Back to the Republic of China as a doctor

Chapter 82. 80. Hate

When Qiao Deng was picked up by his colleagues, Jiang Lai had already led people to check the house.

Those who should be training let Shell go to class, and those who should deal with daily work handle daily work. Except for the office being a little crowded, everything else seems to be fine.

All in all, Jiang Lai was quite satisfied. He looked at his schedule, he was recruiting tomorrow, and he had to prepare some cases when he returned home.Then, I went to the emergency room and saw the first patient who called for help, a tall white man.

Jiang Lai was not surprised by this.

Although his original intention of setting up the emergency medical team was to save more people on the battlefield in the future, those who can make emergency calls for help are generally either rich or expensive.

"What's the situation?" Jiang Lai walked over, saw that the nurse had given oxygen, and asked Yu Wen.

"Patient Jordan, male, 42 years old, accidentally fell down while running in the morning, the heart sound was normal, the breath sound of the left lung was slightly weak, the upper abdomen was mildly tender, no rebound tenderness, and the bowel sounds were slightly active. When he first arrived at the scene, the blood pressure It was 94/62mmHg, and now at the hospital it is 88/60mmHg, the heart rate is in the normal range, I am not sure whether he is born with low blood pressure or has other conditions, I am going to take a film first." Yu Wen briefly explained the situation.

"Row."

The imaging examinations in this era still only have X-rays. Jiang Lai naturally didn't object, but just to be on the safe side, he added, "In addition to chest X-rays, abdominal ones should be placed in supine and lateral positions."

"Ah."

……

"Broken ribs after 6, 7, and 8?" Seeing the film, Jiang Lai was stunned.

Can running break these three ribs?Did it fall from a height?

Moreover, there are pneumothorax and effusion, which are obviously serious cases, so I looked at Jordan, "Mr. Jordan, can you describe the situation at that time in detail?"

Qiao Deng is still conscious, but his face is still painful, "Doctor Jiang, I just didn't pay attention to the direction when I was running. I fell and fell from a flower bed above...to the road below."

Jiang Lai rolled his eyes inwardly, a flower bed above fell to the road below, are you running without looking at the direction?Are you flying?
Then, I saw the supine and side-lying films of the abdomen, and there was indeed effusion.

"Take your blood pressure again."

"82/56mmHg!"

As soon as the blood pressure value came out, both Yu Wen and Charlie noticed that something was wrong. Although the blood pressure did not fluctuate greatly for three times, it was dropping every time.

"Mr. Jordan, where is your family?" Jiang Lai asked the patient, "You have three fractures in your ribs, and you have pneumothorax, which is the reason why your breathing is uncomfortable. There is also fluid in your abdomen, and the possibility of abdominal bleeding cannot be ruled out. , Surgical exploration is required, and the signature of the family members is required for the operation.”

"My wife is at home. I informed her when I asked someone to call the hospital. She should be on her way." Jordan explained, although he didn't understand why he hadn't arrived for so long.

Jiang Lai immediately made a judgment, "Prepare for surgery and go to the emergency department."

"Row."

……

It was indeed an emergency. After the preoperative preparations, the blood pressure was measured again, and it was 70/50mmHg. There was no doubt that there was bleeding.

However, the family members still hadn't arrived, so they had no choice but to ask the patient to sign, and then they were pushed into the operating room and given anesthesia.

During laparotomy, it was found that the hilum of the spleen was ruptured, and the fissure was partly blocked by a blood clot, so there was no massive bleeding.

"I don't know if he's lucky or not." Yu Wen sighed helplessly, and ran for a walk, no, probably because he jumped down from the upper flower bed out of fun, and got hurt in the end.

Logically speaking, most patients with spleen injuries would bleed profusely, but for him, the fissure was blocked by a blood clot, so he did not bleed profusely.

Jiang Lai didn't know what Qiao Deng's luck should be, so he took off the spleen smoothly, then washed the abdominal cavity, absorbed the washing fluid, and probed a bit before shutting down the abdomen together with Yu Wen.

However, Jiang Lai, Yu Wen and the others were very surprised when the operation was over and the family members were still missing.

"After the anesthesia wakes up, send it to the ward first, and ask the nurse to pay more attention."

"it is good."

……

Just after leaving the operating room, Xia Yu notified Jiang Lai again, "Dr. Jiang, there are two patients with amputated limbs..."

"Two?" Jiang Lai frowned, changed into a white coat and went to the consulting room. At this time, Li Shu had already led others to stop the bleeding.

A severed finger, a severed wrist... The tissue was pulled so badly that it looked like a mechanical injury. Both of them had Chinese faces and were dressed plainly.

At this time, Jiang Lai felt that he had to take back the thought he had in the morning, he shouldn't have that kind of thought.

Seeing Jiang Lai, Li Shu also explained his condition, "Both are workers, working in a factory. The one with the severed wrist is called Shen Jiu. The one with the severed finger is called Niu Tian. , he was sitting next to Shen Jiu, and when he saw it, he wanted to pull it... In the end, we suffered together."

"The accident happened about two hours ago."

"Shen Jiu, male, 32 years old, his right wrist was almost completely severed; Niu Tian, ​​male, 29 years old, his right index finger and middle finger were completely severed below the middle joint."

Jiang Lai was silent, this security awareness... Forget it, it’s useless to talk about it, the thing has already happened, "Is the family member here? Or is the person in charge?"

Both of them shook their heads.

"How did you get here?"

"We are injured, but...the boss is not willing to give us money for medical treatment. He only knows that his hand is broken, and only Dr. Jiang from Tongren Hospital..." Shen Jiu lowered his head, a little embarrassed, and his tone was nah, he felt, I am really embarrassed to see a doctor without money, "But don't worry, Doctor Jiang, we will definitely pay back the money in the future!"

"Yes, Doctor Jiang... We will definitely pay back the money. No matter how bad it is, you can connect Lao Shen's hand. I just have two fingers... It doesn't matter if I don't." Niu Tian stood up abruptly, his tone agitated, "He That's the right hand... he can't work without the whole right hand, but please..."

"Surgical preparations, but you have to sign before the surgery." Jiang Lai's tone was serious. There are not many conscientious bosses at this time.

What made his mood even more complicated was that these two people still felt guilty because they had no money to see a doctor. Shouldn't they fight for their own rights?How can these two people be counted as work-related injuries?

He didn't know what mood he was in, was he angry?

A little.

He hated the two for not fighting.

Sympathy, and some.

He felt that these two people were indeed pitiful, not only for the accident, but also for their future recovery.

"We can't write." Shen Jiu said.

"Just a fingerprint." After finishing speaking, Jiang Lai walked out first, and then said, "You can let Xie Er organize people to come and observe."

"Okay." Li Shu agreed.

To put it bluntly, the purpose of these people coming here is to learn the techniques related to the replantation of severed limbs. Before that, Li Shu thought that there were not many patients, but as a result, only two came here.

……

"There will be a severed wrist and a severed finger in a while. Dr. Jiang and Dr. Yu should be the surgeons respectively. Who do you choose to observe?"

"I'm sure Dr. Jiang!"

"Actually, it's almost the same. Since Dr. Yu can perform the surgery, he must have been certified! If too many people choose Dr. Jiang, then I'll go see Dr. Yu."

Since Schell announced the two surgeries a while ago, the people he trained in the class have been discussing, and they all seem to be very excited.

　Chapter 8, as titled.

　　There are two more chapters~
　　It will still be late.

　　
　
(End of this chapter)