Healing Doctor

Chapter 758 The Sudden Worsening of the Illness

After eating, Xu Leyu took a shower and lay in bed waiting for the New Year to begin.

In the new year, Xu Leyu set several small goals for himself.

While Ji Xiang is around, I must flatter him as much as possible and get a few more SCI papers published.

Yes, it's all about getting by, nothing to be ashamed of.

Clinical work is far more brutal and cruel than any 996 or 007 work schedule; there's no time to finish a thesis.

On the one hand, they demand that people work like oxen and horses, and on the other hand, they make all sorts of demands, donning long gowns and spouting classical Chinese phrases.

Therefore, in clinical practice, they can only try to fool people.

Many high-level hospitals have doctors who are specifically responsible for scientific research. They are not on duty but only write papers.

This way, everyone can perform their duties, which is beneficial for everyone.

However, Xu Leyu now has a tremendous opportunity – Ji Xiang.

Ji Xiang's speed in writing papers and the high quality of his published works made Xu Leyu feel like he was dreaming.

It's even more bizarre than a dream.

In just a few months, Xu Leyu witnessed Ji Xiang publish 23 papers in top journals.

At the same time, no one was left out—not myself, the professor in charge of the group, or even the nurses—basically everyone published an SCI paper.

It made people in other departments in the hospital speak in a strange way. Whenever the topic of the nurses in orthopedics and urology having SCI papers came up, their eyes would light up and they would involuntarily start making sarcastic remarks.

Xu Leyu knew that they were envious and jealous.

Who can blame them but the orthopedics and urology departments for being lucky?

Therefore, Xu Leyu decided to seize this opportunity, while Ji Xiang was still around, to flatter him and publish more SCI papers to lay a good foundation for the future.

Just as I was drifting off to sleep, I heard the sound of a flatbed cart in the corridor.

Xu Leyu woke up with a start.

That's how it is when you sleep in the hospital; you have to wake up at the slightest sound to be ready for emergency treatment.

Orthopedics is considered relatively good; in departments with many emergency rooms, the inpatients have long since developed neurasthenia.

"Mr. Xu!"

The sound of caregivers from the emergency department bringing patients could be heard in the corridor.

Xu Leyu scrambled to his feet, slipped on his slippers, and ran off to check on the situation.

Orthopedic patients are generally not seriously injured, since they are not responsible for internal organs. The patient brought in had a closed femoral shaft fracture, and apart from slightly low blood pressure, there were no other problems.

The caregiver handed the patient's lab results, ultrasound, and X-ray films to Xu Leyu and left in a hurry, reminding Xu Leyu to return the stretcher before leaving.

Upon physical examination, Xu Leyu found that the patient had a fracture of the left femoral shaft, subcutaneous hematoma, and blood pressure of 80/40 mmHg.

I called the operating room; the emergency room was packed.

Non-open orthopedic injuries can be operated on within 24 hours, which is within the waiting list, so Xu Leyu was not in a hurry. He ordered a blood transfusion and asked the on-duty doctor to write the medical record.

After observing for 30 minutes, Xu Leyu saw that the patient's condition was stable and returned to the duty room to rest.

These are minor cases; they can just find time to have the surgery done when the emergency operating room is available tomorrow.

It was just a femoral shaft fracture, with no internal organ damage, so Mr. Xu didn't take it seriously.

Xu Leyu was getting drowsy and preparing to sleep, but he had a mild sleep disorder. After a long while, just as Xu Leyu was about to fall asleep, the door to the duty room was pushed open with a "bang".

"Mr. Xu, come quickly!"

"What the hell is wrong now!" Xu Leyu cursed.

The patients in the ward are all in stable condition. The on-duty doctors are really incompetent; they can't handle anything that happens on their own.

"A newly arrived patient with a femoral shaft fracture suddenly experienced chills and shortness of breath. I thought it was a transfusion reaction, so I gave him 10mg of dexamethasone and other treatments, but his blood pressure and blood oxygen levels plummeted."

Xu Leyu snapped out of his daze. He was wearing one slipper and didn't even notice that he wasn't wearing the other one. He quickly walked out of the duty room.

"Are there any other symptoms?" Xu Leyu asked hurriedly.

"High fever, and the electrocardiogram is also abnormal."

"!!!"

"What about a blood transfusion?"

"Um."

"Quickly, get the nurse to remove the blood!"

Xu Leyu entered the ward and saw the patient shivering.

The patient's body was trembling violently, his face was deathly pale, and his blood pressure had dropped from 80/40 mmHg to 65/30 mmHg.

Blood oxygen saturation also dropped to a precarious level of 89%.

Oh shit!

Xu Leyu cursed inwardly and quickly issued emergency medical orders.

His first thought was—there was a problem with the blood transfusion.

That's for sure, but Xu Leyu doesn't know whether it was an allergic reaction during the blood transfusion or...

Not wanting the worst to happen, Xu Leyu began to oversee the rescue efforts.

After several anti-allergy medications and emergency treatments were administered, the patient's condition improved slightly.

A microinfusion pump was used to administer dopamine and other vasopressors to maintain vital signs. Xu Leyu requested an internal medicine consultation to assist in the treatment.

About 45 minutes later, the patient's condition stabilized slightly, or at least did not continue to deteriorate.

However, the patient's improvement was limited; despite the administration of so much adrenaline, dopamine, and dexamethasone, it could only maintain the condition.

Xu Leyu fell into deep thought.

However, out of concern for the chief resident, he still asked the on-duty doctor to call the third-tier on-duty professor and ask a senior doctor to take a look.

Although he was going to get scolded tomorrow, Xu Leyu didn't care.

Something seemed off. Xu Leyu felt like he had overlooked something, but he couldn't pinpoint exactly what the problem was.

He circled the hospital bed, looked the patient over from head to toe twice more, and was surprised to find that there were two things he had just missed.

First, the amount of urine in the patient's urine bag did not increase, which means that the patient has acute renal failure.

Secondly, the skin on the left thigh appears to be shiny, which means that there has just been a lot of bleeding at the fracture site, increasing subcutaneous pressure and stretching the skin's elasticity to its limit, hence the shine.

Xu Leyu took out a small measuring tape to measure the location of the swelling in the patient's left thigh.

By recording and comparing the values, Xu Leyu discovered that the patient's left thigh diameter had increased.

There will definitely be more bleeding, and surgery may be necessary.

But the patient's femoral shaft fracture was clearly not that serious; it was probably caused by a transfusion reaction.

Xu Leyu sensed that he was in trouble.

The third-tier professor arrived at the hospital with a stern face. He glanced at the patient but did not provide any special treatment.

The professor on duty knew he was just there to take the blame, so he told Xu Leyu to continue looking for consultations.

Having no other option, Xu Leyu could only call the relevant departments and ask the chief inpatient and third-tier professors to take a look and complete the medical records.

Having just finished his work, Xu Leyu returned to the ward to take another look at the patient. He specifically took a small flashlight to check the pupils.

Otherwise, if the internal medicine staff ask about the condition of both pupils and you don't know, you'll definitely be looked down upon.

When Xu Leyu lifted the patient's eyelids, he was immediately stunned.

The patient's eyes were bloodshot, and bloody exudate could even be faintly seen!

It's like the patient is shedding blood and tears!

At the same time, a trace of blood flowed from the patient's nasal cavity.

I am!

What's going on?!

(End of this chapter)