Practicing Medical Skills in a Small Clinic

Chapter 490 - 230: The Most Awesome Surgery Department—Are These Standardized Trainees? (Part 3)

This was the most high-end operating room Li Jingsheng had ever entered.

He felt like Granny Liu visiting the Grand View Garden, everything seemed shocking and novel to him.

As soon as he stepped in, he could feel the strong technological prowess.

"Director Bi, we’re not late, are we?"

Director Hua walked in and greeted with a smile.

"Late for what? You’re right on time. I even suspect you’ve timed it perfectly. Can you see if his leg can be saved?"

Director Bi’s age wasn’t apparent, he was quite thin, about 1.7 meters tall.

His eye corners had deep wrinkles, likely in his fifties for sure, possibly over sixty.

When he spoke, his voice was slightly sharp.

He seemed quite easy-going, someone who was easy to get along with.

However, he might just be easygoing with Director Hua, considering Director Hua was the head of Orthopedics and the leading figure in the discipline.

His surgical skills were incredibly strong.

This kind of director, who combined academic prowess, surgical skill, and administrative position, was rare even in the Second Hospital.

His status was naturally very high.

There were about seven or eight medical staff bustling around the operating table, including Director Bi.

The patient on the table was a middle-aged man in his forties, quite robust in build.

However, there were long wounds visible on his stomach, waist, arms, and legs. This was certainly not done by doctors.

When doctors need to operate on multiple areas of a patient, they generally don’t do it all at once, but separately.

First addressing the most urgent and important, then handling other lesions.

Based on Li Jingsheng’s previous experience in emergency, these wounds on the patient’s body seemed to be inflicted by a sharp weapon.

The assailant was exceptionally cruel.

It’s unknown what deep-seated hatred they had to inflict so many cuts. Judging by the intestines being sutured from the abdomen, it’s evident that the assailant had sliced open the stomach, injuring the intestines within the abdominal cavity.

The contents inside the intestines, especially in the large intestine, are basically feces, fecal fluid.

When the intestines are ruptured, the contents inevitably spill into the abdominal cavity.

Even with professional medical treatment, the risk of infection remains.

Since ancient times, ’golden broth’ has been regarded as a filthy substance that makes wounds difficult to heal and prone to infection.

During the ancient imperial contests, someone once used ’golden broth’ to eliminate a formidable competitor.

Seizing the opportunity when a promising prince was injured during a lantern festival, the eunuchs were ordered to throw fecal water into the air. The prince, doused with the foul fluid, was naturally enraged.

The young eunuch, knowing he could not escape death, committed suicide on the spot.

This also showed how the ancient underprivileged had no freedom. The young eunuch, thinking of his family, accepted the task of becoming a death warrior.

The price on the young eunuch’s life was scornful, and the excellent prince, drenched in ’golden broth’, began to develop a fever the very next day.

Afterward, the wounds festered, and the imperial doctors were helpless despite numerous tries.

The prince eventually succumbed to the infections from the wounds.

Whether the throne eventually fell into the hands of the perpetrator is another matter, but the power of fecal water contaminating a wound greatly troubles physicians.

Even today, with antibiotics and advanced medical technology, many infections can easily claim a patient’s life.

For instance, this patient not only faces the question of whether his abdominal wounds will heal but also the threat of potentially fatal conditions like peritonitis.

The patient’s left leg, just below the knee, was almost completely severed.

And it wasn’t just one cut.

At least three or more cuts were visible.

For now, a tourniquet was used to stop the bleeding.

"With injuries this severe, there must have been substantial blood loss."

Director Hua glanced at the monitor screen.

Blood pressure was very low, heart rate and respiration were abnormal, though still barely stable.

According to the nurse, there was no immediate threat to life.

"We’ve transfused fifteen hundred milliliters of blood. The blood bank even scolded our nurse. Asking what kind of surgery we’re doing to need so much blood at once. When the patient was brought in, he was already in shock. After 400 milliliters, it hardly made a difference. We really have been wronged by the scolding."

Director Bi’s tone conveyed grievance.

Struggling to save someone’s life, yet having their skills questioned for using so much blood during surgery.

For heaven’s sake, it wasn’t his lack of skill, it’s just that the injuries were too severe.

If they could pull the patient back from the brink of death, it would already be commendable.

"Those people at the blood bank, just like misers, they treat plasma as more precious than life. But it’s understandable, given their difficulties. Every hospital eagerly seeks blood from them, wishing for more. Negative news has reduced the number of donors, and indeed the blood bank is not having it easy."

While chatting, Director Hua began to put on gloves and wear protective clothing.

"Was the patient brought directly to the emergency room?"

"Certainly! Around six-ish, our hospital’s ambulance brought him back. The emergency department immediately called us in general surgery over to scoop him up. We had no choice but to bring him here for salvage! At that time, I had already sent a request for support to you. The family pleaded with me to save the patient’s life and also his leg. I said I could only try my best. To put it bluntly, he deserved this suffering."

Director Bi was quite talkative.

He seemed to have quite a bit of grumble.

Some doctors tend to be a bit talkative.

"What’s the story?"

Director Hua was almost done putting on the isolation gown.

"Technically, as doctors, we shouldn’t gossip about patients, but this one is truly infuriating. He mingled in society, made money by running a KTV and tearoom, got married, had children. Yet, he couldn’t resist coveting someone else’s wife. I heard he first lured her with a high salary, coaxed her over, and then used force. After being bullied, the woman was afraid of retribution against her family and didn’t report it.