"Doctor Wang, who is speaking?" Director Tang’s voice ca through the phone. His people seed to have been "bullied," and Director Tang was not pleased.
Doctor Wang spoke into the phone: "It’s a dical student from Guoxie saying that our neurosurgery departnt didn’t save the patient."
"dical student? Which dical student?"
"Director Tang," Doctor Wang reported quietly, "the dean’s nephew is here. She might be Yue Wentong’s classmate."
"Is Yue Wentong there?" Director Tang was aware of the dean’s famous nephew.
"Yes, Director Tang."
"Tell him to call the dean. If they don’t trust us and question us, let them call our dean. Let the dean explain. As for the student questioning why we’re not performing the Lateral Ventricular Drainage on the injured, you, Doctor Wang, tell her imdiately why. She’s just a student and has never done neurosurgery. What does she know? Doesn’t she realize that much of what’s in the textbooks doesn’t apply clinically?" Director Tang’s voice grew louder, clearly frustrated by an intern’s words that seed to hit a nerve.
Guided by Director Tang, Doctor Wang turned around to refute Xie Wanying, speaking entirely in specialized academic terms: "The asures you ntioned are not the best clinical approach. It is not impossible to perform Lateral Ventricular Drainage on the patient, but it depends on the specific condition. This injury involves an acute posterior fossa hematoma, with acute increased pressure in the posterior fossa and hydrocephalus. We should start with mannitol to reduce intracranial pressure, which we are doing as a rescue asure. The textbook ntions external lateral ventricular drainage, but clinically, doing so might rapidly release cerebrospinal fluid, causing imbalance in supratentorial and infratentorial pressure and potentially leading to cerebellar tonsillar herniation. In essence, this would worsen the patient’s condition, so this approach is often not taken clinically. It’s better to ignore ventricular drainage and directly perform posterior fossa hematoma evacuation, then open the ventricular drainage tube based on post-surgical evaluation. As a resident doctor, I can’t do such surgery, which is why I want you to transfer the injured to Guoxie. Instead of wasting ti arguing with us here, you’d better hurriedly transfer the patient."
"Nonsense." Facing the opponent’s lengthy argunt, Xie Wanying tossed back two words.
"What did you say?" Doctor Wang was about to explode. Where did she, a dical student, get the nerve to question the expertise of specialized doctors?
Indeed, it depends on the specific condition of the patient. But the issue is, Sister Seo’s situation can’t wait for surgery; she needs ventricular drainage first to gain a chance for surgery. With a transfer, Sister Seo would surely die halfway. Aren’t these specialists aware of such occurrences? Anyway, if transferred, once the patient is out of their hands, it is no longer their responsibility. Naturally, they are eager for the transfer.
The class leader was right; not a word from these people can be trusted.
"Why do you say it’s too late? How do you know it’s too late? You’re wasting her life-saving ti here, do you understand?" Doctor Wang was confidently ranting halfway when suddenly he heard sothing, making him stand like a fool.
Beep, beep, the heart monitor issued an alarm.
"Prepare for intubation." Xiao Yang turned around and shouted, unexpectedly just as Xie Wanying said, it indeed was too late.
The patient’s respiration rate and heart rate were both dropping.
If this happens during transfer, it would be troubleso. Where would a ventilator be found in an ambulance?
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