godfather of surgery

After Chapter 1197, the emergency department will need to be staffed with psychologists.

Upon seeing Professor Yang, Xiong Sihai was eager to take the opportunity to speak with him. There happened to be a patient undergoing emergency treatment, and Xiong Sihai wanted to ask Professor Yang for help.

Xiong Sihai led Yang Ping into the emergency room through another small door. Because the old woman was still pounding on the main door, he was worried that if the door was opened, she would rush in without hesitation. He had absolute faith in the old woman's fighting ability, as she had been pounding on the door for a long time and showed no signs of exhaustion.

The female reporter clearly wasn't going to let Director Xiong off the hook. Having suffered a loss, she was always looking for an opportunity to get revenge. So she followed Director Xiong, hoping to find some leverage. Because she overheard Director Xiong asking Professor Yang to see a patient, she concluded that this patient must be someone with connections, someone who needed Professor Yang to give special treatment.

Her husband is drunk and lying in the observation room. The doctors and nurses only glance at him a few times, and there are no medical staff to watch over him. She feels that the hospital does not value her enough. She just made some requests. If she were in another hospital, she would have been given special treatment and would have received great attention. But here, these people don't even give her a second glance.

"That's how our emergency department is, it's chaotic every day. Just now, that shrew's husband was just drunk, and she was making a scene, demanding that we send medical staff to watch over him all the time. We're so busy right now, how can we have time to watch over him? Giving him a bed in the observation room is already very generous, and she's still not satisfied, making a scene about exposing us. What a piece of trash," Director Xiong explained to Yang Ping about what had just happened.

Hearing what Director Xiong said, the woman following behind grew angrier and angrier. She had always been domineering and arrogant, and now she had been humiliated here. How could she tolerate it?

This professor actually went inside to see the patient and her husband; it's infuriating!

"That professor!" the woman called from behind.

Director Xiong turned around and saw the reporter shouting from behind. Yang Ping turned around as well.

The female reporter rushed over immediately, and he acted as if he had caught her red-handed: "All patients are treated equally. I demand that you go and see my husband; his life is in danger."

Yang Ping frowned. He's an adult, how can he be so insensible? Everyone is so busy right now, why does he have to cause trouble, and it's endless. Yang Ping didn't want to pay any attention to him.

Most patients are reasonable, but a few unreasonable patients or their families can be quite infuriating. However, Yang Ping simply ignores these people and doesn't bother arguing with them.

"Let's go in and take a look." Yang Ping and Director Xiong had already reached the door and were about to go in.

The female reporter couldn't stand such a cold reception. Since the reporter ignored her, she rushed forward like a tigress, ready to grab one of the two.

But Ershun, who appeared out of nowhere, blocked her way and grabbed her hand: "Please watch your behavior." Ershun held her hand firmly.

"Please ask her to leave."

Er Shun followed Yang Ping and Director Xiong into the emergency room and handed the female reporter over to a companion.

The female reporter had a very strong fighting spirit, and this time it completely ignited the fighting fire in her heart. However, the other party completely ignored her. This disregard made her feel humiliated. She couldn't find a target to vent her anger on, so she temporarily returned to the observation ward. Her husband was sleeping soundly with an IV drip attached to him. Actually, the IV drip was just to establish an intravenous line so that he could be rescued at any time.

A nurse came in for a routine check-up, looked at the electrocardiogram monitor, then took the blood pressure and checked the pupils. Everything was normal, so she made the registration.

"Press the bell if you need anything!" the nurse instructed.

The female reporter, furious and with nowhere to vent her anger, unleashed a torrent of abuse on the nurse: "What kind of hospital is this? Nobody cares about someone this seriously ill. They could die here and no one would even know!"

The nurse ignored her. She had seen all sorts of family members before. She had already given all the necessary instructions and let the nurse do whatever she wanted.

The emergency room is now divided into internal medicine and surgery areas, which are actually adjacent to each other and connected by a wide door. The door is usually open so that some emergency equipment can be shared between the rooms.

Both the surgical and internal medicine wards are now full, with only a curtain separating the emergency beds. In the center of the lobby is a roundabout-shaped nurses' station, and the phones are ringing non-stop.

“This patient’s various tests came back normal. He had no hypoglycemia, no myocardial infarction, no pulmonary embolism, no hypothyroidism… nothing at all. But his blood pressure kept dropping, and he could only be kept stable with dopamine,” Xiong Sihai said.

Xiong Sihai is very suitable for working in the emergency room. He has a simple and straightforward style, is good at quickly processing randomized data, and has a good memory. He can basically remember the basic conditions of these emergency patients after going through them once. As the director, he can manage the overall situation with a good balance of priorities and urgency, and handle things very well.

A drop in blood pressure is mostly due to a few factors: low blood volume, cardiac origin, distributive, and obstructive causes. These are the same causes as shock, but it is believed that shock is actually a severe drop in blood pressure.

Low blood volume involves blood loss and fluid loss. The examination has been completed, and no relevant information was found. There was no evidence of trauma, gastrointestinal bleeding, ruptured ectopic pregnancy, spontaneous rupture of internal blood vessels, etc. There was also no gastrointestinal infection, diarrhea, etc.

Cardiac causes include myocardial damage, arrhythmia, and so on.

Distributed causes include allergies, infections, and so on.

Obstructive, such as cardiac tamponade, pulmonary embolism, etc.

The attending physician has already conducted a screening and found no problems, but the blood pressure suddenly dropped. What's going on? It's impossible to keep it up with dopamine all the time. The attending physician has contacted the ICU and is preparing to admit the patient for inpatient treatment. Keeping him in the emergency room is just a temporary measure.

How could there be no reason? It's just that we haven't found the reason yet. Everything has a reason.

The patient was a woman in her twenties, rather overweight, about 1.5 meters tall and weighing about 80 kilograms. Yang Ping prepared to examine her personally. He felt the radial artery in her wrist, and then pulled open the patient's collar a little to feel the carotid artery. But as soon as he pulled open the collar a little, the patient's family immediately grabbed Yang Ping's hand.

"What are you going to do?" The family member standing next to her was also a young woman, and she looked very wary.

"This is Professor Yang from our hospital," the nurse introduced, explaining the rationale behind the examination.

But the woman seemed unhappy: "Can't a female doctor examine you? What are you doing, a man, touching a woman? Trying to take advantage of her?"

Xiong Sihai was stunned, almost spitting out his breakfast and lunch. What kind of day was this? Why did he keep running into unreasonable women? He must have forgotten to check the almanac before leaving home. Although the emergency room was usually chaotic—fights, drunken outbursts, crying and screaming—it was rare to see someone refusing to be examined by a doctor. "Don't worry about it. There are nurses watching. We doctors are just conducting a routine checkup," Xiong Sihai patiently explained.

The family members firmly refused to allow the physical examination: "If you want a physical examination, a female doctor or nurse should perform it. All of you men, get out."

This family member was actually just a friend or close confidante of the patient. She seemed very capable, and immediately turned on her phone to record video and audio.

"No recording!" the nurse immediately stopped them.

"Why can't we record video and audio? Which law stipulates that we can't know if your treatment process is illegal if we don't record video and audio?" The "family member" was unscrupulous and wouldn't listen to reason. She took out her phone and prepared to record the whole process.

"Treat the symptoms accordingly, treat the shock, ask if she's taking any antihypertensive medication, how could there be no cause?" Yang Ping instructed, he had no time to waste with this woman.

"Has she shown any unusual behavior during this time? Has she taken any medication?" Director Xiong asked.

"Can't you do a checkup? You're doctors, why are you asking me?" the "family member" said impatiently.

"Professor Yang..." Director Xiong was quite embarrassed. He had originally wanted to ask Professor Yang to give his opinion, but he didn't expect to run into the little fairy who had no manners at all and felt that others were harassing her at the drop of a hat.

"Take more questions about the patient's medical history. It's likely that they took antihypertensive medication. In this case, it's very likely that they took an overdose of antihypertensive drugs. Use some antagonistic vasopressors and some medications to promote excretion. It shouldn't be a big problem." Yang Ping explained. Based on the results of various tests, Yang Ping made his own judgment. If this was the case, it wouldn't be difficult to handle.

After hearing Yang Ping's words, Director Xiong had a direction for handling the situation and no longer needed to dwell on the cause. He immediately instructed the attending physician to do as Yang Ping said.

Director Xiong accompanied Yang Ping out of the emergency room. Just then, Director Tan called to say that the patient whose body had been decapitated had woken up from anesthesia and been sent to the ICU for monitoring. He asked if we should go and see him, because he knew that Yang Ping was the lead surgeon and would definitely go and see him after the surgery.

Yang Ping hung up the phone and prepared to rush to the ICU. For some reason, the female reporter reappeared. Does this person have a troublemaking gene? Instead of taking good care of her husband in the ward, she insists on running around everywhere.

"My husband just vomited, he vomited everywhere. Didn't you send anyone to help him wipe his face? I called a cleaner, and the cleaner just cleaned the floor. The nurse came over and just used a straw to suck some fluid from his mouth. Is that so irresponsible? Didn't you let him wipe his face and body? The nurse threw a cloth and basin at me and told me to wipe my face. Is this the kind of service you expect from Sanbo Hospital, a well-known hospital? I've written down that nurse's name tag, I will definitely expose you." The female reporter spoke angrily.

Xiong Sihai was dumbfounded once again. "Grandma, that's your own husband! This is the emergency room! You're wiping his face yourself? Who's wiping his face? I've really run into a grandma."

“Nurses are only responsible for medical care. Daily care is the responsibility of your family members. If you have hired a full-time caregiver, that caregiver will be responsible for it. Please understand.” Xiong Sihai didn’t want to lose his temper in front of Professor Yang, so he spoke much more gently.

Hearing Xiong Shihai speak so gently, the female reporter assumed he was timid and immediately became bolder.

"I'll just ask you one question: Are you just going to abandon my husband? Are you just going to ignore him?" The female reporter practically pointed her finger at Xiong Shihai's nose.

If Yang Ping hadn't been there, Xiong Shihai would have slapped him long ago, but with Yang Ping present, Xiong Shihai still didn't want to do it.

Just then, a nurse ran over and said, "Director, let me go and wipe his face."

“You can manage on your own. Call a few more nurses, male doctors and male nurses, to help him change his clothes and then help him to the restroom,” the female reporter shouted, gesturing wildly.

She's so ungrateful! The nurse didn't want to cause trouble, so she offered to help, but she insisted on having a male doctor or nurse, and several of them, not only to wipe his face and change his clothes, but also to take him to the restroom. With everyone so busy these days, where are we going to find so many people to take care of a drunk person?

"And this is a professor, right? You have to go see my husband. I demand that you see him today. Was that staff member who pushed me from your hospital? Which department? Make him come out and apologize to me. This is outrageous! I will definitely expose what happened today and let everyone see how you neglect your patients. A seriously ill patient came here, and there wasn't even a private room. I was thrown into a ward with several people. I asked for a private room, and they ignored me. Fine, I tolerated it. The doctors and nurses came in, glanced at me, asked a few questions, put on an IV, drew a few tubes of blood, and then nobody cared. What kind of hospital do you serve?" The female reporter got worked up.

She went to pull Yang Ping away again. Yang Ping had a terrible day. As a professor, he was either refused a physical examination by patients' families or dragged by them to see intoxicated patients. If it were a seriously ill patient, he could at least see them, but with an intoxicated one, wasn't that a waste of time? Yang Ping was too lazy to argue with him.

Er Shun suddenly appeared out of nowhere, blocking Yang Ping's path and grabbing the female reporter's hand. The female reporter was startled and recognized him as the same person from before.

“It’s you. What’s your employee number? I’m going to file a complaint against you,” the female reporter said.

"Professor, you should go to the ICU." Er Shun then handed the woman to his companion and instructed him, "She said she's a reporter, check her press card."

This kind of woman, who has no sense of propriety and no sense of decency, can really expose things when she says so. Her so-called exposure is just scribbling nonsense with a pen, never based on facts. She writes whatever she wants, whatever makes her feel better, whatever attracts attention. I've seen too many people like her.

Yang Ping ignored her and, accompanied by Er Shun, went to the ICU to see the patient whose body had been severed from its head.

Director Xiong kept coming out, apologizing profusely. He said he had made Professor Yang suffer in the emergency department today. What happened? What kind of day is this? Why are there so many unpleasant things happening today?

Yang Ping was fine; he didn't want to deal with that kind of person at all. The emergency room was not a place for ordinary people. It would be best to have a psychologist in the emergency room in the future. Working overtime in this environment would put a lot of pressure on many doctors.

Emergency room doctors are really exhausted. They can't rest all night and don't even have time to catch their breath or drink water. Yang Ping went to the ICU to visit a patient and had a glass of water there.

The patient's vital signs are stable after the surgery, and the situation can be considered stable for the time being.

After returning home from the hospital, the child fell asleep again; this guy has a pretty regular routine.

Xiao Su brought out the late-night snack she had prepared. Yang Ping was indeed hungry and ate some. Xiao Su asked about the hospital, and Yang Ping told her about the decapitation surgery. As for the emergency room, he omitted it, not wanting to bring that negative energy home.

(End of this chapter)