Chapter 47: Serial Death Call
“The blood donation certificate is not easy to use now.” Luo Hao whispered.
"What?! Why doesn't it work?!" The patient's family members were stunned and looked at Luo Hao stupidly, as if he was lying.
Moreover, Luo Hao's words to deceive him were extremely childish and beyond words.
When I donated blood, it was clearly written in black and white, how could it not be easy to use! The patient's family became angry after being confused.
This little doctor must be trying to gain some benefits and hinting at something.
"Calm down first." Luo Hao had no choice but to calm down the patient's family first and wait for him to calm down before solving the problem bit by bit.
“I agreed when I donated blood that as long as certain requirements are met, immediate family members who need blood can receive it for free, no matter how much they want!”
The patient’s family members were emotional and had a ferocious expression. .
That’s what he said, but if he changed his mind, no one could do anything about it, Luo Hao thought in his heart.
The accusations against blood donation back then were similar to a Ponzi scheme, but looking back now, Luo Hao feels really fucked up.
"Luo Hao, you go see the patient first." Lin Yuming came over, calm and calm, "I will explain to the patient's family."
Luo Hao hesitated slightly, but still asked the question Leave it to Lin Yuming.
"Hello, I am Lin Yuming, director of the mine's general medical department."
When Luo Hao left, he heard Lin Yuming introduce himself.
Back in the emergency room, the emergency physician began to report the blood test results to Luo Hao.
She performed a series of examinations on the patient, "Xiao Luo, why don't you admit him to the hospital."
"Yes." Luo Hao nodded.
"I've written the hospitalization bill." The emergency medicine doctor had already written the hospitalization bill and said excitedly when Luo Hao nodded.
"Which department did you receive it from?" Luo Hao asked.
"Department of Circulation Medicine."
"Admit it to the ICU. I'll notify the Thoracic Surgery Department for consultation." Luo Hao stretched out his hand to press his temples.
My temples were pounding and I had a splitting headache.
The emergency medicine doctor didn’t know the results of the 64-series CT, but she didn’t ask further. This kind of patient cannot be treated in the emergency department.
Without the intervention of the medical office, she would have sent the patient for circulation early in the morning.
It doesn't matter what department it is, as long as it's not in the emergency room.
Luo Hao gently slid the mouse and looked at the patient's test indicators.
Suddenly, his hand stopped.
Type O, rh negative.
The patient turned out to have panda blood, just like me!
Luo Hao is most aware of the rarity of this blood type. Even if the blood bank in the city center has related blood, it will not exceed 5u at most.
The most likely possibility is that there is no such type of blood reserve.
“Panda blood?!” the emergency physician also said in surprise when he saw the blood type that just came back.
The patient was already in critical condition, and the probability of survival was not high. Adding the panda blood... In a sense, it was basically a death sentence.
The emergency medicine doctor was surprised and immediately issued a new admission notice. Just don’t die in your own hands.
After issuing the hospitalization bill and preparing to be admitted to the hospital, Luo Hao went to report the situation to Lin Yuming.
He came to the small communication room and saw the patient's family members' eyes were red and the plaster bandage had broken. They seemed to be emotionally excited just now, but now they have calmed down a bit.
Lin Yuming sat across from him quietly, his expression flat and showing no emotion.
"Director Lin, the patient has panda blood." Luo Hao came in and said directly.
“?!” Lin Yuming was slightly moved.
"I have an idea." Luo Hao said softly.
“What can I do?”
“I have a Panda Blood mutual aid group. You can ask in the group. Everyone is very active in helping each other. Explain the situation and ask if the surrounding cities and counties can come. How many people should be donating blood?"
"Why do you have this group?" After Lin Yuming finished speaking, he suddenly became quiet and stared at Luo Hao.
Luo Hao also has panda blood!
Otherwise, you will definitely not be able to join this group.
"Director Lin, let me donate blood first. Please contact the blood bank. I will go over and get the red blood cells as soon as possible."
Lin Yuming heard "you" again This word.
Every time I hear Luo Hao say "you", nothing good happens.
This time it was especially excessive.
But the patient has already reported a critical condition and is dying. Luo Hao was still young, so it was okay to donate some blood. Lin Yuming thought about it and felt relieved.
Donate 400ml first... no, donate 200ml, and then think of a solution.
Although 200ml of blood is a drop in the bucket for patients, it is blood after all, and it is the blood of young people like Luo Hao, not saline, and it must be useful.
The blood should be full of vigorous vitality.
In order to buy time, Lin Yuming sat in the emergency department and contacted the blood bank, while Luo Hao drove himself to donate blood.
In recent years, emergency blood supplies have been able to survive, but only 2-4u. The central blood bank has given blood, and the patients’ families have to find blood sources to donate blood to make up for the shortfall. Otherwise, it would be impossible to ask for blood again.
Luo Hao knows all this.
But that's just an ordinary situation. What's really dangerous is that patients with panda blood need massive amounts of blood, just like in front of you.
Getting in the car, quattro plays a great role on the snow and ice.
Other cars cannot drive, but the "Mark 307" with quattro can.
Luo Hao gave it a try and felt he could drive 30 miles, so he stopped the car, left a message in the Panda Blood group, and then drove to the blood station in the city center.
......
Lin Yuming had a lawsuit on his forehead.
Appease the patient’s family, send the patient to the hospital, instruct the ICU doctors and nurses, and contact the blood bank.
The emergency department is still seeing new patients.
Fortunately, Luo Hao found a dozen interns early in the morning, so the manpower in the emergency department was not so tight.
If it weren’t for Luo Hao’s foresight, I’m afraid the emergency department would have been in trouble by now.
Luo Hao is indeed easy to use, both in terms of technical level and organizational ability. Lin Yuming gave Luo Hao a fair evaluation while busy.
But he is too soft-hearted and empathizes too easily. This is a common problem among young people, just like his father.
After five years of clinical practice, I became indifferent. This kind of thing cannot be forced.
Lin Yuming had nothing to do with Luo Hao's "willfulness". Luo Hao looked very much like his late friend, and it was inevitable that father and son were of the same blood.
I hope he can mature soon.
Had he known the current situation of the medical system, he would not have allowed Luo Hao to choose a career as a doctor. Lin Yuming regretted it.
We are all materialists, but why do we let the doctors and nurses hang them up with a breath of fairy energy?
Nowadays, medical staff only talk about dedication, not materialism...
Just when Lin Yuming was complaining and regretting, the sound of the 120 ambulance came.
Lin Yuming sat behind the guidance desk, without standing up, just watching the interns busy.
"Two flat cars, two! Place them side by side, be careful!" Hou Dongfeng's voice sounded.
"??" Lin Yuming was startled. Could it be that Sun Yue, the cross talk actor, came to Donglian City to call the 120 ambulance? Otherwise, why would two flat cars be placed side by side?
There was a noise at the entrance of the 120 emergency room, but it soon became quiet, with only occasional sounds coming.
After a full three minutes, four interns and caregivers came in pushing two flat carts.
Lin Yuming glanced at it, and even he was stunned for a moment.
Three men were lying sideways on two flat cars side by side. They lowered their heads and buried their heads as deeply as possible.
Although he could not see his full face, Lin Yuming judged that the patients... were not in danger of life.
It’s just that their postures were weird, their bodies were covered with blue disposable sterile sheets to keep warm, and they didn’t know what was going on.
"What's going on?" Lin Yuming stopped Hou Dongfeng and asked.
"Director Lin!" Hou Dongfeng stood at attention, but after hearing Lin Yuming's question, he couldn't laugh or cry, "The three of us were having fun at home, posing in the Chinese character "zhou", and couldn't pull it out, so we called 120 "
"What?" Lin Yuming didn't understand in a daze.
But as soon as he finished speaking, Lin Yuming understood what had happened.
Lin Yuming felt that he could no longer look directly at the word "zhou".
"Send it to the anus." Lin Yuming frowned and said unhappily.
Normally this is just gossip, but at the time of a severe natural disaster involving wind and snow, this is taking up public health resources.
Trouble!
"Okay." Just as Hou Dongfeng was about to leave, several interns were already rushing to push him away. But they only pushed a few steps and then stopped. An intern turned around and asked, "Teacher, how can we get into the elevator with two flat cars?"
"!!!" Lin Yuming was speechless.
Indeed, this is a difficult problem.
But he was not in the mood to care about the three men with the word "zhou" in the form of "zhou". Let's make it difficult for Hou Dongfeng.
Because Lin Yuming didn't know what to do to get the three of them into the elevator and send them to the anorectal department.
Lin Yuming watched the flat car drive away, still sitting quietly behind the consultation desk, feeling restless.
I don’t know why, but I feel very uneasy today, feeling like something is going to happen. Even while sitting in the emergency department, this feeling still exists and has not disappeared.
Lin Yuming knew that it had nothing to do with Dongxue.
No matter how many patients there are, even two medical accidents will not be a problem to the mature and seasoned medical director.
I am already in charge of the emergency department, and I ask myself, who among the medical directors of thousands of tertiary A hospitals across the country can do what I do?
With a clear conscience, if there is a medical accident, it is life.
The patient and the doctor on duty were ill, but he did not bear the brunt.
But as time passed, Lin Yuming became more and more uneasy. He was like an ant on a hot pot, so he simply stood up and went to inspect the ward with his hands behind his back.
The first hospital must be orthopedics. At least 80% of the patients admitted today are patients with orthopedic fractures.
When Lin Yuming came to the Orthopedics Department, the first thing he saw was the extra beds filling the corridor.
This is the result of patients with mild symptoms going home after putting on a cast. All patients require surgery.
I guess the orthopedics department will be very busy tomorrow.
Lin Yuming saw a trot of nurses without touching the ground and asked, "Where's the doctor on duty?"
"Lin...Director Lin!" The nurse immediately pointed to her own intensive care unit in the orthopedics department. "Looking at the patient."
"What patient?"
"Hemorrhagic shock, the diagnosis seems to be femoral shaft fracture and pelvic fracture."
"Go and get busy. Lin Yuming walked over with his hands behind his back.
The doctor on duty at the orthopedics department sat in front of the hospital bed with a frown on his face, watching the ECG monitor eagerly.
"How is the patient's condition?" Lin Yuming asked directly after walking in.
"Director Lin, why are you here?" The orthopedic surgeon stood up, "He is from your family..."
"No, it's freezing and snowy today. I'm going to inspect the hospital to see if See if there are any difficulties."
"Director Lin, the patient has retroperitoneal hematoma and pelvic fracture and is in urgent need of blood transfusion." The orthopedic surgeon was not polite at all.
The blood transfusion had already killed him.
Lin Yuming frowned when he heard the word blood transfusion again.
"Have the patient's family organized a mutual aid blood donation?" Lin Yuming asked.
"It has been organized, but the snow is slippery and the road is slippery, so no one has arrived yet. It is estimated that the red blood cells will arrive after dawn at the earliest. But look at the patient..."
The orthopedic surgeon glanced helplessly at his heart Electric monitoring.
The patient's blood pressure is very low, and he is pumped with vasopressor drugs and replenished with fluids, but the high pressure can only fluctuate around 75-80 mmHg, which is a typical hemorrhagic shock. Lin Yuming knew what to do, but he didn't say it directly and was very hesitant.
"Director Lin, I used to do surgeries in the interventional department. I think this matter should belong to the vascular department. Do you think I can transfer the patient to it?" the orthopedic surgeon saw Lin. Yu Ming was silent and wanted to throw the blame away.
Lin Yuming glared at him.
The orthopedic surgeon is right. The disease itself is caused by blood vessel rupture, and vascular treatment is also correct.
But again, simple interventional surgery does not make money, and the vascular department is too busy trying to show off that it does not perform this type of emergency surgery to stop bleeding.
In the past, the interventional department was responsible for the operation, but after all the people who could perform surgeries in the interventional department were poached by the south, the mine bosses began to blind themselves when encountering similar situations.
But now...
Lin Yuming hesitated, hesitated, hesitated again, and took out his phone after 2 minutes.
“Luo Hao, have you finished donating blood?”
"That's good, drive slowly. How is your health?"
"Now there is a patient with a pelvic fracture and hemorrhagic shock who needs surgery."
I learned that Luo Hao is fine. , hearing that his voice was full of energy, Lin Yuming still called Luo Hao back.
This belongs to the category of fatal call.
Had he not been so helpless, Lin Yuming would not have asked a doctor to undergo interventional surgery after he had just donated blood.
Especially when that person is his own nephew.
Big animals such as mules and horses cannot be used in this way, but sometimes people are not as good as animals.
But when things get tough, you still have to use them, and Lin Yuming is helpless.
Just this once, and it will not be the same next time, Lin Yuming freed himself.
"Director Lin, can you do interventional surgery?" the orthopedic surgeon was pleasantly surprised.
"Yeah." Lin Yuming was in a bad mood and nodded sadly.
The anxiety in his heart became more and more intense, perhaps because Luo Hao had to undergo surgery after donating blood.
"You make an explanation with the patient's family, urge them to donate blood, and make preparations before the interventional surgery, and seize the time to send the patient to the interventional operating room." Lin Yuming said.
"Okay!" The orthopedic surgeon responded quickly without blaming the blame.
Similar patients only need interventional surgery to seal the bleeding blood vessels, and the rest is only blood transfusion and fluid replacement.
An S-level difficulty disease instantly becomes a B-level difficulty.
After Lin Yuming arranged everything, he was not relieved, but felt miserable and restless.
Wearing a military coat, he stood at the entrance of the emergency room waiting for Luo Hao to come back.
It took a full hour before Luo Hao's logo 307 appeared in sight.
Lin Yuming was freezing even though he was wearing a military coat, but he felt guilty and never went back to get warm.
"Back." Lin Yuming saw Luo Hao get out of the car, took off his military coat and put it on Luo Hao.
Luo Hao was surprised and immediately understood what Lin Yuming was thinking.
"Uncle, it's okay." Luo Hao patted his chest, banging, "You are still young."
It's great to be young.
“I have to wear a lead suit for surgery right after donating blood, ugh.” Lin Yuming felt extremely guilty.
"There are lead clothes! Uncle, don't worry, I promise to complete the task." Luo Hao smiled and comforted Lin Yuming.
Lin Yuming observed carefully that although Luo Hao was in good spirits, his face was a little pale, probably due to blood loss.
"Xiao Luohao, how much blood did you donate? 200 or 400?"
"400." Luo Hao smiled.
"400 is a bit too much, please pay more attention to your health." Lin Yuming patted Luo Hao on the shoulder, "Forget it if the operation cannot be completed. If the bleeding is stopped and the symptoms are treated, the person may not die."
< br>
"I know, uncle."
Luo Hao and Lin Yuming went straight to the interventional catheterization laboratory.
The patient has been sent, his blood pressure is 70/40 mm Hg, and his hemorrhagic shock is getting worse.
Think about it, there are blood vessels that are bleeding all the time, and the transfusion is only salt water, which dilutes the blood and causes all kinds of negative effects.
Luo Hao took a look at the patient's film and had a good idea of the condition, then turned around to put on lead clothing and brush his hands.
Lin Yuming had been following Luo Hao, and heavy equipment was draped on Luo Hao one by one. Lin Yuming felt very uncomfortable.
Just relying on a breath of immortal energy is not materialistic in itself.
Wearing a lead cap and a lead mirror on Luo Hao, Lin Yuming once again told him to forget it if he couldn't do it, and don't hold on.
Luo Hao agreed seriously and started brushing his hands.
In the system panel in the upper right corner of the field of view, the task progress bar has reached level 2.
With interns helping to transport patients, and Lin Yuming taking charge, the mine's emergency treatment capabilities have improved by quite a bit. Luo Hao was very pleased.
There is an additional staff "staffing" for the medical team, and Chen Yong should be added to it.
Chen Yong is young after all and has more potential than Wang Guohua.
It was time to complete the long-term main mission, Luo Hao smiled.
After donating blood, he was indeed a little tired, and the lead suit on his body was heavier than before. Luo Hao felt that his movements were restricted, and he really wanted to take off his lead suit and recover his blood.
But with Lin Yuming by his side, this wishful thinking was impossible.
Luo Hao walked into the operating room against the weight of a mountain.
I just finished donating blood. I have no assistant and dozens of kilograms of lead clothing. All these have become debuffs and weighed down on Luo Hao, making it difficult to even breathe.
When the long-term main mission is completed, those 15 free attribute points must be added to physical strength, Luo Hao thought again.
These 15 free attribute points have been used by Luo Hao countless times.
Nowadays, Luo Hao can only draw the pie for himself, so that he can be more energetic.
Disinfection.
The simple movements made Luo Hao extremely tired. Countless sleepiness surged through his limbs, and the sterile pliers in his hands were extremely heavy.
The airtight lead door closed and Luo Hao glanced at the time.
It’s already 6:30.
After struggling all night, I didn't even have time to drink.
Hurry up and finish the operation, I hope it can be done, Luo Hao thought to himself.
Outside the leaded glass, Lin Yuming was worried.
The phone suddenly rang, startling Lin Yuming.
"Director Lin, I've finished the blood donation you guys gave me. Please send an ambulance to pick it up."
It was someone from the downtown blood bank calling.
"Okay, I'll have someone pick it up right now. Thank you!" Lin Yuming said.
"How is the young man who donated blood? Let him lie down and rest, and don't let him donate so much. He refuses to listen."
"???" Lin Yuming was stunned. After a moment, Luo Hao's somewhat pale face appeared in front of him.
Lie quietly and rest?
He was performing surgery while wearing dozens of pounds of lead clothing.
"Hurry up and get it, 6 units of red blood cells, don't make a mistake."
Lin Yuming's hands froze and his pupils tightened.
"Are you wrong? It should be 2 units of red blood cells." Lin Yuming asked in a trembling voice.
"Yes, it's 6 units. I told you not to donate that much blood at one time. The young man in your unit said that the patient needs more and he is still young, so he donated 1,200 ml at once."
Lin Yuming's mind buzzed.
Luo Hao, you bastard! Not a word of truth came out of his mouth! !
"Let him rest more. Even if he is young, it is only 1,200 ml of blood. Later, the blood vessels were deflated. We nurses have never drawn so much, and our hands are shaking."
Lin Yuming didn't notice until the other party hung up the phone. There was a buzzing in his ears, as if there were countless bees flying around, and he couldn't hear anything clearly.
If it were anyone else, Lin Yuming would be willing to give him all the praise at this moment and go to the hospital to apply for various honors.
But that is my own nephew!
When this bitch came back, he swore he had only donated 400 ml of blood.
You must know that he donated 1,200 ml of blood, and even if he died, he would not be allowed to undergo surgery.
But!
The operation has begun.
Lin Yuming's hands trembled slightly.
Luo Hao's hands also trembled slightly.
The sequelae of blood donation showed up. Luo Hao glanced at the leaded glass, found a blind spot and rubbed a gap in the lead skirt.
By stepping on the line, I recovered a little bit from the bleeding.
It wasn't until the energy was transformed that Luo Hao became more energetic and his hands became temporarily stable.
The operation was very slow. Normally, it would take Luo Hao one hour to complete the embolization operation for a pelvic fracture.
But because his body was in a weak state, it took Luo Hao nearly 2 hours to prepare to embolize the last blood vessel.
This is a negative feedback process.
The body is weak, the operation time is prolonged, and the heavy lead clothing further weakens the body.
In addition, the patient's condition is very complicated, with 5 blood vessels bleeding.
It wasn't until the last blood vessel was blocked that Luo Hao stopped, breathing heavily to regain his energy.
"Luo Hao, is it okay? No, take a rest." Lin Yuming pressed the intercom and said to Luo Hao.
"Director Lin, it's okay, we'll finish it right away." Luo Hao turned his head and gave Lin Yuming a smile.
Shit!
Lin Yuming felt extremely distressed when he saw that although Luo Hao smiled, his cheeks under the lead mirror were pale and he cursed bitterly in his heart.
"Is there any sugar? Give me a bottle. It costs 10."
"Yes." The nurse immediately injected a bottle of 10% glucose, cut off the infusion tube, and placed one end in the glucose bottle. One end was stuffed into Luo Hao's mouth along the gap in the mask.
10% glucose is so sweet that it sticks to your throat.
If he hadn't felt a sign of hypoglycemia, Luo Hao wouldn't have drank at all.
After drinking a few mouthfuls of sugar, Luo Hao clearly felt that his mucous membranes absorbed the sugar and quickly converted it into the energy needed by the body.
Feeling refreshed, Luo Hao squinted his eyes and took a few more mouthfuls of candy.
"Okay." Luo Hao spit out the infusion tube and said softly, "By the way, help me close the airtight lead door."
"Doctor Luo, do you want to take a rest?" The nurse also saw that Luo Hao was at the end of his strength, so he advised him.
"The operation is completed." Luo Hao smiled.
Through the leaded glass, Luo Hao saw Lin Yuming with a frown.
The airtight lead door slowly closed, Luo Hao calmed down and embolized the last blood vessel.
[People say that a man is a boy until he dies...]
Luo Hao's cell phone rang.
It’s an unknown number.
Lin Yuming picked up the phone and answered the call.
"Dr. Luo Haolo, the inspection team received a real-name report about your illegal use of medication. Come to my office."
! ! !
Lin Yuming's hand froze, and the phone fell to the ground with a bang.
Mb!
No wonder I am so uneasy today!
(End of this chapter)