White armor

Chapter 733 Can't You Be a Little Braver?

In the case of tension pneumothorax, the air inside should be released immediately by inserting a syringe needle; otherwise, the patient's life may be in danger.

This is essential for emergency care and is basic common sense.

but!

Common sense is just common sense; in clinical practice, common sense is not necessarily correct.

Fang Xiao held the 50ml syringe and paused slightly.

What if the judgment is wrong?

It is a regular pneumothorax, not a tension pneumothorax. The pressure inside the patient's chest cavity is less than one atmosphere. If a needle is inserted, the chest cavity will be connected to the outside, and atmospheric pressure will cause the lung to collapse.

If that's the case, it would definitely be a medical malpractice incident!

It could even lead to unpredictable consequences, such as the patient's family suing them.

For example, recently a hospital in southern China treated a patient who had been bitten by a venomous snake. The patient ended up suing the hospital, which caused a great deal of public opinion and kept it on the trending topics list for many days.

Fang Xiao didn't want to be in that situation.

If I do nothing, I'll be out of the picture; if I do something, I might save the patient, but the patient might die faster and I could get myself into a serious medical dispute.

Fang Xiao was stunned. His thoughts unfolded, entering a mysterious realm where he was engaged in a fierce battle with his inner self.

On the stretcher, the patient, who had just been agitated, suddenly struggled weaker and weaker, and it was clear that he was dying.

The patient was extremely hypoxic, and his face was frighteningly pale.

What does pale skin matter? It's nothing in front of the dead. It's just a joke.

Fang Xiao suddenly felt someone touch her.

Turning my head, I was surprised to see "Xiao Meng"!
Fang Xiao was immediately jolted out of his reverie, feeling flustered and completely disoriented. It was as if the AI ​​robot had caught all his thoughts and reported them to Professor Luo Hao.

"Director!" Xiao Meng said, still without any emotion.

just.

Fang Xiao sensed a hint of emotion in "Xiao Meng's" tone, but she wasn't sure if it was just her imagination.

AI robots actually have emotions?

It seems to be saying—can't you be a little braver!
It seemed as if Professor Luo had said these words to her. Fang Xiao had forgotten them, but the words kept echoing in her ears, like a resounding bell in an empty valley.

Can't you be a little braver?!

Can't you be a little braver?!
Fang Xiao gritted her teeth, tore open the packaging of the 50ml syringe, and strode over to the patient without even having time to sterilize it.

There was no need for auscultation; the patient's trachea was clearly deviated to the right, and the left intercostal space of the chest cavity was full, which was completely different from the right side and was visible to the naked eye.

Fang Xiao's hands were trembling slightly.

Suddenly, a hand grabbed Fang Xiao's hand.

It's "Xiao Meng"!
It grabbed Fang Xiao's hand and guided it to the point on the left side of the patient's second intercostal space along the midclavicular line where puncture was to be performed.

Fang Xiao's nose tingled, and she almost cried.

Previously, it was all description, a kind of depiction, but this time it's a plain sketch.

"Xiao Meng" seemed annoyed that Fang Xiao was too slow, or perhaps worried that Fang Xiao didn't know where to puncture, so he grabbed Fang Xiao's hand holding the syringe needle and placed it at the puncture site.

Fang Xiao gritted her teeth and shook her hand, knocking "Xiao Meng's" hand away, before inserting the needle.

sizzle~~~
The high pressure inside the chest cavity was released, making a sound similar to whistling.

The emergency room doctors and nurses hadn't realized what had happened yet, so Fang Xiao felt relieved. "Call the thoracic surgery department and bring the chest tube!"

No one answered.

"Where is he?! Get the thoracic surgery department over here with the IV bag!! Three minutes, or he'll be in big trouble!" Fang Xiao roared in the emergency room, unleashing his fury.

The voice echoed in the emergency room, just like the words Fang Xiao had just heard.

"Okay, okay, I'll call right away!"

A nurse was the first to wake up and ran out of the emergency room to make a phone call.

The patient's blood oxygen saturation rose rapidly, and he regained some consciousness. He gripped his neck tightly.

"Slow down, I'm here." Fang Xiao patted the patient's cheek forcefully and said in a deep voice.

"Don't exert yourself. Exerting yourself will consume more oxygen and make you feel uncomfortable."

sizzle~~~
The sound was weakening, not as intense as it had been at the beginning, so Fang Xiao simply shut up and listened intently to the hissing sound coming from the needle of the 50ml syringe.

After a dozen seconds, the hissing sound gradually subsided. Fang Xiao focused his attention, and after a few more seconds, he reached out and pressed his thumb against the syringe needle.

With the artificially created passage blocked and the chest cavity no longer connected to the outside world, Fang Xiao ignored the people around him and focused intently on the blood oxygen saturation on the patient monitor.

Although some of the high-pressure gas in the pleural cavity was released, reducing the pressure inside the pleural cavity and allowing some lung tissue to exchange blood oxygen normally, the presence of pneumothorax meant that blood oxygen saturation was still poor.

This amount of oxygen can only keep the patient barely alive, providing immediate relief.

When the patient became agitated again, Fang Xiao released his thumb, and the hissing sound became louder again.

"Where are they! The thoracic surgeons are all dead at home! It's been so long, why aren't they here yet!" Fang Xiao shouted loudly, not caring how much time had passed.

"Director Fang, Director Fang, they're here!"

A panting sound came from outside the door; a thoracic surgeon and a nurse rushed over carrying a pile of things.

"Tension pneumothorax, I've left the needle in to release the air, hurry up! What are you doing, coming so late?" Fang Xiao scolded sternly.

"Director Fang, should we... take an X-ray first?" the thoracic surgeon asked.

"You better get the tubes out right now! If the patient dies, I'm going to report you to the Provincial Health Commission and get your entire thoracic surgery department fired!"

Fang Xiao cursed without any sense of reason.

"I risked so much to perform a puncture on the patient, and you guys are still making excuses," Fang Xiaoxin felt wronged.

"..."

"..."

Everyone in the emergency room was stunned. What happened to Fang Xiao?
Fang Xiao is usually very friendly, and the jokes he makes are not the kind of jokes that the chief director should make, and he is quite skilled at them.

How could he say such cruel things during today's emergency treatment?

"The diagnosis is clear," Xiao Meng added calmly. "The patient's breath sounds are absent on the left side, and the intercostal spaces are full..."

"Xiao Meng" explained the basis for the diagnosis.

Its voice sounded so out of place and out of place at this moment.

But every word was as hard as a brick, hitting the thoracic surgeon's face with a resounding thud.

"Hurry up." Fang Xiao raised her leg, intending to kick the thoracic surgeon, but then stopped and changed her kicking motion to a shove.

"Oh oh oh."

The thoracic surgeon's mind went blank. He was completely bewildered by Fang Xiao's outburst and hurriedly began preparing to perform a closed thoracic drainage procedure.

Forcing someone into a situation can be effective, at least in the current circumstances.

Five minutes later, the closed chest drainage was completed, the chest tube was connected to the chest bottle, and a series of gases gurgled out.

Fang Xiao breathed a sigh of relief and pulled out the needle from the 50ml syringe.

He glanced at "Xiao Meng" with a complicated expression, but "Xiao Meng's" square face remained unchanged, as if nothing had happened.

The AI ​​robot showed no emotion whatsoever, making Fang Xiao wonder if he had just imagined it.

"Director Fang, please don't be angry. We don't dare to proceed without the scans. A few years ago, a patient drank too much and aspirated, which was similar to the symptoms of tension pneumothorax. Lao Hao gave him an acupuncture needle, and later the patient's family sued him."

The thoracic surgeon apologized to Fang Xiao and explained while securing the chest tube.

"It's alright now. Once the patient is a bit more stable, we'll take him for a CT scan," Fang Xiao said, her emotions calming down.

"Alright! Director Fang, is this you?"

"It's my classmate. Seriously, he suffocated his lungs doing push-ups at home!" Fang Xiao cursed. "Hey, hey, hey, are you feeling better?"

As the air in his chest cavity was expelled, the patient's condition improved significantly. Life and death hung in the balance, and he was pulled back by Fang Xiao just as he was about to drink the Meng Po soup.

Fang Xiao asked him a question while slapping his face, making a loud slapping sound.

"Old Fang, I... cough cough cough..." The patient began to cough.

Fang Xiao pinched the chest tube.

Too much pressure can cause a lot of problems. Although it is unlikely, things have already come to this point, and Fang Xiao has become more cautious.

He tried his best to demonstrate his "professionalism".

"It's alright, just lie down and rest. You'll get a CT scan later. By the way, where's your wife?"

"I'm working overtime, I haven't called her yet."

Fang Xiao took out the patient's phone, unlocked it with her fingerprint, and then released the chest tube to begin handling the follow-up matters.

Fang Xiao still needs to explain things like surgical consent to the patient's family, otherwise other things might happen.

If a middle-aged man suddenly becomes obsessed with fitness, there's probably something wrong with him. If his partner finds out, or has any suspicions, and refuses to sign anything after arriving, then that's a real mess.

By giving him advance notice, Fang Xiao could reduce the chances of his partner having an attack, and he seized the opportunity to eliminate all potential problems.

Twenty minutes later, Fang Xiao and the thoracic surgeon took the patient to have a CT scan.

"Director Fang was so fierce today."

After they left, the nurses started gossiping.

"Yes, I've seen Director Fang smile before, but when he gets fierce, it looks like he's about to eat someone alive."

"Intubation for tension pneumothorax is just a temporary measure, a last resort. How could Director Fang not be anxious?" the 120 doctor explained.

"Old Zhang, why aren't you inserting the needle into the patient?" the nurse asked.

"Me? I don't have that ability. Getting the patient back safely is already my limit. I'm not a thoracic surgeon, nor an emergency room doctor. I'm just a lowly orthopedic doctor who was relegated to Ningguta because I wasn't well-regarded," the 120 doctor grumbled.

The emergency department is not even as prestigious as the fever clinic in the hospital.

At least the fever clinic can be relatively quiet. In the event of an outbreak, the hospital will not let a group of people who know nothing take charge. In that case, the hospital will definitely draw on its best personnel to be stationed in the fever ward.

As for the emergency department, those are the worst of the worst; it's common for them to not get a sleep all night.

If fever clinics are like being exiled to Ningguta, then emergency departments are like being exiled to Siberia. Doctors on 120 (the emergency medical services network) have overestimated themselves in this respect.

"Director Fang is awesome." The 120 doctor recalled the situation at the time, "Although everyone knows that inserting a needle can solve the problem, who would dare to insert it so easily? That's an artificially created pneumothorax, and if something goes wrong, it would be a top-level medical accident!"

"Is it that serious?" the nurse asked, somewhat bewildered.

"Of course, Director Fang is confident. Who else would dare to do that?" said the emergency room doctor.

He racked his brains, but couldn't recall exactly when Fang Xiao had taken the syringe. How strange, did Fang Xiao just conjure the syringe so magically?

"I saw Director Fang even kick the thoracic surgeon," the nurse said, still shaken. "It was absolutely brutal."

"That's a kick, not a stomp. A stomp means you're really angry, the kind that won't back down. A stomp, on the other hand, is a sign of affection, reminding the thoracic surgeon to perform closed thoracic drainage as soon as possible."

The 120 doctor explained.

He could see it clearly at the time and distinguish the subtle differences.

"Really? Is there such a big difference?" the nurse asked, puzzled.

The paramedic pretended to kick, saying, "Look, this is a kick. You can put force into your leg and kick a thoracic surgeon right away. Director Fang did kick him once, but his hands were occupied."

The nurses were surprised by the many details and chatted excitedly as they cleaned up the mess, dispelling the tense atmosphere from before.

after an hour.

Fang Xiao sat in the office, her expression indifferent, like a statue.

He recalled everything that had happened and a feeling grew stronger and stronger—"Xiao Meng" must have changed!

After thinking for a long time, Fang Xiao decided to call Luo Hao.

"Professor Luo, are you busy?" Fang Xiao asked with a humble smile as she made the call.

"I'm about to leave work to have a few minor surgeries."

"Huh? What kind of surgery are you having?" Fang Xiao asked in surprise. Professor Luo had actually started using his spare time after get off work to perform surgeries.

"Go get sterilized by my beloved family."

"..." Fang Xiao was speechless after hearing Luo Hao's answer.

Fang Xiao didn't understand any of this nonsense.

Surgeons rarely perform surgery on pets, not because of any technical difficulty, but mainly because it lowers their social standing.

It's rather amusing that Professor Luo, such a big name, would perform spaying/neutering surgery on pets.

This was simply unbelievable to Fang Xiao.

“Xiao Meng still needs to practice surgery, so it can’t be done at the hospital. I contacted a pet hospital and I’m watching over him,” Luo Hao said with a smile. “Director Fang, what’s the matter? If you have any emergencies, just let me know, and I’ll arrange a time.”

"Oh, Professor Luo, is that so?"

Fang Xiao recounted what had just happened without getting bogged down in details, especially the moment when she was torn between her inner and outer thoughts and what "Xiao Meng" had done at that time.

"Professor Luo, I feel that Xiao Meng... has become more lively these past few days. Do you understand what I mean?" Fang Xiao hesitated for a moment before stammering out her meaning.

"Director Fang, do you mean that AI robots are becoming more human-like, that is, more like humans?" Luo Hao asked.

"Yes!"

"Oh, not necessarily. According to the rules, the AI ​​robot cannot perform surgery without my instructions, so when Xiao Meng saw that you were wasting the last bit of time for the rescue, she started reminding you what you should do."

As Luo Hao spoke, his voice became somewhat hesitant.

"But there's no problem. Recently, the AI ​​robots have been exploring too many scenarios, so they've been evolving quite rapidly," Luo Hao replied.

Fang Xiao noticed Luo Hao's hesitation.

He looked up at "Xiao Meng," who seemed a little more alive now.

"Professor Luo, thank you." Fang Xiao suddenly said something inexplicable.

"Ha, there's nothing to thank me for. Diagnosing tension pneumothorax is a basic skill, but there are so many medical disputes these days that even acquaintances need to be considered."

When Luo Hao spoke of these things, his tone immediately became lighter.

Fang Xiao guessed that Professor Luo was about to start talking about gossip.

Sure enough, the next second Luo Hao said, "There's a hospital in the south where doctors perform nail removal surgery on relatives of resident trainees. You've done quite a few cases of paronychia, Director Fang."

"Yes, yes, yes." Fang Xiao nodded repeatedly into her phone.

"After the surgery, there was an infection, and in the end, the toe had to be amputated. Because there was no outpatient receipt, the hospital wouldn't step in, saying it was the doctor's personal action. In the end, it seems they had to pay a lot of money in compensation. What kind of mess is this?" Luo Hao said.

"Sigh, I understand, I understand." Fang Xiao felt that Professor Luo was talking about him, so he could only say awkwardly.

"I know what you mean, I understand."

The two doctors understood each other, and both sighed inwardly.

"If there's nothing else, I'll hang up now, Director Fang," Luo Hao said. "I need to drive to the surgery. If there are any new developments, call me anytime, anywhere."

After hanging up the phone, Luo Hao let out a soft sigh of relief.

"The AI ​​robot is alive?" Chen Yong was somewhat surprised.

“No, I just feel more and more motivated to work. I don’t know if it’s driven by any subjective urge.” Luo Hao frowned. “I don’t know what’s wrong. Is it the program or the AI ​​that’s developed some self-awareness from running too much?”

"Huh? Can he really survive?" Chen Yong was also somewhat taken aback.

Luo Hao recalled the two robots that had been eagerly preparing to go home at the beginning.

They were taken away by Mr. Qiu, and I don't know how the research is going. I asked Boss Zhou twice, but he always gave me the runaround and never mentioned the research results.

Damn it, Luo Hao had no idea what was ahead.

"Luo Hao, if he survives, what do you suggest we do?"

"Cold salad."

"I'm asking you a question. Look at your attitude. It's not like I brought the AI ​​robot to life."

"It's not coming back to life~~~"

Luo Hao drew out the last syllable of his words, as if he were pondering something.

Chen Yong knew Luo Hao well, so he didn't say anything and just played on his phone.

If he were to press for details, he would likely be met with questions about confidentiality rules, and Chen Yong was not about to invite trouble.

The phone rang. Chen Yong glanced at it and laughed, "Boss Lou has finally found someone he's willing to consult. He keeps calling me."

"If it's not too much trouble, then forget it. By the way, how much did you charge him?"

Chen Yong didn't answer Luo Hao's question, but instead answered the phone.

"Boss Lou, now that you're done calculating, just go dig up some bank soil and take it with you. Any soil from the provincial capital will do, but for the best results, you can dig it up in Beijing or Shanghai."

"Didn't understand? 'Bank is rustic' means the rustic thing outside a bank, literally."

Luo Hao was taken aback. Was there really such a saying?

"As a place where wealth accumulates, the location and layout of a bank are very important. It is generally believed that a bank should be located in a 'wealth position' or a place where 'energy gathers' in order to attract wealth and prosperity."

"Many years ago, there was a feng shui battle in Hong Kong, with cannons and all sorts of things. You may not have seen it, but you must have heard of it."

Chen Yong began his sermon.

He wasn't in a hurry; it seemed he had a good relationship with Boss Lou lately.

"The location selection of the Big Four banks, especially in Beijing and Shanghai, is all based on certain principles. Going to their headquarters is certainly good, but you don't need much; you can just dig up some space anywhere."

"Yes, yes, it's best to be one of the Big Four banks. The headquarters of the Big Four banks in the capital were all built after the feng shui was calculated by an old master. You don't understand, so why ask so many questions?"

"In metaphysics or feng shui, 'bank soil' refers to the foundation of a bank building, the surrounding soil, or feng shui attributes related to the land, emphasizing its stability and ability to accumulate wealth."

"If you want to accumulate wealth, the bank is the best place to dig. But whether you can actually find it depends on your own skills."

"Your birth chart is very good, you have a strong destiny, and you need the earth element of the bank even more."

Chen Yong immediately began reciting Boss Lou's birth chart, but Luo Hao didn't listen to a word. He thought that listening to too much of this kind of superstitious nonsense would make him grow taller.

Moreover, Luo Hao wasn't very interested in it.

He was thinking more about how AI robots were becoming increasingly intelligent.

Luo Hao was pleased that the dog had a spirit when it was placed on bamboo, but he wasn't so fond of it when it was placed on an AI robot.

Because that represents the unknown.

After a while, Chen Yong hung up the phone and laughed, "Boss Lou is too cautious. He has to ask so many questions even when digging up soil from a bank."

"Really useful?"

“Of course, there are people online who specialize in selling bank soil,” Chen Yong said. “They can earn over 10,000 yuan a month by live-streaming the digging of bank soil.”

"Wow!" Luo Hao exclaimed in surprise.

"But there's still a rule that no matter what kind of bank it is, it won't work. Do you want to learn? I can teach you."

"I won't learn it," Luo Hao said firmly. "You already know how to do it, why would I need to learn this stuff?"

Chen Yong looked at Luo Hao with curiosity.

"Don't look at me. You'll be in charge of one machine, and I'll be in charge of another. Let's get this done quickly. Make sure you write down any subtle changes to the AI ​​robot."

"Luo Hao, do you know what you've missed?"

"If I want to learn, I can go to Mr. Qiu."

Luo Hao silenced Chen Yong with just one sentence.

When Luo Hao arrived at "I Love You," he noticed a bit of a commotion at the entrance. Unlike usual, Manager Shi wasn't there with his golden retriever, which he had operated on.

Do pet hospitals also have medical disputes?

Luo Hao smiled, a playful smirk playing on his lips.

"Hey Luo Hao, look!" Chen Yong's gossip fire burned brightly, his eyes glued to the spectacle.

A group of people surrounded a little boy, who was crying with snot and tears streaming down his face.

"Did the pet die?"

"I don't know, I'll go check it out later."

Luo Hao slowly searched for a parking space, and a car just pulled out, so Luo Hao drove straight into the space.

"You're really good at finding parking spaces."

"Thanks to your blessings and the bronze mirror that Mr. Qiu gave me, things are indeed becoming more and more convenient," Luo Hao laughed.

"You're actually being petty and thinking that finding a parking space is the only option?"

Luo Hao was too lazy to argue with Chen Yong, so he parked the car, opened the door, and got out.

The moment the car door opened, Luo Hao heard the little boy crying, wailing loudly, and grief welled up in his heart.

"I brought all my money with me; I'm going to stay with it."

(End of this chapter)