When Zhou Cheng came to the operating room of the emergency department, he took a look at the patient's basic condition.
It's very complicated now. General and thoracic surgeons are working together to deal with the massive bleeding in the abdominal cavity.
The bleeding in the limbs is not particularly serious.
Therefore, Zhou Cheng planned to take the time to perform another joint dislocation reduction surgery first.
When we rushed to another operating room, the patient with hip dislocation had already been anesthetized, and two operating teams had arrived, sitting alone next to the operating table.
There are not many emergency operations at night, and the operating room is almost empty.
The anesthesiologist was already yawning and taking a nap in front of the anesthesia machine, and the patient was apparently 'put' down on the operating table by him.
During the emergency surgery at night, there was no attendant washing hands, and there was only one circulating nurse busy going back and forth.
When the circulating nurse saw Zhou Cheng coming in with calm steps, she quickly asked: "The orthopedic department is the general hospital, right? What package do you need? I asked the surgery team, but he couldn't explain clearly."
"This patient does not need to be treated for the time being."
Just like that, the patient's hip joint heard a click.
The spreader spreads the muscles of the tibialis posterior muscle group well and exposes the broken end of the fracture!
Then Zhou Cheng said: "Huang Xuanqi, use your left hand to fix the proximal end of the tibia, use a little external rotation force to the outside, and use your right hand to use internal rotation and adduction force to pull the distal end of the fracture."
Zhou Cheng is already hospitalized as the chief!
Another operation in the emergency operating room had Yang Yifeng coming over. He just had to go over and make sure that Yang Yifeng was on the stage, and everything would be fine.
"Huang Xuanqi?" Zhou Cheng asked.
"You're hiding it really well. Damn it, I'm the chief resident of Shonan University Affiliated Hospital."
The young man opposite Zhou Cheng was immediately surprised and said: "Wori, are you really that Zhou Cheng?"
"It's up to you to do the rest of the operation. I don't dare to do it anymore." Huang Xuanqi looked at the broken end of the fracture, which was hidden at the intersection of the popliteal nerve, tibial nerve, and superficial and deep peroneal nerves!
He took the initiative to put down the electrocautery to stop the bleeding.
Zhou Cheng said: "Let's talk about old things later during dinner."
When they were undergraduates, the relationship between Zhou Cheng and Huang Xuanqi was much better than that of Dong Yuhai.
"Teacher Anesthesia, what kind of anesthesia did the patient choose?"
"Attention, don't move!"
In just ten seconds, Zhou Cheng had already exceeded his limit.
When the anesthesiologist heard this, he immediately stood up and said, "Oh, my dear, it's only been two minutes."
"Brother Zhou, I won't go. My wife is here today, so..." Liu Xiaoshan is a graduate student in the Department of Urology and came to rotate in the Department of Orthopedics, and he also knew that the reason why Zhou Cheng called him was definitely just to be polite.
It is really unheard of for someone to work directly, and also to work in such an awesome hospital.
Huang Xuanqi was embarrassed and said: "My mobile phone was borrowed by someone else. Not to mention the phone, I didn't even leave a hair on it."
"What do you two call me? Come here and help me." Zhou Cheng quickly said to the person sitting next to the operating table.
Zhou Cheng didn't think much about it. This dislocation was simple. The most important thing was to have an assistant.
Huang Xuanqi used Zhou Cheng's move. How could he not know that Zhou Cheng had deliberately given him the opportunity to take action?
Otherwise, this operation may have been completed.
But if Zhou Cheng remembers correctly, this guy should be his college roommate.
Being in the same dormitory, Huang Xuanqi knew a lot about Zhou Cheng.
"You don't need to use too much force, just keep the fractured end in place, and I'll temporarily fix it with two Kirschner wires."
And the level of doctors.
"Spinal anesthesia, muscle relaxation, people from the emergency department called me." The anesthesiologist was lazy, probably a little tired, or maybe he thought this operation was not interesting.
Huang Xuanqi was not sure he did it.
After Huang Xuanqi and Zhou Cheng got to know each other.
He actually got a punch in the eye! Before, I thought Zhou Cheng was a novice who could at most flatter a few times and know a little about the ways of the world.
Zhou Cheng remembered that he lived diagonally across from him at that time.
"You can then start applying the external fixator."
Zhou Cheng glanced at Huang Xuanqi and said to Liu Xiaoshan: "Take a picture. You will be responsible for sending the patient out later."
Suddenly he was many levels higher than him...
After all, the best person in their generation, namely Dong Yuhai, is now a doctorate from the Ninth Academy of the Magic City and has a bright future.
"No, it's the General Manager."
He took a few steps quickly, turned around in front of Zhou Cheng, and then his whole body froze.
The two people's eyes met at first sight.
He happily discussed with Zhou Cheng: "Mr. Zhou, this patient is very lucky. The broken end of the tibial fracture is just 0.5 centimeters off, so amputation is necessary?"
But in fact, if it weren't for Huang Xuanqi, Zhou Cheng wouldn't want to take in such a simple debridement.
"Hey, okay." Liu Xiaoshan came to help immediately.
Zhou Cheng nodded and said: "Our relationship is what it should be."
After hearing this, the anesthesiologist turned around and said, "You are an interesting young man, aren't you?"
"Zhou Cheng, Zhou of the Zhou Dynasty, successful Cheng." Zhou Cheng quickly announced his family name.
Then he said: "Bezoar, we may not be able to go for a late-night snack for the time being. We have another emergency call. It's an open fracture of the lower limb. I'll probably have to go to the emergency room for treatment."
"The reset is complete. I was anesthetized for more than ten minutes."
For emergency surgery at Shonan University Affiliated Hospital, in addition to the general inpatient duty, there are also emergency surgery classes for resident doctors. There are five wards, one surgical class per ward, which is basically enough for a simple configuration of two or three emergency surgeries.
Have it at your fingertips.
Patiently said: "Here, help me stretch this muscle, yes, that's it."
When Huang Xuanqi's pupils shrank, he still did not forget to say: "Awesome, you are really awesome. You are really awesome!"
"What's your name? I'm determined to be your friend." Although he is older than Zhou Cheng, he is still in his forties, and the age difference is only a dozen years.
This is a bit too scary.
"Teacher! My name is Liu Xiaoshan." A man came over quickly to help.
Zhou Cheng didn't call anyone else.
Huang Xuanqi walked around the emergency department!
Then, after Huang Xuanqi took the initiative to complete the conversation, sign the medical records and other matters, the two of them rushed directly to the operating room.
Zhou Chengcheng said: "You can keep that thing for yourself."
What the hell, twenty seconds didn’t arrive and I wasn’t even ready to come over.
After Zhou Cheng confirmed that Yang Yifeng appeared in another emergency surgery room and took the stage, Zhou Cheng was completely relieved about the patient.
While he was anesthetizing, he said, "Is your orthopedics department really busy today?"
The dormitory of Shashi Medical College is a six-person dormitory. There are eleven boys in Zhou Cheng's class, and the small class has a total of twenty-four people, and Huang Xuanqi is the sixth person to join. Although it is not a small class, it is from the small class next door.
Just over forty minutes.
Huang Xuanqi heard this and said, "I'll still call you Mr. Zhou as before."
Very sensible.
…
Zhou Cheng took it and listened.
"Let's have a supper together tonight."
Zhou Cheng nodded and said jokingly: "This may be because I feel that I don't respect the teacher enough. I forgot to call you teacher when I was eating late night snacks, so I was fixed here. So this has taught us a truth, we can't eat alone."
The two ounces of bezoar are an allusion. Huang Xuanqi likes to drink, but after two ounces, his cowhide starts to blow. He is not down-to-earth and is a very easy-going person.
However, after listening to the conversation between the two, he knew Zhou Cheng's identity, so he listened carefully to Zhou Cheng's speech.
The main reason is that if he hadn't recognized his marriage here and said so much, he would definitely have asked Huang Xuanqi to help. But now, in order to avoid suspicion, he still deprived Huang Xuanqi of the opportunity.
"Would you like to come with me to see it?"
According to the Department of Surgery and Orthopedics, as long as the patient's lower limb fracture is not angularly displaced or shortened, and the broken ends of the long bones can be butt-jointed by one-third, the standard for functional reduction can be achieved.
Huang Xuanqi's eyes became slightly dull:
"What are you afraid of? The blood vessels and nerves are all exposed. If you can see it, you can insert the external fixator as you like!" Zhou Cheng smiled, and then quickly crossed two Kirschner wires to fix the broken end of the fracture.
after.
Zhou Chengcheng said to Liu Xiaoshan: "Okay, Xiaoshan, you should go back and rest early. If you encounter such special circumstances in the future, you can tell him in advance. As long as the situation is not similar for thirty days a month, we can understand."
"You bitch? Keep quiet, the chief resident of Shonan University Affiliated Hospital????"
I dare not even think about it.
"I'm going to yell in the dormitory group and class group later."
Zhou Cheng immediately separated the distal fracture edge of the tibia with quick eyesight and hands!
It was extracted from the nerve plexus, narrowly avoiding all the nerves.
The fractures at both ends were immediately reduced, leaving only a fracture line of just a few millimeters.
Liu Xiaoshan, who was called to help, was also confused. By helping, was he helping a lonely person?
"Teacher, thank you for your hard work." Zhou Cheng laughed innocently.
Zhou Cheng High School’s liberal arts scores were not ideal...
Given the opportunity to give in to the previous operation, Huang Xuanqi immediately did it.
Zhou Cheng saw him circling around him and then stopped moving. He raised his head and asked, "Is there any problem?"
At the same time, after disinfecting and draping, Zhou Cheng asked Huang Xuanqi to start debriding and suturing!
He directly acted as an assistant, and then paid great attention to the way he spoke. Step by step, he changed the tone of instruction into a tone of discussion to guide Huang Xuanqi's operations.
"You are not kind. When you came to Shashi, you didn't call me as promised when you graduated. My phone number has never been changed."
The rotational shift seemed to be completely reset at this moment.
"Help me get the spinal muscle tissue expander. Now that the broken end of the fracture has returned to its original position, the nerves and blood vessels that were stretched before do not need to be stretched anymore. After the expander is opened, you are responsible for fixing the fracture.
The proximal and distal ends. I'll put in a Kirschner wire to fix it temporarily..."
This is Zhou Cheng's trust in Yang Yifeng. If several other chiefs were hospitalized, Zhou Cheng might not be so relieved.
…
After all, they were in the same dormitory. I heard that Huang Xuanqi later went to work directly. After three or four years, I really thought I would meet him here.
"Okay, Mr. Zhou." Huang Xuanqi suppressed the fluctuation in his heart, then tilted his head and asked: "Wait for debridement later, can you?"
Moreover, it was getting late, and he did not want to stand between Zhou Cheng and Huang Xuanqi, which would make Zhou Cheng and Huang Xuanqi unhappy while chatting.
When he first came here, he heard Zhou Cheng's name, but he didn't dare to correspond with his roommate in this way.
Many years later, when I saw my old friend again, I felt an indescribable emotion, and the saucy words I learned from Zhang Zhengquan came right out of my mouth.
Zhou Chengcheng and Huang Xuanqi were about to walk to another emergency operating room to take a look, but before they left this operating room, Zhou Cheng's chief hospital phone rang again.
Do you feel rude if I call you?
"Let's not talk about it for now, Xiaoshan, come here to help, Bezoar, you can watch from the side first." Zhou Cheng went directly to his old classmate and left.
Zhou Cheng did not refuse, quickly took the hand, and then gave the position of the hook to Huang Xuanqi.
Zhou Cheng then checked the patient's range of motion again, including extension, adduction, internal rotation, abduction and external rotation.
But teaching cannot be fake, and what is said must have a sense of hierarchy.
This is a patient with lower limb trauma, and the anesthesiologist is the same anesthesiologist who performed anesthesia for hip dislocation in the previous operating room.
When the anesthesiologist saw this, he glanced at Zhou Cheng a few more times and instantly became energetic.
The bezoar's two ounces are immediately followed by three in a row.
Trainee ≤ intern ＜ regular trainee ＜ graduate student ＜ doctoral student ＜ resident physician of this hospital ＜ chief resident ＜ attending physician ＜ associate chief physician ＜ chief physician ＜ ward director ＜ department director...
Huang Xuanqi felt that he could accept such a person appearing in anyone, but Zhou Cheng was forced to study as an undergraduate, what kind of books did he study?
Zhou Chengcheng said: "We can discuss what the bezoar is called two liang later. Why don't we do the emergency surgery now?"
Zhou Cheng first used the force of adduction and internal rotation of the hip joint for a moment, and then pulled it along with the force of abduction and external rotation.
Immediately afterwards, Zhou Cheng grabbed the patient's ankle with his left hand, and with just a slight tug, the patient's foot automatically returned to its position and rotated as if by magic. Zhou Cheng just gently moved the distal fracture edge toward the ankle.
The proximal end of the fracture is sent away.
The more I listened, the more I admired Zhou Cheng. He understood some parts so thoroughly that even he, who had been practicing anesthesia for almost seven or eight years, could understand it!
And it actually interoperates with some of his stuff in the field of anesthesia, which seems to mean that all methods are brought back to their roots.
The chief hospital officer has no other powers, but he still has this.
Huang Xuanqi was finally happy to separate out the anterior and posterior tibial arteries, the accompanying veins and the popliteal nerve!
No one will die, so go to another hospital and clean it up slowly.
Huang Xuanqi was stunned and defenseless.
After Huang Xuanqi joined the grassroots work, he took a master's degree program with targeted enrollment. After signing an agreement, he had to go back to his hometown to work in the future, so he had the opportunity to study for graduate school.
Of course, Huang Xuanqi's most real thought is that you are a resident in training, and you may not know where you went to the county hospital now.
Isn't Zhou Cheng's ability and realm more terrifying than the rumors say?
The other person was about to reply subconsciously, and then suddenly seemed to recognize Zhou Cheng's voice.
"By the way, put on this pair of glove rings with nerves on them."
Then he said to Liu Xiaoshan: "Thank you, Xiaoshan. After I finish the emergency surgery later, let's go out for a late-night snack."
A heavy weight is a light weight.
After applying the tourniquet, Zhou Chengcheng took the initiative to ask to lift his leg, giving Huang Xuanqi the opportunity to disinfect.
"Amputation is not enough." Zhou Cheng smiled and said to himself that what you said was too scary, and it was always a terminal orthopedic operation.
Huang Xuanqi nodded frequently and did what Zhou Cheng had done before finally reacting and raising his head to look at Zhou Cheng: "Me? Do I need an external fixator?"
Huang Xuanqi's "jealousy" was overturned: "Mr. Zhou, don't you want to change your career?"
This is the triumphant sound of a successful reset.
"Diagonally opposite?" Zhou Cheng was really not sure if it was him.
But Huang Xuanqi also remembered clearly that Zhou Cheng stayed in Shashi before, but he was also trained under ordinary regulations, and his situation was similar to his own.
The mobility is pretty good.
This is a bit unpleasant to hear.
He is not a so-called follow-up doctor, he is one level higher than ordinary doctors in our hospital.
Then he said: "You can let go now, Bezoar!"
"Brother, come on, I can't use this dick." Huang Xuanqi blushed slightly.
Then he explained: "I don't know how to use an external fixator. Where I worked before, I didn't have the chance to perform emergency surgeries."
"Okay!" Zhou Cheng has also been in hospitals of all sizes and knows that there are some things that cannot be helped.