Back to 1999: From operating surgeon to becoming a top doctor

Squeak, squeak...

The iron wheel swayed rapidly from side to side, turning into an afterimage, rubbing against the hard cement floor crazily, sparks flying everywhere.

In the corridor, a nurse in a dark green emergency suit was pushing the patient towards this side with the family members.

The emergency transfer bed in 1999 still had the standard large and small wheels in the textbook, which was top-heavy and difficult to control the direction.

The irritating metal friction sound was sharp and piercing, and the heart of the listener tightened.

The patient was lying on the bed, hunched like a shrimp. He had a painful expression, sweating profusely, pressing his hands on his stomach, and wailing non-stop.

"Doctor, please, save my dad."

The woman who spoke was in her forties, her eyes were red, her voice was hoarse, and her shoulder-length hair was scattered, looking messy like grass.

"What's wrong with the patient?"

Wang Jingang and Xiao Chenguang went out together. When they approached and saw the patient's condition clearly, they felt adrenaline secreted crazily, and their heart rate instantly soared to 120 beats.

The patient's painfully pressed belly was like a ten-month pregnancy, bulging high like a mountain.

The two looked at each other, and both saw each other's astonishment in their eyes.

Almost at the same time, the two lifted the patient's shirt, revealing a towering belly.

"This?!"

Wang Jingang was shocked.

The patient's protruding lower abdomen, the skin was tight, like a balloon that was about to burst.

The looming intestinal shape could be seen on the surface, like a giant python lying in the abdomen, slowly wriggling.

"Director, it's an incisional hernia."

Xiao Chenguang saw a 10 to 20 centimeters long incision in the center of the patient's abdomen, from the xiphoid process to the navel, with the skin and flesh turned outward, looking hideous and terrible.

"This hernia is too big."

Wang Jingang has treated countless hernias over the years, but most of them are inguinal hernias.

The peritoneum is partially absent and the contents are prolapsed. To treat it, you only need to make a small incision and put a patch, which is very simple.

But hernias are classified into more than just inguinal hernias, there are also incisional hernias like the one in front of you.

It is caused by the rupture or failure of the fascia layer deep in the surgical incision to heal.

It is mainly due to excessive intra-abdominal pressure, which causes the internal organs to herniate outward, forming a bulging hernia sac.

However, the incisional hernia of the patient in front of him is so large that except for the skin surface fixed by sutures, all other tissues are torn. There is no other way except surgical treatment.

But...

For a huge incisional hernia, even if surgery is performed, the difficulty of the operation is no less than that of a level 4 operation.

You should know that there are four levels of surgical operations from easy to difficult.

Level 1 is the easiest and level 4 is the most difficult.

The greater the difficulty, the greater the risk. Wang Jingang has seen too many patients undergoing level 4 operations, and in the end they did not even get off the operating table.

Just as Wang Jingang was wondering whether he could perform an open abdominal repair operation on the patient, Xiao Chenguang's voice came from the side.

"Director, something is wrong."

"What's wrong?"

"He is in too much pain."

Too much pain? Wang Jingang was stunned, not quite understanding what Xiao Chenguang meant.

"Generally, incisional hernias are not so painful, and you only need to tie a belly band to relieve the pain, but he is in pain and cold all over. I think the patient has intestinal obstruction caused by incisional hernia."

"Intestinal obstruction?!"

Wang Jingang was struck by lightning after hearing this. A huge incisional hernia is already difficult to climb to the sky, and with intestinal obstruction, this is a rhythm of death.

"Doctor, please, the emergency department said that only your department can perform surgery and save my father."

The family members cried and seemed to have placed all their hopes on them.

"The emergency department said we can perform surgery?"

Wang Jingang frowned and turned to look at the emergency nurse next to him: "Who said that?"

In response to the inquiry, the emergency nurse hurriedly explained: "Director Wang, the surgeon on duty in the emergency department of the hospital tonight is Gong Liang. He said that the patient's condition is urgent and he is afraid that it will delay the condition, so he asked me to bring the patient here quickly."

"Gong Liang from the gastrointestinal surgery department?"

"Yes."

Fuck!

Wang Jingang cursed inwardly, thinking that Gong Liang was really a nobody.

Abdominal wall incisional hernia and intestinal obstruction are both within the scope of treatment of gastrointestinal surgery. When encountering such diseases on weekdays, he would like to take them all to his own department, not to mention eating meat, not even leaving soup for the general surgery department.

Today, he actually went against his usual behavior and "kindly" sent the patient here, not because the patient in front of him was too difficult.

They were afraid of accidents in the gastrointestinal surgery department and dared not treat the patient, but they could not directly refuse the patient, so they just threw this hot potato over.

"Director?"

Xiao Chenguang naturally knew the intrigues inside, but the patient had been pushed up at this moment, and he couldn't push it back to the emergency room.

They could shirk the patient and do such shameless things, but it didn't mean that the general surgery department could do such things.

"Accept."

Wang Jingang's lips were tightly closed, his breathing was heavy, and his eyes were flashing with anger.

The patient had now been pushed to the door of the general surgery department. If he touched his conscience, he would help the patient to the end.

But this matter was too frustrating.

The reason they dared to do this was because they thought that the general surgery department was about to be disbanded, and it didn't matter if there were more problems, just like the saying goes, "If there are too many lice, you won't be afraid of bites."

But the gastrointestinal surgery department's behavior was clearly bullying.

If Wang Jingang was not in the hospital tonight, there would only be one doctor on duty in the department. If they encountered such a difficult patient, I'm afraid the entire general surgery department would have to work overtime and rush over to work all night.

"Push the patient to the emergency room first, monitor vital signs, and complete relevant examinations."

Seeing the director speak, Xiao Chenguang did not dare to delay any longer and directly called the nurse to help the patient settle down.

The patient was put into bed, monitored, blood pressure was measured, and ECG was monitored. Soon, the patient's vital signs were recorded.

"Director, the patient's heart rate is 129 beats/minute, respiratory rate is 29 times/minute, oxygen saturation is 91%, and blood pressure is 82/45mmHg."

Wang Jingang's heart fell to the bottom. Although he was prepared, the patient's condition was worse than he expected.

The patient was lying on the rescue vehicle at this time, shivering in pain, with cold and wet skin on his limbs, and he looked like he was in shock.

"What are the infection indicators of the patient's blood test, white blood cell count, and C-reactive protein?"

Xiao Chenguang asked the emergency nurse who sent the patient over.

The latter had heard it, and her expression was embarrassed. She hesitated for a long time without saying anything.

OK.

It seems that the patient didn't even have blood drawn in the emergency room.

Xiao Chenguang was speechless for a while.

Gong Liang, who was on duty in the emergency department, was probably afraid that the patient would fall on his hands, so he didn't even do the most basic examination for the patient and let the nurse push him up.

He also knew that he was in the wrong.

So he didn't even dare to show his face until now. You know, for patients with such critical illnesses, medical staff need to accompany them during the transfer.

"First check the blood, blood routine, four coagulation items, eight infection items, and major biochemistry all need to be checked."

"Also, the patient may need emergency surgery in a while, so draw blood type and cross-matching blood, and send him to the blood transfusion department urgently."

"At the same time, build two intravenous access routes, and inject 500ml of Ringer's balanced solution intravenously."

Xiao Chenguang made a prompt decision and began to direct the patient's rescue work.

Others can choose to be irresponsible and shirk the patient because of some concerns, but Xiao Chenguang can't.

Because for him, this is not only about the patient's life, but also an opportunity that comes to his door.

At this moment, Xiao Chenguang's brain is running at high speed, and he has already had a way to deal with it in his mind.

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