"Debridement of damaged lesions is different from ordinary debridement and suturing. All necrotic tissue must be removed, and the surface skin must be thinned."
"If the blood supply to the skin disappears, then the skin and subcutaneous tissue cannot be taken away!"
"However, this patient's situation is quite special. Half of the skin on the soles of her feet still has blood supply. Although the blood supply is not good, as long as there is blood supply, it is good."
"Under such circumstances, we can perform blood vessel transposition surgery. At this time..." Zhou Cheng was debriding the little girl.
While explaining to Zhang Zhengquan in detail, the theories involved were sometimes mysterious, but sometimes it gave him a feeling of enlightenment. Other times, it gave Zhang Zhengquan a feeling that this could be done?
Moreover, under Zhou Cheng's knife, this little girl's anatomy seemed to be no longer simple skin and soft tissue. Zhou Cheng actually found out all the terminal arteries, and then connected them with the soles of the feet.
The artery was repaired!
After continuing on, places that had no blood luck actually now have blood luck.
This is simply an outrageous mother opening the door for outrageousness!
"Yeah, yeah, yeah~" Zhang Zhengquan nodded hurriedly all the way, feeling quite shocked.
Although I don’t know how Zhou Cheng did these things, Zhang Zhengquan had done emergency surgery with Cai Dongfan and Luo Yun after all. If Cai Dongfan and Luo Yun encountered this kind of thing on weekdays, they would definitely have their legs amputated.
thing!
"Brother Zhou Cheng, what should we do next?" Zhang Zhengquan asked again.
"Next, let's..." Zhou Cheng was still talking.
At some point, the door of the operating room was stepped open, and then a small-eyed man wearing a surgical mask and a disposable cap walked into the operating room.
However, his eyes were extremely serious at this moment, and there was no sense of familiarity at all. After entering the door, he felt a sense of pressure when he came next to Zhou Cheng, and he glanced at the operation progress on the operating table.
Cai Dongfan said bluntly: "Zhou Cheng, after you step down, go to the outpatient clinic and come back for Luo Yun!"
"Don't participate in the subsequent surgery!!!"
The voice was decisive and straightforward, and there was no room for Zhou Cheng to refuse or hesitate.
When Zhang Zhengquan saw Cai Dongfan, he panicked and his right hand trembled slightly: "Teacher Cai."
He was in a state of confusion. As someone who has followed Cai Dongfan for several years, Zhang Zhengquan has rarely seen Cai Dongfan get angry, but he has seen it. At this moment, Cai Dongfan was extremely angry.
Although he hasn't started firing like he did with Yan Haihan, he is definitely angry. This kind of emotion when speaking is not normal.
Zhou Cheng paused for a moment and replied, "Okay! Teacher Cai."
Zhou Cheng understood what Cai Dongfan meant. He regretted it a little, but he didn't regret it either.
"After you step down, come to me first." Cai Dongfan said, furious.
However, Cai Dongfan still felt quite upset immediately afterwards, so he said: "Forget it, you go directly to the outpatient clinic to find Luo Yun and bring Luo Yun into the operating room instead!"
After Cai Dongfan finished speaking, he walked out of the operating room.
After Cai Dongfan left, Zhang Zhengquan, whose heart was almost in his throat, finally felt relieved and said with relief:
"It's scary to death. Why is Teacher Cai now so powerful and powerful like Director Yan before? It's scary to death."
"It's different when you become the director." Zhang Zhengquan's tone sounded a little bit aggrieved for Zhou Chengming.
You know, Zhou Cheng completed a debridement in a short period of time and saved a little girl who was about to have her leg amputated. This is a great achievement, and it was Luo Yun and Cai Dongfan who did this.
Neither can be completed.
Even if Cai Dongfan doesn't praise people, he just wants Zhou Chengzhi away.
What kind of temper is this?
Zhou Cheng continued the operation and said: "Quanzi, this is not to blame Teacher Cai, it was all done by myself. Hurry up and do the operation, the next operation will not be difficult!"
Zhou Cheng understood very well.
"Brother Zhou Cheng, Teacher Cai is about to kick you out of the operating room, why are you still helping Director Cai speak?"
"I think Mr. Cai was acting like a director just now!" Zhang Zhengquan was still muttering!
Zhou Cheng didn't explain too much. Soon, Zhou Cheng and Zhang Zhengquan completed the limb-saving surgery on the little girl.
After the operation, Zhou Cheng carefully checked that the blood supply and VAC were smooth, and no blockage or air leakage was found.
He said: "Quan Zi, please remember to give anticoagulant and circulation-promoting drugs to the patient after surgery. I will give you two more cephalosporins today."
"Then explain it to the patient and family members."
"Okay, Brother Zhou Cheng." Zhang Zhengquan was quite excited. Although he was not the chief surgeon, he still had a share of the credit for this little girl being able to save her leg!
Zhou Chengcheng walked out of the operating room a little lonely.
Zhang Zhengquan sighed, but then he heard the little girl crying again, her shoulders shaking slightly and asked: "Doctor, is my operation finished?"
"My legs are so numb and I can't feel them at all. Did you amputate all my legs?"
The little girl had no social experience and little knowledge, but she still saw the one-legged person on TV. She thought she had lost one of her legs and was a little anxious.
But it's useless to be anxious, so I feel aggrieved.
And how young she is, what Zhou Cheng and Zhang Zhengquan said was too professional, and she couldn't understand what they meant at all.
"No, your legs are still fine. They are not useless at all. They just leave some scars."
"But, you have to be obedient after the operation to avoid infection!"
"Ah? Really? Let me see!" The little girl was about to raise her head excitedly.
However, the anesthesiologist held him down: "Don't look up! I've told you, little girl, you have to be obedient, can the doctor still lie to you? Your cute little feet are still dripping, don't worry.
!”
"I will go out to meet your parents later and ask them to take pictures for you."
"I'll just take a look."
"Don't look at it, lest you get a headache later." The anesthetist refused flatly.
The chance of cerebrospinal fluid leakage is small, but there is no need to gamble! The little girl is already pitiful enough, and any risk can be reduced.
Then Zhang Zhengquan pushed him to the door of the operating room. The patient and his family saw the surprise and thanked Zhang Zhengquan gratefully. They even almost knelt down in front of him. Zhang Zhengquan explained that he did not perform the surgery.
But the patient's family members still thanked him. In addition to his parents, there were also grandparents and grandparents. They were all extremely surprised and looked at their girl very fondly. The two pairs of old men and women held Zhang Zhengquan's hands tightly and refused.
open……
Zhou Cheng had already gone down to the dressing room. Instead of changing into his own clothes, he put on a pair of shoe covers and rushed towards the clinic.
After Zhou Cheng arrived, Luo Yun asked Zhou Cheng to stand aside, vaguely guessing something.
After seeing this patient, there were only five waiting patients left outside, but Luo Yun explained to them: "I'm sorry, please wait a moment, give me five minutes to go to the bathroom."
The reasons given by Luo Yun were reasonable, and the patients and their families waiting for treatment outside didn't say much.
Luo Yun then took Zhou Cheng to the rarely visited stairwell. After entering, he asked Zhou Cheng: "What's going on with you? Why did Director Cai send you to the outpatient clinic?"
"For the amputation surgery scheduled in the morning, I salvaged the limb and saved the time of debridement of the knee joint in the operating room next door." Zhou Cheng explained in a low voice.
"You!~" Luo Yun's expression changed when he heard this.
Zhou Cheng’s matter may seem high-minded, but it’s actually outrageous!
"Are you stupid?"
"What qualifications do you have to decide the length of surgery for a third-degree knee injury?" Luo Yun started to curse at that time.
"Why does this patient have to pay for another little girl's limb preservation?"
"Why are you doing this?" Luo Yun asked Zhou Cheng.
Zhou Cheng lowered his head and said nothing. He had a reason in his heart, but such a reason was not a reason at all.
"I met it." Zhou Cheng could only say that he met it!
"Meet him?" Luo Yun was a little surprised.
"You should do this when you encounter someone? Who taught you this? When is it now?"
"Time is money, time is life. If you have the time, why don't you deal with the subsequent patients? Do you know how much trouble will occur if you just casually adjust the patient's operation time?"
"It's a good thing that you have abilities, but the abilities you have should be put on the largest plane, instead of concentrating all your abilities on one person at no time or opportunity for one patient. Don't you understand this?
"Luo Yun asked.
In normal times, Luo Yun would never talk about Zhou Cheng.
It just depends on how much ability you have.
Seeing that Zhou Cheng didn't speak, Luo Yun continued: "If we talk about a patient——"
"You guard him 24 hours a day, and you are devoted to him. You take all his situations into consideration. You can even find the best and most affordable home for him all over the world yourself.
medicine."
"You can even help him pay for it. Can you afford it? You can afford it."
"You can be grateful to patients and their families, and even your behavior can be made a god if it is posted online. But what can you do?"
"How much money do you have, and how much time do you have in your life? If you just spend it all on this, how many patients can you handle in your life? Ah? How many?"
"Should you spend your time being a doctor, or should you become a miracle doctor and spend your time building your own medical ethics and making yourself a holy mother?"
"When two patients are about to die, as the chief surgeon, you have to be a bad person!~"
"Who do you think you don't think of?"
"Are you going to let the patient's family members do it?"
"Moreover, this kind of evil can't be done just by relying on your thoughts and thinking. You should follow the general trend!"
"I thought your mind was mature and stable enough, but in fact you are still not cautious enough and you still don't have enough experience!"
Zhou Cheng nodded and said apologetically: "I'm sorry, Teacher Luo, to disappoint you and Teacher Cai."
"You have never experienced this kind of thing, so you have no experience, and you don't know how to deal with it, but I tell you, steel should be used on the blade. This sentence is very cruel!"
"This is the law of reality. Otherwise, you will be eliminated."
"I'll give you another very real question!"
"If you had 500,000 yuan, would you be willing to donate it to a child with cancer from a poor family? Or would you be willing to support a few poor students who dropped out of school?"
After Luo Yun finished speaking, he walked directly out of the stairwell.
Zhou Cheng was left alone and very troubled!
What kind of question is Luo Yun's question? This question is too sharp and difficult to answer.
child--
student.
In terms of age, children are younger, and their potential is unlimited. He is still young, and he still has unlimited possibilities. However, a tumor modification has directly locked him up for the rest of his life.
Even if you spend too much money, his lifeline is around twenty years old!
From a social perspective and from a social value perspective, donating to him is a complete waste. It is using a large amount of financial resources to support a person with a limited lifeline in gaming life.
That is a squandering of money that can only be enjoyed by the rich.
And this amount of money can change the lives of several other children in impoverished mountainous areas!
However, from another level, before life, all living beings should be equal.
Children in poor mountainous areas will not die even if they drop out of school. At most, the breadth of their lives is different. They may not be able to go to college, but they can still find their own ways to survive.
If they do not interfere, drop out of school, go out to work, farm, and mediocrity for the rest of their lives, they can still enjoy a complete life.
But what about the children?
This money may increase the length of his life several times, allowing them to open their eyes to see the world and enjoy the ordinary first half of life that other children should enjoy, and even prevent them from being greedy and selfish to enjoy what love is like.
Just have to leave.
The painful feeling of falling out of love, and the painful feeling of being burdened with mortgage and car loans are all luxuries and rewards for them!
This is an unsolvable problem.
You can even choose not to choose, or you can choose not to help anyone.
However, such problems still exist in the real world.
Not donating money when you have money is neither against morality nor against the law. However, if you choose differently, the final result will be different after all...
Zhou Cheng thought for a long time, but in the end he still couldn't get an answer.
Perhaps, not helping anyone is a cruel choice for no one -
When I finally walked into Luo Yun's clinic, I saw Luo Yun hurriedly issuing hospitalization certificates to patients, and said: "There are many patients in the department now, and there are no empty beds, so it will take a while for you to be able to
Come in."
"Ah? Doctor, can't you be admitted to the hospital today? Then wouldn't my visit today be in vain?" the patient's family members muttered.
They are here just to solve the problem. If they need to be hospitalized, they should be hospitalized.
It is best to schedule the surgery tomorrow.
This is a definition he made based on his personal thoughts, and it is the most beneficial to him. However, the world in which everyone lives is destined to be a society!
"I can't help it. I believe you all know what happened yesterday. There are a lot of patients and surgeries in the department now."
"If you are very anxious, you can go to other hospitals and ask. Take these examination results and medical records with you to see if there are any vacancies and beds." Luo Yun was helpless.
The patient and family members finally left cursing.
After leaving the door, the cursing didn't stop.
"The business of this hospital is really good. If you want to have surgery, you still need to make an appointment."
"Yes! It's easiest to make money in the hospital. Wherever business in the world is bad, the hospital's business is not bad."
After hearing this, Zhou Cheng really wanted to say something loudly:
——
Is a hospital a place for business?
I wish you come to the hospital every day to do business, okay?
Saying this is actually a curse and disrespect for others!
Luo Yun did not leave, but continued to call the next patient in. Of course, he did not ask Zhou Cheng to go back to the operating room, but just delayed it, and also slightly slowed down the pace of outpatient visits.
After seeing a patient again.
Zhou Cheng was a little anxious: "Teacher Luo, aren't you going to the operating room? The next patient is still waiting. I guess there are two more now."
Luo Yun glanced at Zhou Cheng and said, "What's the hurry? I'm an outpatient doctor now. What does the life and death of the patients in the operating room have to do with me? I want to see the outpatient clinic. I have to be responsible for the patients here. I also plan to follow up later.
A few patients, and then if they're going to be hospitalized."
"If I go to serve them 24 hours a day, what do the other patients mean?"
Luo Yun is full of yin and yang.
Zhou Cheng lowered his head, knowing that Luo Yun was criticizing Sang and Huai, he said again: "Teacher Luo, I know I was wrong!"
“Save lives first, then treat illnesses, how many times have I told you?”
"Outsiders say that we doctors are devils, but in fact we doctors are often like devils because you can't let the patient's family make a choice. Don't save this person's life."
"Even if he doesn't want to save you, he can still beat you if you say so!"
"We must grasp this balance. Being kind in your heart does not mean doing good deeds."
"Go back quickly. Director Cai asked you to come here. He just asked me to scold you. Do you think you can really see the outpatient clinic for me? This is my number. How can you be qualified to sit in the outpatient clinic now?"
"Go back to the operating room and continue the operation without any psychological emotions."
"At special times, you just have to raise your vision, and you have to raise it."
"Human life matters!"
"Okay!" Zhou Cheng followed suit this time and didn't refute. He nodded and left the clinic.
When he got to the door, he glanced at Luo Yun and found that Luo Yun had no intention of asking him to go back. He probably really wanted to ask him to go back to the operating room and had no intention of joking with him.
After Zhou Cheng arrived in the operating room, Zhang Zhengquan looked at Zhou Cheng in surprise.
Lowering his voice: "Brother Zhou Cheng, why are you back again? Didn't Teacher Cai ask you to go to the outpatient clinic?"
Zhou Cheng looked at Zhang Zhengquan and said, "Teacher Cai is beating me and teaching me how to do things. I did not think carefully about the surgery just now and my vision was too narrow."
Zhang Zhengquan's expression changed slightly: "Are you still narrow-minded?"
"Brother Zhou Cheng, didn't you see how surprised the family was and how surprised the little girl was, her eyes lit up. She even said that she would personally thank you in person tomorrow."
"Their entire family regards you as their savior!"
Zhou Cheng knew that what Zhang Zhengquan said was true, and he also knew that what Cai Dongfan and Luo Yun said was also correct.
However, the right and wrong of things are not so absolute, but it depends on the perspective and angle from which you look at it.
As people slowly grow up, their perspective changes, which is inevitable. After seeing clearly, it is also inevitable to become indifferent and indifferent to the understanding of outsiders. This is growth.
The subsequent plot is also very important, and you must think carefully about it.