Chinese medicine: When you do things to the extreme

Chapter 229 No Reason! (Subscribe)
Everyone dispersed to make way, and Yan Huanyu turned around and asked, "Yanqing, do you want to go to the operating room with me? Or should I call you later?"

Although orthopedic injuries have become elective diseases and do not need to be treated immediately, they are still emergencies. If there is nothing else to do during the hospitalization, the surgery can be performed at any time in the emergency operating room.

"Brother Yan, I have something else to do. There was no patient in the previous emergency surgery. I need to ask the chief on duty for authorization!"

"The operation is over, and I have to explain things to the family members," Zhou Yanqing reported.

Things have their priorities. If the condition of this patient's lower limbs was extremely urgent, Zhou Yanqing would not be so calm.

The situation in his department is now stable, and there is no difference between performing surgery in an hour and now.

It is even unknown whether the patient can survive, so he naturally has to communicate with the family members who have already undergone surgery!
More communication is an effective way to avoid medical disputes.

"Okay! Then I'll go first. I'll call you if there's anything!" Yan Huanyu took the initiative to say.

He is always there for orthopedic inpatients, and in the current situation, even if there is an emergency, he can handle it.

Before, he just wasn't as decisive and straightforward as Zhou Yanqing, not because of his lack of ability!

The hospital does not have very high requirements for the overall ability of inpatients, as long as it is acceptable.

We have all fought our way out from the best. If you want to be a freeloader, it depends on whether the director agrees!
Zhou Yanqing put on the mask without hesitation and left the emergency department.

In the hand surgery ward, Zhou Yanqing quickly came to bed 9!
This is the bed where the patient who had a severed limb replanted was hospitalized.

The person who came was the patient's wife, who was trying hard to talk to him and try to keep him from falling asleep.

This is a necessary procedure after general anesthesia to prevent the patient from "failing" or having other accidents due to anesthesia.

The first two hours after recovery from anesthesia are critical.

This kind of experience is summarized from past "accidents".

When Tian Chao learned that Zhou Yanqing had returned to the ward, he rushed over immediately. Seeing drops of blood on Zhou Yanqing's white coat, he asked, "Brother Qing, what's going on?"

"There's a patient with arterial damage in the emergency room. Go to the nurse's station and find the nurse on duty. Please get a few more sets of condoms for me. I'll transfer the money to you later!"

"No need, Brother Qing, you can pay for the white coat now through the department's account." Tian Chao said hurriedly.

Then he moved away from Zhou Yanqing and explained to the patient's family: "Doctor Zhou is here. Your husband's surgery went well. We can see that the color of the end of his finger is not purple or black."

"The blood circulation is very good. The degree of recovery after surgery depends on the individual's functional training."

"I've told you before, once it's broken it's broken, it will never be restored to its original function!"

"Thank you, Dr. Zhou, and thank you, Dr. Tian."

"Thank you!" The middle-aged woman stood up and thanked them.

The middle-aged man lying on the bed also raised his healthy hand to indicate that his mouth was inconvenient.

Nowadays, in the doctor-patient relationship, there are fewer and fewer places that dare to perform surgery without a conversation and signature, and patients are unaware that there is a chief on duty person who can authorize it.

Therefore, I thought that Zhou Yanqing was showing mercy.

"Stop talking!"

"Remember to get more rest. Don't move your operated hand in the next few days. Move it again when you are allowed to do rehabilitation training."

Zhou Yanqing then looked at the patient's wife and said, "Remember to keep warm. If the light goes out or if there is any other problem, notify the nurse to come over immediately."

"Also, you should pay attention to any discoloration of your hands, such as white, purple, or black. Tell the nurse immediately!"

"This is a sign of poor blood circulation. Once it occurs, if it is not discovered and treated in time, the hand can still die."

"Thank you for your thoughtfulness!"

"Okay, Dr. Zhou!" the woman said hurriedly.

Zhou Yanqing asked Tian Chao: "Have you taken photos?"

The purpose of taking photos is to prove the quality and status of the current surgery. If the patient and family members do not follow the doctor's advice and move the patient forcefully, it may cause rupture of the sutured blood vessels or other situations.

It also cannot be bitten because the quality of the surgery is not up to standard.

The distal blood supply is now good, proving that the operation was successful.

Although the possibility of this is very low, it is better to be prepared!
After becoming a resident, you must be extremely careful and meticulous, and banish the word "bold" from your dictionary.

Don't touch any diseases that are beyond your ability or any surgeries that are outside the rules, unless you can objectively analyze that these things have nothing to do with you.

Otherwise, at best your total hospital stay will be extended, at worst the entire department will be blamed for you!

"It has been taken, Brother Qing!" Tian Chao nodded.

"Then please take the trouble to run this trip for me. Also notify the nurses and ask them to come and take my white coat to be cleaned!"

"I still have to go to the emergency operating room." Zhou Yanqing found that he was becoming less and less talkative.

Being in the hospital is never a good time to talk!

Tian Chao left after hearing this.

There is a centralized disinfection and cleaning area in the hospital, where even blood stains can be cleaned thoroughly. Otherwise, a new surgical drape kit would have to be used for each operation, which would be too luxurious.

If our doctors get blood and stains stained due to rescue or other situations, the hospital will also clean them up free of charge!

Top hospitals do a pretty good job in this regard.

After Zhou Yanqing left the ward, he asked the doctor on duty and found out that there were no patients with special circumstances in the department, and then he went into the operating room again!
That operation must be performed!
I don’t have anything else to do now, so I’ll just go to the operating room and wait. This is basic quality.

……

After entering the operating room, the resident chief of vascular surgery, Xiang Miao, was already on the stage. She also called two other masters of the vascular surgery class!
After putting on sterile gloves and sterile surgical gown, she gritted her teeth and performed an exploratory laparotomy.

Yue Li Zhongyin, the resident chief of gastrointestinal surgery, determined that the patient had abdominal intestinal damage and must go on stage, so he went on stage as well.

However, when Yue Li Zhong and Xiang Miao opened the abdomen, they saw pools of blood and blood clots inside, which were coagulated into lumps, just like the fresh duck blood in hot pot, but the color was darker!

The patient's intra-abdominal bleeding is still very serious!
When Xiang Miao saw this situation, he immediately said, "Xun Xun, use my phone to call Professor Dou Peng!"

The situation was urgent, but he didn't call the roving teacher or say "please", and he didn't dare to waste even a second!
A plain CT scan of the abdomen showed that there was not so much ascites in the abdomen. This must be a relatively large active bleeding.

If we don’t want this patient to die from shock, we have no choice but to ask for help!

After Xiang Miao finished speaking, he started the hematoma cleaning operation with several professional masters he brought with him.

Seeing this, Zhou Yanqing uttered a low "Oh" and turned to leave the operating room.

If a situation like this needs to be handled quickly, he may have to become an assistant.

There is nothing else to do now. Xiang Miao, the resident chief of vascular surgery, is on the stage and the patient's condition is quite urgent.

Zhou Yanqing really couldn't find any reason to continue watching!
Unless, there comes an emergency consultation call from hand surgery.

Washing hands, disinfecting, thinking quickly. He didn't wait for the phone ringing he set!

Zhou Yanqing walked straight to the clothing bag, put on sterile surgical gown and sterile gloves.

Yan Huanyu was still watching Xiang Miao's operation at the side, and tilted his head and said, "Yanqing, what's going on!"

Yan Huanyu was halfway through his speech when he didn't notice Zhou Yanqing's men. When he looked again, Zhou Yanqing was already fully armed.

Jogging over: "Yanqing, are we going to start the show now?"

"The situation over there is still unstable."

"I'll go and help!" Zhou Yanqing pointed at the stage and said in a serious tone while wearing sterile gloves.

Accurate wording!

Helping out is something that any intern can do!
He is a resident in hand surgery and is always assisting vascular surgery. Is there a problem with that?
There is no problem.

Hearing this, Yan Huanyu nodded and lowered his voice: "With the hemostasis technique you just used in the emergency room, it should be able to buy a lot of time!"

Zhou Yanqing didn't reply, he had already touched the operating table, diagonally opposite Xiang Miao, that is, next to Yue Lizhong of the gastrointestinal surgery department.

He whispered to another master's student in vascular surgery, "Let's switch positions!"

Zhou Yanqing's deep voice suddenly appeared, making the master student feel conflicted.

Xiang Miao raised his head and said decisively: "Lin Shengzong, you and Mr. Zhou should switch seats."

"Chief resident of hand surgery."

Xiang Miao then lowered his head, without complaining, getting anxious, or asking for help!

The abdomen has been opened. As a surgeon, the most basic quality is to remain calm in the face of danger. Even if you feel it is very difficult or the patient is about to die, you must not panic!

Zhou Yanqing switched positions with him, back to back, and took the retractor from his hand.

There is also a negative pressure suction device.

Zhou Yanqing had reviewed CT scans before, so he knew roughly which arteries were damaged.

Zhou Yanqing thought Xiang Miao might not remember it, so he said again: "The CT scan shows that the bilateral ureteral arteries and the left renal artery are seriously injured."

"Let's deal with the right ureteral artery first!"

Xiang Miao didn't look up: "We need to clean up the hematoma first. Only after the field of vision is clear, can we find the course of the ureteral artery."

She knew that Zhou Yanqing was quite powerful, and even Huang Yaqin from the hepatobiliary surgery department could be persuaded by Zhou Yanqing.

Huang Yaqin has an ordinary name, an ordinary figure, and an ordinary face. Compared with Xiang Miao, she has an advantage in every aspect.

But in the hospital, she is the little sister, and no one is closer to her.

In the hospital system, technology is king!
Especially surgery!
Xiang Miao’s thinking is definitely correct. This is the essence of hemostasis: first see the bleeding point, and then stop the bleeding.

But the problem is that once an artery bleeds, the amount of bleeding is extremely large.

The speed of cleaning may not be able to keep up with the speed of bleeding!

Xiang Miao probably doesn't have the ability to blindly manipulate the blood vessels underneath the pool of blood, and his level of hemostasis is not good enough.

"Brother Zhong, help me pull the hook. I'll try to see if I can clamp an artery."

"Do me a favor and try your luck."

"Anyway, the hemostatic forceps have a blunt head and won't hurt anything." Zhou Yanqing stated his intention.

Then, without waiting for the other party's consent, he picked up the hemostatic forceps with his left hand, quickly found a few positioning stakes in the pool of blood, and started working!
Everyone's anatomical structure is roughly the same, but not exactly the same. It is undoubtedly a fantasy to find the artery without a positioning pile.

Can a person who is 1.9 meters tall and a person who is 1.4 meters tall be in the same position?
Zhou Yanqing's hemostasis skills are at the expert level, so he can feel very carefully whether his hemostatic forceps are attached to the artery wall!
With a rotation of the right hand, when you feel the side wall of the hemostat touch the outer wall of the blood vessel, gently lift it up and clamp it.

Many solid organs in the abdominal cavity are very fragile. If you push them directly behind you, you may pinch the solid organs.

After picking it up, the head of the hemostatic forceps is facing the intestinal tract. Human intestines have excess, so it doesn’t matter if you cut a section!
After a click, the blood pooled above the surface of the blood vessels, and no one knew whether the bleeding was stopped!

All we can do is see whether the speed of hematoma clearance is accelerated.

However, Zhou Yanqing felt it was somewhat stable.

With the arterial structure point of the left ureter known, clamping the right side becomes much easier.

Zhou Yanqing picked up a pair of hemostatic forceps and used the same trick again!

After another sound, Xiang Miao and others discovered that because most of the arterial bleeding was lost, the speed of hematoma clearing much exceeded the speed of bleeding.

The blood level in the abdominal cavity is dropping rapidly!

Until the surface of the pool of blood reveals the fixing point of the hemostat.

Further down is the intestinal tract. The fat layer on the surface of the intestinal tract and the groove of the intestinal tract contain blood, which is very difficult to clean out!
There is still blood oozing out, and the blood is bright red. It should be very fresh arterial bleeding!

"Hemostat! A big one!" Zhou Yanqing didn't see any big hemostat, so he asked the instrument nurse for one.

With Zhou Yanqing's previous operation, the instrument nurse's eyes changed from disbelief to respect, and she quickly placed the large hemostatic forceps in Zhou Yanqing's hand.

Next to him, Brother Zhong from the gastrointestinal surgery department very sensibly helped Zhou Yanqing to open up part of the intestine, exposing the cavity through which Zhou Yanqing could directly reach the renal artery, and said, "Boss Zhou, if you can stop the bleeding of the last artery, we can start the operation!"

Xiang Miao was now trying hard to lower his body to make more space for Zhou Yanqing.

Because she saw the shadow of Professor Dou Peng's operation in Zhou Yanqing, that was absolute control and grasp!

Zhou Yanqing's right hand reached in, went up along the left side of the aorta, inserted into the first branch in the mid-abdomen, and then moved to the left about one centimeter.

Clamp it tightly!

After releasing his right hand, Zhou Yanqing took the negative pressure suction device handed to him by Xiang Miao and began to quickly suck the blood in the abdominal cavity!
The pool of blood quickly dried up, and having lost its source, it quickly disappeared from everyone’s sight!

Although there is still a trickle of water, it has already killed him.

Zhou Yanqing returned the negative pressure suction device to Xiang Miao: "Boss Xiang, thank you for your hard work. I will go back to do the work of our department."

Zhou Yanqing turned around and prepared to start the lower limb surgery.

Upon hearing this, Xiang Miao was stunned, looked at Zhou Yanqing for four full seconds, then gave him a grateful look for two seconds, and then felt grateful alone for three seconds.

He lowered his head and decisively started his work!
Medicine is not a joke and surgery cannot be underestimated.

Any emotion must be suppressed.

Thank you, but you have to hold it in.

This is surgery, and the surgeon is the calm dancer on the line between life and death.

(End of this chapter)