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Chapter 182 Special Emergency (7k, 2 more chapters added, please subscribe)
Dr. Zhong from the People's Hospital failed to reduce the dislocation three times, but Fang Ziye successfully reduced it in less than ten minutes.
A comparison that takes several hours takes less than ten minutes.

That's a bit too fast.

However, Shen Shao, as Shen Zihao's cousin, was secretly delighted!
"Dr. Fang, you've worked hard. I wonder if you'd be free to have dinner together tonight?"

Shen Shao knew that the cost of treating Fang Ziye to dinner might be higher than the total cost of Shen Zihao's manual repositioning procedure, but he felt good about it, so the money was well spent.

Doctors are judged by their skills, not by who is closer to them. What good is being closer to someone?
Doing a good deed only brought her trouble. If it weren't for her second uncle being her own uncle and Shen Dong being her cousin, who would she be, Han Xuemei?
“Professor Shen, it’s no trouble at all. You don’t need to be so polite. I have some things to do in my department, so I won’t bother you any longer. Once the young man’s follow-up examination results are out, you can have him come to my department for a follow-up consultation.” Fang Ziye politely declined.

There's no point in talking when you don't see eye to eye. Shen Shao's own pitiful situation is not a reason to dig a hole for himself.

"We still need to eat. Dr. Fang is busy today, so let's do it another day. Dr. Fang, you must do me the honor."

"I'll arrange a get-together with Kai and Tao, and I hope Dr. Fang can give me a chance..." Shen Shao didn't insist on keeping him, but simply smiled and saw Fang Ziye off.

We hope that talented young people in our institute will at least avoid becoming enemies, if not friends.

"Zihao, does it still hurt?" After the repositioning was completed, Han Xuemei was still quite concerned about her son.

"That doctor before, he looked quite old, but..." she started complaining again.

Shen Zihao shook his head and playfully moved his little hands, the pain having been greatly relieved: "Mom, it doesn't hurt at all."

"look."

Han Xuemei muttered to her husband again: "The Dr. Zhong that my uncle introduced is the most senior orthopedic surgeon at the People's Hospital, and even he can't get it back down?"

"Tell me, what exactly happened to my uncle?"

Shen Dong covered his forehead, knowing his wife's feelings perfectly well: "You still want to talk about this? You're not still thinking of going to the People's Hospital to confront your uncle and that Dr. Zhong, are you?"

Although Han Xuemei did not reply, her meaning was very clear.

Shen Dong was completely stunned. Knowing his temper, he really wanted to slap her.

But he couldn't bring himself to do it, and asked, "Wife, are you feeling unwell?"

"Shouldn't we be thinking about how to get Zihao back to school as soon as possible?"

"Are you going to make a scene and demand compensation or an apology from them?"

"If you do this, does that mean the three of us won't have to visit your parents' house for the New Year?" Shen Dong retorted.

Han Xuemei was stunned.

Then she retorted, "If you're not a bit fierce, people will think you're easy to bully. Before you left the army, did you think everyone was easy to talk to?"

“Go ask Zihao how much bullying he suffered at school. If you don’t stand up for what’s right, people will think you’re a coward, an orphan without a father…”

Upon hearing this, Shen Dong's eyes became bloodshot and slightly red as he looked at his son.

Shen Zihao moved closer to Han Xuemei, tugged at her hand, and gestured for her to stop crying. He told her that her father was back now, and that he had made many more friends now that his classmates knew about his father's job…

A short while later, Han Xuemei and Shen Dong, along with their family of three, arrived at the orthopedic ward with the X-ray films from the follow-up examination. They also brought some fruit platters and a banner, which they tried to hand to Fang Ziye.

After Shen Zihao, a young man, apologized to Fang Ziye as a brave representative, Han Xuemei also apologized and thanked Fang Ziye. At the same time, Shen Dong apologized to Fang Ziye on behalf of Shen Shao.

After learning from Fang Ziye that Shen Zihao could return to school after a few days of rest at home, Shen Dong left with his wife and children.

At this moment, Han Xuemei's emotions seemed to become less strange.

……

After the family of three left, Mao Mao, who was on duty, pushed up his black-rimmed glasses and stared in disbelief.

Good heavens! Fang Ziye went to the emergency department and came back with a banner of appreciation. What did he do?
How many banners of appreciation has Fang Ziye received so far?
Mao Mao suspected that Fang Ziye might have secretly threatened the patient's family.

You must present a banner, otherwise I won't treat you.

But in reality, the reason Shen Dong presented the banner was because Shen Zihao had gone to the People's Hospital many times and almost needed surgery.

"Brother Ye, this family is quite polite, isn't they?"

"You're too kind?" Fang Ziye neither confirmed nor denied, and put the strawberry he had just picked up back down.

"They're not even polite to their own relatives, why would they be polite to an outsider like me?"

"If I can't reset it successfully, it could escalate into an accident. I'm not being polite," Fang Ziye said, his face full of annoyance.

He found it strange that this woman could be so unreasonable, as if her own family relatives were the only relatives, while her husband's family relatives were as if they didn't exist.

If it weren't for the fact that the child is relatively sensible and quite pitiful, and that Shen Dong is willing to take responsibility, it would be a different story.

Go get surgery!

However, nobody's perfect. If the child isn't a complete jerk, and if one or two family members are decent, then please help them out.

Fang Ziye certainly didn't want to die young, or for any other unforeseen events to occur.

Senior Brother Wu Xuanqi is a living example right before our eyes.

Mao Mao said very sensibly:

"That Brother Ye managed to get a banner from a patient's family member like that, that's a skill most people wouldn't even dare to dream of."

Mao Mao gave a sincere thumbs-up.

Mao Mao's interpretation of the sentence in this way shows that he has a clever mind, but Fang Ziye does not need mutual flattery: "Mao Mao, take some fruit platters to the nurses' station."

"Let's all eat together. We can't finish it all."

Upon hearing this, Mao Mao immediately stood up: "I'll take it to the nurses' station first."

"But I doubt Sister Xuan will have time to eat. While you were gone, Brother Ye, I just admitted two patients."

"Then the emergency department called, saying there was a special urgent consultation, and I immediately called Brother Tao..."

Fang Ziye's expression froze upon hearing this—

"The emergency department has emergency consultations? How come I didn't know that?" Fang Ziye just came back from the emergency department.

Mao Mao turned around again and explained, "It must be a very special situation. When the emergency department called, they specifically told me to contact the director directly!"

"They might not even get to the top. They're probably just a nepotism hire, and one who's been seriously injured..."

After saying that, he walked towards the nurses' station...

Fang Ziye immediately realized.

Enshi Central Hospital is a prefecture-level city hospital. Fang Ziye also worked several shifts there and found that there were a lot of people with connections there. Every time he was on duty, Director Zhang Mingcan or Director Wu Guonan would call him from afar.

They said the patients who came to the hospital today were relatives of some bureau chief or leader, and needed to be looked after.

Actually, there aren't that many things to look after; it's just that you need to be more cautious and careful when making conversations and signing documents.

This is the norm for medical care at Enshi Central Hospital.

The number of hospital beds wasn't as tight as at Zhongnan Hospital. However, the network of connections wasn't huge, but it wasn't small either.

The directors here aren't as capable as the professors at Zhongnan Hospital; some people with connections still need to be taken care of.

However, at Zhongnan Hospital, it's generally impossible for junior leaders to get the professors' phone numbers. Those who do get the professors' phone numbers are very careful to protect their reputation and will only call to inform them in particularly urgent situations.

Such emergencies usually involve going directly through the emergency green channel, so similar incidents are not very common.

……

Emergency Department.

After seeing Fang Ziye off, Shen Shaogang returned to the emergency surgery clinic and was immediately overwhelmed with work!
She quickly moved between the two beds, rapidly conducting and guiding the nurses in her department in various emergency procedures.

Midway through his call, his phone rang. It was Shen Dong calling.

After thinking for a moment, I answered the call, but replied briefly: "Brother, I'm busy, let's talk later."

Hang up directly.

"Tracheotomy kit, ready at any time!"

"Hemothorax, chest drainage is probably needed."

After giving his instructions, Shen Shao explained to Wang Dongshan, the director of the emergency department and his superior.

"Director, my nephew was injured and just went from our emergency department to the orthopedics department for a follow-up examination. He's back now and gave me a call."

Wang Dongshan didn't pay any attention and just patted Shen Shao on the shoulder.

A doctor is a human being first and foremost, and only then a doctor; as a doctor, one cannot escape the complexities of human relationships.

"Please urge the general surgery and neurosurgery departments again; the condition of these two patients is not very good."

"I heard there were originally four, but one died at the scene and another on the way. The violence they suffered was immense. We must find a way to save the two who are left," Wang Dongshan shouted to the others.

"I made the call!" One person raised their wrist to check the time on their watch.

"Only six minutes have passed." He dared not waste a single word.

"Doctor, do we need to intubate?" a nurse looked up and asked. She was the head nurse of the emergency department.

"Quickly establish an intravenous access..."

Wang Dongshan kept a close eye on the unstable vital signs.

The permitted time for an emergency consultation is fifteen minutes!
Because it's impossible for all doctors to be on call in the emergency room 24/7, even for emergency consultations. China currently doesn't have that many medical resources and doctors.

Even so, looking at the patient's current heart rate and blood pressure: "Keep calling and urging them to hurry up."

"I'll run myself ragged to get here as quickly as possible."

"Alternately administer adrenaline and norepinephrine..." Wang Dongshan began directing the rescue.

"Call the blood bank and ask if the blood you ordered has arrived yet?!"

"Orthopedics, orthopedics..."

The sounds inside the emergency surgery clinic were chaotic and noisy, but all the conversations were brief and to the point.

About a minute later, several people in white coats rushed in one after another.

After seeing the patients in the two beds.

Everyone couldn't help but gasp.

Xue Tao, who had been summoned from home for orthopedics, had a sudden change in expression.

He asked, "Director Wang, what happened?"

Xue Tao's voice trembled slightly.

One of the patients had sharp object injuries to his limbs, chest, abdomen, and head.

At this moment, there were still four knives stuck in his body that he dared not remove, one in his chest and three in his abdomen!

The knife pierced the wound, leaving a thick, black scab that adhered to the clothes, forming a crumpled, lumpy mess.

It must have been hastily bandaged with gauze while in the ambulance.

The once pristine white gauze was now completely soaked with blood, turning it black and covered in blood streaks and scabs, resembling an old shroud.

The patient's eyes were closed, and his face was expressionless; it was unclear whether he was in shock or simply indifferent...

Wang Dongshan refused to explain: "Investigating the cause of the injury is not our responsibility."

"Quickly assess the situation in each department, and those who need to take the stage should do so."

"Both patients had unstable blood pressure, and were on continuous norepinephrine and adrenal gland pumps, but their systolic blood pressure remained below that of shock patients."

"Your surgical team needs to find a way to stop the bleeding!"

"With income not covering expenses, relying solely on blood transfusions and intravenous access is not enough."

As Wang Dongshan spoke, the neurosurgeons had already roughly scanned the patient and said, "The head injury is just a superficial one. The patient has no indication of intracranial hemorrhage, and the light reflex is present and sensitive."

Do you have a CT scan?

In an emergency consultation, the first step is to find the indications for emergency treatment, and the second is to find evidence of exemption from liability for your own department.

"We didn't dare do any tests; they started emergency treatment as soon as we got on the ambulance."

"His vital signs are fluctuating greatly and are constantly unstable. He is currently receiving life support treatment and has not been allowed to undergo any tests, only a blood test..."

First, administer intravenous fluids, then perform surgery; administer intravenous fluids while performing surgery.

Where can I get a checkup done?
These are words written in textbooks.

Wang Dongshan's team dared not arbitrarily push patients to undergo examinations.

Of course, simply replenishing fluids is definitely not enough.

At this moment, Chen Liwei from the general surgery department frowned: "There are obvious signs of peritoneal irritation in the abdomen, with fluid accumulation, indicating active bleeding. Without examination, we can only proceed with exploratory laparotomy immediately!" "I guess we should also call in the gastrointestinal surgery department," Chen Liwei suggested to Wang Dongshan.

The general surgery department of Enshi Central Hospital is not very large, but it is divided into subspecialties such as hepatobiliary and pancreatic surgery, gastrointestinal, breast and thyroid surgery, and anorectal surgery.

The Department of Hepatobiliary and Pancreatic Surgery also operates under the name of Vascular Surgery.

"Make a call!" Wang Dongshan immediately ordered.

The consultation call made by the emergency department is of a higher level than that of other departments, and no department dares to make excuses or refuse. It is much better than Chen Liwei making a direct call.

Given the current situation, even if Chen Liwei suggested consulting with the nutrition department, Wang Dongshan would have no choice but to follow his advice.

Specialized treatment is essential, and the opinions of specialists are extremely important!

A deputy director of thoracic surgery also said, "Let's perform open-chest exploration, Director Wang, but it's best to have a CT scan done beforehand, so we don't run into trouble during the exploration."

"The patient's condition is such that they can't be transferred; if they were, something bad would definitely happen."

"Where are the patient's family members? I need to talk to them." The deputy director of thoracic surgery felt that the patient's chances of survival were slim.

“There are no family members, only the unit leaders of the two comrades. We have contacted the hospital’s on-call supervisor, who has given us the authority to handle the matter.”

"Why don't you go talk to his colleague in the next office?"

Thoracic surgery is a rather specialized department, and the lungs are also a rather special organ, so unlike exploratory laparotomy, you can't just explore wherever you want.

CT guidance is required.

However, since this patient cannot undergo the examination, it all comes down to luck. There's also the possibility of omissions during the procedure, as no one has X-ray vision.

The deputy director, who was writing the consultation report, also said, "If we're doing a CT scan, we'll also scan the head at the same time."

"If you go into the operating room for a plain X-ray, also scan your head, and then ask our department for a consultation."

The neurosurgical situation wasn't urgent, but he handled it meticulously, preferring to make extra trips rather than let the patient bear responsibility for any hidden neurosurgical damage.

But if it's not checked, then there's nothing that can be done.

Xue Tao from the orthopedics department followed behind the thoracic surgeons: "We orthopedics also need to perform surgery, so I'll go over and talk with Director Liu."

……

A few minutes later, Xue Tao, like Liu Liming from the cardiothoracic surgery department, Chen Liwei from the hepatobiliary surgery department, and Zhang Dingkun from the gastrointestinal surgery department, ran into the corridor to make phone calls to their superiors.

Xue Tao was reporting to Wu Guonan: "Director Wu, I'm in the emergency department now and I've encountered two patients with rather unusual conditions. I've examined their conditions, and their vital signs are extremely unstable. Our orthopedic department has a history of significant trauma."

"There were originally four, but only two survived and made it to the hospital."

"It seems that it's because the police did something good. They found important clues and hideouts before, and now they're being silenced in revenge..." Xue Tao's eyelids twitched as he spoke.

Although Enshi is only a poor area in Hubei Province, such incidents are not uncommon.

Drugs do not completely disappear just because a region is poor. On the contrary, due to the underdeveloped education in such areas, people are less aware of the dangers and many go astray.

In the past, it was more common for suspects to be brought to the hospital by their uncles for surgery to remove broken needles.

"The hospital leadership also attaches great importance to this matter. A vice president just came and gave us a firm order to save the two heroes at all costs."

"Surgical authority is maximized, the hospital's subsidies for costs have no upper limit, and the finance department is currently handling the patients' outstanding fees. Even a city leader has come and is currently negotiating with Director Wang of the emergency department. I heard that a leader from the prefecture is also on his way..."

The office buildings for both Enshi and Enju are located in Enshi, but they operate under two different systems.

"The patient was rushed to the operating room for a quick examination. The operation involved multiple departments and included thoracotomy and laparotomy to explore the chest and abdomen, and to stop the bleeding and save the patient's life."

"We definitely have femoral artery injuries in our orthopedics department..."

"The patient's blood pressure is currently extremely unstable."

"Okay, I understand." After receiving Wu Guonan's reply, Xue Tao immediately rushed towards the operating room, and on the way, he directly called Wang Zhongxing.

Wang Zhongxing replied without hesitation that he would take a taxi from where he was fishing to come over.

……

Meanwhile, the hospital's leaders also began making phone calls to various departments.

The anesthesiology and operating room departments were immediately notified to receive two emergency surgeries and had to be ready to receive patients at any time.

The call from the anesthesiology department went directly to Huang Qiaoshan, the head of the department.

Huang Qiaoshan was having lunch outside with his wife and children when he asked, "Director Wang, has anyone in our department examined him? Is he suitable for anesthesia?"

Wang Dongshan from the emergency department said directly, "Director Wang, this surgery was ordered to be sent to the operating room by the hospital director himself. Regardless of whether anesthesia is suitable or not, anesthesia must be administered."

"Without surgery, they'll die; the anesthesiology department must be fully prepared!"

“Good!” Huang Qiaoshan’s eyebrows immediately twitched.

"Okay, I'll arrange for Nie Mingxian from our anesthesiology department to personally handle the anesthesia for the patient right away, and I'll be at the hospital immediately!"

"At most, I'll be in the operating room in fifteen minutes," Huang Qiaoshan replied without hesitation.

There's nothing wrong with me eating out.

Although he is the director, directors also have time off and shifts.

No one can predict when an emergency will come in! If you could, the problem would be even bigger.

Wang Dongshan lowered his voice again and said, "Director Huang."

"These two comrades are police officers within the system. They were targeted for revenge after they had performed meritorious service."

"There were four people in total, two of whom have already passed away. We couldn't prevent the harm from happening, but all we could do was bring them back to life."

"Moreover, I heard that the two of them also possess crucial information."

Huang Qiaoshan said, "No matter what information we have, we have to wait for people to come back to life first."

"Do your best and leave the rest to fate!"

"I'll hang up now, Director Wang."

Huang Qiaoshan was a seasoned veteran; upon hearing the word "revenge," he immediately understood the reason behind the matter.

But no matter the reason, we must adhere to objective facts. Human life is neither determined by fate nor by human will.

Huang Qiaoshan abandoned his wife and children.

His wife didn't say anything, but from Huang Qiaoshan's words, she knew the situation was urgent: "I'll take the kid to school later, you go back first."

"Yeah, if we don't go back, someone might really die, honey." Huang Qiaoshan said apologetically as he pushed open the door to the private room.

It seems that since he became the director of the anesthesiology department, he hasn't spent much time with his wife and children. Today is his child's birthday, but Huang Qiaoshan has to work tonight, so he was planning to celebrate the birthday early at noon.

but?
……

Fifteen minutes later, Huang Qiaoshan arrived at the door of the operating room.

However, upon arrival, they were informed that one of the patients had lost vital signs on the way to the operating room and was now being resuscitated in the operating room across the street.

Upon hearing this news, even Huang Qiaoshan, who was used to seeing life and death, couldn't help but feel a slight tremor in his heart.

Do good people always die young?

"Do everything you can to save them! Everyone else, I'll take care of things here first."

While it's urgent to deal with people who have lost vital signs, Huang Qiaoshan prioritizes ensuring that those who haven't lost vital signs live well.

This is a biased choice.

It is certainly sad to see someone die, but we cannot disregard those who are still alive just because someone has died.

He ran straight to operating room 11—

Once inside, Nie Mingxian underwent nerve block anesthesia while simultaneously intubating her. Another associate chief physician from the anesthesiology department assisted Nie Mingxian with the necessary procedures for continuous anesthesia.

Huang Qiaoshan didn't disturb Nie Mingxian, but instead looked at the clinical surgeons who were operating like a machine at full speed—

They were each doing disinfection and cleaning work in their respective departments.

They were either wiping or cutting the gauze and bandages from before.

There were so many nurses that they poured bottles of iodine chelate and saline solution directly into the nurses' rooms, as if it were free.

There weren't enough trash cans, so the iodine complex was spilled directly onto the sheet on the ground. Although it would be difficult to clean and might even leave stains, we couldn't worry about that at the moment in order to save time.

Three circulating nurses pushed out various surgical instrument kits on a trolley and opened them one by one.

Just now!

Just as Xue Tao and Wu Guonan had lifted a corner of the gauze on their thighs and upper arms, suddenly—

Two streaks of blood gushed out instantly.

Sizzle.

It sprayed directly into the faces of the two men, and the splattered blood also landed on other people.

Xue Tao immediately closed her eyes, and then decisively pressed the gauze cover down—

Ignoring the blood trickling down his face, he pressed hard.

The tone was urgent: "Director Chen, there's damage to the femoral artery. Your department needs to come and treat it!"

Since the Central Hospital does not have a dedicated vascular surgery department, the hepatobiliary and pancreatic surgery department has to take on the responsibility of vascular surgery.

If it were a minor blood vessel injury, Wu Guonan and Xue Tao could have done it themselves, but now, this is a major injury to the femoral artery, and he dares not perform the surgery.

After pressing down, Xue Tao kept her eyes tightly closed and turned around: "Someone help me wipe it."

Actually, a circulating nurse had already seen it and immediately came over with gauze and cotton pads.

Xue Tao pressed down on her femoral artery with her hand, not daring to loosen her grip at all, while cursing inwardly:
This guy must have chosen the spot carefully; he stabbed right into the femoral artery with one stroke!

Chen Liwei, a surgeon in the Department of Hepatobiliary and Pancreatic Surgery, also witnessed what just happened.

He inwardly groaned; Xue Tao's words had clearly dumped the task back on their department, but there was nothing he could do about it.

Orthopedics is orthopedics, but the Central Hospital doesn't have a vascular surgery department, and the words "cardiovascular surgery" are written on their department's name!
He had no choice but to agree reluctantly: "Our department head, Director Peng, will be coming down soon. I have other things to take care of, and we don't have enough manpower for the time being."

"Director Wu, please try to stop the bleeding temporarily."

Chen Liwei dared not refuse, but he also dared not be distracted.

One person alone wasn't enough to perform the exploration and hemostasis procedures in both areas, so they had to wait for Director Peng Yuanming from their department to come and help with other staff.

……

Soon, Dr. Peng Yuanming, the director of vascular surgery and Chen Liwei's superior, arrived at the operating room.

After listening to the report from the people in the operating room, I understood the situation.

Wu Guonan said, "Director Peng, the trauma in our orthopedics department is not fatal, but the problem of vascular damage is very urgent now."

"Right, Director Li?" Wu Guonan specifically asked the assistant he had found, Li Junfeng, the director of the Orthopedics Department II, also known as the Joint Treatment Center.

Director Zhang Mingcan went to the county hospital for a consultation and surgery today and can't come, but the orthopedics department needs a director to come.

“Director Peng, the trauma in our department isn’t very serious, but in addition to bleeding, there’s also a blood clot in the blood vessel,” Li Junfeng explained.

Peng Yuanming sneered inwardly.

In emergency trauma patients, apart from vascular injury, how could general nerve damage and simple soft tissue lacerations be fatal?
Peng Yuanming then looked over at Chen Liwei's side, where the situation was also a complete mess.

So he simply said, "Director Wu, our department already has its own liver and gallbladder damage to deal with, and now we also have two problems with the arteries in the upper and lower limbs!"

"There were no auxiliary examinations to make a diagnosis before the operation, and our department cannot handle such problems at the moment. If we were to deal with a major blood vessel, the situation would be even more dangerous if the hepatobiliary artery system ruptured."

"I've already called people over to help, but the patient might not be able to wait that long."

"Only you can solve this orthopedic problem."

"Or we could just go out and talk to the family about amputation," Peng Yuanming said, his voice hardened.

There's no way around it, we don't have enough manpower!

If your orthopedic department can't solve the problem, then amputation is the only option to save his life!

Peng Yuanming does not expect the orthopedics department to be able to handle large artery injuries and the associated thrombectomy, because he himself cannot handle such procedures.

But his life was saved not because he lacked ability, but because the disease was too complex and the procedure was somewhat advanced.

And he doesn't have time!
When the book is used, it will be less regretful.

……

(End of this chapter)