"Thank you, Uncle Er will grill fish at six o'clock tomorrow night!" Su Yixuan sent a WeChat message.
Yang Ping checked his phone countless times and then put it on his chest. His heart was filled with sweetness and he was so excited that he couldn't sleep.
Tomorrow is a happy day.
But time passes too slowly, there are still more than ten hours left.
Unable to sleep for the time being, Yang Ping opened WeChat, walked around in several groups, and climbed stairs for a while.
In the university group, there are relatively few bubbles, and only a few are more active. They all relied on the green channel and graduated into a better tertiary hospital.
Someone was posting photos of attending an academic conference abroad with the director, hanging a sign for attending the conference on his chest, taking photos with international bigwigs, and then making a faint complaint: It is not easy to be a doctor, and you have to cross the ocean to recharge. p>
Followed by a few words of praise here and there.
Then there are links to vote and bargain, interspersed in the group.
I was too excited at night and went to bed a little late. I woke up early in the morning and was a little sleep deprived. I went to the breakfast shop next to the hospital and had a bowl of three-fresh rice noodles. It was still a little after seven o'clock when I arrived at the hospital.
Zhang Lin, Xiao Wu and other residents were already busy, and the computer keyboards kept clicking. Xiao Wu made a brief report to Yang Ping on the patients' conditions the previous day, including those who were in arrears, those who were overpaid by medical insurance, and the hospital's feelings.
If you didn’t report it in time, wait, it’s a mess.
Director Han's team actually has two teams under him, one with Yang Ping and Xiao Wu, and one with Song Zimo and Zhang Lin. The patients are managed separately, with Zhang Lin in charge of ten beds and Xiao Wu in charge of ten beds. p>
Zhang Lin said mysteriously while typing on the keyboard: "Something happened to the spine?"
"What happened?" Xiao Wu was curious.
Zhang Lin nodded: "Do you still remember that three-no person? His four sons and two daughters came here. Yesterday, there was a big fuss in the department and he was forcibly driven away by the security guards."
"Didn't he have no relatives? I called his home before, didn't he say he had no relatives?" Not only Yang Ping knew, but also the general practitioners knew that this patient had a burst fracture of the thoracic vertebrae, damaged spinal cord at the same level, and was paralyzed below the navel.
.
Zhang Lin gave a weird smile: "Oh, that's because I was afraid of being pressed for money. I was hospitalized for half a year, but no one came. I called them, and they didn't admit that I had this father. It's good now, everyone is here. Those who said good things, give me
If you treat paralysis, you have to pay money."
"Compensate? There are no personnel, the construction site fell from a height, the foreman ran away, severe spinal fracture with spinal cord injury, spinal cord damage, paralysis everywhere, the world's problems. Free treatment, free escort, free one day
We have three meals and we have lived here for more than half a year, and now our relatives suddenly show up and we have to pay for them as soon as they come?" Xiao Wu was indignant.
Zhang Lin said: "Yes, I went to the medical department yesterday, and they made a condition that they would accompany me for 6 million, and if they didn't give me the money, they would bloodbath the hospital."
"It looks like there's going to be trouble! Be careful these days and be careful when commuting to and from get off work." Zhang Lin said.
"I'm going to buy some knife-proof clothes. Do you want to put the order together? Everyone, please note that your desk cannot face the door, be careful of suspicious people when commuting, and try to wear sneakers to work."
"Is it that serious?" Yang Ping whispered.
Zhang Lin said seriously: "You are right, brother. Not long ago, a doctor was stabbed several times by a patient in Nandu Annex 2 and was admitted to the ICU. Didn't you see someone in the outpatient emergency department of the hospital holding a paper at the door during this period?"
Is the skin measuring?"
"Isn't it about the renovation of the gate?" Yang Ping was a little interested in this question.
Zhang Lin is well-informed: "Reliable news is that in the future, only one door will be opened for outpatient and emergency departments, and a security check channel will be set up at the door. This is what Dean Xia personally took care of. Didn't you know? We need to strengthen security forces, train doctors in self-defense capabilities, and hospital security
Notices on the three major policies will be posted on the hospital's intranet soon."
"How did you know?" Yang Ping didn't know anything.
Zhang Lin said proudly: "Don't ask about this, just know it. I'm just telling you, don't tell others."
Then he told Xiao Wu, Fang Yan and several others the same words again.
It has been widely advertised and kept confidential.
Shift handover, ward rounds, and surgeries all follow this routine every day.
I performed a replantation of a severed finger myself, and performed several operations with Director Han. The operation was not performed until after five o'clock in the afternoon.
Director Han performs surgeries quickly and well. I feel like I can do it as quickly as I want and as slowly as I want. He is always confident and everything is planned.
While chatting in the locker room, Lao Han received a call. After hanging up, he said:
"Xiao Yang, the emergency department just asked for help. There was an accident at a construction site. A worker's leg was trapped inside by a cement block and he couldn't get out. Rescue is being carried out now. It is estimated that the leg will be amputated on site. Take Xiao Wu to the door of the emergency department. The emergency room
The car is waiting."
This kind of thing cannot be delayed. Yang Ping and Xiao Wu hurried to the emergency department. A Mercedes-Benz ambulance was waiting at the door. When the doctor saw Yang Ping, he immediately opened the door: "Dr. Yang, thank you for your hard work!"
The emergency department had sent an ambulance a long time ago, but now this one was just sent to Yang Ping. The ambulance roared and headed straight to the construction site.
There were people waiting at the entrance of the construction site, and each person was given a safety helmet. Several people in Yang Ping wore safety helmets and followed the workers leading the way to the site of the accident.
This is a subway tunnel project. If you go underground, you can see the rudimentary tracks, escalators, pillars, etc.
"There was a corner that had not been reinforced and was not allowed to be entered. The worker was so anxious that he hid in it to defecate. As a result, it collapsed. His upper body was dug out, and one of his legs was pinned down by a cement block." The person leading the way was the construction site leader in charge of safety. Dr. Lu from the emergency department and a nurse were already standing around, intravenous channels were established, and fluids were being replenished. Dr. Lu reported: “The right lower limb is pressed by several hundred kilograms of cement blocks. It is difficult to rescue, and the machine cannot operate properly.
Open, can only be rescued manually, the internal organs of the abdomen are damaged, the color ultrasound has just been performed, the liver is ruptured, and there is an estimated 1,000 milliliters of fluid in the abdominal cavity; there is bleeding under the spleen capsule, and this bleeding has a tendency to expand, so we need to go back to the hospital for a laparotomy as soon as possible
."
The emergency department has a relatively strong foundation. It has everything from portable color ultrasound,
Doctors are trained every three days, so it is not difficult to get a color ultrasound.
The liver is ruptured, which is dangerous enough. There is also bleeding under the spleen capsule and it is progressively enlarging. This is an indication for emergency laparotomy. Otherwise, if the bleeding increases, especially if the spleen capsule is ruptured, it will be fatal on the spot.<
/p>
The patient is barely awake now, which is due to his good physical condition and timely rehydration.
Rescue the person quickly and send him to the hospital for a caesarean section. Time is very tight and life and death are speeding up.
The patient's face was pale and his expression was painful. The trousers on his right leg had been cut open, and everything from the lower thigh down was pressed inside. The rescuers used a kind of pliers to bite off the cement blocks piece by piece.
Yang Ping said: "This can only be amputated, otherwise I can't save my life!"
In an emergency, try to explain the important relationship clearly in one sentence.
Doctor Lu put an informed consent form on a document board and an opened box of ink pads and sent them over: "Please sign here. If it's inconvenient to sign, you can just press a hand mold."
There is no other way. As long as you are sober, you have to sign. This is the process.
The worker's face was constantly sweating, and his facial muscles were distorted. It was very difficult to say every word: "Doctor, can you save me? Help me fight for it. There are old people at the top and small ones at the bottom. Without one leg, the sky will collapse."
"I can't save it, I can't save it. Which one do you want now, legs or life?" Yang Ping said in a strong tone. Is it too much to talk at this time? Soft words are useless, only decisive killing is useful.
"The function of the lower limb prostheses is very good now, and I can walk and work normally in the future," Yang Ping added.
The workers are still hesitating. After all, a living leg was fine a moment ago, but now it needs to be amputated, and no one can make a decision.
"Doctor, it's cut off. Can we dig it out later and take it to the hospital?" The worker tried his best to fight for it.
Yang Ping took a look through the gap between the cement block and the ground. He saw that the calf had been completely flattened and turned into a dead gray color. He said regretfully: "The hope is very slim. It is a serious crush injury and there is no condition for it to be reconnected." "Creatinine has increased!" Dr. Lu interrupted.
This means that a large amount of muscle tissue has been squeezed and destroyed, and myoglobin enters the blood, passes through the renal tubules, blocks the renal tubules, damages the renal tubular cells, and forms acute renal failure, which is also fatal.
"Please believe me and amputate your leg immediately! We are all here to save your life. If you hesitate any longer, it will not be your leg that will be lost, but your life!" Yang Ping spoke calmly, and every word was clear.
The worker sighed deeply, closed his eyes, and gritted his teeth: "I believe you, doctor, cut it off!"
Then stretch out your right index finger, dip a little ink pad, and press it on the informed consent form.
There is no choice at this time. The liver is ruptured and is already bleeding. If the spleen is still ruptured, he will definitely die on the spot.
The only option is to amputate the limb in order to save life.
