To be fair, if there are skilled blood transfusion doctors and matching special staplers, even blood transfusion surgery will not be that difficult. The problem is that Song Junxing is not specialized in this. If it is a maxillofacial trauma, he can claim to be the most authoritative expert in this time and space without any humility, but he may not be much better at suturing blood vessels than a senior naturalized civilian doctor like Lao Xie.
"Our requirements for blood transfusion are not high, and we adopt the simplest technology in emergency situations, so even the most inexperienced doctors can complete it on the front line..."
Song Junxing recalled Lin Motian's public guarantee, he couldn't help but pursed his lips, quickly took the instrument bag and walked to the emergency operating room.
"I'm afraid of birds. Let's sew it up first." Song Junxing encouraged himself in his heart. Anyway, in recent years, everyone has been biting the bullet and chasing ducks to get on the shelves.
Preparations for the laparotomy were basically in place, and the large dark green sheet had covered the injured tightly - leaving only one arm stretched far out for blood transfusion.
The sterile conditions of this era cannot be compared with those of the old dimension, let alone the Fire Line Health Clinic in the quasi-public security area. Having a large single shop is already very good. Song Junxing didn't say anything and started to disinfect his arms and spread a towel.
After being sent to the operating room, Chen Ruihe's work ended here - the two second-line doctors were on the operating table, and as a front-line doctor, he had to be busy in the front clinic.
However, the emergency situation is much better now: the reception of the wounded has basically been completed. If the wounded cannot return to the county after dark, they will basically not see the sun the next day. Occasionally, there will be a person who is not seriously injured or has a companion. The lucky ones who took care of them looked at the light of the fire and returned to the county town, while the others just disappeared into the dense forests along the way. The bodies of some people would be found after dawn, while others turned into two words on the certificate: Missing.
Chen Ruihe stretched and glanced into the observation room: Wang Chuyi had been sent to the orthopedics department to prepare for amputation. Thinking of the tourniquet that had never been loosened, Chen Ruihe sighed and shook his head.
It was already early in the morning when Xie Yao completed the laparotomy: the spleen could not be saved, so it was still removed. Lao Xie, whose eyes were red, told the nurse to call me if something happened, opened the door and went to sleep in the duty room.
The night shift was quite smooth. Xie Yao and Chen Ruihe basically got three or four hours of sleep each: Chen Ruihe was already very satisfied with this.
"How do you feel about starting to work independently?" Xie Yao asked as he ate and drank and sat down in the county cafeteria after his shift. Both of them were very relaxed.
"It's okay..." Chen Ruihe said slowly, "It's just too...a bit messy..."
"Are you scared?"
"It was a bit awkward at first." Chen Ruihe was a little embarrassed, "I have seen people injured while working in Guangzhou, but these frontline soldiers were covered in blood, their legs and feet were smashed into pulp, and their flesh was infested with insects. , but much scarier than Guangzhou. If you ask me...this may be disrespectful, it is a bit like the world of the Ming Dynasty."
"You have said this. All the patients in the emergency room are very miserable: the emergency room is the place most like the Ming Dynasty under the rule of the Senate." Xie Yao said with emotion, "Every time I go out of the emergency room, there are It reminds me of the previous days: except for crying and shouting, you can't hear anything else; the smell, there is the smell of feces, urine and rot everywhere, and when you look around, there are people who are almost out of breath. and people who have lost their vitality. You feel uncomfortable, but you can just watch. It is insignificant to do anything. You can't save their lives, you can only watch them die. Just die, but you have to die. You have no personal appearance. No matter you are a high-ranking official or you wear a short brown shirt, you will always look the same when disaster strikes."
"Insignificant...?" Chen Ruihe felt as if his outlook on life had collapsed: "But... the medical skills of the Senate are considered to be the magical skills of life and death, how can it be said to be insignificant?"
"As doctors, we can only cure diseases, but not lives. Although the elders are great intellectuals and powerful men, they are still flesh and blood, and they are not gods. Where in the world is there any magic of life and death of flesh and bone? Even if they have superb medical skills , and there are still incurable diseases!”
"But...but we can't cure our lives, but the Senate can cure us! Chief Lin once said that the people are poor and turbid, and turbidity makes them sick. Isn't this because the world in the Ming Dynasty is not good? Now that the Senate has restored Guangdong and Guangxi, Everyone is having a better time..."
Xie Yao sneered: "According to your words, those who have no worries about food and clothing are better than those who die of hunger on the roadside, and everyone on the road to hell is reincarnated leisurely?"
Chen Ruihe did not answer, but judging from his expression, he agreed with this conclusion.
"This underworld is the most unselfish place in the world. It is not as considerate as the human world. Whenever you treat a sick or wounded patient, when the three souls and seven souls leave the body and the ghost judge comes to take it with a card, it doesn't matter whether you were rich or poor, no matter how high or low you were during your lifetime. It’s all gone, what’s the difference?” Xie Yao said while picking his teeth.
"I was assigned to the army earlier, and the people I picked up were all soldiers from the Fubo Army and refugees from the quarantine camp. Most of them came from poor families, and their life experiences were very similar. It was incomparable. Only when I arrived in Guangzhou did I see what patients from wealthy families were like. "She looks good." Xie Yao slowly recalled: "The first big doctor I received was an old lady from a gentry's family. She was well-dressed and well-fed, but unfortunately she suffered from diabetes..."
"I know this. This is what traditional medicine calls it, but it's actually just diabetes, right? The chief said this is a metabolic disease, which is the most difficult to treat."
"Yes, if it had been delivered to us a few years earlier, the disease should not have reached this level. It cannot be cured. You can always live longer and live more comfortably. But this traditional doctor does not know this There is no way to talk about the pathogenesis of metabolic diseases, and there is no targeted medication. Each person has his own medical theory, and each has his or her own opinion. I have had countless doctors, and I have drank several jars of herbal medicines for more than ten years, but none of them have helped.
"When she was sent to the Provincial and Hong Kong General Hospital, the old lady's diabetic foot disease was so severe that she couldn't touch it, and her feet were so rotten that the bones were poking out of the flesh one by one. On the day she was brought to me, only a thin mouthful of thin skin remained. It’s just anger in the chest.”
"At this point, there is no hope of salvation." Chen Ruihe recalled his course and said.
"It's true. This foot ulcer is a typical case of diabetic ketoacidosis. No one wants to keep this kind of patient. The internal medicine department corrects the acidosis and snatches back half of his life. He throws it into the bone injury and has to take care of two rotten feet; the bones are broken. He didn't want to leave the injury - even if the limb was amputated, it would be difficult to control the infection. He found an excuse and argued that the infection was not under control, and it was suspected to be combined with a stroke, so he left it to me to deal with it. As the saying goes, if there is no filial son in bed for a long time, there will be few in the family. Although the two sons were well-off and willing to spend a lot of money, they did not want to stay in bed for a long time. When they learned that the medical clinic in the Song Dynasty could keep patients in the hospital, they did not care about the nonsense or not, and immediately I went through the formalities and called him in: I guess I just wanted to avoid the old lady! Fortunately, I was willing to spare the money, so I stayed in the ward for a long time.
"This old lady doesn't seem to understand when she comes here, and it's not surprising that the bone injury suspects her of having a stroke. But what can you do if you leave such a seriously ill patient to me? In the end, it's just a half-day effort to send the bone injury to amputation, and then Throw it back to me. The old lady was ignorant. She woke up from anesthesia and saw that her legs were gone. She cried bitterly and no one could stop her. When she got tired of crying, she fell asleep and cried again when she woke up - she was a pampered person. Damn, I’m confused at this time, who can persuade me!
"That's fine, it's the old lady who deserves to suffer. You have also taken a surgical class, so you should know that if you stay in bed for a long time, what miscellaneous diseases will not come out? In a few days, a series of bedsores appeared, and the patient with diabetes , it is easy to get infected and not easy to heal, and soon it will become infected and pus will flow out. Poor old Xie has to change her dressing all day long. The stench is extremely... many times better than the pile of dead people lying under the city of Chengmai back then.
"Diabetes has been going on for such a long time, and there is no hope of kidney function. If you keep it like this for a few days, you will no longer be able to use it. When the time comes to move the bed, you will be unconscious, but you will not know the pain: it saves you. I suffered a little. I went to sort out her remains and saw that she had lost her human form: her face was dull, stinky, her body was covered with flakes of dandruff, and her bed was covered with pus. She was just a pile of rotten flesh! I think when the ghost judges come to take her, they have to frown and cover their noses. , even worse than a ghost, how could he still look like a human being? When he was dying, there was no family nearby, and he died in front of strangers like me. When my family members arrived, they looked relieved, but there was no trace of sadness. Feeling like a thief! On the road there is a mother-in-law and a son and a daughter wailing twice!
"On the day of the death discussion, I told Chief Lin privately that if I were to fall to this level, I would definitely commit suicide and walk away clean and humane. But Chief Lin chuckled: "Wait until you really get to that point. At that time, you couldn't even open your mouth or eyes, and you still wanted to kill yourself? Why are you so capable?
"The so-called 'insignificant' is exactly this: you think you are robbing someone from the book of life and death, but you don't expect me to wait for half a day to dance and use all my magical powers to just grab the judge's sleeve! On the other hand, if you are facing death, When the day comes, what difference will there be between this rich man and the road?"
This call left Chen Ruihe speechless. Life and death are also big things. For a young man like him who followed his parents at a young age and only entered the clinic a few days ago, this is still a topic that he has not touched in depth. He does not want to continue discussing it. .
But there was another thing that he had been keeping in his mind, but he hesitated to ask.
“Mr.
"If that's the case, then all of us here will be punished." Xie Yao pushed the empty bowl aside nonchalantly, "I voted for the Senate earlier, and along with the leaders Zhang, Ning, and He, they fought in the second counter-encirclement and suppression campaign. Serving in Operation Engine—but still working as an assistant to Chief He.
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Next update: Volume 7 - Guangzhou Governance Chapter 433
