Long Yu has spent more time with the old man, so he knows more details.
The patient's daughter seems to have been beaten into a coma and her life is in danger. She is currently hospitalized in Tianjin People's Hospital and is undergoing emergency surgery. Her life or death is still uncertain.
Then, Jin City People's Hospital submitted invitations for consultation and surgery to Chang City No. 1 Hospital and Traditional Chinese Medicine Hospital. Zhou Cheng's itinerary was rejected by Lu Bin because Zhou Cheng had to undergo surgery today.
As for Changshi No. 1 Hospital, Yang Yifeng was originally scheduled to attend the outpatient clinic on Monday, but yesterday due to other matters, the outpatient clinic was temporarily adjusted to Tuesday, so he was unable to go.
At present, there is a person from the vascular surgery department who went to Tianjin People's Hospital for surgery, but there was still nothing he could do. Later, the old man heard from somewhere that there were experts from the Magic City in Chang City, so he came to the ward.
"The old man is very pitiful, but there is nothing we can do about it. Medical procedures are just like this. If our hospital wants to go down to do consultation surgery, we must first ensure the normal operation of our own hospital."
Long Yu continued: "I contacted Director Lu Bin as soon as possible this morning. Director Lu Bin said, according to Dr. Zhou, if you are willing to go to Tianjin People's Hospital, then go."
"He persuaded the patients who were about to undergo two fracture surgeries today to adjust their surgeries. If Dr. Zhou is unwilling to go, Director Lu can still refuse."
"The main thing is that if you refuse continuously, it seems impersonal. Therefore, I still hope that Dr. Zhou can make your own decision."
As Long Yu was talking, Lu Bin had already rushed to the ward. After hearing what Long Yu said, he added: "Dr. Zhou, this patient's surgery has been going on for four hours. He rushed over from Chang City now.
It will take more than an hour."
"The situation will probably not be optimistic by then!"
Hearing this, Zhou Cheng smiled bitterly: "Director Lu, is this an ordinary conflict? Why does it involve the issue of vascular surgery?"
Lu Bin said: "Alas!~"
"There is no way. The old man's daughter just doesn't agree to sell the house to treat her husband's illness. The husband's parents really have no choice, so they can only do this. In fact, you can find a lawyer for this kind of problem, but they don't have the awareness."
"That's why I struck harder. Now, I guess I'm still regretting it."
"Dr. Zhou, I think this kind of thing is thankless and there is no need to get involved. Each patient has his own difficulties, but we doctors are only human beings. We can't say that we can solve whatever problem we encounter.
of."
Lu Bin still gave his suggestions in a timely manner, but the choice was still left to Zhou Cheng.
When Zhou Cheng heard this, he nodded and said, "Thank you, Director Lu."
Lu Bin probably received the call last night, but didn't transfer it to him, probably because he didn't want to embarrass himself.
In emergency surgery, life is at stake. It sounds good to step forward at the critical moment, just like a god coming down to earth to help the world.
But, in fact, who is really that capable?
"Dr. Zhou, what about this old man?" Lu Bin asked.
"Director Lu, that's what I think about it. I also have medical and surgical tasks that I have to undertake in the ward, so I have to complete their operations first and then go there."
"Since the patients in our ward have signed the informed consent form for surgery, we must be responsible for them."
"Then I'll go to Tianjin People's Hospital. Whether the patient can survive or not depends on God's will," Zhou Cheng replied.
Lu Bin frowned.
This is indeed a best-of-both-worlds approach.
Zhou Cheng can think that he is now in Changshi, first of all, the instructor of the Trauma Surgery Department of the Traditional Chinese Medicine Hospital, and this is the designated place for practice. He is mentally mature, and then he goes to Jinshi. This is called affection.
Zhou Cheng continued: "Director Lu, please ask the operating room to pick up two patients. I will go down and perform operations on them now. I will also ask the anesthesiologist to let them work overtime in advance. Do you think it is appropriate?"
"Time is urgent, don't delay!"
Lu Bin said: "Okay! I will make arrangements."
Lu Bin knew that Zhou Cheng would definitely go to Jin City. In such a special situation, it would not be good to refuse directly, but he had to do his own things well first.
Then Lu Bin and Zhou Cheng went directly to the operating room.
When Long Yu conveyed this information to the old man, the old man was stunned and panicked.
"Doctor, my daughter can't afford to wait?"
Long Yu explained: "Auntie, look, there are so many patients in our ward. Are they all patients? We have agreed on the time for the operation in advance. If Dr. Zhou leaves at this time, what will they do?
?”
"Now that we have agreed to adjust the time, Director Lu and Dr. Zhou can think of a better way."
The old man was still anxious, but a group of family members in the ward also tried to persuade him.
"I think the head nurse is right. Your daughter is anxious, but Dr. Zhou also has his own patients. You can't just ignore other people's surgeries for the sake of your daughter."
"We are all human, please understand."
"..."
"..."
Zhou Cheng and Lu Bin had been down for less than half an hour, and the time pointed to five minutes past eight.
Lu Bin looked at Zhou Cheng in astonishment, took off his gloves, and said to him: "Director Lu, please do some suturing. The postoperative medical instructions for these two patients are nothing special. They can be done on the second day."
The doctor’s instructions for Taiwan’s surgery patients include a dose of mannitol and hormones for dehydration.”
"Okay!" Lu Bin nodded numbly.
My scalp was numb.
In the past, he thought that he had seen Zhou Cheng at his peak.
But, today, Zhou Cheng used two operating rooms at the same time, working on both sides. One operation, in about ten minutes, solved the battle, and the postoperative results were excellent. How can this be justified?
Therefore, Zhou Cheng had previously slowed down the pace of the operation just to take care of their emotions.
Today, Zhou Cheng's entire operation was his normal state, and he couldn't understand it at all!
"Thank you for your hard work, Director Lu." Zhou Cheng walked out of the operating room.
Only then did Lu Bin react: "Dr. Zhou, wait a moment. Find a phone number on my mobile phone and ask him to send you there."
"This time, the old man came by himself, but there is no car arranged for you to go down for consultation."
After hearing this, Zhou Cheng turned around and entered the operating room.
Then after writing down the phone number, he called and explained his intention. The person on the other end was very polite and quickly picked Zhou Cheng up in the car.
At the same time, Zhou Cheng also called Qin Ming in the department and asked him to tell the old man that he had gone to Jin City and asked her to go back to Jin City as soon as possible.
Qin Ming replied, "I understand, Doctor Zhou."
Then, I contacted the people from the medical department and asked them to agree to the consultation invitation from TJ City People's Hospital yesterday. After contacting the other party's medical department, I shook my head slightly and prayed silently for the patient.
The driver drove very fast, even exceeding the speed limit on the highway. He arrived at Tianjin People's Hospital within an hour.
When getting off the car, Zhou Chengcai asked: "Thank you for your hard work, Master Gu. Is it okay to speed like this?"
"Hey, I know where there are cameras and speedometers along this road. I remember it clearly. Besides, Dr. Zhou, you don't know that my car is registered in the traffic police system."
"My speeding on the highway was within the permitted limit, because I often pick up and drop off doctors and experts for such consultations. I usually don't speed, so they don't check it." Master Gu patted himself.
chest.
"Hard!"
After Zhou Cheng got off the bus, someone quickly came down to greet him.
The visitor was a little surprised when he saw that Zhou Cheng was the only one coming, but he still received Zhou Cheng warmly and quickly took Zhou Cheng to the operating room.
When he arrived at the operating room, Zhou Cheng frowned after seeing the specific situation.
This is definitely not just an ordinary conflict, this is a knife.
The flat incision not only scratched the back, abdomen, thighs, and calves, but also had stab wounds!
Damn it, what kind of hatred, what kind of resentment?
This is also a poor woman.
After Zhou Cheng arrived, the general surgeon almost closed the abdomen and said: "The intestinal injury in the abdomen has been basically dealt with. Fortunately, there is no substantial organ damage."
"But we lost too much blood before. You will have to take care of the condition of your back and lower limbs later. Should I step down first?"
"There's no abdominal artery damage, right?" Zhou Chengduo asked.
"No!" The doctor from the general surgery department was very sure.
Only then did Zhou Cheng stand on the surgeon's table, and then he realized that this patient's femoral artery was injured on one side, and it was a segmental injury. Before entering the hospital, he didn't know how much blood he had lost.
.
This complex vascular problem is best treated with amputation.
However, they did not dare to amputate the limb until the patient's life was guaranteed.
In addition, my current blood pressure is still not stable.
Seeing this, Zhou Cheng immediately thought of a possibility. This might be a hematoma in the pelvic cavity! In other words, although the patient had undergone blood transfusion and maintained certain vital signs, he still had active bleeding.
"Have you had an MRI or CT scan before surgery?" Zhou Cheng asked quickly.
"It's been taken and there are no other problems."
"The femoral artery has been tied, Dr. Zhou, tell me, in this situation, should we directly ampute the limb? Or should we salvage the limb?" asked a doctor from the Orthopedics Department of Jin City People's Hospital.
Zhou Cheng said: "Do you have a specialized vascular surgery department here?"
The director of the Department of Orthopedics shook his head: "Dr. Zhou, our hospital does not have a vascular surgery department, only a thoracic surgery department. They cannot handle such vascular injuries."
He thought that Zhou Cheng just wanted people from the vascular surgery department to deal with vascular injuries in the lower limbs.
Zhou Chengze said: "Then let the general surgery doctor come over again. This patient has active bleeding in the pelvic cavity. We need to deal with the pelvic blood vessel problem together."
Zhou Cheng himself is an orthopedic doctor. Without authorization in this area, he must have someone to perform the surgery on his behalf!
"ah?"
"But?" The director of the Department of Orthopedics was slightly stunned.
"It's too late to explain too much. The patient's current blood pressure is unstable and there must be active bleeding. It is estimated that it was latent before, so it is delayed."
"If the bleeding problem cannot be solved, then there will be no other solution. No matter how much blood transfusion is done, it will not help."
"By the way, you call me again and ask if there are any interventional surgical tools." Zhou Cheng continued to give instructions.
In fact, he knew that it would be useless to ask. Interventional surgery is an immature department in the city's top tertiary hospitals. Although interventional treatment is the most suitable, it is difficult for a skilled woman to make a meal without rice. It is unlikely that even a few sets of neat instruments can be found in Chang City.
If you can't wait any longer, you will have to open your abdomen again!
The director of the Department of Orthopedics hurriedly said: "Dr. Zhou, it's best not to touch the hematoma in the pelvic cavity casually, right?"
If there is another kind of surgery that is the call of death, then retroperitoneal hematoma and pelvic hematoma are definitely one of them!
This is no less than severe abdominal bleeding.
Zhou Cheng then said: "Director Hu, I know what you mean. The patient lost too much blood before and it was an open injury. As for the hematoma in the pelvic cavity, the amount of blood loss is the highest and uncontrollable. We must stop the bleeding. You go and talk to the patient."
Let the family discuss the surgery."
"By the way, are there any other family members of the patient who signed?"
"Yes, the patient's uncle has the authority to sign. The patient's mother has authorized it before the operation." Director Hu said quickly.
"Then go talk to the patient's family. The current situation is very dangerous!" Zhou Cheng took a deep breath.
Director Hu immediately complied. There was no other way. Although Zhou Cheng was a little too courageous, he could only place his hope on Zhou Cheng at this moment. Otherwise, this patient would be in vain, and all the previous surgeries would be in vain.
Yes!
How does Zhou Cheng judge active bleeding in the pelvic cavity?
The director of the general surgery department had just left and was called over again. Naturally, he was not in a good mood. However, considering that Zhou Cheng's status was somewhat special, he did not complain.
He just said: "Dr. Zhou, isn't it a bit too risky to act rashly on the hematoma problem in the pelvic cavity?"
"In order to save her life, we can only take a risk. Otherwise, if the patient's existing high pressure is not controlled, she will go into shock before our operation is over." Zhou Cheng was very sure of his judgment.
He possesses extraordinary knowledge of vascular surgery. This kind of judgment is not something that ordinary people can understand, nor can it be explained and analyzed in depth.
Time is precious.
The director of the general surgery department could only bite the bullet and come on stage.
However, when he came up, he saw that Zhou Cheng had already made an opening in the pelvis and quickly entered the pelvic cavity.
All that was waiting for him was to pull the hook and other operations.
After Zhou Cheng opened the pelvic contents, he saw a huge hematoma tissue lying quietly in the retroperitoneum. The blood was dark, like a huge bloody cyst, and it was pulsing with the beating of the heart.
!
"This?" The director of the general surgery department was frightened at that time.
He hadn't noticed such a big mass of blood before? What's going on?
However, immediately after, he saw the numbness of his scalp again. After Zhou Cheng saw the huge hematoma, instead of being frightened, he directly went to use the knife on the scary thing...