White armor

Chapter 456: Lao Meng, Why Are You Panic?

“Is biopharmaceutical really that different?”

"During the epidemic a few years ago, I heard a teacher from the pharmacy group say that there was originally a 20-year gap, but other people's RNA vaccines did not go through clinical trials and were directly used worldwide. Various clinical feedback data can directly mature this type of drug."

“!!!” Meng Liangren was surprised.

He had no idea this was happening.

With her high ponytail swinging in the wind, Zhuang Yan gossiped with Meng Liangren while listening to the voice coming from the navigation on her phone as she headed towards the orphanage.

When they arrived at the orphanage, they saw a few children playing in the yard from afar. A smile appeared on Meng Liangren's square face.

At this time, Meng Liang felt particularly relaxed, with a warm feeling all over his body, which was different from when he was in the hospital.

Zhuang Yan stopped the car and heard the sound of iron chains.

???

Iron chain?
Orphanage?
All kinds of bad guesses instantly came to her mind, and Zhuang Yan felt a little annoyed.

"Hey!" Meng Liangren shouted loudly.

"Uncle Meng~" the little girl called.

"Hey, hey, hey." Meng Liangren uttered "hey" three times in a row.

The smile on his face was overflowing, and Zhuang Yan felt that the words she had just said were particularly appropriate for Meng Liangren.

"I brought you some delicious food." Meng Liangren got out of the car and took a few bags of snacks. "I can't give you more. I'm going to see your dean."

The director is a widowed middle-aged woman who usually treats the orphanage as her own home. Feng Zixuan is concerned about Luo Hao's situation and specially found such an orphanage which is relatively better and more reliant.

The children dispersed and gathered around Meng Liangren. Only then did Zhuang Yan see a large raccoon chained to a small stone pillar.

I am!

Zhuang Yan had only seen similar situations in short videos, but she didn't expect to see it with her own eyes.

The big lihua had a muscular body and squinted his eyes as he looked at Meng Liangren, his eyes were full of murderous intent.

It's more like a very small tiger than a cat.

Zhuang Yan felt that the big cattail flower, which was not even locked by the Qinling jackal's gaze, was even more ferocious.

Oh my god, what the hell is this.

"This is for you, one bag for each of you, and the rest should be given to the dean, who will share it with you when the time comes." Meng Liangren said with a smile, "This is Dahua's jar."

As he spoke, Meng Liangren closed the trunk, took out a can of cat food that he had bought from Wo Chong Wo Ai, opened it, and placed it 3 meters away from Da Li Hua.

"Dahua, I'm here to see you." Meng Liangren showed a flattering smile on his face.

That flattering and fawning smile came from the bottom of his heart, and it can be seen that Meng Liangren is afraid of this cat.

"..." Zhuang Yan was speechless.

Is this going to make the big cat hungry? The guy was chained and there was a cement block behind him.

But the next second, a clattering sound was heard, and the iron chain behind Dalihua straightened, and it walked step by step towards the jar that Meng Liangren opened.

Zhuang Yan's eyes widened.

The tendons on the big cat's body were taut and it looked fierce, as if even an iron chain could not hold it down.

No wonder Lao Meng put the cat food can so far away, and no wonder this big tabby cat was locked up.

I guess it was because Old Meng came to see the children before and suffered a loss at the hands of Big Lihua.

But this loss has to be suffered. You can't find an opportunity to kill the big cat.

Then again, if there wasn’t an iron chain, it’s still unclear whether Meng Liangren could defeat this big cat.

Meng Liangren put down the jar, and when he saw Dalihua coming over, he quickly dodged and left.

Zhuang Yan stared at the big cat in a daze. The cement block behind him weighed about thirty or forty kilograms, leaving a white mark on the ground.

There are many white marks on the cement floor, some of which have turned into small channels, probably caused by the big catfish.

This is too fierce!

"Meow~~~"

A cat meows.

The big tabby cat paused. Zhuang Yan looked in the direction of the cat's cry and saw a huge tabby cat appear on the edge of the wall.

The orphanage was quite old, and there were traces of barbed wire on the wall from decades ago. The tabby cat standing on it actually gave Zhuang Yan a feeling of looking down on everyone.

It seems a little familiar, Zhuang Yan thought to herself after seeing the mouse in the tabby cat's mouth.

A thought flashed through Zhuang Yan's mind as she realized that this person was none other than the director of the Food Street's Rat Extermination Office!

It turns out they are from the same family?

Ga.

Director Li jumped down with the mouse in his mouth, and with light steps, he threw the mouse in front of Big Lihua. Then he walked to the jar, sniffed it, and with his little paw, pushed the jar in front of Big Lihua.

It was the first time that Zhuang Yan saw a cat eat a mouse.

A bit bloody.

Besides, the big catfish is very strong, so a mouse is just an appetizer at most, and adding a can is not enough.

Zhuang Yan even suspected that the big catfish could eat the outer tin packaging of the can. Its stomach has evolved to the point where it can easily digest iron. At least that's what Zhuang Yan thought.

But no matter how fierce the big tabby cat is, it is just a tabby cat, not a bamboo.

Bamboo can be eaten and digested, but leopard catkins cannot.

The iron-eating beast is not called that for nothing.

Director Li was talking to the big raccoon cat in the orphanage with a meow. The muscular big raccoon cat was not willing to pay attention to Director Li and seemed to say less.

At this time, Zhuang Yan really wanted to pull Luo Hao over.

It would be great if my senior brother was here and could translate what they said for me.

Not long after, Meng Liangren's hearty laughter was heard from the room.

"Dean Wang has worked hard. I am busy with work and don't have much time to visit them."

"Seeing the child grow taller and stronger, I know that Dean Wang is caring about this."

"This is what we should do. You are too polite, Doctor Meng."

"Our leader told me to do that. Oh, and I brought 20 bamboo-related dolls in the trunk. One for each of the children, and you can keep the rest."

As they were talking, Meng Liangren and Dean Wang came out.

Dean Wang is nearly 50 years old, but she looks like she is in her 30s. She doesn't look old at all. But the smile on her face is gentle and not aggressive, and it seems that she is living a good life.

I guess it makes the kids less worried.

Meng Liangren chatted with Dean Wang for a while, watching the children eating snacks and watching Dalihua and Director Li chatting. Time passed slowly.

About an hour later, Meng Liangren and Zhuang Yan left the orphanage.

After saying goodbye to the dean, Meng Liangren combed the children's hair one by one, told them to be obedient and study hard, and then got into the car.

"Meng, how often do you come here? I see you are very familiar with the dean."

"I've been here twice, both times after get off work. I added the dean's WeChat. A few days ago, a relative of the dean was waiting in line for hospitalization and was anxious. He sent me a message, and I went to find Director Chen."

"Huh? You didn't tell your senior brother?" Zhuang Yan was a little surprised.

"Professor Luo is busy, so I'll tell Director Chen about this little thing and he'll give me face. The operation has been completed long ago, and it was said that Director Chen performed it personally." Meng Liangren said with a smile.

The words were a bit fragmented, but Meng Liangren was unusually relaxed.

"Hey."

"Xiao Zhuang, when I was young, my parents talked about their expectations for my future. Guess what career would be good for me?" Meng Liangren suddenly asked.

"Doctor, or...scientist?"

"No, it's the driver. Holding the steering wheel, holding a scalpel, those were good jobs in their time."

"???"

Zhuang Yan tightened her grip on the steering wheel, as if wondering how holding a steering wheel could become a good job?
"You didn't exist at that time. A Santana cost more than 200,000 yuan, and anyone with money could buy and drive it. If there was something going on at home and we needed a car, we would have one or two cars to show off. It's not like now, where parking is a hassle.

In recent years, there are more electric cars, and Mercedes-Benz and BMW are not selling well, so they are starting to sell at a discount price. "Meng Liangren explained.

“The world changes so fast.”

"It's not bad actually. Doctors have always been a profession that people need. Don't listen to what people in the south say. I have classmates there. They will come back to brag to us during the Chinese New Year."

"blow……"

Before Zhuang Yan finished her question, her cell phone rang.

"Hey?"

She was driving, her Bluetooth was connected, and she didn't see who was calling.

"Xiao Zhuang, it's me."

A man's voice came.

Zhuang Yan frowned, looking somewhat unhappy. Meng Liangren noticed the change in Zhuang Yan's mood, but he didn't say anything. Instead, he turned his head to look at the neon lights outside the window.

"Is something wrong?"

"I seem to have encountered a medical dispute..." the caller said embarrassedly.

As he spoke, faint sobbing sounds were heard from the other end of the phone, as if to support his words.

"Hey, can you make it? You always boasted about how great you were when you were in school, but now you've been involved in a medical dispute for less than half a year after you started working?!"

There was silence on the other end of the phone.

Silence seemed to have a power that made both Meng Liangren and Zhuang Yan feel uncomfortable.

After a few seconds, Zhuang Yan asked, "What's going on?"

"The first patient I treated had an inguinal hernia. The surgery was definitely fine, for sure!" the man explained, "but things kept going wrong after the surgery. Mercury has been really bad lately. How come I encountered such a troublesome patient?"

Although Zhuang Yan was a little impatient, she still listened patiently.

"Well, let's not talk about this. I originally wanted to live in the provincial capital...to be closer to you, but..."

The muscles on Meng Liangren's square face twitched.

"The patient's family was about to file a complaint and just scolded me. You people from the Northeast are really vicious."

"What do you mean we are from the Northeast? You can't even cure an inguinal hernia, and you still have the nerve to talk like that!" Zhuang Yan scolded mercilessly.

"I... just want to say goodbye to you and prepare to resign."

"Where is the patient?"

"It depends on how the Medical Dispute Mediation Committee decides. It's probably a medical accident, and definitely not a liability accident." The man explained, but his voice became lower and lower, lighter and more ethereal.

Faintly, the sobbing sound came again, like a ghost. An old man was crying, Meng Liangren felt a little contemptuous in his heart, gritted his teeth fiercely, and his masseter muscles bulged.

"You didn't ask the teacher?"

"It was the same surgery, but there was continuous bleeding after the surgery, and there was no serious problem with blood coagulation. I pulled our director up to stop the bleeding, but after that... Oh. Forget it, I won't say more. Xiaozhuang, if you don't let me call you Xiaoyan, then..."

"Just shut up now. How can you be so careless? It's already this late and you still have the mind to flirt with me." Zhuang Yan scolded, "I'll call my senior brother and ask you to send me the patient's relevant information."

"Dr. Luo?"

"Sure."

There was silence again on the other end of the phone, and the faint sound of a mouse knocking on wood could be heard.

"What are you doing!"

"I don't need him to help me." Zhuang Yan's classmate said hatefully.

"Hey, you're a doctor. This is about treating illnesses, not your personal matter. Besides, who else can you turn to if not your senior brother? Who can you find?" Zhuang Yan was also a little angry, and her tone became increasingly unfriendly.

I don’t know if it was because of Zhuang Yan’s scolding or because she was angry, but the other end of the phone fell silent again.

A few seconds later, with a sigh, the call was hung up.

"Who is it?" asked Meng Liangren.

"A classmate who has been pursuing me fell ill in the imperial capital, and my senior brother saw him." Zhuang Yan explained.

"You've also come to the provincial capital?"

"I originally said I was going back to the south, but I don't know how I ended up here in the provincial capital. I don't want to see him anymore, but I can't get rid of him no matter how hard I try, he's like a piece of chewing gum."

The muscles on Meng Liangren's square face twitched twice.

Zhuang Yan was in no mood to chat as she was annoyed. Meng Liangren didn't say anything either and returned to the First Hospital of Medical University in silence.

Meng Liangren got out of the car and waved.

Zhuang Yan, who was sitting in the driver's seat, didn't look at him. She picked up her cell phone, and the light from the phone shone on her face, looking a little cold.

Meng Liangren felt lost and was about to turn around and go back to the ward to work when he suddenly heard Zhuang Yan shout, "Meng, wait for me."

"Go home and rest."

"He sent me the information. I'll sort it out and send it to my senior brother. Wait for me to park the car."

Zhuang Yan did not park her car in the underground parking lot, but parked it in a random parking space at the entrance of the inpatient department.

If it were Meng Liangren, he would not be willing to do so.

It is said that parking here costs 5 dollars per hour.

Since the house couldn't be sold at a good price, many things had been lost, and Meng Liangren knew it well.

Even the hospital in front of us is expected to be depressed for a while.

It sounds magical that the First Hospital of Medical University performs 100,000 surgeries a year. In Chen Yong's words, it is a manifestation of exceeding the existing economic support capacity.

What did Professor Luo say at that time?

Meng Liangren was in a daze when Zhuang Yan ran over, swinging her high ponytail, and patted Meng Liangren's shoulder vigorously, "Let's go, Old Meng."

"Oh."

"My classmate was very annoying. He pursued me for three years. He placed flowers under the dormitory three times and proposed to me in person."

"That's wrong. Isn't this just coercion? Damn moral kidnapping. There are people around who are cheering us on. What's going on with us?"

Zhuang Yan kept muttering while pressing the elevator button.

She inadvertently glanced at Meng Liangren and observed Old Meng's expression.

"What about you?" Meng Liangren remained calm.

"Of course you can't agree to this. Isn't this insane? My dad told me when I was a kid that the more serious the situation, the more you have to refuse. Once you soften your heart, you will suffer in the future."

"Huh? It turns out that your dad told you to have so many ideas." Meng Liang felt a sense of empathy. Dean Zhuang's words and deeds were really useful.

Many girls couldn't resist the pleas of others and agreed to them, but most of them probably ended up badly.

What was supposed to be a natural thing turned into moral kidnapping, which is really boring.

"My dad taught me a lot of things, saying that when you are out in the world, face is the least important thing, especially when you encounter something like this."

There is indeed some truth in the family tradition, Meng Liangren thought.

A girl with a thin skin might have agreed reluctantly. As for the future, who would have thought about it?

In the past, in infectious disease hospitals, young doctors who had just arrived were also controlled by the nurses.

Once, a young doctor who had just arrived had a strong opinion and refused to agree. Finally, the nurse stood on the windowsill and said she would jump down if she didn't agree.

What's going on?

Meng Liangren felt a little confused, and past memories flooded into his mind.

"Old Meng, what are you thinking about?" Zhuang Yan asked.

"I didn't think much about it. I just thought that there was no big problem with blood clotting, it was just subcutaneous bleeding." Meng Liangren explained casually.

"Oh, go back and help me sort it out and let Senior Brother take a look. I don't want to help him. An old man can't even handle his own little thing, so why should I help him? But the patient can't stand it, what do you think, Lao Meng?"

Meng Liangren scratched his head.

It is really not easy to be a doctor. No matter what the situation is, if you say no, you will be considered an antisocial person.

When he arrived at the office, Meng Liangren called Erhei over, stroked his shiny head, and gradually felt at ease.

Zhuang Yan held up her phone, "Meng, what should I do? I told you to take notes? The medical records on that side are so rough, I can't read them. At a glance, there are two typos, not to mention the problems. If you take this medical record to court, you will lose."

"You tell me, I'll remember, and then we'll discuss it together and show it to Professor Luo. But it's late today, and it's not an emergency, so let's do it tomorrow morning. Professor Luo hasn't had a good night's sleep in that room for a long time."

"That's right, Senior Brother is too busy."

The patient was a 35-year-old male who was in good health and had no history of hypertension, diabetes, or heart disease. He was admitted to the hospital for left inguinal oblique hernia and underwent tension-free repair surgery under spinal anesthesia.

The patient had undergone appendectomy ten years ago and recovered well. He had no other history of surgery or trauma.

Hernia repair surgery itself is a basic minor surgery, at the same level as appendectomy.

Generally speaking, resident managers are reluctant to do it, but when they meet a resident trainee who is motivated and willing to work, it is normal for him to do one before leaving.

It would have been no problem for a master's degree graduate from Peking University Health Science Center to perform such a minor operation, but on the first day after the operation, subcutaneous hematoma and scrotal hematoma were found near the surgical area.

At that time, we thought the patient was bruised or crushed, but he denied any external injury and no special treatment was given.

Similar situations are actually not uncommon, but have not attracted the attention of clinicians and senior doctors.

When changing the dressing on the second day, it was found that the bruising of the waist and the edema of the scrotum and vulva had basically not changed, and obvious edema was also found at the incision site, accompanied by subcutaneous ecchymosis.

Considering the possibility of internal bleeding in the incision, the three sutures were removed in the dressing room and about 150 ml of blood was removed.

However, Zhuang Yan's classmate did not find any obvious active bleeding. He also asked the professor in charge of the group to help take a look, but he did not see any obvious bleeding either.

After debridement, the incision was packed with iodine gauze and a pressure bandage was applied.

On the third and fourth days after surgery, there was still a small amount of blood stasis in the incision during the dressing changes. Each time, the blood stasis was cleared and iodine gauze was used for packing and compression.

When changing the dressing on the fifth day, the hemorrhage in the incision was significantly reduced, and the incision was flushed with 200 ml of normal saline + 16 units of gentamicin injection, and then bandaged with sterile gauze.

From the sixth day, there was no more bruising and obvious bleeding when changing the dressing. The wound surface gradually shrank. The patient was discharged from the hospital on the fifteenth day after surgery, and the wound closed in about twenty-five days.

Up to here, everything is still normal.

Similar situations have occurred before, especially when Meng Liangren first arrived at the clinic, he would occasionally encounter patients who had fat liquefaction due to appendectomy.

The treatment process is similar, which includes exploration, constant dressing changes, disinfection, drainage, infection prevention, etc.

But if there are no accidents, accidents will still happen.

About one and a half months after the wound was closed, it started to become infected and pus started to ooze out. The wound was enlarged and drained in the outpatient clinic, and the dressings were changed every day. However, it was still infected repeatedly after 25 days, with the condition getting better and worse, and the wound never healed.

At this time, even the director of their department examined the patient and considered that there was a deep infection. After communicating with the patient and his family, he planned to remove the patch, thoroughly clean the incision, and perform a laparoscopic inguinal hernia repair.

but!

As I said, if nothing unexpected happens, an accident will happen again.

During the operation, it was found that the patient's lesion had invaded the inner ring and laparoscopic repair was not possible.

There was no other choice, so the director was called to the stage. After taking a look, he decided to enter from the original incision, remove the original patch, and after thorough cleaning, place a latex tube near the inner ring for drainage, and then suture the incision in layers.

After the operation, thick fluid was drained out, and then it was the same as last time, but fresh blood soon began to be drained out.

The patient's family members could no longer sit still. As the patient's condition gradually worsened, a series of exchanges and communications took place...

When writing this, Meng Liangren and Zhuang Yan were both a little confused.

A hernia that got worse?!

Yes, let alone the patient’s family, even the two people who were far away in the First Hospital of Medical University found it hard to believe that the patient’s condition would develop in this direction.

The gauze was wet every day, and the estimated amount of bleeding was more than 100 ml/day.

After consultation, considering that the patient had problems with his coagulation function, it was recommended that the patient go to a higher-level hospital, but the patient and his family refused.

So 400 ml of fresh plasma was transfused, and the bleeding condition improved slightly, but it was the same again two days later.

As time goes by, the attitudes of the patients and their families quickly deteriorate.

It's not hard to imagine.

It’s just a hernia, and it can’t be cured!

Where can I seek justice?

Time is like a big millstone, gradually grinding away people's patience.

It was not until the patient was admitted to the ICU that the emotions of the patient's family erupted like a volcano.

Looking at the test report, the patient's activated partial thromboplastin time (aptt) in the four coagulation items was elevated, but the value was not very high, only 45. Pt and everything else were normal.

Zhuang Yan stared at this number, puzzled for a long time.

"Old Meng, have you ever seen this situation?"

"Oh..." Meng Liangren tied up Erhei's hair and smiled bitterly, "I have never seen that. I used to be a senior attending physician at the Infectious Disease Hospital. I didn't see as many patients as you did during your internship or graduate studies."

"But I always feel that you are experienced."

"..."

"Besides, Old Meng, you are a little panicked. Why?" Zhuang Yan raised the corners of her lips and stared at Meng Liangren closely.

“???” Meng Liangren was silent.

"I was going to the ICU to take care of a patient poisoned by paraquat, and you lost your focus and said I wanted to go home. It was such a mess, what were you thinking?" Zhuang Yan pressed on.

Her eyes were fixed on Meng Liangren, without blinking, as if Meng Liangren had made some mistake.

Old Meng was not panicked at first, but when Zhuang Yan looked at him like that, he suddenly started to panic from the tip of his hair to the tip of his toes. Even his heartbeat changed, and the severe arrhythmia made Meng Liangren feel palpitations.

(End of this chapter)