Plague Doctor

The Multinational Joint Force re-emerged on Saragomes Island on 18 September 2021 local time.

At 18: 12 this evening, the rescue team began ECMO for Gu Jun in the operating room; at 18: 37, he recovered a weak heart beat, reflecting only 10% of the ef value of systolic pump blood function in the ventricles, compared to 50% -70% of the normal value; because of the massive hemorrhage in the right frontal lobe, the neurosurgery team at the Skull Primary Knife started forelobe craniotomy at 18: 42.

Make incisions, open the flap, drill the skull, open the flap, remove the flap, cut the dura, remove the hematoma, suture, drain.

Because, in view of his condition, if the risk of complications such as high cranial pressure, postoperative brain edema, etc. is greater if the valve is retained, secondary surgery is required, which could crush his life, the team chose to remove the valve. One part of his right forehead was missing, and under his scalp was the dura, watching the small half of his forehead collapse. If he can survive, do a skull repair later.

Since he had no other cerebral contusion, the craniotomy took just over four hours and ended at 22: 56 on the day.

Immediately thereafter, an orthopaedic team led by orthopaedic specialist Wang Huikang took over the primary position of the operating table for neurosurgery.

They performed multiple soft-tissue debridement sutures on Gu Jun, fracture incision and internal fixation at multiple locations including palmar, phalanx, radius, ulna, and left lower limb tibial platforms, as well as shoulder detachment incision and reset.

The doctors could tell from his injuries that Gu Jun fell from high altitude when his hands held up first, then his right forehead knocked, his left foot held up, so the upper limb was seriously injured and the lower limb was slightly injured. It is also because there is no fracture in the right lower limb that gives ECMO an ideal V-A reflux intubation location.

The surgery, which lasted 22 hours, was 21: 25 on the evening of September 19, when the orthopaedic team stopped.

During this period, the ECMO team with Liu Mingfeng has been observing and adjusting equipment parameters. These surgeries pose additional challenges to the stable operation of ECMO. Good thing the team has extensive experience and maintains good cardiopulmonary support, limb blood supply and reflux for Gu Jun.

Specialists such as Li Cheng and Zhang Zeli in cardiology and cardiac surgery also dare not relax for a second.

Although Gu Jun recovered his autonomous heartbeat, his peripheral circulation and pulsation were extremely poor and hemodynamic fluctuations were high. This young man's heart was only 22 years old, and his last physical examination showed that his heart could beat to the age of 120, but now he seems to be in constant need of myocardial infarction and heart failure.

However, under the team's strenuous efforts, he did not undergo secondary cardiac arrest during the procedure, hemodynamics stabilized, the heart's ef value rose to 20%, and weak spontaneous respiration was restored.

At this point, the rescue team can finally say that they won the first battle to recap Joon from the Dark Abyss.

Everyone in the O.R., command center, hallway took a slight breath of relief, but later things proved to be a lengthy post-op test.

On the morning of Sept. 20, Gu Jun's ef value dropped again to 10%, chest radiographs showed massive effusion in his bilateral chest, inflammatory infections in both lungs, and electrolyte disorders… The rescue team went to the operating table again to deal with these complications, which was another 30 hours of struggle.

The 21st is the Mid-Autumn Festival this year. They spent it in the operating room. Wu Shiyu, Uncle Egg and others also spent it on the destroyer.

Gu Jun's craniotomy was of high quality and there were no postoperative complications, which may be the only good thing.

Another good thing is that his ECMO placement site is not bleeding and does not cause swelling in the right lower limb.

After the first few days, Gu Jun's illness went in the right direction, and the team continued to care for him. By the 25th day of the week after surgery, the ef value had risen to 30% and the severity of the disengagement had decreased; and by the 2nd of October, two weeks after surgery, the ef value had risen to 40%, with a mild decrease, and the heart was already at risk of disengagement.

Other indicators of his body have stabilized, so after 14 days of ECMO, the team removed him from the extracorporeal circulation and transferred him to the ICU ward.

At this time, Gu Jun was also transported back to the Sky Machinery Bureau headquarters in Dahua City for follow-up medical treatment.

Deng Xie Mai woke up on September 23. Although she had some headache symptoms, her mind was fine and her life was not in danger, but she was silent.

Given her performance in this operation, she is officially a member of the NASA Spells Department. Grandpa Tong and others placed great hopes in her, hoping that she could realize her full potential and fill the gap in Gu Jun's absence. But for the time being she still needs a lot of restorative care.

The resurrection of Deng Xie Mai delighted everyone, but on October 6, the mood fell to the bottom of the valley.

This was the 18th day after Xue Bao's ECMO, there was a blood infection and multiple organ failure such as liver and kidney. The medical team had done everything in its power and effort, but it still failed. At 23: 36 that evening, the team announced Xue Bao's death.

The message is very heavy for everyone at the station.

Sheba, a leader of the Eastern Prefecture Warrior Squad, has long since grown into an important talent in the Department of Spells - Sky Machinery Bureau - GOA and passed away at the age of 39.

The situation on Gu Jun's side was not optimistic, his heart beat was restored, the anesthetic had been dispersed long ago, but his consciousness had never been awakened, and there were no signs of EEG. Everything pointed to the possibility of brain death: his body was still alive, but he would never wake up again.

This kind of brain neurological problem, experts can't say, may never wake up, may also wake up tomorrow, or a year, ten years later...

Time passes day after day. On October 18, the 30th day of his coma, he still didn't wake up.

On that day, the Sky Machinery Bureau held a funeral for Sheba, who was buried in the Sky Machinery Martyrs' Mausoleum. Everyone attended, but Gu Jun was absent.

On the 60th day of his coma, the film showed that his fracture was recovering well and the medical team gradually removed the plaster.

Even though Gu Jun may already be a botanist, the team's rehabilitation department staff is not lax, turning him over regularly, massaging him, etc., and trying to maintain his function. Thus, although he lost a great deal of weight, his whole body had no degree of muscle atrophy.

On December 18, the 90th day of his coma, three months after frontal lobe craniotomy, the team performed a skull repair with the best skull repair material available, polyetheretherketone (PEEK), seamlessly connected to the human bone, insulated and hardened enough.

The surgery went smoothly. Since then, Gu Jun's head has had an extra polyether ketone, but there is a scalp covering it. Can't see the appearance, or does it look like that?

By December 31, the last day of the year, on the 103rd day of Gu Jun's coma, 2022 was approaching, and he was still not awake.