Chapter 180 - 172: Pediatrician Gets Beaten_2
Chapter 180: Chapter 172: Pediatrician Gets Beaten_2
“Door-type nail!” Song Zimo preserved the exposed shin tendon and fixed it on the front surface of the proximal tibia with a door-type nail.
As they chatted, the surgery was completed, Song Zimo withdrew the instruments, preparing to suture the skin.
“Use a number four thread?” Zhou Can asked.
Song Zimo said: “Use a number one thread! It’s a girl, use a finer thread.”
He took the needle holder with threaded needle, and began to suture the two small surgical incisions, as well as the incisions from the semitendinosus and gracilis muscle removal. Once he was done, he bandaged the wound, applied a splint, and Little Five took the patient back.
The cleaning lady came in to handle the surgical waste and clean up. Usually after cleaning, there would be a sterilization process which took about fifteen minutes before the next surgery could be done.
Zhou Can stayed behind to tidy up the instruments while the rest went to the operating room next door to rest.
The next surgery was an arthroscopic cleaning procedure on a knee joint with osteoarthritis. Osteoarthritis of the knee is a common disease in the elderly. In the early stages when the cartilage wear is not too severe, arthroscopic cleaning can be used. It’s minimally invasive and the results are generally good.
Song Zimo asked: “Now, many scholars believe that arthroscopic cleaning is ineffective. What are your thoughts?”
Yang Ping disagreed: “An article in the New England Journal of Medicine said that percutaneous vertebroplasty doesn’t have a significant statistical difference from a placebo. Do you believe that? Now, evidence-based medicine is promoted, it’s correct, medicine is evidence-based science, but it’s definitely not purely evidence-based science, or just because it’s evidence-based science, it denies that medicine is empirical science. This procedure is effective, even if statistics claim it’s ineffective, it is still effective.”
“That makes sense. Many patients with osteoarthritis have poor long-term results after arthroscopic cleaning, but they have good short-term effects because the painful inflammatory mediators have been washed away, loose bodies have been removed, and partially resected shaped torn meniscus. For small areas, microfractures can be done. Although what regenerates after a microfracture is fibrocartilage and not hyaline cartilage, it’s better than nothing.” Song Zimo also agreed with Yang Ping’s view.
“After wearing the gowns and gloves, keep your hands between your chest and waist, never go beyond this safe area, your hands can only touch the sterile area with the same level, and cannot touch areas outside. If you touch or even suspect contact with an other area, it’s defined as contamination!”
Zhang Lin brought the interns in, they had already washed their hands, their hands were shaped like arches as they waited for Xiao Su to open the sterile package on the instrument cart for them to practice gowned and gloved.
Xiao Su opened the outer layer of the sterile package and then used the sterile forceps to open the inner sterile cover sheet, revealing the neatly folded surgical gown inside.
“Don’t push, pay attention to the concept of asepsis, don’t contaminate it.” Zhang Lin saw them being a bit chaotic and shouted.
“You’re holding it too high, it’s above your shoulder, and you, keep a distance between the two of you–.”
Zhang Lin corrected their positions and began to demonstrate how to pick up and wear the gown: “When you reach out for it, make sure you can’t touch other parts, you can only directly touch the gown you want. Pick it up, open it, give it a gentle shake so that the inside faces you and the collar is up. Give it another gentle toss, insert both hands into the sleeve’s openings, and at this point, call a circulating nurse for help!”
Song Zimo was the closest to him, so he went over to help tighten the gown and tie the belt.
The students followed suit. As one student shook the gown, it dropped to the floor, and he bent down to pick it up.
“Hey, young man, I’ve shouted till my throat is hoarse for nothing, can you pick up a gown that’s fallen on the floor?” Zhang Lin looked at him sternly.
The student immediately realized his mistake and stopped bending down. Zhang Lin said, “Bending down to pick it up instinctively shows that your sense of asepsis is lacking. Things that fall on the floor are contaminated, how could you pick it up? Go wash your hands again and start over.”
The student went out dejectedly to wash his hands again.
“Never make these beginner’s mistakes, remember everyone, asepsis, asepsis, asepsis, repeat the important things three times. Whoever doesn’t remember, after work return to the ward and practice gowning a hundred times.” Zhang Lin spoke loudly.
The operating room next door was also ready, the patient had been brought up, and the surgery continued.
Song Zimo was quite fast, the surgery was always steady, and several surgeries were completed quickly with this continuous operation.
After the surgeries, everyone returned to the ward office, and Little Five was writing medical orders. The HIS system was a bit unstable, and Little Five was banging the table.
Zhang Lin was explaining to the interns how to use the HIS system and write orthopedic medical records. However, as the system was unstable, he couldn’t proceed and asked everyone to go to lunch.
A few of the interns were murmuring something. It seemed they were saying that a pediatrician had been beaten up, that a patient had been admitted, the doctor didn’t reduce the fever, didn’t use anti-inflammatory medicine, and was slapped twice and kicked once.
Pediatrics? Zhang Lin’s girlfriend was in pediatrics, so he was naturally more concerned than others.
Zhang Lin asked the intern who got the news: “A pediatrician was beaten up, what’s her name?”n/ô/vel/b//in dot c//om
The intern shook his head: “I don’t know, it’s a female doctor.”
A female doctor, Zhang Lin was even more concerned, feeling a sudden jerk in his heart: “Is the news reliable?”
“It’s reliable, our classmate is interning in pediatrics, and just posted it in the group. The family member who hit the doctor has been restrained by the security, and the hospital has called the police. The police are questioning them, I heard she was slapped twice and kicked once, and she rolled on the floor. It’s horrible, that relative is said to have connections and is very arrogant.”
Zhang Lin grabbed the phone and dialed the phone number of the pediatricians’ office. Perhaps they were busy, no one answered. He then called his girlfriend’s number, but she didn’t answer either. He said to the intern: “Can you find out the name of the doctor who was beaten?”
“There’s a video, take a look.” The intern passed over his phone. There were several videos in their intern group, taken by different people.
The intern opened the video right in front of Zhang Lin. Damn it, wasn’t that his girlfriend? She was kicked and flew a bit, and she was also slapped twice. The force of the slaps made her face swell.
A surge of hot blood shot up to his forehead, Zhang Lin stood up in a flash, took off his white gown and threw it on the office table. He didn’t say a word as he charged out the door. Little Five tried to stop him but couldn’t. Little Five followed and ran out as well, stopping at the door, he too took off his white gown and threw it onto a chair.
“What’s going on?” Yang Ping asked the interns. The interns shook their heads: “We don’t know, Teacher Zhang watched this video and then stormed out, he looked really terrifying.”
“What video?”
The intern showed the video to Yang Ping and told him about the pediatrician being beaten up. Yang Ping watched it and understood instantly why he charged out, the one who got beaten up was his girlfriend. Watching the video, it was appalling, the doctor was explaining something to the patient, probably saying: below 38.5 degrees, it can be temporarily unmanaged, observed, blood drawn for testing, considering viral infection, no need for antibiotics.
The patient didn’t say a second word, and slapped her twice across the face immediately, and then kicked her in the lower abdomen. The doctor was kicked directly to the ground, and almost hit her head on the floor.
“Let’s go, follow him!” Yang Ping immediately took Song Zimo towards pediatrics while calling Director Han to urgently report the situation. Director Han was at the administration building, and immediately rushed over too.
Zhang Lin ran over, with Little Five running behind him. When they reached the elevator of the internal medicine building, Little Five caught up with him. Zhang Lin remained silent, taking big breaths, his chest visibly heaving.
“Zhang Lin? Zhang Lin? Calm down!”
Zhang Lin still didn’t say a word, he quickly fixed his hair with both hands, his eyes were red, he looked like an enraged bull, and it was genuinely terrifying.
“Zhang Lin! Zhang Lin!–” No matter how Little Five called him, there was no response.
Little Five answered his phone: “We are waiting for the elevator now and are going to pediatrics.”
The elevator opened, Zhang Lin rushed in, followed by Little Five. The people inside saw Zhang Lin’s state and instinctively moved towards the corner, one of them even directly got out early.
“Zhang Lin!” Little Five stood beside him.