Healing Doctor

Chapter 109 When it rains, it pours

[Urgent task: An important but overlooked surgical technique.]

Task: Perform an interventional embolization hemostasis procedure.

Task duration: 6 hours.

Mission Rewards: 10000 experience points, 30 surgery points, and 1 random skill.

Ji Xiang stared at the system panel in the upper right corner of his vision and looked carefully. It turned out that the previous series of tasks were not caused by the patients who had partially removed their kidneys, but simply because Mr. Wu had a big head and was getting more and more raindrops.

Thinking about it, Ji Xiang glanced at General Manager Wu.

Big-Headed Son?

Hey!

No kidding, this task is more important than Ji Xiang imagined, at least the system's evaluation and rewards prove it.

Random skill!

Ji Xiang's eyes lit up.

Mr. Wu had no idea what Ji Xiang was thinking. With a serious expression, he pushed the patient back to the ward like a gust of wind.

Upon entering the ward, he immediately sought out a nurse, his gaze sharp, and pressed his right hand down forcefully.

Their movements were incredibly skilled; it was clear that under Mr. Wu's "tutelage," the urology nurses were all used to emergency care.

How incredibly unlucky must one be to develop this conditioned reflex?

The nurse understood and immediately converted the intravenous infusion line in the emergency department into two, hanging up one bottle of normal saline, one bottle of hydroxyethyl amylase, and setting up a three-way stopcock in the other intravenous line, ready to administer emergency medication at any time.

While the intravenous access was being established, two tubes of blood were "casually" drawn for testing.

Ji Xiang also started helping out, and as long as he didn't use his skills, he had no awareness of being a "senior doctor".

Help the nurses prepare the patient's skin and insert a urinary catheter.

Ji Xiangqian was very skilled at it, and he completed this small task in one go.

Soon, Dr. Liu, the head of the urology department, arrived. He didn't even have time to change his clothes before looking at the patient's ultrasound report.

"Oh shit!"

Director Liu cursed viciously, his voice low, but Ji Xiang heard it clearly.

The next step is to find an interventional radiology department to perform embolization to stop the bleeding. A similar situation is gynecological hemorrhage. If there is no interventional radiology department available, the organ will most likely have to be removed.

The uterus has a rich blood supply, and vascular reconstruction is rapid after embolization. However, the blood supply to the kidneys is much poorer, and embolization can affect some kidney function.

But it's still better than having your kidneys removed, no matter what.

We'll keep as many features as possible.

Director Liu walked out with a dark expression. He took out his phone and turned back to his office.

I dialed Director Zhao's number in the interventional radiology department after I entered the room.

The phone rang many times, but there was no answer. Director Liu's heart pounded with increasing anxiety.

"Hello, who is it?"

The call was finally connected, but the voice on the other end was muffled, as if his tongue had been swollen from being hit by a stone.

Oh shit!

Director Liu almost smashed his phone.

fall!

decline!!

Off-duty time belongs to oneself, but for doctors, especially those with rare blood, their time does not entirely belong to themselves.

For example, the interventional radiology department.

The Second Affiliated Hospital's Interventional Radiology Department originally had four top-notch doctors, all of whom were among the best in the province. They could perform all surgeries, including TIPS procedures, not just general surgeries.

At that time, the interventional radiology department was well-equipped with 70 or 80 beds, and hospitalization required appointments and waiting in line.

However, starting a few years ago, as income decreased, three of the four main members left, leaving only the oldest one who was nearing retirement.

But today he drank too much, and Director Liu's head was spinning.

"Director Zhao, Director Zhao, I have a patient here who is in hemorrhagic shock and has experienced bleeding after a partial nephrectomy!"

Director Liu practically roared.

"Waaaaah~~~"

A sobbing voice came from the other end of the phone, heartbroken and devastated.

Director Liu was taken aback. What was going on here?

"Old Zhao?" Director Liu asked tentatively, suppressing his anxiety.

"I've wasted my life."

Along with Director Zhao's sobs from the interventional radiology department, another chorus of weeping and karaoke background music could be heard from the other end.

The eerie crying on the other end of the phone and the noise from the karaoke bar left Director Liu bewildered. Was he dreaming or was he being haunted?

For a fleeting moment, Director Liu even doubted whether the emergency bleeding that occurred tonight was real.

"Director Liu, I'm so sorry."

A woman's voice came from the other end, interrupting Director Liu's confusion.

The person seemed to be walking out with her phone, looking for a quiet place to talk. As she walked away, the crying gradually faded into the distance.

Director Liu didn't dwell on the gossip; he could tell from the voice that the person opposite him was the head nurse of the interventional radiology department.

"Director Liu, I'm so sorry, Director Zhao has had too much to drink." The head nurse of the interventional radiology department sniffled and said embarrassedly, "Is something wrong over there?"

Judging from her voice, she seemed to be crying too, but not as emotionally as Director Zhao.

"Emergency surgery, is there anyone else who can work?" Director Liu asked anxiously.

"..." There was silence on the other end, then the head nurse asked, "Bleeding?"

"Bleeding and hemorrhagic shock 42 days after partial nephrectomy."

"I took Director Zhao back; the second-line duty shift... is barely manageable."

"Okay!" Director Liu agreed immediately. "If Director Zhao doesn't wake up, I'll slap him awake."

A faint sigh seemed to come from the other side.

Director Liu felt a pang of unease, but there was nothing he could do but contact the interventional radiology department's second-line staff and then go to the DSA room to take a look.

Hopefully, that person is at a decent level.

The four key members of the interventional radiology department, all of whom are in their prime, have been poached by Southern Hospital one after another, which is an unavoidable situation.

There is a group of doctors who resigned from the Second Affiliated Hospital and other hospitals in the provincial capital who have gone south. It is said that there are seven or eight hundred people in the group, all of whom are strong and capable pillars of society aged 35-45.

The worse the economy, the harder it is to retain talent, and there's no easy solution.

Over the years, Director Liu has seen countless examples.

But we can't expect Director Zhao to be like a Puritan, always waiting for emergency surgery after get off work hours. If that were the case, Director Zhao would probably have to retire early and go to a hospital in the south.

Sigh, that's the logic, but Director Liu felt quite uncomfortable.

The level of second-line professors in interventional radiology departments is generally low, and they are very likely unable to perform the surgery.

This surgery not only requires stopping the bleeding, but also has another key point—to perform a level 3 embolization as much as possible to minimize the loss of kidney function.

Forget it, let's get on stage first!

With everything prepared, Professor Ma, the second-line doctor in the interventional radiology department, remained silent, his face grim. His expression seemed to scream, "If the surgery doesn't go well, don't make me take the blame."

"Let's do an angiography first," Director Liu suggested helplessly.

"Director Liu, the requirements for this kind of surgery in your department are too high, I really can't handle it," Professor Ma said frankly.

"Give it a try; if it doesn't work, then it's just bad luck."

"Waaaaah~~~"

The wailing of middle-aged and elderly men could be heard; their heartbreak was devastating.

He had suffered countless grievances and vented them through a heavy drinking session.

(End of this chapter)