways.

But it is a pity that the upper limb bag is gone, so Zhou Cheng can only wait.

Finally, after 15 minutes!

Zhou Cheng's long-awaited lower body bag has arrived!

Xun Xun finally rested for 15 minutes, thinking that the rhythm of the operation might be just like this. However, as soon as the lower limb bag arrived, Zhou Cheng began to give orders like a high-speed machine.

"Kirschner wire~! Two, temporarily fixed."

"External fixation kit."

"Sterile gauze."

"Tendon sutures."

"..."

……

Half an hour later, Zhou Cheng ordered again: "Open the VAC film!~"

The itinerant nurse rubbed her knees there, convinced: "Doctor Zhou, can you wait for a while so that I can take it easy?"

She had been running for half an hour. She looked at her VX step count and found that she had already reached 8000 steps!
What is this concept?
Of the [-] steps, more than half of them are estimated to have been run in this half hour.

Half an hour, that is, [-] seconds!

It is equivalent to running at least two steps per second!
"Okay, hurry up a little bit, thank you for your hard work." Zhou Cheng also took a short rest.

When operating at high speed, the wrist joints and interphalangeal joints of the hand are actually in pain. This high-speed operation is actually very detrimental to the finger joints.

As an orthopedic surgeon, I know that interphalangeal arthritis and tenosynovitis are prone to occur!

There are many types of arthritis.

It's like programmers are prone to this disease.

But there is no way, we must speed up the operation.

Another minute passed.

"Are you ready? I'm going to have an operation here." Zhou Cheng continued to urge the tour.

Xun Xun stood up and glanced at Zhou Cheng very resentfully, feeling that this young man Zhou Cheng simply doesn't understand what it means to be sympathetic to a woman——

Because in the previous 10 minutes, Zhou Cheng asked her to pick up the next patient for surgery, so it is conservatively estimated that after this patient is sent back, the intense rhythm just now will come again, and this time it will be repeated. With extra leg packs, there's simply no downtime.

……

Two hours later, another operation ended. This was the seventh operation that Zhou Cheng had completed in this operating room.

At this time, the time is only ten past one!
Zhou Cheng finally said that he was going down to eat, and asked Zhang Zhengquan to guard here.

When Xun Xun heard this, she was so moved that tears fell on the spot. Taking advantage of Zhou Cheng's time to go out for dinner, she immediately went to the head nurse at the nurse's station to complain.

"Nurse, I can't take it anymore, do you know how far I ran today?"

"Look at my VX step count. I walked more than 3 steps this morning in only five hours!"

"Head nurse, five hours is [-] seconds! My legs are numb now. Did the surgeon intentionally beat you?"

"What's the matter with you? Why did you take so many steps?" The head nurse asked with concern.

"No, head nurse, this has nothing to do with the surgeons, they performed seven operations in one morning!~"

"I'm just too tired. Can you let me slow down? Please." In order to ensure the authenticity, she recalled her step count record, and the head nurse felt distressed after reading it.

Even let her rest.

More than 3 steps are not particularly many, but [-] steps in five hours is really a bit outrageous.

……

In the afternoon, at 43:[-].

After Cai Dongfan finished his last operation in the operating room, he hurried to the [-]th room, and asked, "Hey, Zhou Cheng, I just called the ward to say that today's emergency surgery is scheduled to be done?"

"How many units have you made here?" Cai Dongfan narrowed his eyes.

He and Luo Yun combined to reach the seventh unit, and the patient was gone.

He also asked Director Yan and Hu Ming, and they were similar, but even so, there were only about 31 operations in total, but there were [-] operations in the department today!
Cai Dongfan almost thought he had hung up a few times, so he hurriedly called Lin Lin who was on duty, and only then did he hear that the patients were all picked up by Zhou Cheng.

"This is No.12!" Before Zhou Cheng could speak, the anesthesiologist rolled his eyes.

"I said Lao Cai, this young man, did you find him from Africa? I haven't even had an anesthesia, and I'm tired, so I changed one during the tour."

"Look at that assistant, his hands are shaking now, the chief surgeon is not tired yet!"

Hearing this, Zhang Zhengquan turned his head and explained: "Teacher anesthesiologist, who said Zhou Cheng is not tired anymore, his fingers are already blistered. He just endured the pain, and he was still grinning when he was disinfected outside!"

"It's because there are too many surgeries today. Brother Zhou Cheng thinks that the rest of us worked all night yesterday, so he will do more so that everyone can get off work early."

When Zhang Zhengquan spoke, Zhou Cheng remained unmoved, carefully performing debridement and reconstruction of blood vessels between muscles.

Cai Dongfan took a sharp breath.

"Twelve stations?"

Then he looked at Zhou Cheng, his voice trembling slightly: "You made twelve sets? What did you do?"

He and Luo Yun together have seven sets. Even if Luo Yun came later, he only did four sets. This is because the later operations became easier and easier!

Zhou Cheng alone covered the workload of the two of them, almost doubling it.

Wolf off ah?
This TM doesn't dare to fly a plane like this?
"This young man, don't take a break, send him to the anesthesia room in advance!"

"Then one person sends the patient back to the ward, and the other person immediately starts the work before disinfection. After the other person comes down, the second operation begins."

"But I don't know if his hand is blistered or not. Anyway, my hand is a little red!"

"Be cruel to yourself!" He looked at Zhou Cheng's hands, which did not tremble at all, as steady as a group of old dogs.

The needle is powerful, the knife is crisp, and it doesn't look like a pair of injured hands at all.

Cai Dongfan didn't say much, just walked to the operating table silently, watching the progress of the operation quietly.

Immediately afterwards, Luo Yun also found out that something was wrong, and came to Zhou Cheng's operating room.

Immediately afterwards Hu Ming and Zheng Xuanlin also arrived.

Then came Yan Haihan's loud voice: "Director Cai, I heard from the ward that today's operations are all done, and your group has done [-] sets?"

After he finished speaking, he saw a lot of people in the operating room, and then Luo Yun explained: "Zhou Cheng is using the patient's own damaged skin to reconstruct the flap. This kind of thinking, It’s very courageous, and the damaged skin has a long ischemia time! The survival rate may not be high.”

"However, if they can survive, the patient's benefits will be quite large. Anyway, it will require a second-stage debridement, so it is a very good choice to gamble on the survival rate."

"If this is the verification." Speaking of this, Luo Yun was interrupted by Yan Haihan's words.

Yan Haihan approached, saw what Zhou Cheng was doing, and said to Luo Yun: "Xiao Luo, Zhou Cheng, you guys continue."

The voice suddenly became much smaller.

Yan Hanhan is not a fool, so he naturally knows that the operation Zhou Cheng is doing now is a very precise operation, and it is likely to be a storm in hand surgery!
Skin flap transplantation has always been the hottest and core topic in trauma surgery, and trauma surgery all over the world is turning in this direction!

One of the most critical aspects of limb salvage surgery is to fill in the defects of the skin and soft tissues.

Luo Yun continued: "Of course, before that, Zhou Cheng also reconstructed the intermuscular blood vessels, and also reconstructed the tendons and muscles, so that the skin bed can be made to the greatest extent."

"We used to discuss the issue of the vascular bed most often, but the skin bed is actually a relatively important topic to deal with soft tissue defects. If the skin bed, that is, the tissue under the skin, is treated well, there will not be too much damage. If there is a large skin defect, it will be very convenient whether it is a blade-thick skin or a thin-skin pressure graft."

"This is also a two-handed preparation..."

Following Luo Yun's explanation, even Yan Hanhan, who just came in, could hear something wrong with Zhou Cheng.

Yan Haihan's heart suddenly tumbling——

He thought that he had already thought of Zhou Cheng enough, but unexpectedly, Zhou Cheng broke his cognition once again. Zhou Cheng's mastery of technology has reached a very high level.Moreover, he has already been recognized for the previous surgical foundation, so it is not incomprehensible for Zhou Cheng to go further.

After all, the only one who knows Zhou Cheng best is Zhou Cheng himself.

Finally, during Luo Yun's introduction, Zhou Cheng completed the final VAC film under everyone's amazed eyes. After the negative pressure suction, this operation was brought to a perfect end.

Zhou Chengcheng said: "Quan Zi, you can write a doctor's order for the patient later."

After closing his hand, everyone saw that just now Zhou Cheng's decisive and crisp hand trembled slightly, not knowing whether it was pain or numbness.

"Okay, Brother Zhou Cheng." Zhang Zhengquan was actually very tired at this time, very tired.

However, he still didn't blame Zhou Cheng for arranging things for him. Compared with Zhou Cheng, he did too little. He was just a little tired and sleepy.As for Zhou Cheng, because of the long-term high-speed operation, under the protection of gloves, his skin was worn out with blisters, and you can tell how many micro-operations he has performed.

The increase in the number of frictions in a short period of time will cause inflammation of the skin epidermis...

When they got off the stage and took off their gloves, Cai Dongfan and others could see that Zhou Cheng's ulnar side of the distal joint of his thumb and the radial side of the middle and distal joint of his index finger had ruddy defects, and the radial side of the distal joint of his middle finger was also red.

This is no joke and posturing.

Even though Zhou Cheng's finger was injured, it was not affected at all during the operation, which means that the quality of each of his operations is very high, but the quality is guaranteed on the basis of quality.

Cai Dongfan immediately stepped forward, rubbed Zhou Cheng's shoulders, and said, "Go and change first, then go back and have a good rest. Let's have dinner together in the evening."

"Luo Yun, Zheng Xuanlin, Dong Qiansheng, you three have to work hard to go back to the ward and sort out the medical orders of all the pre-operative and post-operative patients in the current department. There are too many patients. I am afraid that the doctor's orders below may be wrong. "

"Old Hu, Director Yan, you two have worked hard too. We all worked out all night yesterday, so go back and rest first, and have dinner together tonight."

Cai Dongfan made arrangements one by one.

Yan Hanhan said: "Lao Cai, let's skip the big department dinner tonight. Everyone is very tired. Let's make arrangements within the group. Tomorrow is Monday again, so everyone will go to bed earlier, and then the big department dinner will be Stay on Monday or Tuesday night."

Hu Ming also nodded and said: "Yes, the people in the department have basically stayed up for more than 30 hours and close to [-] hours. Let's talk about eating."

"Everyone have a good night's rest!"

Although Cai Dongfan is the new director, he is really good enough. As the director, he has been busy in the emergency department, and he has not rested until now. Jack up half of the emergency patients!
This is really awesome, although most of it was done by Zhou Cheng alone, but it was also well arranged by Cai Dongfan!
Therefore, even though Yan Haihan was a little brooding about Cai Dongfan's becoming director, he was very convinced of what Cai Dongfan had done in the past two days.

If he is the director, he can't afford what Cai Dongfan is doing now.

"Okay, let's all rest today, and I will arrange the dinner in the department later."

"Everyone have a good rest. There are still some patients with mild symptoms in the department. Try to deal with them tomorrow!"

"Our department has handled the emergency this time perfectly. Thank you for your cooperation." Cai Dongfan spoke in a set manner.

After finishing speaking, Hu Ming and Yan Haihan took their people away without knowing what they were thinking.

Cai Dongfan and Luo Yun looked at Zhou Cheng meaningfully, a little distressed, but also a little helpless, Zhou Cheng would not have done this if not for too many patients.

"Go back and rest well." Luo Yun said when Cai Dongfan and Luo Yun led Zhou Cheng downstairs.

Zhou Cheng looked around suspiciously, and asked, "Hey, Teacher Cai, Teacher Luo, didn't Yang Yifeng come to the department?"

"Yang Yifeng was called back to the Affiliated Hospital of Shonan University and is not here!" Cai Dongfan only explained softly!

At the same time, I feel emotionally, no matter how good Yang Yifeng is, Yang Yifeng is only a member of the outer courtyard after all. When something really happens, the people from this courtyard are more reliable and will stand behind him to support him.

This is the truth!
"Oh!" Zhou Chengcheng didn't ask any more questions.

"Director Cai, I'm going to the ward first." Luo Yun said hastily.

Cai Dongfan reached out his hand to stop Luo Yun, and said, "Go back, I'll go to the ward. There is probably someone waiting for you at home, right?"

Cai Dongfan still remembers that when Luo Yun came out from home, there was still a little Tang in Luo Yun's family, but he was left at home for a long time!

"Ms. Cai, I'll go to the department. Doctor Tang has already gone home." Luo Yun knew what Cai Dongfan meant, his old face blushed, and he ran out quickly.

After Luo Yun left, Cai Dongfan looked at Zhou Cheng again and said, "Zhou Cheng, you performed well this time."

"With this experience, you will be more relaxed when you are on duty in the future."

"This experience will also add a very strong resume to your life."

Zhou Cheng nodded and said with emotion: "Yes, compared with this incident, the usual emergency consultation is nothing more than a big deal."

"However, if things can be repeated, I would like to hope that this does not happen."

Zhou Cheng felt that the experience of this incident allowed him to grow qualitatively, but the corresponding price was too high. So far, Zhou Cheng did not know how many people had died.

If growth must be accompanied by such a death, Zhou Cheng would rather be a little Mengxin himself.

"Whether you grow up or not, things will happen sooner or later. Although you don't want it, the facts are not forgiving."

"Any preparations and growth we have made are to deal with all the unknowns that will follow. Only when you become better and better can you become more calm when encountering the next unknown event."

"Besides, the on-site first aid this time should be an eye-opener for you, right?" Cai Dongfan said with a smile.

"En!" Zhou Cheng nodded honestly.

"Go back and have a good rest. Remember to deal with it here. Don't be an orthopedic doctor and infect your wound. It's not worth it!" Cai Dongfan confessed again and let Zhou Cheng go back.

Zhou Cheng felt that he was a little tired, so he went home directly, and started to lie down without taking a bath.

Really tiring, but really worth it.

This time, I didn't have too much psychological pressure. I slept from [-]:[-] to nearly [-] o'clock. Zhou Chengcai woke up because he was hungry...

(End of this chapter)