medical simulator

Chapter 417 Buy three catties of beef, two catties and nine taels of beef X!

Yang Yifeng has said this, and he can hear the momentum in Zhou Cheng's words, and the other professors are no exception.

Professor Jiang Hong of the Department of Neurosurgery had a slightly stiff expression.

Jin Kaishi looked at Zhou Cheng with a stunned expression, feeling that Zhou Cheng was a bit impatient and didn't understand the world.

After hearing this, Chen Xianyun's expression was completely different from that of Jin Kaishi, and he said in a strange tone: "Professor Ding, this little brother is quite like the head of your orthopedics department, Lei Zhong."

Lei Zhong is now the chief director of the Department of Orthopedics and the director of the hospital.

But Lei Zhong from the Department of Orthopedics is notoriously courageous.

It can be said to be audacious.

Professor Xu, the former director of Orthopedics and Joint Surgery, Lei Zhong's own teacher, was terrified. When Lei Zhong was in the second-line class of general inpatient and emergency department, he also surprised other professors of surgery.

Later, Lei Zhong was separated and went out alone, and Lei Zhong was strong enough to make a name for himself.

This is very tempting to Jiang Hong.

"Okay, Mr. Jiang." The neurosurgery staff are all answering, ready to operate at any time.

What do you call you to do endovascular hemostasis in our general surgery department? Are you looking down on me or who?

However, Professor Jiang Hongjiang from the neurosurgery department glanced at Zhou Cheng, but he didn't intend to let him go, and said, "Professor Ding, your orthopedics department has developed some new techniques recently, and now you are here to help our neurosurgery." The discipline of surgical development is not bad.”

Zheng Xianlin was immediately overjoyed, although Chen Xianyun looked down on such ordinary debridement or partial liver resection!
But such an opportunity.

The blood vessel system in the liver is very complicated, it can be said that it can be seen directly!
It is also very difficult to complete complete hemostasis, and the operation is very difficult.What's more, what is Zhou Cheng doing now?

The general surgery department did not invite you. Our splenic artery and superior mesenteric artery can be tied at any time. Why do you need your help?
Bleeding from the liver and pancreas, no matter how much I could manage, it wouldn't kill me.

The neurosurgery department will send people from their own department to the interventional department to complete the patient's intracranial angiography, hemostasis, aneurysm clipping and other operations.

The splenic artery has been ligated by Chen Zhimo, but there is still bleeding in the hepatopancreas, which requires intervention.And there was a rupture of the superior mesenteric artery.

Jiang Hong knew very well that if neurosurgery could win such a subject, then the status of neurosurgery in the whole country would rise a lot, and it would even be possible to break into the top three in the country's comprehensive influence ranking next year.

It's the second child of Dangxiang Province, not that kind of second child.

This is what all top hospitals and top professors are doing, and Jin Kaishi is no exception.

After Zhou Cheng finished the operation, he continued: "Mr. Jiang, I have probably completed the hemostasis operation here, but you still need to take the trouble to verify it for me."

"It's not crossing the line to disturb Professor Jiang's normal treatment in your department."

No beds.

In most of the top hospitals, there are such interdisciplinary departments.

After Zhou Cheng finished speaking, he continued to extend the guide wire downward, and began to attack the organs of the general surgery department.

You young man, you don't give yourself a way out when you talk big.

Zhou Cheng froze for seven or eight minutes working together in the liver before finally shouting to the handwashing nurse: "Itinerant teacher, gelatin!"

Zhou Cheng didn't think too much, after getting permission from Jiang Hong and Jin Kaishi.

In fact, Jiang Hong really wanted to ask, should we let our department also undertake this business together?
Because they usually send such small bleeding to Shashi No. [-] Hospital for treatment, or transfer them to other places.

If you suggested an inappropriate decision, then do it well, and the patient's current condition is urgent, and saving lives is the top priority!
No one else knew what Zhou Cheng was doing!
Anyway, I saw Zhou Cheng directly inserting the interventional catheter into the introducer sheath for a long time, and after about a minute, Zhou Cheng said to the itinerant nurse: "Balloon..."

If you can't manage the people in your department well, come here to show off your power, who do you want to hit?

Zheng Xianlin immediately turned his head: "Thank you Brother Zhou! I may trouble you more in the future."

Jiang Hong waved to him, and stood in the operating position himself.

"So traditional interventional procedures are less applicable in such patients!"

The itinerant nurse brought the equipment related to the interventional operation, and he immediately started the operation related to hemostasis.

Now his position in orthopedics can be independent, and he only needs to build his own team.

"Well, let me see how Xiao Zhou does this surgery first, okay?" Jiang Hong didn't specify the type of disease, but he was curious.

Jin Kaishi is desperate.

Intervention here can be less subtle than intracranial.

Vascular surgery to intervene in intracranial blood vessels is not beyond the rules, but it is also beyond the rules.

He didn't pay much attention to what Zheng Xianlin said, but just subconsciously reflected the word Zhou in his name.

"You should thank your brother."

"Go ahead, hemostasis is one thing, and hematoma removal is a must." Jiang Hong explained to the subordinate doctor.

You are all hospitalized and young people, you don’t need me to teach you how to win a relationship, what is popular now.

Professor Chen Xianyun ignored Zhou Cheng's words, and when he was carefully flipping through the pancreas for bleeding, he saw that the bleeding was gradually decreasing at the head of the pancreas, which was still bleeding. Check for trace bleeding.

In the departments of the Affiliated Hospital of Shonan University, the proportion of cerebral angiography and intracranial intervention-related operations is still quite large.

"Thank you for your hard work. If the hemostasis is effective, I will proceed to the next hemostasis point to stop the bleeding."

But these are all performed under imaging monitoring, which is a visualized operation. The current condition of the patient is not suitable for such monitoring.

Besides, Zhou Cheng did have something in his hand, if he couldn't even tolerate a few words, he would be too stingy.

Jiang Hong asked in amazement: "You have found the location of the bleeding point?"

However, although Jin Kaishi is not going to grab a routine patient, but in this emergency situation, the patient is not suitable for CT or MMR monitoring of intracranial blood vessels. Jin Kaishi feels that he can still intervene a little bit.

"However, if Xiao Zhou and Xiao Yang have a special solution."

but.

If the department wants to continue to develop, every department needs it. If Jin Kaishi wants to climb up, he must have ambition. If he wants to surpass the Second Attachment, then he has to change his strategy and follow the old path of the past, which is definitely not possible.

Then he stopped talking.

But even Ding Changle's explanation could not eliminate Chen Xianyun's feeling of discomfort.

The hemostasis of intracranial hemorrhage and the embolization hemostasis of hemorrhage in the liver require different things...

They are all colleagues and old brothers, so there is no need for such a misunderstanding.

Now the trauma is so big, so much blood flowed out before the operation.

At the same time, I was also very curious whether Zhou Cheng was pretending to be aggressive, or if he really bought three catties of beef, two and a half catties of awesomeness.

No matter how bad it was, Zhou Cheng was an orthopedic specialist, so even if he couldn't speak or behave, someone would discipline him.

This is out of his own demeanor, and he doesn't take Ding Changle seriously.

Anyway, the strength of vascular surgery is like this, just gamble, if you win the bet, you will win, and it doesn't matter if you lose the bet, just continue to be the second child if you show bad looks.

Professor Jiang Hong's expression flickered for a while, and he replied: "Professor Jin, what you said is also reasonable."

Don't turn your head to deal with it: "Sorry, wait a minute. I don't have time here."

Zhou Cheng is a thigh, if you want a chance, you have to establish a good relationship with him first, understand?

Zhou Chengcheng smiled at him.

Well, since such an operation can be used as a new direction for the development of vascular surgery, Jin Kaishi, who has a very clinical sense of development, can only ask Jiang Hong for something cheeky!

Chen Xianyun put the scalpel away and said, "You did it? Blind embolism to stop bleeding?"

"Please trouble your brother more in the future, and buy your brother some more wine." Chen Xianyun joked and gave Zheng Xianlin directions.

"If the bleeding point shown by the CT scan before the operation is not accidental, then the position where I stop the bleeding should be the middle part of the anterior communicating artery of the cerebral artery ring." Zhou Cheng said conservatively.

The interventional operation of intracranial blood vessels is firmly in the hands of neurosurgery.

However, Zhou Cheng did not do this.

Zhou Cheng didn't want to pretend or do anything else, the most important thing was to see if he could bring people from other departments to make something.

The Neurosurgery Department of the Affiliated Hospital of Shonan University has a very high status in the world and belongs to a trump department.Compared with the whole country, the comprehensive strength of orthopedics is not as high as that of neurosurgery.

It's not his turn to take care of it.

Then he narrowed his eyes and said, "Okay, wait a minute. Have you finished positioning? When you're done, drill holes for drainage!"

It is not impossible to find time to touch and sing.

Jiang Hong is a professor of neurosurgery, so he is naturally very good at reading films, and his eyes rolled twice.

Now Chen Xianyun also feels that the liver and pancreas don't have too many worries, and he is willing to give him advice and give him the opportunity to exercise. This is an opportunity.

There is no shortage of sources of disease in neurosurgery, and sometimes patients need to be temporarily transferred to a nearby hospital like Shashi First Hospital for a few days before they can have a bed for surgery.

So don't worry about the source of the disease at all!
But what about vascular surgery?It belongs to the kind that can't go up or down.

It's just that no one brought it up on the surface.

Ding Changle naturally understood that Zhou Cheng's words just now were quite ambiguous, so he said, "Professor Chen, Professor Jiang, you may have misunderstood Xiao Zhou's meaning."

Chen Xianyun immediately raised his head and looked at Zhou Cheng.

He mixes too much, but it will make Ding Changle feel that he thinks Ding Changle can't be a man or a teacher!

It is normal for Zhou Cheng to speak politely.

But Jin Kaishi spoke up and said, "Professor Jiang, why don't we do this? It happens that Xiao Yang and Xiao Zhou are both here now, and our vascular surgery department just takes this opportunity to go further."

Jin Kaishi said this to express his attitude and request to Jiang Hong.

After hearing this, Zhou Cheng hurriedly explained: "Professor Chen, you misunderstood, I just wanted to make the patient's bleeding less."

Because Zhou Cheng was afraid that Lu Ganzhou would die when he performed surgery on Lu Ganzhou.But the current situation of this patient is not so optimistic.

For such patients, if the bleeding is stopped by traditional craniotomy, the speed is far less than that of interventional surgery.

He was originally Zhou Cheng's senior, and although he was quite upset, as long as Zhou Cheng didn't say that general surgery is not good in front of him!
Now that Ding Changle is face to face, he is too embarrassed to tangle with a junior.

No matter how bad it is, the most extreme case.Even if the patient dies in the end, we can't just blame our general surgery department!

The meaning of Zhou Cheng's words is just to mention a little bit, if you want it, you are willing, if you don't want it, you don't want it, just say it, the most important thing now is to save time and treat patients.

Organs like the liver, pancreas, and lungs have their own segments, and the intestines are very lengthy, so segmentectomy can be done!
In an emergency, it can be more violent, and even a section of the artery can be directly blocked.

For him, routine and simple debridement operations such as ordinary bowel injury and appendicitis are his daily routine.

Moreover, Zhou Cheng's current state of mind is very stable.

Zheng Xianlin hurriedly said, "Thank you, Teacher Chen!"

Zhou Cheng solved the crisis here, and he went down with a knife, which is really boring, and Zheng Xianlin can solve it.

But no matter how others do not lack sources of disease, the number of patients involves the survival and development of each department!
Jin Kaishi had no choice but to ask Professor Jiang Hong for his opinion.

"Then Professor Jiang, let me deal with other arteries first." Zhou Cheng said politely.

"Hemostasis of intracranial blood vessels in emergency patients with trauma is indeed a big problem at present. Our department?"

Zhou Cheng is currently focusing on the hemostasis of blood vessels in the liver!

Except for the neurosurgery and ENT specialists, if other people perform craniotomy on patients without special authorization, that is death!
It is best for Jiang Hong to confirm the effectiveness of the treatment himself.

However, Zhou Cheng knows that the emergency department is definitely not only a disease of orthopedics, but a comprehensive disease, which requires many subjects, or even joint subjects.

"Zheng Xianlin! Come up."

Chen Xianyun kept silent and did not try to compete with Zhou Cheng.

Zhou Cheng's speed is not very fast!

"You also know that in special emergency situations, patients cannot undergo surgery under CT monitoring."

Moreover, the trauma of interventional surgery is also small. The reason why it was not performed in the past is because the intracranial blood vessels are complicated. At present, it is estimated that in the world, except for Zhou Cheng who can blindly perform intracranial blood vessel hemostasis and other related operations, no one else can repeat it.

Zhou Cheng's words stunned Jin Kaishi and Jiang Hong who were communicating.

As long as the neurosurgery department doesn't make a fuss, it's fine.

Ding Changle knew he was wrong, so he immediately laughed too, and didn't speak yet.

Zhou Cheng didn't have to worry about these problems at all!
With the experience of last time, Zhou Cheng can also be more familiar with it.

The top-level hospitals are not fighting for harvests, but to create, to break through, and to continuously sink various surgical procedures that are currently mature to prefecture-level city hospitals!
Then go to find a bright road for the helpless patients in various departments.

Whether the hemostasis is successful or not, no one else knows except him. Only Professor Jiang Hong or the neurosurgery can verify it!

For an ordinary general hospital like him, it was a great gift, and it was Chen Xianyun who personally handed him the knife. This was the authorization. The chief surgeon could still write about Chen Xianyun, he was just an assistant.

Jiang Hong's team is quite professional, and they have been prepared for a long time, and they can drill holes to decompress and drain at any time.

And at this time, after Jiang Hong easily cleaned out the blood vessels through a small hole for drainage through the drill hole, he laboriously and time-consumingly peeled off the brain gyrus, revealing the position of the blood vessels.

Looking at the blood vessels again, they were deflated.

That is to say?

Everyone looked in Zhou Cheng's direction, and confirmed this. If you buy three catties of beef, you will definitely get two catties and nine taels of it.

(End of this chapter)