Chapter 130: 0127 Apricot Grove Master, Miraculous Hands Revive Spring
0127 Apricot Grove Master, Miraculous Hands Revive Spring
In Zheng Ren's upper right field of vision, the red color appearing on the system panel looked as if it were about to drip fresh blood.
Tetanus bacillus infection, this diagnosis is correct.
Really…… Zheng Ren felt it was quite troublesome.
Since he started practicing medicine, counting internships and residencies, he has about ten years of experience. He has never seen, nor even heard of, a tetanus bacillus infection case.
Although every trauma patient receives tetanus antitoxin intramuscularly per medical protocol, actually seeing an acute onset of tetanus bacillus infection is the first time for him.
After trying to recall, Zheng Ren remembered that in a corner of a surgery textbook, a few dozen words described how to treat patients with tetanus bacillus infection.
But…… Zheng Ren still didn't want to take it on, after all he had no experience.
"Director Pan, have you treated it before?" Zheng Ren asked.
Old Director Pan shook his head and said, "I'll make a phone call, request a hospital-wide consultation, and have the relevant department take the patient."
Having said that, he went to coordinate the hospital-wide consultation process.
Hearing the exchange between Zheng Ren and Old Director Pan, the patient's family felt even more uneasy, standing helplessly at the bedside, looking at the mother who seemed like a legendary zombie, then at the stern Zheng Ren, their mouth twitched but they couldn't utter a word.
A senior nurse quietly walked in and, as calmly as possible, took the patient's blood pressure and measured vital signs.
The vital signs showed no problems, steady as a normal person's.
Zheng Ren also knew all this; the critical aspect of the patient's condition was not like ordinary major resuscitation, such as facing hemorrhagic shock and so on.
This disease,
The most deadly thing is,
generalized muscle tension and spasms.
Especially when the respiratory muscles spasm,
the patient will lose respiratory function,
soon……
death……
A few minutes later, the directors and deputy chiefs of the relevant departments arrived one after another.
It's very tricky; even for these experienced medical workers and professors, it's the same.
Handling rare diseases, nobody wants to get involved.
This is being responsible to oneself, and also to the patient.
The diagnosis is clear, no one raised objections.
But when it came to treatment, nobody had encountered it, nobody had experience treating tetanus infection, so they all shook their heads, sighed, and left.
"Can you treat it?" Old Director Pan, having no other option, had to ask Zheng Ren.
"It's written in the book, we can give it a try." Zheng Ren said.
"Send the patient to the Emergency Resuscitation Room, tell me what needs to be mobilized, just speak." Old Director Pan finally made up his mind, "I'll personally handle communication with the patient's family."
Zheng Ren immediately called Su Yun, asking him to prepare a single room with thick curtains, and the room's location must be quiet.
Su Yun is very proactive, he didn't ask Zheng Ren why there were so many fussy requirements.
Less than ten minutes later, the call came back, the ward was already ready.
Zheng Ren escorted the patient, stacking several pieces of sterile gauze to use as a thick towel, blocking the patient's eyes to prevent direct light.
Old Director Pan cleared the way early, doing everything possible to keep the sounds the patient hears along the way to a minimum.
The elevator was ready early; a family member waited at the elevator entrance, as soon as the gurney arrived, they didn't wait for the elevator but went straight to the Emergency Resuscitation Room.
Three minutes, the patient was transferred from the Emergency Resuscitation Room to the ward.
"For a patient with tetanus bacillus infection, administer 500 ml saline plus 3000 units of tetanus antitoxin via intravenous drip once daily, perform a skin test before the drip." Zheng Ren instructed.
Chang Yue was stunned; she had also never heard that tetanus antitoxin could be given by IV drip, isn't it usually subcutaneous or intramuscular injection?
But her good clinical quality made her decide to comply.
"500 ml saline plus 8 million units of penicillin, intravenous drip once daily." Zheng Ren looked at the patient and continued.
Chang Yue recorded meticulously.
"Su Yun, contact critical care, we need a backup ventilator. Also, prepare a sterile tracheotomy kit, to be ready at any time."
Su Yun nodded.
During emergency resuscitation, Su Yun doesn't have so much nonsense.
"The curtains in the ward must not be opened for 24 hours, cover the patient's eyes with a towel. Keep talking in the ward to a minimum, and prohibit noise outside the ward."
Patients with tetanus bacillus infection are photophobic and phonophobic; any light or sound stimulation could worsen muscle spasms, leading to uncontrollable condition.
"Use restraint straps to immobilize the patient's limbs. Be careful not to injure the limbs, and avoid ischemia etc."
"Have a family member stay in the room and keep watch 24 hours."
That's all he could think of; Zheng Ren finished giving the instructions quietly, then left the ward.
For an unfamiliar case, Zheng Ren felt he had done everything he could; the rest…… leave it to fate.
Accurate diagnosis, proper treatment, are only part of the rescue.
After a long time in clinical work, doctors and nurses develop a sense of destiny.
Fate, indeed, is very important.
Some patients look like they're about to die, yet recover like a cockroach.
Some patients have no issues at all, even able to personally handle discharge procedures, yet collapse outside the discharge window.
Although these are rare situations, they definitely have happened before.
Like the patient before us, this is a rare case among rare cases; Zheng Ren can only do his utmost to save them. As for the outcome, nobody can say for sure.
Others left the ward and got busy; Zheng Ren stood quietly by the bedside, in the darkness, observing the patient's condition.
Muscle tension obviously Relaxation down as the light source and sound source were cut off.
As long as there is no respiratory muscle spasm, that is a blessing, Zheng Ren thought.
The nurse prepared the tetanus antitoxin and hung it up. Because there was no light source, setting up the IV was very difficult, and there was basically no visibility.
Zheng Ren took the IV needle, felt the hand back Vein Vein, blindly punctured, one needle went in, Vein blood flowed back.
After hanging the IV, Zheng Ren did not know whether it was a psychological effect or the drug's effect, but the patient's full-body muscle spasm condition seemed to improve.
Half an hour later, the patient's condition stabilized.
Su Yun pushed over a ventilator, and on the ventilator there was also a white sterile package; Zheng Ren knew this was the equipment for a tracheotomy.
Even if the patient develops respiratory muscle spasms, they can still be rescued.
The most dangerous moment had passed, and Zheng Ren finally breathed a sigh of relief.
Leaving the ward and returning to the office, Chang Yue was explaining precautions to the patient's family.
She explained in great detail and very seriously; Zheng Ren listened to a couple of sentences, felt there were no loopholes, so he relaxedly went to the desk, turned on the computer, and began to ponder what to do if the patient's condition were to break through.
The phone rang, and the sound was somewhat loud.
"Please lower the phone's notification volume a bit." Zheng Ren noticed an omission and instructed.
"Chief Zheng, Chief Zheng, look outside." After the call was connected, the voice of the on-call doctor from the Emergency Department came through.
Huh? What's there to see outside?
Zheng Ren stood up and walked to the office window.
Outside the City First Hospital Jizhen Da Lou, many people gathered, surrounding a person to watch.
The person in the middle held up a large red banner with both hands, and the banner seemed to have many words written on it, absolutely unlike an ordinary banner, only writing "Expert of the Apricot Grove, miraculous healing hand".
What's going on?
+++++++++
After tossing about for a day and a half, I finally returned home.
The tetanus bacillus infection patient I wrote about is the only case I have encountered and treated in nearly twenty years of my career; the feeling of success is quite good.
End of Chapter
