Chapter 158: Unexpected Emergency
“What did my dad call you for?” Mu Nanshu asked softly as Lu Cheng walked into the kitchen after hanging up the phone.
“It’s nothing, he said he’ll be back soon and asked me to tell my dad to prepare some good wine to entertain him,” Lu Cheng replied.
Mu Nanshu was startled, “Did my parents say something to your parents privately? Are they trying to rush the marriage?”
As an adult, Mu Nanshu knew that once the elders from both families got together, things like engagement, marriage, and even having children could become things they had no control over.
Lu Cheng didn’t explain Mu Nanshu’s misunderstanding, just looked at Mu Nanshu and shook his head innocently, “I don’t know about that either.”
Mu Nanshu quickly said, “It’s not that it’s impossible, it’s just that it can’t be too rushed.”
“My parents are coming back later, I’ll ask them properly then.”
Lu Cheng started washing his hands, “Okay, I’ll start cutting vegetables then, you stir-fry them…”
“Okay.”
……
Two and a half hours later, Lu Cheng and Mu Nanshu were using Mu Nanshu’s computer.
Mu Nanshu compared it with his own proposal template, carefully explaining to Lu Cheng the function of each section and how to describe it specifically.
‘Welcome home!’ the smart lock suddenly announced.
Mu Nanshu and Lu Cheng were already sitting normally, and they both stood up normally.
“Dad, Mom, Grandpa.” Mu Nanshu hurried to the door and then held Grandpa Mu’s hand.
“Oh, Xiao Shu…” Grandpa Mu was a chubby, short man, and his wrinkles deepened as he smiled.
“Uncle, Aunt, Grandpa Mu.” Lu Cheng also knew Mu Leng, Aunt Yan, and Grandpa Mu, so he greeted them respectfully.
Aunt Yan and Grandpa Mu both said, “Xiao Lu, please sit…”
As Mu Leng and the others were changing their slippers, Mu Leng’s phone suddenly rang.
Yan Sangyue glanced at the table where Mu Nanshu had placed the computer and saw there wasn’t even a cup of water, so she chided, “Xiao Shu, you too, not even a glass of water for Xiao Lu. How impolite.”
Mu Nanshu retorted, “Where is that? He has hands and feet. Can’t he pour it himself?”
“You child, guests are guests.” Aunt Yan quickly asked Lu Cheng, “Xiao Lu, Aunt will cut some fruit for you right away.”
“Grandpa, do you want tea? Do you want to try coffee? Drinking both tea and coffee is good for your health.” Mu Nanshu tried to persuade his grandfather…
Mu Leng, holding his discarded shoes in his left hand and his phone in his right, suddenly became serious, “Ah? Drunk driving? Car accident, and the driver ran?”
“Never mind if the person ran or not, how is Old Ying injured?”
Seeing Mu Leng’s tone becoming more and more serious, Lu Cheng and the others all turned to look at him.
“Is there no time to transfer him to the prefecture? The People’s Hospital’s technical level is average…”
“Is he in the Emergency Department? Okay, I’m returning to Long County, I’ll call and ask first, and then I’ll come over to see the situation…”
“Xiao Lu, I’m going to the hospital, an old friend of mine is injured.” Mu Leng knew Lu Cheng was a doctor at the People’s Hospital, but in his eyes, Lu Cheng was just a junior and a guest at their home, so he didn’t invite Lu Cheng to go with him.
“Uncle, I’ll go with you too, maybe I can help out.” Lu Cheng thought for a moment and replied.
Aunt Yan also said, “Yes, it would be better to let Xiao Lu go with you.”
“Who is it?”
“Old Wei, Wei Ying.” Mu Leng replied.
Not many people could make Mu Leng so concerned; Wei Ying was one of them, and the other was probably Lu Nanjia.
“Xiao Yue, Xiao Shu, you stay home with Grandpa, I don’t know when I’ll be back.” Mu Leng put his shoes back on.
……
In the passenger seat, Mu Leng was looking for contacts and said, “Xiao Lu, the person who was injured today, your father actually knows him too.”
“It’s Old Wei, whom we met when we were doing business together. He later opened a glass factory in Long County. His business was good a few years ago, but now, due to the poor overall environment, it has become much quieter.”
“Uncle Wei Ying?” Hearing Mu Leng say this, Lu Cheng vaguely remembered. When he was in high school, he had even eaten at Wei Ying’s house.
It was just that Lu Nanjia and Wei Ying didn’t have that close a relationship, only interacting occasionally during festivals.
Unlike Mu Leng, who, after coming to Long County, reported to Lu Nanjia’s home almost without regard for the time.
“Yes, it’s him.” Mu Leng nodded.
“He was out cycling, and got hit by a drunk driver, and the driver fled…”
After Mu Leng finished speaking, he said again, “Hey, President Zeng, it’s me. It’s like this, a friend of mine is injured and is in the Emergency Department.”
“Could you please arrange for some skilled doctors… Thank you, thank you very much, President Zeng…”
“Yes, he’s my brother.”
……
When Mu Leng and Lu Cheng arrived at the hospital, the patient had already been taken to the resuscitation room. Du Daihua, who was on duty in the Emergency Clinic, was talking to the family member, “The situation is very serious, with massive intra-abdominal bleeding.”
“This is very dangerous, the exact extent is still unclear, but based on the current situation, we must immediately proceed with an exploratory laparotomy, we cannot delay any longer…”
The only family member who came was a woman in her fifties. Upon hearing this, she became flustered, “Then hurry up and operate?”
“You’d better call the police too,” Du Daihua reminded her.
“Save the person first, we’ll talk about calling the police later.” Mu Leng leaned forward and answered first!
At this moment, Lu Cheng was the first to squeeze to the side of the patient in the resuscitation room.
A rough inspection revealed it to be a non-penetrating abdominal impact injury, with abrasions on the arms and thighs, the patient’s blood pressure was not high, and the blood oxygen saturation was only around 90%, a typical frog-like abdomen…
Although Lu Cheng was in casual clothes, everyone in the Emergency Department recognized him, “Doctor Lu, what are you…”
“Send him to the Emergency Operating Room immediately, call the Ultrasound Department, and prepare for bedside ultrasound.”
Lu Cheng then turned and said, “Tian Duoduo, call Professor Chen Song and ask him to come over. I’ll give him temporary bandaging and hemostasis for now…”
“He’s my uncle.” After Lu Cheng finished speaking, he quickly opened the debridement kit, put on sterile gloves, and began bandaging Wei Ying’s abrasions.
Tian Duoduo and the others took their positions after Lu Cheng announced the patient’s identity.
Wei Ying had not completely lost consciousness yet, and he recognized Lu Cheng, “Xiao Lu…”
“Don’t talk, Uncle… it’s me.” Lu Cheng soothed him. Although he wasn’t wearing a white coat, he could still practice medicine without one at this moment.
Zeng Huanqi shouted, “Someone help me push the bed, call the operating room, start anesthesia and laparotomy immediately!~”
Lu Cheng said he was his uncle, so their relationship must be quite close.
After Wei Ying left, Mu Leng and Wei Ying’s wife were still hesitating and deliberating. Du Daihua said, “Your luck is quite good, Doctor Lu was supposed to be off today.”
“But he rushed back, and the chances of saving the person are higher. More importantly, he can call Professor Chen Song to come in for overtime.”
“In our department, only Doctor Lu and Director Lin dare to call Professor Chen to work overtime.”
“Director Ding Guoqin of the General Surgery Department also took a look at the patient earlier and said the situation was very serious, recommending a prompt referral.”
Wei Ying’s wife’s name was He Shanshan. She also recognized Lu Cheng and asked doubtfully at this moment, “Xiao Lu?”
Du Daihua looked confused.
He Shanshan quickly corrected herself, “Doctor Lu Cheng’s skills are very good?”
Du Daihua said, “That depends on how you compare. In our hospital, Doctor Lu’s skills are very high, but if you compare him to Professor Chen Song of Xiangya Second Hospital, then he’s relatively inferior.”
“Don’t hesitate, just sign. Don’t waste time.”
He Shanshan glanced at Mu Leng, who said, “Sister-in-law, please sign first!”
“Then we’ll trouble you.” He Shanshan, a bit anxious, clasped her hands together in a pleading gesture, and then signed her name.
After this was done, He Shanshan thought about calling the police again.
Compared to catching the culprit, it was clearly more important for Wei Ying to survive first…
Seeing He Shanshan quiet down, looking several years older, Mu Leng comforted her, “Sister-in-law, don’t worry, Xiao Lu has always been a good child, he should be able to save Old Wei…”
He Shanshan turned her head and apologized, “Brother Mu, I’m sorry. Our child isn’t with us, so I could only ask you first.”
Mu Leng said, “Yes, I asked when I came. The doctor at the County Hospital said that Professor Chen from the Emergency Department is a professor from the Emergency Department of Xiangya Second Hospital and has excellent skills…”
“It’s just that President Zeng said that Professor Chen might not be easy to invite…”
He Shanshan quickly said, “Doctor Du just said that Lu Cheng can invite Professor Chen.”
Mu Leng squinted his eyes and nodded slowly.
……
In the operating room, after the disinfection and draping were complete, the anesthesia machine beeped incessantly.
Zeng Huanqi asked hesitantly, “Xiao Lu, should we wait for Professor Chen?”
Lu Cheng said, “We can’t wait any longer, the patient’s systolic blood pressure is only around 80.”
“Based on the time, Professor Chen should be arriving soon.”
“Start the surgical timer. Let’s start the laparotomy, and Professor Chen Song can take over when he arrives,” Lu Cheng shouted towards the circulating nurse.
The circulating nurse pressed the timer button, “20:23:42 PM, the surgery officially begins.”
“Call to urge the orthopedic doctors again, and ask them when they’ll arrive.” Lu Cheng said as he incised the abdominal skin with the surgical knife.
On Lu Cheng’s opposite side, Zeng Huanqi immediately wiped the patient’s abdomen clean with a sterile gauze pad.
“I asked, the orthopedic doctor on duty said they’ll be here soon, they should be arriving shortly,” the circulating nurse replied.
In an emergency surgery, invited by the Emergency Department, no orthopedic doctor on duty would dare to refuse to participate.
Lu Cheng’s technique was smooth and proficient, which made Zeng Huanqi even more astonished, “Xiao Lu, it’s only been half a month, and your skills have improved so much?”
This was the first time Lu Cheng had teamed up with Zeng Huanqi since his return.
Lu Cheng said, “Suction.”
“Electrocautery, adjust the current.”
Before completing the laparotomy, Lu Cheng immediately upgraded his hemostasis skill to Mastery （20/20）!
Lu Cheng’s skill point balance decreased by five points, leaving only twenty-one.
To save the life of a patient with intra-abdominal bleeding, hemostasis is the primary concern.
This patient must have a liver contusion, spleen injury, pancreatic contusion, or similar.
Otherwise, there wouldn’t be so much intra-abdominal bleeding.
After all, it was a non-penetrating abdominal injury, a blunt impact injury.
Lu Cheng skillfully opened the abdomen and saw a large amount of blood gushing into a lake, with some blood congealed into dark red clots.
The entire field was red, making it difficult to discern the specific anatomical structures.
“Explore the spleen first!~” Lu Cheng said after a brief look at the situation.
Zeng Huanqi nodded and diligently helped to retract the abdomen with the retractor.
Just then, an extra pair of hands appeared, belonging to Han Xiaoping, “Brother Lu, let me handle the retractors here. Daihua called to say your uncle is injured.”
Lu Cheng eased his grip and didn’t reply, “The direction of the retractor can be a bit higher—”
Lu Cheng put down the retractor in his hand, picked up a hemostat, and tried to recall Professor Chen Song’s memories about blind instrument hemostasis.
According to Professor Chen Song, once the level of hemostasis reaches a certain point, it is possible to roughly determine which artery is bleeding by the specific turbulence of the blood in the abdominal cavity.
This requires a certain degree of tactile sensation, spatial recognition, and a thorough understanding of anatomical spatial reconstruction to achieve.
Lu Cheng didn’t know if he could reach this level, but he could only try his best to save time.
Opening the abdomen or not would not significantly affect the bleeding volume, as this was not a pelvic hematoma, and opening it rashly would suddenly increase the bleeding.
I can’t feel it!
Lu Cheng’s mind moved.
【Physical Examination（Mastery20/20）（Skill Points-16）】
【Emergency Medicine（Mastery5/20）（Skill Points-5）】
As before, two clear streams separated, one entering the brain, the other returning to the hands.
After the warm current flowed back to his hands, Lu Cheng found his tactile sense to be more sensitive than before. It was as if his fingertips and palms had grown eyes under his will, roughly knowing which direction the turbulence was more intense.
In an instant, Lu Cheng’s left hand followed the turbulence to the bleeding source, then moved about three centimeters closer to the abdominal aorta and squeezed the vessel.
Then, the hemostat in Lu Cheng’s right hand was precisely delivered to the side of his left hand and clamped shut with a click.
His left hand probed again, and the blood flow stopped.
This indicated that the hemostasis was effective.
This must be the splenic artery.
There was another artery behind it!~
Lu Cheng felt like he was digging for loaches at this moment, his fingers were extraordinarily flexible, able to follow the loach’s hole and swim around freely.
Lu Cheng quickly felt the rupture of this artery, but based on the spatial structure, Lu Cheng could not accurately name it.
But no matter what, clamp it first to stop the bleeding!
“The blood level is dropping.” Zeng Huanqi’s eyes widened in surprise.
This meant that Lu Cheng’s hemostasis was effective.
In other words, Lu Cheng had just put his hand in and found the bleeding point??
What kind of operation was this?
Professor Chen Song seemed to have never performed such an operation before.
“Yes, I’ll probe the other side.”
“Brother Zeng, let’s switch positions.” Lu Cheng instructed.
Zeng Huanqi loosened his grip.
At this moment, the automatic induction door of the operating room was pushed open, and he entered saying, “Xiao Lu, what exactly is the condition of your uncle? I had a bit of a drink.”
Drinking made it inconvenient to operate.
Unless the situation was extremely urgent.
“It’s hard to say for now, it’s a blunt abdominal impact injury, preliminarily diagnosed as spleen contusion and liver contusion,” Lu Cheng said.
“Then I’ll go get something to sober up. I only had a few beers today.” Chen Song said hurriedly.
However, Chen Song then saw Lu Cheng inserting a hemostat into the patient’s abdomen with one hand.
Chen Song immediately froze, his stride halted mid-step, and then he swayed in another direction.
He adopted a very awkward squatting posture with his rear end, and only then did he stabilize his center of gravity and stand up to look towards Lu Cheng.
The more he looked, the more his pupils constricted.
It was as if the one who was about to go into shock was not Lu Cheng’s uncle, but Lu Cheng’s teacher, Chen Song…
Of course, Chen Song had explained to Lu Cheng what the level of advanced hemostasis was and what it could achieve.
But logically speaking!
That was Chen Song explaining the technical aspects to Lu Cheng, not performing for him???
How could Lu Cheng have reached this point?
Many, many professors of general surgery could not do this, because they could not clearly explain how they did it, and thus could not teach or pass it down.
When asked, those who possessed this technique would say it was tactile sensation.
Absolute talent?
Lu Cheng placed three more hemostats with a ‘click’ sound and then withdrew his hands, “The initial visible bleeding has been stopped.”
“Spleen contusion, grade 4 injury.”
“Liver contusion, preliminary assessment should be AAST grade 3.”
“The pancreas is fine, and the intestines are normal.”
“Severe intra-abdominal bruising, ribs may be fractured.”
“Is the bedside ultrasound here yet? Take a look at the heart…” After doing all this, Lu Cheng quickly reported to Chen Song and asked the circulating nurse.
The doctor from the Ultrasound Department had already prepared for the cardiac ultrasound. She bent over under the large surgical drape and only her voice was heard, “You were operating, so I was waiting.”
“You’ve finished the hemostasis, right? Then I’ll start.”
“It’s ready, Teacher.” Lu Cheng nodded, then looked at Chen Song, “Teacher Chen, it’s up to you now.”
Chen Song had ten thousand expletives and ten thousand ‘why’s’ in his heart, but he knew it wasn’t the time to ask.
But precisely because of this, he felt even more distressed.
Why couldn’t he ask anything? He was caught in a dilemma, suffocating. This kind of hemostasis technique? Where did Lu Cheng learn it from???
……
“Okay, I’ll go up to the table!~”
“But let’s be clear first, you can’t report me.” Chen Song looked at Lu Cheng, very wary, and said jokingly.
Lu Cheng replied, “Teacher Chen, if I were so ungrateful, or if the patient’s family knew you had been drinking, I’d twist my head off and give it to you.”
Wei Ying was already anesthetized and certainly didn’t know.
Wei Ying’s family was familiar with Lu Cheng, so if anyone were to inform, it would be Lu Cheng.
Only then did Chen Song feel at ease to put on a sterile surgical gown. After being fully geared up, Chen Song approached the operating table again, carefully opened the patient’s abdomen, and saw the hemostats that Lu Cheng had quickly inserted into the abdominal cavity to clamp the vessels.
Of course, Chen Song could also see the previous blood level from the residual blood stains.
Lu Cheng had definitely performed blind hemostasis without a visual field.
Chen Song glanced at Lu Cheng, “You… you… you’re a freak, you don’t play by the rules anymore.”
Lu Cheng understood what Chen Song meant. Chen Song said that this blind hemostasis technique could not be learned; it was innate talent.
Generally speaking, if you know it, you know it; if you don’t, practicing is useless. For now, no one can teach blind hemostasis.
Lu Cheng smiled calmly and didn’t reply.
