(Thanks to 8901210, Wu Liao Guai, Book Friend 20181123215629767, Dragon King Village, 13665291615, Ritahu, Book Friend 20200113221030437, Chunyi, Leaf 3742167, Book Friend 20190517032215847, Always Drunk Drunk Drunk, Book Friend 20190523112921385 for the vote encouragent)
"Huh? Is there activity in the second ergency room too?"
Liu Banxia asked curiously after walking out.
"An electric bike accident, hit his head, also drunk driving, but only hurt himself," Qi Wentai said.
"Sigh, they really bring it on themselves," Liu Banxia sighed.
"Dr. Liu, how's that last patient doing?" Ma Limin ca over.
"His lung was injured, causing massive bleeding. Whether we can save him is uncertain, it's up to his luck. The blood test results will be out soon; he probably drank a lot. The ergency room still reeks of alcohol," Liu Banxia said.
"The other side is even more pitiful, a mother with a child," Ma Limin said.
"We can't determine yet if they know each other, whether it's rely a drunk driving accident or a vendetta. We'll verify once the family is contacted."
"I hate this ti of the year, tomorrow I'll stake out near the night market. I'll check every single person getting into a car after drinking."
"Checking won't help. Those brave enough will just find another spot," Liu Banxia said.
"I suggest you report it to your precinct. If it doesn't work, maybe a major operation, like half a month of continuous checks, would scare them into behaving."
"Sigh... I don't have such power. Such a large operation requires a lot of police force, it's hard to sustain," Ma Limin said bitterly.
"You stay here, a patient just woke up, I need to ask about their condition," Liu Banxia said.
Ma Limin nodded. The room was full of drunken patients.
"You're more alert now, right? How much alcohol did you consu? What did you eat?" Liu Banxia asked the patient, Xu Gang.
"Actually, it wasn't much, maybe I just drank too quickly. Doctor, how's Guang?" Xu Gang asked.
"Rhabdomyolysis, we've contacted his family, focusing on kidney protection now," Liu Banxia said.
"Did he complain about any pain before getting drunk? When you were drinking, did he eat a lot? More vegetables or at?"
"He didn't eat much, just so cold dishes at first, then grilled skewers. I can't rember how much we drank, four or five quarts? It got ssy later, can't recall. But he didn't ntion any pain," Xu Gang said.
He was getting scared, the terms rhabdomyolysis and kidney protection weren't comforting.
"Doctor, it's true. We were just drinking, then he started vomiting," said the two people accompanying him.
"Gangzi also started vomiting, we saw things weren't right, settled the bill and took him to the hospital. If it's serious, it's not our fault, right?"
"I can't really judge that, but we caught it early. Otherwise, we'd have to push to ICU; it's still manageable now," Liu Banxia said.
"In the future, learn from this. If sothing bad happens, the victim's family won't let it go easily, and it'll be hard to distance yourself."
The three smiled bitterly, not expecting this to happen to them.
Because Liu Banxia wasn't wrong, such news is rampant. Even without urging, those at the sa table seem culpable.
"The one just taken was also a drunk driving incident. Whether he can pull through is uncertain; two broken ribs pierced his lung," Liu Banxia continued.
"His best recovery will still require removing that half of his lung. If unlucky, his life goes with that drink,"
"Guys, heed my advice, don't drink too much. A little for fun is enough, why overdo it? Harms others and yourself, and you waste money."
"Teacher Liu, the patient woke up," Miao Rui ca over then.
Liu Banxia didn't have ti for moral lessons, he ran with Miao Rui.
The patient's "pain" was on his mind, he needed to ask thoroughly now.
Seeing Liu Banxia enter, the patient barely opened his eyes.
"Don't worry, we're treating you now. Rhabdomyolysis, caught it early, you'll recover, just need to rest longer," Liu Banxia said.
"When you got drunk, you said it hurt. Do you still feel that pain? Or..."
Before Liu Banxia could finish, the patient nodded.
"Where does it hurt?" Liu Banxia asked quickly.
"It hurts," the patient said weakly.
The voice was so faint only Liu Banxia's keen listening caught it.
"Listen to my instructions in a mont," Liu Banxia said, lifting the patient's leg again.
"Kick hard, use as much strength as you can. Now switch to this leg, use force. Yes, just like that. Can you use a bit more force? Okay, let's leave it at that for now."
After examining the patient's legs, Liu Banxia also checked the patient's arms.
Now he could make a clear judgnt, the patient has symptoms of muscle weakness. Combined with what the patient just said about "muscle pain," there's also a symptom of muscle soreness.
This also corresponds to the symptoms of rhabdomyolysis, where patients also show muscle weakness and pain.
However, for such patients, the most urgent priority is kidney protection. Once the kidneys are protected and electrolytes are balanced, the other symptoms will naturally disappear.
"Change the urine bag and pay attention to the urine color at all tis. After dialysis, do another test," Liu Banxia said.
Miao Rui and Liu Yiqing both nodded, the current ergency asures have had so effect.
Liu Banxia also let out a sigh of relief, it seed he was overthinking. There was no scary aortic dissection, or else for this patient, it would have been critically dangerous.
Currently, his physical indicators are not even fit for surgery, and waiting for adjustnts might delay the symptoms of an aortic dissection. Otherwise, forcing it might lead to failure.
"Drink less in the future; you'll have to stay in the hospital for at least a week. After dialysis, you'll be sent to the ward, and we've contacted your family," Liu Banxia said.
The patient slightly nodded, which counted as a response.
For him now, communicating with the outside world is sowhat exhausting. Even after sobering up a bit, it's only a slight improvent.
"Oh, Wang Chao is done as well? Did you see Officer Ma?" Liu Banxia asked after walking over.
"Saw him, he's explaining the situation to the family," Wang Chao replied.
"Su Wenhao just called, for now, there's nothing wrong in the patient's abdominal cavity. The bleeding in the lungs has stopped, but several alveoli were damaged, so now the left lung has to be removed," Qi Wentai said.
"Sigh... even if the life is saved, the future won't be easy, and there might be heart function issues later on," Liu Banxia said.
"Looks like this wave of busyness has passed. How's your patient doing? Do they need to go to surgery? If not, spend so ti with Officer Ma."
"Off to get a CT scan. If there's no issue with the head, just a debrident suture will do," Wang Chao said.
"She's on duty, I don't dare to go near. There hasn't been a surgery this major at night for a while, and you just happened to catch one,"
"You make it sound like I have so lucky charm. This isn't our departnt's usual work," Liu Banxia said, feeling a bit down.
"But Officer Ma was really pissed today, maybe you could help console him later. Drunk driving is truly despicable, it's not just about disregarding others' lives, but also their own,"
"Sigh... there are too many fearless people. Was your patient's rhabdomyolysis also caused by drinking? How are they doing now?" Wang Chao asked.
"Standard treatnt, adjust whatever imbalances there are, and use dialysis to protect the kidneys," Liu Banxia replied.
As these two critically ill patients were sent off, the ergency center was finally at peace.
Their ti beca truly relaxed, though it was a bit early to rest now. There were still many patients around, so they could only pass ti with small talk.
After a while, Miao Rui ca over, "Teacher Liu, the patient's condition has slightly improved."
"That's great, our current handling is quite adequate. Keep up the good work," Liu Banxia nodded with a smile.
"If there's nothing else, I'll go to sleep in a bit. Tomorrow, I still have to go to Sister Wang. Has the patient's family arrived yet?"
"Just got a call, they're quite far from here, and the car broke down halfway, so they're taking a taxi now," Miao Rui replied.
"When they arrive, explain the situation to them; I won't get involved," Liu Banxia said.
Miao Rui smiled and nodded, then walked back.
This period could be considered rest ti for the night shift doctors, especially for soone like Liu Banxia, it's a small chance to slack off a little.
When there are patients, they naturally have to be alert. When there aren't any, they need to seize the ti to rest.
Although there are quite a few patients, most are cases of alcohol intoxication. After routine treatnt, by tomorrow morning, there shouldn't be much to deal with.
The surgical patient was assigned to the cardiac surgery departnt, and the rhabdomyolysis patient was under the care of Miao Rui and Liu Yiqing, so there wasn't much for him to do.
Despite not having rested in the hospital for a long ti, entering the rest room felt oddly familiar. He lay on the bed, and soon fell into a deep sleep.
Originally, he planned to video call Qiaoqiao, but as soon as his head hit the pillow, he forgot about it.
Not knowing how long he slept, he felt soone shaking him.
"Teacher Liu, that rhabdomyolysis patient's condition is experiencing a relapse," Miao Rui said.
Liu Banxia quickly regained his composure and walked out with Miao Rui.
He thought there wouldn't be any issues. Normally, after adjustnt and dialysis, mild rhabdomyolysis patients improve significantly.
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