Chapter 182 The Wolf is Destroyed—Zhou Cheng! (Please subscribe)
"Stop talking, let's start the operation."
"By the way, Quan Zi, in the operating room next to it, is that where Teacher Cai started the operation?" Zhou Cheng quickly changed the topic, and the matter was over here!
"Well, Teacher Cai just passed by the operating room here, and he said he would come over 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 violent.
It cannot be ruled out that Cai Dongfan became a director and was scolded for not reporting to Cai Dongfan in advance.
Zhou Cheng thought for a while and said, "Okay, you wash your hands first. I'll go over and tell Teacher Cai and I'll come over to help."
"I'll be in your group later. Teacher Luo's outpatient clinic has almost seen all the morning patients. The afternoon outpatient clinic has been suspended, so I should be able to make it in time."
After Zhou Cheng finished speaking, he walked outside the operating room.
At special times, everyone is working hard and can't wait to squeeze one minute into two minutes.
Moreover, Zhou Cheng was outside performing on-site first aid last night. He didn't know exactly what patients were in the department. When he arrived at the department, he was immediately kicked out of the operating room.
Zhou Cheng arrived at the 19th operating room, where he saw Cai Dongfan meticulously performing an operation. When he saw someone stepping on the door, Cai Dongfan glanced over, and then his eyes did not change, and he just continued to operate with his head lowered.
I don't know whether he was angry or not.
"Teacher Cai, I went to the outpatient clinic, but Teacher Luo said that he was almost done with the outpatient clinic and would come to the operating room soon. Moreover, he was already in the outpatient clinic in the morning, and all the waiting patients outside recognized him. So he asked me to come back.
.”
"Yeah! You go next door and do the surgery seriously first!"
Cai Dongfan explained one more thing.
Zhou Chengcheng followed Cai Dongfan. Cai Dongfan knew Zhou Cheng and now 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, emergency response.
It wasn't that Zhou Cheng's surgery was wrong, but that his choice of surgery was wrong.
In the emergency department of the entire hospital, orthopedics is a unit. If an orthopedic patient has a problem, it is an orthopedic problem.
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.
Losing big things because of small things is the most undesirable thing.
Cai Dongfan was 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 is verification.
…
After Zhou Cheng returned to his operating room and completed the preliminary work such as disinfection and draping, he saw that Luo Yun had hurried into the operating room again, glanced at him, and then immediately ran to No. 21
, stood at his position.
Zhou Cheng glanced at the time on the surgical timing panel at this time, and saw that it was only about half past nine.
In other words, Luo Yun spent 80 minutes watching more than 20 outpatient clinics, and the process must have been very rough.
However, Luo Yun also knows that it is his duty to open an outpatient clinic and treat the patients in the outpatient clinic!
However, it is also his duty to go to the operating room for surgery.
The fish is what I want, and the bear's paw is also what I want; you can't have both, for you would give up the fish and take the bear's paw!
A person will have many choices in his life.
Zhou Cheng didn't think much and quickly got into the mood. Moreover, he also knew that because of his choice just now, Cai Dongfan had already arranged the subsequent surgeries again!
All Zhou Cheng can do is to take care of all the patients arranged in his operating room!
"Quanzi, take the tissue scissors!" Zhou Cheng said to Zhang Zhengquan.
This operation, or today's operation, does not have a hand-washing nurse, only a roving nurse, so Zhang Zhengquan still has to do the work of a hand-washing nurse, transferring instruments and other tools for Zhou Cheng.
"Okay, Brother Zhou Cheng." Zhang Zhengquan hurriedly replied, while holding on to the hook with one hand.
Zhou Cheng then started to trim the air wound surface with tissue scissors.
Most of the emergency patients this time were patients with open injuries and fractures, and there were not many patients with mutilated injuries. Moreover, at this time, there were actually not many patients with arterial injuries, and more of them were due to defects caused by mutilated injuries.
Hemorrhagic necrosis.
The time has arrived at this time. Although life is not in danger, the wound must still be treated well. The necrotic tissue that needs to be cut must be cut off...
Zhou Cheng's operation was very fast. It took about thirty minutes. Zhou Cheng was about to debridement and suture the machine, and then said to the circulatory and anesthesia doctors: "Tourist, anesthesia teacher, please work hard to pick up the next patient!"
"Are you going to take it now?" Youyou was puzzled, just looking at Zhou Cheng who was still operating.
"Yeah!~"
"Take it now. This operation is nearing completion. We will send the patients back to the ward later. There will also be people in the operating room ready to disinfect and drape. There are many patients in the department today, so we are trying to speed up the turnover.
." Zhou Cheng explained.
"Okay!" Zhou Chengdu said, and they didn't say much. They immediately called the ward, and at the same time called the nurse who was transferring 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, anesthesia can be completed for the next patient in advance in the preparation anesthesia room.
Zhou Cheng still has about ten minutes to finish the operation. This time is enough to complete the pre-anesthesia. When the patient goes out, the anesthetist will directly push the patient in, and then he can directly prepare for the next operation.
A truly seamless connection!
It's just that doing this will be relatively tiring. Usually, anesthesiology departments don't do this.
But special times require special preparations.
Seventeen minutes later, when Zhang Zhengquan was returning the patient to the ward along with the intern and the anesthesiologist, Zhou Chenggong took the initiative and pushed the patient into the operating room with the anesthesiologist.
Then Zhou Chengcheng immediately started preparations for disinfection. He opened the debridement package to the innermost layer, then ran for disinfection. Then he found the sterilized bent disk and oval forceps himself, and asked the anesthesiologist to take the time to tear open a package.
Gauze is used for disinfection.
When he was almost ready to get here, Zhang Zhengquan returned to the operating room. Zhou Cheng quickly asked him to put on sterile gloves and start lifting his legs...
Just when Zhou Cheng started disinfecting, the anesthesiologist had just completed the advance work of monitoring. The circulating nurse entered the operating room. She had no time to rest at all and had to go directly to deal with the drainage bottles left by the previous patient and return them.
Connect the electrosurgical electrode pads.
The operation started quickly and step by step.
The circulating nurse had a little free time and complained to the anesthesiologist: "Hey, this orthopedic surgeon is still very motivated. I have never seen an operation turn around so quickly."
The anesthesiologist just smiled and explained to her: "What does it mean now?"
"There have been times before when our director was in charge of orthopedic anesthesia, and he spent the whole morning turning around patients and anesthesia. It was really called anesthesia for half an hour, and the operation lasted for three minutes, and then he had to continue to the next rotation cycle."
"This open surgery is actually quite slow."
Then he pursed his lips towards Zhou Cheng: "It seems to be this young man!"
"After all, you are young and full of energy!"
This traveling nurse was not the kind of girl who just graduated. After hearing what the anesthesiologist said, her pretty face turned red, which was covered by the mask, and her eyes looked up and down Zhou Cheng's figure.
I thought to myself, are you energetic?
Just when he started to think wildly, Zhou Chengcheng immediately said: "Tourist, please prescribe a lower limb bag!"
The second ward of orthopedics still mainly deals with trauma of the lower limbs, while the first ward of orthopedics deals with trauma of the upper limbs, so the second ward of orthopedics mostly uses lower limb fracture bags specifically for the lower limbs.
"Okay, I'll get it." Hearing this, Xingxing replied hurriedly.
However, when she called and asked if there were any lower limb bags in the disinfection room, she was told that all the previous lower limb bags had been used up and it would take at least fifteen minutes to complete this batch of disinfection bags.
"There is no lower limb bandage, it will take another fifteen minutes." The circulating nurse was a little shocked.
Even the surgical kit was used up and had to wait for re-sterilization.
An orthopedic surgeon is worthy of being an orthopedic surgeon. He is really fierce.
"Are there any bags from other departments? If there is one for the upper limbs, just get one. This patient has an open fracture and needs to be reduced and fixed."
"Then open two more blood vessel sutures." Zhou Cheng needed tools for fractures. These were not included in simple debridement kits, so he had to think of other methods.
But it was a pity that the upper body bag was gone, so Zhou Cheng could only wait.
Finally, after fifteen minutes!
The lower body bag that Zhou Cheng was looking forward to has arrived!
After finally resting for fifteen minutes during the tour, I felt that the pace of this operation might be just right. However, as soon as the lower limb bag arrived, Zhou Cheng started to give instructions like a machine running at high speed.
"Kirschner wire~! Two, temporarily fixed."
"External fixation kit."
"Sterile gauze."
"Tendon sutures."
"..."
…
Half an hour later, Zhou Cheng ordered again: "Turn on the VAC film!~"
The circulating nurse rubbed her knees there and was convinced: "Dr. Zhou, can you wait a little while so that I can relax a little?"
She had been running for half an hour. She looked at her VX step count and was surprised that it had reached 8,000 steps!
What is this concept?
Of the 8,000 steps, more than half were probably taken within this half hour.
Half an hour, that is, 1,800 seconds!
This is equivalent to running at least two steps every 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 painful. This high-speed operation is actually very detrimental to the finger joints.
As an orthopedic surgeon, I know that interphalangeal arthritis and joint tenosynovitis are easy to occur!
There are many types of arthritis.
Just like programmers, they are prone to this disease.
But there is no other 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 her around.
Xianyou stood up and glanced at Zhou Cheng with a very resentful look. He felt that this young man Zhou Cheng simply didn't understand what it meant to pity the fragrance and cherish the jade——
Because in the previous ten minutes, Zhou Cheng asked her to pick up the next surgical patient, so it is conservatively estimated that after this patient is sent back, the intense rhythm just now will happen again, and this time it will happen again.
With extra lower body bags, there is no time to stop.
…
Two hours later, another operation was completed. This was the seventh operation that Zhou Cheng had completed in this operating room.
At this time, the time is only 1:10!
Zhou Cheng finally said he was going down to eat and asked Zhang Zhengquan to stay here.
When Zhou Cheng heard this, she was so moved that she shed tears. While Zhou Cheng was out for dinner, she immediately went to the head nurse at the nursing station to complain.
"Mr. Nurse, I can't stand it anymore. Do you know how far I ran today?"
"Look at my VX step count. This morning, in just five hours, I walked more than 30,000 steps!"
"Head nurse, five hours is 18,000 seconds! My legs are numb now. Did the surgeon deliberately hit you?"
"What's the matter with you? Why have you walked so many steps?" the head nurse asked anxiously and concernedly.
"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 please let me take a moment? Please." In order to ensure authenticity, she pulled up her step record. The head nurse looked at it and felt quite distressed.
He even let her rest.
More than 30,000 steps is not too many, but 30,000 steps in five hours is really outrageous.
…
In the afternoon, three forty-three o'clock.
After Cai Dongfan finished the last operation in his operating room, he hurried to Room 17 and asked, "Hey, Zhou Cheng, I just called the ward and said that all the emergency surgeries are scheduled for today?"
"How many have you made here?" Cai Dongfan narrowed his eyes.
He and Luo Yun added up to the seventh station, and there were no more patients.
He also asked Director Yan and Hu Ming, and they found that the situation was similar, but even so, the total number of surgeries was only about twenty, but there were thirty-one surgeries scheduled in the department today!
Cai Dongfan almost thought that a few of them had died, so he hurriedly called Lin Lin on duty, only to hear that it turned out that Zhou Cheng had picked up the patients.
"This is the twelfth channel!" Before Zhou Cheng could say anything, the anesthesiologist rolled his eyes.
"I said, Lao Cai, you found this young man from Africa, right? I didn't even get anesthesia. I feel tired. I even replaced him during the tour."
"Look at that assistant. His hands are shaking now. The surgeon is not tired yet!"
Upon hearing this, Zhang Zhengquan turned around and explained: "Teacher Anesthesia, who said Brother Zhou Cheng is not tired anymore? His fingers are already blistered. He is just enduring the pain and was still grinning when he was disinfecting outside!"
"There were too many surgeries today. Brother Zhou Cheng felt that the rest of us had to stay up all night yesterday, so he did more surgeries so that everyone could get off work early."
While Zhang Zhengquan was speaking, Zhou Cheng remained unmoved and meticulously performed debridement and reconstruction of blood vessels between muscles.
Cai Dongfan took a deep breath.
"Twelve stations?"
Then he looked at Zhou Cheng, his voice trembling slightly: "You made twelve sets? How did you do it?"
He and Luo Yun had seven surgeries combined. Even if Luo Yun came later, he only did four surgeries. This is because later surgeries became easier and simpler!
Zhou Cheng alone could handle the workload of the two of them, almost doubling the workload.
Kill the wolf?
This guy doesn’t dare to fly like this when flying a plane?
"This young man won't rest and will be sent to the pre-anesthesia room in advance!"
"Then one person takes the patient back to the ward, and the other person immediately starts the pre-disinfection work. After the other person comes down, the second operation begins."
"But I don't know if his hands are blistered or not. Anyway, my hands are a little red!"
"You are so cruel to yourself!" He looked at Zhou Cheng's hand, which did not tremble at all and was as steady as a batch of old dogs.
The needle is powerful and the knife is clean and crisp. It doesn't look like a pair of injured hands at all.
Cai Dongfan didn't say anything, he just walked to the operating table silently and watched the progress of the operation quietly.
Immediately afterwards, Luo Yun also discovered that something was wrong, and then came to Zhou Cheng's operating room.
Hu Ming and Zheng Xuanlin also arrived soon after.
Then Yan Haihan shouted loudly: "Director Cai, I heard from the ward that all the surgeries were completed today. You did 18 surgeries as a team?"
After he finished speaking, he saw a lot of people gathered around in the operating room, and Luo Yun explained on the side: "Zhou Cheng is using the patient's own damaged skin to reconstruct the flap. This idea,
He is very courageous, and the damaged skin has a long ischemia time! The survival rate may not be high.”
"However, if the patient can survive, the patient's benefits will be quite large. Anyway, it requires a second stage of debridement, so it is a very good choice to try to increase the survival rate."
"If such verification." At this point, Luo Yun was interrupted by Yan Haihan's words.
Yan Haihan came closer and saw what Zhou Cheng did, and then said to Luo Yun: "Xiao Luo, Zhou Cheng, you continue."
The voice suddenly became much quieter.
Yan Haihan 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 of hand surgery!
Skin flap transplantation has always been the hottest and core topic in trauma surgery. Trauma surgeries all over the world are revolving around this direction!
One of the most critical aspects of limb salvage surgery is filling the skin and soft tissue defects.
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 prepared to the greatest extent."
"We used to discuss the vascular bed most often, but when it comes to dealing with soft tissue defects, the skin bed is actually a more important topic. If the skin bed, that is, the tissue under the skin, is handled well, there won't be too many problems.
For large skin defects, whether it is a thick-skin or thin-skin compression transplant, it will be very convenient."
"This is also prepared with both hands..."
Following Luo Yun's explanation, even Yan Haihan, who had just come in, could tell that something was wrong with Zhou Cheng.
Yan Haihan's heart suddenly turned over -
He originally thought that he had thought of Zhou Cheng well enough, but unexpectedly, Zhou Cheng broke his cognition again. The technology mastered by Zhou Cheng had already reached a very high level. Moreover, in the early stage
He has already gained recognition for his surgical foundation, so it is not incomprehensible for Zhou Cheng to go further.
After all, the only person who knows Zhou Cheng best is Zhou Cheng himself.
Finally, during Luo Yun's introduction and in front of everyone's horrified eyes, Zhou Cheng completed the final VAC patch and negative pressure suction, bringing the operation to a perfect conclusion.
Zhou Chengcheng said: "Quan Zi, you can give the patient a medical order later."
After he withdrew his hand, everyone saw that Zhou Cheng's decisive and crisp hand, which had been motionless just now, started to tremble slightly. They didn't know 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 few things. He was just a little tired and sleepy. As for Zhou Cheng, because of long-term high-speed operation
, under the protection of the gloves, blisters were formed on the skin, and you will know how much micro-operation he 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 there were red defects on the ulnar side of the distal section of Zhou Cheng's thumb and the radial side of the middle distal section of the index finger, and the radial side of the distal section of the middle finger was also red.
This is no joke or pretense.
Even though Zhou Cheng injured his finger, he was not affected at all during the operation. This means that the quality of each of his operations is very high, and he only ensures quality on the basis of quality.
Cai Dongfan immediately stepped forward, rubbed Zhou Cheng's shoulders, and said, "Let's go change clothes first, and then go back and have a good rest. Let's have dinner together in the evening."
"Luo Yun, Zheng Xuanlin, and Dong Qiansheng, I have to work hard for the three of you to go back to the ward and sort out the medical orders of all the pre-operative and postoperative patients in the department. There are too many patients, and I am afraid that the medical orders prescribed by the doctors below will be wrong.
"
"Lao Hu, Director Yan, you two have worked hard. We all worked hard all night yesterday. Let's go back and have a rest. Let's have dinner together tonight."
Cai Dongfan made arrangements one by one.
Yan Haihan 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. Everyone should go to bed early. If there is a big department dinner, then
Save it for Monday or Tuesday night."
Hu Ming also nodded and said: "Yes, everyone in the department has basically stayed up for more than thirty hours and close to forty hours. Let's talk about eating separately."
“Everyone, have a good night’s rest!”
Although Cai Dongfan is the new director, he is really top-notch. As the director, he is busy in the emergency department, so I won’t go into details. He hasn’t had a break yet. The arrangements are proper. The most important thing is that Cai Dongfan is in a team.
Picked up half of the emergency patients!
This is really awesome. Although most of it was done by Zhou Cheng alone, it was also well arranged by Cai Dongfan!
Therefore, even though Yan Haihan was a little bit worried about Cai Dongfan's appointment as director, he was also very convinced by what Cai Dongfan had done in the past two days.
If he were the director, he wouldn't be able to do what Cai Dongfan is doing now.
"Okay, let's all have a rest today. I will arrange the dinner party in the department later."
"Everyone, please have a good rest. There are still some mild patients in the department. We will try to deal with them tomorrow!"
"Our department has dealt with this emergency in the most perfect manner. Thank you for everyone's cooperation." Cai Dongfan also spoke in a consistent manner.
After saying that, Hu Ming and Yan Haihan took the others away, not knowing what they were thinking in their hearts.
Cai Dongfan and Luo Yun gave Zhou Cheng a meaningful look, a little distressed, but also a little helpless. If there weren't too many patients, Zhou Cheng wouldn't do this.
"Go back and have a good rest." Luo Yun said as Cai Dongfan and Luo Yun led Zhou Cheng downstairs.
Zhou Chengze looked at it doubtfully and asked, "Hey, Teacher Cai, Teacher Luo, and Yang Yifeng didn't come to the department?"
"Yang Yifeng was called back to the Affiliated Hospital of Xiangnan University and is not here with us!" Cai Dongfan only explained softly!
At the same time, I sighed in my heart, no matter how outstanding Yang Yifeng is, after all, Yang Yifeng is only a person from the outer hospital. When things really happen, people from this hospital 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 hurriedly.
Cai Dongfan stretched out his hand to stop Luo Yun and said, "Go back, I'll go to the ward. I guess there is 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!
"Teacher Cai, let me go to the department. Doctor Tang has gone home a long time ago." Luo Yun knew what Cai Dongfan meant, blushed and 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 able to be more calm and relaxed when you are on duty again in the future."
"This experience will also add a very rich experience to your life."
Zhou Cheng nodded and said with emotion: "Yes, compared with this incident, the usual emergency consultations are nothing but trivial."
"However, if things can happen again, I hope it won't happen."
Zhou Cheng felt that the experience of this incident had allowed him to achieve qualitative growth, but the corresponding price was also too high. Zhou Cheng did not know how many people had died so far.
If growth must be accompanied by such a death, Zhou Cheng would rather just be a newbie.
"Whether you grow up or not, things will happen sooner or later. Although you don't want it, the facts are unforgiving."
"Any preparations we make and all growth we make are to deal with all the unknowns that follow. Only by becoming better and better can you become more calm and leisurely when encountering the next unknown event."
"Besides, this time's on-site first aid should be an eye-opener for you, right?" Cai Dongfan said with a smile.
"Yeah!" Zhou Cheng nodded honestly.
"Go back and have a good rest. Remember to take care of it here. Don't be an orthopedic surgeon and get your wound infected. That's not worth it!" Cai Dongfan explained again and let Zhou Cheng go back.
Zhou Cheng felt he was a little tired, so he went home directly and started lying down without taking a shower.
It's really tiring, but it's really worth it.
This time, I slept without too much psychological pressure. I slept from 4:20 to nearly 10 o'clock, and then Zhou Cheng woke up. He was woken up by hunger...