Back to the Republic of China as a doctor

Chapter 57. 56. As long as you are still alive (Happy Mid-Autumn Festival!)

Hearing Jiang Lai's question, the little girl's red eyes stopped crying, the house was on fire... She was afraid of being rescued, but her body hurt so much.

She misses her brother, there are strangers here.

That doctor looked a little fierce.

But maybe it was because Jiang Lai's expression was too serious, the little girl still held back the pain, "My name is Yang Honghong, not the red red, but the rainbow of the rainbow."

"Woooo...there is an older brother at home, but my older brother has gone to work."

"Suddenly a fire broke out while cooking...and then it caught fire..."

"Woooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo...

Seeing that the little girl was still conscious, Jiang Lai breathed a sigh of relief, looked at the rehydration fluid, and then said, "Add morphine for pain relief, clean the mouth and nose, prepare the operating room, and do debridement."

"Okay." Xia Yu immediately responded, and then was puzzled, "Debridement?"

Jiang Lai nodded. The most feared thing about burns is subsequent infection, and most burns are infected by Gram-negative bacteria. Later generations often use third-generation cephalosporins. Even so, repeated bacterial cultures and drug sensitivity tests are often required to adjust antibacterial drugs... …

Ordinary treatment rooms in this era, the sterile environment is not enough.

Second, he was really afraid that the little girl would not be able to bear it during the debridement process, so he might as well go to the operating room.

Of course, I am also fortunate that this little girl’s burn degree is not high. If the operation is careful, there is still a chance that the infection will not break out. "15% of the head, face, neck and upper limbs are II degrees, moderate burns."

"What?" Xia Yu was stunned again.

Jiang Lai exhaled, this standard does not exist now, "It's nothing, go get ready."

"it is good."

On the side, Jiang Jikai asked, "This little girl..."

"It shouldn't be life-threatening." Jiang Lai thought for a while and said, "As long as you can resist the infection."

"Then her face?" Gu Ya asked, for girls, this is a point that absolutely needs attention.

"I can't guarantee that there will be no scars. I can only try my best to give her a skin graft as soon as possible after the debridement." Jiang Lai shook his head, there was no guarantee.

"Skin grafting?" Jiang Jikai thought he heard a new word.

"Just take a piece of skin from other parts of her body, such as... thighs..."

Jiang Jikai's eyes widened, and even Gu Ya was surprised.

"Can it be done?"

"The organization on my body is not a big problem." Jiang Lai did not guarantee it, because in this era, this is considered a novelty.

"Oh." Jiang Jikai nodded in a daze. At least, in the hospital...he couldn't talk to Director Jiang.

"Pay the medical bill," Jiang Lai reminded.

Jiang Jikai:? ? ?
……

Without his colleagues, Jiang Jikai helplessly shook his head and laughed.

On the side, Gu Ya also smiled, "You two brothers are really..."

"If he is polite to me one day, then there must be something abnormal." Jiang Ji laughed.

"This shows that you have a good relationship." Gu Ya took Jiang Jikai's hand, "We went to take pictures, and we were so late..."

"Ah, yes, yes, otherwise, it will be dark." At this time, Jiang Jikai also remembered that he had plans for today!

Then, he took his fiancée into the car and hurried to the photo studio.

……

As for Jiang Lai, he began to debride the little girl seriously.

"Doctor Jiang, what do you mean by 15% II degree, moderate burn...?" Xia Yu followed into the operating room to cooperate.

"It's a classification of burns, and you can learn more by then." Jiang Lai replied, operating, and explaining, "Look, although her burns are second-degree burns, but because of the underlying The damage is red and white, indicating that it is a deep second-degree burn, and most of these scars will leave scars."

"Is there still degrees I and III?" Xia Yu was curious. She felt that she had learned something she had never been exposed to from Jiang Lai. In her understanding, such burns could only be bandaged. That's all, leaving scars...is inevitable.

But she had heard a term before: skin grafting!

This seems to be somewhat similar to techniques related to replantation of severed limbs.

"That's right, there are degrees I and degrees III."

"I degree, usually erythematous burns, only a part of the epidermis is injured, but the germinal layer is still healthy, so the proliferation and regeneration ability is active, and it usually heals within 3 to 5 days without leaving scars, similar to when we were scalded with boiling water. There are more of these.”

"Second degree, divided into superficial II degree and deep II degree, superficial II degree, injures the entire epidermis and part of the dermal layer, if there is no secondary infection, it usually heals in about 1 to 2 weeks without leaving scars. For superficial For second-degree burns, if there are blisters, if the blisters are not broken, take out the blister fluid, disinfect and bandage, if it is broken, use sterile oily auxiliary materials to bandage."

"But for deep second-degree burns and dermis, even if debridement is done well, infection will not break out, most of them will still leave scars, and in general deep second-degree burns, the pain will be relatively dull, she can feel the pain, It also has a damaged base, indicating that it is a mixture of depth and light."

"Then she?"

"It should stay, so when the time comes, we will see how she recovers and get skin grafting as soon as possible. Skin is an important barrier for the human body."

Xia Yu was thoughtful.

"As for third-degree burns, also known as eschar burns, it generally refers to burns of the whole skin, in which the epidermis, dermis and skin appendages are all damaged, and wound repair relies on surgical skin grafting or skin flap repair."

"Of course, there is also degree IV. Burns are deep enough to muscle, bone and even internal organs. Wound repair relies on surgical skin grafting or skin flap repair. In severe cases, amputation is required."

Xia Yu opened her eyes wide. She had never seen these concepts in her textbooks, and she also believed that even clinical medical students' textbooks did not have these concepts.

She felt that Jiang Lai was simply too knowledgeable.

Although she is young, she is handsome and has a unique charm. She doesn't know what words to use to describe her, calm, calm, and knowledgeable...

Jiang Lai seemed to have a solution to everything.

All diseases seem to be the same.

There has never been any special treatment because of the nationality of any patient.

She felt that Jiang Lai was her idol!Most importantly, the idol is still single!
It is said that women chase men, interlayer gauze... She has to go back and ask the little sister... No, you can't ask the little sister, otherwise there will be a few more competitors!I have to ask my sister-in-law...

Jiang Lai didn't know that the little girl beside him was thinking all kinds of things. After explaining this, he continued to operate and taught. In his opinion, although Xia Yu was a nurse, it was obvious that this little girl was a nurse. Self-motivated, so he is also willing to teach more.

As for other feelings... there is none.

……

"Nurse, there was a little girl named Yang Honghong who was burned just now, and I'm her brother..." A rather burly man with short hair rushed over and asked in the hall.

"Ah, Yang Honghong is in the operating room now, just wait a moment." Zhang Li, who took Xia Yu's class in the lobby, replied very naturally.

"Operating room?!" The man's eyes widened, and he took two steps back in surprise, "Honghong..."

"The little girl's life is not in danger at the moment, but there may be scars on her face, neck, and hands." Zhang Li explained patiently, "Now, Dr. Jiang is doing debridement for her."

"Leaving scars...not life-threatening, as long as you can live...you can live." The man recovered, "Thank you."

"You're welcome, thank you very much. I have to thank Inspector Jiang Jikai Jiang, who just happened to save your sister when he passed by." Zhang Li said helplessly, "He also paid your sister's medical bills, by the way, What's your name, I have to register the family information."

"My name is Yang Dayong, um... how much is the medical expenses? I still have some money here. If it's not enough, I'll find someone else to make up for it." Yang Dayong took out crumpled banknotes from his pocket and handed them over.

"You, don't be in a hurry to pay the medical expenses. Inspector Jiang should pay a lot." Zhang Li shook her head, "Your sister is sick now, and she has to eat well, and there are some other expenses after that. Yes, you always have to save for emergencies."

"right……"

"Of course, you have to pay back the money. We, Dr. Jiang, Vice President Jiang, are the younger brother of Inspector Jiang. You can collect the money slowly and just pay it back to Dr. Jiang." Zhang Li looked at the pile of crumpled French coins , Sigh, it's not easy, the two brothers of the Jiang family are kind-hearted, and they still have money at home.

"Then...thank you."

"You're welcome, Inspector Jiang explained this before."

"Okay." Yang Dayong's tone was full of gratitude. A 1.8-meter-tall man was almost crying.

Zhang Li shivered, and took two steps back. Hey, she just can't see people crying, "Yang Honghong must be hospitalized, and her family members need to accompany her to the bed, let alone your sister is still young."

"Hey, I see." Yang Dayong responded, "I'll go get ready now."

"Prepare?"

"I'll just prepare a mattress, and then make it alive...and lie on the ground."

Zhang Li: ...

"We'll provide convenient cots."

"Ah, does that require money?" Yang Dayong was overjoyed at first, and then asked hesitantly.

"Yes, but it's only ten cents a week, and it will be deducted from your medical expenses." Zhang Li sighed, "In short, you have to thank Inspector Jiang and Doctor Jiang very much!"

"Thank you..." Yang Dayong felt that he really met a good person. He looked at the sweat-stained banknotes in his hands and lowered his head. He must be serious about making money and returned the money, otherwise... just I can sell myself.

But he is just a hard worker... He is a detective and a doctor, so why would he fall in love with him.

Thinking of this, Yang Dayong felt a wave of frustration again. He really couldn't do anything well, couldn't make money, and didn't take good care of his sister. If his parents knew about it underground, he didn't know how to beat him.

Scars will be left on Hong Hong's face in the future... woo woo woo... Just thinking of this, Yang Dayong feels heartbroken. It's because he didn't take good care of Hong Hong. How can a girl's face have scars?
However, Honghong is still alive... still alive.

　As the title~
　　Happy Mid-Autumn Festival!
　　Thank you Yingmin for the 500 starting coin reward, and thank you for the deep sea hairtail and chrysanthemum tea for the 100 starting coin reward.

　　I wanted to add more...

　　Then, Calvin.

　　After looking at the computer for three hours, here comes this...

　　Ahhhhh!

　　Anyway, Happy Mid-Autumn Festival!family reunion~
　　
　
(End of this chapter)