They were all the on-duty personnel and surgical staff who had immediately been brought to the frontline from Huaxi's main department.
It was not an exaggeration to say that these doctors were the backbone of emergency treatment in Huaxi Hospital.
They were also like Zheng Ren in the operating theater. They had fought for a few days and nights, and they were all exhausted.
They should go and take a look. Doctor Zheng had told them that if they did not do it, it would not make sense even though Chief Jiang did not know what Zheng Ren wanted to do.
As he was thinking, Chief Jiang staggered.
When he walked on flat ground, his left foot tripped over his right foot and he almost fell.
F*ck! Chief Jiang cursed in his heart. He rubbed his face with all his strength to make himself feel more energetic.
If he could not perform the surgery, he could not do the errands anymore. It was simply unreasonable.
When he came to the operating theater outside the hospital, Chief Jiang saw Xie Ning holding a notebook. He was talking to a doctor who was wearing an isolation suit and a disposable blue sterile cap.
"Uncle Ning, you're here too." Chief Jiang recognized this volunteer very well by now.
He did not know how the other places were doing. In any case, under the premise that this volunteer was the head organizer of Pengxi Village Hospital, everything was in good order. Even though they were hit by a flood of injured people again and again, they were still standing.
This surgery was supposed to change their luck, and everything was in good order.
"Chief Jiang, why are you here?" Xie Ning tilted his head and asked gently with a smile.
No matter what time it was, the smile on his face was always like that of spring. It made people feel warm.
"Uncle Ning, Doctor Zheng asked me to find a high-level orthopedic doctor to discuss something," Chief Jiang said.
"What is it?" the doctor who was talking to Xie Ning asked.
"I think they want to intervene and remove the embolus. The orthopedics department will carry out the amputation surgery," Chief Jiang said.
"Huh?" The orthopedics doctor was stunned.
The cooperation between different departments was needed to carry out the amputation surgery after the intervention and removal of the embolus. The orthopedics department's surgery was not very difficult, but the difficulty of intervening and removing the embolus was quite high.
There were not many such surgical methods in Chengdu because there were so few patients who had been crushed by heavy objects for a long time. There was no need to carry out the embolus surgery.
However, this surgical method was of great use in the current situation.
The Doctor was curious and said, "It's my turn to rest after surgery. I'll go with you to take a look."
Chief Jiang wanted to ask how good his surgical skills were. But how could he ask such a question?
After thinking for a moment, Chief Jiang quickly gave up on this idea and nodded.
Xie Ning was also very interested. After he finished some handover matters with the orthopedist, he followed the two of them and walked toward the interventional surgery room.
"This is Sun Zhenxing from the Chengdu Provincial Hospital, Chief Jiang. This is Chief Jiang from the interventional surgery department of Pengxi Village Hospital." Although he was an outsider, Xie Ning knew the situation of the hospital like the back of his hand.
Without any false pleasantries, the three of them strode forward.
"Interventional surgery? What did you do?" Chief Sun asked as they walked.
"In the past two days, I've mainly performed interventional embolization for severe pelvic fractures," Chief Jiang replied.
Chief Sun nodded. This was the greatest use of interventional surgery in this emergency treatment.
As for severe pelvic fractures and continuous bleeding, surgical methods could not solve this problem. Only interventional surgery could.
"How many sets have you done?" Chief Sun asked casually.
"We sent 162 patients to the department. They should all be done," Xie Ning answered directly without care.
Speechless, Chief Sun paused in his footsteps.
Chapter 706 - Was This Type Of Surgery Meaningful
One hundred and sixty-two patients with severe pelvic fractures? If he had counted from the beginning until now, it was possible for him to have done at least five or six consecutive operations in the past three days.
However, there were very few interventional doctors. Who was the one doing the surgery here?
He fell silent. His numb limbs and brain could not support him thinking about other things. All his energy was used for the surgery, which seemed to come in endless waves.
When he came to the interventional surgery room, he saw the busy figures of the circulating nurses in the corridor. There were more than a dozen seriously injured people lying on the additional beds outside.
It could be seen that these seriously injured people were the kind of people whose limbs had been weighed down by heavy objects for a long time, leading to necrosis.
There was no other way for these injured people to be treated other than amputation. Chief Sun was silent. He always felt that he had let these injured people down.
Why weren't there be newer and more advanced medical methods that could preserve their limbs?!
He quickened his pace. As if he had done something shameful, Chief Sun walked straight into the operating theater.
"Where is he?" Chief Sun asked.
"He fell asleep while sitting inside," Chief Jiang said as he pointed at the operating theater.
"Why don't you go to the duty room and rest for a while?" Chief Sun frowned.
"Doctor Zheng fell asleep while we were talking."Chief Jiang sighed and suppressed his various emotions. "There are only two operating theaters in total. The other one is for Doctor Zheng's assistant and Professor Mu, who just rushed back from Mayo Clinic in the United States. Doctor Zheng is the only one in this operating theater."
It was enough for him to say that.
Chief Sun was a little surprised but he did not have any energy to feel anything else. Everyone was the same. Everyone had reached their limits but were still struggling.
However, there seemed to be something wrong. Chief Sun's head was a little dizzy and he did not notice these details.
Chief Jiang opened the airtight lead door of the operating theater and the three of them walked in.
Zheng Ren's head was tilted. He was wearing a blue disposable sterile surgical gown and was sleeping soundly.
Xie Ning's gaze was a little complicated. He looked at Zheng Ren with a focused gaze.
"Doctor Zheng, Doctor Zheng?" Chief Jiang called out softly.
Although he could not bear to, he had to wake him up for the patients who needed to be amputated. No matter how unwilling he was, he had to wake him up.
"The orthopedist is here? Are they willing to cooperate with the intervention?" Zheng Ren's snoring immediately disappeared, and his ethereal voice sounded as if he was talking in his sleep.
Chief Jiang did not say anything. He glanced at Chief Sun.
"Yes, I have." Chief Sun nodded.
Zheng Ren opened his eyes and saw three people in front of him. He smiled.
The smile touched the bruise on his face. He felt a burst of pain and seemed to have become more energetic.
"How long have I been asleep?" Zheng Ren asked.
"About ten minutes."
"Oh, that's enough."Zheng Ren immediately stood up from the ground, tore off the disposable sterile clothes, and threw them into the medical waste bin. "Let's start doing it now. This is..."
"This is Chief Sun from the Orthopedics Department," Chief Jiang introduced.
"Chief Sun, you can watch from the operating room. After I'm done, we can discuss if there are any problems." Zheng Ren's tone was very calm, but there was a sense of refusal.
Was this
an order from a senior doctor?
Chief Sun was very familiar with this kind of polite but condescending tone.
If it was Chengdu Provincial Hospital, the only people who could talk to him like this were the Chief of the Department of Intervention and a retired old professor.
After all, they were not in the same department so they had to be a little more polite to each other. Although they were polite, the aura of a senior doctor did not change.
This person...looked very young. Where did this confidence come from? Moreover... Chief Sun felt a little strange but could not tell what was wrong.
He did not refute but nodded. He helped to carry the wounded to the operating theater and then left the operating theater.
"Chief Jiang, can he do it alone?" Chief Sun asked when he saw Zheng Ren standing alone in the operating theater, looking so helpless.
"He can do it alone... Faster than the two people next door," Chief Jiang said with a smile.
At this moment, Chief Sun realized what was wrong in that instant.
"Chief Jiang, I saw that Doctor Zheng's face is bruised. What happened?" Chief Sun asked.
"He and his assistant came down from the frontline," Chief Jiang said. "They've been here for a day and a half but haven't taken a break."
Chief Jiang was concerned that Zheng Ren hadn't taken a break while Chief Sun shivered.
A day and a half? He had performed more than a hundred interventional embolization surgeries for pelvic fractures?
No, he must have thought wrong. No one would operate so quickly. There must be something wrong...
"Yes, Zheng Ren and Su Yun arrived at Pengxi Village Hospital yesterday afternoon. So far, they've performed 36 hours of surgery and completed the interventional embolization surgery for pelvic fractures... Together with Professor Mu, they've completed 162 surgeries," Xie Ning said with the data he had right beside him.
Not sleeping for 36 hours was still a small matter.
But they had performed 162 surgeries?
Chief Sun was surprised and frowned.
If it were any other time, Chief Sun would definitely think that this was fake data and the person who did the data did not understand medical treatment at all.
How long did an average surgery take? Wasn't this just bullsh*t?
But now was the time for emergency treatment. Uncle Ning was not the kind of person who talked nonsense and did not know what to say.
Chief Sun stood in front of the operating table in confusion, ready to watch Zheng Ren's surgery.
This patient had a fracture on his tibia and fibula. He had been weighed down by a heavy object for a long time and his leg was already dead. Above the knee joint, the edema spread to half of his t.h.i.g.h.
The patient's t.h.i.g.h was swollen like a steamed bun. If he was in the operating theater, he could only amputate his leg below the hip joint.
This was because even if the skin around the edema was sutured, it would not be able to heal due to the lack of blood supply. Even if they managed to suture it, it would still end up in necrosis. They would still need to perform a second-stage surgery.
What was he going to do? Chief Sun focused his attention and looked through the lead-lined glass at Zheng Ren inside. Zheng Ren was disinfecting. He wore a sterile surgical gown and laid out a sheet. He stood on the right side of the patient and began the surgery.
"Chief Sun, will Doctor Zheng be of any help to your surgery after you remove the embolus?" Chief Jiang asked.
Although he was involved in circulatory interventional surgery and would occasionally remove the embolus, Chief Jiang did not know much about the surgical method of removing the embolus from four limbs, not to mention what the orthopedics department would do after removing the embolus.
"Yes, he would. Usually, we can cut off one segment of the limb. The exact length will depend on the level of the interventional surgery and the orthopedics surgeon," Chief Sun said.
"In your opinion, if it were any other time, where would the injured person's limb have to be amputated?" Chief Jiang asked.
"The knee joint will definitely not be preserved. We can only preserve a part of the t.h.i.g.h. It'll be more convenient for the injured person to walk on prosthetic limbs after the surgery." Chief Sun was confident and quickly made his judgment clear.
If that was the case, it would not mean much.
However, since Doctor Zheng insisted on doing it, he could not do much and they could just watch. Chief Sun did not mind.
Although it was not as meaningful, it was still something to be done.
Xie Ning stood by the side and was silent. He stared at Zheng Ren who was behind the lead-lined glass.
The circulating nurse walked out, closed the air-tight lead door, and the surgery began.
Chapter 707 - You're Not Good Enough
"Chief Sun, for similar surgeries, the purpose of the intervention is to open up the blood vessels. Is there any other use?" Xie Ning asked.
"Uncle Ning, it's already very impressive that you can open up the blood vessels, especially for this kind of critical and external injury thrombus. Wherever it is opened up, the limb... Up to five to ten centimeters of the limb can be preserved," Chief Sun explained. "However, the operation to remove the thrombus through intervention is very difficult. For a thrombus that lasts for more than six hours, removing it is especially difficult. I don't really understand the specifics since I don't do interventional surgery."
Xie Ning nodded and did not say anything. He looked at Zheng Ren in the operating room as he began the operation. He was deep in thought.
Soon, the screen in the operating room lit up.
The guide wire extended along the femoral artery but did not go far. The catheter was also in place. The moment the screen lit up, the angiogram had already begun.
The contrast agent did not go far before it was blocked. The blood vessels below one-third of the injured person's t.h.i.g.h were severely occluded and blank. This meant that blood clots were continuously forming and had spread from below the knee joint to one-third of the t.h.i.g.h.
Ischemia, oozing, and edema caused the injured person's limb condition to continue to deteriorate.
In the past two days, there were too many similar injuries. Chief Sun was already numb.
If he had invested even a little emotion, the doctors would have already broken down emotionally and more people would not be able to get treatment.
Right now, all the doctors were only focused on the patient's condition and did not think about anything else.
To be able to come down from the front alive was already a blessing in disguise.
On the screen, the surgeon did not stop stepping on the line after the angiogram was completed. Instead, he took out a normal catheter, took out the embolic catheter, and immediately went in.
When it came to the key point of the surgery, Chief Sun knew.
The embolic formation had already been at least six hours, or even 36 to 72 hours. It was not considered a fresh blood clot and was extremely difficult to take it out.
However, since the practitioner insisted on doing it, he should be able to remove a section of the embolus. Chief Sun was confident.
Under the current situation, people who were not at the same level would definitely not dare to waste time trying again and again. The mountain of injured people outside was a huge pressure in itself.
Under such circ.u.mstances, it was not the time to show off. Doing what he could was key to the situation.
"Eh? Uncle Ning? Aren't you busy on your end? How come you have time to come over?" Su Yun's voice came from the door of the operating room.
"Su Yun, I'm here to take a look at the situation on this side. I know what I'm doing. Are you alright over there?" Xie Ning smiled and said, "Your surgery was done very quickly."
"It's the boss's surgery that was done quickly. It has nothing to do with me." Su Yun said, "Mu Tao can only complete one in forty minutes. It's as slow as an ox pulling a cart."
When Su Yun talked about Mu Tao, he did not feel any pressure at all. It was as if it had nothing to do with him at all.
Uh... Chief Sun was stunned.
Interventional surgery for a severe pelvic fracture in forty minutes? He was already so fast that he practically 'flying', right?
How did he become so slow that he was pulling a cart with an ox?
He tilted his head and glanced at the person who walked in. It was a handsome young man.
He was really arrogant. Did all young people nowadays talk like that? When it came to emergency treatment, were they not serious at all?
Perhaps, this was the style of operating? It was possible. In the operating theater of every hospital, the atmosphere of chatting was different. In short, the simpler and easier it was, the better. But what kind of doctor was this? Why was he so indecent?
"He's pretty good," Xie Ning said with a smile.
"Chief Jiang, what is the boss doing?" Su Yun asked.
"Thrombectomy," Chief Jiang answered.
"Oh, has he slept for a while?" Su Yun asked.
"He just slept for about ten minutes."
"He should just go on. Sooner or later, he will tire himself to death," Su Yun scolded.
The few people standing in front of the operating table felt gloomy. They had been busy with the surgery for at least thirty-six hours. Su Yun was telling the truth when he was transporting the seriously injured people across the mountains.
But what could they do?
There were still more than ten seriously injured people waiting to be amputated outside. If the embolectomy was successful, it meant that the limb would be preserved for as long as possible.
Chief Sun was stunned for a moment and sighed in his heart. When he looked back at the screen, he was surprised to find that the embolectomy catheter was no longer in the femoral artery.
Was it a mistake in the operation? It had to be.
It was inevitable for him to make mistakes when he was so sleepy. It was not a big deal.
But...the image seemed to be different.
He looked carefully and found that a part of the femoral artery in his t.h.i.g.h seemed to have opened up. The remaining contrast agent was spreading at a visible speed in the capillary branches next to it.
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