Chapter 154 Unexplainable debts (please subscribe)

Isn’t it nonsense that a guy like Zhou Cheng still wants them to take care of him?

I'm afraid Cai Dongfan thinks that we are getting old, so it's easy to talk about it.

The two of them smiled and nodded: "Director Cai just explains, everything is easy to explain. I will have to trouble you more, Director Cai, to move around more."

Mi Huan secretly thought that although Cai Dongfan was younger than him, he used to be quiet in the circle. What was known to outsiders was that Cai Dongfan had a wide social circle. It was said that he drank a lot and his wine was not very good, but

If you have wine, you can drink it and you will have many friends.

But now it seems that this Cai Dongfan is not just the bastard he heard on the surface, he will definitely be someone who can stir up troubles in Shashi in the future. If he can make good friends with him, he is sure to take advantage of him in the future.

Mi Huan was thinking about it.

Qin Yuanwu, who was not under general anesthesia, suddenly interrupted and said: "Director Cai, could you and Dr. Zhou please go check on my nephew? Just take a look?"

Qin Yuanwu's words immediately changed the expressions of Mi Huan, Chen Kelong and others.

Mi Huan immediately said: "Qin Yuanwu, it's dinner time now. Director Cai and Dr. Zhou are both hungry. What nonsense are you talking about?"

Cai Dongfan came here because of you, Qin Yuanwu, not to starve or freeze. Can you be more reasonable and humane?

Chen Kelong also quickly interrupted: "Director Cai, Doctor Zhou, you must be starving, right? It's almost six o'clock, let's go eat quickly!"

The operation has been going on for more than three hours.

During this period, Zhou Cheng was performing almost the entire operation without stopping. Replantation of amputated limbs and replantation of amputated fingers are not minor surgeries involving debridement and suturing.

Although it is fast, the steps are actually done in place.

He was exhausted a long time ago and asked Zhou Cheng to perform other surgeries. Wouldn't it mean that people are not treated as human beings, but just treated as machines?

Cai Dongfan's face darkened slightly, but he asked jokingly: "Qin Yuanwu, tell me the truth. Is this child your illegitimate child? What makes you so interested in him?"

Qin Yuanwu immediately replied swornly: "Director Cai, don't talk nonsense! This is such an inhumane thing?!"

Then the tone became slightly more formal: "It's just, Director Cai, I think it's my brother who did this, and it has nothing to do with the junior. And fortunately, the injured person is me and not someone else. So?"

When Cai Dongfan heard that Qin Yuanwu was still explaining something, he sighed and said, "Qin Yuanwu, I won't say much to you today. I'll just tell you directly."

"I came here just to look at you. I have no idea who your brother or nephew is."

"I don't know how they behave on a daily basis, but I just feel so angry."

"After all, you were the one who spoke before. I went and looked at it."

"The person will not die, but it is difficult to say that the legs can be saved."

"You asked Xiao Zhou to go see him again now. I can take him there, but?" Cai Dongfan didn't say the rest of the words.

Then he said:

"I'll take people to see it now."

"Xiao Zhou, come with me."

After saying that, he called Zhou Cheng and walked out of the operating room.

"Director Cai, Director Cai, don't be angry. Yuan Wu." Looking at Cai Dongfan's back, Mi Huan immediately stepped forward and pulled Cai Dongfan, but he did not pull Cai Dongfan.

Zhou Cheng followed Cai Dongfan without saying a word, letting Cai Dongfan make the decision.

Mi Huan then walked back to the operating room and said to Qin Yuanwu: "Yuanwu, why are you doing this?"

"Director Cai has no medical relationship with your nephew. He is here just because of your favor. He is only on good terms with you. Although your elder brother did not do it intentionally, is it called human affairs?"

"Have you ever thought that if Director Cai had arrived early, he would be the one lying on the operating table now!"

"You are still asking him to go over and over again. Aren't you trying to force someone into trouble?"

"Do you have to waste this last bit of favor here?"

Qin Yuanwu pondered for a moment, and then sighed: "Director Mi, no matter who is right or wrong in this matter, the result is now like this. I can't go back to the clinic. I will at best go to the auxiliary department in the future."

"If you leave the department and don't hang out in the same circle, where will there be any human connections?"

"I don't look at my brother's face, but I also look at my mother who is still alive. I can't let my nephew have a chance to save his limbs. Even if it's just a glimmer of hope."

Speaking of this, Qin Yuanwu's voice was exhausted: "Friendship is always used up. It will gradually fade away if we don't use it."

"Now that Director Cai is gone, although we may have nothing to do with him from now on, I still have a clear conscience."

"I have tried my best. From now on, no matter how we get along with each other, I will no longer have to bear anything."

"Back then, I had good grades but my family was very poor. My brother dropped out of school and asked me to study. It was very tiring to carry this debt..." Qin Yuanwu spoke calmly, with a sense of realization.

When Mi Huan heard what Qin Yuanwu said, he stopped talking.

Don't persuade others to do good things without going through their sufferings; don't say others are ridiculous without going through other people's affairs.

Qin Yuanwu is not a fool.

Chen Kelong patted Qin Yuanwu on the shoulder and said, "Recuperate well and don't think too much. Your surgery today was very good."

"There may not be a time when you return to clinical practice. Don't say discouragement, the brothers in the department will be waiting for you."

"There is still a place for you in the department."

Qin Yuanwu has followed Chen Kelong for more than ten years. He is conscientious and diligent. Not to mention his superb surgical skills, he is reliable in his work.

Chen Kelong couldn't do anything about taking money from the bottom of the cauldron. He was willing to leave a place for Qin Yuanwu in the department, whether it was as an outpatient.

"Thank you, Director Chen."

Chen Kelong did not take Qin Yuanwu's thanks to heart, but followed Mi Huan to the operating room where Cai Dongfan went.

When Cai Dongfan and Zhou Cheng arrived at the operating room, they saw that the people from the Department of Orthopedics were already amputating the limb, and had removed all the bone segments of the right lower limb, and were now working on storing the muscles.

On the other side, a general surgeon was laboriously performing a vascular incision and thrombectomy, but it was obvious that he was sweating profusely.

Zhou Cheng actually felt that his stomach was a little empty at this moment, but when he saw this scene, he still suppressed his hunger and asked Cai Dongfan: "Teacher Cai, what is the situation here?"

Cai Dongfan said: "The preoperative examination showed atrial fibrillation and multiple arterial embolisms. When I came back, the most serious one was the thrombosis of the left renal artery."

"Fortunately, there were no blood clots in the coronary arteries and lungs, nor did they enter the cerebral blood vessels. Otherwise, there would be no way to save the patient."

"Director Yang, has the thrombus in the left renal artery been removed?" After Cai Dongfan explained to Zhou Cheng, he asked the director of the General Surgery Department, Yang Min.

The vascular surgery department of a hospital in Shaxian County falls under the general surgery department.

Although Yang Min is only the director of general surgery, she actually has to do gastrointestinal, hepatobiliary and vascular surgery. The workload seems to be extensive, but she is not particularly proficient in it.

Yang Min's head was covered with sweat at the moment. She turned around and said to the person next to her, "Come and wipe the sweat for me."

The assistant quickly turned to face Yang Min with his shoulder.

After Yang Min rubbed her forehead on the assistant's back left and right, she had time to turn around and said to Cai Dongfan: "Director Cai, the thrombus in the left renal artery was removed, and the thrombus in the right femoral artery was also removed, but the blood vessels downstream

It's still not clear. The only option is amputation."

"It's still unclear whether the left lower limb can be saved or not. We are trying our best to protect it."

Yang Min said, stepped back from the stool slightly, then twisted his neck and let out a long sigh.

Today's surgery consumed a lot of his physical strength and energy. At this moment, he was still trying to support him just for the sake of his colleague, Qin Yuanwu.

This kind of thrombus caused by atrial fibrillation produced a lot of emboli, so a CTA was performed before surgery.

Zhou Cheng walked towards the film reader and saw.

Sure enough, there were thrombi in the left renal artery and bifemoral artery, as well as the internal pudendal artery, a branch of the femoral artery, and the superior pudendal artery, a branch of the internal iliac artery.

The distal part of the femoral artery cannot be visualized.

This surgery is not simple either.

Yang Min has already removed the thrombus in the left renal artery and superior pudendal artery. However, the thrombus in the internal pudendal artery has not been removed yet.

The superior pudendal artery and internal artery supply blood to the little brother. If these things are not unblocked, the consequences will not be very good, but in order to save life, we can only temporarily aggrieve the little brother.

Cai Dongfan nodded, took a few steps back, walked to Zhou Cheng's side, and asked Zhou Cheng: "In this situation, do you think it is possible to save the limb?"

Zhou Cheng asked: "How many hours have it been since the injury?"

If the embolism of both lower limbs lasts for more than six hours, then amputation should be done. Stop struggling. Otherwise, once the soft tissue becomes necrotic and the lysates and metabolites return to the blood circulation along with the veins, the person will become numb.

This is reperfusion injury.

"A little more than four hours." The orthopedics department on the opposite side had finished debridement and were doing amputation. They controlled the time very accurately.

"Then you can try it. If you do it quickly, it's still possible. The moment the blood vessels are recanalized, the anesthesia teacher may have to work hard." Zhou Cheng said objectively.

Reperfusion injury is no joke, it can kill people.

But whether you can get through this level depends entirely on the anesthesiologist's ability.

At this moment, the doctor in charge of anesthesia frowned and said, "You are posing a difficult problem for me regarding reperfusion after five hours of embolization."

"But before you unblock the blood vessels, tell me first, and you can take the risk and try it." The anesthesiologist smiled and said despite the pressure.

"Wash your hands and come on stage." After Cai Dongfan said to Zhou Cheng, he whispered in Yang Min's ear for a while.

Hearing this, Yang Min turned around and asked, "Director Cai, do you think Xiao Zhou has ever rescued such a patient in your hospital before?"
To be continued...