Chapter 128: Dread!
Of course it is a good thing to be praised by others. This is also a disguised attitude of Yu Yueming to please the chief resident. After all, in addition to being a professional graduate student, Yu Yueming is also a resident physician. The resident physician must pass the scheduling and performance appraisal.
It’s always about being hospitalized.
Although there will be no shortage of shifts every month, it is very easy to change the scheduled dates if you have a good relationship with the chief resident.
For example, if there are holidays or particularly important festivals, people who have a good relationship with the chief resident can perfectly avoid going to work during these times.
Moreover, professional graduate students are human beings, and they definitely need to ask for leave. If they don’t want to report to the training office and have their small bonus deducted, no one will hold them accountable if they are stopped at the general hospital.
Huang Minzhi also knows that, so he is not so strict in the department. But in the department, it is internal, and everyone just laughs when they make a joke.
When you go outside, if you don't compliment the right people, you will be laughed at.
Professor Li Dongshan of the Emergency Department was not on good terms with the Department of Orthopedics. Of course, Huang Minzhi didn’t know the specifics, but it seemed that Professor Li Dongshan reported the real name of a professor from the Department of Orthopedics...
Lu Cheng is now Li Dongshan's subordinate. If these words reach his ears, Huang Minzhi will feel sorry for the professors of the Department of Orthopedics.
Anyway, this Lu Cheng is a bit evil. Huang Minzhi doesn't want to face Lu Cheng head-on unless absolutely necessary.
Huang Minzhi handed over the next matter to Yu Yueming, and then explained the future precautions to his family members before picking up his own mobile phone belonging to the chief hospital officer.
Seeing that there was a missed call on it that had rang and hung up during the operation, Huang Minzhi decided to call the phone out of caution.
The call was quickly connected. After hearing the voice of Huang Minzhi, the person on the other end hurriedly apologized: "It's the chief resident of the Department of Orthopedics. I'm sorry. I dialed your number wrongly out of habit. I've already contacted the Department of Emergency Surgery."
Mr. Zou."
Huang Minzhi also recognized the other party's voice. He was an old chief physician in gastrointestinal surgery. He was probably about to be promoted to associate professor, so he came to the emergency surgery department for rotation. His surname was Le, and his name was Le Hanshan.
He said: "Teacher Le, I am Huang Minzhi from the Department of Orthopedics. It doesn't matter."
"What's the situation over there? Do you need me to come over? It seems that Brother Zou Qianqian is still doing debridement and suturing, so he may not have time to step down."
When Huang Minzhi said this, the other party was shocked.
Then he quickly looked at the doctor who was seeing the patient. The surgical gown was from the Second Xiangya Hospital, and there was no name tag. He had thought he was the new chief resident of the emergency surgery department, but he had just performed emergency surgery, so he didn't have time to put on the name tag.
At this glance, I realized that the doctor was young and very unfamiliar.
But Le Hanshan couldn't say anything in person, so he moved outside the door and said, "Huang Minzhi, why don't you come over here? This patient's condition is a bit complicated and there may be a risk of amputation."
"Okay, I'll be there soon." Huang Minzhi immediately walked out of the emergency operating room when he heard how serious it was.
He glanced into the other operating room and found that Zou Qian was still busy with debridement surgery, and sighed secretly.
I silently said in my heart that things of the older generation are in the past, and young people are the business of young people. Brother Qian is a good person, and he is also the chief hospitalist. It is not easy for everyone. We can't cheat him.
In fact, there was no need for Huang Minzhi to cause trouble. Since the emergency department didn't directly call Huang Minzhi, he could just ignore it.
Now that he agreed, he took over the responsibility.
Huang Minzhi hurried downstairs without changing his clothes.
Then when he arrived at the door, he saw Le Hanshan waiting for him at the door. When Huang Minzhi was studying for professional postgraduate rotation, Le Hanshan was still the chief resident of gastrointestinal surgery, so we got along with him for a while.
Later, Huang Minzhi was admitted to the hospital again, so naturally he looked familiar.
When he saw Huang Minzhi, Le Hanshan hurriedly said: "Minzhi, you are finally here. At first, I thought the person who came down was from this hospital. But now that I think about it, it doesn't look like it."
"The patient was injured in a car accident and suffered from eye compression syndrome in his left lower limb. He had multiple comminuted fractures of the femur and tibia, and the bone ends were exposed. Currently, the arterial pulse in the distal end of the affected limb cannot be palpated. It is estimated that embolism is very likely."
"But the patient is very young, only about forty years old, and the patient's family members have a strong desire to save the limb. The doctor who just came down is still looking at it, so you should take a look too."
Huang Minzhi said: "Have you done any examination? Have you done CTA of your lower limbs?"
CTA is the abbreviation of arterial CT angiography, which uses contrast agent to show the shape of blood vessels. If there is an interruption and the contrast agent is scattered in the muscle tissue, then the blood vessel is broken or broken. But if the contrast agent is not dispersed,
Then it’s arterial embolism!
Once the artery is embolized, the thrombectomy must be performed. If the thrombectomy is unsuccessful, the limb must be amputated.
Generally speaking, amputation is more likely.
For patients with open fractures like this and extensive soft tissue crushing injuries in the eyes, even after the first stage of surgery, the chances of infection and osteonecrosis are very high, and the possibility of limb salvage is very difficult.
And once complications such as infection and necrosis occur, it will not just be a question of whether the leg can be saved, it will be fatal.
Not from a personal perspective, but from an economic perspective, benefits, risks, ratio of investment and return, and consumption of manpower and material resources, the economic benefits and safety of amputation are many times higher.
Le Hanshan said: "The patient has just been pushed in for five minutes, and it will take time for the family members to arrive. I don't know if they have been registered yet, and CTA hasn't had time to do it yet."
"Is CTA necessary before surgery?"
Although Le Hanshan is older than Huang Minzhi, Huang Minzhi is still more professional in orthopedic issues.
"It is very important to save the limb. Otherwise, temporary vascular dissection would be required to find the embolization point during the operation, which would be extremely difficult. Moreover, CTA can evaluate whether limb salvage is suitable." Huang Minzhi said as he walked to the emergency room.
Then when he was almost halfway through, Huang Minzhi suddenly stopped and stopped walking in.
Of course, Le Hanshan didn't know that Huang Minzhi would suddenly stop and still say: "This is it, Minzhi, come and take a look."
He pulled people here and there, and then he saw that Huang Minzhi was several meters away from him.
Moreover, when Le Hanshan said this, Lu Cheng, who was treating the patient, turned back and looked at Huang Minzhi, as if he was about to stand up.
Huang Minzhi hurriedly walked in and said quickly: "Xiao Lu, I just came to take a look, you can see for yourself."
When he said this, Huang Minzhi's tone was full of explanation, as if he was quite afraid of Lu Cheng.
Le Hanshan heard this meaning, and his eyes lingered between the two people for a long time!
Chapter completed!