Xu Yongchang placed his hands on his chest and stared at the ceiling with his eyes wide open.
The patient in the same room played with his phone for a while and realized that Xu Yongchang was still the same as an hour ago. He could not help but ask curiously, "What are you looking at?"
"Rest for a while." Xu Yongchang's lips were dry, and he had no intention of drinking water. He understood the principle of preoperative food and water deprivation. The white paper used by the Ling Treatment Group also stated clearly that if the patient could not complete the preoperative food and water deprivation, the surgery would be postponed to meet the requirements of food and water deprivation.
The patient in the same room looked at the phone screen and raised his head. He said, "Why don't you read or play with your phone for a while? You don't like it? "
"Why don't you sleep for a while?"
"I can't sleep."
"That's true. You've been sleeping for a day. " The patient in the same room chuckled and ended the conversation. He lowered his head and commented in his heart, 'Idiot.'
Xu Yongchang coughed again and adjusted his position. He stared at the ceiling and had countless thoughts in his mind.
"Bed 42. Is the patient's family here? "The nurse walked in with a notebook.
"They're coming soon." Xu Yongchang did not move. He did not want to show that he was too tired, and the action of sitting up would easily show his fatigue.
The nurse nodded and said, "The patient's family must sign the informed consent form. Also, remember to let your family take the test too. "
"Family members have to take the test too?"
"Of course. Otherwise, what if the family members do something wrong when you're asleep?" The nurse said and reminded him again, "If the family members are here, let them come to the nurse's station."
"Okay." Xu Yongchang watched the nurse leave before he took out his phone and sent a message.
Not long after, a middle-aged man in his forties walked into the ward.
"Brother," Xu Yongchang called out, but his throat seemed to be blocked, and he could not say anything.
"It's okay, I'll help you with the procedures." Xu Yongchang's brother spoke quickly. He asked a few questions and ran out.
When he appeared again, the nurse followed behind him.
"Bed 42, prepare for surgery." Nurse Niu, who was the oldest among the nurses on duty today, came over with a serious expression and started to tidy up.
Xu Yongchang looked at the gloves the other party was wearing and felt weak all over.
There was a feeling of tension and relaxation.
"Follow the family members," Nurse Niu instructed again.
"Oh." Xu Yongchang's eldest brother lowered his head and followed.
Nurse Niu led the way out of the ward. She did not go straight to the elevator. Instead, she went to the meeting room next door.
When Xu Yongchang saw this, his expression changed. "Didn't you say that you're going to have surgery?"
"Let's talk before the surgery." Nurse Niu did not waste any time and pushed Xu Yongchang into the operating theater.
Xu Yongchang's elder brother could only follow him in.
In the room.
Zuo Cidian and Ling Ran sat in the meeting room. They were both dressed in large white coats, and there were medical records in front of them. They looked very serious.
Seeing this, Xu Yongchang's expression changed slightly, "What do you mean?"
"Mister Xu Yongchang, right?" There was no smile on Zuo Cidian's face.
"Yes, it's me." Xu Yongchang raised his chin.
"Mister Xu Yongchang, the results of the blood sample we took from you this morning are out. The report shows that you are HIV positive." Zuo Cidian paused for a moment and asked, "You know about HIV, right?"
"Yes, it's AIDS." Xu Yongchang's expression was indifferent and indifferent.
Zuo Cidian clenched his teeth and held back from cursing.
Hiding the history of AIDS was a huge threat to surgeons like them.
It was very common for doctors to cut their own hands with scalpels on the operating table. The most common situation was when the needle pierced the doctor's finger during suturing. This was just like how women who used to do needlework in the past would often have their fingers pierced by needles. Sometimes, it was not possible to avoid injuries just by being skillful.
The only difference was that when it came to ordinary patients, it would not be a big problem if the finger was pierced by a needle.
However, when it came to operating on AIDS patients, the risk of occupational exposure would be greatly increased.
In fact, there was no need for there to be a wound. If the patient's bodily fluids splattered and got into the doctor's eyes, the cornea would directly absorb the virus in the patient's body.
As for why the patient's bodily fluids would splatter, think about it. When a burly man who was digging his feet squeezed out the pimples on his face, there might be a possibility that the patient's bodily fluids would splatter in vain. So, it was not strange for an invasive surgery to have bodily fluids splatter.
Even though there was soap, disinfectant, zidovudine, lamivudine, and other drugs that could be used after occupational exposure occurred, risks were still risks. If a surgeon knew about it and had multiple layers of protection, it could still be tolerated. However, if the surgeon did not report about it, he would be putting the surgeon at unnecessary risk.
Zuo Cidian used twenty years of experience in enduring humiliation to suppress his anger.
Ling Ran looked at Xu Yongchang, and his expression was much calmer. He asked, "Mister Xu Yongchang, when you have HIV, the risk of your surgery will also be greatly increased. Do you understand this?"
Xu Yongchang had imagined all kinds of scenarios. He would curse loudly, go against the law, and punish the world …
The only thing Xu Yongchang did not expect was that Ling Ran would be so calm.
Xu Yongchang was stunned for a moment before he slowly said, "I understand."
"Compared to ordinary patients, the recovery ability of HIV-positive patients is much weaker. Therefore, after arthroscopic surgery, the recovery of the nerves may also be very slow, or even not recover at all. Do you understand? "
"I understand."
"Your heart, lungs, liver, kidney, and other internal organs may face the possibility of intraoperative failure. The probability of sudden symptoms of cardiovascular and cerebrovascular diseases is much higher than that of ordinary people. We can't rule out the possibility of heartbeat and respiratory apnea … Do you understand?"
"I understand."
Ling Ran said a bunch of things again. Xu Yongchang agreed to almost everything he said.
Ling Ran then looked at Xu Yongchang deeply and asked, "Do you still want to continue with the surgery?"
"Of course …" Xu Yongchang was puzzled and asked, "Are you still willing to do it for me?"
"We will wear a full set of protective clothing for the surgery. Also, I will arrange for a doctor from the Department of Infectious Diseases to come for consultation. As a result, the cost of medical treatment will be higher than that of ordinary people. "Ling Ran's tone was relaxed. After he finished speaking, he stood up.
While Xu Yongchang was still puzzled, he could not see Ling Ran anymore.
Zuo Cidian was left behind. He cleared his throat reluctantly and said, "Family members, come over too. I'll tell you about the things you need to pay attention to, and then we'll take the exam. The exam booklet for HIV patients hasn't been made yet, so you can just memorize it yourself … First of all, your surgery will be the last one today, so it'll be convenient for us to carry out a comprehensive cleaning of the operating theater after the surgery … "
Xu Yongchang and his brother looked at each other and listened very seriously.
Not every hospital and doctor was willing to operate on HIV patients, and HIV patients often fell sick. In the past, Xu Yongchang had to go to the Centers for Disease Control and Prevention or designated hospitals. Now that the scope of medical treatment had increased, he still heard a lot of rejections.
The most common suggestion was to go to other hospitals for treatment, and the second was to persuade them to receive conservative treatment.
For example, Xu Yongchang's knee had been injured for a long time. The recurrent inflammation was even more torturous for him.
However, the advice Xu Yongchang received was always conservative treatment.
Xu Yongchang had no choice but to hide his condition and go to Yun Hua Hospital.
"About that … I was going to tell you when the surgery started," Xu Yongchang explained in a low voice.
Zuo Cidian did not give Xu Yongchang a friendly look and said, "You have your difficulties, and I have my professional ethics."
Zuo Cidian turned around and continued to explain the surgery in a calm tone.
Operating theater.
Chaos was the best way to describe it.
Compared to the calm in the meeting room, the nurses and doctors in the operating theater did not need to hide their fear.
In fact, the nurses' emotions were quite stable. After all, they would not come into direct contact with the patients, so the risk of occupational exposure was relatively low, especially when they had comprehensive protective measures. They did not need to worry too much.
However, the doctors were in a much more dangerous situation.
If it was an experienced attending physician or associate chief physician of the Emergency Department, they might be able to calm down, but the Ling Treatment Group, which was mainly made up of resident doctors, did not have this kind of mentality.
This was especially so for the three interns who came for their internship. When they saw the protective clothing, they trembled.
Only Ling Ran checked the operating theater in an orderly manner, then looked at the three interns and said, "As long as they wear the protective clothing correctly, the probability of being infected by AIDS is very low."
"How low?" Guan Fei's teeth chattered.
Ling Ran thought about it and said, "I don't know."
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