Chinese medicine: When you do things to the extreme

Chapter 236 Life and Death!

After dinner, Zhou Yanqing said goodbye to several old brothers warmly.

Zhou Yanqing put on the shared electric motorcycle helmet for scanning the code, his mind was wandering, and he suddenly hit the back of his head.

"Fuck!" The rich nerves in the scalp accurately transmit the pain back to the cerebral cortex.

After taking off the helmet and touching it lightly with the palm of his right hand, Zhou Yanqing hurried to the direction of the hospital department.

……

After returning to his rented house from the department, the first thing Zhou Yanqing did was to hire a housekeeper to help with the cleaning.

There was no way. Although he had been in the hospital for less than a week, the house was already full of dust. It would take too long to clean it alone, and Zhou Yanqing had other arrangements to make.

The first thing he did was to wash the sheets and replace them with new ones. After the aunt he had booked arrived, Zhou Yanqing went back to the room and started video chatting with Chen Yu.

"Little Stone, your director is so nice to you!"

"Brother Zhu's living conditions were not like this before." Chen Yu followed Zhou Yanqing and changed his words.

Zhou Yanqing smiled bitterly and said, "Xiaoyu, it's not as simple as you think. I had dinner with a few other brothers today..."

Zhou Yanqing conveyed the ideas of the elder brothers.

The brothers today were quite interesting. They conveyed two meanings to Zhou Yanqing very tactfully.

First, everyone benefits from the rotation of duty arranged by Director Lei, and they can all accept it!
But asking them to handle emergency cases in hand surgery and trauma surgery is out of the question!

They are just a loyal 'consultation referral' person.

If you, Zhou Yanqing and Yan Huanyu, are willing to undergo emergency surgery, then go ahead and do it. If you are not willing, I will refuse you on the grounds that the beds in the ward are full and you cannot be admitted to the hospital.

It is impossible for the patient's family to go to the ward and drive away the existing patients.

Insufficient medical resources is a mainstream topic in China today, and no one dares to find fault with it.

As for what Director Lei Zhong said about training the comprehensive abilities of chief resident doctors, don't even mention it. After being promoted to chief resident doctor, everyone will immerse themselves in their respective specialties!
For a person to be able to do his or her professional job well is already a very good achievement.

Anyone who wants to be an all-round talent can take the position. They will not accept Director Lei’s empty promises!
Second, when they were on duty, they encountered diseases that were common in their department and did not need to be handled by Zhou Yanqing and Yan Huanyu!

Similarly, if Zhou Yanqing and Yan Huanyu encounter non-hand surgery problems that cannot be solved, they can call them directly without hesitation!

There is give and take, so let’s be clear on the ugly side first.

Third, let Zhou Yanqing be their "little superior". It depends on how you, Zhou Yanqing, respond. If you want to be one, they will approve of it, but it will be very tiring.

If you feel that everyone is getting along well on the surface, then you are brothers and they will understand you and will not cause you too much trouble.

Chen Yu was stunned at first, then he opened his mouth slightly: "Okay, it doesn't sound like there's anything wrong with it."

“Any career is just a job.”

Chen Yu is within the system. According to moral requirements, her job should be to teach and educate people wholeheartedly. It would be best if she lived in extreme poverty and used all her salary to support her students, which is in line with more mainstream moral values.

The mainstream value of doctors is to put curing diseases and saving lives first. For these four words, nothing is too much.

Then I was praised, saying that this was a real doctor and that we should protect him, and that was it...

"Division of labor and cooperation, emergency treatment has an emergency department, save lives first."

"The disease is treated by a specialist, and the problem is solved accurately. These brothers have split the emergency consultation very clearly."

"They also have a very deep understanding of orthopedics. If they do this, their hospital life will not be too exhausting."

"After all, work is only a part of a person's life, not everything." Zhou Yanqing actually felt a little buzzing in his head.

Because the ideas of the other brothers are slightly different from his!

Or maybe it was because they had experienced severe beatings during their hospitalization, or maybe it was because the Ning Zhu that he had met before was more sincere.

But looking back, Brother Ning Zhu only did his job when he was the chief resident.

Therefore, doing your job well is the first priority.

Reality is reality after all!
It is better to avoid doing things that will cause unnecessary trouble.

Then, Zhou Yanqing brought up the previous conflict between Yang Jiansen and an associate chief physician in the emergency department.

He smiled bitterly and said, "I must have caused Brother Yang a lot of trouble. Although he didn't mention it on the surface, he must have thought so in his heart."

"If I hadn't taken care of that emergency patient, what happened yesterday wouldn't have happened."

Chen Yu shook his head and said, "But Xiao Shitou, you can't think like that. You were able to do it at the time, and it was in accordance with the rules."

Zhou Yanqing shook his head again: "The rules must be followed, but I don't represent myself, I represent the group of orthopedic residents! More broadly speaking, I represent the orthopedic department."

"For example, the teacher you told me about last time who smashed a person's skull, can he represent just one person?"

Zhou Yanqing is warning and reflecting on himself, and also needs to draw a bottom line and boundary line for himself.

If you don’t know the bottom line, you can’t be a good doctor.

If the boundaries are unclear, it will be difficult to integrate into a group.

Ning Zhu is his senior brother, and Tan Zhongyu is his teacher. They have a very direct relationship with him.

Why should others listen to you, Zhou Yanqing, and even cover for you?
"It's really difficult."

"The five of you are now divided into two small circles. This may be the norm within the system..." Chen Yu replied.

"Okay, let's not discuss this anymore. I'm going to clean the house and I may have to make house calls later."

"Brother Yan will probably call me soon." Zhou Yanqing said.

"Then can we have dinner together tonight?" Chen Yu was eager to do so. She hadn't seen Zhou Yanqing for a week and felt that it was a bit too long.

"Of course you can. You choose the location, but I choose the time." Zhou Yanqing replied with a smile.

……

Just after finishing their meal, the two of them walked hand in hand on the street. Before they had left the restaurant for ten minutes, Zhou Yanqing's cell phone rang again.

Zhou Yanqing picked it up and saw that it was Yan Huanyu.

"Brother Yan!" Zhou Yanqing said with a smile.

Yan Huanyu's voice rang out at the same time as his: "Yanqing, car accident injury, multiple combined injuries."

"Why don't you come over here? I'm afraid I can't handle it alone."

Zhou Yanqing glanced at Chen Yu, and Chen Yu very sensibly made typing gestures with his hands, indicating that he would continue typing later.

Zhou Yanqing replied: "Okay, I'll be there right away."

Zhou Yanqing rushed to the emergency department, found one of his white coats left in the emergency department lounge, put it on, and then hurried to the second rescue area.

The rescue is still going on in full swing!

"The heartbeat has been restored, continue to stop the bleeding!"

"Ask the blood bank for blood!" Associate Professor Wang Limin, deputy director of the emergency department, ordered calmly. Standing beside the operating bed, responsible for emergency hemostasis, was not only Xiang Miao from the vascular surgery department, but also Associate Professor Yang Lingchong from the emergency clinic of the vascular surgery department. The two of them worked together to complete the bedside hemostasis in the abdominal cavity.

Yan Huanyu was entangled in the femoral artery on his right thigh, and blood was oozing out.

Zhou Yanqing hurried over and put on his mask and hat.

At the same time, begin removing the examination gloves.

"Brother Yan, I'm here." Zhou Yanqing did not report his identity, but only reported to Yan Huanyu.

"Quick, Yanqing, there's a mess in the armpit of my right upper arm, it needs to be bandaged urgently, I'll take care of it first!"

“This patient has a lot of arterial damage!”

"My heart just stopped beating twice, and I was just pushed over." Yan Huanyu shouted quickly without even looking up.

From his tone, you can tell that his adrenaline has reached its peak.

Yan Huanyu had just taken up the position of chief resident and was not very familiar with emergency treatment, but he still did his job anyway.

Zhou Yanqing quickly changed direction and quickly came to the patient's right upper arm.

However, Wang Liming, the deputy director of the emergency department, subconsciously thought that Zhou Yanqing was just a master or doctoral student.

He did not reach out to stop Zhou Yanqing's action: "Can you do it?"

"I'm the chief resident!" Zhou Yanqing said without a word!
"Debridement pack, hemostatic forceps!"

"Huhuhu..."

"Drip drip drip drip!"

"Grrrrrrrrrrrr."

The sound of oxygen flowing, the chaotic warning sounds of instruments, and the sound of the rescue cart's wheels rubbing against the ground were intertwined.

"The debridement kit is here!" The nurse in the emergency department did not hesitate at all and opened a cart for Zhou Yanqing as a temporary instrument table.

Zhou Yanqing held down a large amount of packing cotton pads and gauze with one hand, and reached directly for the medium-sized hemostat with his right hand.

After carefully lifting the corner of the gauze near the armpit, Zhou Yanqing saw bright red warm blood rushing onto the back of his hand, with a fishy smell and temperature.

This time, Zhou Yanqing didn't even see what the wound looked like, he just put down the hemostatic forceps in his hand and reached directly into his right hand!
Manual hemostasis requires a smaller surgical field and operating field than instrumental hemostasis, and because the fingers are flexible, it can stop bleeding better.

More operating space and range of activities!
After Zhou Yanqing put his right hand in, his whole body and mind seemed to be immersed in the palm of his right hand, and his visual and auditory functions seemed to be closed for a short time.

Zhou Yanqing's basic physical examination has now reached expert level.

Basic physical examination, inspection, palpation, percussion and auscultation!
Touch and palpation are things that must be practiced.

In addition to being able to feel the texture of the skin, palpation can also quickly determine the pulsation amplitude of the arteries and veins.

Axillary vein!
Axillary artery.

If the bleeding is severe, the filling level of the distal blood vessels will shrink or even disappear completely. The opposite is true for the veins, where the veins at the distal end of the limbs will be relatively full.

Covered by sterile gauze, no one knew what Zhou Yanqing's fingers were doing.

He even used his bare hands to tear open a certain amount of muscle gap and accurately caught a nimble and pulsating "loach"!
The axillary artery is simply pinched with the thumb and index finger on opposite sides, and the artery still feels full and has a strong reverse thrust.

Because it is close to the heart, the impact force is no weaker than that of large arteries such as the femoral artery.

However, Zhou Yanqing is stronger!
Zhou Yanqing bent his body, took the hemostat with his left hand, and inserted it accurately!

Axillary artery, grasp it!

However, because Zhou Yanqing's left hand lost the sterile cotton pad and gauze, the pressure bandage covering the pressure was missing.

A large amount of dark venous blood instantly gushed out of the wound!

It wasn't a column of blood, but there was a lot of blood coming out.

In other words, I'm already in a low blood pressure state...

Zhou Yanqing did not panic. He moved his right hand quickly and accurately and decisively grabbed the distal end of the vein.

After another click, the heavy bleeding in the wound suddenly stopped!
All that remains is hemostasis of the arterioles and venules.

I looked up at Yan Huanyu. At this moment, Yan Huanyu couldn't even figure out the femoral artery and its branches because the damage to the inguinal ligament was particularly complicated.

Zhou Yanqing did not rush to help, but loosened his hands and quickly dealt with the remaining bleeding points.

If the artery and vein can be found, clamp them directly with a vascular clamp.

If you can't find it, just ignore it for now and cover it with a lot of gauze and cotton pads, and apply pressure bandages!

Temporary bleeding has been stopped, treatment completed!
Zhou Yanqing quickly stepped back, took off his gloves and threw them into the yellow trash can. Then he took another pair of sterile gloves from the cart and tore them apart violently!

After getting dressed, he just happened to be next to Yan Huanyu.

Yan Huanyu couldn't help but turn his head slightly when he felt an inexplicable energy field approaching.

Then we saw that Zhou Yanqing's right and left hands, with a very strange posture, cruelly and violently pierced and tore the patient's muscle layer!
Then he clenched his left hand tightly in a pretentious manner!

"Knife!" Zhou Yanqing shouted quickly.

After the patient's femoral artery ruptured, it retracted and the local cavity was relatively limited, so the amount of bleeding was not large.

But it is impossible to stop bleeding within a visible wound!

He had to find another incision, and Zhou Yanqing had to do it himself, otherwise his hand might be wasted!
Yan Huanyu had no doubt about it and gave the sharp knife in the curved plate to him.

Zhou Yanqing took the knife handle and quickly turned it. For a moment he forgot the principles of incision, and then seemed to remember all the subtleties of incision.

With one cut, a nearly four-centimeter cut was made in the patient's fresh skin.

Then, he picked up the hemostatic forceps and quickly penetrated the muscle layer, making a clicking sound!

The active bleeding in the lumen has been temporarily stopped!
There were only three minutes left until Zhou Yanqing arrived.

After being shocked for two seconds, Yan Huanyu began to explore the deep femoral artery, a branch of the femoral artery, to reduce the bleeding as much as possible.

Contribute a little to the patient's rescue, even if it is insignificant.

Zhou Yanqing pulled out his left hand, and then looked at Associate Professor Xiang Miao and Associate Professor Yang Lingchong from the Department of Vascular Surgery, who were still struggling with the wound in his lower abdomen.

He felt a slight chill in his heart, straightened his back, and took a clear look at what the two were doing!

After only three seconds of hesitation, Zhou Yanqing turned sideways and reached his hand into the abdominal cavity.

He is the chief resident of the orthopedics department. When he is treating femoral artery injury, he will definitely be given a seat!

If the femoral artery is not treated, death will occur!
Therefore, Zhou Yanqing has enough abdominal contact surface and space.

Yang Lingchong looked up and glared at a pair of strange hands reaching into his wound. Zhou Yanqing lowered his head and ordered in a low voice, "Give me the hemostatic forceps!"

……

(End of this chapter)