Chapter 386 I am invincible, you are free!(1/2)
Chapter 386 I am invincible, you can do whatever you want! (Please subscribe!)
"Hey, Old Chen, you're here too." Zhang Yuewei knew the visitor. He was Professor Chen Zhimo Chen from the Department of General Surgery, a leading figure in the Department of Hepatobiliary and Pancreatic Surgery.
At this moment, Li Dongshan sighed and complained: "Professor Chen is here too! I can file a complaint now. Lao Zhang is not kind. He is obviously my person from the Department of Orthopedics, but he lent me to him, but he asked me to work instead. You
Isn’t it bad to say that this person is not very good?”
In addition to being a professor of hepatobiliary and pancreatic surgery, Chen Zhimo is also the director of the surgical teaching and research department and the director of the general surgery department. He is the person who nominally leads the entire surgery. Of course, it is only in name. The director of the general surgery department is not bothered enough to be in charge of the details of each department.
matter.
Can't control it.
The professional issues between each department are as separated as a mountain.
After hearing this, Chen Zhimo smiled and said jokingly: "What else is there to say? Just hit him hard. Anyway, I guess Lao Zhang will definitely not be able to beat you Dongshan in a fight."
Li Dongshan has a relatively strong figure. After all, he has an orthopedic background and is so strong that Zhang Yuewei may not be able to match him.
After hearing this, Li Dongshan said: "Yes, I like beating people on orders."
Generally speaking, lower-level doctors would not dare to accept the jokes made by Li Dongshan and others. Zhang Yuewei knew that he was in the wrong and did not argue. He just smiled and said: "I'll accept my defeat and treat you to dinner. It's the weekend. Let's meet up later."
Let’s go for a late night snack. Everyone who meets you will have a share.”
When Zhang Yuewei said this, everyone became excited. The traveling nurse quickly said: "That's a good relationship, but I'm going to kill Professor Zhang very hard."
In the eyes of the nurses, Zhang Yuewei is the type who is not short of money. When he goes abroad to give lectures, the lecture fees are unimaginable. There are rumors that Zhang Yuewei goes abroad once, and after covering the air tickets, he may be given at least 5,000 yuan.
US dollars.
Zhang Yuewei glanced around and smiled casually and said: "Hey, Teacher Qin is not only bullying our girl from the vascular surgery department, but he is also starting to bully me, right?"
The tour name Qin Qi who spoke was in her thirties, much younger than Zhang Yuewei in terms of age, but she was in the nursing team in the operating room. She was in her prime and was the kind to lead the team. Zhang Yuewei's words were not just a joke, but
Full of meaning.
Qin Qi immediately thought of Zhang Yuewei's other reputation besides his international reputation, protecting his shortcomings. I'm afraid it was also because of the casual tone between her and Yang Zi before.
Qin Qi immediately said: "Professor Zhang, you are unjustly accusing me. Everyone knows that I, Qin Qi, have always been very tolerant to girls. If you don't believe me, go to the operating room and ask."
Zhang Yuewei's wife used to work in the operating room and is now retired. However, Qin Qi once followed her and called her Teacher Zhou. Qin Qi didn't believe that Zhang Yuewei really asked, but it could ease the atmosphere.
Zhang Yuewei encountered a soft nail and didn't worry about it. He quickly said to Yang Zi: "Xiao Yang, after the vascular sheath is finished, I will switch to the second assistant. I will watch Lu Cheng operate it later. You have to learn from it. Xiao Lu is better than you."
Even younger."
After saying that, he laughed at himself and said, "Of course, I also want to learn more."
Finally, soon after, Lu Chengcheng washed his hands and returned, and Li Dongshan and other old men took their respective positions. At this time, Professor Jiang from the Department of Neurosurgery also arrived, and he brought someone with him.
Professor Jiang’s intimidation in neurosurgery was probably too strong. As soon as he arrived, the boss began to step aside nervously. He could only stand on tiptoes and peer in at Professor Jiang’s operations. The associate professors next to Professor Jiang were all the same.
He looked like he was obediently obeying orders.
Lu Cheng was preparing the corresponding equipment for vascular thrombectomy. He looked at the situation around Professor Jiang from the Department of Neurosurgery, and thought of the rumors in the hospital. The neurosurgery in Annex 2 was far inferior to that in Annex 1. In the entire department, there were three
In the ward, there is only one professor.
All the patients are Professor Jiang's words. There are also rumors that Professor Jiang's doctoral supervisor bought his projects. Graduate students and doctoral students have no money to do their projects, so they all rely on wild self-help experiments to graduate. The same is true for neurosurgery.
The department with the largest number of doctoral and graduate students who have delayed their graduation.
Of course, these are just rumors, and it is difficult to distinguish whether they are true or false. However, it is true that there is only one Professor Zheng Gao in the Department of Neurosurgery.
Lu Cheng didn't care about anything else. Speaking of which, he hadn't performed neurosurgery for more than half a month. His hands were really a little raw. He took a deep breath. After adjusting his condition a little, he started immediately.
The operation was smooth and smooth.
When Lu Cheng performed intravascular thrombectomy on his master Lin Hui, he basically did not have much experience in vascular surgery. He only relied on being able to directly see the situation inside the blood vessels and relying on basic skills.
But now, Lu Cheng has top-notch intravascular thrombectomy, and his condition and skills are naturally not comparable to those before when he didn't have much foundation.
The top skills correspond to the operational abilities and experience skills of professors from tertiary teaching hospitals. Plus the ability to see directly?
Lu Cheng directly inserted the thrombus removal catheter from the brachial artery of the left upper limb, then adjusted the angle slightly, and removed the thrombus very neatly. While Lu Cheng was operating, Zhang Yuewei and others began to locate the thrombus.
There's an embolism there.
Their positioning starts from the far end.
After Lu Cheng removed the first proximal thrombus, he immediately used the spare catheter to continue the second operation. After pulling out the thrombus strip, Lu Cheng shouted to Yang Zi beside him: "Please help me clean this strip.
Catheter, I need to use it later."
"Hand washing teacher. Sterile cotton pads!"
As he finished speaking, without waiting for Yang Zi or the hand-washing nurse to react, he inserted the catheter deep again as if he were returning to his own home. Ten seconds later, he walked the blood clot out as if he were taking his own pet dog.
It had only been barely a minute since Lu Cheng started the operation, but two blood clots had already been removed.
Zhang Yuewei was still pricking his palms. After seeing this action, he threw away the syringe and said with emotion: "Xiao Lu, you can save some face for me. Although our master-disciple relationship is not picked up halfway.
Yes, but I am a professor after all, and you also called me Teacher Zhang. I can’t even understand your actions."
In fact, it was not only Zhang Yuewei who was sighing, but even the more dignified Professor Jiang from the Department of Neurosurgery couldn't help but look over and asked: "Old Zhang, is this the Lu Cheng Xiao Lu you usually call? It seems to be better than what you said.
, it needs to be a little fiercer.”
"I thought you were always bragging."
Zhang Yuewei rolled his eyes at that time: "Professor Jiang, when did I brag? I have always been humble, right?"
"I can only say that my understanding of Xiao Lu is a little more modest and cautious."
The movements in Lu Cheng's hand slowed down a little, and he said: "Teacher Zhang, haven't we already done preliminary research? The length of the blood vessel can probably be calculated, and the angle of the bifurcation is basically unchanged. The idea of operation
Basically the same. The blood vessels are mained first, and then the blood vessels are divided. Step by step, it is actually more procedural than ordinary surgery!"
"Look at the thrombus I took out now..."
Lu Cheng didn't care about anything else. Anyway, he came up with the theory and it was repeatable. If others didn't have the ability to look directly at him, that was their business. Lu Cheng could only improve the theory to this level for the time being.
He allowed others to see clearly what was going on inside the blood vessels, which Lu Cheng would never be able to do.
Zhang Yuewei's face twitched at that time and he said: "That's what you said, but you also want us to see clearly how you go inside."
"I think that for this subject, you can only rely on yourself to figure out the feel, and everything else is nonsense. Even if you practice in the smooth blood vessels of ordinary people, when you encounter a blood clot, the feel will be completely different.
Same."
"Of course, there is a young man in our department who has taken out the furthest distance from the radial artery, which proves that your theory is feasible. We, a team, have been studying for a month or two, but we haven't gotten started yet, and we don't know how to get started.
I know how you figured it out on your own."
"Is this what the ancestor is feeding me?"
Zhang Yuewei also praised him for not being afraid of blowing people up to the sky, and directly blowing Lu Cheng to the top, and not being afraid that Lu Cheng's thin skin would explode all of a sudden.
Lu Cheng continued his operations as if leisurely. As his theory of vascular surgery became more and more perfect, he discovered that the thrombus in some branch blood vessels could actually be left alone for the first time. As long as the main artery was connected,
There is naturally a capillary network that provides blood supply to the surrounding muscles and other soft tissues and prevents necrosis. Post-operative anticoagulation will slowly melt the blood clots and it will be fine.
About three or four minutes later, Lu Cheng removed the blood clot from his left upper limb.
Yang Zi was dumbfounded by the beauty, and secretly sighed in her heart, this is the subject and operation that our department has studied carefully for several months to no avail, and then in the hands of the chief resident of the Department of Orthopedics, it was just like playing?
Her heart was full of mixed feelings, and she felt a little uncomfortable. If Lu Cheng was a vascular surgeon, it would be fine. After all, this is what he studies and makes his living.
Lu Cheng is an orthopedic surgeon. He relies on orthopedics to make a living, and he does vascular surgery as a side job. He is even better than orthopedics. He is really amazing.
When he was about to re-open the vascular sheath of the right upper limb, Lu Cheng checked the blood pressure again and found that it was still not stable. At that time, he said: "Professor Zhang, Professor Chen, and Professor Jiang, the patient's blood pressure is also not stable now.
"
"I want to remove the bleeding point first, and then do the subsequent operations slowly, right? Otherwise, the blood pressure will always be so unstable, the anesthesia teacher will be frightened, and we will not feel safe during the operation."
The reason why Lu Cheng dared to say it now was because everyone knew about his strength and abilities. After knowing this, he no longer needed to be secretive or pretend, nor did he need to explain too much.
The main thing is to save lives, and if Zhang Yuewei hadn't been authorized before he came, then he would have just been a general resident of orthopedics, and there would be no need to compete for reputation.
However, as soon as Zhang Yuewei saw him, he directly called him to undergo vascular surgery. So, since Lu Cheng had exposed his hands and had obtained the authority, he would not be secretive.
This is not the same story.
One is to fight, the other is to save lives.
Before Zhang Yuewei and others could react to Lu Cheng's words, Lu Cheng directly shouted to the roving nurse: "Teacher roving, please get the interventional surgery kit."
Zhang Yuewei was stunned for a moment and asked: "Xiao Lu, what are you doing?"
"The intracranial and intracranial bleeding via the catheter were stopped in the blood vessels of the abdominal organs." Lu Cheng said calmly.
Lu Cheng didn't speak much and could be understood clearly, but Zhang Yuewei, who really understood, took a deep breath at that time!
This is something Zhang Yuewei never thought of.
Lu Cheng had performed this kind of transcatheter ultra-long-distance intravascular hemostasis on Lin Hui before, but it was impossible for Mohua Hospital to publish these detailed operations because he was afraid that he would not be able to explain it clearly.
After all, what kind of operation is it to blindly perform intravascular hemostasis at an ultra-long distance???
It's hard for ordinary people to imagine, it's hard for professors to imagine, and probably no one except Lu Cheng can do it.
This was something Lu Cheng couldn't do accurately when he was treating Lin Hui. However, after curing Lin Hui's life terminator, a piece of equipment came out: a human body fluoroscopy scanner. The equipment's effect can be
To be continued...