Chapter 285 The ignorant are fearless! (Please subscribe)
The seats on the plane were quite empty and there were not many people. Zhou Cheng and Li Zhongyue sat in a row, and there was no one in the corridor closest to them.
Li Zhongyue seemed a little nervous, his back pressed tightly against the back of the seat behind him, and he looked at Zhou Cheng until the plane took off for a while.
Li Zhongyue breathed a sigh of relief and asked, "Senior Brother Zhou, was the phone call you received earlier really a consultation?"
"Did you ask for surgery?"
Li Zhongyue felt a little uneasy and felt it was too unreal.
Although he has not started working yet, it is a bit too shocking for a senior brother to be called to Shanghai for consultation and surgery.
"I didn't know until I went there that I might not be able to go on stage." Zhou Cheng's expression was frowning at this moment, he glanced at Li Zhongyue and replied.
Although Xue Xiude is new to this type of surgery, he is a professor himself. After knowing one, he can completely understand it by analogy. Even if it is a troublesome surgery, based on his experience, he can handle it freely.
Knowing that he is currently in Shashi, the patient who still wants to call him to take a look at is probably not going to be well.
"Oh." Li Zhongyue nodded, not daring to speak again, his expression still a little nervous.
However, when he looked at Zhou Cheng, there was a little more trust.
At least, for now, Zhou Cheng doesn't have too many sweet words, but is contemplating something, which is completely contrary to the deceptive tricks he has learned.
The more someone makes you let down your guard, the more likely they are to have plans for you. Of course, it cannot be ruled out that Zhou Cheng is deliberately fishing.
But he had already contacted his family, and Zhou Cheng had let him go without monitoring him, so he was not afraid that something would really happen.
…
It went very quickly, almost two hours in fact.
The plane lands.
Zhou Cheng took Li Zhongyue out of the airport quickly. When they got off the plane, Professor Xue Xiude called and informed them that someone was waiting outside the airport and found the license plate.
The other party glanced at Zhou Cheng, then passed by Li Zhongyue. After the two got in the car, they started driving immediately.
Zhou Cheng asked: "Master, can I ask, Professor Xue Xiude, where is the surgery performed now?"
"Then I don't know. I took over the task temporarily. Someone asked me to come to the exit and pick you up at a designated location. They didn't tell me which hospital they would take you to?" the master said a little strangely.
"Well, okay, it's okay." Zhou Cheng didn't say much.
The other party knew his name and must have been sent by Professor Xue Xiude to pick him up. It was inconvenient to explain because he might have something to hide.
Zhou Chengcheng wanted to search the target hospital to see if it was that kind of place, but the other party's reply made him even more sure of one thing.
Some hospitals are relatively special hospitals, and some wards are also relatively special wards.
This kind of ward is not available in the Eighth Hospital, but both the Shonan University Affiliated Hospital and the Second Hospital have it.
There is a more popular way of saying it, senior cadre ward.
After arriving at the location, Zhou Cheng and Li Zhongyue got out of the car first, and then saw an acquaintance.
Professor Li Xuande from Renji Hospital.
Li Xuande was standing at his destination in casual clothes. He saw Zhou Cheng as soon as he got off the car.
After Zhou Cheng got off the car, he said again: "Xiao Zhou, I will take you."
But after saying that, he immediately saw Li Zhongyue again, frowned slightly and stopped talking.
Zhou Cheng hurriedly explained: "Professor Li, this is my junior brother, Li Chongyue. When Professor Xue called me just now, we were having breakfast together. So we came here together."
"Zhongyue, this is Professor Li Xuande from the Department of Traumatology at Renji Hospital affiliated to Jiaotong University in Shanghai." Zhou Cheng introduced Li Zhongyue again.
"Hello, Teacher Li." Li Zhongyue became even more nervous.
Li Xuande then said: "Xiao Zhou, let's go there first, but where we want to go, your junior brother Xiao Li may not be able to go in."
"Okay." Zhou Cheng really didn't expect this in advance.
Li Xuande didn't say much, and led Zhou Cheng into a commercial vehicle. The car continued to drive. After going around and around, Zhou Cheng couldn't tell the direction at all, so he entered the underground parking lot.
On the way, after communicating with Professor Xue Xiude, Li Xuande decided to let Li Zhongyue stay in the car and continue waiting, while only Zhou Cheng was allowed to get on.
Zhou Cheng had no choice but to explain a few words to Li Zhongyue, and then got out of the car with Li Xuande.
After the two got off the bus, the driver took the initiative to speak, "Doctor Li, would you like to go up with me to find a place to rest? There is a cafe inside the hospital."
"No, no need, teacher." Li Zhongyue didn't dare to agree. He had just arrived and was unfamiliar with the place. He was really afraid of being betrayed.
I turned around the car several times.
"Doctor Li, don't be nervous. I'm just a driver. Then I'll go down and get you a few bottles of water. You can rest in the car for a while."
"I guess Dr. Zhou and a few professors will need a while."
"Okay." Li Zhongyue held his cell phone nervously, hesitating whether to make a call or not.
However, he has shared his real-time location at any time.
…
While going upstairs, Zhou Chengcai asked: "Professor Li, what is special about this patient?"
There are two kinds of specialness, one is identity, and the second is illness.
"They are all quite special, mainly because of the special circumstances."
"The injured person is a veteran cadre. His request is that he should be able to walk in a week and participate in a relatively important poverty alleviation activity."
"This gentleman is quite pragmatic. Although he is not well-known, there are many people who respect him. Even after retirement, he has been working to get rid of poverty."
"He traveled to many places and finally had this chance to meet, so he hoped that he would not be absent." Li Xuande said solemnly.
"Then how did this old gentleman get injured?" Zhou Cheng continued to ask.
"During the inspection, I accidentally slipped and fell. I was sent to the local hospital and told that surgery was required. The old man didn't agree, so he transferred me to Shanghai. But I still didn't want to miss it."
"The place he went to was somewhat remote and the transportation was inconvenient." Li Xuande did not describe it in depth.
"After the intertrochanteric fracture of the femur was sent to me, I was the first person to seek consultation. I suggested Professor Xue Xiude and Professor Jingxing. After Professor Jing looked at it, he found it quite troublesome."
"I just arrived in the Magic City this morning, so we thought about letting you come up with a solution, just after your defense was over."
After saying this, Li Xuande added: "Professor Xue also discussed this matter with Mr. Zeng, and Mr. Zeng agreed, so I called you."
Well, come to think of it, this must be a really respectable old man, and the things he does are of great significance.
Otherwise, there wouldn't be so many resources tilted towards him. In Mr. Zeng's current situation, although he still needs favors, he doesn't need to stoop to serve the powerful.
Coming from the mountains of western Hunan, Zhou Cheng really knows the poverty in many places, which is beyond imagination.
"How old is the old gentleman?" Zhou Cheng asked again, don't tell me that he is in his nineties.
"Eighty-five, my body is pretty strong on weekdays. I have been transferred to the military. My basic physical condition is pretty good. Otherwise, even if it is a special situation, we would not consider it based on the current situation." Li Xuande said.
Naturally, he would not make random promises. For someone who is over eighty years old, the biggest factor that affects his ability to withstand surgery and foresee its effects is his pre-injury physical condition.
Intertrochanteric fractures, no matter how complicated, are not a problem for Professors Li Xuande and Xue Xiude.
It’s just that the traditional surgery requires a large incision, and the worst is intramedullary nailing. After intramedullary nailing and internal fixation, although you can still stand up in time, there is a deep incision after all. (Intramedullary nailing has variations in intertrochanteric fractures.
The forms have different names, but the essence is the same.)
Soon, the two of them changed into hand washing clothes and entered the operating room.
It's just that the operating rooms here are quite different from those we usually see. Next to each operating room, there is a relatively closed space, which may be used for discussions.
After Li Xuande walked in, he directly pulled Zhou Cheng into a simple conference room next to a certain operating room with lights on. There were many people sitting inside, all wearing green washcloths and pants.
There were acquaintances there, including Jing Jingxing, Xue Xiude, Hu Xianhe and a few others whom Zhou Cheng didn't know, but they were all quite old.
To be able to invite so many important people, this old gentleman is no ordinary person.
When Zhou Cheng walked in, Li Xuande whispered: "Xiao Zhou, the medical records and preoperative examination results are all there. You should go and browse them first."
"Okay." Zhou Cheng nodded, and then slightly clasped his fists to indicate to the other teachers.
Without saying much, he went straight to the medical records office.
Open it and take a look.
Except for gender, all other information is numbers.
Well, this is the first time Zhou Cheng has seen such a medical record, so he didn't worry too much and sorted out the current medical history and medical records.
The current medical history mainly refers to the limitation of movement of the right lower limb after falling. The past disease history is also quite simple, only high blood pressure, but this may not be true.
The preoperative examination results were nothing special. The blood pressure was under relatively good control. The blood pressure was measured several times and was always between 130 and 140. There were no obvious contraindications to surgery. The inflammation index was on the high side, but the white blood cell count was not.
Not particularly high.
Then he read the X-rays, including plain X-rays and CT scans. After reading them, Zhou Cheng looked a little startled.
He knew why it was a bit difficult for Professor Xue Xiude and others to do minimally invasive surgery themselves.
This fracture is a bit violent. It is not just a simple intertrochanteric fracture. The fracture line extends upward to the femoral neck and downward to the middle of the femur. It is an extra-long oblique fracture.
Looking at the CT, the bone quality is pretty good, and there is no bone defect. However, the fracture line is a bit too long, and it is difficult to find the focus of the small incision open reduction and internal fixation.
Thinking that Zhou Cheng was about to finish reading, Professor Xue Xiude spoke first and said calmly: "Xiao Zhou, do you think this case is suitable for small incision open reduction and internal fixation?"
Zhou Cheng turned around and shook his head: "For such a long fracture line type, it is extremely difficult to fix it with small incision open reduction and internal fixation, and there is a possibility that the internal fixation equipment will loosen again after the operation.
Very high.”
"If we are cautious, it is better to use the traditional fixing method and add titanium mesh or steel wire binding."
Hearing this, Professor Xue Xiude breathed a sigh of relief: "Director Zheng, you also heard that after Zhou Cheng personally saw the patient, he also felt that the risk of small incision open reduction and internal fixation was higher, so our opinion
, or, it is better to adopt traditional fracture surgery."
"We have tried it once before, and you can see the fixed effect. There is really nothing we can do."
The man named Professor Zheng sighed when he heard this: "Thank you very much, Professor Xue, and thank you very much for Dr. Zhou, who is tired from all the traveling and came here from Shashi himself."
"The main reason is that the situation is quite special. Since Professor Xue, Professor Jing and Professor Hu all have the same opinions, I can only discuss it with the patient's family."
"Thank you for your hard work, Director Zheng." Xue Xiude and others said to the person who spoke.
After a while, Director Zheng walked in with a bad look on his face, a look of embarrassment on his face.
When Xue Xiude saw Director Zheng's expression, his expression was slightly stern.
"Dr. Zhou, I met the patient's lover and the patient's son. They all begged to try again. They said that this can be said to be the old man's last trip and last wish in his life."
"Before entering the operating room, he confessed that no matter what price he would pay, he was willing to give it a try. He was the one who started it, and he was the one who lit the fire of hope. He could not retreat halfway at this time.
"Director Zheng said.
"Can't we find someone to replace him? For such an important matter, he may not really need to show up in person?" Xue Xiude actually didn't want Zhou Cheng to risk it again.
It's not worth it for the old man. If it's true that even if you resume your activities, if you sit down for a moment during a meeting, no one will sit down. It's not worth it.
Director Zheng said in a low voice: "The old man's wife is old, his son is about to retire, and he has not entered politics."
"And not everyone is an old gentleman and is trustworthy. There are many people who want to take over this hot business, but not necessarily those who invest are willing to trust the person who takes over!"
When Zhou Cheng heard this, his voice and expression changed.
This topic is quite sensitive.
Director Zheng asked: "Dr. Xiao Zhou, what do you think about it?"
Zhou Chengze said: "Even if you can walk, sitting is not conducive to recovery. After intertrochanteric fracture surgery, it is best to keep your lower limbs upright as much as possible."
"Moreover, the risk is very high. If there is any accident at the venue, the medical facilities are not adequately prepared?!"
This was a life-threatening thing, and Zhou Cheng was actually a little touched in his heart.
At the age of over eighty, there is no need to put on a show or anything else, this is purely the pursuit of life.
In his eighties, he can still gain people's trust, and the tea is still cold when he leaves. This old gentleman must have been quite popular with the people when he was young.
"These risks are not something we can consider. Everyone has their own choices and things to do."
"Dr. Xiao Zhou, if you are sure, I personally beg you to come forward."
"The old gentleman has been a great help to me personally and to my family. The reason why I invited so many professors this time is actually my private request, because the old gentleman convinced me."
"Well, today's operation is mixed with my personal grudges to a certain extent. I will not go on stage later."
When Zhou Cheng heard this, he saw Director Zheng's sincerity.
Everything can be explained why Xue Xiude called him here.
In a place like this, with such troublesome patients and such unreasonable demands, Director Zheng, as the hospital's internal director, still has to continue the operation.
"Then? Professor Xue, let's quickly go over the surgical plan first. I have a suggestion for a surgical approach. Teachers, please help me review the feasibility."
Someone took the responsibility away, and he was just a doctor. The patient's condition and personal request were, to a certain extent, a personal choice, and he was strongly willing to bear the corresponding risks. At the end of the operation, Zhou Cheng completed the treatment itself.
Whatever happens next, Zhou Cheng can only sincerely wish him well.
"Professor Xue, may I ask where your current incision is?"
"1cm below the greater trochanter of the femur, about 18cm below." Xue Xiude accurately reported the location.
Zhou Cheng thought quickly and nodded: "Okay, then we will continue to use these two positions, but our surgical method needs to be slightly changed."
"The current difficulty in patient fixation is that the fracture line is too long and the fixation is unstable. We need to add some strapping and fixation props and auxiliary strapping instruments."
"For example, we take Kirschner wires and make cross-sections at 1cm and 18cm below the femoral tuberosity similar to steel nail internal fixation, and then use steel wires to tie them in a figure-eight shape to complete the first fixation."
"Then, we use the lengthened internal fixation instrument to perform secondary fixation on the upper and lower Kirschner wires, and then lengthen the instrument for the third fixation."
"In this case..."
"After the fixation is completed, I will provide a special wheelchair with one pedal, which is very suitable for patients with fractures to get out of bed after surgery..."
"Teachers, do you have any comments?" Zhou Cheng finished speaking and looked around.
Jing Jingxing, Hu Xianhe, and Xue Xiude were just stunned, but everyone else, including Director Zheng, had their mouths wide open and their eyes widened.
I can understand what Zhou Cheng said.
Zhou Cheng's fixation idea is nothing more than a combination of traditional intramedullary nail internal fixation and steel wire binding internal fixation. However, the combination is a combination, and it is performed in an open state.
When closed, you have to complete the binding operation of the steel wire, or the figure-eight binding.
Brother, why don’t you go to heaven?
Within the theory, outside the operation, the vision is high but the hand is low?
However, Professor Xue Xiude had seen Zhou Cheng's operation, so Xue Xiude nodded: "Triple fixation has reached the pinnacle of internal fixation. If an accident still occurs, then there is really no other way.
That’s a good idea.”
"I agree with Xiao Zhou's opinion."
"I agree too." Landscape Star and Hu Xianhe said one after another.
The three top bosses all spoke, and the others did not dare to say more. They could only nod and walked out of the temporary conference room.
It is not difficult to complete this operation, but it is difficult to complete it to the point where it can be discharged early with fewer complications.
However, this little Zhou, although it sounds nice, can he really do this?