I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 163 Perfect Preparations, Yet Death Is Inevitable? A Heart-Pounding Story!!
"If you want me to guarantee these words, I can't quite remember fifteen or sixteen years. I only know that my dad had a sudden accident, and then the doctors rushed in very anxiously."

Qi Yuqin said to Deputy Director Wu.

"Then why did you just tell Dr. Zhang and Dr. Fang that there was a fever, high fever, and convulsions?"

Wu Xiang looked at the other person with some doubt.

"I vaguely remember what Dr. Zhang was saying. It was like this: the doctor said the patient's temperature had risen, and then soon after, a lot of doctors came in to resuscitate him. My dad ended up on the operating table."

Qi Yuqin recalled.

When Dr. Zhang was speaking, she felt as if her memories had been suddenly awakened, as if there were such words.

"So, did your father have an accident after the anesthesia was administered, or during the surgery in the operating room? Ms. Qi, do you remember?"

Wu Xiang continued to ask questions.

"Ah... I don't know about that. After all, the door was closed when the surgery was performed, and I don't understand these things."

Qi Yuqin shook her head.

She had no idea whether the problem occurred during the anesthesia or during the surgery.

After all, I'm not a professional.

"Ms. Qi, your father was undergoing brain surgery at the time, right?"

Deputy Director Wu asked another question.

"Yes, my dad has a late-stage brain tumor and is undergoing brain surgery."

Qi Yuqin became certain of this.

……

"Alright, alright, Ms. Qi, you should get some rest."

After chatting for a while, Deputy Director Wu reassured the other party to rest well, and then led Fang Yuan and Zhang Lingchuan to the office.

"Okay... take care."

Qi Yuqin was completely bewildered.

But he didn't say anything at that moment.

Office of the Deputy Director of the Emergency Department.

"Dr. Fang, you're a veteran yourself. Do you know how much trouble it could cause if it weren't for malignant hyperthermia?"

After listening to Zhang Lingchuan and the others finish speaking, Deputy Director Wu went to ask the patient. Now, back in his office, he asked a question with a helpless expression.

The emergency department is already busy, and malignant high fever is extremely rare. Just based on a diagnosis from fifteen or sixteen years ago, without any diagnostic evidence and only vague memories, so much manpower has been devoted, and the patient's consultation fee has even risen to another level. Who will be responsible for the problems that arise from this?

It's important to understand that even a simple minimally invasive surgery requires ensuring zero contact with inhaled anesthetic drugs when dealing with patients with a history of malignant hyperthermia.

The anesthesia machine needs to be purged with fresh gas at 6L/min for 2 hours, and the vapor canister on the anesthesia machine needs to be removed for machine isolation.

And so do drugs.

During the preparation of anesthetic drugs, drugs that may induce febrile hyperthermia were replaced, with rocuronium bromide replacing succinylcholine.

Other medications, such as glucose, insulin, and calcium chloride for treating hyperkalemia, and amiodarone, lidocaine, and metoprolol for treating arrhythmias, should also be prepared in advance.

of course.

The most important one is still dancholine.

This is a key drug for treating malignant hyperthermia.

Not to mention their provincial hospital, there weren't any hospitals in the entire northeastern province, so they had to urgently contact the capital to source supplies.

If it's not available in the capital either, then we'll have to contact Huaxi in the southwest.

Because only West China Hospital has this drug in stock.

Transporting medicine from the southwest to their northeast would also delay the originally scheduled surgeries.

"Director Wu, I just have one question: what if something serious happens if there is a malignant high fever?"

Fang Yuan looked directly at Wu Xiang, his eyes filled with seriousness.

"But there's no evidence right now. She herself can't remember whether the anesthesia or the surgery went wrong. Besides, there are many reasons why a person's body temperature might rise during surgery. For example, the surgery might have taken place in the summer, with the room temperature exceeding 28 degrees Celsius. Or the sterile drape might have been too tight. Also, the surgery involved the hypothalamus, which is the body's temperature control area, so a rise in temperature is normal. Additionally, a large dose of atropine before anesthesia could suppress sweating, and even blood transfusions or IV infusions could cause a rise in body temperature. Have you considered these reasons?"

Director Wu looked at Fang Yuan.

There are many causes of fever, and it is not necessarily malignant hyperthermia.

After all, there are only a few dozen cases of this in the entire country so far, it's not something you encounter easily.

Therefore, there's no need to be like a frightened bird.

"Director Wu..."

Dr. Pu Pangfang looked a little embarrassed.

"Alright, that's enough. First of all, it's commendable that Xiao Zhang asked about the medical history carefully, but we can't make a diagnosis of malignant hyperthermia based on such vague information. Furthermore, Xiao Zhang, you yourself are suspected of deliberately misleading us. The surgery will proceed as planned. If it really is an extremely rare case of malignant hyperthermia, then let me take the responsibility."

Wu Xiang waved his hand.

He gestured for the two of them to go about their own business.

Because surgery on patients with malignant hyperthermia is completely different from ordinary surgery, hospitals need to make very thorough preparations. First, the surgical personnel need to be replaced with members of an expert team, and the staffing is also more than that for ordinary surgery. In addition, multidisciplinary collaboration is required to prepare for various emergencies.

"Director Wu! You can take responsibility, but what good is it if the person is dead? Her husband is gone, leaving only a four or five-year-old girl. She lost her father two years ago, and if she loses her mother now, how are they supposed to live?"

Sure enough, there are leaders everywhere who only shed tears when they see the coffin.

If I had come alone today, I doubt the other party would have taken me seriously at all.

Just as Zhang Lingchuan was about to speak, the chubby Dr. Fang unexpectedly spoke up again.

The other party is capable; they really step up when needed and have complete faith in me.

"Dr. Fang, we don't have any evidence right now, you know? We only have some vague statements, and the patient herself said she wasn't sure. What if her memory is faulty? Do you know how many extra procedures I have to go through to treat a patient with malignant high fever? If it turns out to be a false alarm, will you take responsibility?!"

Director Wu looked at the other person seriously.

If a patient sees how much a minimally invasive surgery costs and chooses to expose it online, the entire hospital might be caught in a media storm.

After all, the doctor-patient relationship is so tense right now.

Many people would love to attack hospitals.

"Director Wu, if the judgment is truly wrong, then let me take the responsibility!"

Zhang Lingchuan spoke at this moment.

He knew that someone had to take responsibility now, so he decided to take it on.

Dr. Fang has already done so much for him. Although the other person will definitely be fine in the end, he feels that it is enough that the other person has gone this far.

“Xiao Zhang, I know that you performed many excellent basic surgeries as an intern, and everyone praised you for your promising future. You are indeed very meticulous. However, there is a big difference between technical work and administrative work, and you are not capable of taking on this responsibility.”

Director Wu shook his head.

Human nature is treacherous. In all my years as a doctor, I've seen many stories of peasant women and snakes.

"Director Wu, if it really isn't true, then let me take the responsibility."

Fang Yuan spoke firmly.

He is a father himself, so he can't imagine how dark life would be for a child who loses both his father and his mother.

"Dr. Fang, you—, sigh..."

Wu Xiang did not expect that Fang Yuan would actually take the initiative to take responsibility.

"Her life is related to a family, and even the growth and future of her children. The responsibility I bear is nothing compared to those. When it comes to malignant high fever, it's better to be safe than sorry."

Dr. Fang said it again.

At this moment, Zhang Lingchuan felt that the other person was no longer fat at all, and was even a little handsome!
That's fucking awesome!!
"Fang Yuan, this is the only reason you've been doing emergency house calls for so long! But since you're going to take responsibility, I'll make the arrangements now. The surgery is temporarily suspended. We'll search for dantrolin throughout the province and even the country, preparing for patients with malignant hyperthermia. You go and inform the patients that the surgery is canceled, okay?!"

Wu Xiang shook his head in annoyance and said something with a hint of anger.

He was clearly somewhat angry.

After all, I tried my best to persuade them.

In the end, not a single word was listened to. Who wouldn't be angry in that situation?

"Thank you, Director Wu."

"Thank you, Teacher Wu."

The two of them came out soon after.

"Teacher Fang, thank you so much for this. If it weren't for you, this matter probably wouldn't have been taken seriously."

Zhang Lingchuan was genuinely thanking Teacher Pu Pang Fang; without him, he probably wouldn't have been able to complete his mission.

"Why thank me? It's just that I have a daughter the same age who can't bear to see this suffering. But don't blame Teacher Wu. He was actually following the normal procedures to protect us. Go and inform the patient, I'll go and rest first, okay?"

Fang Yuan spoke up.

Because he was also an old man, he knew what Director Wu had been through.

The task of informing the patient is now left to the other party.

"No problem, Teacher Fang, you should go and rest. Thank you so much!"

Looking at the back of the plump Dr. Fang, Zhang Lingchuan now felt that the man was inexplicably tall and imposing.

Because I also have a daughter, I can't bear to see this kind of suffering.

Don't worry, Teacher Fang, you definitely won't take responsibility.

Meanwhile, inside the emergency department office.

Wu Xiang made a phone call.

"Old Wu, there is no evidence to suggest that the patient has a family history of malignant hyperthermia. Based solely on a vague surgery from sixteen years ago, aren't you being a bit too hasty?"

The person on the other end of the phone frowned.

Arranging medications, finding personnel, and making related preparations are not things that a deputy director of the emergency department can handle. You need to contact the vice president in charge.

"It's better to be safe than sorry. If something really happens, I, Lao Zhao, will take responsibility."

Wu Xiang said with a somewhat helpless expression.

"You... no wonder you're still just a deputy director after all these years. Whenever you talk about promotion, all you ever mention is responsibility."

The person on the other end of the phone replied irritably.

At Qi Yuqin's bedside.

"Oh... Dr. Zhang, what brings you here again? By the way, what's going on with you guys every day?"

I saw that Zhang Lingchuan had arrived again.

Aunt Wang was immediately filled with doubt.

"Yes, Uncle Zhang, what happened to my mother?"

Yueyue asked out of curiosity.

"Actually, things are quite complicated, Ms. Qi Yuqin. Your surgery has been postponed for the time being, and the specific time has not yet been arranged."

Zhang Lingchuan then spoke earnestly.

"Huh? The surgery is postponed for now??"

For a moment, all three of them were a little stunned.

"Why, Dr. Zhang?"

Qi Yuqin asked, her face full of questions.

Why is the minimally invasive surgery, which was supposed to start at 4:30 pm, delayed?

"Ms. Qi, based on what you said before, your father died on the operating table during brain tumor surgery due to suspected fever. We suspect that you may have a family history of a hereditary disease called malignant hyperthermia, which is simply an allergy to certain anesthetics. We need to make full preparations before we can perform the surgery on you. After all, if something goes wrong, Yueyue may be all alone, and we don't want that to happen."

Zhang Lingchuan spoke to the other party very sincerely.

In fact, he had already seen Yueyue crying her heart out beside her corpse.

"That's true. Safety is the most important thing, especially since Yueyue is all alone now."

Aunt Wang nodded upon hearing this.

"Yes, to ensure safety, we need to get the medication to prevent any complications from elsewhere, so the surgery time will have to be rescheduled."

Zhang Lingchuan nodded.

This Aunt Wang is quite sensible.

"Okay, Dr. Zhang, you can make the arrangements. It's okay if the surgery is delayed."

The child's father has passed away.

Qi Yuqin really couldn't imagine what Yueyue would do if she were to have an accident herself.

"Okay, okay, the cost might be a little higher then. I'm letting you know in advance."

To his surprise, the notification process went exceptionally smoothly.

Half an hour later, the surgery schedule was finalized.

The relevant medicines were transferred from Beijing, and the surgery, which was originally scheduled for 4:30 pm, was rescheduled for 8:30 pm.

Delayed by four hours.

They even set aside an operating room specifically for Qi Yuqin.

The chief surgeon was changed to Deputy Director Wu Xiang.

Because he himself is a surgeon.

As for the anesthesiologist, he was replaced by the deputy director of the Department of Anesthesiology, a senior anesthesiologist with the title of chief physician.

eight thirty.

Qi Yuqin was wheeled into the operating room.

Inject anesthetic.

Soon the deputy director of the Department of Anesthesiology began administering anesthesia.

He was a slightly overweight middle-aged man, Dr. Luo.

A pair of slightly languid eyes shone with a unique light.

It's surgery, after all.

The anesthesiologists all seemed rather lethargic.

So over time, he developed a lazy aura.

The surgery began soon after.

Wu Xiang personally took charge of the surgery.

Zhang Lingchuan was also doing odd jobs in the operating room at that moment.

We've waited all this day for this moment.

Once the surgery is completed and the patient's life is saved, you will be able to complete the task and receive a system rating.

We really have to thank Dr. Fang and Deputy Director Wu.

If this weren't a simulated world, he would have at least treated the other person to a meal.

Of course, if they wanted to.

I think Dr. Fang should be easy to get an appointment with.

It's hard to say about Director Wu.

"Drip-drip-"

However, just as the surgical team was preparing to perform the surgery, an unexpected incident occurred.

"Oh no! The patient has developed unexplained tachycardia!"

One of the monitoring doctors shouted, his expression becoming extremely tense!

"Body temperature is also rising rapidly!!"

Because we had already prepared for a patient with severe high fever, another doctor who specialized in checking temperatures also spoke up!

"Looks like we couldn't escape it after all!!!"

Even Dr. Luo, the deputy director of the Department of Anesthesiology, is no longer lazy!
Although thorough preparations had been made, such as replacing the relevant anesthetics.

According to current research, malignant hyperthermia can generally only be induced by exposure to certain drugs, such as various inhaled anesthetics like sevoflurane, isoflurane, and succinylcholine. These are all known high-risk drugs that may induce malignant hyperthermia.

However, not using the above medications does not completely prevent the occurrence of malignant hyperthermia.

Although the pathogenesis of malignant hyperthermia is related to gene abnormalities caused by gene mutations, it is impossible to completely avoid it. We can only make full preparations to minimize the harm to patients when danger occurs.

So now he is certain that the patient has indeed developed malignant hyperthermia.

Even replacing the medication couldn't stop the malignant high fever.

It's as if this person absolutely has to die today!
"This! This can cause malignant hyperthermia!"

Director Wu's pupils constricted!
It's here! Malignant hyperthermia has really arrived!!

Good heavens! Zhang Chuan's judgment was far too accurate!

But they've all replaced the anesthetic.

Under normal circumstances, malignant hyperthermia should not occur.

I never expected to encounter such an abnormal situation!
He glanced in Zhang Lingchuan's direction with a look of disbelief.

Fortunately, they had made preparations in advance.

Otherwise, there might not even be a chance to save them now.

"Why...why..."

Zhang Lingchuan, standing to the side, did not notice that Director Wu was looking at him.

Because he was very confused.

Although the medical community's research on this disease is not yet complete.

They've already used various preventative medications, so why is they still experiencing malignant hyperthermia?

Could it be that this Qi Yuqin... really can't be kept?
"A significant increase in end-tidal CO2 of unknown cause!"

"Heart rhythm disorder!!"

Inside the emergency room, voices could be heard.

It was like a death warrant.

"Quick! Help!!"

The emergency treatment proceeded quickly, and the relevant medication, dantrolin, was administered.

However, this drug is the best treatment for severe high fever.

However, the other side still has a 5% mortality rate.

So this surgery.

It's destined to be thrilling and breathtaking.

Qi Yuqin's fate is also uncertain.

……

(End of this chapter)