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

Chapter 230 I thought about it, but I didn't succeed!

With phone communication in place, exchanging WeChat contacts became a natural next step.

After Lu Cheng sent the video, all that was left was to wait for Professor Lu to watch the corresponding operation video and then reply.

January 17th, the seventh day of the twelfth lunar month. A cold wind rose at night, and the lights outside the window were cold.

Mu Nanshu and Lu Cheng had already sat down at the fire table, which was a standard long, heated fire table placed in the study!
Mu Nanshu, who was also taking a break, asked, "Who did you call?"

“A teacher from Kyoto, recommended by someone else, said he might be able to help me get some surgical privileges in advance, so I thought I'd give it a try.”

“I don’t have the authority to perform surgery right now; it would be too much of a hindrance when I’m on duty.” Lu Cheng put down his phone.

Mu Nanshu asked, "Don't you like this slightly more leisurely life now?"

Lu Cheng said, "I'm far from being able to relax. I still need to get more involved in clinical practice to have room for growth."

shhhhh!

As Lu Cheng was speaking, Professor Lu's reply arrived.

“I have watched all the videos you sent, but I still cannot support your suggestion.”

“Unless you’re willing to come to Kyoto and join my team, I’ll cover for you.” Professor Lu’s tone was cautious.

“New techniques are not so easy to implement. There are still many things worth exploring in the materials you sent me.”

Upon hearing this, Lu Cheng felt a little regretful: "Thank you, Teacher Lu, I'm sorry to have bothered you."

Lu Cheng's reply came quickly: "You're rejecting me so readily? Aren't you going to consider joining my team?"

Lu Cheng replied, "Professor Lu, my current situation is rather awkward. I still need to prepare more for many organizations, and I need even more time to prepare for your organization."

"I'm sorry to bother you."

Professor Lu persisted: "What's your situation?"

"Undergraduate degree," Lu Cheng replied.

Professor Lu remained silent for a long time without replying. Mu Nanshu poured Lu Cheng a cup of tea and then sat down again, saying, "I guess your words scared Professor Lu as well."

The wait lasted for a full ten minutes: "Are you kidding me? You should at least have a solid reason for refusing someone."

Lu Cheng said, "Professor Lu, if it weren't for this, I would have already entered my ideal institution to carry out my research project, and I wouldn't have to worry about the surgical authorization issue, right?"

Professor Lu thought Lu Cheng was bargaining with him: "You state your conditions yourself. Whatever conditions others have given you, I can go even higher."

Lu Cheng said, "Teacher Lu, this is not a time for bargaining. I'm really sorry to bother you so late."

Professor Lu said, "Both conducting research projects and performing empowerment surgeries require responsibility, not only for yourself but also for the patients."

"No one will supervise or protect you; no one, no matter who, will dare to easily delegate authority to you."

Lu Cheng certainly knew these things.

The reason why Lu Cheng has not yet received routine authorization for the new surgical procedure is because he is still at Xiangzhou People's Hospital, and the professor who can apply for authorization for him is not there.

Of course, these professors couldn't possibly come all the way to support Lu Cheng just because he was going to do these research projects; they were too busy with their own things to handle.

Next, Lu Cheng chatted with Professor Lu for a while before finally putting aside the topic of whether or not to go to Kyoto to find Professor Lu.

Of course, the outcome of Lu Cheng's final refusal was that Professor Lu would not grant Lu Cheng surgical authority, and Lu Cheng could only endure and wait on his own.

Although he failed, Lu Cheng was not discouraged or disappointed.

One's abilities are not affected by whether or not prior authorization has been obtained. Having surplus resources at home brings peace of mind.

Lu Cheng is still at an age where he can afford to wait; in the medical field, he is at most a fledgling.

After Lu Cheng finished talking, Mu Nanshu secretly smiled and said, "I know you're in a hurry right now, but I suggest you don't rush, because we already have a very good foundation."

"I have already prepared the research proposal for the National Youth Team. I will be able to get more research funding in the future. Our research is also progressing in an orderly manner."

"After Zhang joined the team, the current animal model of spleen injury is getting closer and closer to clinical practice. It is expected that Professor Tong will receive good feedback on the model in about a month."

"Spleen-preserving techniques can be practiced on a large scale in the laboratory."

Lu Cheng nodded: "Okay."

Lu Cheng also knew that his career path had reached a turning point, a turning point where he needed to stop and move forward without making any further substantial progress.

This is different from the tendon suturing I used to do; tendon suturing is an optimization of the original technique.

New techniques, after all, are things that outsiders might find unreliable, and they haven't appeared in clinical practice yet, so you can't be too cautious about whether to apply them in clinical practice.

Anyone can propose research and development, but granting authorization simply for every proposal is tantamount to human experimentation.

Medicine does not allow any form of 'unofficial' human experimentation; this is to protect patients and their families.

The procedure must be followed in this way.

……

It was 11:20 p.m.

Lu Cheng thought he could finally get some rest, but unexpectedly he received a call from Xiao Zhaoxi.

By the time Lu Cheng changed out of his pajamas and hurriedly drove to the emergency room, it was already 11:40.

"Brother Liang, where is Director Xiao?" When Lu Cheng arrived at the doctor's office, only Liang Jianhong, who was on the night shift in the ward, was typing rapidly on the keyboard.

"Director Xiao is already in the operating room. You should go directly to the emergency operating room. You'll find out which one you need when you get there," Liang Jianhong said.

Lu Cheng asked, "Are there many patients?"

"There were only three, not many. All the specialists came, but the situation was extremely critical."

"Director Xiao considered that your hemostasis skills were quite good, so he thought it would be helpful for you to help out as well." As Liang Jianhong spoke, the printed medical records and interview documents came out.

"I'll talk to you later, I'm going to have a meeting and sign some documents." Liang Jianhong picked up the documents and left in a hurry.

Lu Cheng rushed to the emergency operating room.

In the emergency operating room, the central air conditioning dispelled all the chill, so even in short-sleeved scrubs, one didn't feel cold.

The operating room, which should have been dark and gloomy, was brightly lit, with many nurses and anesthesiologists going in and out, and workers responsible for transporting supplies constantly moving back and forth.

The sound was very chaotic.

Lu Cheng walked quickly forward and finally heard Xiao Zhaoxi's voice in the emergency operating room: "Hurry up, hurry up."

Upon hearing the voice, Lu Cheng immediately turned around and entered: "Director Xiao, this is Lu Cheng."

Xiao Zhaoxi didn't even look up: "Go and help out in room 6."

"Don't ask me what happened, I don't know either."

Lu Cheng didn't dwell on it. Everyone was too busy to look at him, and he didn't have time to appreciate other people's expressions either.

After washing his hands at the sink outside the six operating rooms, Lu Cheng directly stepped on the foot-operated automatic sensor door to open the operating room.

After entering the room, I immediately started getting dressed.

Lu Cheng was wearing scrubs when he entered the room to change into surgical gowns, so the surgeons on the operating table only glanced at him before looking away and starting to work on the surgery itself.

"Move a little to the left... Is the blood coming yet..." A cold, middle-aged man urged.

The circulating nurse said, "The blood bank doesn't have enough blood on hand, we need to get more."

"Why is the blood bank never enough? Damn it."

"Did they eat all the blood that so many people donated?" the middle-aged man, presumably the chief physician, shouted.

"Your blood pressure is very low. Is the bleeding stopped?" the anesthesiologist urged as usual.

In cases of active arterial bleeding, all his efforts are in vain if he cannot stop the bleeding.

Even if it's just a small artery that keeps bleeding, the patient will inevitably die.

"It's in progress!" Wu Xiang said as he worked, noticing Lu Cheng approaching the operating table.

Wu Xiang glanced at someone he didn't recognize before asking, "Who are you?"

“Lu Cheng from the emergency department, Director Xiao asked me to come and help,” Lu Cheng replied.

Because it was an emergency at night, there were only two people on the operating table, and an assistant was indeed needed.

"You make a pinky promise first," Wu Xiang said.

Lu Cheng is definitely a doctor from this hospital, so it's good to have another person to help.

The assistant, who was originally holding the hook in one hand and the suction device in the other, was now left with his hands empty.

Lu Cheng then took the opportunity to gain access to the surgical field.

It was an open wound to his lower left abdomen; his groin area was badly mangled from the impact. Blood, bone fragments, and bits of flesh were mixed together.

At this moment, Director Wu had opened the groin and even reached the pelvic cavity, but there was still a hematoma bubbling out inside the pelvic cavity.

“It’s not just bleeding from the femoral artery and its branches. It’s a pelvic hematoma.” Lu Cheng’s voice trembled slightly.

Wu Xiang said irritably, "If it were a femoral artery problem, it would have dried up in the emergency room. Don't say anything!"

Lu Cheng didn't speak, but he freed one hand.

It's unclear whether Director Wu Xiang was too anxious or the patient's condition was too critical, but they didn't have time to treat the inferior epigastric artery, a branch of the femoral artery.

Lu Cheng took out a pair of hemostats instead of his own, and carefully drilled through the skin and soft tissue to clamp the entrance of the inferior epigastric artery branch, thus stopping the local bleeding.

But stopping this bleeding is completely meaningless for the patient's current condition.

The inferior epigastric artery is simply a branch of the patient's arterial branches.

Although it was a drop in the ocean and did little to help, it did prompt Wu Xiang to give Lu Cheng another look.

Lu Cheng didn't reply, only knowing that his actions hadn't affected the surgeon, nor would they cause any harm to the patient.

Afterwards, Lu Cheng continued reading the surgical field.

Although Director Wu was stern, he was very meticulous and patient during the surgery. He kept searching for the bleeding points, but the bleeding was quite rapid, and the blood pressure in the tissues could not be reduced.

Therefore, Wu Xiang had not yet been able to effectively find the hemostasis point. After trying twice, he ordered, "Use sterile cotton pads to pack it in!"

The assistant standing opposite Wu Xiang immediately picked up a sterile cotton pad, stuffed it inside, wiped away the blood, and then quickly pulled it out.

Because of the absorption and pressure of the cotton pad, the group finally found a bleeding point on an artery. The bleeding point was relatively inconspicuous, at most four or five millimeters.

However, the bleeding was extremely severe. After the pressure was relieved, bright red blood immediately gushed out again, staining the field of vision and filling the interstitial spaces.

Wu Xiang tried to insert the hemostat into the wound twice, but to no avail.

"Let's do it again!" Although Wu Xiang was a little annoyed, he knew that he absolutely could not get angry or give up at this moment.

Just as Wu Xiang put the hemostat back and his assistant went to get a sterile cotton pad, Lu Cheng tentatively tried to insert the hemostat inside again.

Furthermore, under the watchful eyes of Wu Xiang and his assistant, Lu Cheng chose to close the hemostat.

Before Wu Xiang could even start cursing, Lu Cheng said, "Even if we can't stop the bleeding, we can still temporarily stop it by opening the hemostat later."

"Go to hell!" Wu Xiang finally started cursing, using extremely offensive language.

However, while Wu Xiang was cursing, the negative pressure suction device in his assistant's hand never left the gap, and the pool of arterial blood that had gushed out earlier slowly moved downwards under the negative pressure suction.

In just a few seconds, before his assistant could even put the sterile cotton pad inside, he saw that the arterial bleeding point that had flashed by earlier was now only a small amount of blood flowing out.

The hemostat that Lu Cheng had previously inserted was precisely placed about one centimeter proximal to the bleeding point.

The bleeding at this moment is a small amount of seepage from arterial reflux.

The space distal to the artery also became collapsed.

The assistant looked at Chen Xiang, who, with a clear view, immediately placed another hemostat on the distal end.

"Release, move!" Wu Xiang's command was highly efficient.

The assistant followed the instructions and placed the sterile cotton pad on a certain spot on the sterile drape. Because there wasn't enough time to position it precisely, the cotton pad slid off the operating table.

But neither the circulating nurse nor the scrub nurse started yelling. The scrub nurse just gave the circulating nurse a look, and the circulating nurse silently picked up the cotton pad and put it in the open white box.

To facilitate logarithmic calculations after the surgery.

Wu Xiang's surgical field of vision moved further inward, focusing on the pelvic cavity.

But once inside, the forehead wrinkles immediately deepened, revealing deep forehead wrinkles and vertical lines.

Wu Xiang closed his eyes for a moment before looking at his assistant and saying, "Why don't you switch places with him and let him try to find it? I'll give your assistant a five-minute rest."

He is Lu Cheng.

The assistant and Lu Cheng were both stunned for a moment, but after two seconds they immediately switched positions back to back, and the assistant took the hook from Lu Cheng's hand.

The hook in Wu Xiang's hand remained firmly in place.

The assistant said, "Director Wu, we shouldn't have turned on so many machines today."

The assistant's words explained to everyone why Director Wu was tired.

Wu Xiang is a chief physician. In addition to taking on the second and third shifts in the emergency department, he also has to perform elective surgeries on the scheduled surgery days.

After arriving at the surgeon's position, Lu Cheng first organized the surgical field of vision, and then quickly went through the anatomical course of the blood vessels in the pelvis in his mind.

Without further explanation, Lu Cheng simply reached in with his left hand, while at least seven or eight hemostatic forceps were ready to be used in the curved tray beside his right hand.

"What are you doing?" Wu Xiang asked before he could finish.

Lu Cheng's left index and middle fingers moved through the pool of blood like a compass, while the hemostat in his right hand followed the fingertips of his left hand as it was inserted and clamped shut.

There are three swords in the upper left, lower left, and middle positions, and two swords in the upper right position.

Lu Cheng's operating principles are somewhat fascinating, but the results of his operations are equally fascinating.

Lu Cheng worked on it in such a dazed and confused manner that the negative pressure suction device in his assistant's hand took effect in less than two minutes!
The level of hematoma in the pelvis, which was originally about to fill up, dropped rapidly until it stabilized at a certain level.

"Holy crap!" The assistant exclaimed in astonishment, biting his own tongue.

"Hiss..." The pain and shock brought him to his senses, and his vision became exceptionally sharp.

Before Wu Xiang could speak, Lu Cheng quickly began searching for the bleeding points, and then used even smaller hemostats to treat the smaller bleeding points as well.

However, this patient's pelvic hematoma involved not only arterial damage but also venous damage.

However, blood leakage caused by venous injury is not the same as the jet-like bleeding in arteries; it is only slow seepage or massive osmosis.

This gave Lu Cheng more time to operate.

"The blood has arrived, only 200 units! 2 units of red blood cells!" said the worker delivering the blood outside the operating room.

The anesthesiologist said, "That's not enough. Keep calling and asking for more. This patient has lost at least three thousand pounds of blood."

The worker was only responsible for delivering blood: "I'll deliver as much as there is; it's no use asking me for more."

He saw the anesthesiologist trying to grab the other blood bags from the basket: "These are from four different rooms, and the blood types are all different."

Anesthesiologist: "..."

Wu Xiang had been resting for more than five minutes; to be precise, it had been six minutes and forty seconds.

Lu Cheng saw that he had almost finished stopping the bleeding, but there were still some very small bleeding points. These could only be described as routine bleeding and oozing from all surgeries, which could not be completely and meticulously treated.

Lu Cheng released his hand, took a step back, and stood back to back with his dumbfounded assistant.

"Teacher, let's change seats," Lu Cheng reminded him.

However, after circling around, Lu Cheng found that his assistant's buttocks were still pressed against his own and showed no intention of leaving, so Lu Cheng had no choice but to carry him away.

After circling around a little, I arrived at the patient's knee joint and turned around again.

Wu Xiang and his assistant were both staring at him. The assistant's eyes were wide open, and his eyebrows were stretched so much by his skin that each hair was clearly visible.

Wu Xiang's expression was complicated. After looking at Lu Cheng for a while, he said, "Zeng Zheling, continue the surgery."

Zeng Zheling was taken aback by Wu Xiang's voice: "Yes, Director Wu!"

Zeng Zheling's voice is rather immature, so he must be quite young, probably just graduating with a master's degree.

After Zeng Zhe led him back to his assistant position, Lu Cheng finally took his place as the second assistant.

After the bleeding is stopped, the remaining tasks are vascular suturing, wound cleaning, and removing the hematoma.

Stopping the bleeding is a matter of saving lives; everything else is about treating the illness. Although these things are also urgent, they are not as urgent as stopping the bleeding.

Patients whose bleeding cannot be stopped will inevitably die, without exception.

"What's your name?" Wu Xiang asked.

"Lu Cheng," Lu Cheng replied.

Wu Xiang casually asked, "Have you ever thought about coming to our trauma surgery department?"

Lu Cheng's answer made Wu Xiang's vas deferens throb with pain for a moment: "I've thought about it, but I haven't thought about it."

These few words are very informative: "What does it mean?"

"Director Zhu doesn't want me," Lu Cheng said with a smile.

The Department of Trauma Surgery at the State People's Hospital is a very interesting department. The director is an associate chief physician, and the two directors leading the team are a chief physician and an associate professor, respectively.

Don't ask why, just know that the director is an associate chief physician who is in charge of personnel!
(End of this chapter)