Chapter 316
"It seems I heard Doctor Chen from the Surgical Clinic on duty call him Doctor Fang; I only know he's the Chief Resident of Trauma Surgery." A white coat in the Emergency Resuscitation Room replied as such.
Immediately following, he asked with slight hesitation: "This is no problem, right, Doctor Mi?"
His gaze turned to the patient's monitor; currently, after hemostasis and colloid infusion, the systolic pressure had risen by 3 mmHg.
Not the least bit begrudging.
As long as it didn't continue dropping like before until it fell below the shock threshold, he felt it was still fairly fortunate.
The white coats on duty in the Emergency Resuscitation Room also knew that Ben Yuan's Emergency Department had a Vascular Surgery specialty emergency duty shift, and Mi Qi, who was about to be promoted to Deputy Chief Physician, had rotated over for several months; his capability was quite reliable.
If the patient's condition hadn't been truly critical just now, where a few seconds' delay could have cost the life, he might not have agreed to Fang Ziye directly opening the pack, taking the hemostat, and "inserting it inside."
"Fang Ziye, I know him." Upon hearing this, Mi Qi immediately knew Doctor Fang's identity.
Although Mi Qi was on duty in the Emergency Department, he was a young doctor who had given the Vascular Surgery Chief Resident, including himself, a harsh lesson; how could he not remember.
Director Wu Yong even said that at the time, the CT of that patient showed precursor signs of abdominal aortic dissection that only very deep film-reading skill could discern.
Later, wasn't he just fancied by Director Wu Yong? As a result, I heard he went to ask Professor Deng Yong of Trauma Surgery about it.
But then he heard Professor Deng Yong of Trauma Surgery was truly lacking in demeanor, scolding Wu Yong, who differed by only one character, until his head bled, saying Wu Yong had eight hands, too many hands to stay idle, reaching here and reaching there...
"There's definitely no problem; let's not waste words on this nonsense, send to the OR first!"
"Emergency pre-op prep, cross-match blood, draw coagulation function and electrolytes, results need not be waited for, whatever the results we must get on the table to save the life!" With Mi Qi's order, he hurriedly moved aside to make a phone call.
He was the Vascular Surgery doctor assigned to the Emergency Department for the emergency duty shift, alternating with only one other brother; routinely only one person was in the hospital, and could not leave the post.
After confirming the emergency surgery indication, he hurriedly handed it over to the Chief Resident or other doctors to handle the emergency surgery.
Although he could also do the surgery, now he could not personally go to the OR to operate; otherwise, if another abdominal aortic dissection came the next moment, there would be no one to receive the consultation in the short term, and the other doctors in the Emergency Department were not particularly specialized, so they would have to call for a consultation.
Then the meaning of the Emergency Surgery Clinic would be purely bullshit.
The hospital is very large; when there is relatively sufficient manpower, steady and orderly procedure is the primary principle.
Mi Qi quickly arranged the surgery's second-line shift, mainly because Chief Resident Liu Faming was already on the table and could not pull away.
But the Chief Resident being unable to pull away is not a reason for Vascular Surgery not to do emergency surgery.
As long as not everyone in the department is on the table and truly no one is available, they cannot watch closely as a patient dies from a Vascular Surgery emergency; this is a principle the department has consistently upheld.
After doing these things, Mi Qi didn't return to the Rest Room, but went to the Surgical Clinic.
After entering the Clinic, Mi Qi indeed discovered Chen Jiameng, who had already changed clothes.
Both about to be promoted to Deputy Chief Physician, and same-age colleagues belonging to the same General Surgery circle, Mi Qi knew him well.
Pushing the door open and entering, Mi Qi took the initiative to greet: "Professor Chen, I knew Doctor Fang was here with you."
Chen Jiameng is Geriatric Surgery; promotion to Associate Professor in Geriatric Surgery also requires Emergency Department rotation experience, but the hospital would not be so absurd and extravagant as to establish a dedicated Geriatric Surgery emergency.
Thus Chen Jiameng was on duty in the Emergency Surgery Clinic.
Chen Jiameng was about to be promoted but not yet promoted, so Mi Qi's words carried a hint of mockery; Chen Jiameng also retorted: "Academician Mi Qi of Vascular Surgery has come to guide the work!"
"Little Fang, stand at attention and salute!" Chen Jiameng shouted in a mimicry of proper form.
Fang Ziye heard the voice and did stand up, but didn't really stand at attention and salute; openly and naturally he called out "Teacher Mi."
Among colleagues in the hospital, regardless of whether they know the name or not, calling out "Teacher" is never wrong.
"Scram, don't lead the kid astray." Mi Qi rolled his eyes at Chen Jiameng, and conveniently took the bottle of Wahaha Mineral Water Chen Jiameng had just taken new from the drawer.
Looking at Fang Ziye: "Little Fang, don't listen to his nonsense; I'm only a few years older than you, and there's no master-disciple relationship in name. Call me Mi Ge or Qi Ge, that sounds more comfortable."
"Besides, our fate is truly not shallow; I still need to find a proper opportunity to give you a good thanks."
Fang Ziye's fate with Vascular Surgery is indeed not shallow; not to mention this time Fang Ziye could act to assist at the first moment, more critically, the last time Fang Ziye was given the cold bench, he didn't get angry, but upon suspecting the patient had an abdominal aortic dissection, he hurriedly had someone make an emergency consultation call.
In the end, the patient received proper management.
It's not that Mi Qi couldn't bear the responsibility of not seeing the precursor of abdominal aortic dissection on a hidden CT plain film; Mi Qi definitely could bear it.
Limited level; everyone has to grow.
The film-reading threshold for this film is extremely high; Mi Qi reckoned his own level among peers was not bad, but to say compared to the Professors, the gap definitely exists and is not small.
However, Zhongnan Hospital, such a large teaching hospital, is also impossible to have resources so abundant as to place a Professor in the Emergency Vascular Surgery Clinic dedicated to emergency diagnosis.
This is extravagance, and also waste of talent.
Even if there were such an awesome Professor at Zhongnan Hospital, arranged like this, others might not be willing to come to the Emergency Department to see emergency outpatients and stay up late; wouldn't it be fragrant to go to another Top-tier Grade-A Hospital and be a top big shot?
Mi Qi is just an Attending Physician; an Attending Physician is not a god; not seeing a super-high-difficulty diagnosis is understandable.
At most, receive a disciplinary action.
But when everyone can be happy, who is willing to create extra branches?
Mi Qi's half-sentence naturally left Chen Jiameng extremely confused, but after Mi Qi saw Chen Jiameng's puzzlement, he simply described the previous events once through.
After hearing, Chen Jiameng immediately said: "Then you must properly thank him; at least an all-meat Haidilao is required."
What Chen Jiameng emphasized was not Haidilao, but all-meat.
As everyone knows, what Haidilao sells is not flavor, but service and price.
Fang Ziye said with a smile: "Qi Ge, you're too polite; I was still afraid you'd blame me for being a bit rash."
"Encountering this kind of thing, even if it's just suspicion, one must have the guts to trouble the other teachers of Vascular Surgery."
"In the future, there will definitely be places where I need Qi Ge and Meng Ge to take care of me more."
Fang Ziye's words were not cloying, nor falsely humble, making them sound quite comfortable.
"Want to eat some late-night snack?" Mi Qi proposed.
Fang Ziye said: "Qi Ge, you and Meng Ge eat; I just mooched a barbecue meal from Big Brother Deng Zhi of the Emergency Department..."
"Haha, then let's eat a bit together? You say this duty shift, sleep can't be slept properly; if we don't eat a late-night snack, it always feels like we can't hold out, and sleep isn't sound either..." Mi Qi suggested this to Chen Jiameng.
Mi Qi's laugh belonged to a bitter laugh.
In a place like Zhongnan Hospital, before reaching Chief Physician, all are oxen and horses.
Associate Professor is slightly better, only need to cover second-line shifts; even during their previous Attending Physician period, they needed to cover first-line shifts; first-line shifts means handling disease types the Chief Resident can't handle.
Fang Ziye also felt that even if he went back he might not be able to sleep soundly, and the time was already approaching past four o'clock in the early morning.
If later the opportunity is suitable, find where Chen Jiameng or Mi Qi are resting and lie down for a while, lie until around seven o'clock then go buy a bowl of hot dry noodles and return to the department to attend the morning handover, forget it.
Mi Qi really started ordering late-night snacks, while once again confirming with Fang Ziye whether he really wasn't eating anymore.
The takeout had just finished payment, Mi Qi hadn't even had time to press back from the payment WeChat page to the desktop page, when he received a call.
Mi Qi took a look, it was another brother from the department calling.
He asked: "Chaoyang, what happened? Haven't gone on stage yet?"
"Just preparing to go on stage, my hands are already disinfected, Liu Faming's previous surgery just happened to finish, so he came over to do the incisional exploration first, you guess what, I tm looked afterwards, really couldn't hold back, picked up my phone and had to vent to you."
"What the hell is going on with this trauma surgery guy? Turned on the fluoroscopy cheat?"
"He just happened to..." the doctor called Chaoyang complained endlessly, the shock in his tone especially piercing in the late night.
Mi Qi seeing Fang Ziye right at his side, hurriedly interrupted: "What hell not hell, speak civilly, those who understand know we're talking about Doctor Fang, those who don't would think our vascular surgery's gun barrels only know cavity tubes."
Mi Qi to drag away the awkwardness, directly used a tire to flatten both Chen Jiameng and Fang Ziye.
In surgery, not only trauma surgery and orthopedics have high-speed F4, anyone can speed.
Lu Chaoyang hearing this, immediately understood the hint: "Brother Qi, this isn't just a misunderstanding. Mainly it's too shocking!"
"Doctor Fang's hemostat blindly inserted inside, just right clamped onto the main trunk near the artery branch, and it's not even clamping shut a major branch like the common iliac artery!"
"Such skill, if not for the fluoroscopy cheat, then it's really too awesome."
Lu Chaoyang's tone calmed down a lot, but the content still felt incredible, speaking to the end his mouth was fast and mentioned what shouldn't be mentioned, then just like literati during the "literary inquisition" period, hurriedly corrected himself: "Such kung fu is near the Dao."
Mi Qi listening to Lu Chaoyang's explanation, also couldn't help but look at Fang Ziye several more times, his eyes also mixed with shock and disbelief, only at the end, Mi Qi with one sentence brought the whole atmosphere off track.
"You'd better explain clearly whether this 'near' is the 'near' of approach, or the 'enter' of enter."
"Otherwise the error margin is very large."
Lu Chaoyang who understood Mi Qi's meaning had nothing more to say, "Qi Ge, I'm hanging up, going on stage first."
Then he unilaterally hung up the phone.
Mi Qi then looked at Fang Ziye and Chen Jiameng and said: "Embarrassed, our department's this little junior brother, his driver's license class is slightly a bit high."
Chen Jiameng's mouth corner twitched for a good while, both eyes' gaze all saying, it's tm you who's not right.
The 'near the Dao' from Laozi's Tao Te Ching, played by you into what kind?
(Chapter End)
End of Chapter
