After hearing this, Chen Zhimo's expression was naturally completely different from Zhang Yuewei's, and he murmured: "Young people today are quite loud. Professor Li, this little brother is quite like Min Hong in your orthopedics department back then."

Min Hong from the Department of Orthopedics is notoriously courageous. He scared the former chief director of the Department of Orthopedics, Min Hong's own teacher, Professor Wang, to death. When he was working in the second-line class of general hospitalization and emergency department, he also once asked him to

The other professors of surgery were greatly surprised.

Li Dongshan naturally understood that what Lu Cheng said just now was quite a bit like, you general surgery and neurosurgery departments can do whatever you want, I will give you a thorough explanation first, so he said: "Professor Chen, you are wrong.

Xiao Lu is also a student of Min Hong, so it’s probably a family tradition.”

Now Min Hong is the chief director of the Department of Orthopedics. He is in charge of the Department of Comprehensive Orthopedics and is preparing to make the entire Department of Orthopedics bigger and stronger. This is something everyone knows. Min Hong used to be very knowledgeable in the field of joint surgery and pelvic fractures. He is the leader in the hospital.

Everyone knows this, so Li Dongshan is not afraid of giving Min Hong some limelight.

Chen Zhimo is actually feeling a little uncomfortable. I asked you to perform intravascular hemostasis at our General Surgery Department. Are you looking down on me or someone else? The General Surgery Department did not provoke you. My splenic artery has been tied up now.

Yes, but splenectomy has not been done yet.

Bleeding from the liver and pancreas, no matter how much, is not life-threatening. Even if the patient dies in the end, we cannot just blame our general surgery department. The trauma is so great now, and so much blood was lost before the operation.

.

You, a young man, talk too much and leave no way out for yourself.

After hearing this, Lu Cheng quickly said: "Professor Chen, you misunderstood. I didn't mean what you thought. I just wanted to make the patient bleed less."

Chen Zhimo remained silent and did not compete with Lu Cheng. He was Lu Cheng's senior, and although he felt quite unhappy, as long as Lu Cheng had not said that general surgery was not good in front of him, now Li Dongshan would face him.

I'm too embarrassed to have to deal with a junior.

This is out of character and does not take Li Dongshan seriously.

No matter how bad it is, if Lu Cheng can't speak or behave, someone will still have to discipline him. If he mixes in too much, it will make Li Dongshan feel that he doesn't think Li Dongshan can be a good person or a teacher, and puts his students

They are all poorly managed.

We are all colleagues and old brothers, there is no need for such misunderstandings.

Professor Jiang Hongjiang of the Department of Neurosurgery glanced at Lu Cheng a few times, and then said with a smile: "Professor Zhang, your vascular surgery department has been developing new surgical techniques recently? This has helped us a lot."

Zhang Yuewei immediately laughed and said: "Professor Jiang, isn't this just the time when Xiao Lu is back? We at the Vascular Surgery Department just take advantage of this opportunity to go up. As you know, in special emergency situations,

The patient cannot undergo surgery under CT monitoring."

"So the applicability of interventional surgery in such patients is not that strong, and it doesn't count as crossing the line and disturbing Professor Jiang's normal business operations in your department."

The Second Xiangya Hospital has a specialized interventional department, but the interventional surgery of intracranial blood vessels is handled by the neurosurgery department. The neurosurgery personnel send people from their own departments to the interventional department to complete the patient's intracranial angiography.

Hemostasis, aneurysm clipping and other surgeries.

Zhang Yuewei also understands that although the current professional level of neurosurgery in the Second Xiangya Hospital has been developing, it is far behind compared to the First Xiangya Hospital in terms of reputation and real professional strength.

In their department, the proportion of cerebral angiography and intracranial intervention-related surgeries is still quite large. No matter what the neurosurgeons say, it is not illegal to intervene in intracranial blood vessels. In most cases, it is not illegal.

All top hospitals have such cross-departments.

The vascular surgery department of the Second Xiangya Hospital has a far more powerful position in the country than the neurosurgery department. If Zhang Yuewei goes to make a decision with the director to take over this department, the director will probably take care of Zhang Yuewei's mood. It may be that the vascular surgery department and the neurosurgery department

Each surgery department competes for patients without interfering with each other.

But Zhang Yuewei did not do this, because the current volume of patients in the vascular surgery department of the Second Xiangya Hospital is too much. Basically all vascular surgery patients in the province will be crowded here, except for special emergencies such as aortic dissection.

There are still too many elective surgery patients waiting in line.

So there is no need to worry about the source of the disease. However, in the field of neurosurgery, most patients with intracranial tumors, hemangioma, etc. go to Annex 1 and queue up, and very few come to Annex 2.

These patient volumes are related to the survival and development of each department. There is no need for Zhang Yuewei to strive for this reputation by opening up a new field of intracranial vascular surgery and crowding out many colleagues in the neurosurgery department until they have enough to eat.

There is quite a gap between the number of patients, the number of surgeries performed, and the income of doctors between departments that are originally in the development stage and top-tier departments.

We are all doctors and we all know how difficult it is to be a doctor. We cannot let other brother departments have enough to eat. This is very unkind!

However, although Zhang Yuewei does not rush for regular patients, in this emergency situation, the patients are not suitable for CT or MRI monitoring of intracranial blood vessels, so Zhang Yuewei feels that he can still intervene.

For such patients, if traditional craniotomy is used to stop bleeding, the speed is far less than that of interventional surgery. Moreover, interventional surgery is less invasive. The reason why it has not been carried out in the past is because the intracranial blood vessels are intricately intertwined. Currently, it is estimated that around the world,

Except for Lu Cheng, who was able to blindly perform hemostasis of intracranial blood vessels and other related operations, no one else could repeat it.

Well, since such an operation can serve as a new direction for the development of vascular surgery, Zhang Yuewei, who has a very good sense of clinical development, will naturally not stop doing it just to take care of Professor Jiang's emotions!

If departments want to continue to develop, every department needs it. Although the vascular surgery department of the Second Xiangya Hospital can be proud of many hospitals across the country, it is not all. Zhang Yuewei's next ambition is to be proud of the country, and he already has such a foundation.

Such strength.

Now that Lu Cheng is back, he has such manpower and the number of patients. This can reduce the number of patient deaths!

Then, Zhang Yuewei doesn't mind going to a dozen of the brother hospitals ranked above his own to increase the pressure on them.

Professor Jiang Hong's expression flashed for a moment and he replied: "Professor Zhang, what you said makes sense. Hemostasis of intracranial blood vessels in emergency patients with trauma is indeed a big problem at present. Our department."

Then he stopped talking.

In fact, Jiang Hong really wanted to ask, should our department also take on this business?

Jiang Hong knows very well that if neurosurgery can win such a subject, then the status of neurosurgery in the second appendix will rise a lot in the country, and it is very likely that it will even break into the top ten in the country's comprehensive influence rankings next year.

.

But I also thought that this is a new project that Zhang Yuewei is about to take on, and people can't be so shameless.

Zhang Yuewei is now Lu Cheng's teacher in name only. He leads Lu Cheng, or allows Lu Cheng to participate in the vascular surgery topic. It is justifiable. What qualifications does he have in neurosurgery to ask for topics from other people's departments?

Want some face?

Jiang Hong secretly lamented, why is this Lu Cheng not a neurosurgeon?

Why am I not as lucky as Zhang Yuewei to meet and be kind to Lu Cheng?

What top-level hospitals strive for is not harvest, but innovation, breakthroughs, and the continuous transfer of various mature surgical techniques to prefecture-level municipal hospitals! Then, they can treat helpless patients in various departments.

Find a bright path.

This is what all top hospitals and top professors are doing, and Zhang Yuewei is no exception.

Zhang Yuewei probably understood what Jiang Hong was thinking at the moment, but he was not generous enough to give away the opportunity for the rapid development of his department. Not to grab the existing business of neurosurgery, that is a common sense of the world. To develop yourself, that is

Your own efforts and ambitions should not interfere with each other.

Lu Cheng didn't think too much. After the circulating nurse brought the equipment related to the interventional surgery, he immediately started the operations related to hemostasis.

When Lu Cheng was doing intracranial blood vessel hemostasis for his master Lin Hui before, Lu Cheng couldn't see the full picture of the intracranial blood vessels at that time, so he really relied on the basis of anatomy. That was in combat scene skills.

After practicing many times, I was able to succeed.

But now, Lu Cheng doesn't have to worry about these problems at all. Anyway, he knew from the beginning that he couldn't be a human being, and the patient's current condition is urgent, and life-saving is the top priority!

Others didn't know what Lu Cheng was doing. Anyway, they saw Lu Cheng directly inserting the interventional catheter into the introducer sheath. Then almost a minute later, Lu Cheng said to the circulating nurse: "Balloon."

…”

Lu Cheng's words stunned Zhang Yuewei and Jiang Hong who were communicating.

Jiang Hong asked in shock: "Have you found the location of the bleeding point?"

"If the bleeding point shown in the CT examination results is not accidental, it should be in the middle of the anterior communicating artery of the cerebral arterial ring." Lu Cheng said slightly conservatively.

Jiang Hong is a professor of neurosurgery. He is the only one with a senior professional title and is currently the face of neurosurgery. The reason why he wants to try his best to retain his qualifications as a doctoral supervisor is so that the second-year neurosurgery department can continue to develop.

Go down.

The people below are not up to par, and no one can hold up.

Otherwise, how can a department without a doctoral supervisor and without the input of fresh blood survive and develop?

The hemostasis operation in interventional surgery is not very fast, but the real hemostasis operation only takes a moment.

After Lu Cheng finished, he didn't explain too much to others because others couldn't see it. He just said: "Teacher Jiang, I have probably completed the hemostasis operation here, but you still need to take the trouble to verify it for me.

This is also my second operation.”

"Thank you for your hard work."

Lu Cheng said it politely, which is normal.

Now, except for him, no one else knows whether the bleeding has been successfully stopped. Only Professor Jiang Hong or people from the neurosurgery department can verify it. Except for the people from the neurosurgery department and the otolaryngology department, other people can give it to the patient without special authorization.

To open the skull is to seek death!

Even if Zhang Yuewei or Lu Cheng perform craniotomy or epidural drilling and drainage on a patient, even if it is successful, it is still illegal!

Unless there is an accident, that is, an emergency that is not in the hospital or on the operating table. When it is an emergency rescue, a layman like Lu Cheng can drill a hole, but when the patient is not anesthetized, he can give it to someone else.

If you had a hole in your head, you'd probably be beaten to death!

Medicine is no joke. Even the top specialists still need the support of the entire hospital and a large platform to display their top operations and lofty ambitions.

If Lu Cheng went to a county-level hospital, even if he could perform such an operation, he would not be able to do it because the operating rooms of ordinary county-level hospitals are not qualified to perform such groundbreaking operations.

Medical treatment has its own rules and regulations, which are a kind of protection for patients and doctors themselves.

After Lu Cheng finished speaking, he continued to extend the guide wire downwards and started working on the organs in the general surgery department.

Lu Cheng's speed was not very fast, because the splenic artery with the largest amount of bleeding had been ligated, but there was still hepatopancreatic bleeding and intervention was needed.

The intervention here can be a little more violent, because organs such as the liver, pancreas, and lungs have their own anatomical layers and can be segmented. Therefore, if it is more violent, one segment of the artery can even be directly removed.
To be continued...