The Enhanced Doctor-Chapter 550, Emergency Rescue Accidents

(Thanks to book friends 110316151302234, and A Man’s Generosity v is Stargazing and Ocean for the monthly ticket support)

"Director Bao, we can confirm the diagnosis now; Factor VIII is at 31%," Liu Banxia said after knocking and entering Zhou Shuwen’s office.

"Should we keep him here or transfer him to our hematology department? Is there a large amount of intra-abdominal bleeding?" Bao Hui asked.

"So far, the amount of bleeding doesn’t appear to be substantial, but we don’t have experience caring for hemophilia patients. We still need you to make the decision on this," Liu Banxia replied.

"Vice Director Zhou, you’ve got yourself a truly perceptive disciple," Bao Hui said with a smile.

"Haha, you’re the one who was called for the consultation. I won’t interfere," Zhou Shuwen also chuckled.

"Then let him stay with your team; it will give them some experience. Satisfied now? I’ll come over later to write the medical orders, so the patient isn’t inconvenienced further," Bao Hui stated.

"However, it would be best to have the patient’s mother undergo screening as well. As she gets older, she will inevitably develop some conditions. If she were to need surgery and this factor was overlooked, it could become dangerous."

"This type of hemophilia often results in bleeding after major surgeries. He only had a small incision appendectomy, and there wasn’t much bleeding during the procedure. Still, we need to be vigilant; the bleeding might increase over time."

"Additionally, his recovery period will be longer, so he needs to maintain a light diet and get adequate sleep. And because the wound will take a long time to heal, we also need to be careful about potential infections."

"Other than these points, there isn’t much else to worry about. Let’s start the treatment and see. Perhaps the initial medication will be effective, shorten his recovery period, and reduce his suffering."

Liu Banxia quickly nodded.

"Vice Director Zhou, we’ll leave it at that for now. Banxia and I will go to the patient’s room to see him," Bao Hui announced.

"Good. You should provide more guidance; our foundation in this area is somewhat weak," Zhou Shuwen responded.

They left Zhou Shuwen’s office and went to the patient’s room, where the patient and his wife looked anxious again.

"This is the Chief of our hospital’s Hematology Department, Director Bao," Liu Banxia introduced.

"Hello, Director Bao," the patient hurriedly greeted.

"You probably have some suspicions now, right? Inform your mother later and have her screened as well. They will check not only Factor VIII, but a genetic test will also provide more accuracy," Bao Hui nodded.

"But don’t worry. Judging from your pre-surgical examination and post-operative condition, it’s not too severe. We will proceed with treatment adjustments later to see if it helps your body."

"The only mental preparation needed is that your discharge will be appropriately extended. Moreover, this is considered a special category illness, so the medical insurance reimbursement rate will be somewhat higher."

"Try to relax; your situation really isn’t serious. But even after you recover this time, we will need follow-up data. I’ll explain everything in detail then. For now, you’re probably not in the mood to listen to more."

"Rest assured, although this disease cannot be completely cured, it won’t be a major problem if you take precautions in your daily life," Liu Banxia added.

At this moment, what the patient needed most was comfort. This was a genetic disease, not something that could be avoided simply by being more careful. It was unlike diseases contracted due to unhealthy habits; those kinds of patients sometimes needed a degree of criticism, or else it would be hard for them to learn their lesson.

After coming out, Liu Banxia also gave Zhou Li, the soon-to-be head nurse, further instructions. As the emergency center’s first hemophilia patient, he required a high level of attention.

Returning downstairs, Liu Banxia sighed.

This was indeed the first hemophilia patient he had encountered; even during his residency in the inpatient department, he hadn’t come across such a case. What made him sigh wasn’t the disease itself, but the potential medical disputes it might lead to. It was a fear in retrospect, even stronger than the urgency of emergency surgery. He knew that if the APTT was only slightly elevated, he usually wouldn’t pay it much mind. However, given this particular patient’s hemophilia, if he had overlooked it, he would undoubtedly be held responsible. Even if the diagnostic criteria were met and the patient’s relevant medical history had been questioned, it would only have exempted him from primary responsibility, not all of it.

"Dr. Liu, we have two car accident patients en route. One of them, a thirteen-year-old, has a chest wound from an iron skewer," a dispatch nurse called out.

"Call cardiothoracic surgery. I’ll take the child. Dr. Shi, you take the other patient. Dr. Wei, please cover for me and manage things here," Liu Banxia instructed.

"Alright, I guess you’ve been bored lately and itching for some action," Wei Yuan nodded. 𝒇𝒓𝙚𝒆𝔀𝓮𝓫𝒏𝓸𝙫𝓮𝓵.𝓬𝙤𝙢

After a while, two ambulances arrived, sirens wailing.

"The patient is thirteen years old. A barbecue skewer diagonally penetrated his right chest; his vitals are temporarily stable," said the paramedic pushing the child’s gurney.

"Resuscitation Room One. Don’t be afraid, you’re at the hospital now. We can handle anything here," Liu Banxia reassured him.

The child nodded.

"Ruirui, Ruirui..."

As the boy was being pushed into the resuscitation room, a woman wheeled in from the second ambulance cried out desperately.

"Please calm down. The child’s vitals are quite stable at the moment. He’s in the hospital now, and we’ll take care of him. Did you hit your head? How are your vital signs?" asked Dr. Shi, who was attending to her.

"Scalp laceration, bleeding controlled with a bandage at the scene, vitals stable. She’s the mother of the young patient we just brought in," the paramedic explained.

"Doctor, please save Ruirui! I can’t live without him!" the patient cried, grabbing Dr. Shi’s arm.

"Rest assured, I will notify you of his results as soon as possible. Now, I need to treat you. Your head wound looks quite significant," Dr. Shi said.

"I’m fine, don’t worry about me! Please, save Ruirui, he’s my everything! I shouldn’t have taken him out," the patient cried.

"Don’t worry. We have four doctors examining him right now. I just heard his vital signs are stable, and it appears no vital organs were injured. Please, try to be at ease," Dr. Shi reassured her.

After listening to him, the patient calmed down somewhat, though her gaze remained fixed on Resuscitation Room One.

"Let me examine you first. Are you experiencing any dizziness or headaches? Please look at my flashlight," Dr. Shi asked.

The patient shook her head.

"Liu Yiqing, auscultate her heart and lungs, and perform a trauma assessment," Dr. Shi directed.

"Doctor, please check on Ruirui, I... Ugh... I’m going to..."

Halfway through her sentence, the patient started retching.

After the patient finished retching, Dr. Shi quickly performed an auscultation.

"Her heart and lung sounds are normal for now. Let’s send her for a head CT first, and then we can suture her head wound," Dr. Shi said.

"Doctor... doctor..."

The patient grabbed his sleeve again.

"Don’t worry. You get your examination first. I’ll go check on Ruirui right now, and then I’ll have Dr. Liu Yiqing update you through her," Dr. Shi said patiently.

The patient seemed to calm down a bit more.

"Liu Yiqing, process this urgently," Dr. Shi instructed.

Liu Yiqing nodded.

He had to fulfill the promise he made to the patient; otherwise, she might not calmly accept treatment.

"How’s the child?" Dr. Shi asked upon entering Resuscitation Room One.

"This is a very lucky boy. Based on the current X-rays, the skewer grazed his lung lobe as it went in. It’s about four centimeters deep, so it probably didn’t damage any organs," Liu Banxia said with a smile.

"Yeah, that was really dangerous. The boy reacted quickly and braced himself. But from now on, when you eat meat skewers, make sure you’re sitting down properly. Never eat them while riding in a car," Chen Xuehai added with a smile.

"School is about to start, and my mom wanted me to have some fun. But we had to hurry back because of business at the shop," the young patient replied.

"You’re a sensible boy; kids like you always have good prospects. However, you must try to stay as still as possible right now to avoid causing any secondary damage to your lungs," Liu Banxia said.

"This doctor here will carefully remove the skewer soon, then disinfect and debride the wound. Don’t worry, it won’t hurt much. It’ll only sting a little when he administers the local anesthetic."

"Doctor, can...can I be under general anesthesia?" the young patient asked.

"Haha, for a small thing like this, there’s no need for general anesthesia. Local anesthesia will be enough," Liu Banxia said.

"Actually, it’s just a bit deep. If it were only one or two centimeters, we wouldn’t even need local anesthesia. But the skewer has oil and salt on it from the barbecue, and there might be bacteria, so we need to clean the wound thoroughly."

"But rest assured, this is a minor issue. For this uncle here," Liu Banxia said, gesturing to Chen Xuehai, "it’s just a matter of minutes. You’ll be fine by the time school starts, and you’ll have quite a story to tell."

"Doctor, how’s my mom?" the young patient asked.

"Your mother’s head wound just needs suturing. However, due to the impact, she has a concussion to some degree, so she needs a CT scan. I’ll inform her about your situation soon; otherwise, she’ll keep worrying," Dr. Shi replied.

"Thank you, Doctor," the young patient said politely.

"Ah... if only all our patients were as sensible and well-behaved as you," Liu Banxia sighed.

"It’d make the job so much easier; we wouldn’t have to worry so much. So, how about it? When I touch you here, what do you feel? Is it getting numb yet?"

"It is, but I can still feel your finger pressing there," the young patient said.

"Good, let’s wait a little longer. Don’t be nervous, just keep chatting with me," Liu Banxia said, then moved to stand by the young patient’s shoulder, blocking his line of sight.

"Alright, let me check if the anesthetic has taken full effect," Chen Xuehai said.

"ACHOO!"

Just then, the young patient let out a huge sneeze, his upper body jerking up. Before he could lie back down, Liu Banxia quickly supported him.

"How does your chest feel now?" Chen Xuehai asked nervously.

"It hurts a bit... it keeps hurting," the young patient replied.

Everyone in Resuscitation Room One felt their hearts sink. The sneeze must have caused the tip of the skewer to scrape something internally.

This was a completely unexpected development, but it had already happened.