Chapter 123: with translation of chapter title
Yang Lei ran straight to the ward, Zheng Ren saw the son of the middle-aged female patient who had undergone an appendectomy yesterday storming out, as if the whole world owed him an apology.
Probably not a big deal; meanwhile, a nurse shouted, "Chief Zheng, the obstetrics and gynecology department needs an urgent consultation!"
"Yang Lei, are you alright?" Zheng Ren asked.
"It's fine, I'll handle it, you go busy." Yang Lei had already walked to the ward door, glanced at the situation, understood it clearly, and then let Zheng Ren go to the urgent consultation.
The obstetrics and gynecology department has now acquired a taste for it; previously, when they didn't know or had little exposure, they could only grit their teeth and deal with some problems.
Once they got involved in intervention, they found this treatment method simple and easy, capable of achieving effects that surgery cannot, and so consultations came one after another.
Hurrying to the obstetrics and gynecology department, the on-duty inpatient chief was almost in tears, "Chief Zheng, please take a look."
"Don't panic, what's wrong?" Zheng Ren asked.
"Twenty minutes ago, a patient with massive postpartum hemorrhage after a cesarean section was sent from Lao Hu Gang; I issued the admission order, and while I was examining her, her family all disappeared." The obstetrics and gynecology inpatient chief said with a look of fear.
This situation is common in the emergency department, but extremely rare in obstetrics and gynecology.
Back when the second-child policy hadn't been relaxed, whose family didn't treat a newborn like a treasure? To dump a critically ill parturient at the hospital and leave—such a thing simply didn't exist in the obstetrics and gynecology inpatient chief's mindset.
But after so many years as a doctor, she could somewhat judge that she had unknowingly walked onto a steel wire; a single misstep would shatter her to pieces.
Zheng Ren asked, "Where is the patient?"
The obstetrics and gynecology inpatient chief immediately led Zheng Ren to the treatment room.
Just as they approached the treatment room, a strong smell of blood hit them.
Zheng Ren's heart skipped a beat; with such a strong smell of blood, what condition must the patient be in?
Unconsciously quickening his steps, he entered the treatment room; a stretcher appeared before Zheng Ren's eyes, covered in dirty blood, with a deathly pale body lying on it.
"The patient was sent to our hospital's obstetrics and gynecology ward 20 minutes ago, diagnosed with postpartum hemorrhage; at that time blood pressure was 50/30 mmHg, heart rate 132 beats per minute. During the examination, we removed the blood-soaked gauze packed in the lower body and found the birth canal..." The obstetrics and gynecology inpatient chief, already frightened senseless, mechanically reported the history, as if Zheng Ren were her superior doctor.
Zheng Ren estimated that at this moment her mind must be replaying countless negative cases.
"What is your assessment?" Zheng Ren asked.
"It's a second child; we suspect the uterine artery wasn't ligated properly, causing the postpartum hemorrhage." The obstetrics and gynecology inpatient chief answered succinctly.
She was already dazed, with no relatives; how to handle the signature? This kind of thing isn't known to every clinical doctor.
In the emergency department or surgery, encountering unidentified patients is relatively common, and it's still manageable; but in obstetrics and gynecology... this is likely the first unidentified patient she has encountered.
"Prepare for surgery." Zheng Ren knew there was no time to lose; he made a snap decision: "There are a few things you need to do quickly. First, send the blood sample to the blood bank, then urge them to speed up blood crossmatching—we need 10 units of red cells and 1000 ml of plasma, plus the same amount of red cells and plasma on standby."
The obstetrics and gynecology inpatient chief kept nodding.
In her stunned state, all she could do was obey.
"Second, call the medical department and say we've received an unidentified patient; we need pre-op consent, I'll go up, you handle it, and the medical department must be present—got it?!"
"Got it." The obstetrics and gynecology inpatient chief continued nodding.
"Third, find a senior obstetrics and gynecology doctor to give on-site direction." Zheng Ren finally instructed.
As long as someone is in charge, everything begins to run smoothly. They pushed the patient toward the emergency operating room, called the OR en route to prepare the relevant equipment.
Because it's a newly launched project, the night-shift nurses aren't familiar with it yet and can only do basic work.
Zheng Ren also didn't complain too much; experience is accumulated bit by bit, and besides, complaining now wouldn't help.
Pushing the stretcher, they ran to the emergency intervention catheter room; the obstetrics and gynecology junior doctors who came along and the OR nurses began moving the patient.
They were practically lifting the patient out of a pool of blood; the scene was bloody.
Zheng Ren had no time to look; he opened the supply closet, quickly found the needed consumables, handed them to the nurse, then began putting on the lead gown, scrubbing his hands, and laying out the drapes.
"It's still better to have more people to get the work done," Zheng Ren remarked.
If Su Yun were here now, perhaps things would be a bit better.
Going from frugality to extravagance is easy, but from extravagance back to frugality is hard. After experiencing the benefits of being a hands-off manager, Zheng Ren began to feel somewhat unaccustomed to handling everything himself.
Everything was ready; a "ding-dong~~~" sound reached Zheng Ren's ears.
The system's Big Pig Trotter appeared at the right moment and issued a task.
【Urgent Task: Is it a distortion of human nature or a moral decline?
Task Content: Rescue a patient with postpartum hemorrhage.
Task Reward: Passive ability, Luck +2.
Task Time: 2 hours.】
While preparing for surgery, Zheng Ren also expressed his surprise.
The system's Big Pig Trotter gave a personal passive attribute for the first time, and this time it was actually Luck Value.
Although he had never played online games, Zheng Ren had read many novels about them; in those novels, Luck Value is a divine skill, bar none.
"But... why would the system reward me with Luck Value?" Strange.
After laying the sterile drape, Zheng Ren picked up the arterial sheath and puncture needle, and began the surgery.
At the same time, the previously silent for two questions Xinglin Yuan live-stream room also started broadcasting.
"【Wow, the great god hasn't shown up in a long time.】"
"【Another rescue—does Jianda also have so many emergency surgeries? Who says evil capitalist darkness? Look, they don't distinguish day or night when performing surgeries either.】"
"【I feel something's off; I just returned from studying abroad, and the situation over there seems different. The specifics can't be explained in a sentence or two.】"
"Just as the surgery began, following the custom of urging updates while watching surgery, everyone made a few jokes."
"Zheng Ren's surgical skill is master-level, and he clearly feels his technique has become more proficient; this should be because, while operating on Zheng Yunxia, he super-selectively catheterized six or seven major arteries in a short time, and under pressure his skill was elevated."
"In the time it took to say a few words, Zheng Ren had already positioned the guidewire, opened the imaging system, and began advancing the microcatheter."
"【Postpartum hemorrhage—just seeing this diagnosis now gives me a headache.】"
"【The wall is right next door; go bang on it, bang a bit, it's healthier.】"
"【There's nothing difficult about it; if you feel it's hard to handle, that proves your hospital lacks an intervention department and can only remove the uterus. Once you perform a destructive surgery, communicating with the family requires exceptional skill. Thanks to the intervention department colleagues, salute.】"
"【Ninety percent of hospitals don't have an intervention department, okay! You're showing off like that—aren't you afraid the Ou Emperor will turn into an African Chief?】"
Bullet screens flew past four or five, Zheng Ren already had the microcatheter in place, began angiography.
The patient's uterine artery is malformed, with a branch running horizontally through the uterus; that is what caused the patient's massive postoperative bleeding.
It is likely that the doctors at the Tiger Hill township Hospital failed to notice this aberrant small blood vessel.
End of Chapter
