"Doctor, can we postpone the operation on the fracture and stop the bleeding first?" Fang Ziye is only a junior doctor, so he is in charge of handing the pen to the patient's family to sign.

Looking at the corresponding risks mentioned by Xue Tao, as a staff member of a medical device company, he must also have a certain medical background.

An active hematoma can kill people if not treated properly, which is not alarmist.

"So how does this work? Fracture and hematoma, since it is open to stop bleeding, then fracture open reduction and internal fixation must also be carried out at the same time. ”

"To do one, not to do one, this is against the principle, unless you deliberately want patients to be hospitalized more to earn money." Fang Ziye replied quite bluntly, naturally it was not feasible.

What kind of international joke, an emergency operation, the emphasis is on being able to treat everything, should be treated early, do a disease, not a disease, this is not a car repair.

"I can spend more." The patient replied.

As he spoke, he looked at Xue Tao, who had called in the past.

If three patients come at the same time, at least three sets of teams are definitely needed, and they will be opened at the same time as much as possible. As far as Fang Ziye and Xue Tao are concerned, they can't be busy at all.

The surgeries for these patients are all done early and well.

After all, the 'Shu Xiao' outside was waiting to be asked, and Xue Tao didn't mind asking for help from the hospital next door-

Because of the loss in Xue Tao's heart at the moment, he really wanted to find an opportunity to fill it, he thought that the operation on Pang Hong in the morning was a righteous move, but he didn't expect that there were so many twists and turns.

After the operation, Xue Tao was left with nothing else left in his heart.

Then these patients also want to follow Pang Hong's example to delay time, and Xue Tao can't give them this time at all.

So when I was on the phone, the spittle was flying.

"No, this is against the most basic principles, we as doctors, we definitely can't do such a thing, it's not something you are willing to spend money on."

"I can see clearly, the proposed surgical procedures are incision and exploration, hematoma cleaning, hemostasis, and fracture incisional reduction and internal fixation."

"It's not just hemostasis." Fang Ziye cocked the cap of the pen.

Outside, it seemed that family members had come to visit, but they were stopped by the police, who were only allowed to peek in at the door.

One of the young policemen in uniform, standing up straight, stretched out his hand to intercept: "Can't go in, it's signing inside." ”

"The suspect currently has an active hematoma, don't disturb the signing procedures inside, if you don't operate, it's not a crime or not, it's going to be fatal."

"You're too ruthless, aren't you? I want to complain! Seeing that they couldn't get in, the family members began to save the country.

"He made the first move, we have a law enforcement recorder, what is the attack on the police, if you don't know, we can slowly give you science in the future."

"We also have brothers who have hung up the lottery, but now they are not in the central hospital of En, but go to the people's hospital to avoid a large number of injured people piling up."

"If you have doubts. Wait until the surgery saves your life. "The policeman was very unkind.

While he was talking, a few more people arrived at the door.

When Fang Ziye heard this, he couldn't help but secretly call out that the folk customs in his hometown were really strong.

Obviously, the incident has already occurred in the east window, and in the process of arresting, he can even make a lottery of the well-trained 'Shu millet', which is not weak.

Even if the combat effectiveness is not weak, he may at least be imprisoned in the future.

Hearing this, none of the patients who signed it refuted.

……

Five minutes later, Fang Ziye got three informed consent forms for surgery, and at the same time asked the family members to sign a medical notice, and then Xue Tao took him, together with the doctors in the emergency department, and sent three patients to the operating room at the same time.

The volume of Enzhong Hospital is not as large as that of Zhongnan Hospital, there is no emergency operating room, and most of the emergency surgeries are arranged in the operating room of the surgical department.

Xue Tao's previous arrangements were strong, so when he took Fang Ziye to the operating room where one of the patients was, he had already prepared the debridement kit, orthopedic internal fixation kit and sterile towel bag for the preoperative opening.

is also equipped with an instrument nurse, who has already prepared the sterilized oval forceps and sterile complexed iodine at this moment, just waiting for Fang Ziye and Xue Tao to disinfect and spread the towels, and then immediately anesthetize and open the stage!

General anesthesia is used directly, just to save time.

Fang Ziye took the initiative to stand in the position of the leg.

These patients all have lower limb fractures!

Xue Tao didn't go to disinfect and wash his hands directly, then disinfected, spread towels, and went all the way to wear a sterile surgical gown, wrap the patient's feet, and lay a large single-hole towel, and then work with the instrument nurse to get the skin sterile patch.

And let the itinerant nurse help prepare the electric knife, suction device, adjust the current of the electric knife, adjust the pressure of the tourniquet of the lower limbs, and other preparations.

After Fang Ziye arrived at the stage, Xue Tao said: "At present, most of the people in our department are on Huang Kai's side. ”

"But a lot of people are helping, so we can't tell people here."

"The trauma surgery at the People's Hospital and the Minmin University Hospital is better, so we are receiving some police officers who were injured on duty, so we need to complete the three emergency surgeries as soon as possible!"

"In the other two operating rooms, I temporarily called Guang Shiqing and Cao Zhen to go over to investigate, Guang Shiqing is fine, but Cao Zhen is younger after all, and it is estimated that he can't do it."

"Ziye, can you!?" Even if the patient was under general anesthesia, it was impossible to hear it, but Xue Tao was still very cautious and stopped halfway through his words.

This kind of thing, he was only taken by the old director of Hongdu once before.

There is only one time, this is the old director of Hongdu, at the end of the twentieth century, the beginning of the twenty-first century, that special tyrannical era, a kind of small operation to control the patient's operation time.

But such things should not be said in front of patients and family members, even in the case of anesthesia.

"Good!" Fang Ziye understood what Xue Tao meant.

"Brother Tao, after I quickly did a probing to stop the bleeding, I went to Cao Zhen's side to help stop the bleeding first. You and the device teacher should try to do the rest of the debridement first. Fang Ziye replied very decisively.

In fact, there is a point, close to the periphery of the bone, within a certain range, there are no blood vessels and nerves, this is common sense.

Many orthopedic doctors know that as long as they see the bone and operate on the bone, they will not make a big mistake, as if they have found their home.

Vascular exploration hemostasis without any preoperative examination is really troublesome if you don't have a clue.

Xue Tao didn't know how Fang Ziye could do it, but he also knew that Fang Ziye could do it so silently, this technique of resetting was called a transformation realm, much stronger than the old director of Hongdu.

Then, Fang Ziye did not hesitate.

Fang Ziye's hemostasis technique, because of Zhang Yu's relationship before, has been added to level 4.

Haemostasis is only a basic operation, although there are more refined downstream such as pressure hemostasis, electrocoagulation and hemostasis, etc., but the fine specialist skills also come from the basic skills!

If the upper limit of healing is higher, not a basic skill like hemostasis, it is completely useless.

Then, Xue Tao saw that Fang Ziye did not hesitate to break open the patient's skin and cut a three-centimeter incision.

Immediately afterwards, Fang Ziye used his solid basic skills, that is, incision, to go deeper layer by layer.

Of course, Xue Tao didn't just watch, he was just acting as an assistant, opposite Fang Ziye, doing operations such as pulling hooks, sucking blood, or smoke from electrocoagulation by the electric knife.

And just when Xue Tao hadn't seen it clearly, he saw that Fang Ziye was actually holding a hemostat along the gap between a certain muscle, and sent it in!

He breathed a sigh of relief: "Brother Tao, it should be okay, you will debride the hematoma later, clean up the hematoma, and sew up the blood vessels directly if you can see them." ”

"If you can't see the blood vessels, just let go of this hemostat, and after seeing the bleeding point, you can clamp it and start suturing."

When Xue Tao heard this, the hand holding the suction device trembled slightly: "What are you?" ”

The scalp is faintly numb.

He understood what Fang Ziye meant, Fang Ziye directly clamped the proximal end of the ruptured artery, which was equivalent to completing the hemostasis in advance, and the rest was hematoma cleaning and vascular suturing and fracture open reduction and internal fixation.

In other words, Fang Ziye can not only create surgical indications, but also clearly know which artery is damaged by this surgical indication.

What kind of inhuman skill is this?

Therefore, the operation that Fang Ziye has completed now is actually not as complicated as he imagined, he needs to find the hematoma first, then cut the hematoma, and then find the bleeding point or even the bleeding artery in the hematoma.

Then prick it off......

No, it doesn't need to be so much trouble.

Fang Ziye is equivalent to disposing of the source of the bleeding, and now only the hematoma is left to clean up, find it slowly, and there is no need to worry at all.

Fang Ziye didn't answer positively: "Brother Tao, when I finish dealing with it in the past, I'll come over to help." ”

"Good!" Although Xue Tao thought it was incredible, at this moment, it seemed that this was the most scientific arrangement and planning.

Fang Ziye stepped down without hesitation.

It's just that after Fang Ziye left, the instrument nurse was curious: "Who is this?" Doesn't it look like it's supposed to be your subordinate? ”

The instrument nurse is not a specialist nurse in the orthopedic department, but from other departments, but when she is on duty, she happens to be dispatched.

He didn't know Xue Tao, so naturally it was even more impossible to know Fang Ziye.

"This is a real man of God, and he will be a great expert and professor in the future, so it is not a problem at all." Xue Tao took a deep breath, and it was impossible to say anything else to the itinerant nurse.

"Looks like it's a bit powerful." The instrument nurse could not understand the gold content of the operation done by Fang Ziye.

Fang Ziye then came to another operating room, and when he stepped on the induction door of the operating room, Cao Zhen, who was 'fluttering hair', took Li Ruokai, a newcomer in their group, to do disinfection and towel laying operations.

Li Ruokai is a newly transferred resident trainee, and he is not from the orthopedic department, so he doesn't know anything about most things in the department.

also spit bitter water: "Brother Zhen, what do you say is all this?" ”

"It's obviously Mr. Zhong Xuegao on duty today, Zhong Xuegao is from Director Zhang's group, and the surgical patients are from Director Wu Guonan's group, why is our group not on duty, and there are no surgical patients, so we have to move bricks?"

This is a very normal state of mind.

The reason for clinical grouping is to clarify responsibilities and tasks.

Each group takes care of its own business.

When Cao Zhen heard this, he glanced at Li Ruokai, but he didn't say anything, and was still carefully disinfecting.

However, after seeing Fang Ziye step on the foot-operated induction lead plate door of the operating room, he turned his head and glanced at Fang Ziye with doubts: "Why did Dr. Fang come here, didn't you follow Brother Tao for surgery?" ”

Fang Ziye was already washing and disinfecting his hands outside at this time, so he reverently raised his hand and walked in, and replied in a calm tone: "Doctor Cao, that's the case, our hemostasis over there has been dealt with. ”

"So Brother Tao asked me to come over and help, and after dealing with the hemostasis here, I will go over to help." Fang Ziye walked straight to the direction of the sterile towel bag, his tone was neither happy nor angry, and he did not mean to show off.

If it was in ordinary times, Fang Ziye would still feel that his skills were a little good and happy, but today's Fang Ziye is indeed not very happy.

When Cao Zhen heard this, he was disinfecting, and his hand holding the oval pliers trembled slightly.

But the arc of the tremor is very small, tiny.

So Li Ruokai didn't find out at all.

And because of Fang Ziye's arrival, Li Ruokai didn't continue to pour sour water.

Fang Ziye is not only a doctor of Zhongnan Hospital, but also a member of Wu Guonan's director group, and it would be a little inappropriate to complain in front of Fang Ziye.

Cao Zhen's disinfection will soon come to an end.

Fang Ziye naturally raised a small order, approached the operating table, and helped disinfect and lay towels!

"Towel pliers!" After Fang Ziye finished laying out the two vertical orders, he shouted to the instrument nurse.

The instrument nurse handed the tongs upside down......

After Cao Zhen saw Fang Ziye take over the towel laying operation, he began to re-disinfect his hands with hand sanitizer again, and then began to put on clothes.

Orthopedic sterilization and drape, in addition to laying towels, there will also be foot and hand wrapping steps, unless it is foot or hand surgery, it is necessary to wrap these two parts with a single to maintain sterility.

After putting on the sterile surgical gown and the sterile gloves, Fang Ziye had already completed the towel laying operation of the middle order with the help of the instrument nurse.

Cao Zhen immediately took over Fang Ziye's position, folded the middle single, approached the operating table, and laid it down, letting Li Ruokai slowly put his feet down, and then smiled and said: "Ziye, then you did this hemostatic technique really fast." ”

"It's okay."

"Dr. Cao, I'm going to get dressed too." At this moment, Fang Ziye just wanted to save as much time as possible.

Since they all came to the operating room, after the operation, they still have to go to see Huang Kai.

Fang Ziye and Huang Kai have a good personal relationship, so they should go and take a look. But the reason why I didn't go before was that Fang Ziye himself had a surgical task in his body, and he needed to do things on the operating table.

Then Master Deng Yong came to Enshi, as a student, entertaining teachers is equally important.

Otherwise, even if he went to see Huang Kai, it was just a glance, could he still come to power, and then squeeze out whose position he would, and show his might?

In reality, rescue and surgery are not done like this.

Whoever is in that position will do what is in that position.

Later, after Professor Deng Yong and others were called away, Director Wu Guonan made other arrangements for Xue Tao and himself.

At any time, finding one's place in medical behavior is the most important thing.

Especially when it is more urgent, any position is very important, there can be no vacancy, no absence, if there are really special circumstances, you have to report.

When someone gives you a position, it is a kind of trust in you!

……

Fang Ziye arrived for five minutes, and he was disinfecting and laying towels.

Then put on a sterile surgical gown and pasted a sterile skin patch, Fang Ziye immediately planned to stop the bleeding with Cao Zhen.

Cao Zhen put the curved disc in front of him, intending to operate it himself.

At this time, Fang Ziye took the initiative to ask: "Doctor Cao, why don't I try to stop the bleeding?" ”

When Cao Zhen heard this, he raised his head slightly, and thought for a while, Fang Ziye was able to stop the bleeding so quickly next door, maybe there was really something on his body.

Cao Zhen didn't know that Fang Ziye showed his might once during Zhang Yu's operation, after all, he didn't see it with his own eyes.

However, this time, Fang Ziye was faster than when he operated the hemostasis technique with Xue Tao before.

Because the popliteal artery is out of shape, it is more superficial!

Basically, as long as the skin is broken and two or three centimeters deep into it, the popliteal artery is exposed.

However, Fang Ziye did not directly clamp the popliteal artery, but clicked the posterior tibial artery with a hemostat.

Then he thought for a while, and said: "Doctor Cao, the hematoma cleaning and fracture incision, reduction and internal fixation in the back, I won't blindly participate, Brother Tao still needs people over there." ”

After Fang Ziye finished the operation, he took a careful look at Li Ruokai, who had not yet dressed, and felt that he would step back and open the operating table, which would not pollute him, so he silently retreated.

Then he began to take off his gloves and untie the straps of his clothes, all in one go, without any hesitation at all.

At this time, Li Ruokai did not come to power at all.

At the moment, the action of getting dressed is deadlocked there.

Fang Ziye didn't appear in front of people, after throwing his clothes into the cloth sheet recycling bin, he walked to the shelf in the operating room, and walked out of the operating room very calmly.

There were no dashing steps, only the sound of steady footsteps and the squeak of rubber slippers rubbing against the ground.

When Cao Zhen arrived at the door of Fang Ziye's operating room, he realized that Fang Ziye was already leaving, and he was stepping down.

And this speed is so fast, from the beginning of Fang Ziye's operation to the end of the operation, but it is only a little more than a minute, which is a bit ridiculously fast.

However, Cao Zhen still didn't say anything, and he didn't doubt whether Fang Ziye was just going to pretend to be forced or something.

Because, Fang Ziye could not have come, if he didn't, according to Fang Ziye's temper and character, he would definitely not come over at such a critical time and deliberately pretend to be forced to leave.

He came, and he could be so fast, so confident, obviously he knew it.

And this is what the old director of Hong Du said, the confidence of some people's strength.

"Li Ruokai, come to power." Fang Ziye's back disappeared, the lead door had been closed again, and Cao Zhen also saw Li Ruokai there in a daze, and sighed.

Li Ruokai's eyes flickered a few times, and his face was full of confusion.

And when Cao Zhen reacted and focused his eyes on the operating table again, he found that Fang Ziye was silent, and he didn't know when the reduction of the fracture was completed, and what was waiting for him was the tool man who was on the internal fixation.

the groove.

Cao Zhen's heart broke the defense.

Can it not be so fast?

(End of chapter)