Healing Doctor

Chapter 267 More people means more respect

"Mr. Wu, I'll go with you to take a look," Ji Xiang said, turning around.

"I guess this won't be of much use to us." General Manager Wu smiled. "When we open the abdomen of trauma patients, we sometimes see retroperitoneal hematomas. We can't open it; it would make things more complicated. Retroperitoneal hematomas have relatively high pressure, and even small blood vessel bleeding can stop on its own."

Ji Xiang got up and followed behind General Manager Wu. General Manager Wu shared all his clinical experience with Ji Xiang without holding back.

"Our department has few emergency cases, and what we hate most is that nurses from other departments don't even try to urinate when they encounter patients with difficulty urinating. They call the police as soon as an elderly male has a catheter inserted. They've developed a bad habit. I usually give their chief resident a good scolding when I encounter this kind of thing."

"Me too, it seems to be a common problem." Zhao Zhe caught up and started talking, "When I'm on duty, I basically have to go to other departments to insert catheters every shift. There's really no way around it. I don't even know the most basic procedures. Sometimes I feel like throwing the book on basic procedures at the faces of other doctors."

But then I thought, I don't know how to perform closed thoracic drainage or cerebrospinal fluid puncture, so...”

Mr. Wu glared at Zhao Zhe, wondering whose side he was taking.

Zhao Zhe chuckled and didn't continue. The hospital situation was a mess; who could really explain it?

Moreover, he had a mild temper and was already used to being bossed around. President Wu only glared at him and didn't say anything unpleasant, which was already considered extremely auspicious for Zhao Zhe.

Seeing the three of them walk out, Lu Gang hesitated for a moment, but still followed them.

"Director Lu, aren't you going home?" General Manager Wu asked.

"Let's take a look," Lu Gang said in a muffled voice.

It was obvious that he was emotional.

"Hey, what's so interesting about the urology consultations on the operating table?" said General Manager Wu.

However, he didn't chase Lu Gang away. If he wanted to watch, let him watch. They were both seasoned clinicians; it wouldn't hurt to take a look.

Upon arriving at the operating room, changing clothes, and walking down the corridor, I was greeted by the hurried smell of an emergency room.

The circulating nurse, carrying a full load of red blood cell suspension, hurried along without uttering a single unnecessary word.

Upon arriving at the emergency operating room, General Manager Wu asked, "What kind of patient?"

"Even wearing a seatbelt can eject you in a highway car accident," said the chief resident of the liver and gallbladder department.

"How did you get thrown out while wearing a seatbelt?" Mr. Wu was taken aback.

"I don't know, that's what they said when the ambulance brought him in," said the chief resident of the hepatobiliary department. "You can see the seatbelt marks on his abdomen, they're very obvious, I don't know how he got them."

In clinical practice, all sorts of unbelievable things can happen, and since no one is there in person, everything is just one version of events. Mr. Wu didn't investigate the matter further.

"What illness do you have?"

As Mr. Wu spoke, he leaned closer.

"Mr. Wu, why are there so many of you?" asked the chief resident of the Department of Gastroenterology.

"A large number of people shows that it is important. Can you manage if fewer people come to your consultation, Mr. Jia?" Mr. Wu said casually, and leaned over to take a look.

The chief resident of the liver and gallbladder department was removing the spleen. He casually picked up the intestines and had his assistant use a large retractor to pull up the abdominal wall.

Just as Mr. Wu said before, the retroperitoneal hematoma is severe.

"Tsk tsk, what do you think of the film?" Mr. Wu asked.

"On the image reader, we only did an abdominal CT scan. The patient's blood pressure was almost zero. We didn't do any other tests."

"They gave me 10 units of red blood cells during the surgery, so I guess I've been saved."

While they were explaining the patient's condition, Ji Xiang walked up to the image reader and carefully reviewed the images.

The hematoma in the retroperitoneum area was obvious on the X-ray, a white mass that was basically indistinguishable.

But with hundreds of experiences using the "Clear Insight" technique, Ji Xiang's eyesight had improved dramatically without him even realizing it, and he could vaguely see things that weren't quite right.

Holding his breath, Ji Xiang entered the system's operating room.

"Teacher, we've seen the patient. It's a car accident injury. The preliminary diagnosis is a ruptured spleen and hemorrhagic shock."

"There's a detail in the patient's image, did you see it?" The system NPC led Ji Xiang to the image reader.

"Here you are. Do you see any problems?"

Ji Xiang's ability to interpret images is still somewhat lacking, not keeping up with the surgical skills of urology and interventional radiology.

"Teacher, I can see a membrane here, but I don't know what it means."

The system NPC nodded. "That's not bad. This is a urinary cyst, which means the ureter has ruptured."

The system NPC then explained the relevant theoretical knowledge to Ji Xiang and took him to the operating room.

……

……

"The patient was unfortunate; he was thrown out even while wearing a seatbelt. You can imagine how fast the car was going. But luckily, an ambulance happened to be there to transfer him. They happened to be there during the accident, and the paramedics were in a panic. They lifted him up and brought him back, screaming all the way."

"My blood pressure was 60 when I arrived. If I had been delayed on the highway for half an hour, I probably would have died."

"Then you still have time to get a CT scan."

"With the IV lined up, they're giving me all sorts of colloids and crystalloids. Anyway, the operating room needs to be prepared, so I have 10 minutes," said the chief resident of hepatobiliary surgery. "I really envy you urologists. You don't have to rush at all. Going to other departments is just about inserting a catheter."

"What are you talking about? We have a lot of emergency cases in our urology department, you know?" General Manager Wu retorted, as if having a lot of emergency cases was a good thing.

"Mr. Wu, be careful," Zhao Zhe mumbled a warning.

Mr. Wu immediately deflated.

"Take a look and see if you need to open it," said the chief resident of hepatobiliary surgery. "I'll be done here soon. If you don't open it, I'll close the abdomen and get ready to go downstairs."

"I'll go take a look." Mr. Wu wasn't in a hurry. He glanced at the room as he entered and thought everything was fine.

Turning around to watch the film, Ji Xiang was standing in the best spot.

Mr. Wu didn't push Ji Xiang aside, but stood next to him, saying, "Left diaphragm rupture, spleen injury, left kidney grade I injury with retroperitoneal hematoma."

"We're fine, let's observe for now."

"Mr. Wu."

Just as Mr. Wu finished speaking, Ji Xiang's voice came from behind him.

That damned sense of familiarity... no, there's no sense of familiarity, but why are my hands and feet so cold? Mr. Wu was taken aback.

"What is this? I don't understand." Ji Xiang pointed his finger at the film on the viewer, making a "thump" sound. Mr. Wu's supraventricular tachycardia was almost startled.

"Here?" Mr. Wu asked, puzzled, but the damned sense of familiarity that was supposed to come but hadn't was unsettling. He didn't dare to delay and quickly followed Ji Xiang's finger.

It seems like there's a problem, but it also seems like there isn't.

Mr. Wu frowned and pondered for a long time.

"It's nothing serious. It's probably just an artifact left from the hematoma. Don't worry about it," Lu Gang said calmly from behind.

Mr. Wu immediately felt more confident. "Director Lu is right, it's an artifact."

"It sounds like a urinary cyst to me?"

(End of this chapter)