Chapter 415 Big brother, I will do the work of a dog and a horse!
Chapter 415 Brother, I will do what a dog and a horse can do!
Zhou Cheng shamelessly asked Ding Changle for a three-day holiday.
Ding Changle cursed: "You know what's going on in the department now. We'll get used to it slowly in the future. It won't take three days, but half a day will do."
"But you can't go fifteen minutes away from the hospital. For ordinary emergency care, you can directly leave it to several other general inpatients. But for multidisciplinary emergency care, or surgery for critically ill patients, you must go.
"
…
Outside the hospital, An Ruo, who had taken leave from Shashi No. 8 Hospital, came and finally sat in a cafe with Zhou Cheng again...
After An Ruo came in, he said angrily: "Zhou Cheng, how about we resign?"
Zhou Cheng glanced at An Ruo: "Really or not, you will support me if you resign?"
"Just raise him." An Ruo said without confidence, but she just felt that wherever Zhou Cheng goes now, he can say that if he doesn't stay here, he will have his own place.
"If you dare to support me, I can't afford the liquidated damages. This amount." Zhou Cheng gestured with his finger.
10 million, Zhou Cheng can't get that much money even if he sells it now.
As he spoke, he took a few steps back.
But visible to the naked eye, there were severe signs of trauma on his thighs, calves, and both upper limbs, with blood stains soaking through his clothes and the gauze bandaged by the ambulance.
"I'm looking at the moon in the distance..." There are no lyrics, but the cell phone ringtone with this tone rang.
"I think it's just the result of deliberation by Dean Lei Zhong and Professor Ding Changle."
When he arrived at the emergency operating room, the patient chose general anesthesia, so he was quickly knocked down by the anesthesiologist.
The circulating nurse was stunned for a moment and did not respond for more than ten seconds.
Zheng Xianlin said: "Your vascular surgery department is in a bit of trouble."
After a while, Yang Yifeng ran in. After seeing Zhou Cheng, he first glanced at Zhou Cheng, and then greeted several other eldest brothers.
The movie was about to start, and the two of them planned to go watch the movie first.
"It's a round, please call the urology department for emergency consultation!"
Then finally a call came. She turned around and covered her mouth to answer it, but was reminded by a nurse: "This is the emergency room. You can't make calls. If you want to make a call, please go outside!"
The boss of the thoracic surgery department called Chu Lin and said, "I can step down just by putting a tube in here! What do you think of Brother Lin?"
It is estimated that even if this patient has a craniotomy, the final effect will not be very good, and it will even be difficult for him to survive.
Next to the hospital bed, there was a woman, who must be his wife. She was covering her mouth and looking at her husband's injuries, her eyes red.
But after hanging up the phone, he looked at An Ruo.
About ten minutes later, the patient was pushed out of the emergency CT room, and then Zhou Cheng and other bosses from several different departments approached the patient's family members, that is, after his wife signed the plan to undergo emergency surgery.
"How is the patient's blood pressure?" asked a man in a white coat near the patient's right chest.
…
The professor may feel comfortable when he is underneath him, but Zhou Cheng himself does not feel comfortable.
Small pebbles and small pieces of glass were all taken out by Zhou Cheng's tweezers and put into the curved plate. The clanking sound was very clear.
Zhou Cheng didn't know Zheng Xianlin's name either, so he followed others in calling him.
Zhou finished making a cup of coffee, and Anruo told the waiter to have another one.
"Let's not talk about this anymore. Let's go watch a movie and eat hot pot later. Then, get up early tomorrow morning and I'll take you to work." Zhou Cheng suggested.
"Don't affect our treatment." The nurse scolded quickly, fearing that she could not hear the doctor's instructions clearly.
"The total hospitalization period is the best period when you have the opportunity to choose and contact patients, and be able to operate as an surgeon. If you don't practice at this time, you will have no chance when you are promoted to an attending surgeon in the next step."
Zheng Xianlin's pupils shrank slightly at that time!
"I'm sorry! I didn't recognize it. General Surgery Department Zheng Xianlin." Zheng Xianlin quickly apologized, then pointed at the patient, and said: "Brother, go and see what's going on there first. I'll treat you to a drink next time."
apologize!"
After hearing Zhou Cheng's explanation, An Ruo became even more worried and said: "I guess the responsibility and task are even greater. If you encounter such a large-scale emergency operation, you will not be able to escape first."
What do you have? A mobile phone, ready to work at any time.
The redefined smoothness and appreciation of debridement and suturing exist at the same time.
After working with others for so long, it’s time to go out on your own. If you don’t build your own team, you will never be able to truly achieve freedom.
But the attack was so ruthless and there was no hesitation at all.
Zheng Xianlin was in his third year as chief resident, and I knew his name when he was working as Dr. Chu Lin. When he was in the general surgery department, Zheng Xianlin was already admitted as a regular employee. Big brother.
"Isn't this how it was arranged? Someone has to go!"
"There are both epidural and intracranial blood masses, which is a bit troublesome. It would be great if it was a simple epidural." He cursed as he said.
Zhou Chengcheng said: "At that time, I will be the boss of the department. All I have to do is arrange for junior doctors in the department, arrange for interns, lead a group of interns, and so on."
He also saw Zhou Cheng directly slice off a portion of the necrotic tissue like a slice of steak without any hesitation, his movements were smooth and delicate, without any pretense.
Yang Yifeng saw that the handwashing nurse and several orthopedic surgery teams following Zhou Cheng were stunned at first sight when they saw Zhou Cheng's debridement operation.
Zhou Cheng nodded: "It's not small. There were fractures in three places and debridement in four places. We can't rule out whether the blood vessels were damaged."
"Okay, Brother Lin." You and Zheng Xianlin are also familiar with each other. After all, they have been hospitalized for three years.
An Ruo, who has always liked medicine, said: "No one else can get ten million, but your friend can definitely get it, and he must also have this idea to pull you out of the heat."
"The blood pressure and blood oxygen are okay. I suggest you push to the CT room first, and then look at the CT results. If the blood oxygen is really not good, I will put a tube here." People from the thoracic surgery department basically take the patient's blood pressure.
After coming down, the direction has been determined.
But what Zhou Cheng didn't say was that the amount of work in your department is not as simple as you think.
"You must save him, please." But the middle-aged woman was still praying and reluctantly watched Zhou Cheng and others leave.
As Zheng Xianlin spoke, he began to move through the CT layers: "Severe contusion of the spleen. Contusion of the kidneys, contusion of the pancreas, contusion of the liver..."
"There are several other chief residents who need to practice. Then, I can take this opportunity to get out of the misery of the chief resident as soon as possible."
He only has half a day off.
"Besides, An Ruo, I need a better platform. It would be most beneficial to me to establish my own team and separate separately." Zhou Cheng said.
Zhou Cheng and An Ruo had two luxurious hot pot meals. What do you mean, they just tried two newly opened hot pot restaurants, and then they were both blacklisted. They were half full.
However, the movie has just begun——
"Moreover, there are multiple organ contusions in the chest and abdomen, which makes it even more suspicious. You see, the high pressure now is more than 100."
Zhou Chengxian stepped away and called the bosses of several orthopedic wards.
Maybe the caller was important, so she walked out and said, "Yes, Chen Wen was injured. We are in the hospital now, and the doctor said the situation is not good..."
The general hospital is so busy, why should we set up a trauma center emergency team?
Only then did she plead sincerely: "Doctor, must you save my husband? Thank you. Please."
Zhou Chengcheng said: "Thank you, Brother Lin, for complimenting me on my youth. I'm sorry to block your way, Brother Lin. I am Zhou Cheng from the Department of Orthopedics."
"104/67mmHg! Blood oxygen saturation 93%."
"Go ahead."
"Why do you need to go to the emergency room?"
"..."
An Ruo told a story from another level, and you are not the kind of person who can dismiss it casually.
After Zhou Cheng finished finishing and bandaging the external dressing, he said: "Please call the boss of the vascular surgery department and tell them that they can come for the operation."
Zhou Cheng quickly muted his voice, then answered the call without speaking.
In addition to the middle-aged woman, there is also a fat man who is not very tall, about less than 1.6 meters tall, with a short head and a bald forehead. He is swallowing saliva at the moment while looking at the injured person nervously.
, asked in a low voice: "Doctor, can I still be saved? Will I be disabled if I am saved?"
Zheng Xianlin turned his head and saw Zhou Cheng three times. He felt that he was a bit in the way, but he didn't do anything. He asked: "Which department are you following for regular training or are you a graduate student? Get out of the way?"
"Brother Chu, come on, I'll give it to you." Zhuo Zhigang, a neurosurgeon, said.
Where is the department?
No.
"You go to the door of the operating room first. We will talk to you at any time later."
Alas, it seems that we have to call the chief resident of the Department of Vascular Surgery!
There is bleeding in the pelvic cavity and abdominal cavity, and Yang Yifeng is here, so it will take a while before he can cooperate.
"I know. I'll wait for you to come back and watch it again with you later." When An Ruo heard that something was wrong, she became more sensible and stopped making trouble.
After the waiter left, Lu Chengcai said: "Going to the emergency trauma center, general consultations and simple consultations have been cancelled!"
"I'm not talking about me." Zhou Cheng sniffed.
"Don't talk, don't you see the doctor is auscultating?"
"Most of the work is shared with the chief residents of other departments."
The next few hours passed very quickly.
No one could give her an accurate and satisfactory answer to her question.
When Zhou Cheng came to the emergency department, he saw the patients and their families there.
This patient has multiple wounds all over his body, which must be resolved and operated on at the same time. If he can reduce the bleeding, then he can reduce the bleeding.
"Eh. Me." The middle-aged man seemed to have something to say, but he was pushed out by the nurse.
"That's true." An Ruo thought about Zhou Cheng's future and felt that it was impossible for Zhou Cheng to be suppressed by others and have to follow others all the time.
The junior doctor in the neurosurgery department immediately started shaving his hair, and then the chief resident went to check the CT results in the image reading system.
"..."
When Zheng Xianlin then looked at the lower level, Zhou Cheng's eyes narrowed slightly.
It's like an elegant debridement machine.
Zheng Xianlin said: "Chu Lin, are you very confident? I need to take a closer look. I guess our department will have to call the professor to come on stage."
Zhou Cheng didn't take off the gauze, he just exposed the injured spot.
This is a joke!
Zhou Cheng said seriously: "There's a massive hemorrhage. Tell me to go and have a look. Human life is the most important thing. I'm in this position now, I have to go."
This is the boss of the neurosurgery department. Although he said this, his face was full of helplessness.
After Zhou Cheng finished the call, he hesitated for a moment, then returned to the operating table and said, "Has the boss of the vascular surgery department called? This patient's limbs were seriously injured, but the amount of bleeding was not much. It is estimated that all the arteries in the limbs are involved.
There is an embolism, otherwise, the blood pressure would not be as stable as it is now."
The patient is a middle-aged man in his forties. He is lying on the hospital bed with a tube inserted. There are others in white coats who arrived before Zhou Cheng and are doing physical examinations.
Maybe Lei Zhong had such a plan for a long time, but he just didn't find a suitable time. Now that it's like this, he simply threw the boat out.
The emergency department and pediatric department have the most medical disputes, and dogs don't go there. What An Ruo is more worried about is that if she encounters a bad thing, it will be over.
Everyone needs to grow up. If you can spare some time for others to practice, the experience for others will be greater.
The final result was that in about half an hour, Zhou Chenggong directly completed the debridement and external fixation of the external fixator.
Chu Lin from the Department of Thoracic Surgery said with emotion: "Brother Zhou, the workload of your department is quite large."
"Please step out, please. Thank you." The nurse who spoke before rudely dismissed her again.
An Ruo said: "Are you short of this opportunity to practice? What kind of surgery do you want now? Teacher Ding Changle won't give it to you?"
"Is this the abdominal cavity that was gnawed by a rat?"
This was a good opportunity, Professor Lei Zhong saw this.
An Ruo originally thought that Zhou Cheng would lead the team, but when he asked how many people were in the department, there were two.
Everyone glanced at the monitors and probably understood what Zhou Cheng meant!
But the problem is, they don’t do the corresponding examinations now! The diagnosis of thrombus requires CTA. Where is the time to do it now?
Although I thought so, it was nothing to do with me, so I called the emergency consultation number of the Vascular Surgery Department.
"Once the trauma center is established, it will definitely recruit people one after another."
This patient was sent to the emergency operating room!
Several people from the general surgery department had not had much contact with Zhou Cheng before, so they did not offer any help.
The person closest to her was the boss of the thoracic surgery department. He replied: "We will definitely try our best. We are not trying to run away, so don't stop us. Thank you."
Yes, I have grown up to the point where I should give opportunities to others.
Next came the debridement of the gap. Zhou Cheng directly used tweezers to open the muscle gap, and began to scrape the gap with the sharp knife until a trace amount of blood seeped out from the surface of the muscle. Then he stopped...
After this, several people in white coats in the emergency room made a sound: "Let's push to the CT room first, and then send it to the emergency operating room. The bilateral pupils have slow light reflexes and the pupils are constricted. I guess there is intracranial hemorrhage. I don't know.
Is it intraventricular hemorrhage or something else?"
Chu Lin quickly looked at Zheng Xianlin, the boss of the general surgery department.
Yang Yifeng took a few glances and saw Zhou Cheng debriding.
An Ruo nodded without blushing.
"Stop pushing!"
"If you brag again, I will expose your awesomeness. Tell me, brother, why did you ask me to come here? I will do my best." Yang Yifeng no longer pretended to be dead, and naturally recognized himself clearly.
positioning.
Zhou Cheng called him over. He was definitely not dealing with blood clots in his limbs. This small amount of blood clots was probably not enough for Zhou Cheng to play with.
"Don't be ridiculous, open the abdomen quickly to stop the bleeding!" Zhou Cheng did not look back, he just ordered this.