Healing Doctor

Chapter 759 Indecisiveness

When other doctors arrived, the patient's facial features showed signs of bleeding.

"This is likely a hemolytic reaction after a blood transfusion. Get him to the ICU immediately!" The professor in charge of the internal medicine consultation gave the diagnosis after one glance.

Xu Leyu thought the same thing, so he immediately contacted the ICU and transferred the patient there.

The patient was transferred, but Xu Leyu was still very uneasy.

If it's a transfusion reaction, I'm not really responsible, since I've followed all the procedures. Even if the patient's condition worsens and it leads to a medical dispute, I won't be in any trouble.

but!

but! !

There's another possibility for a similar reaction!

Xu Leyu thought of a possibility he couldn't accept—the blood type for the transfusion was wrong.

He returned to the department and immediately called the nurse over.

"Was the patient's blood transfusion verified?"

Xu Leyu was very nervous, and his voice became shrill.

The nurse paused for a moment, sensing something was wrong from Xu Leyu's serious expression.

This is different from when we were eating and driving. The nurse took out all the blood transfusion slips and verification forms.

While tidying up, Xu Leyu noticed that the nurse's hands were trembling.

In emergency care, oversights are inevitable; hopefully, nothing goes wrong.

At this moment, both Xu Leyu and the nurse were praying silently.

If a patient were to receive a blood transfusion of a different blood type, that would be a complete disaster.

This is clearly a medical accident, and a major one at that.

A few minutes later, Xu Leyu looked at the verification information on the blood transfusion form and breathed a sigh of relief.

All eight pre-transfusion tests were completed.

The eight verification items require two medical staff to simultaneously verify the patient's department, name, gender, hospital number, crossmatch results, blood bag number, type of blood products, and dosage of blood products.

It is confirmed that the blood type is A.

The signature information of the person checking the information is also on the work document.

There can be no mistake, absolutely no mistake.

The young nurse vigorously wiped her hands on her white coat and gave a wry smile.

"Brother Xu, you scared me to death!"

"I was terrified too. The patient was bleeding from all seven orifices. I suspect it was a hemolytic reaction, with massive internal bleeding. If it was caused by the wrong blood transfusion, we'd both be out of a job."

The nurse shivered.

"Impossible. The eight checks are of utmost importance. If I don't check, the people in the blood transfusion department will have to."

"It's good that they checked; it's good that nothing's wrong."

Xu Leyu breathed a sigh of relief.

The nurses and the on-duty doctor worked quickly to complete the medical records and transferred the electronic medical records to the ICU within half an hour.

Although the difficult patient had been discharged, Xu Leyu still felt uneasy.

His obsessive-compulsive disorder flared up, and he went through the blood bags again, and personally delivered the blood bags, various verification reports, and transfusion slips to the ICU.

The ICU doctor also considered the possibility of transfusing the wrong blood type. After seeing the report delivered by Mr. Xu, the two checked it again and confirmed that it was correct.

"Sigh, that's just bad luck for the patient." The ICU director sighed. "The patient is now in kidney failure and we're preparing to do a blood filtration to see if we can save him."

"Mr. Gao, have you ever seen a similar situation before?"

"I've never seen such a severe hemolytic reaction before, except for the one time I had a blood transfusion error during my internship."

"..." Xu Leyu was speechless.

A hemolytic reaction with bleeding from all seven orifices is hard to explain except for the transfusion error.

However, the blood transfusion verification form and blood bag have been repeatedly compared and checked by several people, so there is absolutely no chance of error.

After glancing at the patient's left femoral shaft, Xu Leyu still measured the diameter of the femoral shaft, even though the femoral shaft fracture was no longer a serious issue at this point.

The fractured bone ends are still bleeding.

It's hard to say whether compartment syndrome will develop, and there's a high probability that problems will occur.

Xu Leyu stared blankly at the patient's bruised and shiny thigh, and then thought of the countless troubles that were about to come, his head throbbing with pain.

There's no point in staying here," Xu Leyu sighed, exchanged a few words with the ICU resident, and then left.

Damn it!

On what should have been a peaceful New Year's Eve, I encountered an acute hemolytic reaction.

Xu Leyu was so angry that he started cursing.

On his way back, he suddenly thought of something.

This must be a rare case. Thinking about his New Year's plans and ambitions, he touched his phone and hesitated for a moment.

However, Xu Leyu eventually took out his phone and dialed Ji Xiang's number.

After explaining the patient's condition to Ji Xiang, Xu Leyu said apologetically, "Xiao Ji, I feel like something's not right. After you make the diagnosis, could you please take a look?"

"Just a moment, I'll be right there!"

Ji Xiang was not displeased at all and readily agreed.

Xu Leyu finally breathed a sigh of relief.

Xiao Ji is still young and full of energy. The professor on duty at the third-tier station had a gloomy face after being woken up and kept giving him a hard time.

In comparison... there's really nothing to compare this thing to.

……

Ji Xiang changed his clothes and saw his grandfather sitting in front of the computer, holding a purple clay teapot and looking at the screen, trying to read faces. He didn't disturb his grandfather, but after playing with the roe deer for a while, he rode his bicycle to the hospital.

The patient's condition was urgent, so Ji Xiang gave himself 30 minutes.

If you cannot find the correct diagnosis yourself during this period, you can only seek help from the system NPC in the system operating room.

Ji Xiang is consciously increasing his ability to solve problems independently, but who knows when the system NPCs will leave him.

Moreover, subconsciously, Ji Xiang had a self-perception of being unwilling to admit defeat and believing himself to be the best in the world.

This is what Ji Yongchang has instilled in him over the years.

It's not an exaggeration to say it's hereditary.

Along the way, Ji Xiang pedaled quickly while repeatedly pondering what General Manager Xu Leyu had told him.

A femoral shaft fracture is a minor ailment; it can be treated with surgery.

If there is bleeding and the hemoglobin level is below 60g, a blood transfusion is fine.

Eight checks were performed, and comparisons were made between two different medical staff members, ensuring that the process remained cautious and compliant.

Therefore, hemolytic reaction can only be caused by allergic reaction, which is an abnormal reaction of the body's self-defense.

It's just quite intense, manifesting outwardly as bleeding from all seven orifices.

There's nothing particularly special about it; whether or not someone can be saved depends on fate, on how resilient the patient is.

Gradually, Ji Xiang also got used to using the patient's life force to guide his treatment decisions.

Upon arriving at the hospital, Ji Xiang changed his clothes and went to the ICU with Xu Leyu again.

The patient's condition was not optimistic; despite emergency intravenous fluids and various medications, his blood pressure remained very low.

Furthermore, the ultrasound showed fluid accumulation in the patient's pleural and abdominal cavities. Neurological examination revealed signs of intracranial hemorrhage.

All of this means one thing—the patient has extensive bleeding in multiple organs.

Ji Xiang also couldn't figure out what the problem was. Even though he had dealt with many emergency patients with Professor Zhou and Shen Lang while empathizing with their situation, he still had no clue.

He had no choice but to hold his breath and go to the system operating room.

(End of this chapter)