Free Web NovelChapter 432: Chapter 234: Goal Established!
"But I thought about it, if the opportunity is right, some trauma patients could have better postoperative recovery," said Lu Cheng.
"Moreover, this topic is naturally a clinical subject, and it’s one of the surgeries we must pursue."
When Lu Cheng was in Long County, he hadn’t performed trauma surgeries, but he had done so in orthopedics.
It’s quite simple, amputation.
Some say fractures are the simplest orthopedic surgery, but that’s not true; amputation is.
An Inpatient Doctor can perform it, with no real technique, just amputate, stop the bleeding, and suture.
The efficacy is good, just not very friendly to patients.
"Hmm!~"
"Tell me your thoughts?" Mu Nanshu knew that Lu Cheng had experienced so many original surgical techniques that when he proposed a concept, it wasn’t without basis.
"First, as far as I understand, I certainly won’t start by dealing with trauma patients; each specialty must resolve that on their own."
"However, in medium-sized traumas, there are some localized, smaller trauma areas that our emergency department must handle."
"And postoperative healing of tendons and skin in medium-sized trauma patients is quite poor. I’m thinking if I can allow medium-sized trauma patients to have excellent localized recovery, then I’d have a pathway forward!"
"Look, I currently have the Tendon Suturing Technique, nerve suturing techniques, vascular suturing techniques. I can perform limb replantation, so why isn’t there a concept called tissue replantation?" Lu Cheng questioned Mu Nanshu in return.
"But what if it’s not excised cleanly and infection occurs?" Mu Nanshu also expressed specific concerns.
Lu Cheng, having ordered takeout, knowing Mu Nanshu’s taste preferences well, put down his phone and replied, "Book Bag, do you think the current postoperative infection rate for medium-sized trauma patients is poor?"
"Those are contaminated wounds, with high chances of infection and high rates of secondary surgeries."
"Such patients are simply transferred either to the Infection Department or the Burn Department."
Trauma patients have poor prognosis, poor treatment, and high rates of secondary surgeries.
As analyzed by Lu Cheng, indeed all negative aspects are maximized.
But Mu Nanshu still had doubts, "But?"
"There’s not much of a ’but.’ I’ll explain my ideas to Director Xiao soon. This is a micro-innovation within clinical practice, and as an attending physician, I certainly have my own authority."
"No guideline dares to provide detailed treatment guidance for trauma patients!!" Lu Cheng’s tone was firm.
Trauma is formless, there’s no standard answer, and thus no standardized treatment.
Anyone daring to outline a framework for trauma patients is only creating trouble for themselves.
An injured hand is trauma, a half-split hand is trauma, a hand crushed to pulp is still trauma, a smashed head is trauma.
How do you standardize that? Ridiculous.
"Are you trying to exploit the rules?" Mu Nanshu smiled.
"Just trying to find something to do," said Lu Cheng.
"And how do you plan to preserve tissues in traumas others can’t handle?" Mu Nanshu asked.
"Based on the hand surgery replantation concept!" Lu Cheng replied.
"Currently, the definition of debridement in trauma is removing foreign materials from open wounds via surgery, and excising necrotic, nonfunctional, or contaminated tissues!"
"By this definition, foreign materials, necrotic, and nonfunctional tissues must be removed, but not necessarily contaminated tissues."
"Limb replantation has a specific time window, so does tissue with disrupted blood flow necessarily die completely?"
"I think not; they also have a time window. It’s just that reconstructing their blood flow is so cumbersome that few people undertake such thankless tasks."
"But I think I can give it a try because I can suture vessels quickly, including very tiny ones."
"This way, I can save some potentially necrotic but potentially viable tissues."
"The less tissue deficit, the less postoperative scarring the patient has, and the better the local appearance."
"I might even have the chance to reconstruct local cutaneous nerves."
"If I can’t pursue surgical quality for now, I’ll pursue surgical precision—isn’t that reasonable?"
Quantity is a horizontal issue about patient numbers. Surgical quality and treatment quality are vertical issues.
"Alright, then keep thinking. If everything aligns, of course, you can proceed with it."
"But now, shall we rest, have some late-night snacks, and wait for the milk tea?" Mu Nanshu didn’t want to discourage Lu Cheng but hoped he wouldn’t rush and be reckless.
Lu Cheng was thorough in his thinking, considering all causes and effects, so she naturally supported him.
What Lu Cheng intended to do wasn’t about opening new pathways randomly like before but integrating existing pathways.
"Let’s go eat."
"This is vacuum-packed, so we need to mix it ourselves. Just add some vinegar and a bit of scallion ginger water." Lu Cheng stood up voluntarily.
But just as Lu Cheng stepped out, his phone rang.
Seeing this, Mu Nanshu said, "You’re still busy; I’ll go instead."
"Hey!~" Lu Cheng didn’t argue with Mu Nanshu, and opened the phone to answer the call.
"Hello, is this Brother Lu from the emergency department?" A young male voice came from the other side, open and likely standing outside in a quiet spot.
