I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 463 Extremely Critical Condition, Even Money Won't Help! Stop it, the System Assessment is Here! [Seeking Monthly Tickets]

The remaining two elderly people also rushed over.

When he heard that his grandson, who had finally undergone surgery, was now lying in the operating room again, he was shocked.

When they were even given a critical condition notice, it felt like their hearts were being squeezed by a pair of merciless hands, making it hard for them to even breathe.

I was especially restless while waiting outside the operating room.

I'm praying that we'll get through this safely.

I will never dare to disobey the doctor's orders again next time.

"We have done our best to control the child's condition and maintain basic vital signs, but the child is currently suffering from severe heart failure and is in critical condition."

Deputy Director Niu Jiang spoke solemnly.

Postoperative mechanical valve infection, organ failure, and shock, followed by severe heart failure, it's no exaggeration to say that his life is hanging by a thread.

"Then what are you doctors waiting for? Hurry up and save my child! Replace that mechanical valve in his heart! We have money! We can replace it right away!"

The boy's father shouted excitedly.

Although he was reluctant to part with 200,000 yuan.

But this is ultimately his son's life, and he should and must pay for it.

"This surgery isn't something you can just do on a whim. I'm sure you've all experienced how complicated mechanical heart valve replacement surgery is."

Director Niu Jiang shook his head.

In cases of infective endocarditis complicated by septic shock, acute heart failure, and multiple organ dysfunction syndrome, surgery cannot be performed directly.

"Surgery is not an option! What are we supposed to do now? Just wait to die?!"

When the man heard that surgery was not an option, his tone became agitated.

You should know that his son is suffering from heart failure.

Will die! !

"What we can do now is to maintain vital signs first, while the timing of surgery will be jointly decided by the cardiac surgery, infectious disease, and critical care medicine departments."

As a doctor.

In situations like this, the two extremes are the worst to avoid.

Blindly and immediately perform surgery.

At this point, the patient may not be able to tolerate anesthesia and cardiopulmonary bypass, and will eventually deteriorate and die.

At the same time, delaying surgery can lead to the spread of infection, further deterioration of heart function, and loss of the opportunity for surgery.

Therefore, the best approach is to prepare for surgery while simultaneously performing emergency treatment.

"Doctor! Then let's do it your way!"

The boy's mother, Shi Jin, said.

"Yes, we doctors are definitely one of the groups that most want the patient to recover, besides you family members. Next, we will transfer the patient to the intensive care unit and conduct blood culture, urine culture, sputum culture, and catheter culture. Once the results are available, we will immediately adjust the antibiotics to fight the infection."

Dr. Niu Jiang said.

Besides these, the most crucial aspects are circulatory support and the management of heart failure.

"If necessary, we will also use a ventilator and PEEP support. You should be prepared for the costs. If the cardiopulmonary function is extremely poor, we will use extracorporeal membrane oxygenation (ECMO) to buy time for subsequent surgery."

Niu Jiang is the responsible doctor.

If the family doesn't cooperate, the child definitely can't be saved.

If the family cooperates, it may be possible to save the person.

I won't say 100%.

"Director Niu, when can my child have the surgery? Are we going to have to rely on these machines to keep him alive forever?"

Shi Jin asked.

Although she decided to listen to the doctor, she was also a little anxious.

After all, the child is in dire straits right now.

"That's right, doctor. If someone is only alive because of machines, isn't that practically the same as being dead? Once they're removed, the person is gone."

The old man was also shocked by what he heard and asked questions in a very agitated manner.

"Currently, surgical indications still exist, such as severe heart failure, mechanical valve failure, and persistent infection, but two basic conditions must be met. First, the patient can tolerate anesthesia and cardiopulmonary bypass. Second, hemodynamics are maintained by IABP or ECMO; infection control is partially stable; lactate levels decrease and urine output recovers; at this point, a secondary valve replacement plus infection debridement surgery can be performed as soon as possible."

As the responsible physician.

Director Niu Jiang patiently explained.

Given the current situation, even if you undergo another open-chest surgery, you will still risk infection.

The same mistakes will happen again.

"Doctor... what if neither of the two conditions are met by then?"

Shi Jin asked the most crucial question.

If none of these conditions are met, what should be done?

"If the conditions are not met, continue to strengthen supportive treatment with the primary goal of 'maintaining life and controlling infection' until the conditions for surgery are met or the family gives up treatment."

Niu Jiang didn't beat around the bush.

It explained what to do if the targets were not met.

"This……"

Shi Jinyu's family members exchanged glances.

In other words, their child will either meet the surgical criteria and undergo surgery, facing the risk of whether the heart will be able to start beating again.

Either let the child keep waiting.

To exhaust one's remaining life force.

No matter which road it is, it seems like a dead end!

"Next time, we should still follow the doctor's orders, because the doctor's orders are truly built up by the lives and careers of countless patients and even doctors."

After saying this, Director Niu Jiang left immediately.

Not long after, Kong Hongming was brought forward.

His eyes were tightly closed.

His body was covered in tubes.

It was heartbreaking for their biological parents to see.

Because they can't imagine how much pain the child is enduring, and frankly, what good is a little money in this situation?

Even if you had a lot of money, it wouldn't make a difference, let alone having a little.

The next morning arrived.

"Good morning, Dr. Ogawa!"

Yin Xiaoxiao went to the entrance of the Department of Agriculture early in the morning to pick up Zhang Lingchuan.

She greeted him with great energy.

Zhang Lingchuan was genuinely envious of the nurses who could be so dedicated.

After all, even with stamina potions, I couldn't do this.

"Good morning, good morning~"

Zhang Lingchuan waved his hand.

"Dr. Ogawa, you don't seem to be in very good spirits. Did you have a nightmare last night?"

Yin Xiaoxiao noticed that Zhang Lingchuan seemed rather listless.

He was immediately filled with curiosity and asked questions.

Something just doesn't seem right.

But Dr. Xiaochuan didn't go to work yesterday, and he went to bed early.

Normally, someone shouldn't look this tired.

Unless it's a nightmare.

"Almost, almost..."

Isn't that a nightmare?

The assessment was so brutal it made his scalp tingle.

After today's program ends, he will take a break and then delve deeper into the subject.

Check if there are other people on the motorcycle.

If there are other people involved, what is the extent of their injuries?

If I could find this person and treat them, wouldn't I be able to clear the game?

After all, his rating has now reached A level.

One step away from S.

Never mind, if I can, I'll take some time today to look at this assessment of the life sequence.

Zhang Lingchuan was making plans in his mind.

To be honest, I don't even know what today's live stream will be about.

"Dr. Xiaochuan, don't be nervous. We all trust you. By the way, do you know what the first episode is about?"

Yin Xiao smiled as she read this.

"Does Xiaoxiao know what the filming content is?"

Zhang Lingchuan's expression was full of surprise.

Good heavens, he doesn't even know he's the lead actor.

Little Xiao already knew.

"I just found out. The hospital, the Health Commission, and even the provincial radio station's production team have discussed whether to treat patients, perform surgery, or something else. In the end, the leadership decided that Dr. Xiao Chuan, you should start with the outpatient emergency care that you are more familiar with."

Yin Xiaoxiao said.

She only has a little bit of inside information.

not much.

"Huh? Pre-hospital emergency care? Am I familiar with that?"

Zhang Lingchuan was a little confused.

He has never performed out-of-hospital emergency care before.

I've only gone out with the car once or twice occasionally.

Honestly, when Xiaoxiao mentioned out-of-hospital emergency care, Zhang Lingchuan thought he hadn't woken up yet.

It's still suffering in the system space.

After all, Dr. Zhang Chuan in the system is the head doctor of Group A of the outpatient emergency team in the emergency department of the Provincial People's Hospital. He holds the title of attending physician.

I'm still a doctor intern.

He wasn't even a primary care resident.

The system simulation is really overkill.

But if a fellow doctor were to be placed in such a system, there's a possibility that even as an associate chief physician, he might still be stuck at the assessment stage.

After all, with so many perfect technologies at his disposal, he still had to rack his brains.

If a doctor without perfect skills is put on the test, he really doesn't know how the other person should pass.

“Aren’t you familiar with Dr. Xiaochuan? Your trips to the countryside are essentially out-of-hospital emergency care, going out to face patients. The leaders think this is the most suitable for you, so they decided to start with this.”

Seeing Zhang Lingchuan's puzzled look, Yin Xiaoxiao immediately spoke up.

"Uh, I see... Okay, so I'll be in charge of the ambulance then? Xiaoxiao, will you be the nurse in the ambulance? Will there be other doctors involved in providing guidance?"

Zhang Lingchuan inquired.

He doesn't know what's going on either.

The only one you can ask is Xiaoxiao.

Judging from Xiaoxiao's appearance, the other person is most likely the nurse in the car.

"Yes, yes, we have a professional teacher from our emergency department who has been working on the front line for a long time. We transferred her to form a new outpatient emergency team for us, called Group 1A."

Yin Xiaoxiao nodded and said.

"Group S... this name... it would be a shame not to achieve something."

Their emergency department's outpatient team is the same as the one in the system space.

The numbers are A, B, C, D, E, and F.

Among them, A, B, C, and D are emergency medical teams that frequently respond to calls outside the hospital.

E and F are the preparatory groups.

Unless there is a major situation, or all four groups are out, E and F will be used.

They have now directly formed an S group.

It always acts like it's the highest level of assessment.

"Haha, Dr. Xiaochuan, let's get an S-level score to show the hospital, and then you can become my regular partner. That way, I won't have to worry about not having any surgeries to perform!"

As she said this, Yin Xiaoxiao's eyes lit up.

It was as if it were really for the purpose of performing more surgeries.

Just thinking about it is terrifying, and I feel ashamed of myself for not being able to do it!

"Good good..."

What could Zhang Lingchuan possibly say in response?

At this point, all you can do is give a firm "yes, yes, yes".

hospital.

After arriving, Zhang Lingchuan and Yin Xiaoxiao went straight to the eighth floor.

In a small conference room.

"Xiao Chuan, this is Dong Fang, the deputy director of the provincial television station."

Sun Jianguo introduced them to Zhang Lingchuan.

Actually, there were only three groups of people inside.

One group was from the hospital.

They are Dean Sun Jianguo, Vice Dean Huang Xiangning, and a female doctor.

The other group consisted of Cong Ping, deputy director of the National Health Commission, and two staff members.

The third wave came from the provincial television station.

They were Deputy Director Dong Fang and three staff members.

"Haha, old acquaintance, no need for introductions. I'm very happy to be traveling with you again, Dr. Zhang. No, I should call you Dr. Xiao Chuan now."

Dong Fang happily reached out her hand when she saw Zhang Lingchuan.

"Director Dong, I didn't expect it to be you."

Zhang Lingchuan was filled with surprise.

Next to Dong Fang is Huang Xiaoqiao, and they are quite familiar with each other.

She was my assistant from the variety show "Walking with You" before.

"We didn't expect it to be you either. We just received a request from the hospital and the Health Commission to film a documentary program for Doctors' Day. When we saw the program, we were surprised to find that it was Dr. Xiao Chuan!"

Dong Fang smiled and said.

"It's all thanks to you, Dr. Xiaochuan, otherwise we wouldn't have been able to get Deputy Director Dong Fang to come."

Cong Ping said jokingly.

I initially thought the TV station had just sent a few random people, but I didn't expect them to send a very elite variety show filming team.

"If we're going to film Dr. Xiaochuan, we'll definitely allocate the best resources to make this program, which is a tribute to Doctors' Day, the best in the country, or even a top-quality program for doctors."

Director Dong Fang has her own aspirations.

That's why she came here this time.

"We're really looking forward to it too!"

Sun Jianguo sighed.

"Xiao Chuan, you should thank Deputy Director Dong. They will be arranging the filming soon, and the initial filming period for you is set for three days."

Huang Xiangning said with a smile.

"Huh? Three days! That means I'll lose my entire Saturday and Sunday!!"

Zhang Lingchuan was stunned after hearing this!
What the hell! !

That was a rare moment when he was barely clinging to life.

“Xiao Chuan, actually our time here isn’t three days, and we didn’t intend to squeeze out your weekend. Our shooting is 24 hours, but you can split it into three days of eight hours each, or you can work 24 hours straight, which means from 3 pm today to 3 pm the next day. As long as the shooting time is up, it will be over. But in principle, I don’t recommend you do that, because it’s a bit bad for your health.”

Sun Jianguo explained.

Working eight hours a day for three days straight is the most reasonable arrangement.

If there were 24 hours in a day.

Why do so many medical staff die suddenly?

This is a state of overwork.

"So that's how it is, 24 hours... It can be finished as long as the filming time is up?"

After hearing this, Zhang Lingchuan looked thoughtful.

"That's right. As long as the filming lasts 24 hours, it will be over. If you can really stay up until 3 pm tomorrow, that's fine too. If you can't, you can make up for it at any time within three days. As long as you put on the white coat, it will be a live broadcast."

Why choose these 24 hours?

In fact, they are also making bold attempts to see how the live stream goes.

"I'll give it a try on the first day. I don't want to work eight hours straight and then leave. I'll try to finish the game in 24 hours."

Three days.

Today is Friday, which means there's no Saturday or Sunday.

He simply can't accept it.

Let's try it out and see if we can work 24 hours a day.

Anyway, some doctors work 24-hour shifts, and even some police officers work 24-hour shifts. My mental state isn't great right now, but I should be able to handle it for a day now and then.

"If you really need to be here 24 hours a day, Dr. Ogawa, we have three backup teams to accompany you."

As soon as Zhang Lingchuan finished speaking, Dong Fang, the deputy director of the TV station, replied seriously.

She still really likes this kind of energetic young man.

If Dr. Ogawa can really stay up for 24 hours, then they'll stick with him to the very end!!
"It seems that Deputy Director Dong was well prepared. Vice President Huang, could you explain the work process to Xiao Chuan and also communicate with the cooperating doctors?"

Sun Jianguo heard from the provincial television station that everything was fine.

Let's not let Huang Xiangning talk about her work arrangements.

"Okay. Xiao Chuan, in view of the needs of filming the Doctors' Day documentary and program, our Emergency Medicine Department has reorganized a professional out-of-hospital emergency team. Dr. Xu Mengli, a senior out-of-hospital emergency physician, will be the leader of your group. The group is called Group S. You will be conducting a 24-hour out-of-hospital emergency program filming."

As Huang Xiangning spoke, her gaze turned to Dr. Xu Mengli.

She originally wanted to arrange three relaxing days.

The quality of the output images is also higher.

Who would have thought that this guy would cut the time, finishing filming in 24 hours?

Then it's up to you.

We can do our best.

"Hello Dr. Xiaochuan, I am Xu Mengli, the former head of Group A of the Emergency Medicine Department's Outpatient Emergency Team. I am a 30-year-old attending physician who is relatively inexperienced. I am honored to be able to work with you and Xiaoxiao this time, and I am very much looking forward to it."

Xu Mengli stretched out her small hand, her eyes shining as she looked at Zhang Lingchuan.

A genius doctor in the emergency department.

A natural medical genius.

There are also other names like "Seventh and Eighth Master's mortal enemies" and "rescuing people from the King of Hell's bag."

Xu Mengli was very interested.

Unfortunately, I was with the outpatient emergency team.

Therefore, I have had almost no interaction with Dr. Ogawa.

After all, their task was to take people to the hospital, and then they went out again.

"Xu Mengli??"

The moment the two shook hands, Zhang Lingchuan felt as if he had been electrocuted, and a suffocating sensation washed over him!

Xu Mengli...Xu Mengli!!
No!

Why does this name sound so similar to the names in the system simulation space?!

It's a complete homophone!

Seriously, don't mess around!
Xiaoqiao, Xu Mengli...

What are you trying to do?

……

(End of this chapter)