After being fired, I became the light of medicine

Chapter 10 The real cause of infection!
Zhang Yang then remembered that this little boy of about twelve or thirteen was the one who always stood at the door.

After hesitating for a moment, he nodded:

"Yes, you can go to the hospital with me."

"But, are you afraid when you are the only one taking care of your sister in the hospital?"

"Not afraid!"

"Let's go then."

Although the little boy had joined them, the two of them went downstairs not slowly. When they arrived at the ambulance, the girl had just been transferred into the car.

Everyone got on the bus, the return siren sounded, and Ding Shishi quickly put an ECG monitor on the patient.

Director Song looked at the patient, then turned to look at Zhang Yang:
"Zhang Yang, when you were interning in the Department of Neurology, you didn't encounter a clinical case of cerebral hemorrhage in a patient with severe aplastic anemia."

"Today, the teacher will teach you how to deal with it."

teacher?

Zhang Yang understood immediately. It turned out to be a relationship between master and disciple. No wonder Director Song was so nice to him.

Before he could think about it, the patient's blood pressure data came out.

"Director, the patient's systolic pressure is 80 and diastolic pressure is 50, which is a symptom of hypotension. What should we do now?"

Director Song checked the data on the instrument, his expression became serious, and he completely entered the working state. He said in a low voice:
"Immediately establish intravenous access and begin fluid replacement."

"'Norepinephrine' is ready... dripped at a rate of 10 μg per minute. Note that after the blood pressure reaches 100, the drip rate is reduced to 4 μg per minute. Maintain the high pressure at 100 and do not exceed 105."

After that, he explained:
"Zhang Yang, under normal circumstances, our standard blood pressure should be controlled between 110-120 for the high pressure and 70-80 for the low pressure."

"But considering that the patient's blood pressure is too low, raising it quickly could easily cause other adverse reactions. In addition, the patient is suffering from intracranial hemorrhage, so keeping the blood pressure low is not a bad thing at all."

Zhang Yang hummed, and Director Song continued:

"Ethamethamide is ready for intramuscular injection... 0.75 g."

"Roger that!"

After saying this, he explained as he did last time:

"Like other hemostatic drugs, phensulfonamide must be used with caution in terms of the risk of causing thrombosis."

"However, the patient is aplastic anemia patient, his platelet count is low, and he is very young, so the probability of causing blood clots is very small. We can use a slightly larger dose during rescue."

"However, if you encounter an older patient, you must pay special attention to the dosage!"

Zhang Yang nodded again. He had to say, this is what professionalism is!

There is no rote instruction. The dosage of medication is adjusted flexibly according to the patient's actual situation, symptoms, and even age!
Thinking of this, he breathed a sigh of relief. The patient shouldn't need a craniotomy this time, right? !

but,

When he looked at Director Song again, he found that Director Song's expression was still solemn.

His heart skipped a beat and he asked in a low voice:

"Director, what are you still worried about?"

Director Song sighed slightly and looked at the patient:
"Infect."

"Infect?!"

"Well, I've done everything I can now, but what patients with blood diseases fear most is actually infection."

"I'm worried that once we get to the emergency department, there will be a lot of people and a lot of viruses. If it causes infection, it will be troublesome."

Zhang Yang shuddered all over, and a chill rushed to his head.

He had always thought that the patient's intracranial infection was caused by craniotomy, but Director Song's reminder made him wonder if the real cause of the infection was not the craniotomy!
Instead,

Emergency department?!

Right!

He couldn't help but gasp. The emergency center was crowded every day and received patients with various symptoms at any time. It could be said that the emergency department was the place with the most bacteria and viruses in the hospital!

Patients with aplastic anemia have low immunity, and after staying in the emergency department, they may really be infected with bacteria and viruses!
Thinking of this, he became a little anxious!

If the patient continues to be sent to the emergency center, it is likely to cause various infections and eventually lead to the patient's death again!
"Director, you are knowledgeable and experienced. Can you think of a way to avoid this situation?" Director Song shook his head.

Zhang Yang became even more anxious, and at this moment, he suddenly thought of a compromise.

"Director, can we send the patient directly to the hematology department for emergency treatment?"

Director Song was also stunned for a moment, but shook his head after a moment.

"You also know the hospital's rules. Emergency patients must be sent to the emergency center first, and then they can be transferred to the inpatient department after being rescued or confirmed by the emergency center."

"and……"

He paused:

"Besides, the patient hasn't undergone any tests and has no medical history. Who would dare to take over the patient if he rashly goes to the hematology department? Who would be responsible if something goes wrong?"

Zhang Yang was desperate!
He knew that what Director Song said was true and that was the hospital's procedure!

but!

Are we just going to watch patients repeat the same mistakes and get infected and die again?
Do not!
He raised his head, but at this moment, the little boy who had been silent in the carriage suddenly knelt down on the floor and kowtowed heavily.

"Doctor, please, save my sister!"

The sudden change caught Zhang Yang and Director Song off guard. They subconsciously wanted to help the little boy up, but found that the little boy was kneeling so firmly that they couldn't pull him up.

"Doctor, I know my sister is sick because of me!"

"In order to support my studies, she was reluctant to go to the hospital even though she was feeling unwell for a long time."

"Please, save my sister, she is my only relative!"

"Please..."

Zhang Yang was stunned.

Looking at the boy's face full of tears, an indescribable sadness welled up in my heart.

Not only him, but everyone in the ambulance was moved.

"Teacher, please save her."

Director Song sighed heavily. Even though he was used to separation and death, he still couldn't help himself at this moment.

"Let me call Director Feng of the Hematology Department..."

Soon, the call was connected.

When Director Song suggested sending the patient directly to the inpatient department of the Department of Hematology, Director Feng on the other end of the phone obviously hesitated.

"Mr. Song, this is a completely illegal procedure. Who will be held responsible if something happens to the patient?"

Director Song was silent for a moment.

Then he said slowly and firmly:
"Old Feng, the patient is a 20-year-old girl, and she has a younger brother who is just in junior high school and needs to be raised by her..."

"She's only 20 years old. Can we not save her?"

"If something goes wrong..."

"I'm responsible."

The other end of the phone was also silent.

After a while, a low voice was heard.

"Old Song, you are forcing me to make a mistake!"

"Forget it! Send him directly to the inpatient department. I will immediately notify the doctor on duty to fully cooperate with you."

"No... I'll do it myself! I'll rush to the hospital right away!"

Zhang Yang breathed a sigh of relief, couldn't help but touch the boy's head, and whispered:

"You're very brave! You saved your sister."

As the words fell, the picture gradually became blurry.

(End of this chapter)