Chapter 333: Chapter 0317: Half-Man
By six o’clock, Takahashi and Fujiwara had arrived at the departnt. As they were not very familiar with the place, Takahashi seed sowhat suspicious.
The nurses initially thought he was a thief. It wasn’t until they grabbed him and asked that they realized he was the Japanese intern who had just arrived yesterday.
He put the dical records neatly on Zhang Lin’s desk, made tea for Zhang Lin, organized the tea cup, and then sat down to familiarize himself with the HIS system on the computer. It wasn’t until he logged in with his work number that he rembered that he didn’t learn how to use this system from Teacher Zhang before he left work yesterday. Despite his efforts, he still struggled to get the hang of it.
At this ti, the hardworking graduate student Li Guodong also arrived at the departnt. Seeing him, Takahashi found his savior and grabbed Guodong: “Dr. Li, teach how to use this dical instruction system please.”
Xiao Li glanced at the computer without saying a word. Takahashi thought he was unwilling to help, he brandished his cell phone and said, “I’ll send you a WeChat red packet?”
Really? A red packet for teaching you the HIS system? You’re generous!
...
“No need for a red packet, here, let teach you.” Xiao Li sat down and began to demonstrate and explain the system.
Takahashi was a top student in Japan. As Xiao Li explained, surprisingly, he got the hang of it in no ti. Li Guodong was astounded by this Japanese man’s learning ability.
They say that the dical Departnt of Tokyo University is the hardest to get into in all of Japan, so those who get in are very intelligent. It appears the rumors are true, Takahashi’s learning ability really is formidable.
“Can I send you a red packet? Let’s add each other on WeChat.” Takahashi really wanted to send a red packet.
If it were in the past, Li Guodong would’ve been eager for the red packet. His economic conditions weren’t great, and he usually relied on going to so dical instrunt promotion etings for the departnt and managed to get by on a travel allowance of one-two hundred dollars. However, currently at Orthopedics, following Yang Ping, he was quite well-off and didn’t need the red packet money. He flicked his hand dismissively, “Forget about the red packet, let’s exchange WeChat contacts. It will be convenient for communication. I will add you to our team group.”
More people began to arrive one after another. Takahashi recorded the abnormal test reports on the computer. If he ca across words he didn’t understand he used translation software to overco the language barrier.
Zhang Lin ca over and saw the neatly arranged dical records on his desk and the tea that had already been made. He wanted to berate soone but couldn’t find a reason to do so.
“Takahashi”
Upon hearing Zhang Lin’s call, Takahashi imdiately ran over to him and stood by his side.
Zhang Lin picked up the cup, took a sip of the tea. It wasn’t too bad, though it could use so adjustnts: “Takahashi, the tea is a little strong.”
Takahashi imdiately took out a notebook and jotted this down. Zhang Lin looked askance. Was it really necessary to take notes for this?
After finishing his notes, Takahashi said, “Teacher Zhang, I counted the tea leaves in your cup yesterday, there were twenty-nine. So, this morning I added twenty-nine tea leaves. If that’s too much, I’ll reduce it by three leaves tomorrow. Is twenty-six alright?”
Zhang Lin stiffened. This guy actually counted the tea leaves in his cup. The Japanese man was certainly ticulous. Zhang Lin tried to maintain his composure: “Hmm, you are diligent. However, tea leaves vary in size, so you can’t always use the sa amount. Adjust the quantity based on the size of the tea leaves.”
“I see, Teacher Zhang. I’ll make your tea based on the weight of the tea leaves in the future.” Takahashi found a solution to the problem.
The doctors in the departnt arrived one after another. At precisely 8 o’clock in the morning, they changed shifts. Just as they finished changing shifts, the direct line to the Trauma Ergency Center rang.
The primary focus of the Trauma Ergency Center was microscopic trauma orthopedics, but other orthopedics departnts were also involved.
Each orthopedics departnt, including the comprehensive orthopedics departnt, had a direct line to the Trauma Ergency Center to avoid situations where ergency calls couldn’t get through.
Early in the morning, the ring of the phone was truly hair-raising.
“The Trauma Ergency Center requires assistance. The patient is in the ergency departnt resuscitation room!”
Song Zimo put down the phone. The Comprehensive Orthopedics departnt was the ace departnt of major orthopedics. If they needed assistance from Comprehensive Orthopedics, it must be a seriously complex trauma case.
“The Trauma Ergency Center requests assistance. All personnel, besides those on duty, move out!”
The patient’s condition is a command!
Yang Ping imdiately ordered the departnt staff to move. Every second was crucial, he didn’t dare to delay for even a second. He led everyone, almost running, to the ergency departnt.
As expected, it was another car accident, a serious car accident. The tense atmosphere in the ergency departnt lounge told everyone the story.
At the door of the resuscitation room, a man’s face was as white as a sheet, calling with his cell phone, his voice hoarse: “Teacher, I’m sorry to bother you. Her mother is currently injured in the hospital and can’t co over. I’m also at the hospital now, could you please help take care of the child?”
After finishing the call, the man squatted on the ground and cried.
“Dr. Yang, in the resuscitation room, quickly!” A nurse led the way and the resuscitation room doors swung open.
“Quick! Insert the intra-aortic balloon to stop bleeding, move quick!”
It was Director Tan’s roar.
“Can’t do it, there’s no way to place a tube in the femoral artery. A blind tube placent would be impossible to reach the aorta from the subclavian artery!”
Again, Director Tan’s roar.
“The heartbeat’s gone again!” A nurse scread.
The screen of the heart monitor displayed a long line of ventricular fibrillation waves. This was an indication of cardiac arrest.
“Defibrillation, quick defibrillation!”
When Director Tan encounters these large-scale rescues, he is like a lion. His booming voice fills the room, urging the entire resuscitation room into action.
The patient lay on the stretcher, their whole body bloody, and in an unbearable state. The entire lower half of their body was completely crushed. Their intestines too, squeezed from the wounds on the abdon, were scattered all over the stretcher.
The dark red blood on the stretcher, mixed with feces, flowed everywhere, spread across the floor, forming a pool of dark red blood.
My God, the bloody and grotesque scene was an extrely intense sensory assault that left one breathless!
A standardized training student imdiately covered his mouth, ran to the garbage bin and vomited everything out.
“Is he part of our departnt? Tell him to get out!” a physically robust ergency nurse shouted.
“200 joules. Clear! Defibrillate!”
The ergency departnt’s doctors were well-trained, swiftly preparing the defibrillator – switching it on, applying conductive gel in one smooth sequence. Holding one electrode in each hand, he placed them upon the right distal clavicle and left cardiac apex of the injured patient.
“No fractures in the ribs, no chest injuries, cardiac massage!”
Director Tan’s gloves and outfit were covered in blood. His explosive temperant was fully unleashed during the rescue, each statent delivered with a shout.
The endotracheal intubation had been completed earlier at the scene, with the ventilator now maintaining the patient’s breathing, as cardiac massage and electrical defibrillation were perford alternately.
“We’ve got a pulse back! Blood pressure still not detectable.”
After another defibrillation, the ventricular fibrillation wave on the monitor transford into a regular sinus rhythm.
“The blood is here!”
A nurse frantically pushed a cart full of blood bags over, stopping next to the bed; another nurse swiftly replaced the blood bags, funneling blood into the patient’s body via an inserted catheter in the subclavian veins on both sides.
The sound of the ergency cart’s dicine box being hastily opened and slamd shut filled the room. One life-saving drug after another was thodically injected through the IV.
This injury was like the aftermath of his lower half being relentlessly smashed by an enormous sledgehamr.
Visibly shaken, Takahashi stood to the side, wanting to lend a hand but had no clue how to help.
The attempt at resuscitating this patient was rely symbolic at this point. Yet every doctor and nurse here was giving it their all; a surge of respect welled up within Takahashi.
“Director Tan—!”
Yang Ping arrived with his team at the patient’s side.
Looking like he was on his last legs after fending off waves of attacks, Director Tan saw the reinforcents arrive and said, “Look, the bottom half is completely gone; the abdominal wound was blown open due to compression; the intestines and internal organs are a total ss – we still don’t know the full extent of injuries. We were about to move him to the operating room, but his heart and breathing stopped. I believe there’s no hope.”
“If it weren’t for that ergency doctor thrusting his hand in and manually staunching the bleeding from the aorta, the patient wouldn’t have lasted until now”. Director Tan was drenched in sweat.
The doctor who had blocked the aorta by hand had his hand still inside: “I’m pinching the aorta, but it’s not working. The bleeding is too severe.”
“Aortic clamp, quick! And hemostatic forceps, bring all of them.”
Yang Ping remained calm, his voice loud and clear without a hint of panic or shouting, he instantly commanded the room.
When the equipnt he requested was brought over, Yang Ping imdiately put on his gloves and reached his hand in, blindly searching for the blood vessels amongst the internal organs. This was a blind act, requiring a sound knowledge of anatomical structures.
“Hold your hand still for now!” Yang Ping ordered the ergency doctor.
The young doctor’s hands had been stationary from the scene to the hospital and had already beco rigid.
Yang Ping held the aortic clamp, under the cover of invisibility, he located the closest part of the abdominal aorta to the diaphragm by touch: “Quick, get the aortic clamp!”
Dominant but not rough!
Speedy but not impulsive!
Upon being handed the aortic clamp by Director Tan, Yang Ping accurately clamped the aorta. The entire process took only a few seconds.
The bleeding below had already been reduced by half, but it was still ongoing, Yang Ping’s hand continued: “There are collateral vessels penetrating into the abdominal cavity above the diaphragm!”
Either open the chest now or blindly search for collateral vessels, clamping each one at a ti with a hemostatic clamp to completely stop the bleeding.
“Keep passing hemostatic clamps, the large ones, yes!”
Without turning his head, Yang Ping took the hemostatic clamp; he knew their numbers by touch alone, his left hand was groping around the abdominal cavity. Behind the liver, he located a collateral branch and clamped it.
The superb anatomical skill allowed him to navigate without direct vision, his touch alone offering a clear understanding of each structure.
There were collateral vessels near the head of the pancreas and next to the hilum of the spleen. These were all erging from above the diaphragm, the blockage of the abdominal aorta could not stop them from bleeding.
A dozen or more haemostatic clamps were inserted one by one and the bleeding finally stopped. The entire operation took less than three minutes.
It made one wonder, what kind of level of anatomical proficiency was required to perform such an operation.
Takahashi watched clearly, this was not the work of a man but that of a god. It was no wonder he dealt with over a hundred blood vessels with ease during the academic conference.
“Part of the liver can be preserved, the spleen needs to be removed, the rectum needs to be removed, the bladder and the ureter need repair, the entire pelvis is crushed, the pancreas is all right, the entire lower limbs along with the pelvis needs to be amputated—” Yang Ping had already made a preliminary diagnosis based on touch alone.
The hands of a surgeon are their second pair of eyes; in surgery, when things cannot be visualized, they rely on touch.
“Take him to the operating room now, the dedicated operating room for trauma ergency, I’ll operate!” Yang Ping decisively declared.
“Dr. Yang, I would like to observe your surgery, would that be possible?”
The young doctor who had perford manual hemostasis earlier ca forward.
Yang Ping took a glance at him while walking, and said, “You’re very courageous, familiar with anatomy and your assessnt of injuries is accurate. The blockade should’ve been applied further up.”
“Dr. Yang!”
Takahashi promptly followed.
User Comments
0 comments from readers