Surgery Godfather -
Chapter 1038 - 856 - Sleepless Night
Chapter 1038: 856 Chapter Sleepless Night
"Old Liang, do you have the eyes of a sage to draft such an impressive figure into your Orthopedics Department?" Director Long admired Professor Liang.
Professor Liang shook his head, "Where can I draft him? Xiao Yang is currently just a guest performer, but even that is fortunate."
"Could you possibly speak on our behalf, have him guest in our General Surgery as well?" Director Long said enviously.
Pancreatic Surgery is a specialization under General Surgery. To put it strictly, Director Long is the chief of General Surgery. Xiehe Hospital’s General Surgery is extremely formidable, undefeated nationally.
"Don’t just go to your General Surgery, come to our Cardiac Surgery Department whenever you are free," Director Wen said rather urgently.
Professor Liang smiled, "You say it so lightly, do you know many hospitals are scrambling to invite him for guest appearances? If he went to every one of them, even cloning wouldn’t keep up with the pace. The offer from 301 for him to guest there hasn’t even been finalized yet."
With these words, the conversation halted, and the three of them suddenly fell silent.
The patient with pancreatic cancer was safely transferred to the ICU after surgery, the orthopedic surgeries went routinely, and everyone gradually finished their surgeries after nine in the evening, happily heading for the feast.
In the end, although Director Wen and Director Long were hosting on separate days, the guests invited on both days included three departments: Orthopedics, Thoracic Surgery, and General Surgery, with numerous people spread across several tables.
The doctors from Xiehe also rarely got a chance to relax like this: a treat from the big shots meant everyone came with empty stomachs ready for a feast.
Professor Liang stayed beside Yang Ping, with the cultured yet somewhat hearty Director Wen and Director Long on either side, while others took their seats haphazardly.
Apart from not drinking alcohol, everyone was free to make merry as they wished. It was to unwind, after all, so all indulged in various drinks, creating quite the buzz. Of course, they only drank non-alcoholic beverages.
During the meal, Director Wen and Director Long took turns inviting Yang Ping to make guest appearances in their departments, but Yang Ping genuinely couldn’t find the time and could only decline diplomatically.
They weren’t in a hurry over this matter, planning for the long term; both Director Long and Director Wen had their strategies.
Since dinner started late, everyone ate until midnight yet still lingered, having almost finished eating, simply enjoying the company, as outings like these were rare.
Just then, Dr. Lv, whether he received a call or saw a message in a WeChat group, informed Director Long, "Director, the Emergency Department just admitted a patient who fell from a high place, from the eighth floor. He has multiple comminuted fractures throughout the body, cranial trauma, and additionally, he’s pierced by two steel rebars. One enters through the perineum and exits through the head; the other enters through the anus and exits from the left chest, involving multiple specialties. Both our ward chief and backup are already on their way. The injuries are extremely complex."
Upon hearing this, Director Long acknowledged the complexity of the injuries.
Xiehe has an Emergency Surgery Department with very high standards, founded under the leadership of General Surgery. The head of this Emergency Surgery, Director Xu, formerly was a group leader under General Surgery, a subordinate of Director Long.
"From the left chest? That involves the heart, right? We should have sent someone there too," Director Wen stated.
After a moment of contemplation, Director Long was worried about these severe injuries, rare even for Xiehe. Given that they were near the hospital, he decided to check it out in person and said, "Let’s go have a look."
"I’ll go too. Xiao Chu, call the waiter over for the bill," Director Wen also decided to go, considering the situation Dr. Lv had described, uncertain whether the ward chief and his backup could handle it.
Professor Liang, hearing of the high fall and complex injuries, also decided to make the trip with the others.
As all the directors were going, the dining doctors followed suit. They had just filled their bellies and were exactly looking for something to do; if nothing else, watching the excitement was an option.
Thus, Director Wen hurriedly paid the bill, and several cars, filled with Xiehe’s doctors, departed from the restaurant toward the Emergency Department. When this big group pressed into the Emergency Department, the duty nurse turned pale, thinking trouble was brewing and was about to call for help when she realized all the faces were familiar.
Director Long said to the duty nurse, "Where’s the patient? We’ve come for a consultation!"
A consultation?
What was happening today that several top figures personally came for a consultation, bringing such a large team with them.
"Go fetch some white gowns!" Director Wen instructed the nurse.
The intern nurse was quick-witted and rushed to grab the white gowns, but there were clearly not enough spare gowns available. Some had to be fetched from their departments, or they would have to make do in their civilian clothes.
No one was really waiting for a white coat; they immediately rushed toward the rescue room. Along the way, they encountered doctors who reported that the patient had just completed a CT scan and was now being transported to the operating room.
In fact, these days many emergency patients can’t afford to wait. For instance, patients with abdominal injuries were previously diagnosed by doctors performing a diagnostic abdominal puncture. If non-clotted blood was drawn, no other tests were required before confidently sending the patient directly for exploratory laparotomy; from admission to surgery took only half an hour.
Now it’s different. Patients with abdominal injuries must have a CT scan, which alone takes about half an hour, plus other various tests. Why? Doctors need to protect themselves.
If these tests weren’t done and the patient was saved, it’s fine. But if the patient didn’t make it, prepare for lawsuits and disturbances. Without objective evidence like CT scans or blood tests, proceeding directly to surgery usually results in lost lawsuits and monetary compensation, so nowadays no doctor dares to send a patient to surgery just based on an abdominal puncture.
"Now, they always conduct a set of examinations before proceeding; even if a patient dies because the examination delayed intervention, the doctor is not at fault. Everything follows the medical procedure."
"In the past, it was about rescuing lives first, with everything else taking a back seat."
"Now, it’s about legally and compliantly rescuing lives, with legality and compliance as the premise, prioritized above all else, while everything else takes a back seat."
Xiehe Hospital’s emergency department is extensive, with seven areas, including an emergency flow clinic, emergency resuscitation room, emergency observation room, emergency general ward, and emergency ICU, totaling over 150 beds. Of these, more than 70 are monitored beds, and now the doctors and nurses are extremely busy."
Word was that the patient had gone to the operating room, prompting everyone to head there en masse, almost running forward."
During such multi-team rescue operations, the operating room nurses don’t complain about the aseptic protocol despite the crowd."
One might wonder if tonight was the busiest shift ever in Xiehe’s operating room, with almost all doctors, graduate students, and trainee doctors from orthopedics, cardiac surgery, and general surgery showing up, apart from those on duty."
Even the nurses were surprised at how many people had come today."
Besides them, some other surgery departments had at least one doctor present, mostly senior second-tier doctors accompanied by resident chiefs, graduate students, and trainee doctors, making it a considerably large team."
All departments’ resident chiefs, high-ranking directors, on-call graduate students, and trainees were in action—positions long since taken."
This patient required cooperation from multiple departments—neurosurgery, cardiac surgery, thoracic surgery, major vascular surgery, liver surgery, general surgery, urological surgery, orthopedics—virtually every surgical department was involved, and Director Long from the pancreatic surgery group within general surgery was the chief of general surgery."
Director Xu of emergency surgery was now the commander of the rescue operation, where controlling bleeding and saving lives were the top priorities, with other matters to be addressed later."
Even for Xiehe, such complex, sizable trauma cases were exceedingly rare."
"Vascular surgery!"
"Here!"
"The abdominal aorta has a through-and-through injury; it must be repaired. Soon we’ll open the abdomen together; you need to handle the major blood vessels first."
"Understood, the blood vessels need to be sectioned and re-anastomosed."
"We’ll handle the liver, pancreas, and spleen; the liver, spleen, and pancreas all have through-and-through injuries."
"Cardiac! Thoracic!"
"Here, we’ve already seen the CT; the pericardium is damaged, rebar went through the pericardium and both lungs!"
"Abdominal and thoracic surgeries will proceed simultaneously; the thoracic cavity is yours to deal with."
"Cranial surgery must also go on at the same time; no problems, right, neurosurgery?"
’The personnel for scrubbing in are ready.’
"Urology will join later; orthopedics needs to control the bleeding in the pelvis. There isn’t room for so many people."
That’s Xiehe for you; had it been any other hospital, the patient would have been lost long ago. In just half an hour, they completed the preoperative preparations. Director Xu, calm and experienced like a seasoned general, quickly planned the surgery, and the doctors were already scrubbing in to join."
Meanwhile, the young doctors were disinfecting the patient and setting up the sheets, working in perfect sync, swiftly, and seizing every second."
"Director Long, what are you doing here?" Director Xu spotted Director Long among the crowd.
Director Long said, "I came to see if I could help. Just shout if you need something, and you can freely direct anyone here."
Director Xu had previously been a subordinate under Director Long. Later, when the emergency surgery department was established, Director Xu was appointed as its director, which is why he held immense respect for Director Long."
Lots of people in the operating room appeared chaotic, but that was just superficial; everyone was quite perceptive, not daring to delay even a second involved in the surgery, not interfering unless they could assist, quickly finding their place to join the ongoing rescue."
"What’s the situation?"
Song Yun grabbed a doctor and asked.
The doctor said, "I’m not sure either. I heard from emergency dispatch that a man, naked and wrapped in a blanket, fell from the eighth floor and landed on a rebar-constructed shed below, which probably cushioned his fall enough for him to make it to the operating table."
The doctor’s few words conveyed a significant amount of information.
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