Chinese medicine: When you do things to the extreme

Chapter 227: Being Reversely Dominated (Subscription Request)
Zhou Yanqing quickly returned to the surgical clinic and made a prompt decision to call his master directly.

His tone was polite and brief: "Master, could you please call the medical department? I don't have my own work number yet."

"A patient with a severed upper arm came to the emergency department."

Tan Zhongyu was stunned for only three seconds after hearing this: "Just use my work number and password to send the surgery directly."

After saying that, Tan Zhongyu hung up the phone!

Tan Zhongyu's account and password had not been used for a long time. He only used them temporarily when he needed to prescribe very advanced antibiotics, and he would occasionally log in when he was in the outpatient clinic.

Zhou Yanqing naturally knew the account number and password.

After logging into the emergency system, Zhou Yanqing saw that the emergency department staff had promptly pulled the patient into the 'registration system'.

Emergency services are a sector where access is very loose.

You have the authority to directly apply for emergency surgery even when there is no medical record.

Operation name: Replantation of severed limbs.

Past history: None.

Special laboratory examinations: None.

Contraindications to surgery: Not yet known!
Special remarks: "Refer to 120, upper arm amputation, arrange general anesthesia and surgical operating room as soon as possible, prepare hand surgical micro instruments, and prepare circulating nurses and instrument nurses."

Emergency surgery is different from elective surgery, which by default has circulating and instrument nurses.

Emergency surgery arrangements require circulating and instrument nurses, which require special notes.

Because the emergency operating room cannot arrange patrols and equipment just for a patient undergoing a minor debridement or a minor tendon suture, and Xiangya Hospital cannot afford such luxury.

After doing this, Zhou Yanqing quickly logged into the sub-account of Huang Xianming/Zhou Yanqing and printed out the template for limb replantation.

My name, hospital number, etc. were all blank. After a rough look, I didn't find any problems, so I printed it out and planned to complete it in the personal information column by hand.

While Zhou Yanqing was working quickly and efficiently, Huang Yaqin looked at him curiously but did not disturb him.

Seeing Zhou Yanqing's decisive and capable behavior, his eyes were filled with admiration, and he reminded: "For level 3 surgery, you need to call your superior and assistant."

"Thank you." Zhou Yanqing replied politely while waiting for the surgery application form and surgery informed consent form template.

He doesn't have time to call an assistant yet, so he doesn't need to hire an assistant now.

But Huang Yaqin didn't know all this.

This morning, Tan Zhongyu told Zhou Yanqing that the surgical authority he applied for before the holiday had been issued to the hospital, and the procedures would be completed soon. Now Zhou Yanqing could openly perform level 3 surgeries.

The department endorsed him.

The phone on duty soon rang. It was Zhou Yanqing's chief resident consultation phone. Zhou Yanqing put down his right hand that was dialing Yu Yue's phone and answered with his left hand: "Hello, this is Zhou Yanqing."

"Doctor Zhou, we are on duty here. We just received a call from the emergency department requesting emergency surgery permission."

"A patient with a severed upper arm has come to the emergency department and needs a limb replantation. The hand surgery department is in charge, but no family member has signed yet."

"Referral from 120, right?" The chief on duty can authorize the case, but he needs to ask clearly whether there is anyone in the hand surgery department to take over.

If the emergency department surgeon performs the procedure himself, the procedure would be incorrect.

"Yes, I'm in the emergency room. The person who is in charge of the referral is the 120 ambulance doctor from Shashi No. Hospital."

"At the scene of the accident, the police contacted the patient's family and learned that they needed to rush from Yangcheng, which would take time. The son is in high school and is a minor."

"The operation cannot wait that long." Zhou Yanqing reported simply.

"The patient's name is Yang Zhiqiang, 45 years old, middle-aged. Does the information match?" The other party was operating the computer, and his tone was simple and quick.

"Yes!" Zhou Yanqing said.

"It's already been done. We have registered the case here. When the family members come to the emergency department, our chief duty officer, security office, and medical department will come forward to explain to the family members."

"Doctor Zhou, how much do you expect to pay for the surgery? We can negotiate for you!"

"Or during the operation, someone from your hand surgery department will come to prepare for the conversation and signature." The other party asked another question.

"It's about 25,000. Someone will come to talk and sign during the operation. Please call the operating room directly." Zhou Yanqing replied.

The other party hung up the phone directly without saying a word.

After Zhou Yanqing received the two sheets of paper, he turned the surgery application form over, quickly filled in the patient's information by hand, and left the surgical clinic.

On the way, I sent a message in the group: "Brother Yue, replantation of severed fingers, emergency operating room 5."

"@Tian Chao. @Yu Yue."

Immediately afterwards, Zhou Yanqing called Lin Yuxuan again, and Lin Yuxuan followed immediately.

When Zhou Yanqing walked into the rescue area 1, deputy chief physician He Qingqing came to greet him: "The patient's vital signs are currently stable, and he has undergone temporary treatment on the spot."

"The four infectious disease tests were negative, but emergency surgery is still required to stop the bleeding and replant the limb in time!"

"I have already called the emergency operating room and arranged for you in operating room number 5."

"Doctor Zhou, you can go to the operating room first. We will send the patient over soon." He Qingqing replied quickly.

"Thank you, Teacher He. Please inform the patient's family when they arrive." Zhou Yanqing took a look at the patient's vital signs before he breathed a sigh of relief. He then quickly turned around, left the rescue area, and rushed to the emergency operating room.

Xiangya Hospital has many emergency patients requiring limb replantation, so there are two sets of microsurgical instruments in the emergency operating room. They will not be easily transferred to other operating rooms.

Even if microsurgery and hand surgery need to be temporarily seconded, it is quite troublesome.

"Are you done gossiping, Brother Xuan?" When Zhou Yanqing saw Lin Yuxuan, he had already put on his green wash clothes and pants again and was wearing a mask.

Lin Yuxuan rushed to the locker room with her clothes.

"There's nothing good to gossip about afterwards." Lin Yuxuan shook his head, seeming a little disappointed.

Then he saw something was wrong with Zhou Yanqing's eyes, and he said, "Yanqing, you don't know, these young people nowadays are very good at having fun!"

"You'll know when you become the chief resident and come into contact with more emergency patients," Lin Yuxuan hinted at something else.

"I'll go deliver the emergency surgery order first. Operating room 5."

"The patient should be coming up soon." Zhou Yanqing turned around and gave instructions.

If you personally deliver the emergency surgery application form to the nurse station, it will be arranged more quickly.

Limb replantation is an emergency with a relatively high priority. Even for stroke or arterial dissection, the operating room for limb replantation will not be easily occupied.

After handing in the surgical form, the nurse on duty at the operating room nursing department said, "Just put it here. There are more operating rooms in the emergency department now than before, and there are basically no phone calls to notify that the surgery schedule is not tight, so you don't need to send a paper form." "There is a group here, please join it."

Zhou Yanqing listened and scanned the code with a smile: "Okay, teacher."

But I was thinking in my heart, it would be strange if I didn’t send you off. If I hadn’t followed Brother Ning Zhu in the emergency department for a period of time, I would definitely not know your work style.

The more you push, the faster it will be arranged!
Posting it in the group will give you at least ten more minutes.

……

Yu Yue replied in the group that he had something to do, but Ling Qiyuan and Tian Chao arrived in time.

After entering the operating room, they put the mobile phone on the shelf, and then the team went out to wash their hands, obviously intending to disinfect the towel and let Zhou Yanqing enjoy the "chief surgeon" treatment from his superiors.

Zhou Yanqing didn't stop him either.

At 10:16, the patient entered the operating room. An intravenous access had already been connected in the emergency department. So, after receiving the notification, the doctor in the emergency department prepared the general anesthetic, and the patient was anesthetized in just four minutes.

After finishing, he looked in the direction where Zhou Yanqing was, and he seemed to feel a little familiar.

After swinging his right hand twice in the air, he suddenly stopped: "Zhou! Yan! Qing!"

Speak each word with accuracy.

"Yes, teacher, who are you?" Zhou Yanqing was extremely surprised to hear the other party calling out his name.

"You can call me Lao Dong. It seems my memory has not faded yet."

"If I remember correctly, you used to follow Ning Zhu from the Hand Surgery Department. Then you didn't come for a while. Now you have taken his place, right?" Dong Lunming said clearly.

Lin Yuxuan came over and explained in a low voice: "Dong Lunming, the deputy director of the anesthesia department of the emergency operating room, has a true photographic memory."

"He was even so perverted that he could remember 80% to 90% of the names of the patients he had anesthetized."

Hearing this, Zhou Yanqing secretly gave a thumbs up in his heart and replied with a smile: "Hello, Teacher Dong, I am currently serving as the interim chief resident. I am not sure whether I will take over."

"It's just a matter of time." Dong Lunming didn't listen to Zhou Yanqing's modesty at all.

The subsequent developments of the operation indeed confirmed Dong Lunming’s guess!

It was almost ten forty-five, and Zhou Yanqing had already completed the humeral internal fixation surgery and started the vascular suture!
Dong Lunming tilted his head to look at the timer on the operating room timing panel. It was only more than 20 minutes later. He said to his student, "I mentioned him to you. He is one of the geniuses in the surgical system of Xiangya Hospital."

"Hand Surgery, Zhou Yanqing. The previous chief resident Ning Zhu is just a foil in front of him. Even those who know him privately say that Zhou Yanqing's talent is better than Huang Yaqin of Hepatobiliary Surgery."

"Lan Yunzhou from the Department of Neurosurgery and Du Sheng from the Department of Microsurgery are both even higher, at least second among the Six Little Gods, and there is still room for improvement."

Dong Lunming's student is a girl named Xie Xiao. She is 1.6 meters tall but petite. Her voice is serious but soft, with a Suzhou and Hangzhou accent: "Teacher, where did you hear all this gossip?"

"This was all spread by you graduate students!" Dong Lunming said naturally.

"I heard it and wrote it down. Xiaoxiao, you are a little out of touch with the group. Your information channels are not even as good as mine, your teacher." Dong Lunming joked and then sat on the chair reserved for anesthesiologists.

Xie Xiao stood with her hands behind her back and looked at the surgical operating table. At this moment, Zhou Yanqing was teaching several other people very seriously.

But in fact, Xie Xiao could see that Zhou Yanqing was not the oldest, so the atmosphere seemed a bit weird.

Maybe it’s because he has a baby face, but he is actually a man in his thirties.

Xie Xiao's mind slowly shifted, and then she began to pay attention to Zhou Yanqing's eyebrows and eyes...

Ten minutes before one o'clock, Zhou Yanqing tilted his head and said, "Teacher Dong, the operation will be over soon."

"All that's left is to sew the leather."

Dong Lunming looked at the operation time again. It was only over two hours later. The corners of his mouth twitched and he took a breath. "It's nearly half an hour shorter than your previous fastest time."

"You're really cruel in compressing the operation time!"

Zhou Yanqing looked at the patient's distal limbs again. The color had returned to normal flesh color and was no longer the light purple color before. He smiled and said, "Not bad. The quality of the surgery should be worth looking forward to."

Dong Lunming didn't even listen to what Zhou Yanqing said.

A year ago, Zhou Yanqing was an expert at replanting severed limbs. Was he worried about the poor quality of the surgery?

What he emphasized was fast, fast!

This little Zhou doesn’t have the “cells” of a surgeon.

It's really boring!

The car speed can't keep up.

Dong Lunming began to prepare for the patient's resuscitation.

Dong Lunming had deliberately controlled the amount of anesthetic drugs before. Almost as soon as Zhou Yanqing and others had sutured the surface of the skin, he started to suction the sputum.

After the patient coughed a few more times, he gradually began to wake up!
Zhou Yanqing and others had just finished the plaster external fixation surgery.

"Don't be afraid, the operation is already done."

"Open your eyes. You are on a pain pump. It won't hurt much. Your family is waiting for you at the door." Dong Lunming said.

During the operation, Zhou Yanqing called someone out to talk and sign!
This kind of emergency was considered an industrial injury, so the family signed without any hesitation.

The patient had just had the tube inserted and his throat was dry and sore. In addition, the concentration of the anesthetic had not yet been completely metabolized, so his mind was not particularly clear. He just opened his mouth slightly and closed it several times without making any sound.

Zhou Yanqing was about to say something when his chief resident's consultation phone started beeping again!
He said quickly, "When you send the patient out, if you meet the patient's family, remember to explain the postoperative situation to them."

"By the way, please ask about the payment situation."

After becoming a resident doctor, Zhou Yanqing dared not ignore the payment of the surgery. If the patient finally ran away without paying, the department would have to pay for it.

The cost of the materials used must be paid to the manufacturer.

The anesthesia fee must be paid to the Anesthesia Department, and the surgical platform fee must be paid to the operating room. This money cannot be reduced. If the patient does not pay, the Finance Department will directly deduct it from the performance of your hand surgery department!

Of course, this patient has the general duty officer to cover him, so this situation will not happen, but it is inevitable that there will be some wrangling later!
"Okay, Brother Qing!" Tian Chao took the initiative to take on the task and followed the master of anesthesiology out of the operating room.

After Zhou Yanqing answered the phone, he went to the surgical clinic of the emergency department without even changing his clothes.

"Excuse me, Doctor Zhou, we have a patient with multiple injuries here."

"Don't worry about the surgery in the operating room, your superior is here. The resident is just a facilitator for emergency surgery." Huang Yaqin stood up and rushed to the rescue area with Zhou Yanqing.

"It's okay, Teacher Huang, the operation is over." Zhou Yanqing quickly followed and explained in a low voice.

Huang Yaqin held the door with her hand, and then she braked in the middle of a quick walk and leaned forward 90 degrees. She looked at Zhou Yanqing unexpectedly with an inexplicable look in her eyes...

(End of this chapter)