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Chapter 377: Textbook-Level! (Please Subscribe)

"Director Zeng, they've cut open a retroperitoneal hematoma!" The associate professor on duty in the anesthesiology department explained directly but weakly.

Zeng Quanming's square face looked as if it had been sculpted, and his eyes gradually became serious. He continued to look at the patient's current vital signs, including blood pressure, which was as high as 94 mmHg. He tilted his head and asked, "Trauma surgeon, is the hematoma removed?"

Even though Zeng Quanming is a professor and the chief physician of the Department of Anesthesiology, he still can't forget a sentence written in his undergraduate textbook: "Retroperitoneal hematoma caused by pelvic fracture should be cut open with caution!"

Zeng Quanming remembers clearly that the textbook version he was reading used an exclamation mark, which was quite unusual.

Although with the advancement of technology, cases of retroperitoneal hematoma sometimes require incision due to the patient's condition, even with current technology, treating them is still a battle against death.

To use a famous internet phrase, it's a 50/50 chance!

Generally speaking, after incision of an active hematoma in the presacral venous plexus of the pelvis, the blood pressure of a normal person can fluctuate below the shock line. When I reported to this patient before, I mentioned that he had suffered massive bleeding. Only after establishing a rapid intravenous access and receiving a large amount of blood transfusion was his blood pressure maintained near the shock level.

Then the trauma surgeons had to go to the retroperitoneal hematoma, and the young associate professor on duty couldn't sit still anymore, so he called him.

Zeng Quanming felt a chill run down his spine upon hearing this. After anesthetizing the aortic dissection, he rushed to the emergency operating room, but once inside…

"After they finished speaking with Director Zeng, they left without even participating in the abdominal closure." Associate Professor Chen Minghao of the Vascular Surgery Department, forcibly suppressing his inner shock, interjected.

His tone was slightly playful, seemingly implying that trauma surgeons were inhuman, and he left with a flourish, but in reality, he was suppressing the turmoil in his heart.

"Who is he?" Zeng Quanming looked at Chen Minghao, who was speaking, and asked his associate professor of anesthesiology.

Chen Minghao was a little embarrassed, while Dong Yundeng narrowed his eyes: "It's been a long time since we met. I only remember that he was a brother in vascular surgery, and now he's also an associate senior surgeon."

"Brother, it's me, Dong Yundeng from the anesthesiology department!" After arriving at the emergency operating room, Dong Yundeng didn't actually have much contact with associate professors in the specialty department.

Chen Minghao is an associate professor of vascular surgery. In theory, Dong Yundeng should have met him at some point and know him. However, they haven't seen each other for a long time. There are hundreds or even thousands of associate professors in the hospital. It would be a bit difficult for Dong Yundeng to remember Chen Minghao just by looking at his eyes and eyebrows.

"Chen Minghao, Director Zeng, from the Department of Vascular Surgery, back when I was interning in the Department of Anesthesiology, you personally selected me as a puncture expert. Don't you remember?" Chen Minghao said with a smile, slightly ingratiating.

Zeng Quanming then joked, "It probably isn't that high, otherwise I wouldn't have sent you to the vascular surgery department."

When the patient's condition is good, the anesthesiologist feels at ease, and playing on his phone, joking around, responding to the surgeon's jokes, and teasing the nurses are the exclusive privileges of the anesthesiologist's superiors.

But for example, a junior associate professor like Dong Yundeng wouldn't be suitable.

Chen Minghao suffered another critical blow. His original intention was to get closer to Professor Zeng Quanming, but unexpectedly, he ended up in an awkward situation.

However, Chen Minghao was already used to such setbacks.

Before Chen Minghao could reply, someone burst in. After washing his hands, he walked to the sterile surgical gown stand, picked up a sterile surgical gown, and put it on: "Chen Minghao, Deng Yong from the trauma surgery department said there is a case of retroperitoneal hematoma here."

"Where are Deng Yong and the others?" Deng Haibo asked.

Chen Minghao turned his head and was surprised to find that it was Professor Deng Haibo, his direct superior in his group, who had arrived.

As for Professor Deng Haibo, he and Professor Deng Yong of the Department of Trauma Surgery do not need to be friends. They are from the same village, share the same surname Deng, and are distant relatives.

But if someone has such a background, then once they leave the village and arrive in Han City, they are blood relatives!

Deng Yong and Deng Haibo often casually used each other's names to call people in relevant departments, which was very convenient.

When Deng Yong's team requests an urgent consultation from vascular surgery, they add Professor Deng Haibo, a vascular surgeon, as a contributing member. Similarly, when Professor Deng Haibo's vascular surgery team requests an urgent consultation from orthopedics, they add Professor Deng Yong, a trauma surgeon, as a contributing member. (See Chapter Seventeen for details.)

The reason why Deng Yong dared to criticize Chen Minghao, a vascular surgeon, is precisely this.

"Master, Professor Deng has gone back. The surgery here is finished," Chen Minghao quickly replied.

The situation was tense before, and Liu Faming from the vascular surgery department did indeed call on a professor, but Deng Haibo was on stage at that time.

The stage is a battlefield; no matter how dangerous it is, one must step down when necessary.

Deng Haibo was taken aback and hadn't replied yet.

Zeng Quanming said, "Hey, Professor Deng just left, and now another Professor Deng has arrived."

Then he added, "Hey, Haibo, when are you going to return that intern I recommended to you?"

"Our anesthesiology department is currently facing a severe shortage of skilled puncture technicians. That child has a high aptitude for puncture techniques; he might be able to perform targeted local anesthesia on internal organs..."

Upon hearing this, Deng Haibo smiled and said, "Director Zeng, look, that's Chen Minghao, who is now our associate professor of vascular surgery."

The surgery was over, so Deng Haibo naturally didn't go on stage. He tossed the sterile surgical gown he had just picked up into the cloth bucket, and started wiping disinfectant on Zeng Quanming's shoulder. As he approached, he said, "Brother Ming, I heard that the anesthesiology department has picked up another expert in puncture surgery?"

"Let me introduce myself..." Zeng Quanming was taken aback at first, then looked at Chen Minghao. Chen Minghao narrowed his eyes, clearly smiling, and they got to know each other again.

Then he raised his fist and began to grit his teeth: "Don't force me to give you free anesthesia, free hospitalization, or even free ICU stay!"

Zeng Quanming felt indignant when he recalled this incident.

Back then, when he was an associate professor, he spotted a promising student and, after he completed his surgical rotations, Zeng Quanming specifically asked his "good friend and junior colleague" Deng Haibo to mentor him.

As a result, this promising talent was lured to the vascular surgery department by Deng Haibo!
Boys, you know, are always drawn to surgical procedures. Having witnessed the wonders of vascular surgery, and then having them administer anesthesia to a patient—that's a one-way trip for them...

Zeng Quanming had once severed ties with Deng Haibo as "fellow students and friends," but after becoming a professor, he had to pick up that social relationship again.

Adults prioritize their own interests; minor squabbles are just a joke...

Dong Yundeng from the anesthesiology department glanced at Chen Minghao a few more times. Zeng Quanming had mentioned this person many times before, and often brought him up to "curse" during shift handovers and meetings in the anesthesiology department!
After becoming the director, Zeng Quanming was even more indignant and almost berated the entire vascular surgery department.

Dong Yundeng quickly turned to the side and asked, "Teacher Zeng, how does the piercing technique of that junior sister who made Huang Xinuo so frustrated and almost withdrawn compare to this one?"

"What? She's a junior sister?" Deng Haibo immediately became interested.

Looking up at Dong Yundeng, she said, "Tell me more about it. Our vascular surgery is clean and not tiring, making it one of the most popular surgical procedures among girls, second only to breast and thyroid surgery..."

Zeng Quanming glared at Dong Yundeng, who immediately shut up and began chanting a spell: "Hmm, the weather is nice, it's afternoon, I'm going to have lunch tomorrow, I'm not having a midnight snack tonight, and I want to sleep for nine hours tonight..."

Dong Yundeng swore that anyone who could understand this logic was a complete lunatic!
Zeng Quanming composed himself and looked at Deng Haibo with keen insight: "Professor Deng, I have a very important question to ask."

"Your vascular surgery team seemed very experienced in handling this retroperitoneal hematoma. Is this a new type of treatment method?"

"When do you have a clinical research project? I'll send our most capable anesthesiologist to assist you!"

As we all know, when a new technology emerges, a new article on surgical anesthesia monitoring related to it will naturally follow in its infancy!

Such is the destructive damage in trauma surgery.

The same applies if the vascular surgery department has a new business involving the treatment of retroperitoneal hematomas.

The scope of research in anesthesiology is actually quite limited...

Upon hearing this, Deng Haibo's expression gradually turned serious.

Jokes aside, serious matters are serious matters.

Deng Haibo then walked to the operating table and saw that Chen Minghao had almost finished suturing the blood vessel opening and could bring the vascular surgery to a near completion at any time.

He then asked, "Chen Minghao, what happened with today's surgery? Weren't you supposed to open the retroperitoneal hematoma? Why didn't you open it?"

"It was opened, but it was almost as if it wasn't. The patient's bleeding wasn't significant, the surgery went smoothly, and incidentally, I also received a vivid lesson from a young colleague in the trauma surgery department..."

At this point, Chen Minghao tossed the equipment to Chief Resident Liu Faming: "You take your men and continue."

Then he stepped back, removed the operating table, and became even more serious and solemn: "Master, what do you think is going on?"

"Vascular bridging can be used like this?" Chen Minghao asked, his eyes filled with confusion and a desire to learn.

But Chen Minghao seemed to realize that Professor Deng Haibo didn't intend to respond to him, but instead stopped and waited for him.

So, adhering to the principle of asking questions when in doubt, Chen Minghao took off his sterile surgical gown and gloves and asked again, "Master? Do you know?"

Deng Haibo grabbed Chen Minghao by the neck, stood on tiptoe, and whispered in his ear, "Minghao, do you really want me to say I don't know in front of so many people?"

"You insist on saying that even junior trauma surgeons know this theory, but no one in our large vascular surgery department would have thought of it?"

"Would you like to be my master?"

After Deng Haibo finished speaking, he released Chen Minghao.

Chen Minghao's eyes flashed, and his eyelids began to twitch rapidly.

The master's meaning is very clear: this kind of thinking, which is beyond the textbook level and beyond the syllabus, has not yet been explored by anyone. It is a completely new topic, and perhaps it can be flexibly applied in future rescues. This is a major topic.

Chen Minghao quickly caught up with Deng Haibo. After they left, he asked again, his voice trembling slightly, "Master, should we report this to Director Wu?"

Upon hearing this, Deng Haibo stiffened his neck like a Transformer, turned his head to look at Chen Minghao, and kicked him: "Master, Master Chen, you are my master!"

(End of this chapter)