doctor's love

Chapter 27

Xin Hai told Lu Baiqiao that reincarnation exists in this world.People cannot be resurrected after death, but they can reincarnate.They may have ended their short lives for various reasons, but their souls are still alive.All memories will be kept somewhere, waiting to be returned when they die again.

Lu Baiqiao slapped him with a smile, asking if he had done too much fortune-telling and started to suffer from hysteria?This statement also made sense, but no one would believe such an affirmative tone.

Both of them were drinking at that time, and they were laughing and laughing when they talked, but they lost if they took it seriously.

Now Lu Baiqiao would rather all these gossips are true.

Li Keyan pushed away the emergency personnel who stood in front of him, and the corner of the surgical gown was still bloodstained by the patient from the previous operation.

It was a round steel bar with a diameter of [-] centimeters, pierced through her left back waist, and passed out from under the xiphoid process.She had just been sent here not long ago, and she had only done initial bleeding work.

And when Li Keyan raised his head, he showed a shocked expression.

"...Able to be the boss?" He looked in disbelief, looking at the pale but short-haired woman on the stretcher.

"It's me, Doctor Li," Noto squeezed out a small smile, "I'll ask you to help me this time, this child can't be hurt anyway." She raised her hand to touch her swollen belly.

Noto Koshi, a 27-year-old junior.He is the owner of the "Hazi Canteen" he often goes to.

She is a very independent woman who traveled across the sea while pregnant, and took root in Binhai. She owned this flavor canteen and managed it in a prosperous and delicious way.

"Don't talk, I'll find a way for you!" Li Keyan ordered the nurses around him, "Take me for a chest and abdomen CT, right away! Also call Yi Yixing, who is on the outside of the chest, Chen Beihai from general surgery, Ding Yue from surgery, and Sun Jiaoberry from gynecology!"

He knew that pulling out the steel bar directly in this case would cause secondary damage, which was likely to affect the fetus, so he had to consult a doctor immediately and perform an operation immediately.

"Is the operating room still available? Has the room that was just finished cleaning been cleaned?" Li Keyan pushed the stretcher bed that could climb a little bit, and shouted inside.

"It will be ready soon! Don't worry!" The cleaning team panicked and ran inside pushing the cart.

He wanted to ask Noto what to do, but saw that she was already in a daze, as if she was about to go into shock.

Noto Xiaoshi is a very important friend to him, even Li Keyan wiped the sweat from his forehead nervously several times at this time.Two more ambulances came outside the door, and suddenly the outside became noisy again.

At this moment, he suddenly caught a glimpse of Lu Baiqiao who was moving mechanically, and Zhou You who was kneeling not far away.His two apprentices had nearly collapsed because of Li Yue's death, and they were already bewildered.

Li Keyan just learned of Li Yue's death half an hour ago.At that time, he was repairing the patient's liver, and he resumed his movements after a pause of two seconds.

"What's your expression? Are you going to die or are you going to die?" Li Keyan ruthlessly slapped Lu Baiqiao from behind.

Lu Baiqiao came back to his senses and looked at his mentor.

For a moment, I wanted to cry.

Li Keyan didn't have time to wait for him to react, so he said to him: "Zhou You is useless, you should hurry over and help!"

"Which is more important, those who are still alive or those who have passed away, you can decide for yourself!"

Li Keyan left Lu Baiqiao behind, and ran into the corridor pushing Noto slightly.

Lu Baiqiao stood where he was, feeling a burning pain in his back.

Which is more important, the living or the dead?

Nonsense, of course it is a living person!

Only by being alive can there be infinite possibilities, the possibility of gaining more and losing more!

No matter how sad it is, it is impossible for the dead to come back to life, just like the passing time and the erupting disaster, which cannot be traced back.

There are still so many people who want to live, how can you let them down?

He finally reacted, quickly took off his dirty coat, put on a clean protective suit, and ran to the ambulance.

He finally understood what he should do at this moment.

"A stab wound in the precordial area, 22 years old! About an hour after the injury, the wound was located on the fourth rib on the midline of the left clavicle, about 0.5 cm long, probably caused by splashed glass!" the emergency team finished speaking to Lu Baiqiao who came to respond situation, pushing the male patient to the emergency room.

"Check the wound." Lu Baiqiao put on gloves and asked the doctors and nurses on both sides to cut open the patient's clothes.

"I can't touch my heart, go for a heart lottery! Is there a cardiologist here? Attending or hospitalized?" Lu Baiqiao let go of the patient and shouted into the hall.

"Dr. Lu and the resident physicians have all gone to the scene. Now the surgeons... are all in the operating room, and a considerable part of them are with Dr. Li." The little nurse on the side said quietly.

Is this... in time?

Lu Baiqiao couldn't take care of that much: "Do the heart lottery first, and then go to the heart surgery doctor, whoever is done will come over immediately, is the operating room still free?"

"There is an observation operating room that is still empty."

"Get ready. If there is a situation, the operation will be performed immediately. What about the family members?"

"I've been waiting, do you want to prepare a consent form for surgery?"

Lu Baiqiao nodded, and immediately ran to the ECG room without stopping for a moment.

The patient has a small amount of fluid in the pericardium.

Lu Baiqiao highly suspected that it was a sharp heart injury, so he had to open his chest immediately.A surgeon at the scene had responded to them and was about to rush over immediately, so the anesthesiologist performed general anesthesia.

But just as we put the patient in the right side lying position for disinfection, the cardiac arrest occurred.

For a while, everyone in the operating room panicked. Everyone looked at each other, went around, anesthetized, and there were many equipment nurses, but one surgeon was missing.

Lu Baiqiao seemed to be the most experienced doctor present, he was stunned.

During this time, he followed Li Keyan into the operating room, and also did some assistant work under his instruction.But he really didn't do anything like the main knife.

"Doctor Lu! What should I do next?" The nurse on the side asked him anxiously.

Wait a minute.

Wait!

The seniors said something similar about this when I was an apprentice...!

This is cardiac tamponade.At this time, external CPR on the left side of the chest was not possible, and the chest had to be opened immediately for intrathoracic cardiac compression, but Lu Baiqiao had absolutely no experience in this area.

How to do?

How to do?

Now how to do? ? ! !

A piercing sound from the ECG monitor reminded everyone that life on the operating table was dying.

"Doctor Lu!!!" The itinerant nurse shouted.

"Ice packs on the head cool down and protect the brain."

"Do autologous blood transfusion."

"Give me iodophor!"

Lu Baiqiao took the povidone iodine from the nurse and fell directly on the left breast surgery area.

It was too late for disinfection, Lu Baiqiao knew that the chest must be opened immediately for pericardial decompression and cardiopulmonary resuscitation.Lu Baiqiao picked up a scalpel and made an incision on the anterolateral side of the fifth rib. Without even using an electric knife to stop the bleeding, he immediately used tissue scissors to cut open the chest wall muscles and intercostal muscles.

After cutting the muscle, Lu Baiqiao quickly entered the chest and stretched it, seeing that the pleura was full of blood.

"Attract!" He instructed the opposite assistant.

After the accumulated blood was sucked away, the operative field was finally exposed. Lu Baiqiao quickly checked and found a 0.5 cm wound on the pericardium.

The open heart was cut, and as expected, there was a 0.5 cm transmural injury on the left ventricle, and blood continued to spurt, splashing on his arm.

Lu Baiqiao's adrenaline surged, he immediately grasped the heart with his right hand and began to press, while trembling, he said, "Quick, expand the volume quickly, push the adrenaline... Sodium bicarbonate corrects the acid...!"

His hands were still pressing continuously, hoping to take the patient back from the clutches of death.

Ten seconds, 20 seconds, 30 seconds.

1 minutes, 2 minutes, 3 minutes.

Gradually, the patient's heartbeat returned and blood pressure began to slowly recover.

A big rock in Lu Baiqiao's heart finally fell to the ground, and he was rescued.

From the start of cardiac arrest to the opening of his chest to plug the wound and perform resuscitation, the overall time did not exceed 4 minutes.This should be the fastest time in his life to disinfect the drape and open the chest.Lu Baiqiao was still pressing the wound, waiting for the superior doctor to arrive.

A few minutes later, Li Keyan entered the operating room with his hands raised.

When he saw Lu Baiqiao standing on the operating table, he was a little surprised, but he didn't speak, but quickly walked over to take the non-invasive sutures and started repairing.

Li Keyan was still as fast, quickly finished the repair, closed his chest and sewed the skin.The operation ended neatly.

Lu Baiqiao stood opposite him, staring intently at his mentor's hands, as if he wanted to burn the whole process into his brain.

Li Keyan glanced at him from the corner of his eye, and suddenly felt that it was great that he looked serious.

After it was over, he patted his apprentice on the shoulder and praised him: "Well done."

Li Keyan praised him sincerely because Lu Baiqiao took the most correct way to deal with it at the first time.

If the chest is not opened in time to do pericardial decompression after the cardiac arrest, the hole is blocked with hands and the heart is resuscitated in the chest, the patient's heartbeat will not come back.

And if, at that time, he followed the strict aseptic technique, slowly disinfected and spread the drape, it would also lead to too long cerebral ischemia time and affect the cerebral resuscitation. Taking corresponding cerebral protection in advance also reduced the possibility of the patient becoming a vegetative state sex.

That's right, this time, Lu Baiqiao did a great job.

Li Keyan took off the mask and gloves and threw them into the recycling bin beside them.

He took out his mobile phone and found that the black alarm had been lifted.

Checking the time, it was already four thirty in the morning.The situation on Noto's side was quite optimistic. After quickly removing the steel bars and repairing them, Sun Jiaoberry took the stage. At that time, they also received Lu Baiqiao's internal call for help, so Li Keyan hurried over to help his apprentice.

However, he could vaguely feel: Lu Baiqiao won't screw up this time, not only won't screw up, but will do well.

As it turned out, he was right.

Lu Baiqiao is the kind of person who is more pressured and does better.

And this is one of the reasons why Li Keyan fell in love with him.

Li Keyan, who was washing his hands, suddenly realized what he was thinking, froze for a few seconds, and then scratched his hair angrily.

He fell in love with his apprentice.

After realizing it, he immediately understood that this was not the kind of liking that was about to sprout, but a liking that was strongly recognized and comforted, mixed with affection.

God, he's not a 16-year-old high school student.What a shame.

Li Keyan shook off the water on his hands, and walked towards the dressing room, with a faint trace of shame still on his face.

"Teacher!" Lu Baiqiao rushed up from behind and called him to stop.

Lu Baiqiao walked in front of Li Keyan, his face was full of exhaustion and bitterness, his eyebrows were figure-splayed, but he was still smiling.

"Teacher, do you know?" Lu Baiqiao's voice was still trembling, "I think I really grew up this time."

"You always say that I'm not independent enough, I'm too indecisive, I always go to someone when I can't do it, I go to you, and I can't handle urgent matters by myself like a man."

"But during the emergency activities tonight, including the operation, I didn't think of you at all."

"I did it."

Lu Baiqiao tried hard to hold back the smile on his face, but squeezed the tears from his eyes.

"Being able to forget the teacher is the first step for me to practice medicine independently."

After saying this, Lu Baiqiao nodded towards Li Keyan, and walked towards the locker room.His arms and the hem of his clothes were still stained with blood and body fluids from rescuing patients in the past few hours.

He is heroic and valiant, not losing at all to Li Keyan who showed his sharpness in the past.As if he had received a true biography, he raised his head and chest, and walked with his eyes straight ahead.

Li Keyan stood where he was, his thoughts went completely blank for a moment.But immediately, such a sentence appeared in his mind.

forget me?Don't even think about it.

I want you to never forget me in your life.

____________________________

There are real cases of the operation performed by Lu Baiqiao this time. Thanks to Zhihu’s chest bracing department for authorizing me to rewrite it, and put the link of the original answer:

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