My medical path

Chapter 23

Tonight is Chen Bo's night shift.

Returning to the ward after the operation, Chen Bo listened to the recently popular "Desert Camel" while eating.

"I want to cross this desert, to find my true self, with only a camel to accompany me... I stepped on the desert boat, with a pipe and an hourglass on my back, and a jug of spirits in my hand. , I can’t tell you the joys, sorrows, sorrows, and joys, only the camel is still running... Persistence can be free and easy, and walking out of the darkness can be carefree and happy..."

Chen Bo likes the straightforwardness, free and easy, and true self of this song, so he set it as a single loop and hummed a few lines from time to time.

At this time, the mobile phone on duty rang, and the nurse informed Chen Bo that the General Surgery Department requested an emergency consultation.

The emergency consultation needs to be there within 10 minutes. Chen Bo covered his half-eaten meal, picked up his white coat and put it on as he walked.

When passing by the nurse's station, Chen Bo did not forget to remind the nurse on duty that the buttons on his chest clothes were unbuttoned.

Xiao Li, who was only wearing underwear, hurriedly looked down in fright, and subconsciously covered his chest with both hands.

After looking at it clearly, I found that the buttons of the clothes were in good condition.

Was teased by Chen Bo!

"Doctor Chen! You bastard!" Xiao Li stamped his feet angrily from behind.

The culprit, Chen Bo, snickered and disappeared at the end of the corridor long ago.

General surgery, orthopedics, obstetrics, and neurosurgery have always been the four kings of the emergency department, and several departments are seen in the operating room almost every night.

Today I will consult a patient with abdominal pain.

The general surgery ward is on the eighth floor, and the orthopedic department is on the fifth floor, so Chen Bo walked up to it within 2 minutes, and Luo Hao, the doctor on duty in the general surgery department, was already waiting there.

"This patient was injured in a car accident. It has been more than five hours. There is a film taken in the outer hospital, which shows a pelvic fracture..."

Dr. Luo Hao introduced Chen Bo's condition while leading the road.

"More than three hours ago, the patient began to experience abdominal pain, abdominal distension, and shock, so he came to our department."

"We gave him an infusion to correct the shock and did an enhanced CT. It was confirmed that there was a kidney laceration, and we planned to send him to the operating room for surgery in an emergency."

"Because there is a pelvic fracture, please see if you need emergency treatment."

After Luo Hao briefly introduced the condition, he explained the purpose of the consultation.

Pelvic fracture, kidney laceration, shock should be caused by these two reasons.

After listening to Luo Hao's introduction, Chen Bo got the first impression in his heart.

In addition to abdominal pain and bloating, the patient also said that he had lumbar bloating without fever, so considering the abdominal pain and bloating should be caused by retroperitoneal hematoma.

Chen Bo grasped the second key point in his mind.

Pelvic fractures and renal lacerations can both cause retroperitoneal hematoma, so it becomes the focus of the problem to determine which is the real bleeding site...

"How do you think about the abdominal pain and shock?" Chen Bo asked.

"We consider that renal laceration is still the main factor causing shock, and abdominal pain should be caused by retroperitoneal hematoma." Luo Hao analyzed.

"So your operation is to remove the kidney?" Chen Bo continued to ask.

"Yes, there was shock, and the radiography also confirmed that there was a lot of hemorrhage around the kidneys. Our second line also looked at it. The opinion is that an exploratory laparotomy is needed. Please come and remove the kidney." Luo Hao looked at Chen Bo and said seriously.

Hearing Luo Hao's words, Chen Bo's eyes became serious.

So while watching the patient's film, Chen Bo started the system scan, and the patient's waist and abdomen appeared on the panel.

There was a large amount of blood around the pelvic fracture, and even spread to the kidneys.

Looking at the kidney, there was indeed a tear, and there was also a partial hematoma around the kidney, so the diagnosis was clear.

But looking carefully at the system scan, Chen Bo found that hematomas on both sides around the kidney could still be separated by a membrane.

This layer of membrane is difficult to see clearly on a general CT film, and it is even more difficult to see it completely, so the CT film looks like a whole hematoma.

The problem lies here.

The reason for the shock is mainly caused by a pelvic fracture!
In order to be more accurate, Chen Bo opened the diagnostic expert area and performed a more detailed scan of the kidney rupture...

A series of tiny blood vessels are displayed on Chen Bo's system panel...

No bleeding from major branch vessels!

The microvessels in the wound section of the renal fissure have also been embolized, that is, there is no bleeding.

If the kidney is no longer bleeding, then this operation cannot be done!

After seeing the condition of the kidney clearly, Chen Bo already knew it well.

"I don't think this operation is suitable for you!"

Chen Bo said to Luo Hao after watching the movie.

"The shock was mainly caused by the pelvic fracture," Chen Bo added.

"how is this possible?"

After hearing Chen Bo's opinion, Luo Hao was full of doubts.

Because judging from the film taken, the kidney laceration and bleeding are obvious, and his superior doctor has seen the film and approved his plan.

"There is bleeding in the kidney laceration, but I think the bleeding has stopped, because the current shock can be corrected after blood transfusion, and the possibility of continuous bleeding is not considered for the time being."

Chen Bo continued to explain.

"But with such an obvious laceration, how can you guarantee that he won't continue to bleed? If there is another shock, the blow to this patient will be even greater."

Luo Hao raised his concerns.

"I think we can observe it first, because the patient number is still stable."

"Although the kidney fissure wound looks a bit big, it has the ability to heal if it doesn't continue to bleed, so it's a pity to remove it.

Chen Bo insisted on his point of view.

Opinions diverge, and the final decision rests with the patient and his family.

The daughter of the family is a girl in her twenties. Seeing her father hurt like this, she has been crying so much.

Chen Bo and Luo Hao respectively told this girl their opinions.

The little girl was flustered at first, and she heard a bunch of medical terminology, which she half understood, and how could she make a decision, so she could only cry for a while.

Chen Bo looked at the girl for a while, her hair was tied into a ponytail, her slender eyebrows were full of spirit, her clear almond eyes were full of tears, and her delicate nose was sucking.

The most pitiful girl is Ah Chu, or else she keeps saying that she is pitiful, but Chen Bo can't see a girl crying.

"I suggest not to have an operation." Seeing that the girl could not make up his mind, Chen Bo said to her, "If you believe me, you can transfer to our department. I will be responsible for curing your father."

If it was in the past, Chen Bo would not have dared to say such a sure thing.

Because it is a taboo to take care of everything, and if something goes wrong, it will become evidence against Chen Bo, so now doctors can't talk too much.

Words such as "maybe", "maybe", "not sure", "not sure", "unforeseeable" and so on have become the mantra of doctors.

This also led to some responsibilities that should be voluntarily assumed, but were not assumed.

But now that Chen Bo has this system, if he doesn't take this responsibility at such a critical time, then he feels ashamed of this patient.

If such a kidney that should not be removed was removed due to his own perfunctory, Chen Bo would feel uneasy.

"Doctor Chen, this..."

Doctor Luo Hao didn't expect Chen Bo to speak so directly, which seemed irrational to him.

"Doctor Chen, I believe in you!"

The girl stopped crying and looked at Chen Bo with firm eyes.

"rest assured!"

Chen Bo gave the girl and Luo Hao a confident look.

For some reason, seeing Chen Bo's calm and confident smile, both the girl and Luo Hao couldn't help feeling a sense of trust...

After the consultation was over, Luo Hao immediately reported to his superiors and arranged for a transfer.

At the end of the consultation, looking at Chen Bo's handsome back when he left, Luo Hao, who hadn't experienced this kind of responsibility for a long time, suddenly said something in his heart——

The doctor should be like this!
(End of this chapter)