godfather of surgery

Chapter 1010 Anxious Professor Guan

In order to prevent Guan Ruyan's escape from really affecting Principal Ding's surgery, Yang Ping had to discuss the matter privately with Lu Xiaolu and Director Yao after the meeting.

After the talk, Director Yao didn't believe it at first, but Yang Ping also suspected that Guan Ruyan would run away at the last minute. Director Yao had to believe it. He had to re-plan the operation and let Lu Xiaolu be prepared. However, Lu Xiaolu's ethical review did not pass because Guan Ruyan was a relative of Principal Ding and had a strong desire to donate a kidney. The matching degree was very high, so the Ethics Committee would definitely agree to let Guan Ruyan donate a kidney and at the same time deny Lu Xiaolu's ethical review.

If Lu Xiaolu's ethical review is to be passed quickly, he must wait until Guan Ruyan refuses. Director Yao thought about it and decided that if Guan Ruyan really wanted to escape, then the operation should be arranged now. Guan Ruyan will definitely find a chance to leave or refuse. In this way, Lu Xiaolu's information can be resubmitted the next day, which can save time. Otherwise, the operation may be delayed if it is dragged on.

Guan Ruyan couldn't leave or stay now, so he had no choice but to stay. He tried to find a reason to go out, but it seemed that he couldn't find any chance now.

Director Yao followed Yang Ping's instructions and had Guan Ruyan hospitalized immediately. He also arranged for a blood test for Guan Ruyan upon admission to determine whether there was an active infection. Principal Ding's condition really could not be sustained any longer, and without a kidney transplant, there was probably no hope, and he could not be allowed to delay any longer.

The results of the blood test came out quickly, everything was normal, there was no sign of infection. The director of the respiratory department came over personally to check the throat and found no inflammatory symptoms. The chest X-ray showed that everything was normal, there was no infection in the lungs and trachea and bronchus.

Everything was normal and the surgery was possible. However, Principal Ding's condition was getting worse day by day, so Director Yao immediately decided to perform the surgery in eight hours.

In fact, many organ transplants are emergency surgeries because the time of obtaining the organ is uncertain. Once a donor is obtained, the operation must be completed within a certain period of time, otherwise the organ will suffer from ischemia and necrosis.

Hearing that the surgery would be in eight hours, Guan Ruyan became extremely anxious, and immediately used his clever brain to think about how to get out of this situation, which he had to do in a dignified manner within eight hours.

Ding Xinyu has been staying by Guan Ruyan's side, never leaving his side, because he was very grateful to Guan Ruyan, so during the entire hospitalization period, Ding Xinyu decided to take good care of Guan Ruyan and not leave him for a second.

"Don't eat or drink from now on. We will start the operation in eight hours. If Principal Ding's condition changes, we may perform the operation earlier. In short, everyone should be prepared for the operation at any time. We will sign the informed consent form later." Director Yao personally explained to Guan Ruyan the preoperative precautions.

Guan Ruyan nodded: "Okay, okay."

Director Yao saw that Guan Ruyan's expression was a little strange, so he said: "Professor Guan may be nervous, so give him some sedatives, so that he can rest for a few hours now, so that he can better adapt to anesthesia and surgery later.

When Guan Ruyan heard this, he was shocked. How could this be possible? If he was given an injection of sedative, he would not know anything and would fall into a deep sleep. He would not even know anything until the operation was over.

"It's okay, it's okay, I'm not nervous at all, no need for sedatives."

Director Yao picked up the stethoscope and began to listen to Guan Ruyan's heart. After listening, he said, "Your heart rate is relatively fast now, 110 beats per minute. You are in a highly nervous state. This is definitely not good. You should take a sedative. Anyway, the anesthesiologist will come over and sign the consent form and recommend the use of a sedative."

“No, no—”

"You're right to listen to me. Don't worry, it will make you fall asleep immediately, so the surgery experience will be much better later."

Guan Ruyan insisted on not using sedatives. How could he escape once he used them? Now he would definitely escape, but the main thing was how to save his face and reputation.

At this time, the nurse came in to open an intravenous access for Guan Ruyan, and then hung up a bottle of energy mixture to replenish energy and fluids during the fasting period.

"What is this?" Guan Ruyan subconsciously retracted his hand and dodged sideways.

"No need for sedatives." Guan Ruyan said immediately.

Director Yao said, "This is an energy mixture mixed with saline solution."

"Oh!" Guan Ruyan stood up and looked at the bottle and the hanging infusion order. After confirming that it was not a sedative, he stretched out his hand to let the nurse give him an IV.

Director Yao gave some instructions and left. Now Ding Xinyu has been guarding him. Guan Ruyan has trouble even sending a WeChat message, let alone making a phone call. In addition, Director Yao just mentioned the injection of sedatives, and Guan Ruyan can no longer calm down.

"Xinyu, I'm going to the laboratory. There's something urgent over there that requires my presence." Guan Ruyan could only talk about the laboratory.

Ding Xinyu said, "You're on an IV drip, let Xiaolu take care of it. Hasn't he always been the one running the lab for you? Why is he still going now? You need to get some rest now. The surgery is only a few hours away. Director Yao has told you not to go out. Don't worry about anything now. Don't take care of anything." "I'm afraid Xiaolu can't handle it!"

"Is there anything in the laboratory that Xiaolu can't handle?"

"Hey, my student in the United States has been in a very low mood for the past few days and has been threatening to commit suicide. I'll give him a call."

"Go ahead and call. Don't talk too long."

"I was afraid of disturbing everyone."

"This is a single room. We are the only ones here. It's okay. I won't say anything. You can make your call. Then go and get some rest after that."

Guan Ruyan checked his phone from time to time. Soon, the nurse came in to change the liquid in Guan Ruyan's drip bottle. Guan Ruyan asked cautiously, "What is this liquid?"

"Don't worry, Professor Guan. This is the medical order given by Director Yao himself. It is a sedative. This bottle of medicine can help you fall asleep well and let you have a good rest for a few hours. Director Yao said that you are too nervous and your heart rate is so fast. This will cause problems. You must stay calm. In fact, there is no need to be nervous. The operation is very safe and quick." said the nurse with a smile.

When he heard that it was a sedative, Guan Ruyan's face immediately turned bad, and he angrily wanted to pull out the needle: "Quick, pull it out for me, who told you to give me a sedative, stop it for me, I'm allergic to it."

The nurse immediately turned off the infusion machine. Didn’t she say there was no drug allergy?

"Are you feeling okay?" the nurse asked nervously.

"Chest tightness! My chest feels so uncomfortable!" Guan Ruyan gasped.

The nurse couldn't figure it out. Director Yao had just ordered a new bottle of saline solution, but told Professor Guan that it was a sedative, which would have a psychological suggestion effect and help Professor Guan relieve tension.

How can an infusion of normal saline cause an allergic reaction?

The previous bottle of liquid also used saline as the solvent, so how come it was fine?

But the nurse did not dare to neglect it. This kind of thing could not be neglected. She immediately pressed the bell to call for support: "Bed 36 is allergic to the medicine. Save him as soon as possible."

Doctors and nurses came over immediately with a rescue cart, a defibrillator, and other things. The doctor on duty immediately checked Guan Ruyan and asked, "Where do you feel uncomfortable?"

"Chest tightness and shortness of breath!" Guan Ruyan answered while gasping for breath.

There were no other problems. It just happened after changing the fluid. It must be caused by allergies. The doctor immediately said: "1 mg of epinephrine, intramuscular injection! Quick! Prepare for tracheotomy."

Guan Ruyan was so frightened that his face turned pale. He immediately said, "It's okay, it's okay. My allergic symptoms are usually very mild. I'm completely fine now."

The doctor grabbed Guan Ruyan's arm and began to check for hives: "Are you really okay?"

"Don't worry, it's really okay."

"Put on an ECG monitor and give him oxygen for two hours."

Guan Ruyan waved his hand: "No, no, I'm fine now, don't worry, as long as I don't take any more medicine, I'll be fine, just remove the drip."

At this time, two doctors came in, one was Director Yao's assistant and the other was an anesthesiologist. They came in to ask Guan Ruyan to sign the informed consent form for surgery and anesthesia. After signing, he would actually wait to be pushed to the operating table.