Chapter 378: Super-Textbook Level! (Please Subscribe)
"Director Ceng, Director Ceng, they've incised the retroperitoneal hematoma!" the on-duty Associate Professor of Anesthesiology explained in a very direct yet powerless rebuttal.
Ceng Quanming's square face looked as if carved, his gaze gradually turning grave; he continued checking the patient's current vital signs — the systolic pressure was actually as high as 94 mmHg — tilted his head, and asked, "Trauma Surgery people, finished excising the hematoma?"
Even though Ceng Quanming was a Professor, a Chief Physician of Anesthesiology, he still couldn't forget a sentence written in the undergraduate textbook: retroperitoneal hematoma caused by pelvic fracture, incise with caution!
Ceng Quanming remembered very clearly that his edition of the textbook had rarely used an exclamation mark.
Although with the advancement of technology, due to patient needs, cases of incising retroperitoneal hematomas appeared from time to time, even with current technology, dealing with them was still wrestling with the Grim Reaper.
In the words of an internet saying, perhaps it's fifty-fifty!
Generally speaking, after incision of an active presacral venous plexus hematoma of the pelvis, a normal person's blood pressure can fluctuate below the shock line; this patient, when they reported to him earlier, they said it was massive hemorrhage, and only after rapid venous access and massive transfusion was the blood pressure maintained near shock pressure.
Then Trauma Surgery people still had to go for the retroperitoneal hematoma, and the young on-duty Associate Professor couldn't sit still, so he called him.
Ceng Quanming listened and also felt his scalp go numb; after anesthetizing an aortic dissection he rushed to the Emergency Operating Room, but after entering...
"Finished, Director Ceng, they finished and left, didn't even participate in closing the abdomen." Vascular Surgery's Associate Professor Chen Minghao, forcibly suppressing his inner shock, inserted a remark in a spare moment.
His tone slightly playful, seemingly saying Trauma Surgery people are inhuman, leaving coolly; actually it was to suppress his inner palpitations.
"Who is he?" Ceng Quanming looked at the speaking Chen Minghao, and asked his own Anesthesiology Associate Professor.
Chen Minghao was a bit embarrassed; Dong Yundeng narrowed his eyes: "Haven't met in a long time, only remember he's a Vascular Surgery brother, now also a Deputy Chief Physician."
"Brother, I'm Anesthesiology's Dong Yundeng!" After Dong Yundeng came to the Emergency Operating Room, he actually didn't have much contact with specialty Associate Professors.
Chen Minghao is Vascular Surgery's Associate Professor; by rights Dong Yundeng should have had some contact, should know him, but it's been a long time, the hospital's Deputy Chief Physicians add up to a thousand or eight hundred, to recognize Chen Minghao just by eyes and eyebrows is a bit difficult for Dong Yundeng.
"Vascular Surgery Chen Minghao, Director Ceng, back when I interned in Anesthesiology, you personally designated me as the puncture expert. You forgot?" Chen Minghao smiled with a slight ingratiating air.
Ceng Quanming joked back: "Probably not that high, otherwise I wouldn't have let you go to Vascular Surgery."
When the patient's condition is good, the anesthesiologist's heart is at ease; playing on phone, joking, taking surgeons' banter, teasing little nurses, is the Anesthesiology superior's prerogative.
But for example a little Associate Professor like Dong Yundeng can't.
Chen Minghao suffered a violent strike again; his original intention was to get close to Professor Ceng Quanming, but unexpectedly now he fell into embarrassment instead.
However such strikes, Chen Minghao was long used to them.
Chen Minghao hadn't yet replied when a person burst in from outside, washing hands while walking toward the sterile gown station, picking up a sterile gown and putting it on: "Chen Minghao, Trauma Surgery's Deng Yong says there's a retroperitoneal hematoma case here."
"Where are Deng Yong and his people?" Deng Haibo asked.
Chen Minghao turned his head and shockingly discovered it was his own group's most direct superior, Professor Deng Haibo, who had come.
And speaking of Professor Deng Haibo, Professor Deng Haibo and Trauma Surgery's Professor Deng Yong don't need a relationship of friendship; the two come from the same village, both surnamed Deng, counted as distant relatives.
But such origins, once they left the village and came to Han City, that's blood kin!
Deng Yong and Deng Haibo, the two often casually use each other's names to call relevant departments, very easy to use.
When Deng Yong's group requests Vascular Surgery emergency consultation, they add "Vascular Surgery Professor Deng Haibo says." Similarly, when Professor Deng Haibo's Vascular Surgery group requests Orthopedics emergency consultation, they add "Trauma Surgery Professor Deng Yong says." (Details in Chapter Seventeen)
The reason Deng Yong dares to scold Vascular Surgery's Chen Minghao is this layer of logic.
"Master, Professor Deng went back. The surgery here is done." Chen Minghao hurriedly replied.
Earlier the situation was tense, Vascular Surgery's Liu Faming indeed called a Professor-level, but at that time Deng Haibo was on the platform.
The platform belongs to the battlefield; no matter how fierce, one must get off the platform as appropriate.
Deng Haibo froze, hadn't yet replied.
Ceng Quanming said: "Huh, a Professor Deng just left, another Professor Deng arrives."
Immediately followed by: "Hey, Haibo, speaking of, that intern I recommended to you back then, when are you returning him to me?"
"Our Anesthesiology, right now we're very short of puncture experts, that kid's puncture talent is very high, maybe he can achieve targeted local anesthesia of internal organs..."
Hearing this, Deng Haibo laughed: "Director Ceng, well, that is, right now he's our Vascular Surgery's Associate Professor, Chen Minghao."
The surgery was all over, Deng Haibo naturally didn't get on the platform; he threw the sterile gown he'd just picked up into the linen bucket, wiped disinfectant on Ceng Quanming's shoulder, leaned closer, and said: "Brother Ming, heard Anesthesiology picked up another puncture technique expert?"
"Introduce him..."
Ceng Quanming froze first, exchanged a glance with Chen Minghao; Chen Minghao's eyes narrowed, obviously smiling, re-acquainting with Ceng Quanming once more.
Then he raised his fist, gritted his teeth: "Don't force me to give you free anesthesia, free hospitalization, even free ICU stay!"
Bringing up this past, Ceng Quanming felt indignant.
Back then, he was still an Associate Professor, spotted a good seedling; after the seedling went to Surgery for rotation, Ceng Quanming specially entrusted his 'good friend fellow disciple' Deng Haibo to mentor.
Result: this good seedling was abducted by Deng Haibo to Vascular Surgery!
Boys, mostly like surgical operations; having witnessed the subtlety of Vascular Surgery operations, making him turn back to give patients anesthesia, this genius steamed bun, gone never to return...
Ceng Quanming once cut off 'fellow disciple friend' contact with Deng Haibo, until he became a Professor and had to pick up this human relations again.
Adults, interests paramount, small fights are all jokes...
Anesthesiology's Dong Yundeng took a few more looks at Chen Minghao; this person, Ceng Quanming had mentioned many times, during Anesthesiology handovers and meetings, often brought out to 'curse'!
After becoming Director, Ceng Quanming was even more resentful, almost scolding the entire Vascular Surgery department bloody.
Dong Yundeng hurriedly turned and asked: "Teacher Ceng, that Junior Sister who made Huang Xiruo very dejected, slightly tending toward autistic, how does her puncture technique compare to this one?"
"What? It's a Junior Sister?" Deng Haibo immediately got interested.
Raised his head, looked at Dong Yundeng: "Tell me in detail, our Vascular Surgery operations, clean and not tiring, are one of the surgeries girls like most, second only to Breast and Thyroid Surgery..."
Ceng Quanming glared at Dong Yundeng; Dong Yundeng immediately shut up, started muttering an incantation: "Hmm, weather's great, time is afternoon, I'll eat lunch tomorrow, I'm not eating late-night snack today, I want to sleep nine hours tonight..."
Dong Yundeng swears, whoever can understand this logic, that son of a bitch is a mental case!
Ceng Quanming collected his mood, keenly sniffed the air and looked at Deng Haibo: "Professor Deng, asking a very urgent question."
"Your Vascular Surgery, this time handling this retroperitoneal hematoma, appeared very experienced? Is this a new type of handling method?"
"When is there a clinical project? I'll dispatch our Anesthesiology's most capable mainstay to staff your table!"
Well known, when new technology emerges, there will very naturally be a new paper on the related surgical anesthesia monitoring in the swaddling clothes!
Trauma Surgery's mangled extremity is thus.
If Vascular Surgery has new business handling retroperitoneal hematoma, it should also be so.
The scope of research in the Anesthesiology Department is actually just those few things...
Deng Haibo's expression only gradually turned serious upon hearing this.
Jokes are jokes, serious business is serious business.
Deng Haibo then roamed over to the side of the operating table, watching as Chen Minghao had now nearly finished suturing the vascular opening, ready to bring the vascular surgery-related procedure to a close at any moment.
He then asked: "Chen Minghao, what's the deal with this surgery today? Wasn't it said to be opening a retroperitoneal hematoma, how come it wasn't opened after all?"
"It was opened, but, opening it was similar to not opening it, the patient's bleeding volume wasn't large, the surgery went very smoothly, incidentally, I was also vividly taught a lesson by a younger brother from Trauma Surgery..."
Speaking to this point, Chen Minghao threw the instrument to Chief Resident Liu Faming: "You bring people to continue."
Then he stepped back, withdrew from the operating table, and became even more proper, even more serious: "Master, what do you say is going on here?"
"Vascular bridging surgery can still be used like this?" Chen Minghao's eyes carried confusion and consultation.
But Chen Minghao seemed to discover that Professor Deng Haibo didn't intend to answer his words, but stood in place waiting for him.
So, adhering to the principle of 'don't understand, just ask', Chen Minghao took off the sterile surgical gown and sterile gloves, then asked again: "Master? Do you know?"
Deng Haibo directly hooked Chen Minghao's neck and pressed down, tiptoed, and whispered in his ear: "Minghao, do you have to make me say I don't know in front of so many people?"
"Do you have to say it's theory that even Trauma Surgery's small physicians know, our such a big Vascular Surgery has no one who thought of it?"
"How about you come be my Master?"
After Deng Haibo finished speaking, he let go of Chen Minghao.
Chen Minghao's gaze flashed, his eyelids began to twitch rapidly.
Master's expressed meaning was very obvious, this kind of beyond-textbook, overstepping-specialty thinking, currently no one has thought in this direction yet, this is a brand new research project, perhaps in future rescues it can still be flexibly applied, this is a large research project.
Chen Minghao hurriedly chased after Deng Haibo, after going out the door, asked again, voice slightly trembling: "Mas, Master, then this thing, should we report it to Director Wu?"
Deng Haibo hearing this, his neck stiff like a Transformer turned his head to look at Chen Minghao, kicked him one foot: "Master, Chen Master, you are my Master! ~"
(Chapter End)
End of Chapter
