Healing Doctor

Chapter 296 An Unexpected Incident After Thorough Preparation

"Xiao Ji, the patient's family will be back soon." Meng Qingfei finally breathed a sigh of relief. "Go on."

"That's about it. Grapefruit can also react with antihistamines, anti-rejection drugs, and antihypertensive drugs like nifedipine."

"So there are so many." Meng Qingfei muttered to himself.

"Teacher Meng, you're amazing! I didn't think there was anything wrong with the patient falling asleep in the waiting area, but you noticed it," Ji Xiang praised.

His praise was genuine.

Such diagnoses are extremely difficult. From the inexplicable snoring in the waiting area to contacting the family before the patient even returns from the tests, every detail is full of clinical experience.

Ji Xiang certainly admired Meng Qingfei.

Although he is a bit cautious, sometimes he won't disconnect the connection without looking at the medical records, for fear of encountering a one in ten thousand probability event, but that is also part of his clinical experience.

Meng Qingfei shook his head, then laughed, "My greatest strength is my cunning."

"Teacher Meng, look at what you're saying."

"I was a real bastard when I was a kid," Meng Qingfei said. "My neighbor had five sons, all in their twenties. They wanted to build a wall, which meant they had to break down my roof. In the countryside, having more men meant you had more guts. My parents chickened out, so I stepped forward, grabbed a stick, pointed it at them, and I don't even remember what I said."

Ji Xiang laughed heartily; Meng Qingfei's story was truly vivid.

"How old were you that year?" Ji Xiang asked.

"I was 8 years old. Later, my mom said that the brothers from that family said I was still young and that if I made enemies, I would be in trouble when I grew up, so they didn't touch the roof of my house. But the older I got, the more cowardly and cautious I became, which is why I am the way I am now."

"They say you can tell what a child will be like at 3 and what they will be like at 8, but that's not accurate for me."

"Professor Meng, I don't think you're being cowardly at all. On the contrary, I think you're very capable. If it were a regular doctor, they would at least wait for the test results before making a decision."

"The levels are different, they can't be sure, but I can be sure." Meng Qingfei waved his hand, not caring at all. "Xiao Ji, you're amazing. I didn't even know that grapefruit and estazolam had a reaction."

"Teacher Meng, to be honest, I don't think you're a coward at all." Ji Xiang repeated very seriously.

"Oh?" Meng Qingfei raised an eyebrow.

"I remember a patient who had breast augmentation surgery came to you to have her stitches removed, but you refused because she didn't have her medical record with her."

"and then?"

"You contacted the patient's family before even waiting for the test results," Ji Xiang smiled. "You're willing to take responsibility for emergency patients, even if the diagnosis is wrong, you're willing to bear the consequences to save time. But for patients requiring slower treatment, since they're slow, you're not in a hurry."

Meng Qingfei was genuinely surprised that a young man like Ji Xiang could see through his actions at a glance, and his goodwill towards Ji Xiang increased greatly.

"Very impressive," Ji Xiang praised, giving a thumbs up.

As we were talking, the patient returned with the lab results.

Microscopic examination revealed hematuria throughout the field of view, and Meng Qingfei subsequently ordered a series of tests to confirm that the patient had rhabdomyolysis.

The patient was somewhat confused and unhappy, but his family members, who arrived shortly afterward, insisted on taking him for examinations.

More than an hour later, the patient was admitted directly to the ICU, and even then, the patient did not experience much discomfort.

It can be said that the patient's diagnosis and treatment were very timely.

After handing over the duties with the ICU doctor on duty, Meng Qingfei finally relaxed.

"Xiao Ji, do you guys not rotate through the emergency department?" Meng Qingfei asked.

"It seems so, I didn't see the emergency department in the rotation list."

"Seriously, the emergency department is where people are trained. How can resident physicians not rotate through the emergency department? Who made these rules? What a problem!" Meng Qingfei said with some regret.

"I'll keep you company during your shifts when I have time," Ji Xiang said with a smile.

"Are you getting used to the urology department?"

"I'll be transferred to the orthopedic surgery department next Monday," Ji Xiang said.

"Wow, time flies! It's been three months since your last rotation."

……

……

"Wow, time flies! You've been rotating for three months already in the blink of an eye," Deng Chaohong said while performing surgery.

"Teacher Deng, I'm going to the Department of Thoracic Surgery next," Zhao Tianjiao said.

"It's alright. Just let me know if there's any surgery on the chest, and we'll come back for it," Deng Chaohong said with a smile.

However, he didn't chat much. The surgery on the patient in front of him was extremely difficult. He said a few words to ease his tense nerves, and then Deng Chaohong continued to concentrate on the surgery.

The patient has advanced cancer with bone metastasis, and the L4 vertebra is affected, causing severe pain.

The disease is incurable, and the patient's lifespan is limited.

However, the tumor's erosion of the vertebral body not only led to paraplegia but also caused severe pain.

Pain makes every day feel like hell for patients, with no quality of life whatsoever. The purpose of surgery is not to cure, but to reduce suffering during survival and improve quality of life.

Deng Chaohong was forced to take on the surgery.

The thought of cutting the vertebral body and causing bleeding sent chills down Deng Chaohong's spine.

The normal bleeding volume during a resection of the L4 vertebra is around 4-5000ml. He had no choice but to go on stage because he couldn't resist the pleas of the patient's family.

In preparation for the surgery, the patient's family and friends donated 5000ml of blood of the same type at the blood bank.

"Make the incision," Deng Chaohong said in a deep voice, preparing to begin the surgery. "Prepare the blood."

"Professor Deng, did you actually need the blood?" The circulating nurse went to call the blood bank and returned, looking very unhappy. "The blood bank said the ambulance only brought back 3000ml of fresh frozen red blood cell suspension from the blood bank."

"What!" Deng Chaohong was stunned, his hand frozen in mid-air. "I've seen the blood donation form from the patient's family, it is indeed 5000ml."

"With only 3000ml, can the surgery still be performed?" the circulating nurse asked.

Deng Chaohong felt a slight numbness in his hand; he knew perfectly well what had happened in between.

"When I first started working 20 years ago, they said that once you had enough blood, you and your immediate family members could use blood for free, as long as you wanted," the mobile nurse said. "I was young then, and I was fooled. My mentor told me it was impossible and not to listen to them trying to fool me."

"Look at the result now! The blood bank is running low on blood, and they're using a lot of blood..."

Deng Chaohong cursed inwardly.

Just before going on stage, Deng Chaohong knew what kind of place the blood bank was, so he made a special phone call to confirm. The person who answered the phone was a young man who said very decisively, "We have blood, come and get it."

That's why Deng Chaohong felt at ease and went through with the surgery.

But they're really inhuman; they just exposed themselves on the stage.

"Professor Deng, I've seen vertebral body resection surgeries before," the circulating nurse said seriously. "There have been cases with blood loss of 6000ml. If you're confident in your skills, preparing 5000ml is possible, but 3000ml is definitely not enough."

"..." Deng Chaohong remained silent. He knew that the circulating nurse didn't need to say anything.

"Don't blame me if the patient ends up on the operating table because of low blood volume."

The circulating nurse emphasized.

(End of this chapter)