Chapter 1361: Pulmonary Contusion Not to Be Underestimated
Su Wenhao’s return is also considered as a reinforcement for the emergency center. Moreover, his return brings the most happiness to the interns and resident doctors.
Because among the little six, Su Wenhao is the most patient one. No matter what questions they have, Su Wenhao always provides thorough answers.
Today, they had a small meeting held by Liu Banxia, and now is the time for filling in gaps and making up for deficiencies, Su Wenhao’s return is truly timely.
"Boss, what do you think about letting Su Wenhao assist with training in the future?" Liu Banxia leaned towards Shi Lei and gestured with his mouth.
Shi Lei glanced over, "I thought you’d choose Xu Yino, this girl is quick in everything she does."
"Their personalities are different. Letting Xu Yino help with department tasks is fine. However, when it comes to truly assisting with training, she seems a bit impatient."
"As for Liu Yiqing, this girl is also capable. But her personality is too soft; in terms of observation, she’s not meticulous enough. Su Wenhao is perfect, patient when needed, observant when required."
"Li Hao, Huang Bo, and Miao Rui are currently fixated on competing to excel in surgery; they aren’t concerned with anything else."
𝘧𝓇𝑒𝑒𝑤ℯ𝑏𝓃𝘰𝑣ℯ𝘭.𝘤ℴ𝘮
"Since these are your tasks, you can decide who to assign wherever you like." Shi Lei said.
"Ultimately, it’s up to your department’s internal arrangements. The key is how you’ll manage your pediatric surgery? It might take a lot of your time, right?"
Liu Banxia nodded, "Isn’t it though? Currently, there’s no specific plan yet. But my idea is to select volunteers from the interns and resident doctors as societal participants. Those fearless could try in this area."
"Goodness, I estimate there might be someone fearless. Then you’ll essentially lead two groups, which isn’t easy. Hold in there, I’m rooting for you." Shi Lei said with a smile.
"Sigh..., I’m feeling overwhelmed myself. Day by day, I don’t even know what I’m thinking." Liu Banxia said with a wry smile.
"I can only offer mental support on this matter; I can’t manage anything else," Shi Lei said.
"Don’t praise me either, I’m just forcing myself through. In a few days, I’ll frequently visit Hospital Three, and hopefully, you’ll bear with this side." Liu Banxia said.
Shi Lei smiled and nodded, that would definitely not be a problem.
If Liu Banxia is able to handle pediatric general surgery, the emergency center’s strength will surely soar powerfully.
Liu Banxia is a treasure and must be treated like a key protected species.
After chatting a bit more, Liang Xiaolin walked out of the elevator.
Liu Banxia quickly scurried over, "I’ve been waiting for you, how’s the patient?"
"The lung contusion is quite severe; some significantly bleeding capillaries were treated for hemostasis. But now interstitial pulmonary edema, continued observation is needed," Liang Xiaolin said.
"Underwent thoracoscopic surgery, the issues aren’t too serious. Adjust electrolytes, replenish blood, judging by her current state, it will still take some days."
"Oh, I really didn’t expect it, just a collision with an electric bicycle, she’s hit as if thrown by a big truck," Liu Banxia sighed.
"So I often feel her injuries are somewhat unusual, Dr. Shi, do you have any opinions?" Liang Xiaolin asked.
Shi Lei shook his head, "Lung contusion and blast lung injury are the hardest to adjust, aren’t they? The last patient with blast lung injury we admitted is still being adjusted."
"Mild cases are easier to handle; starting with these severe cases is quite challenging. If not noticed early, it could be life-threatening."
Liang Xiaolin nodded, "Mainly because the symptoms of lung contusion often appear two to six hours after the injury, some people even later."
"In some regional hospitals, due to lack of experience, they are often easily overlooked. Just like our patient, absorption can only begin after two or three days, attention is needed during these two days."
"Was she not sent to the ICU?" Liu Banxia asked.
"No, nothing problematic currently, ventilation is also fine. She’s on a respirator, which is assured, and an extra bag of blood was given," Liang Xiaolin said.
Liu Banxia nodded, "Still need to be more cautious, I too feel her wounds are quite strange."
It serves as a reminder too; although severe lung contusion can explain the patient’s condition for now, why is the injury so severe from such a collision?
Such severe conditions are usually caused by high-speed impacts. At the very least, that electric bicycle should’ve had wings, and not everyone wants to become a ghost rider.
And with the current lung contusion, it’s indeed a severe issue. It is often due to lack of understanding, insensitive examination techniques, plus the accompanying injuries of the lungs, that it gets overlooked and misdiagnosed.
Just like delayed head bleeding, the initial scan might not reveal it.
Upon arrival at the hospital, initial chest X-ray only showed a mild level. After a CT scan, it became severe.
By the time the patient was put on stage, it had transformed into severe lung contusion.
Severe lung contusion is also a major factor causing acute respiratory failure. In addition, there is a certain amount of bleeding in the patient’s lungs, which causes the patient’s blood pressure and blood oxygen to drop rapidly.
If it weren’t in the emergency center, but in a regular emergency department, it might not have been possible to intubate in time.
Because in some lower-level hospitals, intubation operations can only call an anesthesiologist. Although there has been some improvement recently, it is not yet comprehensive.
"By the way, there are walnuts brought over by Su Wenhao in the office, you can crack some to taste." Liu Banxia said.
"Anyway, Liu Yiqing tried a few and thought the taste was quite good. If you ever have the time, come to my house, he also brought me quite a lot of mushrooms, perfect for stewing with chicken."
"Where’s the time for that? Oh, is Qing Kewa going back soon?" Liang Xiaolin asked.
"In just a few days, but I think she might stay a few more days." Liu Banxia said.
"She’s been discussing with Qiaoqiao every day about what to eat. This one’s really not afraid of developing into a Russian mama level; the mindset of the fighting nation is truly different."
"How can you speak about people like that? But indeed, this is kind of special." Shi Lei said with a smile.
Now he’s someone with a wife too. When having meals at home, his wife also controls the eating. Very afraid if they eat too much, it won’t be easy to lose weight, guess it’s the same for others’ families.
Qing Kewa is an exception; this girl seemed to have had a good appetite back at the emergency center. This time she even flew here specifically for vacation just to enjoy gourmet food.
This scenario placed on others, even the biggest foodies might not manage this. Qing Kewa, though? Not only did she manage it, but she completed it with high quality.
"Are you on duty today?" Liu Banxia asked Shi Lei.
"What’s up? You want to show a bit of style?" Shi Lei countered.
"Please don’t, I’ve already inexplicably not gone home twice recently. I’ve noticed, whenever I’m away from home for a longer time, when I return, my daughter’s and son’s expressions towards me are just odd." Liu Banxia said.
"How are those two little ancestors now? Last time they came by to take a look, they really seemed to have grown quite a bit." Shi Lei said.
"Every day it’s just eating and sleeping, their little arms and legs have started to plump up circles." Liu Banxia said.
"As long as kids start eating formula milk, their appetite skyrockets. Never mind, won’t chat more with you, I’ll go upstairs to check on the surgical baby."
After finishing, Liu Banxia ran upstairs.
The little baby is also a patient he cares about, even if not in his department, it’s still him who did the surgery.
After arriving upstairs, Huang Ying smiled when seeing him come over, "Chen Hongyang just left, didn’t you see him?"
"No, how is the baby’s condition?" Liu Banxia asked.
"Looks great so far, the surgery was very successful." Huang Ying said.
"Currently, the incidence rate of digestive tract atresia in newborns is quite high, so you also need to look at surgeries for atresia in other parts, and then resolve them when needed."
"Oh..., always taking political classes. I’ll visit Third Hospital these days when I have time to see their surgeries." Liu Banxia said.
"Last night I talked about this with Qiaoqiao a bit, and she’s quite supportive. Becoming a mother, her thoughts will sometimes change; before she wouldn’t take charge of these matters."
"That’s right, indeed, the life of little babies is the hardest. Giving them a chance to see the world, yet sometimes not letting them experience the world, is too cruel." Huang Ying said.
"You wouldn’t know, once the baby’s mom slightly recovered, she started looking for the baby, her heart entirely on the baby. How long do you estimate?"
"About that, can’t really say, this is my first time doing such a surgery." Liu Banxia bitterly smiled and shook his head.
"Anyway, you’re the real experts, and taking care here, so you handle it yourselves. I handle surgeries, but not good with the nursing part."
Some people feel postoperative care isn’t important, but it’s really not the case. Especially for newborns, postoperative care plays a huge role.
Strolled in to take a look at the little baby, who was sleeping. Although the overall performance was still a bit lacking, Huang Ying said the recovery is great, so it must be great.
In this area his knowledge storage really isn’t enough, must choose to listen to professionals.
Also quite emotional inside, Chen Hongyang really shows dedication towards newborns and infants.
Perhaps because of this, he is so invested in this area.
Just don’t know when he can master all these common surgeries and can only treat it as a long-term goal to accomplish.
Though it may be tough, seeing this little baby, truly feels it’s worth no matter how tough.