Dr. Chung’s 90s

Chapter 34 Maxillofacial Injuries

Chapter 34 Maxillofacial Injuries
The two of them had already walked out of the hospital gate, and Zhong Yu was impatient to continue arguing with her.

He warned coldly: "For your dignity, and for the sake of the Song family's face, please don't act so carelessly next time!"

Song Meiting also realized that she was too reckless, but she was stubborn and refused to admit her mistakes, so she whispered:
"Tan Shijie has status and status, and he is not a villain with low moral character. If he touches me, he will definitely be responsible for me."

Zhong Yu sneered at her as if she was looking at an idiot:
"After someone touches you, he doesn't want you anymore. Can you chew him to death? Or do you think you have the ability to make him want to stop?"

As soon as Song Meiting said these vulgar words, she was so ashamed and angry that she wanted to die.

"Why are you like this? You speak so vulgarly and unpleasantly!"

Zhong Yu still has to go to work, so he can't afford to spend time here with her.

"Come on, my vulgar words are not as despicable as your actions. Don't bring trouble on yourself, go back!"

Zhong Yu was pretty, but it was really scary when she got angry. At least Song Meiting didn't dare to act blindly. She went home full of anger but dared not say anything.

After sending away this annoying thing, Zhong Yu felt that the air was much fresher.

As soon as she returned to the duty room, Head Nurse Zhang came over and asked with a gossipy face:
"Dr. Zhong, Mr. Tan Ying is indeed quite good. Why didn't you fall in love with him at that time? If you had fallen in love with him, nothing would have happened to him."

Zhong Yu estimated that if she didn't ask clearly, she would be unable to sleep for several nights.

So he smiled and teased:
"Of course it's because of my piercing eyes. I can tell whether a person is a ghost at a glance. Do you think that person named Tan is worthy of me?"

Nurse Zhang shook her head without hesitation, "Dr. Zhong is talented and handsome, but he is not even qualified to carry your shoes. There is no need for you to get entangled with an old man who is raising a family. It's not like you can't find a boyfriend and become a stepmother." It’s not easy, whatever you do is wrong.”

But no, as I said before, any smart woman would be willing to be a stepmother.

Nurse Zhang was confused, "Although this man has poor self-control, how do you conclude that he is a scumbag?"

Zhong Yu couldn't tell anyone about eavesdropping on other people's privacy. After all, it was a household matter of the Tan family, and it also involved Ruirui's mother, who would be more likely to die.

She waved her hand.

"Well, this can only be understood but cannot be expressed in words. You can understand it if you understand it!"

Nurse Zhang said that she didn’t understand, but that wasn’t important. She immediately looked curious and asked mysteriously:
"What kind of man does Dr. Zhong like? Can I introduce you to a suitable one?"

What kind of man do you like?Zhong Yu really hasn't thought about this issue carefully.

She thought about it seriously and said half-jokingly:
"First of all, you have to be tall, then you have to have long legs, and then you have to be handsome and rich. These are the basic requirements. You also have to have a cheerful and sunny personality, and you can take me to play with you. It is best to have strong chest muscles. The other things are still Let’s see how it feels.”

Nurse Zhang rolled her eyes obscenely, "You are looking for a fairy. There are probably less than ten men in the country who can meet all the conditions you mentioned. You have to be pragmatic when looking for a partner. You only need to grasp the most important ones." At that point, others just turn a blind eye and pass by.”

Zhong Yu refused to do it. She was extremely free and easy, and said like a bachelor:
"If you can't find one, why don't you get married? It's not like you can't support yourself anyway."

Nurse Zhang is in her 30s, married and has children.

She has her parents-in-law to help take care of the children at home, and her husband is from the public security agency. Although he looks ordinary, the Gu family will love his wife and children.

After enjoying a happy married life, I can’t wait to advise all single sisters to get married as soon as possible.

Nurse Zhang felt that it was necessary to correct her wrong thinking and said righteously:
"It's wrong to think like this. It's very pitiful to be an old girl. In the future, when you get old and sick, you won't even have anyone around you to accompany you. Oh, just think about it, your life will be miserable."

Zhong Yu was amused by her exaggerated expression, touched his chin and said with a bad smile:
"You won't be miserable if you have money. You can live in the best nursing home and hire the most handsome escort. The escort must also have eight-pack abs. They will definitely be more eye-catching than your old man."

Nurse Zhang was so shocked that she couldn't help but care for the elderly like this?
It took her a long time to find her voice, "How much does this cost? Isn't it too expensive?"

When Zhong Yu saw her being led into the ditch by him, the corners of his mouth raised in laughter, "It's a lot of money, so I have to work hard to make money. Being in a relationship affects the speed of making money, don't you think?"

Nurse Zhang’s fat chin was squeezed into two layers and she said uncertainly:
"It seems that's right. Going to the movies and eating out on a date is quite time-consuming."

Zhong Yu was almost laughed out loud by her, and he suppressed his laughter and said:
"So, don't worry about introducing me to someone, I really don't need it."

Nurse Zhang was about to say something to refute her, but suddenly the phone at the nurse's desk rang.

The two of them immediately put away the smiles on their faces, realizing that there must be an emergency, and most of the time the hospital phone rang, it was a matter of life and death.

Nurse Zhang picked up the phone with professionalism and said briskly:
"Hello! Plastic surgery duty room, may I help you?"

Director Tao's voice came from the other end of the phone. He asked urgently and seriously:
"Is Dr. Zhong here? Inform Dr. Zhong to come to the emergency room immediately. There is a patient who needs emergency rescue."

Nurse Zhang quickly replied: "Dr. Zhong is next to me, she will be there soon!"

After hearing her say this, the other end of the phone hung up immediately.

Head nurse Zhang looked at Zhong Yu and said, "There is an emergency in the emergency room and we need your help."

When Zhong Yu heard this, he immediately ran to the emergency room. Saving people was like putting out fires, and he couldn't afford to waste even one minute.

Plastic surgeons rarely have the opportunity to go to the emergency room. If they come to her at this time, it must be an emergency.

Her guess was correct. Outside the emergency room, an old man in his 70s was sitting blankly on the steps.

He was wearing a patched tunic suit, and his face and hands were covered in blood.

Medical staff were coming and going, but he looked like he was isolated from the world and in great shock, unable to recover.

Until the doctor shouted loudly: "Are Ma Congjun's family here? Where are Ma Congjun's family?"

These words were like a thunderclap. The old man immediately came back to his senses. He stood up tremblingly and shouted:
"I'm here. I'm Ma Congjun's family member. How is my son?"

Director Tao walked over quickly, looked at the old man with some pity, and said in as calm a voice as possible:
"The patient's condition is very dangerous and requires immediate surgery. Please ask the family to sign." The old man's face was pale. His hands were trembling slightly as he went to get the pen. His lips were trembling. It took him a long time to murmur:
"My son won't die, right? He...he is the backbone of the family. Nothing can happen. I beg you."

As he spoke, he was so excited that he knelt down and kowtowed to Director Tao.

Director Tao lifted him up and said in a difficult voice:
"You don't have to be like this, and don't worry too much. The best doctor in our hospital will be here soon. She will do her best to treat her."

Director Tao is also a very emotional person. After joining the company, he has seen many life and death separations.

I know that doctors are often powerless and hard-hearted, but they still say what is needed to comfort the patients' families.

As soon as he helped the person up, he saw Zhong Yu running over quickly.

When she saw Director Tao, she asked straight to the point:
"How is the patient?"

When Director Tao saw her, it was like seeing a savior. He didn't even care about her family members. He quickly took her to the emergency room and explained:
"The patient was riding a motorcycle when he rear-ended a truck, causing head and facial injuries. I thought he was still young, only in his early 30s, and I wanted to save his face as much as possible while saving his life."

Zhong Yu understood what Director Tao meant. She nodded solemnly and said: "Saving your life is the most important thing. I will try my best to do the rest."

Her face was serious, and there was no trace of the joking with her colleagues on her face.

After entering the emergency room, she opened the curtain.

I gasped when I looked down and saw a patient with severe maxillofacial injuries.

The patient's face was bloody and bloody, and his brain had lost consciousness. His facial injuries were extremely serious, with multiple fractures.

Especially open jaw fractures are accompanied by displacement and swelling and hematoma of the tissues on the floor of the mouth.

Zhong Yu could no longer see the original facial features on his face. Director Tao said solemnly:
"His condition is very bad. I can only leave it to you. If you need anything, tell him as soon as possible. We will fully cooperate."

Zhong Yu hummed expressionlessly, put on a mask, quickly disinfected her body, and then began to rescue the injured.

Emergency treatment first ensures that the patient's respiratory tract is unobstructed.

Zhong Yu's first step was to cut the trachea to prevent fractures, dislocations and blood clots from blocking the respiratory tract and causing suffocation.

She held the scalpel and performed the operation steadily, and arranged in a cold voice:
"Director Tao, closely observe the patient's vital signs."

Director Tao nodded and took the initiative to take the position of deputy.

First check the damage to other parts of the patient, and at the same time observe the changes in the patient's pupils, blood pressure, pulse, and blood oxygen saturation.

Zhong Yu quickly completed the first step.

Seeing that the patient was breathing smoothly, she began to examine the important organs, limbs, spine and pelvis.

The result was not too bad, the patient mainly suffered severe head and facial injuries.

The facial features are adjacent and there are many cavities and acupoints, so debridement must be done promptly after injury.

The anatomical relationship of the fresh wound was clear, and the misplaced tissue was easy to reset. Zhong Yu used his dexterity to sew it tightly into position.

For pipes with cavities, she had to temporarily place support tubes to avoid dislocation healing and scar tissue traction in the future.

Zhong Yu was particularly careful and thorough during the operation.

The patient's left nasolacrimal duct was transected. During the operation, Zhong Yu used an epidural catheter to penetrate both ends of the transected nasolacrimal duct and lead it out from the opening of the nasal cavity. It was left in place for three months before removal.

The craniomaxillofacial region has rich blood supply and is characterized by rapid fracture healing.

While Zhong Yu was debriding, he was reducing the fracture and fixing it with effective strong fixation equipment. Fortunately, there were stainless steel wires available in the emergency room that could be used for ligation.

The most troublesome thing is that the patient suffered a comminuted mandibular fracture combined with bone defect.

Zhong Yu immediately decided to use bone grafting and internal fixation to repair the problem.

During this operation, temporary maxillofacial ligation is performed on the non-fractured segments of the upper and lower teeth. After confirming that the occlusal relationship is satisfactory, the iliac bone block is cut and embedded in the bone defect area according to the size and geometry of the bone defect, and a steel wire is used. Ligation and internal fixation.

Every step she took was carried out steadily and clearly.

Director Tao's originally anxious mood also calmed down, and he even went out of the operating room to get equipment.

Ma Congjun's father waited outside for too long. Seeing that the sky was dark but he still didn't see his son coming out, he was very anxious.

As soon as he saw Director Tao coming out, he immediately rushed up and asked eagerly:
"Doctor, how is my son?"

Although Director Tao was tired at this time, his condition was much better. He comforted:
"Don't worry, old man, the treatment is going well. Just wait patiently and he will be out soon."

After saying this, he left. Zhong Yu was still waiting for the equipment to be used.

With his words, the old man felt a lot more at ease.

As long as my son is still alive.

His heart ached when he thought of his son's unrecognizable face when he was carried away.

If only this injury were all on him!
He is old and has lived enough. Death is not a pity, but his son is still young.

He silently vowed in his heart that as long as the doctor could save his son, he would become a vegetarian and pray for her from now on.

 I feel bad that I haven’t saved my manuscript. I’ll write more after class tomorrow~
  
 
(End of this chapter)

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