"Chief Zheng, I called an ambulance but I didn't bring any money. You have money, right?" Chang Yue's voice was still cold.
Zheng Ren yawned loudly. He was angry when he woke up.
If it was an emergency patient, he would not even have time to put on his shoes, let alone be angry. However, when he received a call from Chang Yue early in the morning, her usually delicate but sullen face appeared in front of him.
However, Zheng Ren had always been good-tempered and dispersed his anger.
These guys, did they drink all night … At the thought, he immediately perked up.
F * ck, did they want to die after drinking all night?! Did they really call an ambulance? Did they drink until their stomachs bled?
"Yes." Zheng Ren was nervous. "How are you? How is Su Yun? "
"I'm fine. I'm quite energetic and feel like I can go straight to work. Su Yun drank too much and fell, but it shouldn't be a big deal, "Chang Yue said.
Zheng Ren was slightly relieved, but he cursed in his heart. How could these two annoying guys drink all night?
"Chief Zheng, I also picked up a patient, a middle-aged man with a plank abdomen. What do you think?" Chang Yue finally revealed the most important part of the call.
"Go to the emergency department. I'll go take a look." Zheng Ren immediately changed his shoes, put on a white coat and went straight to the emergency department.
As soon as he left, he turned around and took out 200 yuan from his wallet, stuffing it into the jacket pocket of his isolation suit.
The first-aid ambulance was not free of charge. Based on the distance of each visit, the fee would vary. Even if it was a family member, there was nothing to take advantage of. After all, for a hundred yuan or so, he had to use Old Chief Physician Pan's reputation. He could not afford to lose face.
The crayfish restaurant was not far from the hospital. When Zheng Ren arrived at the emergency department, the ambulance arrived as well.
Two stretcher trolleys were pushed over and Su Yun was carried. After drinking too much, he behaved quite well. He curled up into a ball and mumbled something indiscernible from his mouth.
Chu Yanzhi followed beside him with a helpless expression.
"I tried to persuade him but I couldn't," Chu Yanzhi explained as if it was all her fault.
"It's okay." Zheng Ren comforted her.
Zheng Ren glanced at the System panel and saw acute alcohol poisoning … How much did he drink to get alcohol poisoning?
"Send him to the emergency ward. Inject him with Naloxone, 500 grams of sugar and two vials of vitamin C," Zheng Ren instructed Chang Yue.
Chang Yue was stupefied. She took the elevator upstairs with the caregiver. Chu Yanzhi followed behind Chang Yue happily. Compared to Chang Yue, she was like a child, even though they were about the same age.
After walking away, Zheng Ren noticed that Chang Yue's bare feet seemed to have been soaked in water. Every step she took left a footprint.
One had alcohol poisoning, while the other had lost his shoes … Damn! Zheng Ren cursed in his mind.
However, that was not important. The patient with the plank abdomen was Zheng Ren's main focus.
There was a man lying on the other stretcher trolley. He had a large frame but was very thin.
Zheng Ren glanced at the System panel. The mark on the upper right was blood-red, similar to the one on the day of acute nitrite poisoning.
Acute gangrenous appendicitis and septic shock.
Endangered!
He sped up and pushed the stretcher trolley to the emergency resuscitation room. As he ran, he shouted, "Get the ultrasound room to set up the bedside table. Prepare a monitor and get oxygen."
In the resuscitation room, two nurses on the night shift removed the patient's coat and installed an ECG monitor.
Zheng Ren checked the patient's body and felt a burning sensation when his hand touched it.
Fortunately …
Fever was normal in patients with toxic shock. However, if there was no fever, it would be clinically known as cold shock. It was time to tell the family to prepare for their funeral.
The patient was still feverish, which meant that the body's immune system could still function normally. Although it was dangerous, it was not the most dangerous.
His heart rate was 130 beats per minute and his blood oxygen saturation was only 93%. His abdomen was like a hard plank that could not be pressed.
This was a classic sign of peritonitis. Inflammation stimulated the peritoneum, causing abdominal muscle tension, also known as plank abdomen.
It was commonly seen when hollow organs ruptured and digestive juices flowed into the peritoneum. Or when solid organs ruptured and bled, blood stimulated the peritoneum.
The doctor from the ultrasound room quickly rushed over with a trolley. As he swiftly applied the coupler on the patient's abdomen, he asked, "Patient's name."
Since there would be a report later, the patient's name had to be asked. This was standard procedure. Otherwise, it would be a big deal if the report was wrong and the patient's treatment was delayed.
"Anonymous, male, 35 years old," Zheng Ren reported casually after studying the patient's facial features and estimating his age.
"Mass in the lower abdomen. I think it's an abscess around the appendix or a perforated appendix. There's a lot of gas in the other parts of the body. There's a small amount of fluid in the pelvic cavity. The rest is negative. "The doctor in the ultrasound room quickly reported the main diagnoses to Zheng Ren.
The patient's condition was serious and required surgery.
Zheng Ren picked up his phone while ordering the medical staff to escort the patient to the emergency ward. After a moment of hesitation, he dialed the number.
It was not good to disturb Old Chief Physician Pan so early in the morning. However, he had to report this to his superiors. It was not a joking matter.
It would be fine if the patient was alone. However, if there was a mistake in the surgery or the patient's condition was serious and could not be saved, many relatives and friends would immediately jump out of the ground and cry out their grievances.
This was secondary. Zheng Ren did not even have time to think about it. The main problem was that the patient needed surgery but no one had signed off.
Old Chief Physician Pan picked up the phone immediately. His tone was serious.
"Little Zheng, what's wrong?"
Zheng Ren rarely disturbed Old Chief Physician Pan's sleep. This was his first time in the emergency department. Therefore, Old Chief Physician Pan was a little nervous. It was a doctor's instinctive reaction.
"Anonymous, male, around 35 years old. I think it's acute gangrenous appendicitis and acute toxic shock. No family contact information. "Zheng Ren reported the main problem in one breath.
"Preoperative preparations. I'll contact the medical administration division," Old Chief Physician Pan answered without hesitation.
Zheng Ren hung up and jogged upstairs. He did not even wait for the elevator and went through the fire escape.
"Preoperative preparations." Zheng Ren picked up the phone and called Chu Yanran and Xie Yiren while instructing the nurses to prepare for the surgery.
Zheng Ren glanced at the results of the emergency blood collection and electrocardiogram. He brought the patient with a gastric tube and urinary catheter to the operating theater on the third floor.
He handed the patient over to Chu Yanran and Chu Yanzhi before returning to the emergency ward.
Old Chief Physician Pan was already on his way. The medical administration division staff on duty yawned and brought video equipment to the doctor's office in the emergency ward.
When Old Chief Physician Pan arrived, the staff began to record a legally binding video document.
Zheng Ren reported the patient's medical history, described the patient's condition, and proposed a solution. He also mentioned that preoperative communication and signature were not allowed due to the absence of the patient's family.
Next, the medical administration division represented the hospital and authorized Old Chief Physician Pan to perform the surgery in the emergency ward.
This procedure was necessary as a self-protection act for medical staff.
After recording the video, the staff of the medical administration division brought the equipment back to the office with sleepy eyes.
Zheng Ren was a little embarrassed. "Old Chief Physician Pan, sorry to wake you up so early."
"Old Chief Physician Pan, I don't sleep much. I'm already awake." Old Chief Physician Pan waved his hand. "Go for the surgery. Are you confident?"
No one had absolute confidence in dealing with toxic shock.
Unlike shock caused by nitrite poisoning, toxic shock caused by diffuse peritonitis did not have symptomatic drugs. The only way to solve the problem was to block the source of contamination and apply a large number of antibiotics after the surgery.
Whether the patient could recover or not depended on the patient's physical condition.
That man … Zheng Ren's expression darkened as he recalled his emaciated body. He shook his head.
"Try your best." Old Chief Physician Pan patted Zheng Ren's shoulder. "I'll ask the hospital about the fees after work."
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