This doctor has a system

Chapter 511 574. Rough Tracheotomy
This incident made everyone unhappy. Director Zhou was very angry and Vice President Liu also felt very embarrassed.

But such things are not uncommon in hospitals, after all, species are diverse.

A similar situation happened in cardiac surgery before. A teenager had congenital heart disease and his condition was quite complicated. He went to many hospitals, but no one dared to operate on him.

The patient's parents found Director Yu of the Provincial Hospital. After taking a look at the case, Director Yu also felt that the case was very difficult, but the patient was from his hometown and he felt sympathy for him.

He clearly informed the other party that the operation was extremely risky, and the family members signed readily.

But an accident occurred during the operation and the patient was unable to leave the operation.

Afterwards, the patient's parents chased Director Yu and beat him, demanding that he pay with blood. They went to the hospital to make a scene many times and even blocked Director Yu's door.

At that time, Director Yu was in his prime and had a strong sense of professionalism. This incident had a huge impact on him.

Later, he just lay down and made a rule for himself: not to treat people he knew.

Before graduation, most doctors believe that patients and doctors should be close comrades-in-arms, fighting side by side and defeating the disease together.

This is an ideal picture, but in reality the two may not trust each other.

Many doctors change their minds once they start working. They think they can fight the disease alone, and the patients just need to stay behind them and not stab them.

I don’t know when the doctor-patient relationship became like this. It’s quite sad.
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"The braised noodles here are very much to my taste." Li Youliang said with a smile, "Let's eat this today."

Heji Huimian is the most famous Huimian restaurant in Zzhou and is deeply loved by local residents.

This shop has a long history, it is said to have started in 1953, and is a representative snack of H Nan Hui Mian.

Heji stewed noodles are mainly based on mutton, with vegetables, fungus, bean curd, vermicelli, etc., with a rich taste. When eating stewed noodles, chili oil, pickled garlic and coriander are also served, adding a unique flavor.

The stewed noodle soup is glossy and clear, mainly made of lean mutton, and the noodles are chewy and firm, which is why Li Youliang likes it.

Gao Feng had never eaten here before, and nodded when he heard this.

There were a lot of people in the store, and the first floor was full, so the two were led to the second floor by the waiter.

Each person ordered a large bowl of stewed noodles, and Li Youliang ran to order some cold dishes.

In ancient China, there was a rule of not talking while eating or sleeping, but in modern times this rule exists in name only. People like to keep in touch with each other while eating, and many business collaborations are achieved at the dining table.

The second floor is very noisy, with diners chatting, children crying, parents scolding, and a strong atmosphere of life.

Gao Feng drank a cup of tea and waited for the waiter to serve the food.

"Hospitals nowadays! Just one word: dark!" A voice came from the next table.

As a medical worker, Gao Feng was very sensitive to these arguments. He turned his head and saw a man with tattoos on his arms talking loudly.

"I just have a sore throat and want to get some medicine." The flower-armed brother said, "That black-hearted guy insisted that I had some kind of inflammation."

"They insisted that I be hospitalized for observation and that I should be given hormones."

"Isn't this nonsense?"

"Although I, Zhao Laowu, did not graduate from elementary school, I am not so easily fooled," he said proudly.

"How can hormones be used carelessly? It's harmful to people!"

"I scolded him right there and then!"

"Old Five, if you are sick you still have to listen to the doctor." Someone next to him said, "Don't be so self-righteous."

"That's right, Lao Wu, you can't even recognize all the characters, so don't act on your own." Another person also said, "Take medicine when you need it, and get an IV when you need it."

"I know my own body." Zhao Laowu said dissatisfiedly, "I will be fine in a few days even if I don't take medicine."

The main reason why he is so confident is that he is in good health and has never had any serious illness.

One day ago, Zhao Laowu felt obvious pain in his throat after waking up, and breathing was a bit difficult.

Maybe it's a cold, he thought, the air conditioner is set a little too low.

After taking a bag of cold and heat-clearing granules, Zhao Laowu felt that the pain in his throat did not get relieved at all, so he thought about going to the clinic downstairs to get some more medicine.

But coincidentally, the clinic was not open, and there was a note on the door saying that he had returned to his hometown for the past two days.

Zhao Laowu originally planned to endure it, but his wife was concerned about him and said, "You have nothing to do today, why don't you go to the hospital and take a look? Why do you have to force yourself?"

He thought about it and felt that what his wife said made sense. In fact, it was mainly because the pain in his throat was really severe.

When he finally arrived at the hospital, it was already past noon. The outpatient clinic had closed, and the nurse at the front desk asked him to go to the emergency room.

The doctor who saw him in the emergency department was a doctor named Ma, whose face also looked like a horse's. The doctor was probably eating at the time, and sighed helplessly when he saw him.

This made Zhao Laowu very dissatisfied. What kind of service attitude is this? I am here to consume, why am I not happy in front of God?

"You need to change this attitude," he pointed out right there and then.

"Uh-huh, sorry." Doctor Ma said perfunctorily.

He described his condition to the doctor, who asked him to open his mouth and take a look.

"There is no obvious congestion in your throat, and your tonsils are not big," said Dr. Ma.

"But it just hurts, and I feel like I can't breathe," said Zhao Laowu.

Doctor Ma suddenly became nervous. "Don't tell me it's acute epiglottitis. You should stay here and observe for a while."

"I'll get you an ENT consultation, and have them take a look at it with a mirror."

Zhao Laowu was a little confused. "Doctor, can't you just prescribe some medicine?"

He thought it was just a sore throat and it wasn't that serious.

"Don't be careless. After all, you have symptoms of chest tightness." Doctor Ma explained patiently, "If it is really acute epiglottitis, then you will have to use hormones."

Zhao Laowu could no longer sit still. He had of course heard of the name of hormones.

Isn’t it said that this thing has serious side effects?
He looked at the doctor with doubt in his eyes. Could he be fooling around?

Suddenly, news about some unscrupulous hospitals and unscrupulous doctors came to my mind.

He stood up and walked away, fearing that he would fall into the pit if he was a step late.

"That doctor named Ma kept calling me, but I ignored him." Zhao Laowu said with a smile, "I drank some water after I came back, and I feel better now."

"Some doctors nowadays like to over-treat patients," someone said.

Gao Feng carefully observed Zhao Laowu and keenly discovered that he was indeed a little abnormal.

Under normal circumstances, a person's breathing rate is generally 12-20 times/minute, but this person's breathing rate is obviously too fast, and he still feels a little breathless right after he finished speaking.

This is obviously not normal.

Moreover, the patient frowns hard when eating.

Caused by pain?
Gao Feng felt that he had a big problem.

But he had no intention of stepping forward to remind people. As the old saying goes: A doctor does not knock on the door, the truth is not easily passed on, a master does not come on the way, the method is not revealed for nothing.

The saying "doctors don't knock on doors" means that doctors cannot take the initiative to come to patients' homes and tell them what illness someone has and how to treat it.

Firstly, it is inevitable that people will think that you have bad intentions or ulterior motives; secondly, the patient will be insincere and unable to cooperate effectively, which will affect the treatment effect;

Thirdly, many things depend on fate and cause and effect. If the patient does not actively seek medical treatment, it means that the opportunity is not ripe and it is not the time to resolve cause and effect.

This last one is a bit mysterious. "How is it? Is it delicious?"

"Not bad." Gao Feng replied. Unlike the stewed noodles he had eaten before, this soup was not oily at all.

"The doctor that person just mentioned is not Ma Liang, right?" Li Youliang said with a smile.

"It's really possible." Gao Feng thought about it. There were three doctors with the surname Ma in the emergency department. One was too old and only worked on the second line. Another was a female doctor. The only one left seemed to be Ma Liang.

He sent a message to Ma Liang.

"That patient is sick. While I was writing a prescription, he walked to the door and I couldn't even call him to stop him," Ma Liang complained.

Gao Feng told him what the other party had just described.

"These people have holes in their brains. They will regret it when something really happens to them." Ma Liang complained.

About 20 minutes later, Gao Feng and his friend were full and ready to leave when someone at the next table called out.

"Old Five?!!!"

At this moment, Zhao Laowu clutched his neck tightly, gasping for breath. Soon he fell to the ground and began to roll his eyes.

"Ouch! Help!"

"Call an ambulance!"

Gao Feng was shocked. It could really be acute epiglottitis! It seemed that Ma Liang's judgment was correct.

He walked over quickly and said, "Come, make way. I'm a doctor."

Several people quickly made room for him. Gao Feng took a look and saw that Zhao Laowu had fainted from suffocation.

The epiglottis is a sheet of tissue composed of cartilage and mucous membrane at the back of the tongue, which prevents food or liquid from entering the trachea when swallowing.

Epiglottitis, as the name suggests, is inflammation of the epiglottis. It is an acute inflammatory lesion of the epiglottis and surrounding tissues in the larynx, also known as supraglottic laryngitis.

The disease has a sudden onset and develops rapidly. Its main clinical features are severe sore throat, swallowing and breathing difficulties caused by severe epiglottal edema, which sometimes leads to suffocation and respiratory arrest.

Zhao Laowu was obviously unlucky. He must have suffocated due to severe edema of the epiglottis.

Someone has already called 120, but in this situation there is no way they can wait for the ambulance to arrive.

It is definitely not appropriate to watch someone doing that in front of you.

"Do you have a knife?" Gao Feng asked a waiter beside him, "A sharp one."

"I don't know about that." The waiter was very nervous. "Shall I go ask for you?"

"Go quickly!" Gao Feng said.

At this time, Li Youliang also came up and said, "Boss, this..."

He also heard what Zhao Laowu said just now. He was quite resentful towards the hospital and medical staff.

"If there's any problem, he..."

What if they blackmail us? Li Youliang's eyes revealed worry.

"It's okay." Gao Feng said. He was not afraid of being blackmailed. Even if someone was killed, how much money could be blackmailed from him for a life?
The waiter came up in a hurry, holding a black kitchen knife in his hand, "Is this okay?"

Gao Feng took it and took a look. It seemed to be quite sharp.

He picked up the mineral water on the table and simply rinsed it, then poured it on Zhao Laowu's neck.

"What are you doing?" Everyone at Zhao Laowu's table was shocked. They were happy for a moment when the other party said he was a doctor, but why was he coming at them with a knife now?

Does rescue require a kitchen knife?
"He should be suffocating due to epiglottal edema." Gao Feng explained, "I'm going to perform a tracheotomy on him now."

"Just make a hole here so the air can get in."

"No, you're cutting it raw?" Someone shouted in disbelief, "How painful would this be? Can you give me some anesthesia or something?"

"Are you stupid?" Li Youliang couldn't help but asked, "Where can I get the anesthetic in this place?"

"Besides, he's already unconscious, why would he need anesthesia?"

Gao Feng didn't say anything more. He found a position, picked up the knife and started working. In a moment, the place was covered in blood and flesh.

Tracheotomy is a procedure that involves cutting open the cervical trachea and inserting a metal tracheal tube and a silicone tube. It is a common procedure for relieving dyspnea caused by laryngeal dyspnea, respiratory dysfunction, or retention of lower respiratory tract secretions.

Generally speaking, there are four methods: tracheotomy, percutaneous tracheotomy, cricothyroidotomy, and percutaneous dilational tracheotomy.

What he is doing now is the second one.

As the cervical trachea was cut open, Zhao Laowu's condition improved. His face gradually turned from its original purple color to rosy red, and his breathing became larger, indicating that the factors of respiratory obstruction had been eliminated.

Gao Feng looked at his hands covered in blood and felt a little sick.

I have performed tracheotomy before, but I was wearing gloves, a hat, and a mask at that time. This time it was a real authentic raw tracheotomy.

"ou" One of the onlookers vomited.

"If you can't stand it, don't watch it. He is so inexperienced and loves to play." Someone said with disdain.

The owner of Heji Huimian also rushed to the scene. The first thing he saw was a young man with blood on his hands holding a kitchen knife, and a man with tattoos lying at his feet with his flesh and blood all over his body.

"Have you called the police?"

"I've called 120," the waiter quickly reported, "The one holding the knife is the doctor."

"Doctor!" The boss breathed a sigh of relief. He was so frightened just now that he finally reacted. That's right, if it was a murder, there wouldn't be so many people gathered there. They would have definitely run away.

"Today's meal was not in vain. I even got to see the doctor perform surgery." A diner recorded the whole process with his mobile phone and gave Gao Feng several close-ups.

Li Youliang felt that this was inappropriate, and he couldn't stop it because there were quite a few people taking pictures with their mobile phones.

The emergency doctor and nurse rushed up and were stunned when they saw Gao Fengjun.

"Director Gao!" the doctor in the emergency department shouted, "Why are you here?!"

"Eat here." Gao Feng said concisely, "This patient was seen in our hospital during the day. Ma Liang took the examination and suspected that he had acute epiglottitis."

"I just choked."

"I performed a tracheotomy on him." He waved the kitchen knife in his hand at the other person.

The emergency doctor was stunned when he saw the black kitchen knife.

"Awesome!" he said.

Several people worked together to lift Zhao Laowu onto the stretcher, and the ambulance rushed towards the Provincial Hospital.

"Oh my god, is the situation so urgent? Did they cut it right in the car?" the guiding nurse exclaimed on the phone.

"No, it was cut on the spot," said the emergency doctor. "I used a kitchen knife."

"Cleaner! Are you kidding me?"

"The patient is lucky. Director Gao Feng was eating there. What a coincidence."

Zhao Laowu was taken directly to the intensive care unit, and after the tracheotomy site was flushed and disinfected, the medical staff inserted a tracheal tube.

"Oh my, the epiglottis is so swollen." The ENT doctor sighed, "What a lucky guy!"

(End of this chapter)