Wang Zongming almost lost his remaining two points of consciousness after seeing this operation. This Li Dongshan is really good at causing trouble.

Li Dongshan said the same content as Fang Nixin just said in a serious manner, without any sense of shame!

After Fang Nixin heard this, she wanted to dig a hole and crawl in. She just gave her teacher a reference to choose from. Is it really good for you to just use this empty reference as an answer?

Do you want even a little bit of face?

Ten minutes later, Li Dongshan hung up the phone. His reddish face was full of energy: "It's done. Come on, let's have another drink."

Wang Zongming licked his tongue, feeling that he still had something to say, but the wine was gone, so he said: "Director Li, please stay here for once. There is no wine today. Let's stop here."

"Waiter, get a bottle." Li Dongshan was about to get the wine directly from here, but was stopped by Yu Youlin.

Moutai in the hotel is such a waste of money.

…

The next morning, Lu Cheng went out in high spirits.

Then when he arrived at the department, he found that Cao Xiaohe was being teased by a group of nurse sisters with his face flushed. He was so ashamed that his face was still red and he quickly got into the duty room with his head like an ostrich.

Entering the duty room, Zou Qian also smiled and said: "The God of Bacchus is here? Do you want to do some more in the morning? Although it is not as good as the constant drinking you used to play, it is definitely indispensable in the morning, noon and evening, right?"

Cao Xiaohe was immediately embarrassed. Although some people in the Northeast said that he drank all the time, that had nothing to do with Cao Xiaohe. He usually avoided it.

"Brother Qian, please stop making fun of me. I must have lost all my shame yesterday." Cao Xiaohe whispered, where was the ostrich, brought over a bowl of noodles, and fell silent.

Six bottles of beer knocked him out, which kind of ruined his character.

Zou Qian glanced at Lu Cheng and asked Lu Cheng to quickly say goodbye, and then said: "I haven't thrown it all away. There is still a little bit left. It's probably not too late to go look for it in the box now. Do you want me to give you a break?"

?”

Cao Xiaohe was even more embarrassed, and secretly swore in his heart that none of you would laugh at me. Thirty years from Hedong to thirty years from Hexi, maybe who will have the last laugh in the future.

When you all retire one by one, will the world still belong to me, Cao Xiaohe?

Second Austrian.

As soon as this thought arose, Cao Xiaohe saw the short-haired, short-cut Lu Cheng, who was swaying his face very sweetly, and then he thought that he seemed to retire before Lu Cheng.

Mahler Gobi can't compare with his current strength, and he can't survive even with age. He can't survive anymore.

After a while, several junior doctors from the internal medicine department also came in, but they each took the remains of the bun and put it into their mouths, quickly put on their white coats and hurried to the doctor's office.

The internal medicine department has many patients, unlike the surgery department, which has only four patients so far. It is estimated that there will be one more patient today.

After finishing his shift, Wang Zongming led his team to push the medical record trolley and start morning rounds.

The office suddenly became spacious, and Li Dongshan asked: "Zou Qian, are there any surgeries scheduled today? If not, I will take Xiao Lu and Xiao Fang down directly."

He was going to take Lu Cheng and Fang Nixin down to perform knife-throwing. This was something Li Dongshan often did before he obtained the permission to operate in the Department of Orthopedics, in order to prevent his surgical skills from being wasted.

After hearing this, Zou Qian said: "Today there is only a simple fracture operation. Just leave Xiao Cao here. Cao Xiaohe and I can handle it."

After saying this, Zou Qian was quite emotional. He remembered that when he was still studying, Li Dongshan always took him with him every time he went to consultation and surgery. However, since he went to the general hospital a few years ago, he didn't have this kind of care.

An opportunity to study with Li Dongshan.

It seems that once you reach a certain age, you will be abandoned by the whole world, and you have to study alone, without anyone specifically taking you to study.

Unless he was admitted to the general hospital, but if he was to be admitted to the general hospital, Fang Nixin would have to support the emergency surgery department as soon as possible, but how long could Fang Nixin be in charge?

The staffing problem in the emergency department is a big problem, so Cao Xiaohe must be brought out as soon as possible.

When Cao Xiaohe heard that he was so disliked by Li Dongshan, he felt jealous. Teacher Li, you used to take care of me and Senior Sister Fang. Why did you throw me to Brother Qian now that Lu Cheng came?

"Okay, Zou Qian, did the ICU call you for a consultation? What's the current situation of the patients we left there?" Li Dongshan was still a little worried about whether the limb-sparing patient who had previously damaged his lower limbs was still alive.

"It's okay. His vital signs are stable for the time being. I've also seen him. But the condition of the wound is not particularly good. It will probably turn around in two days."

"There is a high possibility of infection. It is probably another big project." Zou Qian said with emotion.

Even if Li Dongshan, Zhou Xuanqing and Professor Zu Kun from the Department of Vascular Surgery work together to save his leg, the life-threatening process of saving the leg still has to be overcome step by step.

If you stay in the ICU after being injured, the chance of infection is over 50%!

"Okay, let's wait until we turn around. Remember to send a microscopic examination and culture of bacteria, fungi, and tuberculosis from the wound after you turn over! Then ask people from the infectious disease and respiratory departments to come over for consultation as soon as possible, and also invite people from the nutrition department.

Let’s make the recipe.”

"This patient must not be careless." Li Dongshan quickly explained.

Zou Qian frowned slightly and said okay.

After that, Yu Youlin took Zou Qian and Cao Xiaohe for ward rounds, while Li Dongshan took Lu Cheng and Fang Nixin directly to the underground parking lot below the hospital, where there was already a commercial vehicle.

A driver was waiting there.

"Professor Li, you are here. I thought you would be busy until eleven or twelve o'clock. Can we set off then?"

"I immediately called the department on the way and asked them to arrange the surgery. Everything will be ready before we go to the operating room."

The driver who spoke was wearing a light blue sweatshirt and jeans. He was very polite and respectful to Li Dongshan after getting off the car.

After hearing this, Li Dongshan nodded and said, "Let's leave now. By the way, Xiao Xu, have you eaten? If not, go have breakfast first."

Xu Hua said: "We've eaten, we've eaten, Professor Li, we can set off right away."

"You can sit tight in the car for a while. I'll call you when I get off the highway."

"Okay, thank you for your hard work." After Li Dongshan said that, he followed Lu Cheng and Fang Nixin and got into the car.

Then he said: "Today we are going to the Orthopedics Department of Ningshi People's Hospital. There is a patient there who has a broken steel plate after a fracture. He has severe osteoporosis, so it is very difficult to operate again. The specific situation is still available.

Let’s talk later.”

Ningshi and Shashi are not far apart, but it still takes about two hours to get from Xiangya Second Hospital to Ningshi, depending on the road conditions.

Ningshi People's Hospital is also a prefecture-level city hospital. It may not be comparable to hospitals like Changshi Hengshi, but it is still relatively strong. For patients who cannot be treated by them, Li Dongshan is specially asked to treat patients with recurrent fractures.

No matter how good the situation is, it can't get any better.

Almost two and a half hours later, the car finally arrived at the hospital's underground garage.

Originally, the ward director of the Second Department of Orthopedics of Ning City People's Hospital planned to arrange for Li Dongshan to eat first, but on the way here, Li Dongshan said that he would have to undergo surgery before eating. Then when Li Dongshan got off the expressway in Ning City,

Xu Hua called here.

The department arranged people to go to the operating room. Li Dongshan and others happened to take the elevator to the operating room, which was on the third floor. The patient happened to be sterilized and draped, and they were just waiting for Li Dongshan to come and do the skin incision.

However, Li Dongshan just told Lu Cheng and Fang Nixin to wash their hands and put on clothes first, while he himself took the patient's case and read it from beginning to end. After reading it, he almost cursed in his heart.

This is not a simple patient with a broken steel plate after fracture surgery. It is clearly a patient who suffered multiple infections after the first-stage surgery and three debridements, and then the steel plate broke and the fracture did not heal.

It can be said that after three consecutive debridements, it is estimated that the soft tissues around this patient's surgical field are all covered with massive hyperplasia of scar tissue.

Long-term fracture non-union and stress shielding of the fracture end lead to bone resorption and osteoporosis.

When Li Dongshan looked at it, Wang Linfeng, the director of the Second Department of Orthopedics, echoed with a smile: "Professor Li, this patient is really a bit complicated. I don't even dare to move him for the fifth time. Now I'm going to kill you."

Call me to help me solve my problem."

"I feel very relieved to leave the complex fractures in Xiang Province to you, Professor Li."

Li Dongshan raised his eyebrows and said: "Director Wang, please don't put a high hat on me. This patient is really difficult to deal with. How did you talk to the patient?"

At this moment, Li Dongshan was really cursing in his heart. What this kind of patient needs is comprehensive treatment, and he cannot solve the problem with just one operation. This requires the help of the infectious disease department, the pharmacy department, the laboratory department, and even the microsurgery department.

, only then is it possible to truly recover.

The Orthopedics Department of Ning City First People's Hospital may be able to handle fractures well, but Li Dongshan is not sure whether the level of other departments can keep up.

Anyway, the laboratory department of the Second Xiangya Hospital is very closely linked with many hospitals that may be involved in infection and communicates a lot with each other, so it will prepare relevant examinations required by specialists and be in line with international standards.

Consultations in the Department of Pharmacy also have dedicated personnel assigned to them. For example, in the Department of General Surgery, I only assign this associate professor to be responsible for consultations in the Department of General Surgery. In other departments of Orthopedics, I assign this person to be responsible only for consultations in the Department of Orthopedics.

There is no need to talk about microsurgery. Based on the condition of this patient's soft tissue, it is estimated that after two more debridements, or even after this debridement, there will be a skin defect.

Moreover, there is probably a pustule waiting for Li Dongshan at the broken end of the fracture. According to his experience, it is best not to even fix the fracture this time.

Hearing this, Wang Linfeng smiled bitterly and said: "The patient refuses to leave. He went to Xiangya Hospital to ask, and the cost was too expensive. Anyway, he stayed with us and refused to leave, so he shouted to the outside that we were the ones who took him.

Those who cause infection must hold us accountable to the end."

"We have already gone to court. The hospital did not agree to the patient's request, but the patient still has an illness that must be treated."

"Now I owe more than 100,000 yuan in debt."

The corner of Li Dongshan's mouth twitched. Hey, he is this kind of patient again. He seems to think that modern medicine is a god. As long as I enter your hospital and spend money, my disease must be cured. If complications occur, it is your hospital's problem.

.

I'm here to spend money, so you have to let me walk out of the hospital intact.

I never thought that hospitals were never places for consumption.

"Then you are going to drag it out like this? You can just ask the court to send it to a higher-level hospital for treatment."

"It's a verdict. The court mediated many times in private and told him to go to Xiangya to get cured. The patient himself thought it was expensive and refused to go unless our department paid for it."

"How is that possible? We can only delay it like this?"

"Well, this patient was hit by a drunk driver, and the insurance can't even reimburse him. He's stuck." Wang Linfeng said helplessly.
To be continued...