Chapter 151 It’s none of my business! (Please subscribe!)

Zhou Cheng, wearing a white coat, rushed to the emergency room of the emergency department in a hurry.

As soon as he appeared at the door, he heard a doctor inside urging the doctor on duty in the emergency department to ask: "Is the orthopedic person here? Is the orthopedic person here? We need to enter the operating room right away, but we can't wait any longer."

"

Zhou Cheng hurriedly entered, walked to the front and said to the tall and thin man who was urging him: "Hello, teacher, I am from the Department of Orthopedics. I came here as soon as I received the call."

The man is tall and thin, his skin is slightly dark, and his hairline gives his forehead a lot of prestige, so he took a back seat early.

He glanced at Zhou Cheng, pointed at the patient on the trolley and said, "This patient has been injured in a car accident. Now we have to push him into the operating room immediately. Take a look at your orthopedics department to see if there are any problems that need to be treated concurrently."

"Teacher, where are your legs injured?" Zhou Cheng asked, in order to save time.

However, this elder brother seemed to have a bad temper and replied angrily: "How do I know? If you can solve your orthopedic problems by asking me, why did I call you here?"

After hearing this, Zhou Cheng immediately ran to the patient's bedside. After scanning around for a while, he ran to look at the patient's X-ray film.

Looks a little frizzy.

Lu Yaohui, the veteran chief of the gastrointestinal surgery department of the General Surgery Department, looked at Zheng Guowei in the emergency department at this moment.

He complained: "Director Zheng, did you not explain the situation when you called the orthopedics department? This patient is likely to die, so they sent a little baby like this over there?"

Zheng Guowei glanced at Zhou Cheng and explained: "Yao Hui, you can't say that. This person here is called Zhou Cheng. I know him. Is he not an ordinary little kid?"

"The orthopedics department can let him come here, which is considered the patient's good luck."

Lu Yaohui has little contact with orthopedics, and the name Zhou Cheng is now commonplace in the emergency department, but it is still very unfamiliar to them in the general surgery department.

If you, Lu Yaohui, keep thinking this way, you will suffer secretly.

"New to the Department of Orthopedics? Do you have any background?" Lu Yaohui asked in a low voice, obviously interested in Zhou Cheng.

After all, Zheng Guowei is well-known as an old man, and there are not many young people who can get a word of praise from him in private.

"The live-in orthopedic department is not new to me, but I have been to our emergency department many times and I am familiar with her."

"I can't explain a sentence or two, but I've been doing consultations alone for almost a month, and there has never been any problems. And he can solve some problems that even the director can't solve."

Zheng Guowei saw Lu Yaohui gradually showing an expression of disbelief, so he licked his lips and put back his enthusiasm.

He said, "I'm not joking with you. Our emergency department, including your director of general surgery, Huang Shinan, has seen this with his own eyes."

When Zheng Guowei mentioned Huang Shinan, Lu Yaohui's expression gradually became serious.

Just as he said this, Zhou Cheng had already come closer. After looking at Lu Yaohui's name badge, he said hello to Zheng Guowei and Lu Yaohui respectively.

"Director Zheng, Teacher Lu."

"I have seen most of the patients, and some of them now include posterior dislocation of the hip joint, simple fracture of the tibia, and subluxation of the ankle joint."

"Our orthopedic department needs to deal with it, but the current patient's condition is not suitable for our orthopedic department to intervene. It is better to conduct specialist treatment from other departments first."

"After the follow-up vital signs stabilize, we will transfer him to orthopedics for treatment." Zhou Cheng said firmly.

Then he looked at Lu Yaohui and sighed in his heart, you have been urging Zheng Guowei to call the orthopedic emergency department, but have you never thought that the orthopedic emergency department could not cause the patient's current condition?

Lu Yaohui instantly felt lonely after waiting, and the pressure on him became even greater.

People from the neurosurgery, thoracic, and cardiology departments came over to take a look around, and they all said that there were no fatal symptoms that required emergency intervention in the corresponding departments. After the general surgery treatment, he would be transferred to the relevant departments for further treatment.

I thought the orthopedic department could help him bear some of the pressure because he had a fracture.

"Do you mean what you say? Your orthopedics department doesn't need emergency treatment?" Lu Yaohui asked Zhou Cheng.

After hearing this, Zheng Guowei frowned tightly. What was Lu Yaohui doing? Was he questioning the consultation opinions from other departments? He stretched his hands a little too wide.

Zhou Cheng's brows also furrowed slightly, and he recalled carefully: "I can confirm that the symptoms in our orthopedics department are not fatal for the time being, and can be treated electively. I will write down the relevant treatment opinions in the consultation opinion."

Will fracture and joint dislocation be fatal?

Yes, but that's a complication.

But for this fracture, Zhou Cheng performed local palpation and found that no artery was injured. It is estimated that there will be no blood clots in the veins of the lower limbs in a short period of time.

So the fatality was an accident.

Treating the symptoms of orthopedics itself has little significance in saving the patient's life. This is an ineffective operation. Zhou Cheng will naturally not spend time doing such a meaningless operation at this time.

"Okay. Just be sure." Zhou Cheng said so. Lu Yaohui didn't say much and went directly to talk to the patient.

Zhou Cheng continued to write the emergency medical record, and wrote down the orthopedic specialist physical examination signs and auxiliary examination information in detail.

I wrote down the orthopedic consultation opinions.

However, just when Zhou Cheng was about to put down the medical record, he heard Lu Yaohui saying to the patient's family: "Doctors from the orthopedics department, neurosurgery department, and thoracic surgery department have all come to see her, and they all said that there is nothing wrong with their departments."

"So, if there are any problems or troubles from related departments during the operation, I don't know. Our department must do emergency surgery now..."

Hearing this, Zhou Cheng felt dark in his heart.

Is there something wrong with this Lu Yaohui?

Just to protect yourself, do you start talking nonsense?

Then he added one more sentence: "4. If you have symptoms related to our department, you can ask our department for consultation in time to assist in diagnosis and treatment."

When Zheng Guowei saw Zhou Cheng's addition, he raised his eyebrows and asked, "Xiao Zhou, your orthopedics department really doesn't need timely treatment?"

"Dislocation is also one of the categories of emergency treatment."

After Zhou Cheng finished writing, he said to Zheng Guowei: "Director Zheng, although this patient's joint dislocation requires emergency treatment, it cannot be treated here, and even if it is treated, it will not help save the patient's life."

"On the contrary, the push and pull during the reduction process may further aggravate the abdominal injury, so emergency reduction surgery is not suitable."

"The patient's blood pressure is currently unstable, his consciousness is unclear, and he is in a coma. This is a contraindication for reduction."

"Director Zheng, if there is nothing else, I will go back first. I am still eating!"

Zheng Guowei had no reason to keep Zhou Cheng. He could avoid all the trouble simply by following the contraindications of orthopedic manipulation.

Zheng Guowei only hopes that Lu Yaohui can have some snacks and not go to the orthopedics department.

It is not a contraindication to surgery. During the emergency consultation surgery, there is no need for other departments to be teachers for people from other departments.

For example, Zhou Chengcheng has never asked how other departments handle this kind of thing. What does it have to do with him?

…

However, as soon as he left the emergency clinic, Zhou Chengcheng immediately called Luo Yun and explained the situation in the emergency department.

Then while getting out of the way of the shuttle patients and their families, he asked: "Teacher Luo, do you think there are any flaws in my handling of this patient's situation now?"

Just as he finished asking, an old man came out in front of Zhou Cheng. He was supported by a pair of middle-aged women and asked him: "Doctor, how to get to this CT examination room?"

Zhou Cheng put down the phone and glanced sideways at the examination form. The address clearly written on the east side was to the east. He pointed to them and said, "Go straight along here. When you reach the hall, turn right."

After saying that, Zhou Cheng ignored the patient's thanks and said to Luo Yun: "Teacher Luo, I just pointed the way to the patient, but I didn't hear him."

Luo Yun also heard Zhou Cheng's words and said, "Don't worry about this matter. I'll call Lu Yaohui later to explain. I know Lu Yaohui."

"We're all colleagues. There's no need to lay rumors for others. Just make it clear."

Zhou Cheng entered the work elevator and said, "Teacher Luo, um, okay."

It would be difficult for Zhou Cheng to say this.

It is not appropriate for a resident to teach doctors from other departments what are the contraindications for surgery.

Luo Yun explained: "Lu Yaohui also wanted to find someone to take responsibility."

"Being a doctor and doing emergency consultations is not just about treating illnesses. You have to slowly understand this in clinical practice and mediate carefully."

"good."

After hanging up the phone, Zhou Chengcheng rushed to the department and found Luo Yun in the department, supervising the conversation between Du Yanjun and Zhang Zhengquan. His lunch box was carefully covered.

Seeing this, Zhou Cheng consciously did not disturb him and took the food to the lounge to continue eating.

The office is a place where people work, and conversations and signings are naturally the main focus. Although eating in the break room will leave a residual smell that affects your rest, you can't just stay in the office just to avoid the residual smell.

When Zhou Cheng finished eating, Luo Yun walked in, and Zhou Cheng had time to ask: "Teacher Luo, have you made it clear to Teacher Lu from the General Surgery Department?"

"I said it, but I'm not sure whether he listened or not."

"Director Cai has already gone to the operating room and explained it clearly to Director Jiang of the gastrointestinal surgery department in person."

When talking about this, Luo Yun added: "Misunderstandings and bumps between departments are inevitable in clinical work."

"Sometimes even Director Zeng of our department is afraid of being caught in a pigtail."

"So now you are only asked to be on duty for emergency dislocations, instead of being on duty for all diseases."

"Now that you've gone to the emergency clinic, you're still short of time."

"This level of success is not due to lack of skills or lack of experience, but due to lack of identity."

"So during the emergency consultation process, colleagues in other departments will immediately doubt your emergency consultation skills."

"This is also the reason why Director Cai and I did not let you directly serve as the general duty officer for all diseases."

"Joint surgery alone is not fatal, so if you go to see it, there will be no problems. The patient can even come to the department. But if it is a complicated condition, it would be inappropriate for you to come forward." Luo Yun took the opportunity to tell Zhou
To be continued...