Chapter 182

Doctor Zhong of the People's Hospital had failed to reduce a dislocation three times, yet Fang Ziye succeeded in under ten minutes?

A few hours versus less than ten minutes.

This speed is simply too fast.

But Shen Shao, as Shen Zihao's paternal uncle, was secretly delighted at this moment!

"Doctor Fang has worked hard. Doctor Fang, do you have time tonight to have a simple meal together?"

Shen Shao knew that treating Fang Ziye to a meal might cost more than all the fees for Shen Zihao's manual reduction, but since he felt good, the money was well spent.

Doctors are judged by skill, not by who is closer to whom. What's the point of being closer?

Doing a good deed only brought trouble. If it weren't for the fact that Second Uncle is my own uncle, Shen Dong is my cousin, who are you, Han Xuemei?

"Teacher Shen, it's a small matter, Teacher Shen doesn't need to be so polite. I still have some business in my department, so I won't disturb you further. After the young man's re-examination results come out, just have him come to my department for a follow-up consultation." Fang Ziye politely refused.

If the conversation doesn't click, even half a sentence is too much. Shen Shao's own situation was pitiful, but that was no reason for him to dig a pit for himself.

"The meal must still be eaten. Since Doctor Fang has no time today, we'll do it another day. Doctor Fang must give me face."

"By then I'll invite Kai Ye and Tao Ye to join us, and I hope Doctor Fang can give me a chance..." Shen Shao didn't insist, just smiling as he saw Fang Ziye off.

This hospital has talented young people; even if they don't become friends, it's best not to make enemies.

"Zihao, does it still hurt?" After the reduction was completed, Han Xuemei still cared about her son.

"That previous doctor, he looked quite old, right?" She started complaining again.

Shen Zihao shook his head and playfully moved his little hand; the pain had largely subsided. "Mom, it doesn't hurt at all."

"Look."

Han Xuemei muttered to her husband again: "The Doctor Zhong my uncle introduced is the most senior in the People's Orthopedics Department, and he couldn't even reduce it?"

"What exactly is going on with my uncle?"

Shen Dong covered his forehead; he knew his own wife well. "You still want to do this? You're not still thinking about going to the People's Hospital to confront your uncle and that Doctor Zhong, are you?"

Although Han Xuemei didn't reply, her meaning was already very obvious.

Shen Dong was completely stunned; given his temper, he really wanted to give her a taste of her own medicine.

But he couldn't bring himself to do it, and said: "Wife, are you feeling uncomfortable somewhere?"

"What we should be thinking about now isn't how to let Zihao recover and return to school soon?"

"You're making a scene—do you want them to pay you compensation or apologize?"

"By doing this, does it mean that during the New Year, none of us three will go to your parents' home to pay New Year's greetings?" Shen Dong retorted.

Han Xuemei was stunned.

Then she retorted: "If you aren't fierce, others will think you're easy to bully. Before you retired from the military, you thought everyone was easy to talk to, right?"

"Go ask Zihao how much bullying he suffered at school. If you don't quibble over every detail, others will think you're a coward, an orphan without a father..."

Upon hearing this, Shen Dong's eyes were filled with bloodshot veins, his eyes slightly red, as he looked at his son.

Shen Zihao leaned toward Han Xuemei, tugged her hand, signaling her not to cry anymore, because Daddy was back now. And now that classmates knew his father's job, he had many more friends...

Not long after, Han Xuemei and Shen Dong's family of three brought the re-examination films to the Orthopedics Ward, and also stuffed some fruit platters and a silk banner into Fang Ziye's hands.

After Shen Zihao, a boy, apologized to Fang Ziye as a representative of the brave, Han Xuemei also apologized and thanked Fang Ziye, while at the same time, Shen Dong apologized to Fang Ziye on behalf of Shen Shao.

After learning from Fang Ziye that Shen Zihao could return home to recuperate for a few days and then go back to school, Shen Dong took his wife and child and left.

At this time, Han Xuemei's mood seemed to have become less strange.

After the family of three left, the on-duty Mao Mao pushed his black-rimmed glasses, staring speechlessly beneath the lenses.

Good fellow, Fang Ziye went to the Emergency Department once and brought back a silk banner directly—what exactly did he do?

This is already the how many-th silk banner Brother Fang has received?

Mao Mao suspected that Fang Ziye had secretly threatened the patient's family—

You must give a silk banner, otherwise I won't treat you.

But in fact, the reason Shen Dong gave a silk banner was because Shen Zihao had gone to the People's Hospital many times and almost had surgery.

"Brother Ye, this family is quite polite, huh?"

"Polite?" Fang Ziye neither confirmed nor denied, putting the strawberry he had just picked back down.

"They aren't even polite to their own relatives, so why would they be polite to me, an outsider?"

"If I hadn't succeeded in the reduction, it might have turned into an accident. That's not politeness." Fang Ziye's whole face looked displeased.

He just found it strange—how could this woman be so unreasonable, as if only her natal family's relatives were relatives, and her in-laws' relatives didn't exist at all.

If it weren't for the fact that the child was somewhat sensible and quite pitiful, and that Shen Dong was willing to take responsibility,

go ahead and get cut open!

But still, no one is perfect. If the child isn't a bastard, and one or two of the family members are tolerable, then help them out.

Fang Ziye didn't want to die young or have other accidents—

Senior Brother Wu Xuanqi was a living example right before his eyes.

Mao Mao said very sensibly:

"Brother Ye, being able to get a silk banner from such a patient's family is a skill ordinary people wouldn't even dare to imagine?"

Mao Mao sincerely raised his thumb.

Mao Mao's interpretation of this sentence showed flexible thinking, but what Fang Ziye needed wasn't commercial mutual flattery: "Mao Mao, take some fruit platters to the Nurse Station."

"Everyone eat together. We can't finish them."

Hearing this, Mao Mao immediately stood up: "I'll take them to the Nurse Station first."

"But I estimate Sister Xuan has no time to eat. During the time you were away, Brother Ye, I just admitted two patients."

"And the Emergency Department just called, saying there is a special emergency consultation. I've already called Brother Tao directly..."

Fang Ziye's expression froze at those words——

"The Emergency Department still has emergency consultations? How would I not know?" Fang Ziye had just come back from the Emergency Department, hadn't he?

Mao Mao turned around again to explain: "The situation is probably extremely special. When the Emergency Department called, they specifically instructed me to contact the Director directly!"

"It's possible they can't even get on the operating table — a connected case, and a heavily injured connected case at that……"

Having said that, he walked toward the nurse station……

Fang Ziye immediately understood.

Enshi Central Hospital is a prefecture-level city hospital. Fang Ziye had also been on duty here a few times and discovered — this place has an especially large number of connected cases. Every shift, Director Zhang Mingcan or Director Wu Guo Nan would call remotely.

They'd say a patient coming to the hospital today is some Bureau Chief's relative, or some Leader's relative, and needs to be looked after.

In reality, there aren't that many who need looking after — it's just that during informed consent conversations, one must be more cautious and careful.

And this is the medical norm inside Enshi Central Hospital.

The hospital's beds aren't as tight as Zhongnan Hospital's. But the connection network — call it big, it's not that big; call it small, it's not that small.

The Directors here can't hold their ground like the Professors at Zhongnan Hospital. Some connected cases still have to be accommodated.

But at Zhongnan Hospital, ordinary small leaders generally can't get the Professors' phone numbers. And those who can get the Professors' numbers are people who cautiously cherish their own reputations — they'd only call to inform unless it's an especially urgent situation.

And such urgent situations are generally the kind that can go straight through the Emergency green channel. So similar incidents aren't actually that many.

……

Emergency Department.

Shen Shao had just sent Fang Ziye off. After returning to the Emergency Surgery Clinic, he was busy to the point of utter exhaustion!

Rapidly shuttling between two hospital beds, rapidly conducting and guiding his own department's nurses in various resuscitation efforts.

Midway, his phone rang. It was Shen Dong calling.

He thought for a moment, answered, but replied briefly: "Brother, I'm busy. Talk later."

Hung up directly.

"Cricothyroidotomy kit, ready anytime!"

"Hemothorax, estimated to need chest tube drainage."

After giving orders, Shen Shao then explained to the Emergency Department's Director — his own superior Wang Dongshan.

"Director, my clan nephew got injured. He just went from our Emergency Department to Orthopedics for a recheck. Now he's gone back and gave me a call."

Wang Dongshan didn't mind, just patted Shen Shao's shoulder.

A doctor is a person first, then a doctor. Being a doctor, one cannot escape human relations.

"Urge General Surgery and Neurosurgery again. These two patients' conditions aren't good."

"Heard there were originally four. One gone at the scene, one gone on the way. The violent trauma they suffered is enormous. The only two left — we must find a way to save them." Wang Dongshan shouted to the others.

"Calls made!" Someone raised their wrist to check the time on their watch.

"Only six minutes have passed." He didn't dare waste a single word's time.

"Director, intubate?" A nurse raised her head to ask — the Emergency Department's Head Nurse.

"Hurry and establish IV access first……"

Wang Dongshan stared fixedly at the unstable vital signs,

The allowed time for emergency consultation is fifteen minutes!

Because all doctors cannot possibly be on standby in the Emergency Department twenty-four hours a day. Even emergency consultation can't achieve that. Eastern Han currently still doesn't have such ample medical resources and doctor numbers.

But even so, looking at the patients' current heart rate and blood pressure: "Keep calling to urge them."

"Run your legs off if you have to — get here as fast as possible."

"Alternate pushing epinephrine, norepinephrine……" Wang Dongshan began directing the resuscitation.

"Call the Blood Bank — has the blood we requested arrived?!"

"Orthopedics, Orthopedics……"

The sounds inside the Emergency Surgery Clinic were complex and chaotic, but every sentence was extremely short, stopping at the point.

Roughly a minute later, several white coats rushed in one after another.

After seeing the patients on the two beds.

Everyone couldn't help but suck in a breath of cold air.

Xue Tao, called from home by Orthopedics, after his expression changed violently for a moment,

Asked: "Director Wang, how did this happen?"

Xue Tao's voice trembled slightly.

One of the patients — limbs, chest and abdomen, head — all had sharp instrument wounds.

At this moment there were still four knives inserted in his body, not yet dared to be removed. One in the chest, three in the abdomen!

Knives in the wounds, blood crusts viscous, black blood crusts connected to clothing, formed into wrinkled cakes.

Should have been hastily bandaged with gauze in the ambulance.

Originally white gauze fully soaked through with blood, pitch-black gauze wrapping blood threads and blood crusts, like ancient corpse-wrapping cloth.

Patient's eyes tightly closed, expressionless. Unknown if in shock state or an indifferent state……

Wang Dongshan simply wouldn't explain: "Investigating the cause of injury is not our duty."

"Hurry and assess each department's status. Whoever needs to go to the OR goes to the OR."

"Both patients' blood pressures are unstable. Continuous vasopressor support with norepinephrine and epinephrine, yet systolic pressure still below shock threshold."

"You surgeons find a way to stop the bleeding!"

"Input can't keep up with output. Relying solely on blood transfusion and IV access won't hold."

As Wang Dongshan spoke, the Neurosurgery people had already roughly scanned the patient and said: "The head wounds are only superficial. The patient has no intracranial hemorrhage surgical indications. Pupillary light reflex present and sensitive."

"Is there a CT?"

An emergency consultation is, first, to find the indications for the Emergency Department to handle, and then to find evidence to absolve one's own department.

"No examination was dared to be done; from the moment they got on the 120 ambulance, it was non-stop resuscitation."

"Vital signs fluctuating greatly, persistently unstable; currently maintained on life support treatment throughout; no examination was dared to be done, only blood draws were performed..."

Fluid resuscitation first, then surgery; resuscitating fluids while operating.

Where would there be time to do examinations?

This is written in the textbooks.

Wang Dongshan's team would not dare to arbitrarily send the patient for examinations.

Of course, relying solely on fluid resuscitation definitely won't work.

At this moment, General Surgery's Chen Liwei frowned tightly: "There are obvious peritoneal irritation signs in the abdomen, internal fluid accumulation, it is active bleeding; without examinations, the only option is to go for exploratory laparotomy at the first opportunity!"

"We'll probably need to call the Gastrointestinal Surgery people over too." Chen Liwei suggested to Wang Dongshan.

Enshi Central Hospital's General Surgery scale isn't very large; it's divided into subspecialties: Hepatobiliary and Pancreatic Surgery, Gastrointestinal and Breast-Thyroid Surgery, Anorectal Surgery.

Hepatobiliary and Pancreatic Surgery shares the Vascular Surgery brand.

"Make the call!" Wang Dongshan immediately ordered.

The consultation call made by the Emergency Department is of a higher level than other departments; no department dares to shirk or delay, which is much better than Chen Liwei calling directly.

And in the current situation, even if Chen Liwei said to request a Nutrition Department consultation, Wang Dongshan could only follow the suggestion.

Specialty treats specialty; a specialty's consultation opinion is extremely important!

A Thoracic Surgery deputy director also said: "Open thoracotomy exploration then, Director Wang, but it's best to get a CT scan first, lest during exploration there's no way to proceed."

"The patient can't be transferred in this condition either; transferring will inevitably cause an incident."

"Where are the patient's family members? I need to find them to have a talk." The Thoracic Surgery deputy director felt this patient's chance of survival was not high.

"No family members, only the unit leaders of two comrades; we've already contacted the Hospital General Duty, and the General Duty has granted treatment authorization."

"You go to the office next door and talk to his colleague."

Thoracic Surgery is a rather special department; the lungs are also a rather special organ; therefore it cannot be like exploratory laparotomy where you can explore wherever you want.

CT guidance is mandatory.

However, this patient cannot undergo examinations; then it can only be left to luck. There may also be missed findings during intraoperative exploration, because no one has X-ray vision.

The deputy director currently writing the consultation opinion also said: "If a CT is done, might as well scan the head too."

"If they go to the OR for portable X-ray, scan the head too, then request our department for consultation."

Neurosurgery's situation isn't too urgent, but he handled it watertight, preferring to make a few extra trips rather than have the patient bear responsibility because of occult neurosurgical injuries.

But without examinations, there's no way.

Orthopedics' Xue Tao followed behind the Thoracic Surgery people: "Our Orthopedics also needs surgery; perfect, I'll go talk with Director Liu together."

A few minutes later, Xue Tao, just like Cardiothoracic Surgery's Liu Liming, Hepatobiliary Surgery's Chen Liwei, and Gastrointestinal Surgery's Zhang Dingkun, ran into the corridor to make calls to their superiors.

Xue Tao was to report to Wu Guo Nan: "Director Wu, I'm in the Emergency Department now, encountered two patients with rather special conditions; I've assessed the situation, currently vital signs are extremely unstable, our Orthopedics' trauma is not small."

"Originally there were four; only two arrived at the hospital alive."

"Seems it's because they merited credit for drug busting; previously found important clues and a den; now being silenced in revenge..." As Xue Tao spoke, his eyelid kept twitching.

Although Enshi is just a poor area in Hubei Province, this kind of thing is not uncommon.

Drugs don't cease to exist just because it's a poor area; on the contrary, because education here is underdeveloped, leading to correspondingly weak prevention awareness, quite a few people go astray.

In the past, it was more often suspects who, because needles broke off, were sent to the hospital by uncles for surgery to openly retrieve the needles.

"The hospital leadership also attaches great importance to this matter; just now a vice president came and gave a death order, demanding we spare no expense to save the two heroes."

"Surgical permissions maximized, hospital subsidy for costs with no cap ceiling, patient's arrears currently borne by the Finance Department; even city-level leaders have come over one, currently negotiating with Emergency Department's Director Wang; heard provincial-level leaders are also on the way..."

Enshi and Enzhou's office buildings are both in Enshi, but two different systems.

"Patient to be sent directly for rapid examinations then straight to OR, multi-department joint surgery, simultaneous open thoracotomy and exploratory laparotomy, stop bleeding first to save life."

"Our Orthopedics definitely has femoral artery damage..."

"Patient's blood pressure currently extremely unstable."

"Good, I know." After getting Wu Guo Nan's reply, Xue Tao immediately rushed toward the OR direction; on the way, he directly called Wang Zhongxing first.

Wang Zhongxing replied without hesitation that he would take a taxi from the fishing spot and rush over.

At the same time, the hospital's leadership also began calling various departments one after another.

Anesthesiology and the Surgical Department received notification at the first moment to urgently receive two emergency surgeries; they must be ready to receive patients at any time.

Anesthesiology's call went directly to Anesthesiology Director Huang Jiaoshan.

Huang Jiaoshan was currently outside having lunch with his wife and kids: "Director Wang, has anyone from our department seen them? Suitable for anesthesia or not?"

Emergency Department's Wang Dongshan directly said: "Director Wang, this surgery was personally ordered by the Dean to be sent to the OR; regardless of whether it's suitable for anesthesia, anesthesia must be administered."

"No surgery means no life; Anesthesiology must make the best combat readiness preparations! ~"

"Good!" Huang Jiaoshan's brow immediately twitched.

"Good, I'll immediately arrange for our Anesthesiology's Nie Mingxian to personally handle the patient's anesthesia work; I'll also rush to the hospital immediately!"

"At most, fifteen minutes to the OR." Huang Jiaoshan replied without hesitation.

And didn't feel embarrassed about eating outside.

Although he is a director, directors also have compensatory leave and shift schedules.

No one can predict when an emergency will come! If it could be predicted, that would be an even bigger problem.

Wang Dongshan lowered his voice again and said: "Director Huang."

"These two comrades are police officers within the system; they were retaliated against after making a meritorious contribution."

"Four people total, two have already left; we couldn't prevent the harm from occurring, but what we can do is bring them back alive."

"And it's said the two still hold key information."

Huang Jiaoshan then said: "Regardless of what information they hold, we have to wait until they're alive first."

"Do our utmost, leave the rest to fate!"

"Hanging up first, Director Wang."

Huang Jiaoshan was an old hand; upon hearing the word 'revenge,' he understood the cause of the matter.

But no matter the reason, one must still respect objective facts; life is not determined by heaven, nor by man.

Huang Jiaoshan directly left his wife and children behind.

His wife didn't say anything either; from Huang Jiaoshan's words, she knew the situation was urgent: "I'll take the kid to school in a bit, you go back first."

"Mm, if I don't go back people might really die, wife." As Huang Jiaoshan pushed open the private room door, he turned back and said apologetically.

It seemed that ever since he took on the role of Director of Anesthesiology, he hadn't properly accompanied his wife and children in a long time; today was the child's birthday, but Huang Jiaoshan had the night shift, so he had wanted to celebrate the birthday early at noon.

But?

……

Fifteen minutes later, Huang Jiaoshan arrived at the doorway of the operating room.

But upon appearing, he was informed that one of the patients had lost vital signs on the way to the operating room and was now being resuscitated in the operating room opposite.

Upon hearing this news, even though Huang Jiaoshan was accustomed to life and death, he couldn't help but feel a slight tremor in his heart—

Do good people really not live long?

"Full resuscitation! Manpower arrange yourselves, I'll check this side first."

The person who lost vital signs was certainly urgent, but Huang Jiaoshan had to ensure the one who hadn't lost vital signs would stay alive.

This was a utilitarian choice.

A death is certainly heartbreaking, but one cannot neglect the living just because someone died.

He ran directly toward Operating Room 11—

Upon entering, Nie Mingxian was completing induction of nerve block anesthesia on one side while performing endotracheal intubation on the other, while another deputy chief physician of the Anesthesiology Department cooperated with Nie Mingxian in performing the corresponding continuous anesthesia operations.

Huang Jiaoshan didn't disturb Nie Mingxian, but looked at the clinical surgical doctors at this moment operating like a madly running machine—

They were dividing the work of disinfection and irrigation within their respective departmental domains.

Some were wiping, some were cutting the previous gauze and bandages.

There were very many comrades from the Nursing Department; povidone-iodine and normal saline were poured bottle by bottle directly as if they cost no money.

There weren't that many trash cans; povidone-iodine was sprinkled directly onto the surgical drapes on the floor, although hard to clean and might leave stains on the floor, but at this moment to save time, they couldn't care that much.

Three circulating nurses pushed various instrument surgical packs in and out with stretchers, and opened them one by one.

Just at this moment!

Xue Tao and Wu Guo Nan just happened to lift a corner of the gauze on the thigh and upper arm when suddenly—

Two full streams of blood spurted out wildly in an instant.

Hiss—

Sprayed directly onto both their faces; splattered blood droplets landed on others as well.

Xue Tao immediately closed his eyes, then decisively pressed the gauze down directly—

Ignoring the blood beads streaming down his face in lines, he pressed hard.

Tone urgent: "Director Chen, there's femoral artery damage, your department needs to come handle it!"

The Central Hospital didn't have a specialized Vascular Surgery department, so only the Hepatobiliary and Pancreatic Surgery Department could assume the responsibilities of Vascular Surgery.

If it were minor vascular damage, Wu Guo Nan and Xue Tao could still handle it themselves, but now this was major femoral artery damage; he didn't dare operate.

After pressing down, Xue Tao continued keeping his eyes tightly shut, turned his head: "Someone come help me wipe."

Actually, a circulating nurse had seen it early on and immediately came over with gauze and cotton pads.

Xue Tao used his hand to prop and press on the femoral artery spot, not daring to release pressure in the slightest, just cursing inwardly:

They picked the spot to chop, didn't they? One slash straight into the femoral artery!

Just now this scene, Chen Liwei of Hepatobiliary and Pancreatic Surgery also saw.

He cried bitterly in his heart; Xue Tao's words clearly dumped the task onto their department, but he had no way out either.

Orthopedics is Orthopedics; the Central Hospital has no Vascular Surgery, yet the words Cardiovascular Surgery happen to be written on their department!

He could only bite the bullet and agree: "Our department's Director Peng is coming down right away; I still have matters to handle on this side, manpower is temporarily insufficient."

"Director Wu, you guys do temporary hemostasis first."

Chen Liwei didn't dare refuse, but also didn't dare be distracted.

Just one person; even splitting wouldn't be enough for exploration and hemostasis operations in two places; could only wait for his own department's Director Peng Yuanming to bring other manpower over to help.

……

Soon, Chen Liwei's superior in Vascular Surgery, also the Director of Vascular Surgery, Director Peng Yuanming arrived at the operating room.

Roughly listened to a round of reports from people in the operating room.

Wu Guo Nan said: "Director Peng, our Orthopedics trauma isn't fatal, but the vascular damage issue is very urgent right now."

"Right, Director Li?" Wu Guo Nan also specially asked the helper he had found, Li Junfeng, Director of Orthopedics Department 2, which is also the Joint Treatment Center.

Director Zhang Mingcan went to the County Hospital for a consultation surgery today and couldn't come, but Orthopedics must have a Director present.

"Director Peng, our department's trauma isn't very large, but besides bleeding, the vessels also have thrombus." Li Junfeng explained.

Peng Yuanming sneered coldly in his heart at this moment.

Emergency trauma patients, besides vascular damage, can general nerve damage and simple soft tissue lacerations kill?

Peng Yuanming glanced over at Chen Liwei's side again at this moment, and the situation there was also a complete mess.

So he simply said directly, "Director Wu, our department still has its own hepatobiliary injuries to handle, and now there are arterial issues in both the upper and lower limbs on top of that!"

"Without any auxiliary examinations preoperatively to confirm the diagnosis, our division temporarily cannot handle this kind of problem either. If we have to deal with a great vessel, and the hepatobiliary arterial system ruptures later, the situation will be even more dangerous."

"I've already called people to come help, but the patient may not be able to wait that long."

"The Orthopedics Department's problem can only be solved by you people."

"Otherwise, just go out directly and talk to the family about amputation." Peng Yuanming was also being ruthless at this moment.

No way, manpower is not enough!

If you Orthopedics people cannot solve the problem, then amputate to save the life!

Peng Yuanming did not expect Orthopedics to be able to handle large artery damage and the accompanying thrombectomy, because even he himself cannot handle such an operation.

But the life must be saved; it's not that his capability is lacking, but that the disease type is too complex, the operation a bit high-end.

And he also has no time!

When the book is needed, one regrets having read too little.

……

(Chapter End)