sbdcsierra Chapter 29: Finished!
Chapter 29: Finished!
As Chen Zhuoan spoke, he suddenly realized the young man's death in his previous life.
He probably wouldn't have died so suddenly from a simple delayed splenic rupture or a simple aneurysm rupture and bleeding.
After all, it's in Xiangya Hospital!
Performing a splenectomy or interventional embolization for hemostasis is a very easy procedure.
But if the two factors intertwine at the same time, the mortality rate will increase by at least several dozen times!
"What is it?" Long Hongyuan turned around after being patted on the shoulder.
Chen Zhuoan pointed in the direction of the young man: "Delayed splenic rupture, the spleen capsule should be okay at the moment."
"But the rupture of the aneurysm should indicate an impending attack, requiring immediate surgery."
Long Hongyuan recognized Chen Zhuoan because he had just memorized his words: "Do you know what you're saying?"
"The CT results aren't back yet."
"I've seen the film," Long Hongyuan said.
Chen Zhuoan nodded: "I know, Teacher Long."
"But CT information collection is real-time, not delayed."
"Delayed splenic rupture means that at the time of the CT scan, it had not yet ruptured and there were no symptoms."
"Perhaps the aneurysm did not bleed, so there was no sign of a hematoma."
"It's easy to assess now; we can just do a bedside ultrasound!"
What do you think?
Long Hongyuan stretched out his right hand and pinched his chin: "Then go help push the ultrasound machine next to the bed, it's over there."
"I'll go and give the patient another physical examination."
He had actually already looked at the CT scan, but he didn't let the patient leave because he was afraid he might have missed something.
The radiology department is professional; they issue reports and print out the films, which provides double assurance.
As an emergency room doctor, you must avoid arrogance and complacency!
No amount of caution is too much.
Therefore, given that Chen Zhuoan's previous proposal had some theoretical basis, he chose to err on the side of caution.
However, the concept proposed by Chen Zhuoan is a bit far-fetched.
Could it be that this patient was just unlucky enough to have their CT scan done right during the asymptomatic time window?
The emergency department is indeed equipped with emergency color Doppler ultrasound, and it is operated by emergency department doctors themselves.
As Chen Zhuoan pushed the ultrasound machine to the bedside, Long Hongyuan was talking to the young man: "I know, there's no rush to see your girlfriend."
"Health is the most important thing."
"You're young, so you don't understand."
The young man's face flushed red instantly. He hesitated, probably wanting to say that he knew a little, but was too embarrassed to admit that he and his girlfriend had already tasted forbidden fruit.
Long Hongyuan: "Nothing special?"
Chen Zhuoan handed over the ultrasound probe, which had been coated with coupling gel, at just the right moment:
"Teacher, would you like to have a bedside ultrasound done? If everything is fine, I would be extremely grateful to you for clearing up my doubts."
The best management for a mature doctor lies in efficient management.
At this point, Chen Zhuoan could certainly persuade Long Hongyuan by refuting his arguments, listing examples, reciting textbooks, and memorizing theories.
But that takes time!
It's inefficient!
Therefore, a mature doctor will always choose the most efficient method and form.
Furthermore, no matter how much physical examination is performed, it cannot compare to the signs directly seen by color Doppler ultrasound.
Compared to physical examination suspicions, color Doppler ultrasound confirmation is enough to turn Long Hongyuan into a sprinting rabbit!
Long Hongyuan felt that he was in a state of being controlled.
However, Chen Zhuoan's reason was that he was requesting to teach.
As an associate professor, he couldn't bring himself to dislike the rigid rules and the highly talented eight-year system: "Fine..."
"Maybe you're right."
Long Hongyuan offered encouragement.
When he took the ultrasound probe, Chen Zhuoan, for the first time, forcefully and actively pushed the probe against him, probing a certain spot!
Long Hongyuan sensed the force of the rebuttal and instinctively glared at Chen Zhuoan!
It's alright, because Chen Zhuoan didn't do anything extreme; it was just a change in the order of the ultrasound examination.
However, the coupling gel of the ultrasound probe only comes into contact with the patient's skin.
This is the layer shown on the ultrasound machine.
Sizzle.
Sizzle.
That was the level of spurting blood.
It doesn't matter if my heart spews blood.
Arterial bleeding?
Long Hongyuan's right hand, which was holding the ultrasound probe, was almost bent into a crippled shape, appearing extremely deformed!
After shaking it three times, I steadied the ultrasound probe in my hand again.
"General Surgery, come take a look." Long Hongyuan's voice boomed, like a cannonball, echoing in the emergency room.
Upon hearing this, several resident surgeons in the general surgery department turned their heads to the side!
After leaving his previous operating position, he took a few steps forward.
Then, the chief resident of vascular surgery immediately took a big step forward.
He hunched over, glanced at it twice, and began swallowing hard: "Professor Long, hurry up and get the second-tier class started!!"
"I'm just too busy."
Long Hongyuan: "I'll hit you, you tell me. Who?"
"Okay!" the chief resident replied immediately.
"Chang Guangming is the chief physician."
While taking out his phone and scrolling through his contacts, Long Hongyuan instructed, "Nursing department, get bed 5 ready, administer oxygen, draw blood for clotting function tests, and perform an electrocardiogram."
"Draw the four pre-transfusion tests, immediately!"
"Send it out immediately."
"Luo Kun, prepare the signature form. Just print out the template, and handwrite the names as needed. Don't waste time!"
"Let the patient sign directly."
"Get him to the operating room in two minutes!"
As Long Hongyuan spoke, he found the phone number of Dr. Chang Guangming and dialed it!
Chang Guangming's voice came through the phone: "Hello, Professor Long."
The chief resident immediately said, "Brother Chang, there's a ruptured aneurysm in the emergency room."
"This is the initial stage!"
"I also have an active hematoma in my lower abdomen, I have to go with the team."
"Would you like to go into the emergency operating room?"
"Okay." Chang Guangming didn't reply to the chief resident, but simply said, "Professor Long, I happen to be at the hospital right now, I can get to the emergency operating room in five minutes."
"Thank you!" Professor Long said.
"Teacher Long, you're too kind. If you had called, I would have flown over even if I had wings."
The young man's face turned pale, and he trembled all over: "Doctor...me?"
"What's wrong with me?"
"Don't worry, you're in the hospital."
"You just need to give your fingerprints now, wait for the anesthesia, take a nap, and then see your girlfriend and parents, okay?"
"Call them right away!~"
Young man: "I didn't bring that much money."
Long Hongyuan: "That's why I told you to call your parents..."
The young man trembled: "I'm scared, doctor. I'm studying at a university in Guangzhou. I'm afraid my parents will find out I'm in Shashi."
This is a concern that all college students have.
Long Hongyuan angrily retorted, "Are you stupid? Are you still afraid of your parents scolding you at a time like this?"
"Call them right away!~"
The young man immediately made a phone call, his hands trembling.
However, he called his girlfriend first.
After saying a few quick words, he gritted his teeth and called his parents.
He was so scared that he cried.
He kept apologizing to his parents, but later, it was his parents who cried even harder than him...
Chen Zhuoan watched all this calmly, a slight smile playing on his lips.
What does it matter if your parents scold you?
Sigh... It's just that I don't have the surgical authority right now, otherwise I would have done your surgery right here by making a small incision!
Of course, Chen Zhuoan couldn't do that.
It is neither illegal nor compliant.
Given the current situation, although it is dangerous, once we're in the operating room, it's a good thing for general surgeons.
It's just a matter of drinking water.
Early diagnosis and early treatment can turn a dangerous situation into a piece of cake; that's the significance of his early visit.
We also can't arrive too far in advance.
If I arrive before the patient does, isn't that ridiculous?
There are so many patients; we can only look at them, we can't touch them.
What if, at some point, I can't resist and my urge to perform surgery kicks in...
Professor Dong, a teacher, was forced to retire due to a medical dispute, but what about me, an eight-year student?
Forget it.
Anyway, July is almost here, and the legal provisions will soon take effect, so I'll just have to wait a few more days.