top student at medical school
Chapter 372 Little devil, stay away!
Chapter 372 Little devil, stay away!
"Mommy... Ah! I want my mommy..."
As Fang Ziye walked towards the sink, he heard the child crying again.
The sound quality was exactly the same as what I had heard on my phone before, but the difference was that the children's noises were not as intense as before, and the voices were deeper.
Perhaps because the child's parents hadn't arrived, and the child's antics beside the resuscitation bed weren't a good thing, a nurse tried to soothe him, saying, "Mommy is sleeping, and you shouldn't be disturbed when you're sleeping. Little baby, what do you want to call?"
"When you're sleeping, do you also dislike being woken up?"
"Mom will definitely look for you after she wakes up, okay?"
"Mommy...I want my mommy..."
Upon hearing the sound, Fang Ziye felt a slight tingling sensation on his scalp. Without even washing his hands, he rushed towards the emergency department's blood-drawing office, still wearing his blood-stained white coat, blood-stained elbows, and blood-stained gloves.
Fang Ziye is a trauma surgeon, and trauma surgeons treat a large number of patients with high-violence injuries.
Therefore, Fang Ziye is very familiar with the amount of violent energy commonly involved in each type of injury.
The child should be with the mother. The mother has suffered such severe violence, and her child must not be let off easily!
Perhaps the emergency room doctor had already seen him, but Fang Ziye still felt it was necessary to go see him again!
Even if you don't see anything, it's just a waste of a minute or two.
Even though his mother's current condition is like a ticking time bomb that has been temporarily suppressed, Fang Ziye still has to waste this time.
Upon entering the office, Fang Ziye saw a young nurse holding a small child. The child was noisy but not mischievous or struggling, with his head slightly lowered and his voice slightly low.
His eyelids were lowered, his eyeballs were slightly red and swollen, his face was covered with tear stains, and his breathing was slightly low in frequency and intensity.
"Lay him flat!" Fang Ziye's heart skipped a beat. He immediately quickened his pace and gave the order to the nurse in a raised voice.
Fang Ziye's sudden intrusion startled both the nurse and the child.
The child, seeing Fang Ziye's terrifying appearance, shrank back in fear, his voice growing louder. He buried his head in the nurse's arms, instinctively calling out in terror, "Mommy...Mommy..."
Children are already afraid of white coats, and this white coat stained with blood and with one hand looks really scary. How could a child who has never seen the world withstand it?
The nurse was startled and instinctively turned away: "Who are you? This is the blood drawing room. The child is not injured. Our department's Director Huang has already checked on him."
"I'm here for a consultation from the trauma surgery department. Lay the child flat on the bed! Let me take a look!" Fang Ziye didn't care about anything else. He took off his gloves and threw them into the yellow trash can. Then he took a pair of examination gloves and started tearing them open.
"Our Director Huang has seen it..."
"Just because he's seen it doesn't mean I can't see it anymore, right? Put it down!" Fang Ziye shouted, his voice serious and firm. This kind of toughness was something he learned from Professor Deng Yong.
The young nurse was quite young and couldn't handle it, so she said with some grievance, "Our Director Huang examined her and said there was no problem. He was already frightened, so please don't raise your voice, okay?"
Without washing his hands, Fang Ziye quickly put on sterile gloves and moved closer to the child lying on the blood-drawing table. He pried open the child's little hands that were trying to block him and directly opened his eyelids.
A child's pupils may be smaller than an adult's, but his pupils should be smaller than those of a normal child.
Fang Ziye used his left hand to turn on the phone's light, and then opened his eyelids to begin the examination of the pupil's direct light reflex!
"Left eye, pupillary light reflex is sluggish."
"Right eye, slow light reflex!"
"Is he getting calmer? Is his voice getting softer?" Fang Ziye asked the nurse.
"Our Director Huang checked him and said it's nothing serious. He told me to comfort him. He checked him!" The young nurse was as stubborn as a bull, and she looked at Fang Ziye, who had been shouting loudly earlier, with great resentment!
I also felt that Fang Ziye wasn't very old, so why was he being so fierce? Did he not even respect the associate chief physician?
“I’m asking you a question, this is important, I’m not joking with you. Is his crying getting quieter?” Fang Ziye asked.
However, even though the nurse didn't answer, Fang Ziye still got the answer.
Although a child's resistance and push are strong, their reaction is not as quick as that of a normal child!
No answer yet!
"Go, take him to the emergency CT room and get a CT scan of his head, chest, and abdomen," Fang Ziye instructed the nurse after stopping his work.
"Who are you? He's a child. CT scans have a lot of radiation. Can't you understand me? Our Director Huang checked him before... Children can't have CT scans." The nurse started to argue loudly.
"Teacher Jin, Teacher Jin, come here quickly! There's a doctor here who insists on taking my child for a CT scan. Director Huang saw my child before and told me to stay here and keep him from making a fuss by the bed!" The nurse saw a nurse running by and quickly called out to her.
Upon hearing this, the person called Teacher Jin also saw Fang Ziye. Although Fang Ziye was facing away from him, the scabs on his arm were still quite conspicuous.
But instinctively, working in the emergency room, Nurse Jin frowned: "What's going on?"
"I can't explain much. The child's pupillary reflex is sluggish, and there is a suspected intracranial hematoma. We need an emergency CT scan immediately. I asked her to take the child there, but she wouldn't allow it."
"I need to go to the emergency operating room for emergency surgery! I'm the chief resident of the trauma surgery department."
"Dr. Jin, emergency CT scan needed! Urgent consultation with neurosurgery, pediatrics, thoracic surgery, and general surgery!"
"I can't waste much time here."
"Even if a child gets a CT scan for no reason, it's better than him just falling asleep," Fang Ziye instructed the child who seemed a little more sensible.
Upon hearing this, Teacher Jin's steps became slightly unsteady, and she hurriedly ran to the child.
She was certain that she had to master the neurological assessment scores. She could tell something was wrong just by looking at the child's eyelids. The child was frighteningly calm, unlike a normal child who had been frightened.
"Emergency CT scan! I'll take him!" Nurse Jin snatched the child from the nurse's arms and ran away quickly!
The young nurse hurriedly followed her teacher, Ms. Jin, away, glancing back at Fang Ziye several times as she left. This fierce-looking, blood-stained doctor had just charged straight at them... Unexpectedly...
Fang Ziye breathed a sigh of relief and turned to run.
That's all the child can do; he doesn't have time.
If this drags on any longer, who knows what will happen to his mother!
He ran to the restroom and started washing his hands. After washing, he quickly dried them and then started making a phone call: "Tingzhu, you may need to come to the emergency department to help out. There is a patient here with an open active hematoma in the pelvis. We plan to perform pelvic hematoma evacuation surgery + hemostasis for multiple open injuries to the pelvis."
"When the family arrives, you should directly explain the dangers involved. I don't trust most people to explain it clearly!"
"That's one thing. Secondly, the child we just spoke to on the phone has a suspected intracranial hematoma, and we can't rule out the possibility of brain herniation. You must come and investigate. He absolutely needs to be consulted by a neurosurgeon. If no one in the emergency department makes a consultation call, please do so for him."
"Or find the doctor on duty in the emergency surgery clinic and ask them to make the call. Just say that Fang Ziye told me to do it. Some of the older guys there know me and can put in a good word for me."
"Thirdly, my white coat is stained with blood and is currently lying in the emergency room restroom. I can't wear it into the emergency operating room, or even the changing room. When you go back, please clean it up for me, thank you!" Fang Ziye said directly without waiting for Luo Tingzhu to speak.
After saying that, he hung up the phone and rushed to the emergency operating room.
Fang Ziye was acutely aware of the high risk of active bleeding and hematoma in the pelvis. Now he had to face it alone, without Wu Xuanqi or the vascular surgeon Nie Mingxian. He had to deal with it all by himself.
The previous temporary clamping to stop the bleeding was only an emergency treatment and could not change the underlying cause. Moreover, there were still small bleeding points that had not been completely stopped. Therefore, the child's mother's life was still hanging by a thread.
If we want to overcome fate and reverse life and death, we must stop all the bleeding, remove any suspected internal organ damage, restore blood supply and oxygenation, and ensure the basic normal functioning of the organs in order to save her life.
Fang Ziye had already rushed to the emergency operating room as fast as he could, but the woman was taken into the operating room even faster than him!
After Fang Ziye found out which operating room she was in, he heard a series of instructions coming from inside.
"The trauma surgery resident has temporarily stopped the bleeding, halting the arterial injury that caused the largest amount of bleeding, but emergency surgery is still required. The patient's blood pressure has temporarily increased, but the rescue is not over."
"We'll need to perform open hemostasis later, but there's no time to do a preoperative CT scan. We can only request an intraoperative bedside CT scan."
"Before the trauma surgery resident left, he said there was a renal artery injury, and he clamped it..."
"Renal artery injury, and he was also clamped?" An incredulous voice followed, loud and assertive.
"He's clamped down, that's what he said... Oh, he's here!" As the deputy chief physician of the emergency department handed over the case to the people in the operating room, he turned around and saw Fang Ziye had already washed his hands and rushed in!
Upon seeing the person who arrived, Chen Hongxing, the chief resident of the Department of Gastrointestinal Surgery, recognized him: "Oh, it's Director Fang, no wonder."
"Brother Hao, this is the orthopedic surgeon, Director Fang, whom Brother Liu from the vascular surgery department mentioned before." Chen Hongxing introduced him to Qin Yuanhao, the chief resident of the urology department, while quickly disinfecting the abdomen and front of the thigh.
"Size 7.5 gloves." Upon hearing this, Fang Ziye asked calmly, "Why didn't I see anyone from the vascular surgery department when I arrived at the emergency room?"
"Isn't Dr. Mitchell from the vascular surgery department a regular clinicman?"
The vascular surgery department in the hospital has an emergency room.
Chen Hongxing was taken aback upon hearing this, and looked up in slight surprise: "Brother Ye, you don't know? Mi Qi, the deputy director of vascular surgery, had his left hand chopped off this morning. He should still be in your hand surgery operating room right now."
Fang Ziye paused as he was about to put on sterile surgical gloves! He grabbed the gloves in his hands and tore them apart, then slammed them into the trash can. He then turned to the circulating nurse and asked calmly, "Make another pair of size 7.5 gloves."
"Trauma surgery and hand surgery are two independent emergency systems!" Qin Yuanhao, an insider, glanced at Fang Ziye and explained.
In the midst of the chaos, the circulating nurse heard the phone ring in the operating room. She had just unwound her sterile surgical gloves and was on the instrument table when she turned around and answered: "Emergency operating room 3."
"This is Dr. Hong Jiangchao, the chief resident of neurosurgery. Did your emergency operating room just treat a child with an intracranial hematoma? What happened to him? Do you know anything about his history of trauma?" The other person asked urgently.
"This requires emergency brain surgery. We know nothing about the child's medical history, and there are no family members."
"Who are you?" The circulating nurse, who was not tall, was also confused.
Both Chen Hongxing from the Department of Gastrointestinal Surgery and Qin Yuanhao from the Department of Urology shook their heads.
Fang Ziye calmly turned his head and replied, "I don't know either. I'm the chief resident in trauma surgery. After consulting with her mother, I happened to pass by and heard that the child's voice sounded off. I suggested an emergency CT scan, but there was no strong medical history."
"I came to the emergency operating room after the examination. I can't help you much, sorry. I have an emergency surgery for a pelvic hematoma here, so I'll have to talk to you later!"
"Thank you! I understand~" The other person replied very calmly.
"Is the situation complicated?" Fang Ziye couldn't help but ask.
"Fortunately, the timely drilling and drainage should prevent brain herniation..." Hong Jiangchao probably knew that Fang Ziye was concerned about the child, so he replied with this before hanging up the phone.
Fang Ziye breathed a sigh of relief upon hearing this, stopped talking, put on sterile gloves, and began to help lay out sterile towels.
He silently prayed to himself: "Little devil, little devil, don't be naughty. This is all I can do for you. The gates of hell are ahead; please don't run in out of curiosity."
While spreading out a towel, Fang Ziye, having regained his senses, asked Chen Hongxing, "Brother Xing, when did Associate Professor Mi Qi injure his hand?"
"It was this morning. Professor Mi was on duty last night and treated three patients with aortic dissections. One of them died."
“The family felt indignant and believed that Professor Mi’s skills were inadequate and that he was deliberately targeting his daughter, who is still in college this year and is the pride of the family.”
"We don't even know when we bought the knife. Professor Mi was still seeing patients when he was injured, and he was completely unprepared. His only instinct was to catch it with his hand."
"But according to the family, he only wanted to scare Professor Mi, he didn't really want to cut him."
"Now that's bad, the cardiovascular surgery emergency room will have to be closed for a while, there's no one on duty!" Chen Hongxing said, feeling really wronged.
Aortic dissection is a disease with such a high mortality rate, so what does it have to do with Mitchell, who is seeing patients at TM?
Don't even mention a beautiful, prestigious college student's daughter; even a billionaire's princess would be in for a world of hurt if she encountered this!
Just then, the door to the emergency operating room was stepped on again.
The senior members of the trauma surgery department arrived one after another. Not only Deng Yong, but also Han Yuanxiao, the current director of trauma surgery, the two professors barged in through the door.
They each tossed their phones onto the shelf and went outside to wash their hands. Clearly, a fierce battle was about to unfold...
(End of this chapter)
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