Rebirth 10: This Medical Madman is Unreasonable

Chapter 46 Disciplining the Professor!

Fu Yongbing hesitated for a moment, his Adam's apple bobbing up and down.

"I...I'm sorry." Fu Yongbing apologized to Chen Zhuoan, his expression turning serious.

He had never heard of such a skill as inserting the arterial sheath with his eyes closed and at the perfect position.

Chen Zhuoan was also suspected of "testing" her.

In his past life, although he could occasionally achieve this, his success rate was not 100%; he would be lucky to get 30%.

In clinical practice, Chen Zhuoan would not be allowed to do this.

He simply felt that after being reborn, his muscle coordination and plasticity were even better than his later self in his old age.

Therefore, it seems that my operational skills have been further enhanced after being brought to a younger age.

In other words, Chen Zhuoan's performance may still have room for improvement.

"It's alright, let's continue."

"We need to figure out why this patient's treatment involves interventional procedures instead of thrombolysis. This is very important both in clinical practice and during competitions."

"Next, we need to review..."

……

Time flies by.

July 5th, Monday, afternoon.

On the third-to-last day of the week-long training camp, we arrived at the surgical training session.

After the professor finished his lecture, Chen Zhuoan continued to gather his team members around him.

At this moment, Su Xiheng and the others obediently and earnestly picked up their notebooks and looked at Chen Zhuoan.

Waiting for Chen Zhuoan to disassemble it.

"Today, as usual, let's put aside what Professor Xu said for now and continue to analyze these two cases more deeply."

"First, what is this patient's diagnosis?"

Su Xiheng answered quickly: "Aortic dissection rupture!"

Chen Zhuoan nodded: "Yes, aortic dissection rupture."

"So, when dealing with it, should we address the underlying layers or the fracture?"

"rupture."

However, just as Chen Zhuoan said this, a middle-aged head squeezed in from the side.

Professor Xu, who was nearing fifty but looked no more than thirty, smiled and said, "What were you just saying? Ignoring what I said?"

Professor Xu's sudden appearance caught them off guard, causing Fu Yongbing and the others to panic.

This is a professor of hematologic surgery.

Chen Zhuoan cautiously said, "Teacher, what I meant was, let's put it aside for now."

Professor Xu was naturally unhappy: "Why should we temporarily set that aside?"

"You little brat?"

Which department?

Chen Zhuoan replied frankly, "Orthopedics."

Professor Xu's eyelids twitched repeatedly as he retorted, "You're an orthopedic surgeon, what makes you think you can disregard what I've said?"

Chen Zhuoan glanced at Professor Xu and asked, "Teacher, I was discussing the learning strategy with my team members."

Professor Xu: "I'm asking about the words used in the intro."

Why disregard what I said?

"Answer me!" Professor Xu still smiled, but he was somewhat angry.

He's a professor who went to great lengths to come here and give free training courses, yet some people say to put it aside?

Chen Zhuoan: "Teacher, this patient's diagnosis is a ruptured femoral artery dissection, and the rupture is located in the mid-thigh!"

"What can be done if we don't treat this crack?"

Professor Xu: "Not going to do anything about it?"

"Compartment syndrome, the patient has low blood pressure and severe pain."

Chen Zhuoan: "Um, and then? Teacher Xu."

Fibrous artery rupture and bleeding is a specialty of the orthopedics department where Chen Zhuoan works.

Xu Kairan was taken aback: "What, and then?"

Chen Zhuoan said, "What I mean is that the worst outcome of compartment syndrome, low blood pressure, and severe pain is simply amputation."

"Femoral artery bleeding in the middle of the thigh won't cause hypotensive shock, let alone sudden death on the spot, right?"

Xu Kairan's brows began to furrow!

He thought for a moment: "Hmm... what do you mean?"

Chen Zhuoan: "If this patient only has a simple femoral artery dissection rupture and bleeding, then his standard treatment is to remain on the observation side for the time being!"

"Instead of immediately opening up the hematoma."

"Because even if the hematoma is not opened, the worst outcome for the patient is only low blood pressure."

"However, once the emergency room opens, before the hematoma has completely coagulated, the local hematoma may perfuse through the arteries, leading to infarction in the distal limbs!"

"Even if we need to clean up the hematoma, the first thing we must do is clamp the arteries proximal and distal to the femoral artery rupture!"

"This way, blood clots and fatty tissue can be prevented from entering the body's circulatory system, thus avoiding infarction or fat embolism!"

As Xu Kairan listened, his pupils suddenly dilated.

"You mean, operating on him to stop the bleeding would actually harm him?"

"Is this patient in mortal danger?" Although Xu Kairan didn't ask if the patient died this way, he subtly conveyed this meaning.

Chen Zhuoan: "Professor Xu, I was just making a guess!"

"If it is not an open, mobile lower limb arterial bleeding, we would recommend prioritizing closure of the blood supply before cleaning the hematoma."

"This way, we can minimize the associated complications."

"So, when I was disassembling it for my teammates just now, I asked them whether to deal with the interlayer first or the bleeding first."

"We should definitely deal with the bleeding first, then deal with the dissection."

"The best way to deal with the bleeding is to close the distal end of the femoral artery beforehand, outside the area of ​​the hematoma!"

What do you think?

Xu Kairan did not reply.

But Chen Zhuoan's tricky answer made him feel a little uneasy.

The patient's death was indeed due to embolism.

However, the expert panel suggested that it was a natural phenomenon.

Fat embolism syndrome can occur in any patient, but this patient just happened to have a rare case of fat embolism.

But Chen Zhuoan's analysis...

Xu Kairan, on the contrary, felt that it was because those young people did not have a thorough grasp of the knowledge system when they were performing the surgery.

This led to the patient developing a rare fat embolism.

However... Chen Zhuoan didn't express this meaning, so he couldn't take it personally.

Chen Zhuoan didn't mention a word about fat embolism, but Xu Kairan understood the meaning behind it.

"Hmm. Not bad," Xu Kairan said.

Chen Zhuoan: "Professor Xu, do you have any other questions?"

Xu Kairan immediately exclaimed "Ah!"

Damn it, who's the teacher? Who's who?

I'm giving you guys intensive training, not the other way around.

Chen Zhuoan then softened his words slightly: "Teacher Xu, what I mean is, can we continue with the mindset building of our team?"

Xu Kairan touched his nose and stared intently at Chen Zhuoan, his gaze seemingly trying to pierce through Chen Zhuoan.

However, Chen Zhuoan's calm gaze broke Xu Kairan's defenses, causing him to lose his composure and turn away.

"You guys just do your own thing..."

"This is really fucking weird." Xu Kairan's voice was strained with frustration.

Chen Zhuoan replied calmly, "Let's continue. First, let's focus on the key points."

"What is the most likely cause of this patient's death?"

Chen Zhuoan continued his disassembly.

Chen Zhuoan knew that many of the original questions in skills competitions were actually cases that the question setters regretted or had many doubts about.

They might also want to get a potentially correct answer from a different perspective.

……