Chapter 2952: with translation of chapter title

"Director, I hurt……" the patient lay on the hospital bed, face deathly pale. The paleness was due to blood loss, and also due to fear.

On the operating table, the director kept a stern face and said nothing; even the nurses who had been chatting and laughing fell silent. More and more equipment was pushed in, and they even performed some treatments he didn't know about.

Just thinking about it is terrifying.

"Where does it hurt?" Director Lang asked. His face looked no better than the patient's, equally deathly pale.

"My chest, where you just stuck the needle in, hurts." the patient said, taking a deep breath.

The puncture site hurts, it should be fine, should…… Director Lang silently prayed. Pericardiocentesis, although it has the word "procedure", statistically it's not considered surgery but merely an operation.

Just like closed chest tube drainage, it's merely an operation. The most excessive is the one-time urinary catheterization, which some hospitals still count as a procedure to boost their surgery volume.

But although both are operations, the difficulty of pericardiocentesis is much greater. Director Lang worried about secondary injury, but hearing the patient's description he relaxed a bit; it should just be skin pain.

What should be done? He watched the patient's blood pressure keep dropping, and again ordered to increase the dose of norepinephrine to stabilize the patient's blood pressure.

If that doesn't work, we'll go with iabp; through mechanical action it raises aortic diastolic pressure, increases coronary blood flow and improves myocardial function.

Director Lang made up his mind and had people prepare the iabp equipment.

He carefully looked after the patient, never leaving the operating room, ready to rescue at any moment.

After inserting the iabp from the left femoral artery and undergoing 1:1 counterpulsation, the patient's circulation still showed no improvement, with continuous blood pressure monitoring showing a continuing decline.

This is fucked up; Director Lang lost his idea.

It was already the early morning hours; what should be done? The director had never performed an interventional procedure, merely a pure internal medicine doctor. Now the best at interventional circulation procedures in the whole hospital was himself, with no one to ask.

Director Lang hesitated a moment, then decided to just observe. But after the transfusion the patient's blood pressure showed no sign of improvement, and dyspnea and chest pain were gradually worsening.

He had no choice but to pick up his phone and call the kin hotline.

In Nanshan City, Director Lang's skills are the best; without even mentioning interventional procedures, just saying iabp and doing it is something ordinary people cannot do.

To seek help he could only call a doctor in Di Du; after hesitating, he chose Director Zhang of 912 from the two phone numbers.

Director Zhang has a better temper; I called her late at night hoping she wouldn't get angry. God forbid she's menopausal…… Director Lang muttered to himself, fearing a scolding and that she wouldn't accept this unexpected emergency case.

In fact he was overthinking; when Director Zhang just picked up the phone her voice still sounded almost infinitely sleepy, but the moment she heard that the surgery had caused cardiac tamponade she became instantly alert.

Moreover, Director Zhang was very enthusiastic; she knew Director Lang couldn't handle this, so she immediately agreed.

After agreeing to send the patient to 912 for inpatient treatment, Director Lang felt a bit better. Nevertheless, with all that equipment jostling along the way, he still called the chief director from home to look after things, then rode in the ambulance escorting the patient to the superior hospital.

To save time, en route Director Lang uploaded the patient's data to Director Zhang, including the last cardiac color ultrasound performed.

Director Zhang was wide awake; being dragged up in the middle of the night wasn't the first or second time, and although she could never get used to it, this is what a circulation department doctor must do.

When she was young on duty, whenever a nurse shouted that someone had a problem, she would rush to the ward without even having time to put on her shoes.

Now at least there are about four hours left to look at the images, provided the 120 ambulance doesn't get caught in the early morning rush hour in Di Du.

Because the imaging data from the angiography is large, it can't be sent by phone; Nanshan Shi called to say they had emailed it.

She tiptoed out of the bedroom and turned on the computer.

The angiography looked okay; according to Director Lang's account they had performed pericardiocentesis, and the amount of fluid drained could only be described as moderate.

The blood pressure never rose back up, it kept falling, even with the IABP in place; Director Zhang had her own assessment.

After reviewing the angiography data she checked the echocardiogram and was startled.

The ultrasound looked…… something seemed off.

But she only had a basic understanding of ultrasound, never having studied it in depth; after all, specialty levels in tertiary hospitals are getting higher and higher, and just being able to grasp the basics is already quite good.

The echocardiogram had a problem; who should she get to look at it? Director Zhang's first thought was Zheng Lao Ban.

Yes, not some professor in the echo lab, not Director Qi, but Zheng Lao Ban.

The patient's condition was fairly clear: coronary artery bleeding, likely from a small branch that had already sealed itself as pressure rose. But the patient's state was extremely poor; death could occur at any moment.

Thoracotomy exploration, this is the likely follow-up operation.

Director Zhang had a good relationship with the cardiothoracic surgery department, after all the two related departments each have their own interests.

The cardiothoracic surgery department also wanted to retain some coronary artery bypass graft surgeries; stents aren't omnipotent, they need the circulation department to send patients. In this regard the circulation department is upstream and holds the advantage.

But once this situation arises, the cardiothoracic surgery department must handle the follow-up.

Just among cardiothoracic doctors, whose skill level could match Zheng Lao Ban's? Not to mention Zheng Lao Ban, even Su Yun's level is remarkably high, capable of crushing the opposition.

She thought about it, but Director Zhang still glanced at the time with propriety.

In the dead of night, the patient was sent from Nanshan Shi; it would take 3-4 hours to reach 912, so they should miss the morning rush and have a smooth trip.

She would first check on the patient, then later consult Zheng Lao Ban; that wouldn't be late.

Director Zhang didn't think bothering Zheng Lao Ban would be a big deal; she felt she knew this young doctor well. When faced with a patient needing rescue, she's willing to lose face to treat him. Even Professor Zhang of cardiothoracic surgery has been scolded before, and there seems to have been physical contact as well.

Having made up her mind, Director Zhang first changed clothes, then went straight to the hospital office and slept there until the patient arrived and she was called up.

By then the sky was just beginning to lighten; the patient's face looked like it had been smeared with white paper, deathly white and frightening. The director Lang who pushed in the stretcher was also ashen, and Director Zhang wondered if he too had a problem.

The patient's blood pressure was 62/45 mmHg, still receiving 4 units of red blood cell suspension. Director Lang kept bowing, repeatedly stating the patient's condition and thanks. Meanwhile Director Zhang without hesitation called Zheng Lao Ban to have him come assess the situation.

This is only possible at 912; elsewhere the conditions wouldn't be so convenient.