Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points

"Doctor, what's wrong with my son?"

Jiang Qinyan looked at her son Cao Shengrui who was suddenly sent to the operating room, and suddenly became a little nervous and confused.

It was fine when I arrived, but why did I have a B-ultrasound and then be sent directly to the operating room?

Since last night, Cao Shengrui has felt a little tight in his chest and a little uncomfortable in his heart.

Cao Shengrui planned to come to the hospital today for a visit.

Jiang Qinyan was worried that Cao Shengrui would drive here alone, so she followed him to the hospital.

From registration, seeing a doctor, to issuing an examination report, the previous series of processes are all normal.

How could something like this happen suddenly later?

Lu Ming had already entered the operating room at this time, and the intern doctors outside did not dare to answer the family members' questions.

He just patiently comforted her with a few words and asked Jiang Qinyan to wait for the test results.

Operating room.

Cao Shengrui was still awake, but looking at the group of medical staff surrounding him, he was extremely nervous.

"Doctor, what's going on with me?"

He was confused.

I had a good ultrasound examination, but was suddenly sent to the operating room.

"Your embolus has fallen off. We are waiting for it to stop and then perform surgery."

Lu Ming's explanation made Cao Shengrui confused.

So, Lu Ming first explained to him what thrombus shedding is.

Thrombus shedding refers to the thrombus that occurs in blood vessels and breaks down into small fragments under the impact of blood flow.

The small fragments drift along the blood circulation. When they encounter a blood vessel with the same diameter as the thrombus, they will block the corresponding blood vessel.

This will cause some adverse symptoms and endanger life.

For example, if there is a screw stuck in the engine, the engine will be scrapped at any time!

This blood clot is the screw.

There are two common types of thrombus shedding.

The first is deep vein thrombosis in the lower limbs.

The detached thrombus will enter the pulmonary artery through the right atrium and right ventricle as the blood circulates.

This results in the formation of pulmonary embolism, causing symptoms such as cough, chest pain, hemoptysis, and difficulty breathing.

In severe cases, fatal pulmonary embolism may occur.

The second type occurs when the abdominal wall thrombus breaks off in the left heart or thoracoabdominal aorta.

The detached thrombus will enter the cerebral blood vessels along with the blood circulation, and block the cerebral blood vessels at a certain location to form a cerebral infarction.

Or it may enter the visceral arteries and cause intestinal ischemia, block the blood vessels of the lower limbs and cause a series of symptoms such as acute lower limb arterial embolism and limb ischemia.

For the first case, anticoagulation and thrombolytic treatment are generally adopted.

In the second case, surgical thrombectomy will be performed.

"This, this, this...then am I the second type?"

After listening to Lu Ming's explanation, Cao Shengrui was so scared that he almost peed.

"Yes, you are in the second case. The thrombus in the left atrium fell off."

Lu Ming said that Cao Shengrui was right.

"Then give me the surgery quickly! Why are you still standing there?"

Cao Shengrui didn't understand. They were already in the operating room, so why were Lu Ming and the others indifferent?

"There is no way to operate now because the blood clot is traveling everywhere with the blood circulation.

"So, we don't know where it will end up blocking."

"I have given you thrombolytic drugs. The best thing that can happen is that the blood clot can be slowly dissolved."

"This way, there is no need for surgery."

"The worst-case scenario is that the thrombolytic drugs have not fully taken effect, but the blood clot has blocked the blood vessels, so immediate surgery is necessary."

When Cao Shengrui heard this, he was immediately stunned.

so.

Does this mean that you are waiting for "execution"?

He felt as if he had become a suspect and was waiting for the judge to pronounce his sentence.

I don’t know whether the judge will acquit him or sentence him to death.

This torturous waiting process tortured his spirit and body.

His heartbeat was getting faster and faster, and his whole body was getting more and more nervous.

"Doctor, how long will it take?"

Cao Shengrui feels that he may not necessarily die from blood clots, but he may die from the waiting process.

"Generally speaking, it takes half an hour for thrombolytic drugs to take effect."

"If after half an hour, you still don't have embolism, it means there is no problem.

Lu Ming explained.

Because Cao Shengrui's blood clot was not particularly large or numerous.

Therefore, in principle, after using thrombolytic drugs, the thrombosis can be dissolved in half an hour.

But for some relatively large blood clots, and the number is huge, it may take two days or even four or five days.

"How long has it been now?" Cao Shengrui asked.

"10 minutes."

When Cao Shengrui heard this, he had the urge to cry. How come it had only been 10 minutes?

After 10 minutes of torture, how are you going to get through the remaining 20 minutes?

After a while, Cao Shengrui couldn't help but ask again:

"How long?"

"18 more minutes."

"Ah? How come it's only been 2 minutes?"

After a while, Cao Shengrui asked again.

"How long?"

"Fifteen more minutes.

finally.

An excruciating 30 minutes passed.

"Half an hour has passed. It seems that the thrombolytic medicine has worked."

Hearing what Lu Ming said, Cao Shengrui was immediately overjoyed.

"Then am I okay?"

Lu Ming shook his head, "Just in case, wait another 15 minutes.

Life is not a child's play, I would rather spend more time.

This time, Cao Shengrui was obviously much more relaxed.

After all, half an hour has passed, and the most dangerous time has been passed. There should be no major problems next.

really.

After 15 minutes, no accidents happened.

Lu Ming also breathed a sigh of relief, avoiding an operation.

"You guys clean up and push the patient to the temporary treatment room. I want to talk to his family."

After giving instructions, Lu Ming left the operating room.

Outside the operating room.

Jiang Qinyan is waiting anxiously.

After seeing Lu Ming come out, he hurriedly greeted him.

"Doctor, how is my son?"

"The patient is fine."

Jiang Qinyan breathed a sigh of relief when she heard that her son was okay.

But soon, she gathered around again.

“My son was fine when he came to the hospital.

"How come I can't survive after having a B-ultrasound?"

"Did you do something to him?"

When the bearded post-00s intern doctor heard this, he immediately quit his job.

"Hey! I said, aunt, you are not authentic."

"Are you relying on our doctor?"

Jiang Qinyan rolled her eyes, "Anyway, I only know that my son was fine."

"Then it's not your fault, who is to blame?"

Obviously, Jiang Qinyan decided that it was a problem with the doctors and the hospital.

The bearded post-00 intern doctor took a deep breath and wanted to say something, but was stopped by Lu Ming.

As a doctor, the most taboo thing is to have conflicts with patients' families.

This does not solve the problem very well, it will only increase the contradiction between doctors and patients and cause bad social impact.

"As for your son's condition, it was caused by the detachment of blood clots."

"Your son may have suffered sudden ventricular fibrillation during the examination, which caused the thrombus to detach.'

"If you feel that this is a problem with our doctors and hospitals, you have the right to be suspicious."

"But you have to take normal legal channels instead of making empty slanders here."

Not having conflicts with patients' families does not mean giving up on protecting one's reputation.

Faced with empty rumors and slander, one should immediately stand up to refute and ask the other party to provide reasonable and sufficient evidence.

Jiang Qinyan was immediately speechless by Lu Ming.

Because she really didn't have any evidence that it was Lu Ming and the others' problem.

Moreover, she just wanted to find a scapegoat to pay for her son's sudden accident.

To put it simply, something went wrong, and we were eager to find someone to take the blame to see if we could get some benefits.

To put it more bluntly, it is the "blackmail thinking" in the heart that is at work.

"Okay, okay, just wait, I will definitely find the evidence.

Jiang Qinyan dropped a scene.

Lu Ming shook his head and left with a group of interns.

He is not afraid of slanting shadows when he is upright. He has no fear at all.

Inside the office.

"Really! What are you doing! How can you accuse someone so falsely?"

"That's right! How could there be such a rogue person?"

"Before leaving school, my department teacher always emphasized to us that we should be careful when dealing with patients' families.

"Don't invest your emotions in them, don't empathize with them."

"I didn't understand it at first, but after this incident, I can understand it."

A group of intern doctors were also outraged.

Unexpectedly, on the first day of internship, I would meet such an annoying family member.

"Are you angry?"

Lu Ming looked at the intern doctors with a smile.

"Of course! I'm almost mad!"

"Stop talking, my lungs are going to explode! Who is this person?"

"Can you not be angry? I hate being falsely accused by others!"

All the intern doctors became more and more excited as they talked, and some of them banged the table.

"I think you should be happy."

"This is something you can't experience in school."

"In the future, similar things may happen again countless times, and you must be mentally prepared accordingly."

Lu Ming looked at these impetuous young people and said with a smile on his face.

"Teacher Lu is right. Since you have chosen to be a doctor, this kind of thing is definitely unavoidable.

"I hope that when I become a formal doctor in the future, I will encounter fewer such monsters and monsters."

Everyone's emotions gradually calmed down.

"In this way, now that I have met you, I will test you again."

"Do you remember how blood clots form?"

Lu Ming plans to take a rest and then take them to continue participating in practice.

During the break, you can take the time to ask about some theoretical knowledge.

"I know this!"

Xia Tutu, a girl who was "ridiculed" by Lu Ming before as a little landmine, immediately raised her hand to signal.

Lu Ming nodded slightly, "Then tell me."

Thrombus is a small piece of blood formed on the surface of the inner surface of the blood vessel of the cardiovascular system where it is peeled off or repaired.

...Please give me flowers...

In the variable fluid-dependent form, the thrombus consists of insoluble fibrin, deposited platelets, accumulated white blood cells, and trapped red blood cells.

The formation of blood clots is caused by a variety of factors.

Genetic factors and environmental factors may lead to thrombosis.

For example, damage to the cardiovascular intima.

When the intima is damaged, endothelial cells undergo degeneration, necrosis and fall off.

The collagen fibers under the endothelium are exposed, thereby activating the clotting factor of the endogenous coagulation system, and the endogenous coagulation system is activated.

There are also changes in blood flow rate, which may also lead to the formation of thrombus.

The principle is similar to that in a river, the speed of the river water

In different areas, the sedimentation of river sand will be different.

Where there is a lot of settled river sand, "blood clots" will form.

in addition.

Under the action of certain factors, blood coagulability increases and thrombosis can also form.

For example, after severe trauma, postpartum pregnancy, or major surgery.

"Well, not bad, not bad."

"What are the commonly used antithrombotic drugs?"

Lu Ming nodded with satisfaction, and then asked another question.

Chen Weiming, the bearded post-00s intern doctor, immediately replied:

"Three major categories: anticoagulant drugs, antiplatelet aggregation drugs and thrombolytic drugs!"

Lu Ming nodded with satisfaction again.

"Theoretical knowledge is good."

"Let's go then. I will take you to continue practicing. Don't delay your internship because of unexpected circumstances."

With that said, Lu Ming once again led a group of interns to the ultrasound examination room.

The doctor in the ultrasound room has just finished an ultrasound examination and is cleaning up the instrument.

When I saw Lu Ming coming in, I immediately greeted him.

........0

"I'm Dr. Dilu!"

"Thank you so much!"

"Do you know how nervous I was the moment the blood clot fell off for the patient just now?"

"I'm going to be scared to death!"

"If something happens to the patient, even if it's not my responsibility, I still have to bear some humanitarian responsibility!"

This is no joke.

Once a life is really lost, there is really no way to explain the matter clearly.

After the investigation process is initiated, even if it is not the doctor's responsibility, it will affect the doctor's career future.

Therefore, the doctors in the ultrasound room are particularly grateful to Lu Ming.

"Any other doctor could have saved her, but the patient's own fate was in danger."

Lu Ming smiled and told the truth.

After all, he didn't do anything, he just gave me some medicine.

"Aren't you humble? I will remember this kindness.

While the two were being polite, the next patient for ultrasound came in.

She is a pregnant woman, and her husband is accompanying her family.

"..."

They were also shocked when they saw a dozen doctors standing in the room.

What's going on?

"These are intern doctors, observing the practice on site."

"If you mind, you can let them out."

Lu Ming still respects the patient's personal wishes and privacy.

"Doctor intern?"

"It's okay, it's okay, just stay."

The pregnant woman waved her hands repeatedly to indicate that she didn't mind.

"They are all interns. If I can contribute some experience to them, it can be regarded as a contribution to the medical industry and society, right?"

Not only did the pregnant women not mind, but they were also optimistic and reasonable.

Xia Tutu, Chen Weiming and other intern doctors only felt warm in their hearts.

This is in sharp contrast to Jiang Qinyan who tried to shirk the blame earlier!

When encountering such patients or their family members, doctors will really feel comfortable and provide medical services more attentively.

"Isn't it more than 25 weeks?"

The examination began quickly. Looking at the fetus in the image, the doctor in the ultrasound room determined the fetal age.

The pregnant woman nodded, "Yes, it's 27 weeks."

"The fetus is in good condition, but the umbilical cord is a little wrapped around the neck.

said the doctor in the ultrasound room.

"Umbilical cord around neck?"

The pregnant husband on the side expressed doubts, obviously he may not know this term.

"It's similar to hanging, with the umbilical cord wrapped around the baby's neck."

Hearing what the doctor said, he was immediately startled.

"Is this situation serious?"

The pregnant woman’s husband asked quickly.

"It's okay, it's been a circle."

After the doctor in the ultrasound room finished speaking, the pregnant woman's husband suddenly exclaimed.

"Wow! Have you been hanging for a week?"

"Isn't this necessary to strangle to death?"

The doctor in the ultrasound room suddenly opened his eyes like bells.

Lu Ming's mouth also twitched.

And several intern doctors on the side.

Some were stunned.

Some laughed very unkindly.

"Pfft hahahaha..."

I can't hold it in, I really can't hold it in!

The umbilical cord goes around the neck, can it still be understood this way?

What a talent!

Lu Ming sighed and explained on the side:

"This week is very special. This 'week' is an adjective, not a numeral!"

.…wherever….