White armor

Chapter 496 The Old Boy
"Fang...Brother, you are kidding me."

"I'm not kidding. When you were examining the patient just now, did you pay attention to the patient's limbs?" Fang Xiao asked.

The doctor on duty shook his head.

He is an old doctor, only two or three years younger than Fang Xiao, so he has never changed his address to Director Fang.

Fang Xiao smiled, this was also an area where he could make progress.

Professor Luo is strong in all aspects, but he is extremely careful and serious with clinical patients.

Lao Meng chats with patients every day about all sorts of things, but that's just on the surface; he can find problems during the chat.

So Fang Xiao started learning this since he came back from the provincial capital.

He just went for a consultation with the Department of Gastroenterology, and the patient was a young woman, 23 years old.

The patient complained of persistent dull pain in the right upper abdomen for 20 hours.

20 hours ago, dull pain in the right upper abdomen appeared without obvious cause, which was persistent and accompanied by nausea, but no vomiting, fever or chills.

The emergency department diagnosed it with acute gastroenteritis and the patient was sent to the Department of Gastroenterology for inpatient treatment.

When the emergency ultrasound was performed, the patient's liver, gallbladder and spleen were fine. However, less than 3 hours after hospitalization, the patient's blood pressure began to drop. Another emergency color ultrasound revealed a mass in the right lobe of the liver of 130× 77 mm. Routine blood tests showed hemoglobin of 74 g/L.

Liver bleeding!

No external injuries!

Bleeding for no apparent reason?!

The gastroenterology department requested a consultation with the general surgery department and wanted to transfer the patient to see if surgical treatment was possible.

Fang Xiao was in charge of the consultation. He took the doctor on duty to take a look. While he could not see anything wrong with the patient's condition, Fang Xiao noticed one thing - the patient's facial skin looked no different from that of a 23-year-old.

but!

The skin on the patient's arms was loose and wrinkled, making him look like a man in his seventies or eighties.

This abnormality made Fang Xiao's heart suddenly rise.

When asked, both the patient and his father were very secretive and seemed not to want to talk about it at all.

The patient should have been transferred to general surgery, and Fang Xiao could try both surgical operation and interventional treatment.

If it really doesn't work, we still have Professor Luo.

Fang Xiao has never been afraid to curry favor with others.

Asking Professor Luo to come for consultation and surgery is the most normal thing to do. There is no need to hesitate.

The more you use human relationships, the deeper their value grows.

But after seeing the abnormalities of the patient's limbs, coupled with the strange emotions of the patient's family, Fang Xiao felt a little apprehensive.

Possessing someone else's body was just a joke by Fang Xiao. He was just talking nonsense and it should not be taken seriously.

Fang Xiao remembers that the first online novel he read was called "The Old Boy".

The 23-year-old female patient is a bit like the protagonist of this book.

It just turns out to be far stranger than fiction, with the 23-year-old female patient's body appearing to have been cut up, her face and torso consistent with her age, but her limbs showing signs of severe aging.

Coupled with the inexplicable liver bleeding, this made Fang Xiao extremely cautious and he turned on dog mode.

Holding the robotic panda, Fang Xiao began to think about what to do.

"Director Fang." An old voice came.

"Director Xing, I dare not, I dare not." Fang Xiao jumped up from his chair quickly, smiling, almost flattering, "Why haven't you left work yet?"

"Just as I arrived at the garage, Director Li from the Department of Gastroenterology called me back." Director Xing was a little unhappy. He looked at Fang Xiao and said, "Director Fang, although my retirement has been delayed, I am still planning to retire early. I will definitely leave at 60."

"..." Fang Xiao was silent.

The delayed retirement announced a few days ago made the relationship between Fang Xiao and Director Xing inexplicably awkward.

The contradiction between the young director who was eager to get promoted and the old director who was reluctant to step down became increasingly acute.

Director Xing suddenly brought up this matter. What did he want to do? Fang Xiao immediately activated the Level 4 alert mode.

"Don't be emotional while working. As doctors, we should always focus on curing diseases and saving lives." Director Xing advised earnestly.

"Director, look at what you said, I don't have any emotions at all." Fang Xiao's waist had unknowingly bent down, like a grandson.

"What's wrong with the patient in the gastroenterology department? I heard from Director Li that he is now suspected of having liver bleeding." Director Xing was a little unhappy. "At least they need to transfer the patient over. Otherwise, he is now covered by a membrane, but once it is broken, they won't even have a way to rescue him."

"Director, there's something wrong with the patient." Fang Xiao saw limbs like an old man's.

"What's the problem?" Director Xing was quite unhappy.

"Liver bleeding is generally seen in car accidents, trauma, tumor rupture, etc. Spontaneous rupture is not cancer. Have you ever seen it?" Fang Xiao asked.

When talking about the illness, Fang Xiao's words were a bit direct. Director Xing frowned and looked at Fang Xiao.

"And the patient's limbs look like he is in his 70s or 80s."

"What are you doing!" Director Xing scolded unhappily, "We are doctors, not people holding the King Wen drum! You said that his limbs look like those of an old man, are you trying to humiliate me?"

"..." Fang Xiao sighed inwardly.

"Director, how about this? I'll consult an expert from the Medical University?"

"Are you using the experts from the Medical University to pressure me?" Director Xing asked again.

Fang Xiao was stunned and had no idea what to say.

Why is Director Xing so sensitive? Every word I say seems to touch his reverse scale.

This is too unreasonable. Director Xing now seems to have sensitive skin all over his body. He gets angry at any random words, even an expression or an action.

Fang Xiao had no choice but to lower his head.

"Director Fang, I usually don't like to say much, but you young people are the future. Let me ask you, have I ever made things difficult for you over the years?"

Fang Xiao shook his head.

"I'm putting it all here. I will definitely retire at 60, and the position is yours! Why are you in such a hurry? Everything was fine before, but when you heard about delaying your retirement, you started to get upset."

"Director, I'm not in a bad mood. I really am not." Fang Xiao said helplessly.

"You're not going to do the surgery if you're not upset?!" Director Xing started to curse. "The most suitable surgery for this patient is interventional surgery to stop bleeding. As for how spontaneous bleeding occurs, we can study it in detail later."

"The patient is in hemorrhagic shock now. Do you know what hemorrhagic shock is?!"

"Fang Xiao!"

Director Xing raised his hand and pointed his finger at Fang Xiao's heart, which was thumping.

"Are you trying to show off your power as a young director? Do you think I can't perform this operation?"

I am!

What does this have to do with anything!
Fang Xiao was completely speechless.

"Director, please listen to my explanation." Fang Xiao spoke coherently, without deliberately pausing, and did not give Director Xing a chance to vent. "The patient must have other problems. His limbs are the same as those of an elderly person..."

"Is there a connection between the limbs and the liver?!" Director Xing yelled, "Let's take a step back and explain it to me."

"I don't know either. I want to consult the doctors at the higher-level hospital." Fang Xiao said.

"You, you!" Director Xing pointed his finger at Fang Xiao's nose.

"Go get the consultation, Xiao Wang, and transfer the patient over here. If the director of the surgery doesn't do it, I'll do it!"

"Isn't it just a liver hemorrhage? You were eating lollipops while I was doing this kind of operation." Director Xing said disdainfully.

Fang Xiao didn't expect things to turn in this direction.

"Director Fang, let me remind you of one thing." Director Xing looked at Fang Xiao grimly, "Doctors are willing to perform some difficult surgeries, but there are probably two conditions - one is that there is still hope and I can't back down; the other is that the patient's family members don't make a fuss, and I can give it a try." (Note)
These words were said with such righteousness that even the doctor on duty seemed to be thinking about it.

Fang Xiao knew very well that Director Xing was not just criticizing him for moral reasons, he really meant it.

Some old directors are willing to suppress young people and do not give them any chance to perform surgery, with an attitude that they will not tolerate any disaster after they retire.

But Director Xing is not that kind of person.

He seemed really angry and disappointed in himself.

His heart softened, but Fang Xiao still lowered his head, remained silent, and did not agree with Director Xing's words.

If you are not sure about the patient's condition, then you can't go for surgery. If you must go for surgery, you have to ask Professor Luo first to avoid the influence of rare diseases as much as possible.

Director Xing looked at Fang Xiao disappointedly and fell silent.

A few seconds later, Director Xing waved his hand and said, "Transfer the patient and prepare for surgery. I don't believe that without your butcher, we Changnan people will have to eat hairy pigs in the future."

"change!"

After saying this, Director Xing strode out of the doctor's office.

It was not until Director Xing left that Fang Xiao sighed deeply with mixed emotions.

"Brother Fang, there's no need to be arguing with the director. Why don't you go and say hello, admit your mistake, and then we can go on stage and do the surgery together." The doctor on duty advised.

Fang Xiao shook his head and took out his cell phone.

"Professor Luo, are you busy?" Fang Xiao asked.

Even though it was just a phone call instead of a video call, Fang Xiao's tone of voice was still humble.

Different from talking to Director Xing, Fang Xiao now acted like a junior doctor consulting and reporting to his superior. The respect from the bottom of his heart was evident in his words.

In comparison, Fang Xiao was a bit perfunctory when talking to Director Xing.

"Director Fang, I'm researching something. Just tell me if you have anything to say." Luo Hao's cheerful voice made Fang Xiao feel certain.

He described the patient's condition.

Fang Xiao did not mention the matter of possessing another's body or not. That was all nonsense. Don't let Professor Luo feel that he was talking too much nonsense, which would prevent him from being able to carry out his future work.

"Oh, is that so?" Luo Hao murmured, "Take a photo so I can see how old the patient's limbs are."

"Okay, Professor Luo, please wait a moment." Fang Xiao said, "I'll go take some pictures right away. What do you think is going on?"

"How can I know what the situation is just by listening to you and not even seeing it. I'm not a fortune teller. Besides, even if I were a fortune teller, I would have to know the date of birth, right?"

"..." Fang Xiao sighed in his heart. Professor Luo is such a dog, such a fucking dog.

Fang Xiao had already realized that Professor Luo had a diagnosis, but he didn't even tell him the preliminary diagnosis.

What a dog, really!
"But I suggest you don't move."

"Ah?!" Fang Xiao was stunned.

"Don't do any interventional surgery. I know you can do it. Do you have a license?"

"Yes." Fang Xiao replied.

"Oh, don't do that either." Luo Hao said, "Conservative treatment, if the patient can be saved, then keep him. If not, then the patient's fate is in jeopardy."

"Professor Luo, what disease do you think it is?" Fang Xiao had already stood up and was striding out.

"How would I know."

Hey!
Fang Xiao cursed in his heart.

But he didn't bother about it. After exchanging a few polite words with Luo Hao, he hung up the phone and went to the Department of Gastroenterology to pat the patient's limbs.

The patient's family members had an extremely bad attitude towards Fang Xiao, even though Fang Xiao was a reckless person and had some opinions.

But he still explained to the patient's family with a smile, took pictures of his hands and feet, and left in a hurry.

If he left late, Fang Xiao was afraid that he would be beaten by the patient's family.

Fang Xiao knew what the patient's family was thinking when they took photos instead of doing the surgery. After sending the photos to Professor Luo, Fang Xiao did not return to the department. He went to the fire escape and lit a cigarette.

What a deal!

Fang Xiao thought of Director Xing.

How long has it been since Old Xing performed surgery? Why is he going to remove a liver right away? I'm not looking down on him, but we should respect the old director.

But it is highly likely that after Lao Xing opened the liver capsule, blood went directly into the room.

and then?
Due to the medical accident and adding fuel to the fire, Director Xing was exhausted and overwhelmed. He was appointed as the acting director within a month and kicked Old Xing aside.

But this is not the way to do it. After all, it's a human life. It's not worth it for Old Xing.

Fang Xiao knew it clearly.

However, although this is what he said and the logic is the same, Fang Xiao has no idea how to do it.

The ringing of the cell phone interrupted Fang Xiao's thoughts.

"Professor Luo."

"Director Fang, the patient is suspected to have Ehlers-Danlos syndrome. Please ask the patient's mother and other female immediate family members if they have similar conditions."

"What syndrome?" Fang Xiao blurted out the question.

"Ehlers-Danlos syndrome is also called hyperelastic skin syndrome. The book says that the skin of patients with this syndrome feels like velvet. You can touch it."

"Luo Hao, your description is very ambiguous. Don't let the patient hear it. It's not good."

Chen Yong's voice came.

"That's what the book describes," Luo Hao explained, but he never mentioned touching velvet again. "To put it simply, why does the liver bleed? Because the blood vessels are too fragile, which leads to spontaneous bleeding."

"You can't even stop the bleeding when this kind of patient comes on stage."

"Once the forceps are applied, the blood vessels will break and the bleeding will continue. Just do the operation. Don't make any noise once it's done."

"Professor Luo, what should we do? The patient is bleeding now." Fang Xiao was stunned.

All he could see was the image of the hemostat crushing the blood vessels.

I have never encountered a similar situation before. This is too scary.

"Conservative, didn't I tell you, conservative treatment? Surgery is definitely not an option."

"Is it not possible to intervene?"

"You can't do it. I... probably have a 50-50 chance. But 50-50 is not enough. It's better to go for conservative treatment. If nothing goes wrong, I'll die." Luo Hao said.

"Okay, Professor Luo." Fang Xiao sighed deeply in his heart.

What the hell!

Ehlers-Danlos syndrome? Fang Xiao couldn't remember the English word, he seemed to remember it was called something like excessive skin elasticity or something.

Searching online, Fang Xiao saw related entries.

According to the entry, the skin on the affected area has excessive elasticity and is soft to the touch, like velvet, exactly as Professor Luo described.

Due to excessive stretching of the skin, it is easy to be bruised and form wounds, the blood vessels are fragile and easy to rupture, and the skin bruises appear, often with complications of joint dislocation. The cardiovascular and gastrointestinal tract may swell and present with tubular wall tumors, gastrointestinal diverticula, bladder diverticula, or rupture and perforation.

It really does feel like velvet.

Fang Xiao was then extremely worried. How should he explain this to Lao Xing?
Old Xing comes from a family of doctors. His father was a barefoot doctor who traveled all over the towns and villages near Changnan City.

Although his medical skills were not very advanced, he was still considered a master of medicine who saved countless lives in that era and was a man of faith.

Director Xing has perfectly inherited all of his father's qualities.

His medical skills are not very high, but his medical ethics are high.

It sounds like a joke. His medical skills are not great but his medical ethics are high. Fang Xiao doesn't know whether this is a compliment or a scolding to Director Xing.

Please explain it yourself, I hope Director Xing can understand.

Following Luo Hao's instructions, Fang Xiao prepared to ask the patient's family about relevant matters, such as whether there was any family history.

Thinking of this, Fang Xiao felt that no one in his hospital could compare to Professor Luo's medical team's chief physician.

If Meng Liangren was a gastroenterologist, he would have handled the matter cleanly early on, the patient's family would have been very cooperative, and the doctor's compliance would have been max.

Looking at others and then looking at his own family, Fang Xiao felt that it didn't matter whether he became the director or not.

It’s a pity that my ability is limited, and even if I recommend myself, Professor Luo may not accept me.

It's not even necessarily, but it's absolutely not allowed.

Can I catch up with Chen Yong, the small boss who does some sci, or can I catch up with Meng Liangren who writes medical records and chats with patients?
Not to mention that the remaining one is the daughter of the president of the First Medical University Hospital.

As he was thinking, Fang Xiao walked out of the fire escape.

Suddenly, hurried footsteps were heard and the doctor on duty was running hurriedly in the corridor.

In the hospital, as long as the medical staff start running, something big must have happened.

Fang Xiao's heart sank, almost to his heels.

He guessed that something must have happened to the 23-year-old female patient, with a ruptured liver and bleeding, causing hemorrhagic shock. If the capsule ruptured again, without the pressure of the capsule, the patient's blood pressure would drop sharply.

"Xiao Wang, what's wrong?"

"The patient's blood pressure is 50, the director said emergency department!"

Xiao Wang shouted hurriedly.

Oh my god! It turned out to be true, Fang Xiao also ran over.

Professor Luo said that surgery could not be performed because the blood vessels would break if the hemostatic forceps were used. Fang Xiao kept thinking about what Luo Haogang had said.

His level is above average, but his advantage is that he has unparalleled trust in Luo Hao.

He believed whatever Luo Hao said without any doubt.

If surgery is not possible, what should I do? ! Interventional hemostasis? !
Fang Xiao almost cried.

In order to get interventional treatment for liver cancer, I went to great lengths to get a radiology certificate, which qualified me to perform surgery.

It's troublesome to know too much. It would be great if I couldn't perform interventional surgery.

On the way to the Department of Gastroenterology, Fang Xiao suddenly recalled a scene.

I went to the gastroenterology department for two consultations and when they asked about my medical history, it seemed like the nurse in the gastroenterology department was sticking her butt out the whole time to leave the needle in.

The patient's family's attitude was not only because of themselves, but also because the nurses in the gastroenterology department couldn't even insert the IV.

Ruined!
Fang Xiao realized that what Professor Luo Haoluo said was true.

The blood vessels were fragile, and after the infusion needle was inserted, the blood vessels were torn, causing subcutaneous hematoma, making it impossible to infuse the fluid.

It seems that surgery cannot be performed.

No matter how much Old Xing insisted, surgery could not be performed because the patient's condition did not allow it.

Fang Xiao even felt that Old Xing couldn't even see the liver, and when he opened the skin and subcutaneous tissue, the bleeding couldn't be stopped.

Electric burn?

That thing is useful, but what about the blood vessels that are broken by the hemostatic forceps? They are all burnt? Can the patient survive?

Fang Xiao didn’t know.

I ran to the Department of Gastroenterology in confusion. The emergency room was already a mess. The patient's family members were yelling angrily, the head nurse of the Department of Gastroenterology was apologizing, and their director looked at the patient with a dark face, not saying a word.

Looking closely, it turned out that even the IV could not be inserted after being in the hospital for several hours.

The blood has been retrieved, but it cannot be transfused, and there is no way to get it back.

Fang Xiao calmed down, strode over, pushed the nurse aside, and said, "Let me try."

The nurse was stunned, but immediately handed the needle to Fang Xiao.

It would be best if someone came to deal with the thunder. The gastroenterologists didn’t know what to do either.

Fang Xiao saw that the patient's limbs were not only old, but also had some subcutaneous bruises.

I didn't observe carefully enough. I should have seen the location of the blood clots at a glance, but I ignored them.

After self-examination, Fang Xiao calmed down and began to feel the patient's blood vessels.

As soon as the needle pierces the skin, a pricking sensation is felt, followed by subcutaneous hemorrhage.

The patient's blood vessels were so fragile that Fang Xiao almost cried.

However, as an interventional physician, one still needs to master the puncture technique, and his or her puncture level must be an order of magnitude higher than that of ordinary people.

Although Fang Xiao was in a mess, he still managed to insert the IV needle and then started a deep vein puncture under the clavicle.

Bleed, change place, bleed again, change place again.

After three punctures, Fang Xiao finally completed the deep vein puncture.

The operation was simple, but Fang Xiao was already sweating profusely.

Seeing the blood flowing in, Fang Xiao finally breathed a sigh of relief.

"Director Fang, you're here." Director Xing was somewhat relieved.

But there is no other way now. Surgery is impossible, but we can't just watch the patient die.

Fang Xiao nodded and looked back at the patient's father. "You are the patient's father, right?"

The patient's father nodded blankly.

"Come with me, I want to ask you a few questions." Fang Xiao said in a firm tone.

Director Xing and everyone in the Department of Gastroenterology were shocked. Why did Director Fang Xiaofang look like he wanted to battle with someone?

Don’t really fight with the patient’s family!

"I ask you, where is your lover?"

Arriving at the corridor, Fang Xiao turned around, stared at the patient's father, and asked sternly.

"..."

"..."

Everyone was stunned.

Seeing that the patient's father didn't say anything, Fang Xiao had already guessed something.

"Is he already dead? Are you hiding this family history?"

"!!!"

"What disease did he die of? When did he die? Why did you hide it?" Fang Xiao continued to ask when he saw that the patient's father did not speak.

It was just that his voice in asking questions became louder and more severe.

Director Xing and other doctors looked at each other, not knowing what was going on.

But the patient's family was confused for a moment and forgot the family history. Isn't that normal? Why did Fang Xiao start to get so high?

"The provincial hospital said it was an abdominal aortic aneurysm. The patient was already on the operating table, but he died on it." The patient's father burst into tears.

……

……

Note: This sentence comes from the circle of friends of the person in Dingxiangyuan.

(End of this chapter)