This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 174 Instant Fame!
October 14, Thursday, the weather was drizzling and night had fallen.

As soon as Lu Cheng got on the elevator, he rushed down to the first floor. To save time, he didn't even go to the underground parking garage. He rode his electric scooter from the first floor in the rain to Longxian People's Hospital!

After entering the emergency room, the drizzle stopped. Lu Cheng didn't care that his hair was wet and rushed straight towards the operating room.

I took two sets of handwashing clothes as soon as I entered the door, one set to wipe my body and the other set to wear.

Six minutes later, Lu Cheng arrived at operating room 7 in the surgical building. After stepping on the door to open it, four or five heads turned around inside.

"Director Du," Lu Cheng announced his arrival.

"Hurry up and wash your hands and get on the operating table." Du Qiang's voice was gentle but unquestionable. He glanced at Lu Cheng and then continued to perform the surgery.

When Lu Cheng turned around, Fang Baorui and Dou Siyuan, who were next to Du Qiang, were both in a daze.

After exchanging glances, they could see confusion in each other's eyes.

Didn't they say that Du Qiang and Lu Cheng from the emergency department had a grudge?
Didn't we agree that Director Du Qiang would smash the corner of the table while Lu Cheng was on duty?
Didn't we agree that Director Du Qiang would target Lu Cheng?

How could Director Du Qiang's phone call have summoned Lu Cheng into the operating room in less than fifteen minutes?
Which of the rumors circulating in the hospital is true?
The questions in their hearts remained unanswered.

The operating room and the obstetrics and gynecology department are both hotbeds of gossip. Cao Yingying, the circulating nurse who was unaware of the truth of the matter, spoke up: "Director Du, what about this Dr. Lu?"

"Is he really coming?"

Du Qiang certainly couldn't make the call himself while on the operating table; it was standard practice in the operating room for the circulating nurse to make the call on his behalf.

One of the places where gossip spreads the fastest is the operating room. Almost the day after Lu Cheng was on duty last time, the strange story of Du Qiang smashing the desk spread in the operating room.

Everyone knows that Lu Cheng might be in a bit of bad luck, having been targeted by the head of general surgery. Will he have any good days ahead?
Furthermore, the general surgery department often takes over surgeries that were originally performed in the emergency department. For example, appendectomies, which were routinely performed in the emergency department, are now being performed by the general surgery department.

When Cao Yingying heard Du Qiang tell her to call Lu Cheng, her mind went blank for a moment. When she saw Lu Cheng arrive, she immediately wondered if he was a masochist.

Do you have masochistic tendencies?
Du Qiang couldn't be bothered with her. To him, if he wasn't satisfied with one circulating nurse, he could simply replace her.

The same applies to hospitals, but Du Qiang cannot be replaced.

Two minutes later, Lu Cheng washed his hands and returned, then began washing his hands and getting dressed as usual.

When Lu Cheng took the stage, Liang Huayao, the anesthesiologist who was initially worried about the patient's vital signs, couldn't resist the urge to watch the drama unfold. He moved his chair closer to the operating table, wanting to hear what Du Qiang and Lu Cheng would say.

Du Qiang asked, "How's it going? Can we do it?"

Lu Cheng didn't touch the patient, but simply asked, "Director Du, how did you talk to the patient?"

Du Qiang: "A friend of mine called me, otherwise I wouldn't have called you."

"Do you have the film?" Lu Cheng asked.

"I had a CT scan," Du Qiang replied.

Lu Cheng turned around, clasped his hands together in front of his chest, and began to carefully review the film in front of the viewer.

No further reply.

About a minute and a half later, Lu Cheng approached the operating table again: "Give me the hemostat."

Liang Huayao saw that Du Qiang actually handed the hemostat he was holding to Lu Cheng.

However, unlike the bizarre expressions displayed by Fang Baorui and Dou Siyuan, the circulating nurses in the general surgery department, and Cao Yingying, the seasoned veteran Liang Huayao immediately saw through the shady deal between Lu Cheng and Du Qiang.

His gaze swept between the two, his expression playful.

Then he quickly kicked the chair back into front of the anesthesia monitor with his right foot and started frantically making phone calls: "Blood bank, blood, hurry... the person is almost gone... blood pressure 75."

Despite having a blood pressure of 79, Liang Huayao lowered it by four points to ensure the blood bank would pay more attention to it.

Lu Cheng stood on the opposite side of Du Qiang. After Lu Cheng took the hemostat, Du Qiang wanted to explain something to Lu Cheng.

But Lu Cheng used his left hand to pull Du Qiang's hand away a short distance, and then he reached his own left hand into the patient's intestinal tract.

Du Qiang didn't say anything, nor did he criticize Fang Baorui and the others as they had expected.

Stopping bleeding without a field of vision is very difficult because you don't even know where the bleeding point is.

Preoperative CT scans cannot accurately predict bleeding points, so you have to rely on experience or other factors to pre-determine the bleeding points.

Blind operation, blind exploration.

Of course, before Lu Cheng arrived, Du Qiang had already done his best to deal with the bleeding points in his field of vision, which gave Lu Cheng time to explore.

Lu Cheng's left hand was fiddling around as if he were "touching a clam," making a strange, rambling sound.

After a full three minutes, Lu Cheng's eyes suddenly lit up, as if he had sensed something, and he began to insert the hemostat in his right hand along his left arm.

A dozen seconds later, a crisp click sounded.

At the same time, the airtight door of the operating room was stepped open, and an older woman shouted, "The plasma and red blood cells are here!"

Liang Huayao and the circulating nurse were waiting for this, so they quickly went up to check it and then immediately started hanging it up.

The only fundamental way to save a patient with blood loss is through blood transfusion. Without it, even the most skilled surgeon may be completely helpless...

The result of insufficient income to cover expenses is definitely not enough time for surgery.

Just after Liang Huayao and the circulating nurse hung up the delivered plasma and red blood cells, Lu Cheng and Du Qiang started talking again.

"That's about it. The patient's major bleeding points should be the left renal artery and left renal vein."

"Currently, the intra-abdominal hematoma is under control."

"Director Du, let the urology department handle the rest," Lu Cheng said.

“The patient’s solid organs are undamaged. Intestinal injury is something your general surgery department specializes in, so I can’t help with that.”

Du Qiang nodded: "Don't leave yet."

Lu Cheng stepped aside, giving his seat to Fang Baorui and Dou Siyuan from the general surgery department.

"Buzz buzz buzz..." The electric blood pressure monitor immediately started working.

The measurement result came back after twenty seconds: "79/65 mmHg!"

The crimson light flickered, but in Liang Huayao's eyes, this was not good news.

His blood pressure was last measured two minutes ago, and the systolic pressure was 79.
When the patient entered the operating room, his blood pressure was 100, but it dropped by 21 in less than 30 minutes.

At this rate, he estimates the current high voltage might only be 75.
The fact that the blood pressure hasn't dropped yet likely means the bleeding has stopped effectively. The drop in blood pressure is probably less than 1 mmHg, so it's outside the range of the blood pressure monitor.

Because it measures blood pressure in the limbs, not central venous pressure, it is not as sensitive.

Instead of waiting by the operating table, Lu Cheng went back to the image reader to review the patient's preoperative CT results more carefully.

Just now, when Lu Cheng went to the CT image reader, he had already upgraded his CT image reading skills from "Proficient" to "Specialization 10/20" (Skill Points -20)!
Now that his CT scan reading skills have improved, Lu Cheng can find many more details when he goes back to carefully read the CT scan images.

The CT scan taken before the patient entered the operating room showed not only a rupture in the renal artery but also ischemic damage to the intestinal tract.

Lu Cheng could even vaguely see the course of the aortic arch, iliac artery, and iliac vein.

If he hadn't been wearing sterile surgical gowns and gloves, Lu Cheng would have even wanted to rub his eyes with his hands.

Can a regular CT scan really reveal so much?
How come I never noticed this before?

Of course, Lu Cheng didn't dwell on it; being bad was the original sin.

While proficient (10/10) CT image reading skills are quite useful, they are certainly not enough compared to specialized skills.

The closer Lu Cheng examined the CT scan, the more problems he could spot. For example, there were multiple bleeding points in the intestines, ruptures in the intestines, and edema signals in the intestines...

These things, as if forming a three-dimensional structure, were displayed in Lu Cheng's field of vision, showing themselves to him from their respective directions.

Lu Cheng looked for about two more minutes before Director Du Qiang finally found the location of the hemostat.

Then he sniffed: "So it was the renal artery and renal vein that were causing this! ~ These things are located behind the peritoneum."

“It’s not something that can be easily stopped,” Du Qiang said to Fang Baorui and the other person.

Fang Baorui wanted to ask, if it couldn't be stopped so easily, how did Lu Cheng manage to do it?

There was no clear view at first.

Naturally, in such a setting, Fang Baorui was well aware that Du Qiang's purpose in speaking was not to ask for an answer, but to tell them this fact.

The reason why Du Qiang failed to stop the bleeding.

Dou Siyuan, with a solemn expression, glanced at Lu Cheng with a slightly grave look before continuing to lower his head and act as an honest and unassuming assistant.

Lu Cheng returned to the operating table.

Looking back at the surgical field, there was still a small amount of bleeding, but this amount of bleeding was within the normal range for surgery.

No special treatment is required.

Even if this patient has their left kidney removed, they should still be able to save their life.

However, with so many arteries in the patient's abdomen, if Du Qiang were to pinpoint the renal artery in the retroperitoneal layer with extreme precision, the patient would likely have already been taken to the underworld by the messengers of death.

"Director Du, there's nothing special about it. I can't help much with the rest. I just got home, and my parents are waiting for me to have dinner," Lu Cheng explained cryptically.

Du Qiang called him over to help, not to steal the spotlight.

Du Qiang knew perfectly well what was going on, and since he knew it too, there was no need for Lu Cheng to continue getting in the way.

"Dr. Lu, you can go eat now. There shouldn't be any problems after this." Du Qiang's tone was calm.

She seemed to agree to let Lu Cheng go out to eat, but the content she was conveying was as if she were reporting to Lu Cheng.

……

About ten seconds after Lu Cheng left the operating room, the urology team arrived.

After getting a clear view of the surgical field, Zhou Bingxuan, the associate chief physician of the Department of Urology, walked in. He stood by the table and stared blankly for a moment after seeing the field of view that Du Qiang had created.

He stood there stunned for a full twenty seconds before his expression turned solemn and his tone was one of astonishment: "Director Du, how did you do that?"

The renal artery is indeed one of the major arteries in the human body, and a ruptured renal artery can cause immediate death.

Renal artery hemostasis is also a standard surgical procedure, but renal artery injuries that can usually be salvaged are usually small incisions.

The patient was able to tolerate CTA before the procedure, so the bleeding point could be clearly seen on the renal artery under CTA.

This patient did not have a CTA scan, and the bleeding site was not a simple renal artery rupture, but rather a ruptured hemangioma.

Even though the renal artery aneurysm ruptured, Du Qiang still managed to seize the opportunity. This ability is a bit beyond the norm.

At least, Zhou Bingxuan was unaware that Director Du Qiang of the General Surgery Department possessed such capabilities, even though the General Surgery Department also carried the name of Vascular Surgery.

But it's just a title without substance.

"It wasn't me, it was Lu Cheng from the emergency department who did it."

After Du Qiang finished speaking, he explained, "This call came from my relative, so I called for help."

Du Qiang's explanation was perfectly standard.

Lu Cheng's skills are certainly not something he would easily rely on; he wouldn't just perform surgery on every patient who came in without considering the consequences. Blindly attempting to stop bleeding is not a standard surgical procedure; doing so is simply gambling.

Therefore, Lu Cheng will not easily open the stage.

Only after Du Qiang led the team to start the procedure did he ask Lu Cheng to help. Lu Cheng was there as an assistant and was not on the surgical list.

Furthermore, even if such technology cannot be used openly and legitimately, it is still a life-saving technology if used as a routine practice.

If a relative or friend has a bleeding emergency and calls Lu Cheng, and they tell him to take responsibility for their own life, then Lu Cheng can come and help—that's a life at stake.

In other words, this life-saving technology is not intended for the general public, but is only for very special situations; it is a "stabilizing force."

Du Qiang's words took Zhou Bingxuan about a minute to process before he turned around and left the operating room, lost in thought.

He didn't ask Du Qiang why he had called Lu Cheng over, nor did he ask about the grudge between Lu Cheng and Du Qiang.

None of that matters. What matters most now is that Du Qiang can call Lu Cheng, and Lu Cheng can clamp and stop the renal artery after it bursts open.

and!

Lu Cheng was able to tell it was a renal artery injury even without knowing he had a renal artery aneurysm...

Lu Cheng arrived at the hospital without an umbrella, and naturally, he didn't have one when he left either.

Fortunately, he didn't stay long, and the rain was still the same light drizzle.

After hesitating for a moment, Lu Cheng didn't make a fuss about calling Mu Nanshu to pick him up, but instead rushed into the rain as usual.

He wiped the water off the electric scooter seat with his hand, plopped down on it, turned on the ignition, and headed home again.

After taking a shower and drying his hair, Lu Cheng finally sat down to eat for the second time.

At this moment, Tian Hui and Lu Nan's family had finished eating and were watching TV.

After changing the channel, Lu Nanjia turned around and asked, "Where did you go? You even sent a message downstairs telling us to eat first?"

"The operating room called, and I went to take a look."

"But I can't wait until I finish eating," Lu Cheng replied with a smile.

Upon hearing that it was a matter at work, Lu Nanjia didn't ask any further questions.

Since Lu Cheng's family couldn't help with his work, Lu Nan's family tried their best not to cause him any trouble.

After eating, brushing his teeth, and washing his face, Lu Cheng went down into the underground parking garage again and drove to the hospital once more.

Lu Cheng is on the operating shift today. Knowing the way things are in the department, Lu Cheng's operating shift will definitely not be peaceful. This is mainly because Lu Cheng's surgical scope is too wide, and there will always be someone he has to perform surgery on.

Lu Cheng ignored all other surgeries and simply stayed in the ward during his operating shifts.

Lu Cheng took the umbrella this time.

As Zhang Tiesheng was shaking water at the door, he happened to be taking a patient with kidney stones to the ultrasound room.

He saw someone at the entrance of the emergency department, and out of habit, glanced at them, thinking they might be his potential patients.

Upon recognizing Lu Cheng, Zhang Tiesheng whistled: "Good evening, Teacher Lu."

"There's fruit in the office, go and have some, it was specially brought by the patient's family."

"How many beds are there?" Lu Cheng asked with a smile.

Zhang Tiesheng joked, "They're not from our department. The patients are still in the operating room. The patients' families brought them here first."

"We specifically requested this to Teacher Lu, but we wouldn't dare reach for it if you didn't touch it."

It seems Du Qiang called his relatives again.

Since we called Lu Cheng for help, we definitely wouldn't be able to eat properly, so we should at least offer him some fruit or something as a token of our appreciation.

After shaking the umbrella dry, Lu Cheng walked towards Zhang Tiesheng: "Brother Zhang, you're teasing me again."

Zhang Tiesheng asked, "What exactly happened? I don't have any emergency surgeries under your jurisdiction."

"Could it be the one from general surgery? Or the one from neurosurgery?"

"You jungle over such a wide area?"

Zhang Tiesheng was on duty, so he knew roughly what surgeries were involved.

"It's general surgery; they let me take a look." Lu Cheng didn't explain in detail.

They went into the doctor's office together with Zhang Tiesheng, picked up two boxes of fruit, and went to the emergency surgery clinic.

In the consultation room, two cups of coffee were already placed on Zhang Tiesheng's desk. Zhang Tiesheng naturally pushed one of them to Lu Cheng: "Director Du of the general surgery department is really a good role model."

“As long as it’s your surgical shift, he will definitely try to find some learning opportunities, which is something we should also learn.”

"For a director to be so shameless as to ask you for advice, Xiao Lu, that's truly admirable." Zhang Tiesheng gave a thumbs up.

I don't know if it was because the fruit I bought was very sweet, or because I admired Du Qiang's patience.

Generally speaking, not everyone is willing to lower themselves to beg subordinates with lower job titles.

Not to mention teaching surgery.

Zhang Tiesheng had only recently been promoted to associate chief physician, so he didn't care about that.

But in reality, Director Lin Qianlong was too proud to admit it, so he never mentioned learning surgery from Lu Cheng.

“Brother Zhang, we’re just performing surgeries together to serve the patients; there’s no such thing as teaching.”

"What kind of teaching would our hospital do?" Lu Cheng quickly explained.

"I won't lose my composure."

In the county hospital, not teaching is the norm; everyone just minds their own business. That's the atmosphere.

If you foolishly try to break this routine and atmosphere, you're the one causing trouble.

Lu Cheng doesn't have that kind of sentiment. He himself has suffered through such hardships, and he wouldn't break through such barriers or try to be different.

Of course, Du Qiang would never say that Lu Cheng was teaching him surgery.

Only people in the emergency department know about this; no one else will tell anyone else.

Zhang Tiesheng then chatted with Lu Cheng for a while longer. Since no patients came, they talked about all sorts of things...

Of course, it was mainly Zhang Tiesheng who was talking, and Lu Cheng was listening.

Lu Cheng couldn't get a word in edgewise about what Zhang Tiesheng was talking about. He was trying to educate Lu Cheng about which of "butterflies, steamed buns, and abalone" looked better or felt better, but that was something Lu Cheng had never encountered before.

……

9:10.

Lu Cheng and Zhang Tiesheng then shifted the topic to which nurse in the department was prettier, with Zhang Tiesheng stating that it was Tian Duoduo, who had a hot figure.

Just as he was calling on Lu Cheng to make a statement, there was a knock on the door of the emergency room.

Then Du Qiang walked in from outside: "I was wondering why I couldn't find you in the office, Dr. Lu. So you were resting here."

Zhang Tiesheng and Lu Cheng both stood up and greeted Director Du.

Du Qiang glanced at Zhang Tiesheng and then said, "Dr. Lu, thank you for today. My cousin said he'll definitely treat you to a drink in a while."

"Otherwise, the child would be pitiful."

Lu Cheng didn't know who the patient was or whether it was a child.

"Director Du, please don't be so polite, it's all I should do," Lu Cheng quickly replied.

"When it comes to saving lives, there's no question of 'should' or 'shouldn't' do it."

"Saving someone's life is a big deal. Dr. Lu, please give them a chance to express their gratitude."

"Want to get some late-night snacks?" Du Qiang asked.

Zhang Tiesheng quickly smiled and said, "Director Du, no need, no need, you're too kind. Xiao Lu and I have already eaten."

Although Zhang Tiesheng didn't have a good impression of Du Qiang, he wouldn't offend anyone.

"Thank you for your hard work. I'll head back now."

"Dr. Lu, thank you."

“This patient is, in fact, my nephew.” Wang Qiang clasped his hands slightly in a fist salute, then turned and left.

As soon as Zhang Tiesheng sat down, his good friend Zhou Bingxuan sent him a voice message.

Zhang Tiesheng's phone was on speakerphone, and Zhou Bingxuan's voice was almost explosive: "Zhang Tiesheng, Lu Cheng in your department is incredibly awesome."

"He also managed to stop the bleeding by blindly operating on a ruptured renal artery aneurysm."

Did you know that Dr. Lu had this ability?

Zhang Tiesheng didn't know.

So he looked up.

Zhang Tiesheng only knew that Lu Cheng could preserve the spleen, preserve the gallbladder, and replant severed limbs. What was the life-saving treatment for a ruptured renal artery aneurysm?

Isn't Lu Cheng someone close to him?

How come the guys in the urology department knew about this before I did?

Zhang Tiesheng didn't reply. Instead, he put down his phone, crossed his arms, and said, "Dude, you don't consider me a brother?"

"You keep everything from your brother?"

Lu Cheng was already used to this, and sighed, "Brother, I am too insignificant to be worthy of your attention."

“I’ve had the surgery myself. I explained it to you the day Director Du Qiang started yelling at me. What more do you want me to say?”

"Of course, it's mainly because your aura is too strong, and we little people are too insignificant."

"It's my fault. I will definitely try my best to catch up with you, Brother Zhang."

Speak human language to human beings and ghost language to ghosts. If Zhang Tiesheng wanted to speak like that, Lu Cheng could do the same.

Seeing that his methods were ineffective, Zhang Tiesheng quickly composed himself, changing his expression and tone: "Just kidding, Lu Cheng."

"Tell me in detail, what exactly happened?"

"You've got something special..."

Lu Cheng said, "It's just hemostasis, you stop bleeding."

After saying that, Lu Cheng, considering that Zhang Tiesheng had just mentioned another type of compression hemostasis, quickly emphasized: "It's not the kind of compression expansion hemostasis or thrusting pain relief you just mentioned, this alternative therapeutic effect."

"I'm talking about proper hemostasis."

(End of this chapter)