Chapter 385(1/2)
: Confused (Update, please subscribe)
When the circulating nurse called the CEO of the vascular surgery department, she dialed through the operating room phone and turned on the loudspeaker.
The circulating nurse said: "Hello, are you the manager of the vascular surgery department?"
"Well, yes. Send a message for consultation and I'll come back later." The other party seemed very urgent and busy.
"I have emergency operating rooms 3 here. You just saw the emergency patients here. The left upper limb surgery in the orthopedics department here has been completed. The boss of the orthopedics department said that the vascular surgery department can come over to perform the surgery."
"Beep!" I don't know if the other party didn't hear it, or maybe he was too busy and didn't listen to the rest of the words, so he hung up directly.
The whole operating room was stunned for a moment, thinking secretly, this girl from the vascular surgery department is a bit tough. She even dared to hang up the phone in the emergency operating room. Do you really think it was the doctor in charge of the bed who called her?
The circulating nurse called again, but the other party didn't dare not answer the call.
"Consultation message, I'm seeing the patient now." It was still the same urging voice.
The circulating nurse looked serious and did not tolerate her: "Hello, I have emergency operating room 3 here. We have an emergency patient here who needs your vascular surgery to assist. If you give me fifteen minutes
If you don’t come later, I will call you through the general on-duty officer.”
Just kidding, the hospital has a hospital system. The reason why you use "please" for consultation is to respect the professionalism of your department. It does not mean that you really have to come and have a look. Without the word "please", you can not
Coming.
Whether it is the nursing team or each department, we are all parallel departments. The purpose of asking each other for consultation is to comply with the diagnosis and treatment process and to help each other. It does not mean that any department is the subordinate department of other departments. They need unlimited flattery and respect for you.
It's okay to make a joke occasionally, but if you don't answer your emergency call, no one will tolerate you.
Maybe this time the other party heard the general duty officer, and she shouted a little angrily: "Which department are you from? Didn't I tell you that you call me the general duty officer?"
"I have three emergency operating rooms here. Please ask your department to perform emergency rescue operations." The circulating nurse replied in a sincere tone.
"Didn't I see it over there? Orthopedic surgery has not been completed yet, how can our department perform surgery? Are we all standing on the stage and wasting time together? Hey, are you from the orthopedic department?" The boss of the vascular surgery department was particularly emotional.
Not very good.
"I am on duty in the 3rd hospital. The surgery on my left upper limb in the Department of Orthopedics has been completed. Currently, the rescue team in the operating room recommends vascular surgery for intervention. I am just informing you, not trying to reason with you. Whether you come or not is your own choice.
Fifteen minutes later, no one from the vascular surgery department came to the operating room, so I directly called the general manager on duty to make arrangements."
"Thank you!" the circulating nurse hung up the phone very politely but rudely.
After hanging up the phone, he said: "I have rarely met such a fierce boss. Even when I called the emergency operating room, I hung up."
Chu Lin and others just looked at each other, and felt that today's boss of the vascular surgery department was a bit confused. Maybe there was something unsatisfactory in her life, or there was something unspeakable in other places at work, but no matter what, you are now
You are the boss of the Vascular Surgery Department on duty today, so you have to take on this job.
Otherwise, if the vascular surgery department in the hospital needs assistance, who will we go to? If you really can't come, you can arrange a shift yourself or call a superior doctor to take your place. That's the arrangement you need to make.
But since you are on duty, there is a saying that goes well: always hospitalized means always living in the hospital. If you die, you will die in the hospital, or on the way to duty. Just like the hospital's general on duty, no matter what time,
It is a principle that there must always be someone on duty.
A hospital is a unit with special functions and has a special mission.
However, Zhuo Zhigang, who is also the boss, persuaded me: "Calm down, itinerant teacher, please calm down. It's not easy to be hospitalized. Maybe it's because I haven't adjusted my mood all of a sudden."
Zheng Xianlin also said: "Yes, there may be too many calls from the general hospital, so I thought you were calling from ordinary clinics."
The circulating nurse said: "I am not particularly angry with her. If I were really angry, I would just hang up when she said the first sentence, and I would be on duty in fifteen minutes. I just think her attitude is like this
It's not good, so teach her a lesson, otherwise, if she keeps doing this, something will happen sooner or later."
"Everyone knows that being hospitalized is not easy, but you can't lose your temper just because it's not easy. We are all adults and can each be responsible for our own actions."
Lu Cheng and others will not say anything more. This is just a small episode in the rescue process. Their main purpose is to assist various departments. For example, people from thoracic surgery and general surgery are here.
They were debating who would give up their position first.
The boss of the neurosurgery department, after completing the drilling and drainage of the epidural hematoma, was staring at the CT film and looking at the intracranial hematoma in a daze, hesitating whether to call the second-line team to come to the stage. But he
I didn't hesitate for a long time. Ten minutes later, I still made the call.
At the same time, the people from the thoracic surgery department had completed the closed chest drainage. However, as soon as the drainage tube was inserted, Chu Lin was shocked because too much bloody fluid was drained out.
His expression changed and he quickly clamped the drainage tube shut and said, "Tourist, prepare to open the chest bag! This patient's chest trauma may be a bit severe."
After Chu Lin finished speaking, he immediately asked the general surgery staff to make more cuts, and directly opened another hole in the cloth of the large order.
The circulating nurse felt sorry for the sterile drape, but she just opened her mouth and said nothing more. An operation like this that requires the cooperation of multiple departments requires multiple operations, so it is better to open a large single quilt.
It's a normal thing. As long as the patient can be saved in the end, that's fine.
The circulating nurse was already entangled with Lu Cheng's equipment, so she could only call another circulating nurse to help!
About ten minutes later, the CEO of the vascular surgery department arrived. She was still alone, wearing a hand-washing gown. After entering the door, she briefly glanced at Lu Cheng's operation.
He looked incredibly shocked.
Then he opened his eyes again and looked carefully. It became more and more difficult to understand Lu Cheng's micro-movements during the operation. He moved quickly and accurately between the gaps between the muscles, and his movements to stop bleeding were like flowing clouds and flowing water.
Just use the electric knife to decorate it a little, and don't stay too much.
The three assistants next to Lu Cheng were all moving their hands in a panic, and they could barely keep up with Lu Cheng's rhythm.
Looking at the left upper limb, it is surprising that the fracture has been temporarily fixed. And the sutured wounds have been bandaged with sterile dressings.
Yang Zi wanted to say: You put the dressing on and I will wait to see if the blood flow is smooth? But she still felt wrong because she was not there at all before, so it was impossible for the wound to be directly exposed to the air. She only gave it a short breath.
After hesitating, he turned around and called someone from his department to help.
Performing thrombectomy without angiography was not something she could do, nor could one person do it alone.
However, under Lu Cheng's previous reminder, the instruments related to vascular surgery had already been brought to the stage. After Yang Zi put on the sterile surgical gown and double-layer sterile gloves, she directly started to place the vascular sheath on the blood vessels of the left upper limb.
Enter surgery.
Almost after Yang Zi inserted the vascular sheath, Zhang Yuewei, director of the vascular surgery department, and another middle-aged man walked in. They had washed their hands before coming in. After coming in, while getting dressed, they asked: "Yang Zi, what is the patient's condition?"
How's the situation?"
"I don't know yet. The orthopedic debridement and external fixation of the fracture have been completed, and the wound has been bandaged. There is no way to see the specific blood supply." Yang Zi said in a low voice, without any ulterior motives.
Zhang Yuewei frowned slightly at that time and said to the tour guide: "Please prescribe a sterile syringe. We need to use it to determine the location of the blood supply."
As soon as Zhang Yuewei came in, Chu Lin, Zheng Xianlin and others immediately turned their heads and looked at him, and politely called Teacher Zhang.
Zhang Yuewei's status in the world of Attachment 2 is still there.
Zhang Yuewei nodded his head and looked around. Just when he was thinking that he didn't know any young man, Zhang Yuewei glanced briefly and saw Lu Cheng on the stage. At that time, his eyes rolled and he said: "Little
Lu, you are on stage, why don’t you do thrombectomy?"
Zhang Yuewei's words immediately caused several other people to turn their attention to Lu Cheng, especially Yang Zi.
She was completely confused before, so she didn't have time to connect Lu Cheng with the Lu Cheng she had heard of. Because Lu is not a nickname, and the name Lu Cheng is not a special name. The name she has come into contact with is
There are only two or three people with the word "Lu Cheng".
Occasionally, you can meet someone named Lu Cheng in the department.
At that time, she felt a little bad. Thinking of Lu Cheng's status in the department and her previous attitude towards Lu Cheng, she was very afraid that Zhang Yuewei would keep her in the general hospital for a few more years to beat her.
Lu Cheng raised his head, looked at Zhang Yuewei and said, "Teacher Zhang, am I not the general resident of the Department of Orthopedics? And now Teacher Zhang is still in charge of the Department of Vascular Surgery, where is your turn?"
Before Lu Cheng finished speaking, Zhang Yuewei interrupted directly: "Don't bullshit me, get off the stage and wash your hands again to do the thrombectomy. I'll call Li Dongshan and arrange for someone to do the orthopedic surgery."
"Saving lives is like putting out fires. Emergency emergencies are no joke. How could I be in the mood to talk to you about this? I also forgot that you have already gone to the clinic this month. I just thought you were still on vacation. Otherwise, I would have caught you long ago."
As he spoke, Zhang Yuewei was not joking. He took off his gloves and grabbed his cell phone to make a call: "Professor Li, this is Zhang Yuewei. I have an emergency surgery here and I need Lu Cheng to come on stage. Can you arrange for someone to do it?"
Orthopedic debridement and external fixation?”
"Yes, the whole body was severely traumatized, with blood clots and bleeding. Multiple internal organs were bleeding."
"Okay, thank you for your hard work. I'll treat you to a drink next time. Xiao Lu lends it to me and the patient, thank you!"
Zhang Yuewei directly borrowed Lu Cheng from the Orthopedics Department to the Vascular Surgery Department in a concise and concise manner, and then said: "Xiao Lu, come here quickly, your master has already come to perform the orthopedic surgery in person."
Lu Cheng looked at the vascular sheath at the vascular surgery department and said, "Teacher Zhang, let me finish the rest first. After all, things have a beginning and an end, and it won't be long."
"
"You kid." Zhang Yuewei walked out without saying anything and washed his hands again. He had contaminated his hands before, just to lend Lu Cheng to the vascular surgery department.
Zhang Yuewei's behavior directly changed the eyes of Chu Lin and others. Who is Zhang Yuewei? The person who leads vascular surgery to the world. Such a professor is stunned to challenge Lu Cheng on the stage. What does this mean?
?
This shows that the rumors about Lu Cheng are probably not true, and the real facts are even scarier than the rumors!
Lu Cheng's status and attainments in vascular surgery are far beyond what they have heard. Otherwise, there is no need for Zhang Yuewei to lower his arrogance and invite Lu Cheng to come over. Moreover, he is still indebted to Li Dongshan.
Teach a favor.
Lu Cheng continued his surgery. The trauma and fracture of the right upper limb were more serious than those of the left upper limb, so the debridement and external fixation time required would be much longer. The patient's injuries would not remain unchanged, nor would they be written exactly.
In textbooks, you need to adapt to changes at any time.
However, Lu Cheng's time did not take long, that is, in seven or eight minutes, Lu Cheng's main operations were completed. In addition, the previous time was only twenty-three or four minutes, and all the main operations were completed and the sutures were completed.
And the operation of placing the drainage tube was left to the later Li Dongshan.
To be continued...