Physician: Hello, Intern
Chapter 69 Death of the first patient
Chapter 69 The Death of the First Patient
Fang Lin pursed his lips and sighed with worry on his face.
"Hey, you should trust the professor." Zhu Bowen leaned on Fang Lin's shoulder, "This time you have done a good job."
The patient has already entered the state of anesthesia, the roving nurse has tidied up the operating field, and the chief surgeon, Xu Baichen, is also ready and walks into the operating room.
Fang Lin looked at Xu Baichen's serious expression, and suddenly felt that his seriousness was a little cute.
The surgical field appeared on the electronic screen, and Xu Baichen began to observe carefully, "Scalpel."
The nurse handed over the scalpel, and the operation officially began.
And at this moment, the door of the operating room suddenly opened, and Zheng Zhe stood at the door, "Xu Baichen, what are you doing?"
Holding the scalpel, Xu Baichen glanced at Zheng Zhe from the corner of his eye, and then continued the operation. The sharp edge of the knife opened the necrotic skin.
"Xu Baichen!"
If it wasn't in the operating room, Zheng Zhe must have rushed up and punched Xu Baichen hard again.
"Xu Baichen, what are you doing?" Zheng Zhe roared through gritted teeth, "As a professor, why are you still robbing other people's patients?"
Xu Baichen was irritated by Zheng Zhe's words. He stopped what he was doing, looked sideways at Zheng Zhe, and threw the scalpel into the stainless steel basin, "Didn't you see that I am going to have surgery? What are you doing here again?" ?”
"Why did you operate on this patient?" Zheng Zhe asked angrily.
"The patient has necrotizing fasciitis and must undergo surgery!"
"It's just a little skeptical, and you haven't had an examination yet, so why are you so sure?!" Zheng Zhe glanced at Fang Lin next to him, "Everything must be checked according to the procedure, and the operation can only be performed after confirmation! "
"By the time you finish these, the patient will have died!" Xu Baichen angrily scolded.
"That doesn't allow you to judge the treatment plan based on your feelings! Get checked now, now!"
"I've already said it's fasciitis, so why do you need to check?" Xu Baichen didn't back down.
"What if she is not? All surgeries will be completely different!" Zheng Zhe also insisted on his attitude, "We must wait for the test results to be confirmed before we can operate!"
"Is fasciitis the kind of disease that can wait for hours? If you delay like this, the patient will die!" Xu Baichen also raised his voice and roared.
Two big doctors were arguing in the operating room, and Fang Lin was caught in the middle, in a dilemma, so he could only stay quietly without saying a word.
"Don't think that you are the only one who is worried about the patient. I am also very anxious, but this is the minimum respect we have for the patient." Zheng Zhe said, "Operating without an examination is disrespect for the patient!"
Everyone was silent, respecting patients is an unfathomable knowledge, maybe it is a small act, maybe it is a choice.
"There is such a delay in the work, the inspection has already been done!" Zheng Zhe strongly demanded, "Xu Baichen, if you are really good for the patient, hurry up and do the inspection!"
Xu Baichen took a deep breath, suppressed the anger in his heart, and accepted Zheng Zhe's proposal to do a biopsy for the patient.
A specimen was cut from the patient's affected area and sent to the laboratory by the laboratory staff, which is also the shortest process.
"If it's found to be fasciitis, shouldn't you withdraw from my operation!"
Zheng Zhe took a choked breath, "Of course."
"I really didn't see it, so you are such a principled person!" Xu Baichen sarcastically, almost said that if you are so principled, then what is Li Daner?
Since you already have a child, why are you still in love with Fang Lin? !
"At least I won't push the patient away without even saying hello like you." Zheng Zhe was also very angry, making it seem like he couldn't cure the patient and wanted others to intervene.
"I will not, like you, put my patients at risk for some procedures! Wait, I said it's myositis, it's myositis! And it's invasive myositis, a disease that develops rapidly. , a destructive disease with obvious systemic symptoms and viral symptoms!" Xu Baichen said confidently.
Everyone was silent and did not dare to speak. Zhu Qian and Lin Weiyang also came, especially Zhu Qian, who stared at Fang Lin with her eyes, wishing to make two holes in Fang Lin's head.
The waiting process was long. Although it took no more than a dozen minutes to send them directly for direct inspection, everyone was tormented by the severe atmosphere as if they had been waiting for centuries.
"Dinglingling——" the internal phone in the operating room suddenly rang.
Zheng Zhe, who was closest to the phone, pressed the hands-free button, and the voice of the laboratory doctor came out through the loudspeaker.
"The test results have come out. The tissue has been necrotic, and the muscle fibers have been severely damaged and destroyed. It is necrotizing fasciitis caused by group A streptococcus."
The conclusion has already been drawn, and it is self-evident whose point of view is urgent.
Everyone was in a daze, Xu Baichen had already made a decisive decision, and drew up a surgical plan based on the patient's current examination situation, "Prepare the X-ray scanning equipment, and call Dr. Liang to help, tweezers..."
Xu Baichen arranged the manpower in an orderly manner, and then devoted himself to the work. After waiting for a few seconds, he said to the itinerant nurse: "Prepare the cutting equipment."
Cut?
What do you mean?
Is it to amputate the patient's leg?
Only at this moment did everyone realize how urgent the patient's situation was.
Suddenly, for a moment, Zheng Zhe and Zhu Qian, both attending doctors and diagnosticians, were strangers to this patient, and even had doubts about herself.
Fang Lin swallowed his saliva, having great fun fighting against the illness, and fighting against Xu Baichen, he would die with regret.
Zheng Zhe took two steps forward. Although he was not in a good mood, he still didn't want the beautiful Liu Meijuan to lose her left leg because of the delay in his diagnosis.
"Try not to amputate the limb if you can. Let's do surgery to remove the necrotic tissue." Zheng Zhe said in a pleading tone.
Xu Baichen was busy with the operation and didn't look at Zheng Zhe, "Didn't you want me to stop the operation? Now you are urging me to have the operation? I remember that one year, the patient was dying, but you kept insisting that the family members sign the operation consent." Shu is willing to operate on patients, right, I am not wrong, the person who respects the process more than life is you, right? "
Zheng Zhe swallowed, speechless to refute Xu Baichen's conclusion.
"I still want you to keep the patient's leg." Zheng Zhe only wanted to ask for this, otherwise he would have no face to see this patient.
"Get out! I will decide what to do." Xu Baichen didn't want to talk nonsense with him, "You are no longer qualified to speak for this patient. You have missed two opportunities for this patient. Even an intern can find out The problem, but you didn’t notice that the illness was already delayed, and now the operation is delayed because of your procedures! What are you still doing here?”
Xu Baichen suddenly got angry at Zheng Zhe, "I'm still procrastinating like this, I really have to consider whether to keep the patient's leg or keep the patient's life!"
Zheng Zhe had no choice but to exit the operating room, and Zhu Qian and Lin Weiyang who came in with him also exited the operating room.
Fang Lin is like a light on his back. Everyone has their own habits of doing things, but not every habit is suitable for patients. This is Fang Lin's experience in this incident.
The operation process is very long, and the area to be scraped is wider than imagined.
"What are you doing? Can't even hold a pair of scissors?" Xu Baichen yelled at Zhu Bowen sternly.
The action of scraping off the necrotic tissue was repeated continuously, and the area became wider and wider, which really confirmed what Xu Baichen said, because the inspection was delayed for a while, so the area of necrosis expanded a lot.
Fang Lin was very worried that Xu Baichen would amputate the patient's limb, and Zheng Zhe would be so embarrassed.
I heard that Zheng Zhe will also be awarded the title of professor at the end of the year. Does this affect him?
There is a lot of pressure in my heart, and everyone is very nervous.
Finally, before the amputation, Xu Baichen stopped the scraping action, and everyone was relieved.
The roller coaster-like operation process is a psychological crush for every worker.
After the operation, Fang Lin walked out of the operating room and met Zhu Qian's resentful eyes.
"Do you really want to do meritorious service to earn performance?" Zhu Qian asked, "Do you really want to curry favor with Dr. Xu Baichen?"
Fang Lin loosened his clothes tiredly, "It's not what you think."
"It's not what I thought? Then why did Dr. Xu meddle with our patients?" Zhu Qian roared loudly, "Dr. Xu is a thoracic surgery doctor, why did he take away our general surgery patients? He is mentally ill ?"
Fang Lin was silent, and really didn't know how to explain to Fang Lin?
"Also, I know that Dr. Fang wants to enter the thoracic surgery department, but you are currently in the general surgery clinic. How can you take my patient as a stepping stone for you to enter the thoracic surgery department!"
"Forget it, Doctor Zhu." Lin Weiyang persuaded Zhu Qian, "No matter what, as long as the patient is fine."
In other words, if the patient died due to delay in treatment, then Zhu Qian was to blame.
With this level of understanding, although Zhu Qian still hated Fang Lin very much, she stopped making trouble.
It's just that just after Zhu Qian's accusation was over, Lorna's accusation also came here.
"I always thought that you just lacked technical experience, but I didn't expect that you don't even know how to be a human being." Lorna said with a cold face.
"Doctor Luo." Zhu Bowen also came out, looked at Lorna, with a wicked smile on the corner of his mouth, "I haven't thanked you for helping us push the patient into the operating room. If it wasn't for your help, the patient might really have to amputate .”
Everyone looked at Lorna with strange eyes. Lorna's face was stiff. After being glared at Zhu Bowen, she turned and left. Zhu Qian also followed Lorna.
Lin Weiyang gave Fang Lin a thumbs-up, "It's amazing, you did the Dressing just now, right? It's really good, I can go to surgery, I haven't been in the operating room a few times yet."
Fang Lin was in distress, so he could only smile bitterly with the corners of his mouth parted.
"It's great, the patient not only saved his life, but also saved his leg, Dr. Fang, this patient survived because of you." Lin Weiyang said with true feelings, "It seems that the death of the first patient is really a big deal for you. A shot in the arm."
The death of a patient taught Fang Lin many things.
Seemingly confusing phenomena must be investigated one by one with conclusive evidence, do not be arbitrary, and do not find it troublesome.
A simple all-round inspection can allow you to see more things clearly.
……
(End of this chapter)
Fang Lin pursed his lips and sighed with worry on his face.
"Hey, you should trust the professor." Zhu Bowen leaned on Fang Lin's shoulder, "This time you have done a good job."
The patient has already entered the state of anesthesia, the roving nurse has tidied up the operating field, and the chief surgeon, Xu Baichen, is also ready and walks into the operating room.
Fang Lin looked at Xu Baichen's serious expression, and suddenly felt that his seriousness was a little cute.
The surgical field appeared on the electronic screen, and Xu Baichen began to observe carefully, "Scalpel."
The nurse handed over the scalpel, and the operation officially began.
And at this moment, the door of the operating room suddenly opened, and Zheng Zhe stood at the door, "Xu Baichen, what are you doing?"
Holding the scalpel, Xu Baichen glanced at Zheng Zhe from the corner of his eye, and then continued the operation. The sharp edge of the knife opened the necrotic skin.
"Xu Baichen!"
If it wasn't in the operating room, Zheng Zhe must have rushed up and punched Xu Baichen hard again.
"Xu Baichen, what are you doing?" Zheng Zhe roared through gritted teeth, "As a professor, why are you still robbing other people's patients?"
Xu Baichen was irritated by Zheng Zhe's words. He stopped what he was doing, looked sideways at Zheng Zhe, and threw the scalpel into the stainless steel basin, "Didn't you see that I am going to have surgery? What are you doing here again?" ?”
"Why did you operate on this patient?" Zheng Zhe asked angrily.
"The patient has necrotizing fasciitis and must undergo surgery!"
"It's just a little skeptical, and you haven't had an examination yet, so why are you so sure?!" Zheng Zhe glanced at Fang Lin next to him, "Everything must be checked according to the procedure, and the operation can only be performed after confirmation! "
"By the time you finish these, the patient will have died!" Xu Baichen angrily scolded.
"That doesn't allow you to judge the treatment plan based on your feelings! Get checked now, now!"
"I've already said it's fasciitis, so why do you need to check?" Xu Baichen didn't back down.
"What if she is not? All surgeries will be completely different!" Zheng Zhe also insisted on his attitude, "We must wait for the test results to be confirmed before we can operate!"
"Is fasciitis the kind of disease that can wait for hours? If you delay like this, the patient will die!" Xu Baichen also raised his voice and roared.
Two big doctors were arguing in the operating room, and Fang Lin was caught in the middle, in a dilemma, so he could only stay quietly without saying a word.
"Don't think that you are the only one who is worried about the patient. I am also very anxious, but this is the minimum respect we have for the patient." Zheng Zhe said, "Operating without an examination is disrespect for the patient!"
Everyone was silent, respecting patients is an unfathomable knowledge, maybe it is a small act, maybe it is a choice.
"There is such a delay in the work, the inspection has already been done!" Zheng Zhe strongly demanded, "Xu Baichen, if you are really good for the patient, hurry up and do the inspection!"
Xu Baichen took a deep breath, suppressed the anger in his heart, and accepted Zheng Zhe's proposal to do a biopsy for the patient.
A specimen was cut from the patient's affected area and sent to the laboratory by the laboratory staff, which is also the shortest process.
"If it's found to be fasciitis, shouldn't you withdraw from my operation!"
Zheng Zhe took a choked breath, "Of course."
"I really didn't see it, so you are such a principled person!" Xu Baichen sarcastically, almost said that if you are so principled, then what is Li Daner?
Since you already have a child, why are you still in love with Fang Lin? !
"At least I won't push the patient away without even saying hello like you." Zheng Zhe was also very angry, making it seem like he couldn't cure the patient and wanted others to intervene.
"I will not, like you, put my patients at risk for some procedures! Wait, I said it's myositis, it's myositis! And it's invasive myositis, a disease that develops rapidly. , a destructive disease with obvious systemic symptoms and viral symptoms!" Xu Baichen said confidently.
Everyone was silent and did not dare to speak. Zhu Qian and Lin Weiyang also came, especially Zhu Qian, who stared at Fang Lin with her eyes, wishing to make two holes in Fang Lin's head.
The waiting process was long. Although it took no more than a dozen minutes to send them directly for direct inspection, everyone was tormented by the severe atmosphere as if they had been waiting for centuries.
"Dinglingling——" the internal phone in the operating room suddenly rang.
Zheng Zhe, who was closest to the phone, pressed the hands-free button, and the voice of the laboratory doctor came out through the loudspeaker.
"The test results have come out. The tissue has been necrotic, and the muscle fibers have been severely damaged and destroyed. It is necrotizing fasciitis caused by group A streptococcus."
The conclusion has already been drawn, and it is self-evident whose point of view is urgent.
Everyone was in a daze, Xu Baichen had already made a decisive decision, and drew up a surgical plan based on the patient's current examination situation, "Prepare the X-ray scanning equipment, and call Dr. Liang to help, tweezers..."
Xu Baichen arranged the manpower in an orderly manner, and then devoted himself to the work. After waiting for a few seconds, he said to the itinerant nurse: "Prepare the cutting equipment."
Cut?
What do you mean?
Is it to amputate the patient's leg?
Only at this moment did everyone realize how urgent the patient's situation was.
Suddenly, for a moment, Zheng Zhe and Zhu Qian, both attending doctors and diagnosticians, were strangers to this patient, and even had doubts about herself.
Fang Lin swallowed his saliva, having great fun fighting against the illness, and fighting against Xu Baichen, he would die with regret.
Zheng Zhe took two steps forward. Although he was not in a good mood, he still didn't want the beautiful Liu Meijuan to lose her left leg because of the delay in his diagnosis.
"Try not to amputate the limb if you can. Let's do surgery to remove the necrotic tissue." Zheng Zhe said in a pleading tone.
Xu Baichen was busy with the operation and didn't look at Zheng Zhe, "Didn't you want me to stop the operation? Now you are urging me to have the operation? I remember that one year, the patient was dying, but you kept insisting that the family members sign the operation consent." Shu is willing to operate on patients, right, I am not wrong, the person who respects the process more than life is you, right? "
Zheng Zhe swallowed, speechless to refute Xu Baichen's conclusion.
"I still want you to keep the patient's leg." Zheng Zhe only wanted to ask for this, otherwise he would have no face to see this patient.
"Get out! I will decide what to do." Xu Baichen didn't want to talk nonsense with him, "You are no longer qualified to speak for this patient. You have missed two opportunities for this patient. Even an intern can find out The problem, but you didn’t notice that the illness was already delayed, and now the operation is delayed because of your procedures! What are you still doing here?”
Xu Baichen suddenly got angry at Zheng Zhe, "I'm still procrastinating like this, I really have to consider whether to keep the patient's leg or keep the patient's life!"
Zheng Zhe had no choice but to exit the operating room, and Zhu Qian and Lin Weiyang who came in with him also exited the operating room.
Fang Lin is like a light on his back. Everyone has their own habits of doing things, but not every habit is suitable for patients. This is Fang Lin's experience in this incident.
The operation process is very long, and the area to be scraped is wider than imagined.
"What are you doing? Can't even hold a pair of scissors?" Xu Baichen yelled at Zhu Bowen sternly.
The action of scraping off the necrotic tissue was repeated continuously, and the area became wider and wider, which really confirmed what Xu Baichen said, because the inspection was delayed for a while, so the area of necrosis expanded a lot.
Fang Lin was very worried that Xu Baichen would amputate the patient's limb, and Zheng Zhe would be so embarrassed.
I heard that Zheng Zhe will also be awarded the title of professor at the end of the year. Does this affect him?
There is a lot of pressure in my heart, and everyone is very nervous.
Finally, before the amputation, Xu Baichen stopped the scraping action, and everyone was relieved.
The roller coaster-like operation process is a psychological crush for every worker.
After the operation, Fang Lin walked out of the operating room and met Zhu Qian's resentful eyes.
"Do you really want to do meritorious service to earn performance?" Zhu Qian asked, "Do you really want to curry favor with Dr. Xu Baichen?"
Fang Lin loosened his clothes tiredly, "It's not what you think."
"It's not what I thought? Then why did Dr. Xu meddle with our patients?" Zhu Qian roared loudly, "Dr. Xu is a thoracic surgery doctor, why did he take away our general surgery patients? He is mentally ill ?"
Fang Lin was silent, and really didn't know how to explain to Fang Lin?
"Also, I know that Dr. Fang wants to enter the thoracic surgery department, but you are currently in the general surgery clinic. How can you take my patient as a stepping stone for you to enter the thoracic surgery department!"
"Forget it, Doctor Zhu." Lin Weiyang persuaded Zhu Qian, "No matter what, as long as the patient is fine."
In other words, if the patient died due to delay in treatment, then Zhu Qian was to blame.
With this level of understanding, although Zhu Qian still hated Fang Lin very much, she stopped making trouble.
It's just that just after Zhu Qian's accusation was over, Lorna's accusation also came here.
"I always thought that you just lacked technical experience, but I didn't expect that you don't even know how to be a human being." Lorna said with a cold face.
"Doctor Luo." Zhu Bowen also came out, looked at Lorna, with a wicked smile on the corner of his mouth, "I haven't thanked you for helping us push the patient into the operating room. If it wasn't for your help, the patient might really have to amputate .”
Everyone looked at Lorna with strange eyes. Lorna's face was stiff. After being glared at Zhu Bowen, she turned and left. Zhu Qian also followed Lorna.
Lin Weiyang gave Fang Lin a thumbs-up, "It's amazing, you did the Dressing just now, right? It's really good, I can go to surgery, I haven't been in the operating room a few times yet."
Fang Lin was in distress, so he could only smile bitterly with the corners of his mouth parted.
"It's great, the patient not only saved his life, but also saved his leg, Dr. Fang, this patient survived because of you." Lin Weiyang said with true feelings, "It seems that the death of the first patient is really a big deal for you. A shot in the arm."
The death of a patient taught Fang Lin many things.
Seemingly confusing phenomena must be investigated one by one with conclusive evidence, do not be arbitrary, and do not find it troublesome.
A simple all-round inspection can allow you to see more things clearly.
……
(End of this chapter)
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