Chapter 2988: with translation of chapter title
A patient covered in blood and flesh was sent into the emergency resuscitation room; the nurse connected the ECG monitor, checked vital signs, and Zhou Litao immediately placed the stethoscope on the patient's anterior chest.
The patient had weak breath sounds on the left side, suggesting a traumatic pneumothorax.
"Call thoracic surgery, tell them to come down right away!" Zhou Litao shouted immediately.
His voice drowned out the patient's family's crying, and a nurse immediately ran to make the call.
Zhou Litao continued listening, heart sounds…… My god, how can it be so weak! Zhou Litao froze for a moment. Normally, in a pneumothorax patient, gas in the pleural cavity causes hypoxia, and heart sounds should strengthen in the short term.
The patient had weak breath sounds but still had spontaneous breathing; it was only multiple left chest wall rib fractures and a left traumatic pneumothorax—how could the heart sounds be so weak!
At that moment, a surge of adrenaline and dopamine was released, wiping away all of Zhou Litao's fatigue, and he began to search for the faint heart sounds.
In the end, Zhou Litao discovered that the patient actually had dextrocardia… a false alarm.
"Blood pressure, 80/40 mmHg; heart rate, 115/min; oxygen saturation 92% on oxygen." The nurse reported efficiently.
"Has the bedside ultrasound arrived?" Zhou Litao asked.
"Here it is, here it is!" The emergency ultrasound doctor had already pushed the machine to the doorway.
Multiple left rib fractures likely accompany a splenic rupture; the patient's low blood pressure suggests significant bleeding, and a splenic rupture diagnosis is unavoidable.
Sure enough, just as Zhou Litao had anticipated, the patient's spleen was ruptured. Compared to that, the more serious condition was the patient's traumatic pneumothorax; calling thoracic surgery to admit the patient was quite normal.
A few minutes later, Fang Lin came down in an isolation gown, jogging lightly; it looked like he had been called down from the operating table.
"What's the situation?" Fang Lin asked hurriedly as he ran in.
"Auscultation revealed left traumatic pneumothorax, ultrasound showed splenic rupture, and oh right, dextrocardia." Zhou Litao quickly said, picked up the ECG monitor, placed it on the cart, and handed it to Fang Lin.
Fang Lin didn't hesitate, grabbed the patient and ran; regardless, first go back and place a chest tube to resolve the breathing issue, then talk. A splenic rupture won't kill the patient immediately; it just requires urgent surgery.
After cleanly and efficiently sending the patient away, Zhou Litao let out a sigh of relief.
The nurse began cleaning up the scene, while Zhou Litao wondered how Doctor Chang took a medical history.
Before, there was a girl with abdominal epilepsy who wanted to jump off a building; that time I didn't take a detailed enough medical history. He always remembered what Zheng Lao Ban and Yun Ge'er said—family history, which he previously didn't emphasize much, he now asks about every time.
Although the answers were usually similar, Zhou Litao wasn't rigid; he knew what he should do.
Wanting to observe Doctor Chang's workflow and see if he could learn something, Zhou Litao had something on his mind, walked quickly, rushed to the observation room door, only to see Chang Yue holding her phone and walking out.
"Yes, exactly like that."
"Are you guys even capable? You run off to look for the source of illness without even asking about the medical history—can't you be a bit reliable! Are you even doctors!"
Chang Yue said this without changing her expression. Hearing it, Zhou Litao felt the hairs on his back stand up. It must have been her speaking to Yun Ge'er, actually saying that Yun Ge'er wasn't reliable…
Tsk tsk.
"Doctor Chang." Zhou Litao said respectfully.
"Manager Zhou, I'm done here, I'll be right back, thank you." Chang Yue said politely, as if she had become a completely different person from before.
"What did you find out? How could it be so fast?" Zhou Litao asked quietly.
If Doctor Chang refused to speak, then forget it; he warned himself not to ask more. Seeing Doctor Chang scold Yun Ge'er for being unreliable with a stern face, Zhou Litao thought that if he angered Doctor Chang, he'd likely get a severe dressing-down.
"Oh, ten-plus minutes, enough—we three asked together." Chang Yue took out a paper listing many food names.
"Are you asking what the kids ate? I asked before, each person's lunch was different, there didn't seem to be any common point." Zhou Litao said doubtfully, "Even the staple foods varied—buns, steamed bread, and rice."
"Oh, the common point isn't in the food." Chang Yue said casually, "They all drank a beverage from the same drink machine after their meals; I suspect it's related."
"A drink?" Zhou Litao blinked.
"An orange juice machine, the kind that squeezes fresh oranges inside—you haven't seen one?" Chang Yue looked at Zhou Litao, somewhat surprised, asking, "You can insert coins or scan a code; it's very convenient."
"……" Zhou Litao shook his head blankly.
"You put washed oranges into the machine, insert a coin, and fresh juice comes out." Chang Yue explained in one sentence.
The Inpatient Chief is truly pitiful, Chang Yue thought; not even having seen such a juice machine—how long has he been cut off from the world?
No matter what, you can't let the Inpatient Chief be that, nor let Su Yun be that. Uh, that guy is now a professor, and Chang Yue instantly thought of countless things.
……
……
"Juice?" Zheng Ren heard Su Yun finish, doubtful, saying, "Isn't it oranges? It contains a lot of copper."
"Never mind, open it and take a look."
The three followed Chang Yue's directions to find the fresh juice machine; looking at the machine over a person tall, Su Yun patted Lao Fan's shoulder, saying, "Lao Fan, it's your turn."
Fan Tian Shui grinned, found the orange loading slot, placed his hand on it without appearing to exert force, and pulled open the box.
"Lao Fan, you're doing magic!" Su Yun praised.
"Hidden strength." Fan Tian Shui said with a smile.
Su Yun smiled; he and Fan Tian Shui had learned this—during liver transplants, the technique for cardiac compression via the diaphragm is exactly his method. But he had only practiced it for a short time, and naturally couldn't compare to Lao Fan's childhood kung fu.
The juice machine's raw material box held a dozen or so oranges; Zheng Ren picked one up and examined it carefully, seeing nothing different.
"Boss, you're holding the orange up to the light—are you looking for anti-counterfeit marks?" Su Yun's weird remark came instantly.
"Let's have the CDC test it." Zheng Ren also knew he couldn't tell the ziwu maoyou cycle—after all, oranges don't have a system panel.
Each of the three people loaded a few oranges, preparing to take them back for testing. The door of a nearby classroom opened, and several little boys rushed out, but seeing Zheng Ren and the other two holding oranges, they all froze.
The little boys shoved each other a bit, after a few seconds one little boy coughed, then walked forward with a solemn expression.
"Uncle, stealing is wrong." The little boy said loudly.
Although he had mustered his courage, the tremor in his voice betrayed his inner fear.
Zheng Ren smiled, and Su Yun felt a bit embarrassed.
"Uncle, put the oranges back, please. If you want a drink, I'll treat you—okay?"
End of Chapter
