godfather of surgery

Chapter 34 Emergency Visits
After a day's work, Yang Ping lay on the bed.

"Thank you, at six o'clock tomorrow night, the second uncle will grill the fish!" Su Yixuan sent a WeChat message.

Is this an appointment with me?It's just to help reduce the subluxation of the radial head. It's a small effort, so please don't be so polite.

"Okay!" Yang Ping replied to WeChat.

Since he is so enthusiastic, it is better to be respectful than to obey.

Lying in bed temporarily unable to sleep, Yang Ping opened WeChat, walked around in several groups, and climbed the stairs for a while.

In the university group, there are relatively few bubbles, and only a few are more active. They all rely on the green channel and graduate into a relatively good top-three hospital.

Some people are posting photos of attending academic conferences abroad with the director, with a sign on their chests hanging on their chests, taking a group photo next to the international boss, and then making a light complaint: Being a doctor is not easy, and charging has to cross the ocean.

There are a few bits and pieces behind with a few words of praise.

Then there is the link to vote and haggle, interspersed in the group.

I slept a little late at night, woke up early in the morning and felt a little lack of sleep. Yang Ping went to the breakfast shop next to the hospital to eat a bowl of Sanxian Noodles, and it was a little after seven o'clock when he arrived at the hospital.

Zhang Lin, Xiao Wu, and other residents were already busy, and the computer keyboard kept crackling.

Yang Ping sat down at the desk, and Xiao Wu made a brief report to Yang Ping about the patient's condition the day before. Those who were in arrears, those whose medical insurance was overpaid, those who felt that the hospital was not reported in time, etc., a mess of things .

Director Han's team actually has two teams, Yang Ping, Xiaowu, Song Zimo, and Zhang Lin. The patients are managed separately, Zhang Lin manages ten beds, and Xiao Wu manages ten beds.

While typing on the keyboard, Zhang Lin said mysteriously, "Is something wrong with the spine?"

"What happened?" Xiao Wu was curious.

Zhang Lin nodded: "Remember that Sanwu personnel? Four sons and two daughters came. Yesterday, they made a mess in Corey and were forcibly driven away by the security guards."

"Didn't he have no relatives? He called his home before, didn't he say he had no relatives?" Not only Yang Ping knows, but the general practitioners know this patient, a patient with a burst fracture of the thoracic spine, a spinal cord damage on the same plane, and total paralysis below the navel. .

Zhang Lin smiled strangely: "Cut, that's because I was afraid of being pressed for money. I was hospitalized for half a year, and no one came. I called them, and they didn't admit that I had this father. Paralyzed, to lose money."

"Losing money? Three no personnel, a fall from a height on the construction site, a foreman running away, a severe spinal fracture with spinal cord injury, spinal cord damage, paralysis everywhere, spinal cord injury is a problem in the world, free treatment, free escort, free Three meals a day, lived for half a year, and now relatives suddenly appear, and lose money as soon as they come?" Xiao Wu was angry.

Zhang Lin said: "Yes, director Zhao from the medical department went to negotiate yesterday, and the other party offered to pay 600 million yuan in compensation, and if he didn't pay the money, the hospital would be bloodbathed."

"It looks like there's going to be trouble! You have to pay attention these days, and you have to be careful when you go to get off work." Zhang Lin said.

"I'm going to buy a knife-proof piece of clothing. Do I want to make an order together? Also, everyone should pay attention to the fact that the desk should not face the door, pay attention to suspicious people when commuting to and from get off work, and try to wear sneakers to work."

"Is it that serious?" Yang Ping whispered.

Zhang Lin said seriously: 'You're right, brother. Not long ago, in the Second District of Southern Metropolis, a doctor was slashed a few times by a patient and is still in the ICU. You didn't see anyone in the emergency department of our hospital during this time. Are you measuring with the wrapper? "

"Didn't you say the gate was remodeled?" Yang Ping was a little interested in this question.

Zhang Lin's information is well-informed: "Reliable news, in the future, only one door will be opened in the outpatient emergency room, and there will be a security inspection channel at the door. This is what President Xia personally caught. Don't you know, we must strengthen the security force and train doctors to defend themselves. The hospital launched The three new policies for security will be notified on the hospital's intranet immediately."

"How did you know?" Yang Ping didn't know anything.

Zhang Lin said arrogantly, "Don't ask about this, it's fine if you know it. I'll just tell you, don't tell anyone else."

Then he repeated the same words to Xiao Wu, Fang Yan and others.

It was widely advertised and kept secret.

Shift shifts, ward rounds, and surgeries follow this routine every day.

Yang Ping performed a replantation of a severed finger by himself, and performed several operations with Director Han. The operation was performed after [-] o'clock in the afternoon.

Director Han's operation is fast and good. He feels that he can block if he wants to be fast, and he can be slow if he wants to be slow. He always has a plan, and everything seems to be planned.

While chatting in the locker room, Lao Han received a call and hung up and said:

"Xiao Yang, the emergency department just asked for help. There was an accident at a construction site. A worker's leg was crushed by the cement block and couldn't get out. It is currently being rescued. It is estimated that the amputation will be done on the spot. You take Xiao Wu. Now go to the door of the emergency department. The car is waiting."

This kind of thing can't be delayed. Yang Ping took Xiao Wu and rushed to the emergency department. A Mercedes-Benz ambulance was waiting at the door. The doctor saw Yang Ping and immediately opened the door: "Dr. Yang, hard work!"

The emergency department had already sent an ambulance to the scene, but now this one is just for Yang Ping. The ambulance roared and went straight to the construction site.

There were people waiting at the entrance of the construction site, and everyone was given a hard hat.Yang Ping, wearing safety helmets, followed the workers who led the way to the site of the accident.

This is the subway tunnel project. If you go underground, you can see the rudimentary tracks, escalators, pillars, etc.

"There is a corner that has not been reinforced, and it is forbidden to enter. The workers were anxious and hid inside to poop. As a result, it collapsed. The upper body of the person was pulled out, and one leg was pressed by a cement block." The leader of the construction site in charge of safety led the way.

Dr. Lu from the emergency department and a nurse have been standing around, the venous access has been established, and the rehydration has also followed.Dr. Lu reported: "The right lower limb was pressed by several hundred kilograms of cement. It was difficult to rescue. The machine could not be used, so it could only be rescued manually. There was damage to the internal organs of the abdomen. Thousands of milliliters of fluid; there is bleeding under the spleen capsule, and this bleeding tends to expand, so we need to return to the hospital as soon as possible for a caesarean section.”

The emergency department has a relatively solid foundation. There are all kinds of portable color Doppler ultrasound, X-ray machine, and electrocardiograph. There are fully automatic biochemical analyzers in large ambulances.Since the establishment of the trauma emergency center, these doctors have been trained every three days, and it is not difficult to take a color Doppler ultrasound.

A broken liver is dangerous enough.There is still bleeding under the spleen capsule, and it is progressively enlarged. This is an indication for emergency laparotomy. Otherwise, once the bleeding increases, especially if the spleen capsule is ruptured, it will be fatal on the spot.

The patient is barely awake now, which is usually in good physical condition, plus timely rehydration.

Hurry up to rescue people and send them to the hospital for caesarean section. This time is very tight, and life and death are fast.

The patient's face was pale and his expression was painful. The trousers of his right leg had been cut open, and they were all pressed inside from the lower part of the thigh.Rescuers use a type of pliers to bite off the cement block piece by piece.

Yang Ping said: "This can only be amputated, otherwise it won't save my life!"

In an emergency, try to make the important relationship as clear as possible in one sentence.

Dr. Lu put an informed consent form on the document board, and a box of open pads, and sent it over: "Please sign here. If it is inconvenient to sign, you can press a hand mold."

No way, as long as you are sober, you must sign, this is the process.

The worker's face was sweating constantly, his facial muscles were distorted, and every word he said was difficult: "Doctor, can you protect it? Help me to fight for it. There are old people on the top and young people on the bottom. Without a leg, the sky will collapse."

"I can't protect it, I can't protect it, now my legs and my life, which one do you want?" Yang Ping's tone was tough.At this time, do you talk too much, it's useless to talk softly, it's useful to kill decisively.

"Now the lower limb prosthesis function is very good, and I can walk and work normally in the future." Yang Ping added.

The workers are still hesitating. After all, a living leg, which was good a moment ago, has to be cut off now, and no one can decide to change it.

"Doctor, it has been cut off. When it is dug up, can it be picked up at the hospital?" The workers tried their best to fight for it.

Yang Ping glanced through the gap between the cement block and the ground, his calf was completely flattened, and the color turned dead gray.Regrettably said: "Hope is very slim, severe crush injury, no conditions to connect."

"Creatinine has risen!" Dr. Lu interjected.

That means that a large amount of muscle tissue is destroyed by extrusion pressure, myoglobin enters the blood, passes through the renal tubules, blocks the renal tubules, damages the renal tubule cells, and forms acute renal failure, which is also fatal.

"Please believe me, amputate immediately! We are all here to save your life. If you hesitate, it will not be your legs, but your life!" Yang Ping's tone was steady and every word was clear.

The worker sighed deeply, closed his eyes, and gritted his teeth: "I trust you, doctor, cut!"

Then stretch out the right index finger to dip a little ink pad, and press it on the informed consent form.

At this time, there is no choice. The liver has ruptured and is already bleeding. If the spleen is still broken, he will definitely die at the scene.

Only amputation to save lives.

"Little Wu, get ready!"

(End of this chapter)