This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 158 Unexpected Emergency
"What does my dad want with you?" Mu Nanshu asked softly as Lu Cheng hung up the phone and walked into the kitchen.

"It's nothing. He just told me he'll be back soon and asked my dad to prepare some good wine to entertain him," Lu Cheng said.

Upon hearing this, Mu Nanshu was startled: "Could it be that my dad and your parents talked about something in private? Are they pressuring you to get married?"

As an adult, Mu Nanshu knew that once the two families' elders got together, matters such as engagement, marriage, and even having children might become beyond their control.

Lu Cheng didn't explain Mu Nanshu's misunderstanding. He just looked at Mu Nanshu and shook his head innocently: "Then I don't know either."

Mu Nanshu quickly said, "Actually, it's not impossible, but we can't rush it."

"My parents are coming back later, I'll ask them properly then."

Lu Cheng started washing his hands: "Okay, I'll start chopping the vegetables now, you can start cooking..."

"it is good."

……

Two and a half hours later, Lu Cheng and Mu Nanshu were using Mu Nanshu's computer.

Mu Nanshu carefully explained to Lu Cheng the function of each part and how to describe it, comparing it with her own bid template.

"Welcome home!" the smart lock suddenly announced.

Mu Nanshu and Lu Cheng were sitting in normal postures, so they got up normally.

"Dad, Mom, Grandpa." Mu Nanshu hurried to the door and then took Grandpa Mu's hand.

"Hey, Xiao Shu..." Grandpa Mu was a chubby little man, not very tall, and his wrinkles were deep from smiling.

"Uncle, Aunt, Grandpa Mu." Lu Cheng also recognized Mu Leng, Aunt Yan, and Mu Daban, so he greeted them respectfully.

Aunt Yan and Grandpa Mu both called out, "Xiao Lu, please sit down..."

As Mu Leng and the others were changing into slippers, Mu Leng's phone suddenly rang.

Yan Sangyue glanced at the desk where Mu Nanshu had placed her computer and there wasn't even a glass of water. She then scolded, "Xiaoshu, you're really something. You didn't even give Xiaolu a glass of water. You're so inconsiderate."

Mu Nanshu replied, "Where would he be? He has hands and feet. Can't he pour it himself?"

"You child, guests are guests." Yan Sangyue quickly asked Lu Cheng, "Little Lu, Auntie will go cut some fruit for you."

"Grandpa, would you like some tea? Or how about trying some coffee? Drinking both tea and coffee is good for your health," Mu Nanshu recommended to her grandfather...

Mu Leng held his shoes in his left hand and his phone in his right, his tone suddenly turning serious: "Huh? Drunk driving? Car accident, and the person ran away?"

"Regardless of whether he escaped or not, how badly was Lao Ying injured?"

Seeing that Mu Leng's tone was becoming increasingly serious, Lu Cheng and the others turned their heads to look at him.

"Is it too late to transfer to a state hospital? The technical level at the People's Hospital is just average..."

"Is it in the emergency room? Okay, I just got back to Longxian County. I'll make a call first and then come over to check on the situation..."

"Xiao Lu, I need to go to the hospital. An old friend of mine is injured." Mu Leng knew that Lu Cheng was a doctor at the People's Hospital, but in his eyes, Lu Cheng was just a junior and a guest in his home, so he did not invite Lu Cheng to come along.

“Uncle, I’ll come with you too. Maybe we can look out for each other.” Lu Cheng thought for a moment and replied.

Yan Sangyue also said, "Yes, let's make sure Xiao Lu gets better too."

"who is it?"

“Old Wei, Wei Ying,” Mu Leng replied.

There aren't many people that Mu Leng cares about so much. Wei Ying is one of them, and the other should be the Lu Nan family.

"Xiaoyue, Xiaoshu, you two stay home with Dad. I don't know when I'll be back." Mu Leng put his shoes back on.

……

In the passenger seat, Mu Leng searched for his contacts while saying, "Xiao Lu, your father actually knows the person who was injured today."

"It's Lao Wei, whom we met when we did business together. Later, he opened a glass factory in Long County. Business was good a few years ago, but now it's much quieter because of the bad economic climate."

"Uncle Wei Ying?" When Mu Leng mentioned it, Lu Cheng remembered that he had eaten at Wei Ying's house when he was in high school.

However, the relationship between Lu Nan's family and Wei Ying's camp was not very good; they only visited each other occasionally during holidays.

Unlike Mu Leng, who would come to Lu Nan's house almost anytime after arriving in Long County.

“Yes, it’s him.” Mu Leng nodded.

"What was he doing, cycling? He got caught drunk driving, and the driver fled the scene..."

After Mu Leng finished speaking, he added, "Hey, Dean Zeng, it's me. It's like this, a friend of mine is injured and is in the emergency room."

"Could you please arrange a few skilled people for me? ... Oh, thank you so much, Dean Zeng... "

"Yes, he's my brother."

……

When Mu Leng and Lu Cheng arrived at the hospital, the patient had already been taken to the emergency room. Du Daihua, who was on duty in the emergency room, was talking to the family: "The situation is very serious. There is massive intra-abdominal bleeding."

"This is extremely dangerous. The specifics are still unclear, but given the current situation, we must immediately perform exploratory laparotomy. We cannot delay any longer..."

The only family member who came was a woman in her fifties, who panicked instantly upon hearing the news: "Then we need to start the surgery right away!"

"You'd better call the police again," Du Daihua advised.

"You should save them first. We can talk about calling the police later," Mu Leng stepped forward and answered immediately!

At that moment, Lu Cheng immediately squeezed into the patient's side in the emergency room.

At a glance, it's clear this is a non-open abdominal contusion, with multiple abrasions on the arms and thighs. The patient's blood pressure is low, and blood oxygen saturation is only around 90%, a typical frog-like abdomen...

Although Lu Cheng was dressed in civilian clothes, everyone in the emergency department recognized him: "Dr. Lu, what's wrong?"

"Get him to the emergency operating room immediately. Call the ultrasound department and have him undergo a bedside color Doppler ultrasound."

Lu Cheng then turned to Tian Duoduo and said, "Tian Duoduo, call Professor Chen Song and ask him to come over. I'll give him some temporary bandaging to stop the bleeding..."

"This is my uncle." After Lu Cheng finished speaking, he quickly opened the wound cleaning kit, put on sterile gloves, and began to bandage Wei Ying's scratches.

After Lu Cheng reported the patient's identity, Tian Duoduo and the others took their places.

Wei Ying hadn't completely fainted yet, and he recognized Lu Cheng: "Little Lu..."

"Don't speak, Uncle... it's me." Lu Cheng reassured him. Although he wasn't wearing a white coat, he could still practice his profession without one at this time.

Zeng Huanqi shouted, "Someone help push me off the bed! Call the operating room, start anesthesia and abdominal surgery immediately!"

Lu Cheng said he was his uncle, so their relationship must be quite close.

After Wei Ying left, Mu Leng and Wei Ying's wife were still hesitating and wavering, while Du Daihua said, "You're quite lucky. Dr. Lu was supposed to be off today."

“But he rushed back, so there’s a greater chance of getting him back. More importantly, he can call Professor Chen Song to work overtime.”

"In our department, only Dr. Lu and Director Lin dare to call Professor Chen and ask him to work overtime."

"Ding Guoqin, the director of general surgery, also came to see the patient before and said that the condition was very serious and suggested that he be transferred to another hospital as soon as possible."

Wei Ying's wife, He Shanshan, also knew Lu Cheng. She asked suspiciously, "Little Lu?"

Du Daihua was puzzled.

He Shanshan quickly changed her tune: "Is Dr. Lu Cheng's technique very good?"

Du Daihua said, "That depends on how you compare them. In our hospital, Dr. Lu's skills are very high, but if you compare him to Professor Chen Song of Xiangya No. 2 Hospital, then he is relatively inferior."

"Don't hesitate, sign it now. Don't waste any more time."

He Shanshan glanced at Mu Leng, who then said, "Sister-in-law, let's sign the papers first!"

"Then I'll leave it to you." He Shanshan held out her hands in a somewhat anxious manner, making a pleading gesture, before finally signing her name.

Only after this was over did He Shanshan think of calling the police again.

Compared to capturing the criminals, it's clearly more important for Wei Ying to survive first...

Seeing He Shanshan quiet down, looking several years older, Mu Leng comforted her, "Sister-in-law, don't worry. Xiao Lu has always been a good kid; he should be able to save Lao Wei..."

He Shanshan turned her head and said apologetically, "Brother Mu, I'm sorry, Lao Wei and I's child aren't with us, so I can only ask you for help right away."

Mu Leng said, "Yes, I asked when I came here. The doctors at the county hospital said that Professor Chen in the emergency department is a professor in the emergency department of Xiangya No. 2 Hospital, and his skills are excellent..."

"As Dean Zeng said, it's not certain we can get Professor Chen to come..."

He Shanshan quickly said, "Dr. Du just said that Lu Cheng can invite Professor Chen over."

Mu Leng narrowed his eyes and slowly nodded.

……

In the operating room, after the disinfection and draping were completed, the anesthesia machine kept beeping.

Zeng Huanqi asked hesitantly, "Xiao Lu, should we wait for Professor Chen?"

Lu Cheng said, "We can't wait any longer; the patient's blood pressure is only around 80 now."

"Judging by the time, Professor Chen should be arriving soon."

"Start the surgery timer. We'll open the abdomen first, and Professor Chen Song will take over when he arrives," Lu Cheng called out to the circulating nurse.

The circulating nurse pressed the timer button: "Surgery officially begins at 8:23:42 PM." "Call the orthopedic surgeon again and ask when they'll arrive," Lu Cheng said as he made an incision in the abdominal skin with a scalpel.

On Lu Cheng's opposite side, Zeng Huanqi immediately used a sterile cotton pad to clean the patient's abdomen.

"I asked, and the orthopedic doctor on duty said he'd be here soon, he should be arriving shortly," the circulating nurse said.

Emergency surgery, invited by the emergency department, no one on duty in the orthopedics department dares to refuse to participate.

Lu Cheng's technique was smooth and skillful, which made Zeng Huanqi even more astonished: "Little Lu, your skills have improved a lot in just half a month!"

After Lu Cheng returned, he worked with Zeng Huanqi for the first time.

Lu Chengdao: "Attractor."

"Electrical knife, adjust the current."

Before completing the abdominal surgery, Lu Cheng immediately upgraded his hemostasis skill to the Mastery level (20/20)!
Lu Cheng's skill points balance decreased by five points, leaving him with only twenty-one.

To save the life of a patient with internal abdominal bleeding, hemostasis is the primary treatment.

This patient must have suffered a liver rupture, spleen contusion, pancreatic contusion, or similar conditions.

Otherwise, there wouldn't be much bleeding inside the abdomen.

After all, it was a non-open internal abdominal injury, a blunt force trauma injury.

After Lu Cheng deftly opened the abdomen, he saw a large amount of blood gushing out, some of which had congealed into dark red clumps.

The entire area was covered in red, making it difficult to even discern the specific anatomical structures.

"Examine the spleen first!" Lu Cheng said after glancing at the situation.

Zeng Huanqi nodded and tried his best to help open the abdomen with the retractor.

Just then, another pair of hands appeared, none other than Han Xiaoping: "Brother Lu, let me handle this hook-up. Dai Hua called to say your uncle is injured."

Lu Cheng loosened his grip but didn't answer: "The hook can be pulled a little higher—"

After putting down the retractor, Lu Cheng picked up a pair of hemostatic forceps and tried hard to recall Professor Chen Song's memories of blind-view instrument hemostasis techniques.

According to Professor Chen Song, once the level of hemostasis reaches a certain level, the bleeding in the pool of blood in the abdomen can be roughly determined by the specific turbulence of the blood, which artery is bleeding.

This requires a certain level of somatosensory ability, spatial awareness, and a very thorough understanding of anatomical spatial reconstruction.

Lu Cheng didn't know if he could do it, but he could only try his best to make the most of the time.

Whether or not the abdomen is opened will not significantly affect the amount of bleeding, because this is not a pelvic hematoma, and opening it prematurely would suddenly increase the amount of bleeding.

I can't feel it!

Lu Cheng's mind raced.

Physical Examination (Specialization 20/20) (Skill Points -16)

Emergency Medicine (Specialization 5/20) (Skill Points -5)

It was still like two streams of clear water separating, one flowing into the brain, the other returning to the hand.

After the heat returned to his hand, Lu Cheng found that his sense of touch was more sensitive than before. It was as if, with his attention, his fingertips and palms had grown eyes, and he could roughly tell which direction the turbulence would be more intense.

In an instant, Lu Cheng's left hand followed the turbulent flow to the opening of the blood vessel, and then moved about three centimeters closer to the abdominal aorta before pinching the blood vessel.

Immediately afterwards, Lu Cheng precisely moved the hemostat in his right hand to the side of his left hand and snapped it shut with a click.

When I reached out with my left hand again, the blood flow stopped.

This indicates that the bleeding has been effectively stopped.

This should be the splenic artery.

There's another artery behind it!
At this moment, Lu Cheng felt as if he were digging for eels. His fingers were exceptionally nimble, able to swim around the eel's hole with extraordinary freedom.

Lu Cheng quickly sensed the rupture in the artery, but due to the spatial structure, he couldn't accurately name its scientific name.

Regardless of all that, let's clamp the wound to stop the bleeding!

“The blood level is dropping.” Zeng Huanqi’s eyes widened in surprise.

This means that Lu Cheng's hemostasis was effective.

In other words, Lu Cheng just reached in and found the bleeding point?

What the hell is this?!
Professor Chen Song doesn't seem to have ever done it this way.
"Hmm, I'll explore the other side."

"Brother Zeng, let's switch seats," Lu Cheng instructed.

Upon hearing this, Zeng Huanqi loosened his grip.

Just then, the automatic sensor-operated airtight door of the operating room was stepped on and opened. He entered and said, "Xiao Lu, what's the specific situation with your uncle? I've had a few drinks."

I've been drinking, so it's inconvenient for me to go on stage.

Unless the situation is extremely urgent.

"It's hard to say for sure yet. It's a blunt abdominal impact injury, and the preliminary assessment indicates spleen contusion and liver contusion," Lu Cheng said.

"Then I'll go get something to sober me up. I only had a few beers today," Chen Song said hurriedly.

However, Chen Song then saw Lu Cheng inserting a hemostat into the patient's abdomen with one hand.

Chen Song immediately froze in his tracks. He had already taken a step, but his foot stopped in mid-air, and then he twisted in another direction.

He assumed an awkward, back-squatting horse stance to regain his balance, then stood up and looked in Lu Cheng's direction.

The more he looked, the more his pupils constricted.

It was as if it wasn't Lu Cheng's uncle who was about to faint, but rather Lu Cheng's teacher, Chen Song...

Chen Song had, of course, explained to Lu Cheng what advanced hemostasis techniques were and what level they could achieve.

But let's be reasonable!

That was Chen Song explaining the technical aspects to Lu Cheng, not a performance for Lu Cheng, right?

How could Lu Cheng have gone this far?

Many general surgery professors cannot do this because they cannot explain how they do it, and therefore cannot teach or pass it on.

When asked, people who know this technology all say it's haptic feedback.

Absolute talent?

After delivering three more pairs of hemostatic forceps with a snap, Lu Cheng removed both hands: "The initial, visible hemostasis is done."

"Spleen contusion, grade 4 injury."

"Liver contusion, initially assessed as AAST3."

"The pancreas is fine, and the intestines are normal."

"There is severe blood stasis in the abdomen, and there may be a fracture in the ribs."

"Has the bedside ultrasound arrived? Let's check the heart..." After Lu Cheng finished doing these things, he quickly reported to Chen Song and then asked the circulating nurse.

The ultrasound doctor had already prepared for the cardiac ultrasound. She was bent over under the surgical order, and all that could be heard was her voice: "While you're doing the procedure, I'm still waiting."

"You've finished stopping the bleeding, right? Then I'll begin."

“That’s enough, teacher.” Lu Cheng nodded, then looked at Chen Song: “Teacher Chen, you have to go up on stage.”

Chen Song had a million "MMPs" and a million "whys" running through his mind, but he also knew this wasn't the time to ask.

But that's precisely why he felt even worse.

Why can't we ask? This is so frustrating, it's suffocating! Where did Lu Cheng learn this hemostasis technique?

……

"Okay, I'll go on stage!"

"But let's get this straight, you damn well can't report me." Chen Song looked at Lu Cheng warily, his tone joking.

Lu Cheng said, "Teacher Chen, if I were to be so ungrateful, or if the patient's family found out that you had been drinking, I'd cut my head off for you."

Wei Ying has already been anesthetized and is definitely unaware of the situation.

Wei Ying's family members were familiar with Lu Cheng, so if someone tipped them off, it would be Lu Cheng.

Only then did Chen Song feel relieved enough to put on his sterile surgical gown. Fully equipped, Chen Song approached the operating table again, carefully opened the patient's abdomen, and saw the hemostatic forceps that Lu Cheng quickly inserted into the abdominal cavity to clamp the blood vessels.

Of course, Chen Song could also see the previous blood plane through the blood residue.

Lu Cheng was definitely performing the hemostasis technique blindly without any visual guidance.

Chen Song glanced at Lu Cheng: "You...you...you're a freak, you're being unreasonable."

Lu Cheng understood what Chen Song meant. Chen Song explained that this kind of blind hemostasis technique cannot be learned; it is an innate talent.

Generally speaking, if you know how, you know how; if you don't, there's no use in practicing. There's currently no one who can teach blind hemostasis techniques.

Lu Cheng smiled calmly but did not reply.

(End of this chapter)