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Chapter 331 What Kind of Trauma Surgeon Is This? (Please Subscribe)
“Brother Chaoyang, Mr. Fang is the head of the trauma surgery department. I just happened to run into him while I was passing by. Mr. Fang probably has his own things to do,” Liu Faming quickly explained.

As fellow victims of a great injustice, they couldn't let Fang Ziye be taken away by their colleague and disrupt his schedule.

Lu Chaoyang was clearly familiar with the name Fang Ziye. After hearing the explanation, he hesitated for a moment, then smiled and awkwardly explained, "I'm sorry, Dr. Fang, it's not that I don't recognize you, but you're too young. I thought you were a PhD in our department..."

Fang Ziye couldn't find any fault with Lu Chaoyang's words; Fang Ziye's current age was exactly the age for a doctoral student.

Lu Chaoyang's politeness made Fang Ziye even more polite: "Thank you for the compliment, Brother Chaoyang. Actually, I'm not that old, but I look young..."

Lu Chaoyang then asked, "Does Dr. Fang have any other arrangements? To be honest, our department just received another patient with a lower abdominal hematoma. Mi Qi treated him temporarily in the emergency room, but his condition is still critical."

"I've been assigned to the operating room to be ready to assist at any time. There's a possibility that I'll need to perform shock exploration. The professor and associate professor are both away at a conference recently. If it's convenient for you, Dr. Fang, could you come over and lend a hand?"

It was a weekend, and precisely because it was a weekend, Fang Ziye's defense could more easily attract many of the professors on the defense committee.

Other professors are quite busy if they have time to come to Wuhan on weekends, and it's also normal for associate professors at Zhongnan Hospital to have other provincial conferences or surgeries on weekends.

No one could have predicted that the emergency room would be on standby 24/7.

“Then I’ll study with Brother Chaoyang,” Fang Ziye replied.

There's no other reason than the incredible amount of knowledge I gained from the vascular surgery patient I accidentally saved last time.

It seems that vascular surgery diseases are generally more life-threatening than trauma surgery diseases, so corrective treatments provide more knowledge points.

Lu Chaoyang didn't have time for pleasantries with Fang Ziye. After Fang Ziye agreed, Lu Chaoyang and Liu Faming began to discuss the patient's current condition.

The current preliminary diagnosis is an open abdominal injury with active vascular damage. The patient had already experienced significant bleeding upon admission, the exact amount of which is unknown, but conservatively estimated to be no less than 2000ml, exceeding 30% of the total blood volume.

The patient is currently receiving intravenous access, rapid infusion, temporary simple bandaging for hemostasis, and pressure packing for hemostasis in the emergency department. The patient may be transferred to the operating room at any time for emergency exploratory hemostasis surgery.

“Brother Qi said you had already started broadcasting, so he called me directly,” Lu Chaoyang said to Liu Faming.

"You've worked hard, Brother Chaoyang." Liu Faming lowered his head slightly, feeling a little guilty.

“Hey, you’ll get used to it. In vascular surgery, who doesn’t spend ten or eight years on the road of emergency consultations before…” Lu Chaoyang was about to share his experience when his voice was interrupted by his phone ringing.

Upon connecting, Lu Chaoyang's expression immediately turned serious, and he quickly replied, "Prepare for surgery!"

At Lu Chaoyang's command, he and Liu Faming sprang into action instantly. At the same time, the circulating nurse and anesthesiologist, who had already prepared the necessary vascular surgery instruments in the operating room, immediately left the operating room and went to the operating room door to receive the patient...

This was Fang Ziye's first time experiencing such a scene, and he felt both curious and nervous. After a few seconds of panic, he calmly asked Lu Chaoyang what he could do.

When Lu Chaoyang saw Fang Ziye, a trauma surgeon, being brought into the operating room, he estimated that Fang Ziye didn't even know much about the routine preoperative preparations for vascular surgery.

He said, "Dr. Fang, please wash your hands, get dressed, and come up to the stage. I'll help you lay out the towel later."

Lu Chaoyang made no special arrangements for Fang Ziye, nor did he dare to immediately provide Fang Ziye with the most basic teaching of vascular surgery.

Fang Ziye did as instructed.

Soon, the patient with an open abdominal wound that was stuffed with gauze was wheeled into the operating room. Mitch, a vascular surgeon, personally escorted him all the way, still wearing his white coat.

In fact, his wearing a white coat and work clothes into the operating room was already a violation of regulations.

There was no other way; it was a special case. Mi Qi was pressing on the two arteries with both hands to stop the bleeding. If he released either part of his hands, the patient would face another life-or-death experience.

Seeing this, Lu Chaoyang quickly asked, "Brother Qi, what went wrong?"

"Internal and external iliac, I don't know the specifics. I originally wanted to wait for the hemostat, but the patient's blood pressure was already close to 60, and I couldn't wait any longer, so I had to put on gloves and just stick it in."

"We should try to save them if we can!"

Mickey realized he had explained too much: "The blood pressure is currently stable. Let's temporarily ligate the internal and external iliac arteries before starting the exploratory laparotomy."

"Hemostats!" Lu Chaoyang finally gave the order to Fang Ziye.

Fang Ziye, who had already washed his hands and put on a sterile surgical gown, had bypassed Mi Qi, who was covered in bacteria, from a rather tricky angle, and inserted a relatively large hemostat into the open wound, then snapped it shut.

Fang Ziye's voice followed, "Teacher Mi, feel it. It should be the closer segment of the internal iliac artery. Loosen your grip a little and see if the blood vessel expands. If it doesn't expand, then feel the specific location." As Fang Ziye spoke, Mi Qi looked up and rubbed against Fang Ziye's chest. Upon hearing this, Fang Ziye's brows furrowed instantly, showing some disgust.

But when lives are at stake, saving lives is the priority; what does it matter if my clothes get dirty?
“Okay!” Mi Qi moved his right hand, his eyes flashed with a sharp light, and then he released his claws, pulled them out of his abdomen, and pinched them twice in the air.

The sterile gloves perfectly accentuated his slender fingers, but between his fingers were dried scabs and undried blood clots, making it look quite bloody.
After loosening his fists, Mi Qi said, "Dr. Fang, could you please give me another pair of hemostats? I can handle the rest. Please wash your hands and put on a sterile gown again; I think I just brushed against you."

Mi Qi knew that she had brushed against Fang Ziye, who was wearing a sterile surgical gown, when she looked up, but that was that. Mi Qi wouldn't panic, much less apologize.

Fang Ziye did as instructed, gave her a pair of hemostatic forceps, and then went out to wash and disinfect her hands.

Liu Faming was finishing washing his hands when he saw Fang Ziye standing beside him and quickly asked, "Dr. Fang, how is the situation inside?"

"It should be alright. Oh, Professor Mi Qi is already out." Fang Ziye saw Mi Qi, wearing a white coat, who had been freed from the patient's body and was coming out of the operating room.

"Dr. Fang, your technique is skillful and efficient, and very practical." Mi Qi greeted Fang Ziye as he quickly walked around the two people at the sink and headed away.

White coats are not suitable for long-term use in the operating room. They are a temporary measure in emergencies, which is a last resort. But after taking the patient to the operating room, you still have to leave.

"Teacher Mi, are you saying that my operation lacks skill?" Fang Ziye offered another interpretation.

"Practicality is all that matters. At this point, who cares about fancy formalities?" Mi Qi said, already close to the operating room door. He changed his shoes and headed out.

This distance is no longer suitable for chatting.

Then Fang Ziye and Liu Faming washed their hands and dressed, and completed the disinfection and draping procedures. After that, the three of them, together with another vascular surgeon, became the chief surgeon and three assistants to begin the debridement and exploration of the abdomen.

The first stop was the left iliac artery, both internal and external. Looking at the hemostat that had been temporarily placed there, it was clear that the active, heavy bleeding had been effectively stopped, leaving only a few bleeding points.

In Lu Chaoyang's view, this was not a big problem. While using electrocautery to stop some small bleeding points, he said, "This time, the open injury to the lower abdomen has relatively typical damaged blood vessels."

"This is a common vascular injury that was brought in through the left lower abdomen. Many patients have been brought in with this type of injury, so when Brother Miqi saw this situation, his first reaction was to clamp the internal and external iliac arteries, which was very appropriate..."

As Lu Chaoyang spoke, he methodically clamped several arteries with hemostats; these were arterial tributaries further downstream than the internal and external iliac arteries.

"Brother Chaoyang, is this the blood-splitting technique? If it's confirmed that one branch is not bleeding, restoring its blood supply can reduce the blood flow to the bleeding branch," the doctor asked.

“Yes, that’s right…” Lu Chaoyang looked at Fang Ziye and found that Fang Ziye was listening attentively, as if he knew nothing about these basic facts.

However, Lu Chaoyang wanted to test Fang Ziye's skill level, so he deliberately left Fang Ziye with a gap in his operation that he intentionally ignored, which Fang Ziye quickly seized and dealt with.

That reaction speed, that operational accuracy.

Undoubtedly, this is a fundamental skill that many young vascular surgeons eagerly anticipate, a level of hemostasis that is considered advanced.

It's just that his skills were misplaced; instead of growing on Liu Faming and others, they ended up on Fang Ziye, which is a complete waste of talent.

"How was Dr. Fang's suturing technique?" Lu Chaoyang asked on a whim.

Upon hearing this, Fang Ziye realized that he might have a chance, so he explained the difficulty of the operation in a way that Lu Chaoyang could better understand, saying, "The blood flow rate of the sutured tail artery of the nude mouse should be over 90%."

Vascular suturing is one of the fundamental and iconic skills in hand surgery.

As expected, Lu Chaoyang's hand trembled slightly.

Next door, Liu Faming, who was about to suture the blood vessel, and another doctor, after hearing this, silently 'dropped' their needle holders, looked at Fang Ziye, swallowed their saliva, and squinted their eyes.

She glanced at Lu Chaoyang with a reproachful look in her eyes.

Chaoyang, don't ask! If you hadn't asked, we would have accepted the opportunity. Now look what's happened! We've already asked, so we have to prioritize Fang Ziye at least for a part of the operation before letting him give us the authority!

What kind of trauma surgeon is this?

The people were in a state of turmoil.

(End of this chapter)