"No." Zheng Ren's hand moved slightly as he subconsciously saluted the other man.
He had never learned it. He only acted as if he remembered the military salute.
"Where do you come from?" Big Beardy was very unhappy.
A soldier that did not even know how to give a military salute... If this was his subordinate, Big Beardy felt he would definitely beat Zheng Ren up. After beating him up, he would teach him how to give a standard military salute.
Zheng Ren was also a little embarrassed. He scratched his head and said, "I'm a civilian. Recently, I was transferred to Imperial Capital Hospital before being sent straight to the frontlines."
It turned out he was a civilian. Big Beardy's expression became a little better.
He returned the salute. The standard military salute faintly carried a trace of swift and decisive killing intent.
After that, Big Beardy laughed out loud. He was extremely forthright and extended his right fist.
Zheng Ren was stunned. He knew how to greet such a young man? Zheng Ren extended his fist and bumped it with the bearded pilot.
He turned around and boarded the helicopter. Seeing that Zheng Ren was still standing around, he loudly told Zheng Ren to leave some distance away. Then, he waved to the people around him and drove the helicopter away from the isolated island amidst the heavy rain and fog.
"Boss, we have medicine and sterile bags! We have a generator and a small and simple ventilator!" Although Su Yun had expected this, he was still a little excited.
"Yes. Do you have a jack?" Zheng Ren asked.
"They took it and went to save the pregnant woman who was pressed down by the prefabricated board," Su Yun said. "Before the helicopter arrived, they found a doctor and a nurse who were trapped in the town hospital's radiology department. They were all alive and kicking. They were really lucky."
This was good news. Everyone could be happy for a long time after they were rescued.
Zheng Ren nodded and began to think.
"What are you thinking about, Boss?" Su Yun asked.
"Under such circ.u.mstances, which kind of patients do you have most? The ones who need dialysis are definitely the highest, but dialysis relies on machines. It can only be done if we mobilize the country into action. We can pull out as many dialysis machines as we need then but what about the rest?"
"All kinds of external injuries and emergency surgeries. As long as you have the energy, you can do it from now until ten days later." Su Yun yawned. "Boss, when do you think the large group of people will arrive?"
"It's already been twenty-four hours. They can arrive at any time, right?" Zheng Ren was thinking about things in his mind so he said that in a nonchalant manner.
"Do you know how to perform orthopedic surgery?" Su Yun asked.
"If I want to, I can." Zheng Ren was focused on the task at hand. He accidentally said something but Su Yun did not notice it.
Zheng Ren looked very energetic but the two of them were already at the end of their rope. They did not know how much longer they could hold on.
A wave of cheers came from the rain before seven or eight people carried a door panel over. Behind them, someone was holding hands with a little girl.
It was the pregnant woman... The System's panel on the upper right corner of Zheng Ren's field of vision was red. He could see all kinds of heart-numbing diagnoses.
F*ck! Zheng Ren cursed. What should he do? The pregnant woman's shin and fibula were fractured. As the compression time was too long, her calf had already died. The swelling spread across the knee joint. It looked like she could not retain anything below the lower half of her t.h.i.g.h.
Amputation was her best choice.
As for infections and the like, it was hard to say whether they could be treated.
There should be a lot of patients like this. A thought flashed through Zheng Ren's mind.
Even if he used an intermediate skill book and all the surgical training time in the System's operating room, he would probably be at the level of the Chief of Huaxi's orthopedic department. She needed emergency treatment. Now that he had a ventilator, he could perform general anesthesia surgeries. He estimated that Zhao Yunlong and the people from the military medical university could perform the necessary resuscitations. Moreover, he only had one ventilator so he could not do more even if he wanted to.
He could not do more if he had one more, nor could he do any less if he did not have one.
It was better to start from his strongest point.
Intervention? Removal of the suppository?
Although it was still impossible to avoid amputation, the position of the amputation could be lowered. It would also be easier for the injured to place the artificial limb after surgery, improving the woman's quality of life afterward.
After all, if the leg was amputated from the t.h.i.g.h, there would be two joints, the knee, and the ankle which would need to be replaced by prosthetic limbs.
If only the lower leg was amputated, there would only be one ankle joint.
More importantly, the pressure had been placed for far too long and the edema was severe. It would not be long before the necrotic wound was amputated.
If the suppository could be removed first, all the other treatments needed would be simpler. Not only could it improve the quality of life, but most importantly, it could allow the injured to survive and reduce countless complications.
Yes, remove the suppository!
At this moment, the people from the military medical university had already set up the ventilators and started to give the patients general anesthesia to prepare for emergency surgery.
A portion of the seriously injured patients who remained in the tent waited for general anesthesia to be administered. The remaining ten or so patients with severe grinding contusion who needed amputation were groaning in pain in low voices.
"Zhao Yunlong!" Zheng Ren shouted loudly again.
Chapter 659 - Boss, Are You Sure?
Zhao Yunlong was in the distance, checking what had been brought over.
Other than a small amount of food and water, it mostly consisted of medical supplies and some tools to clean up debris.
A helicopter could only transport a limited amount of goods so it was obvious they needed to make a choice of what was more important.
One day without drinking water or eating would not kill anyone. Besides, there were thousands of survivors in the town. If they were to transport water and food for everyone, it would take up too many resources.
Zheng Ren's roar came from the rescue team while they were busy taking inventory and distributing tools.
"What's wrong?" Zhao Yunlong did not even look at Zheng Ren and answered with a roar.
Zheng Ren only wanted to know where Zhao Yunlong was. He followed the sound and made his way through the white curtain of rain.
"Chief Zhao, I just heard that a doctor and a nurse were rescued. Where are they?"
Zhao Yunlong pointed to a place not far away where a man and a woman were busy with the other rescue team members.
Zheng Ren walked over and asked, "Are you guys from Nanchuan Town Hospital?"
The male doctor raised his head and looked at Zheng Ren as he adjusted his glasses. The lenses were washed clean by the rain but he could not see anything clearly.
He took off his glasses and wiped them clean with all his strength. "I am, and you are..."
"I heard that the place where you were saved is the hospital's radiology department? Do you have a machine?" Zheng Ren asked.
"A machine..." The male doctor was stunned.
In this situation, who cared about whether there was a machine or not. Even if there was a machine, there was no electricity.
"Is there one?" Zheng Ren saw that he was stunned, so he asked again.
"There is a gastrointestinal machine. I don't know if it's broken or not." The male doctor thought of the room. It was surrounded by lead plates. The support was relatively strong, so there was a poss
ibility that it was still working.
Because the earthquake was particularly strong, the doctor was not sure whether the machine was still intact and if it could even be used.
"Take me to take a look," Zheng Ren said.
"Boss, don't tell me you want to do interventional surgery under such circ.u.mstances?" Su Yun asked as he glanced at Zheng Ren.
"Patients with severe pelvic fractures need the bleeding to be stopped. Those with necrosis of the lower limbs need to have their limbs amputated," Zheng Ren said.
Su Yun was puzzled but when he thought about it more, he immediately realized what Zheng Ren wanted to do.
"You're not going to remove the suppository, are you?" Su Yun was surprised.
"That's the idea but I don't know if I can do it," Zheng Ren said.
Su Yun suddenly became spirited, sparking some glimmer of life in his eyes. He stretched out a finger.
"We've done a lot of pelvic fractures in Sea City. But there are a few questions about removing the suppository. First, after removing the suppository, ischemia and reperfusion will result in a large amount of necrotic tissue toxins entering the blood, causing the patient to have acute kidney failure. What are you going to do about that?"
Zheng Ren's lips moved. Just as he was about to speak, Su Yun shook his finger and stretched out a second finger. "Second, I remember that the removal of the emboli has to be done in six hours. The latest is twelve to twenty-four hours tops. What will you do? We have the personnel, equipment, and medical supplies but do you have a clear idea of how to do things?"
Zheng Ren shook his head. "I've thought about this. The time limit you mentioned is for nerve intervention to remove the emboli. There aren't so many restrictions for limb vascular intervention. Old emboli can also be removed. You... Vascular intervention is relatively unpopular. It's normal that you don't know about it. Second, you're asking a multiple-choice question. The amputation is 10 centimeters less and after surgery, you have to do 10 more days of dialysis. Which treatment would you choose?"
Su Yun wiped the rainwater off his face. It was obvious that he was dissatisfied with Zheng Ren's lack of understanding of vascular intervention.
However, the medical branch was complicated and trivial. Su Yun...would only know about it after he had seen it. If he did not have the chance to see it, he would not know about it either.
Not even a genius like Su Yun knew these things naturally.
"A kidney physician will definitely be one of the most important specialists after a large number of injured patients are rescued. The number of acute kidney failures will be extremely shocking. However, there is no need to use everyone's peritoneal dialysis equipment to report to the frontline headquarters. Mobilize equipment and personnel to prevent this from advancing. The number of patients with kidney failure that might be caused by the removal of the thrombus is small. It won't cause a change in quantity. We just need to pay more attention to it." Zheng Ren clearly had a comprehensive plan.
"Equipment, medical supplies... Do you think we need to worry about this? As long as we can deal with them in the next few days, everything will be fine," Zheng Ren said as he pointed to the air.
Su Yun realized what Zheng Ren was talking about.
In this kind of weather, driving the helicopter to land and deliver supplies recklessly would probably make the eyes of the people behind them redden.
Those young pilots who did not have enough experience and were unable to find the landing point with the slightest clue were probably banging their heads against the wall right now.
Moreover... The Imperial Capital doctors had traveled thousands of miles to come here in less than 24 hours. It was not an exaggeration to say that they were the country's entire strength.
There was really no need to worry about just a few little medical supplies.
Su Yun smiled and said, "Boss, are you trying to get the vascular intervention done over here as well?"
"Isn't it an emergency? When we go back, we still have to focus on the TIPS surgery and the interventional treatment of liver cancer." Zheng Ren also smiled and looked at the sky. He did not know when the next batch of rescue helicopters would arrive.
The junior doctor of Nanchuan Town did not understand what the two of them were saying. He just brought Zheng Ren and Su Yun to the hospital.
The hospital was located southwest of the town's central square, only a few hundred meters away. Normally, it would take a few minutes to reach but after the earthquake, they had to walk through the ruins for more than ten minutes before they arrived.
The three-story-tall town hospital had become a small second floor, and the first floor had become a bas.e.m.e.nt. The entire building was slanted and on the verge of collapse.
"This side is the radiology department. There's a gastrointestinal machine inside," the junior doctor said as he brought Zheng Ren and Su Yun to the side of the collapsing building and found a ventilation window.
The place was originally piled with rubble. After the rescue team dug it up, they expanded the ventilation window and saved the two of them.
Su Yun held a flashlight and turned it on. A beam of light shone inside.
A simple gastrointestinal machine appeared in front of him in good condition.
It looked like it was fine. The only problem was getting a functional power supply.
"Boss, it looks fine, but this is the place..." Su Yun raised his head and looked at the building that was in danger. His heart was beating fast.
Interventional surgery was to be performed here? Putting aside the simple and crude equipment like the gastrointestinal machine, it could only be seen from the shadows. It could not be compared to the specialized Siemen's double c-arm machine.
Even if Zheng Ren's skill level was high enough to use the gastrointestinal machine to perform interventional surgery—which was quite difficult normally—but...this building... As long as there was a strong aftershock, it could completely collapse.
This was not a freaking surgery, this was courting death!
"It looks alright. Go find Zhao Yunlong." Zheng Ren was more than satisfied. The gastrointestinal machine was placed there and supported by the lead wall. It had not been damaged by the hospital building's collapse.
It could definitely be used. They just needed to connect the power source and testing the machine. If it was possible, they would perform the surgery to remove the suppository of the patients whose limbs were necrotic. The second stage of amputation would naturally be performed by the doctors from Huaxi and the Provincial Capital Hospital.
"Boss, are you sure?" Su Yun turned his hand, letting the bright light beam of the flashlight shine in Zheng Ren's face.
Chapter 660 - Father-In-Law's Large Convoy
With the flashlight shining in, the fine drizzle looked like a curtain as Su Yun showed a dazed expression. "Stop fooling around." Zheng Ren covered his face with his hand and shouted in a low voice. "Boss, you're courting death." Su Yun waved his hand, the light swaying illuminating his surroundings like a lightsaber. "If the aftershocks are just a bit bigger, we'll be buried alive." "It's okay." Zheng Ren smiled. "Hurry up and prepare the power supply. There won't be so many aftershocks." Su Yun was speechless. They had walked all the way from the airport and the aftershocks were frequent. Even now, the ground was still shaking and they could not even stand properly. Zheng Ren had gone crazy... Su Yun was silent and followed Zheng Ren all the way back. "Zhao Yunlong!" Zheng Ren shouted. His voice sounded small when drowned by the rain and no one responded. Zheng Ren continued to look for Zhao Yunlong. After looking for ten minutes, he found him near a ruin. Zhao Yunlong was digging the ruins with the young and strong survivors as well as some able-bodied rescue team members. "Chief Zhao, come here," Zheng Ren said. "Hmm?" Zhao Yunlong wiped the rain off his face and strode over. "How many generators do we have for this rescue mission?" Zheng Ren asked. "One. The people from the military medical university are using it to power the ventilator for surgery," Zhao
Yunlong said. "Chief Zhao, contact the headquarters. The next time a rescue helicopter comes over, I want two lead aprons, some common catheters, embolic catheters, contrast agents, embolic agents, medical supplies for interventional surgery, and a diesel generator," Zheng Ren said. "Huh?" Zhao Yunlong was stunned. Why did he need so many things in the middle of this mess? Zheng Ren saw Zhao Yunlong's expression and knew what he was going to say. Zheng Ren knew that he was not good at convincing others. He took half a step back and patted Su Yun's back with his right hand before pushing him to the front. F*ck, Su Yun cursed in his heart. It was always like this. Couldn't things be new for once? Besides, what did Zhao Yunlong's expression mean? Was he questioning the Boss' decision? In Su Yun's opinion, it was alright if he was the one questioning him but if it were others, they were considered his enemy. He had to nip all hostility in the bud. In an instant, Su Yun's fighting spirit burst out. Sure enough, under Su Yun's sharp tongue, Zhao Yunlong did not have the strength to fight back. He was very helpless. Just as he was about to use the satellite phone to contact the frontline command center, Zheng Ren suddenly said, "Chief Zhao, get the frontline command center to mobilize kidney physicians and dialysis machines all over the country. This is a big matter. Please make sure it happens to prevent any further mishaps from occurring." If an ordinary junior doctor had said this, Zhao Yunlong would have kicked him out long ago. He did not know anything so how could he just b.u.t.t into this stuff just like that?! Of course, the emergency department would focus on the surgery department and the whole country would send in kidney physicians. It all felt like bullsh*t? However, Zheng Ren had repeatedly emphasized this matter so he could not help but take it seriously. Zhao Yunlong knew how amazing Little Zheng was. In the beginning, he had met him at the Imperial Capital. In the past few months, Little Zheng had repeatedly made people gasp in admiration. A few hours ago, he had used local anesthesia to cut out the spleen and sew up the liver. This kind of unconventional operation made Zhao Yunlong even more amazed. It was common for trauma to cause acute kidney failure, but it was a little exaggerated to mention just how common it was. Although Zhao Yunlong had doubts, he still cautiously believed in him. He used a satellite phone to contact the frontline command headquarters and told the higher-ups what Zheng Ren had said. The rest was up to fate. As night fell, the rain gradually subsided. However, the fog in the mountains was getting thicker. He did not know if he would be able to see the sun tomorrow. Zheng Ren knew the idiom 'Sichuan dogs bark at the Sun'. It would be a rare sight for them to witness the sun in Sichuan's foggy weather. Even if he could not see the sun, Zheng Ren hoped that there would be slightly better weather. He did not want it to delay the arrival of the army troops and rescue helicopters. The people were busy but the aftershocks were still incessant. It was as if they were on a stormy ship, using all their strength to save the people on the leaky ship. .. .. Xie Ning took off his suit and wore a set of dusty-looking sportswear. He looked simple and neat as he led the convoy all the way to Chengdu. When the earthquake happened, he was in Shaanxi. The distance was close so he felt the strong aftershocks. He realized that something had happened and it was something big too! After understanding the situation, he immediately contacted his local acquaintances and hired a large convoy, almost emptying a Carrefour warehouse. The scale of the operation and the speed of their reaction were astonishing. After a long journey, the road into Sichuan was very bumpy. Especially at night, they did not dare to drive too fast. Along the way, Xie Ning saw several troops with ancient numbers traveling throughout the night and brushing past him. Every time he encountered such a situation, Xie Ning would instruct the convoy to pull over and make way for the troops. Using the sound of horns to salute each other, Xie Ning's heart grew heavier as he watched the glorious troops leave. The matter was definitely bigger than he had imagined. Xie Ning realized that. The 15th Army of the first airborne unit had moved out on the same day. Xie Ning could not help but attempt to interpret what that meant. However, when he saw the honor troops of various ancient titles enter the river with military precision, he raised the emergency situation once again. His reaction was really quick. Xie Ning leaned on the back of the front passenger seat of the truck and looked out of the window at the drizzling rain as he thought to himself. The troops that had just passed should be the Tiger Regiment stationed in Jinan based on their badges. It had not even been 24 hours since they had arrived from Shandong. How much pressure was there? He estimated that the long-distance raids during the war weren't even as intense as this. He felt his heart heavy as he asked, "Sir, do you have a cigarette you can spare?" "Yes." The driver of the truck smiled honestly and said, "They're cheap. A box of Yellow Fruit Trees costs five yuan. I'm just afraid that it might not be for your tastes." "Please give me one." Xie Ning had not smoked for many years. On such a night, his blood was boiling. It was as if he had returned to a time when he was building his business empire many years ago. The spicy tobacco lingered in the narrow carriage for a long time. It was only then that Xie Ning realized he had not opened the window. Once he did, a gust of cold air came in. He felt refreshed and much more energetic. "Boss, you recovered quickly!" the driver said with a smile. Xie Ning knew what he meant. He smiled and said, "Are we close?" "There are more than 20 trucks and each truck is pulling two sections. They are almost halfway from being overloaded. The brothers are all risking their lives," the driver said. "I just don't know if they will be detained when we enter the city." "I don't think so. Now that we are all in the disaster relief area, who would have the mind to care about the overloaded vehicles?" Xie Ning said. After chatting with the driver for a while, a row of first-aid emergency vehicles came up from the side ramp. Xie Ning narrowed his eyes. Through the curtain of rain, he saw that the license plate number of the first-aid emergency vehicles came from many places. They belonged to many small cities and hospitals in the Shaanxi Province. The vehicle pulled over and made way for the ambulance convoy. The driver honked his horn to give a signal. The entire long stretch of convoy vehicles rang out almost at the same time. The situation felt solemn. Several emergency vehicles belonging to different cities and counties were stunned for a moment before immediately realizing what the other party meant through their actions. They honked back and passed by, running in the same direction as they kept moving forward!
The Surgeon's Studio c1-799 Page 315
