Chapter 417 Buy three catties of beef, two catties and nine taels of beef X!
Chapter 417 Buy three kilograms of beef, two kilograms and nine taels of beef X!
Yang Yifeng has said this, and you can hear the momentum in Zhou Cheng's words. Naturally, the other professors are no exception.
Neurosurgery professor Jiang Hong's expression was slightly stiff.
Jin Kaishi looked at Zhou Cheng in astonishment, feeling that Zhou Cheng was a little timid and didn't understand the world.
After hearing this, Chen Xianyun's expression was naturally completely different from that of Jin Kaishi, and he said in a strange tone: "Professor Ding, this little brother is quite like the dean of Lei Zhong in your Department of Orthopedics."
Lei Zhong is now the chief director of the Department of Orthopedics and the president of the hospital.
But Lei Zhong, who is an orthopedic surgeon, is famous for being brave.
It can be said to be extremely bold.
Professor Xu, the former director of Orthopedic and Joint Surgery, Lei Zhong’s own teacher, was so scared. When Lei Zhong was working in the second-line class of general hospitalization and emergency department, he also surprised other professors in the Department of Surgery.
Later, Lei Zhong was separated from the family and went out to work alone. Lei Zhong was also very capable and made a name for himself.
Anyway, the strength of the vascular surgery department is just like this. Just gamble. If you win the bet, you will win. If you lose the bet, it doesn't matter. Just continue to be the second child in a bad way.
Now Chen Xianyun also feels that his liver and pancreas don't have much to worry about, and he is willing to give him guidance and give him a chance to exercise. This is an opportunity.
However, no matter how many others have no shortage of disease sources, the number of patients affects the survival and development of every department!
Jin Kaishi had no choice but to ask Professor Jiang Hong for his opinion.
I am the second child of Hunan Province, not that kind of second child.
Organs such as the liver, pancreas, and lungs have their own segments, and the intestines are very long, so segment resection can be performed!
In an emergency, you can be more violent and even directly block a section of the artery.
For an ordinary chief resident like him, it was a huge gift, and Chen Xianyun personally handed him the knife. This was authorization. The chief surgeon could still write Chen Xianyun, he was just an assistant.
Don't turn around and respond: "Sorry, wait a moment. I'm not free here."
Neurosurgery personnel will send people from their own department to the interventional department to complete the patient's intracranial angiography, hemostasis, aneurysm clipping and other surgeries.
"So traditional interventional surgery is not so applicable in such patients!"
However, these are all performed under imaging monitoring and are visual surgeries. The patient's current condition is not suitable for such monitoring.
"Thank you for your hard work. If the bleeding is effective, I will continue to the next bleeding point to stop the bleeding."
Zhou Cheng didn't think too much, after getting permission from Jiang Hong and Jin Kaishi.
Zheng Xianlin was immediately overjoyed, although Chen Xianyun looked down on such ordinary debridement or partial liver resection!
But such an opportunity.
"This is not considered crossing the line and disturbing Professor Jiang's normal treatment in your department."
We are all colleagues and old brothers, there is no need for such misunderstandings.
In addition, interventional surgery is less invasive. The reason why it has not been carried out in the past is because the intracranial blood vessels are intricately intertwined. It is estimated that no one else in the world, except Zhou Cheng, can blindly perform hemostasis of intracranial blood vessels and other related operations, cannot repeat it.
Professor Chen Xianyun ignored Zhou Cheng's words and was still carefully turning over the pancreas when it was bleeding. Then he saw that the bleeding at the head of the pancreas, which was still bleeding, was gradually decreasing. Later, there was only a trace amount left.
A small amount of bleeding was detected.
"Professor Jiang, let me deal with the other arteries first." Zhou Cheng said so politely.
For him, routine and simple debridement surgeries such as ordinary intestinal injuries and appendicitis are his daily routine.
It’s not impossible to take the time to touch and sing.
This is what all top hospitals and top professors are doing, and Jin Kaishi is no exception.
There is no shortage of diseases in neurosurgery, and sometimes it is even necessary to temporarily transfer patients to nearby hospitals such as Shashi First Hospital to stay for a few days before beds are available for surgery.
However, although Jin Kaishi was not going to grab regular patients, in this emergency situation, the patients were not suitable for CT or MRI monitoring of intracranial blood vessels, so Jin Kaishi felt that he could still intervene a little bit.
In most top hospitals, there are such cross-departments.
I just asked you to perform endovascular hemostasis in our general surgery department. Are you looking down on me or someone else?
Zhou Cheng is the big guy. If you want a chance, you have to have a good relationship with him first. Do you understand?
For such patients, if traditional craniotomy is used to stop the bleeding, it will not be as fast as interventional surgery.
If he mixes in too much, it will make Ding Changle think that he thinks Ding Changle is not a good person or a teacher!
Now that I am able to stand alone in orthopedics, all I have to do is build my own team.
After hearing this, Zhou Cheng quickly explained: "Professor Chen, you misunderstood. I just wanted to reduce the patient's bleeding."
"Hemostasis of intracranial blood vessels in emergency patients with trauma is indeed a big problem right now. In our department?"
"In the future, I will trouble your brother more and treat him to drinks more often." Chen Xianyun joked and gave Zheng Xianlin directions.
but.
Zhou Cheng is currently focusing on stopping the bleeding of blood vessels in the liver!
Then he narrowed his eyes and said, "Okay, wait a minute. Has the positioning been done? Once done, drill holes and drain them!"
Jin Kaishi said this to express his attitude and request to Jiang Hong.
Professor Jiang Hong's expression flashed for a moment and he replied: "Professor Jin, what you said makes sense."
Zhou Cheng's words stunned Jin Kaishi and Jiang Hong who were communicating.
The trauma is so big now, so much blood was lost before the operation.
However, Zhou Cheng knew that emergency cases must be more than just orthopedic diseases. They are comprehensive diseases that require many subjects, or even joint subjects.
When vascular surgery intervenes in intracranial blood vessels, it does not go beyond the rules, but it goes beyond the rules.
So there is no need to worry about the source of the disease!
But what about vascular surgery? It falls into the category of neither good nor bad.
Hemostasis of intracranial hemorrhage and embolization of intrahepatic hemorrhage require different things...
The general surgery department is not trying to mess with you. Our splenic artery and superior mesenteric artery can be tied at any time. What do we need your help with?
Bleeding from the liver and pancreas, no matter how much I can do, it won't kill me.
The Neurosurgery Department of the Shonan University Affiliated Hospital has a very high status in the world and is a flagship department. The comprehensive strength of the Orthopedics Department is not as high as that of the Neurosurgery Department in the country.
This is out of character and does not take Ding Changle seriously.
Chen Xianyun immediately raised his head and looked at Zhou Cheng.
If the department wants to continue to develop, every department needs it. If Jin Kaishi wants to climb up, he must be ambitious. If he wants to surpass Appendix 2, he must change his strategy and follow the old path, which will definitely not work.
This was very tempting to Jiang Hong.
It's not his turn to take care of it yet.
There are no beds.
At the same time, I am also very curious, is Zhou Cheng just pretending to be cool, or did he really buy three kilograms of beef, two and a half kilograms of beef?
Zhou Cheng was stunned and worked on the liver together for seven or eight minutes before he finally called out to the hand-washing nurse: "Tourist, gelatin!"
Except for people from neurosurgery and otolaryngology specialists, anyone who opens a patient’s skull without special authorization is committing suicide!
It is best for Jiang Hong to make sure that the treatment is effective.
Ding Changle naturally understood that what Zhou Cheng said just now was quite ambiguous, so he said: "Professor Chen, Professor Jiang, you may have misunderstood what Xiao Zhou meant."
Zheng Xianlin immediately turned around: "Thank you, Brother Zhou! I may have to trouble you more in the future."
"Zheng Xianlin! Come up."
No matter how bad it is, Zhou Cheng is an orthopedic surgeon. Even if he can't speak or behave, there will still be someone to discipline him.
Well, since this kind of surgery can be used as a new direction for the development of vascular surgery, Jin Kaishi, who has a very good sense of clinical development, can only shamelessly ask Jiang Hong for something!
But even Ding Changle's explanation could not eliminate the discomfort Chen Xianyun felt in his heart.
Ding Changle knew he was in the wrong and immediately started laughing without saying anything.
Zhou Cheng doesn’t have to worry about these problems at all!
With the experience last time, Zhou Cheng can become more familiar with it.
Jiang Hong is a professor of neurosurgery, so he is naturally very good at reading pictures. His eyes rolled around twice.
Zhou Cheng's words just meant a little reminder. If you want to, just say yes. If you don't want to, don't want to. Just say it. The most important thing now is to save time and treat patients.
He didn't pay much attention to what Zheng Xianlin said, he just subconsciously realized the word "zhou" in his name.
You are all chief residents, and you are all young people. You don’t need me to teach you how to build relationships. Just go with whatever is popular nowadays.
In the departments of Shonan University Affiliated Hospital, the proportion of cerebral angiography and intracranial interventional related surgeries is quite large.
The intervention here may not be as precise as intracranial.
After Zhou Cheng has resolved the crisis, it would be really boring for him to go down with the knife. This operation can be solved by Zheng Xianlin.
As long as the neurosurgery department doesn't make any fuss, it will be fine.
Chen Xianyun remained silent and did not compete with Zhou Cheng.
Zhou Cheng didn't want to show off or anything else. The most important thing was to see if Zhou Cheng could bring people from other departments to make something more.
It is normal for Zhou Cheng to speak politely.
The splenic artery has been ligated by Chen Zhimo, but there is still hepatopancreatic bleeding and intervention is needed. There is also a rupture of the superior mesenteric artery.
Jiang Hong's team is very professional and has been prepared for a long time. It can drill holes to reduce pressure and drain water at any time.
"You should thank your brother."
Jin Kaishi is making a desperate move.
If you make the decision to not be a human being, then do it well. Moreover, the patient's current condition is urgent, and life-saving is the top priority!
No one else knows what Zhou Cheng is doing!
Anyway, I saw Zhou Cheng directly inserting the interventional catheter into the introducer sheath tube, and then almost a minute later, Zhou Cheng said to the circulating nurse: "Balloon..."
"You also know that in special emergency situations, patients cannot undergo surgery under CT monitoring."
But no one mentioned it openly.
However, Zhou Cheng did not do this.
"Okay, Teacher Jiang." The people from the neurosurgery department are replying, ready to operate at any time.
Jiang Hong knows very well that if neurosurgery can win such a subject, then the status of neurosurgery in the country will rise a lot, and it is not impossible for neurosurgery to even break into the top three in the country's comprehensive influence rankings next year.
What top-level hospitals strive for is not harvest, but innovation, breakthroughs, and the continuous introduction of various mature surgical techniques to prefecture-level municipal hospitals!
Then go and find a bright path for the helpless patients in various departments.
Jiang Hong waved to him and stood at the operating position himself.
Zhou Chengcheng smiled at him.
Chen Xianyun put down the scalpel in his hand and said, "What did you do? Blindly perform embolization to stop bleeding?"
Now, no one except him knows whether the bleeding has been successfully stopped or not. Only Professor Jiang Hong or someone from the Department of Neurosurgery can verify it!
"But if Xiao Zhou and Xiao Yang have a special solution."
He was originally Zhou Cheng's senior, and although he felt quite unhappy, as long as Zhou Cheng hadn't said in front of him that general surgery was not good!
Now that Ding Changle was in person, he was too embarrassed to tangle with a junior.
After Zhou Cheng finished the operation, he continued: "Teacher Jiang, I have probably completed the hemostasis operation here, but you still need to take the trouble to verify it for me."
If you can't manage the people in your department well and you come here to show off your power, who do you want to beat?
Interventional surgery of intracranial blood vessels is firmly in the hands of neurosurgery.
You, a young man, talk too much and leave no way out for yourself.
Because when he operated on Lu Qianzhou before, Zhou Cheng was afraid that Lu Qianzhou would die. But now the patient's condition is not that optimistic.
Jiang Hong asked in shock: "Have you found the location of the bleeding point?"
However, after Professor Jiang Hongjiang from the Department of Neurosurgery glanced at Zhou Cheng a few times, he seemed not to let him go. He said, "Professor Ding, your Department of Orthopedics has recently developed some new surgeries, and now you are here to help our neurosurgery."
The Department of Surgery Development is pretty good.”
"Okay, let me see how Xiao Zhou performs this operation first, okay?" Jiang Hong didn't clearly identify the disease, but he was very curious.
Moreover, Zhou Cheng's current mentality is very stable.
Then he stopped talking.
But Jin Kaishi spoke up and said, "Professor Jiang, how about this? Xiao Yang and Xiao Zhou are both here now, so our vascular surgery department just takes advantage of this opportunity to go up a level."
The blood vessel system in the liver is very complex, even under direct inspection!
It is also very difficult to complete complete hemostasis, and the operation is very difficult. What's more, Zhou Cheng's current operation?
"If the bleeding point shown in the patient's preoperative CT examination results was not accidental, then the location where I have stopped the bleeding should be the middle of the anterior communicating artery in the cerebral artery ring." Zhou Cheng said slightly conservatively.
Besides, Zhou Cheng did have something in his hands. If he couldn't even tolerate a few words, he would be too stingy.
The circulating nurse brought the equipment related to the interventional surgery, and he immediately started operations related to hemostasis.
"You continue, stopping bleeding is one thing, but removing hematoma is a must." Jiang Hong explained to the subordinate doctor.
After Zhou Cheng finished speaking, he continued to extend the guide wire downwards and started working on the organs in the general surgery department.
In fact, Jiang Hong really wanted to ask, should our department also take on this business?
Because they usually send such minor bleeding to Shashi No. 1 Hospital for treatment, or transfer it to other places.
No matter how bad it is, in the most extreme case, even if the patient dies in the end, we can’t just blame our general surgery department!
At this time, Jiang Hong easily cleaned out the blood vessels through a small hole drilled for drainage, and then painstakingly and time-consumingly peeled off the gyri, exposing the location of the blood vessels.
Looking at the blood vessels, they were already deflated.
That is to say?
Everyone looked in the direction of Zhou Cheng and confirmed that if you buy three kilograms of beef, you will definitely get two kilograms and nine taels.