(Thanks to Xie Buxie, Crazy Chief, 271182336 for the encouragent with the monthly votes)
Hearing others say this, Liu Banxia’s heart wasn’t feeling great either.
But he still glanced at the person indifferently, then turned to the patient’s wife, "Idiopathic thrombocytopenic purpura, because of a reduced platelet count, causes difficulty in coagulation and uncontrolled bleeding."
"His kidney ruptured, and we repaired it. The liver was severely torn, so we perford a partial hepatectomy and also showed you the specin."
"Due to bleeding, we could only use gauze to pack and stop the bleeding. We have to wait for the dication he’s on to take effect, and once his platelet count rises and normal coagulation is possible, we will close the abdon."
"Because of his current condition, we cannot wake him up. The timing for closing the abdon could be tomorrow afternoon, tomorrow evening, or even the morning after."
"This has to be determined based on his platelet count, and I can’t give you a definite answer now. Now I solemnly ask you, do you want to save your husband or not?"
"If he needs to be saved, he needs to be sent to the ICU. And not just for a day or two, even after closing the abdon, he’ll still need to be in the ICU for care."
"He needs to wait until his platelet count stabilizes and the internal sutures heal before we can move him out of the ICU. We can’t treat idiopathic thrombocytopenic purpura, we can only control it."
"Save him, doctor, he must be saved." The patient’s wife hurriedly said.
Liu Banxia nodded, "Have you handled the hospitalization procedures? Have you paid all the fees? Otherwise, it will affect his dication and equipnt use in the ICU. Li Hao, send him to the ICU."
After saying this, Liu Banxia didn’t pause, leading the group straight out.
He could understand why her friend would have such thoughts, but he wouldn’t accept them.
Because he had just provided a brief summary of the situation, it wasn’t without any explanation.
Everyone had indeed been very tired in the operating room, but no one complained. This is the job, not an act of charity.
They couldn’t decide anything, but they could still have their own stance.
Just follow the procedure; the necessary explanations were given, and the patient’s family consented, so that’s that.
"Just thinking about it makes angry."
Qi Wentai muttered a sentence.
"Haha, getting angry is just for a mont. How should we coordinate our late-night snack? Microwave noodles? Add an egg and luncheon at?" Liu Banxia asked with a smile.
"Hehe, Teacher Liu, usually even if we’re hungry, the most we add is a hotdog, today’s truly a deluxe version, eh?" Li Hao chid in.
"It has to be, let’s just get so more stuff, don’t know if they’re done yet. This, everyone eating noodles together, it’s quite a sight." Liu Banxia sighed.
Their small talk brought the atmosphere back up again.
"My god, how’s the patient?"
As soon as they arrived in the ergency center’s hall, Wang Chao couldn’t wait to ask.
"Fortunately, we did not let you down. Kidney repair, partial liver resection. But these are minor issues, the main concern is the patient has ITP, idiopathic thrombocytopenic purpura," Liu Banxia said.
"There’s still bleeding, so the abdon isn’t closed; we packed it to stop bleeding. dication has been administered, let’s see how things are tomorrow, Li Hao has already sent him to the ICU. How about the other patients?"
"The woman from the sa car is fine too, brain CT is negative, just so fractures that need attention. The driver of the other car is fine too, he’s the one at fault for crashing, but he was drinking and driving," Wang Chao said.
"Officer Ma, don’t need to go back to work? That’s perfect, you’re just in ti for our get-together." Liu Banxia then looked at Ma Limin standing nearby.
"Dr. Liu, what get-together are you talking about? The canteen’s all closed by now," Ma Limin asked curiously.
"A grand instant noodle feast, everyone gets a share." Liu Banxia waved his hand.
"Student Xu Yino volunteers to buy the noodles." Xu Yino ran over from the side, standing upright, with a little hand extended.
"You think you can carry all that? Also buy so luncheon at, forget the hotdogs, just get any snacks you see fit. No money, just put it on tab, and get it reimbursed from your ntor’s wife later." Liu Banxia said.
"Yes, mission will be completed resolutely. Huang Bo, Miao Rui, Zhang Pengfei, Li Tianyang, step out; head to the supermarket for a sweep." Xu Yino said seriously.
"So naughty." Even Liu Banxia was amused.
"I thought we’d rest after hearing the news, but it seems we can snag a bowl of noodles instead, not bad." Shi Lei joked.
"Officer Ma, if you’re not in a hurry to get back, you can rest here, it’s just a bit ssy. What’s their story anyway?" Liu Banxia asked.
"It’s just bad luck for the car that got hit, it was crossing the intersection normally, then slamd by the car that ran the red light," Ma Limin said.
"Seems like the timing of the crash was just right, and you got them to the hospital in ti. If it was delayed, it would have been hard to say." Shi Lei said.
"Uh... why is that?" Ma Limin curiously asked.
"Because the trauma of this patient is not a big issue, and we have our brilliant Director Liu taking the case, so there’s nothing more to say." Wang Chao said with a smile.
"The key issue is his idiopathic thrombocytopenic purpura. After encountering trauma, that’s what’s life-threatening. The symptom is unstoppable bleeding. Even if you put stitches, it still bleeds."
"Oh my god, doesn’t that an it’s pointless to try saving him?" Ma Limin was startled.
"Exactly, that’s why this patient today is truly lucky." Wang Chao said.
"A slight delay in sending to the hospital could result in issues. If soone else perford the surgery, without our Director Liu’s swift hands, it wouldn’t be handled in ti."
"Because another symptom of this disease is gradual worsening, not only wound bleeding, but also bleeding from other blood vessels. Discovering it a bit late ans the treatnt is very laborious."
"So, our Director Liu today saved a life and rescued a family. It’s just that I don’t have that much money, otherwise, I’d treat him to a ham sausage."
The latter sentence was pure nonsense, the mood was indeed very relaxed. All the ergency patients tonight were resuscitated, though the injuries of the other two were relatively mild.
"Even so, a friend of the patient’s family still questioned us sending the patient to the ICU as a rip-off." Qi Wentai said.
"There’s no solution for that. After all, they don’t understand dical procedures. Seeing the patient’s condition, they couldn’t hold back." Liu Banxia said with a wry smile.
"Things like this do indeed happen. So places aren’t responsible, not discussing any situations, just pushing hard for the ICU. Or they describe the situation as positively as possible—making money is king."
"It’s really tough, doing such a long surgery in one go, and still possibly facing misunderstandings." Ma Limin said with a sigh.
"You’ll get used to it. So, what’s up with you two? Is it official now?" Liu Banxia asked with a smile.
"Of course! Or else, how could I have the nerve to eat your instant noodles? This is a legitimate family mber." Wang Chao said solemnly.
"Oh dear, what nonsense are you talking? But I can leave after eating, there’s nothing much happening in the latter half of the night anyway." Ma Limin said with a laugh.
At this ti, Huang Bo and Miao Rui ca back from outside, carrying a box of instant noodles and holding canned luncheon at.
"All set, there are no patients now, you all start soaking and eating. After eating, take turns to rest, I can hang on a bit longer today." Liu Banxia greeted.
Everyone didn’t stand on ceremony with him; after all, the stuff was already bought, this wasn’t a joke.
"Don’t you think you should hold back a bit? You can’t always be buying things." Shi Lei said.
"Not always buying, today I’m genuinely happy." Liu Banxia said.
"Let tell you, we were all anxious while resuscitating. At that ti, the blood pressure just couldn’t be raised, and the cause hadn’t been found yet."
Shi Lei nodded understandingly.
Actually, performing ergency trauma rescue alone can sotis be a bit easier because it doesn’t require much thinking; you just handle it as it cos.
But encountering a situation like this patient’s, with unknown causes of hypotension and bleeding points, that’s when it gets nerve-wracking.
Today’s result was finally good. If not resuscitated successfully, and it was later found out as bleeding due to ITP, Liu Banxia would surely bla himself a lot.
Because during the blood test, there was already a hint of thrombocytopenia. Although there are many reasons for low platelet count, no one can imdiately confirm it’s ITP or TTP, which is why it would be regrettable.
"Teacher Liu, the patient has been sent to ICU, and we’ve explained the situation." At this mont, Li Hao also ca back.
"Hurry and eat so instant noodles, whether you soak them directly or use the microwave, it’s up to you." Liu Banxia said.
"I have to say, it’s been ages since I had instant noodles. I must grab a bowl too. Xu Yino ca back just in ti, give an egg."
"Teacher Liu, didn’t buy anything else, just so pickled vegetables, let’s make do." Xu Yino said.
"Instant noodles with pickled vegetables, that’s still top-notch." Liu Banxia said with a laugh.
Everyone was indeed in high spirits, as for the misunderstanding from the patient’s family friend, it was what it was.
Not being too pretentious, once it’s over, it’s done. The main task now was to charge towards the instant noodles.
Have to say, Xu Yino showed so conscience, without overly exploiting the opportunity. There were both cup and bag noodles, and the pricier luncheon at was shared among several people.
What really mattered wasn’t the food itself, but the atmosphere.
This was already the third round Liu Banxia treated today: the first was extra dishes, the second was fruit, and the third was instant noodles.
Now, with everyone gathered to eat instant noodles, it truly tasted like a luxurious feast.
Of course, after eating, they also needed to air out the room properly. The scent of instant noodles was quite strong. Just in case another ergency patient ca in the middle of the night, the sll might be sowhat overwhelming.
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