Chapter 759: The Suddenly Worsening Condition

Xu Leyu finished eating, took a shower, and lay on the bed waiting for the New Year.

For the new year, Xu Leyu set a few small goals for himself.

While Ji Xiang is still here, he must butter him up more and mooch a few more SCI Thesis.

Yes, just mooch; there is nothing to be embarrassed about saying.

Clinical work is more cruel and ruthless than any 996 or 007; where is there time to complete a thesis?

On one hand, they want people to work like oxen and horses, and on the other, they put forward all sorts of demands, wrapping themselves in the long gowns of pedantry.

Therefore, in clinical practice, one can only muddle through.

Many high-level hospitals have doctors specifically responsible for scientific research; they do not take shifts and only write thesis.

In this way, everyone performs their own duties, and it benefits everyone.

However, Xu Leyu now has a heaven-sent opportunity—Ji Xiang.

The speed at which Ji Xiang writes thesis and the high level of the journals he publishes in make Xu Leyu feel like he is dreaming.

It is even more bizarre than a dream.

In just a few short months, Xu Leyu witnessed with his own eyes Ji Xiang publishing 23 thesis in top-tier journals.

At the same time, he did not leave out himself, the Attending Professor, or even the Nurse; basically, everyone got one SCI Thesis.

It made people from other departments in the hospital unable to speak properly; whenever they mentioned that the little nurses in the Orthopedics Department and Urology Department had SCI Thesis, their eyes would turn green with envy, and they would involuntarily start mocking and ridiculing.

They are envious and jealous; Xu Leyu knows this.

Who told the Orthopedics Department and Urology Department to be so lucky?

So Xu Leyu decided to seize this opportunity, butter Ji Xiang up well while he is still around, and mooch a few more SCI Thesis to lay a good foundation for the future.

Just as he was drifting off to sleep, the sound of a gurney came from the hallway.

Xu Leyu woke up with a start.

Sleeping in a hospital is just like this; one has to wake up at the slightest disturbance to prepare for emergency rescue.

The Orthopedics Department is still considered better; the Resident Chief in those departments with many emergencies has long since developed neurasthenia.

"General Manager Xu!"

The voice of the orderly from the Emergency Department delivering a patient came from the hallway.

Xu Leyu scrambled up, shuffled in his slippers, and trotted over to check the situation.

Patients in the Orthopedics Department generally do not have serious injuries; after all, they are not responsible for internal organs. The patient sent over had a Femoral Shaft Fracture, closed, and other than the blood pressure being a bit low, there were no other problems.

The orderly handed the patient's lab reports, Ultrasound, and X-rays to Xu Leyu and left in a hurry, not forgetting to remind Xu Leyu to return the gurney before leaving.

Xu Leyu performed a physical examination: the patient had a left Femoral Shaft Fracture, subcutaneous hematoma, and blood pressure of 80/40 mmHg.

He called the operating room, but the emergency table was full.

Non-open trauma in the Orthopedics Department can be operated on within 24 hours and falls under the category of scheduled surgeries, so Xu Leyu was not in a hurry; he placed a Blood Transfusion order and told the on-duty doctor to write the Medical Record.

After observing for 30 minutes, Xu Leyu saw that the patient's condition was stable, so he returned to the Duty Room to rest.

These kinds of patients are all minor cases; he would just find time to perform the surgery tomorrow when the emergency operating room cleared up.

It was only a Femoral Shaft Fracture with no internal organ damage, so General Manager Xu did not take it to heart.

Xu Leyu was drifting off to sleep, but he had mild sleep disorders. After brewing for a long time, just as Xu Leyu was about to fall asleep, the door to the Duty Room was pushed open with a "Bang!"

"General Manager Xu, come and take a look!"

"What the hell is it again!" Xu Leyu cursed.

The patients in the ward were all stable; the first-line on-duty doctor's level was truly poor, unable to handle anything that went wrong.

"The Femoral Shaft Fracture patient who just arrived suddenly has chills and shortness of breath. I thought it was an Allergic Reaction to the Blood Transfusion and gave 10mg of Dexamethasone and other treatments, but the blood pressure and blood oxygen are plummeting."

Xu Leyu sobered up instantly. He shuffled out of the Duty Room, completely unaware that he hadn't put on his other slipper.

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

"High fever, and the Electrocardiogram is not right either."

"!!!"

"Is the Blood Transfusion still going?"

"Yes."

"Hurry and have the Nurse stop the blood first!"

Xu Leyu walked into the ward and saw the patient shivering.

The patient's body was trembling like a sieve, their face was deathly pale, and the blood pressure had dropped from 80/40 mmHg to 65/30 mmHg.

The blood oxygen saturation had also dropped to a precarious 89%.

Damn it!

Xu Leyu cursed inwardly and hurriedly placed emergency rescue orders.

The first thought that appeared in his mind was—something went wrong with the Blood Transfusion.

This was certain, but Xu Leyu did not know if it was an Allergic Reaction to the Blood Transfusion or...

Not wanting to think of the worst, Xu Leyu began to lead the rescue.

After several anti-allergy drugs and rescue medications were pushed in, the patient's condition improved slightly.

With dopamine and other vasopressors pumped in via a micro-pump to maintain vital signs, Xu Leyu requested a consultation from the Internal Medicine Department to assist in the treatment.

About 45 minutes later, the patient's state was slightly more stable; at the very least, it was not continuously deteriorating.

But the patient's improvement was limited; so much Epinephrine, dopamine, and Dexamethasone had been pushed in, yet it could only maintain them.

Xu Leyu fell into deep thought.

However, out of the sensitivity of a Resident Chief, he still had the on-duty doctor call the third-line on-duty professor to have a senior doctor come and take a look.

Although he would be scolded tomorrow, Xu Leyu could not care about that much.

Something seemed wrong; Xu Leyu felt he had overlooked something, but he did not know exactly where the problem lay.

He circled the hospital bed, examined the Patient from head to toe twice more, and finally realized with shock that there were two points he had just missed.

First, the urine volume in the Patient's urine bag had not increased, which meant the Patient had acute renal failure.

Second... the skin on the left thigh seemed to be shining, which meant the fractured bone ends had just bled significantly, increasing subcutaneous pressure and stretching the skin's elasticity to the Extreme Point, hence the shine.

Xu Leyu took out a small tape measure to measure the swollen area of the Patient's left thigh.

After recording the values and comparing them, Xu Leyu discovered that the diameter of the Patient's left thigh had increased.

There was definitely still bleeding; perhaps they would have to go straight to surgery.

But the Patient's Femoral Shaft Fracture clearly shouldn't have been that severe; could it be caused by a Blood Transfusion reaction?

Xu Leyu felt he had encountered trouble.

The Third-line Professor arrived at the hospital with a straight face; he glanced at the Patient but provided no special treatment.

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

There was no other way; Xu Leyu could only call the various relevant departments, asking the Chief Resident and Third-line Professor to come take a look and complete the Medical Record.

Just after finishing, when Xu Leyu returned to the ward to check on the Patient again, he specifically took a small flashlight to check the pupils.

Otherwise, if that group from the Internal Medicine Department asked how the bilateral pupils were and he didn't know, he would definitely be looked down upon.

Flipping open the Patient's eyelids, Xu Leyu was instantly stunned.

The Patient's eyeballs were covered in dense bloodshot veins, and one could even faintly see bloody exudate!

It was as if the Patient were shedding tears of blood!

At the same time, a trace of bloody fluid flowed out from the Patient's nasal cavity.

Damn it!

What is going on!

(End of this chapter)