Chapter 124: Ectopic Pregnancy Urgently Requires Surgery
The next morning, Lin Sanqi arrived at Qinghai Provincial People's Hospital early.
The hospital is not large. In later times, it would be at most a Class II small hospital, but in the Northwest, it is considered a large and high-end hospital.
There weren't many patients in the hospital. When Lin Sanqi walked in, he found that many employees were whispering to each other and seemed absent-minded.
Lin Sanqi thought: Is work at Qinghai Hospital so easy? If any medical staff in the future dared to do this, they would be chopped to death by the director.
However, the hospital's atmosphere doesn't matter to Lin Sanqi. He just wants to complete his purchasing task as soon as possible.
"Comrade, how do I get to the Traditional Chinese Medicine Department?"
"It's the Department of Traditional Chinese Medicine. Go to the right corridor and look for the department name sign above."
"Okay, thank you."
Lin Sanqi was just about to follow the water sign to look for someone, but as soon as he turned a corner, he saw Qi Jiping running out in a hurry.
"Hello, Doctor Qi, I..."
Before Lin Sanqi could finish his words, Qi Jiping grabbed him.
"Xiao Lin, you're a doctor from the Capital Hospital of Traditional Chinese Medicine. Can you perform surgery?"
Lin Sanqi blinked, wondering if he should answer, "I can do surgery or I can't?" Honestly, as a five-year undergraduate intern, he could definitely perform minor surgeries, but he wasn't sure if he could perform multiple surgeries.
"Well, this is a simple operation."
Qi Jiping seemed very anxious: "It's okay if you can do a simple operation. Come with me quickly and save people."
Lin Sanqi was dragged away and was so scared that he begged for mercy quickly. With his level of skill with three knives, was he saving people or killing them?
"No, Doctor Qi, what happened? What if it's a complicated surgery? I can't do it."
"It's up to you to decide whether you can do it or not. Let me tell you, our director's daughter-in-law has an ectopic pregnancy and needs emergency surgery. Unfortunately, Dr. Wang, who is qualified to perform the surgery in our hospital, has taken family leave and has returned to his hometown. Dr. Jia, who is left alone, is simply unable to perform the surgery."
Ectopic pregnancy is an emergency surgery with a very high mortality rate. If surgery is not performed, the patient often dies from heavy bleeding.
The operation is quite difficult. If it is a small hospital, the entire hospital will be mobilized when an ectopic pregnancy occurs. It was not until the era of hysteroscopy that the difficulty of the operation was reduced.
Lin Sanqi almost cried when he heard that he was asked to undergo an ectopic pregnancy operation. He knew the steps of the operation, he had learned it in textbooks, and he had also encountered several cases during his one-year internship.
But he had always been an assistant to an intern. When had he ever been the lead surgeon? It was never his turn.
If I perform the operation now and the patient dies in my hands, not only will my conscience be condemned, but I will also be beaten to death by the patient's parents on this Qinghai-Tibet Plateau, right?
"Doctor Qi, I, I can't do this. I studied Chinese medicine, I..."
Qi Jiping didn't listen at all and pulled Lin Sanqi to the door of the operating room. At this time, there were already crowds of people, and everyone's face was anxious.
"Director Fang, Dr. Lin from the capital has arrived. Everyone, please make way~~~"
Lin Sanqi thought, Qi Jiping, you sold me out long ago? I treated you like a brother, and you stabbed me in the back?
When Dean Fang saw Lin Sanqi, he wondered why she was so young. Could this surgery be done?
Later, I felt relieved and consoled myself by thinking: How could an older person possibly have the opportunity to go to medical school? This opportunity should only be for young people.
So he came up and held Lin Sanqi's hand tightly:
"Hello, Comrade Lin. I'm Fang Wenbin, the director of Qinghai People's Hospital. This is an urgent matter, so I won't be polite. The patient is my daughter-in-law. She suddenly had abdominal pain and bleeding this morning. The initial diagnosis is an ectopic pregnancy, but our lead surgeon has returned home, so I have to ask you to perform the surgery."
Lin Sanqi was about to cry: "No, Dean Fang, how come you only have two surgeons in such a large provincial hospital?"
Although Qinghai Hospital is a provincial hospital, in fact, both its equipment and medical staff are quite backward, even a bit primitive.
In 1959, the city of Xining had a population of more than 700,000, but Xining consisted of seven counties, and the urban population was only about 200,000, which was exactly the standard of a county hospital.
For example, there are only two surgeons, both of whom are aid doctors from other places.
In fact, even if we look across the country, how many surgeons can perform surgery?
You should know that before liberation, the domestic medical market was still dominated by traditional Chinese medicine, and surgical operations were concentrated in some church hospitals or foreign private hospitals.
After liberation, surgeons, surgical equipment, medical devices, drugs, etc. were in short supply, which further restricted the development of surgery.
Qi Jiping next to him also spoke in a good way:
"Xiao Lin, we're at our wit's end now. No one else knows surgery, and you're the only two doctors in Qinghai who know how to perform surgery, so you absolutely must help me today."
Dean Fang also clasped his hands together and pleaded:
"Yes, Dr. Lin, I'm begging you not as the dean, but as a parent. If you don't perform this operation, my daughter-in-law will definitely die. Sigh."
The Fang family relatives around him also started chattering and saying nice things, begging for mercy.
Now that things have come to this, what else can Lin Sanqi do?
As I said, curing diseases and saving lives is the duty of medical students, especially since the other party's family members are so sincere.
"Okay, then I'll try. But let me be frank. Ectopic pregnancy surgery is quite dangerous. Now, quickly prepare the blood. A large amount of the same type of blood. The success of the surgery depends a lot on whether the blood supply can keep up."
Dean Fang nodded quickly and said, "I will immediately organize all the staff in the hospital to help donate blood."
Lin Sanqi shook his head. "Your hospital alone isn't enough. It's best to recruit more people. Generally speaking, 1,000cc is the minimum blood loss. The maximum is 3,000 or 4,000, or even tens of thousands."
The family members nearby were so frightened that their legs went limp after hearing this. How much blood does a human body have? This was almost like replacing all the blood in the patient's body.
"Also, I will do my best to perform the surgery, but I can't guarantee its success. I hope Dean Fang can understand."
Dean Fang nodded heavily. "Doctor Lin, please be bold in performing the operation. If it succeeds, you will be our family's benefactor. If it fails, you will also be our Fang family's benefactor."
Now that things have come to this, Lin Sanqi has also understood the situation. Otherwise, he would be in trouble. Does he still want to complete the task of purchasing medicines?
So Lin Sanqi walked towards the operating room while reciting the anatomical knowledge in his mind and recalling the key points of surgery taught by his instructor.
If Dean Fang knew that this guy was just an intern, I wonder if he would dare to let him perform the operation.
After disinfecting and changing clothes, Lin Sanqi was still lamenting the simplicity of surgical equipment in this era when another emergency occurred.
Originally, Lin Sanqi thought that since he had to take the stage, it was just because they were short of a surgeon, so he would be the first assistant.
The first assistant has less pressure. He just needs to listen to the surgeon in charge. He will stop the bleeding when asked to do so and pass the knife when asked to do so. As an intern, he is an expert.
But when he walked into the operating room, he found that there was a doctor standing on the assistant position on the operating table, while the surgeon's position was empty.
Everyone in the operating room looked at him, the doctor from the capital, with curiosity, admiration, and even a bit of flattery.
An older head nurse smiled and said, "You must be Dr. Lin from the capital. Everyone is waiting for you."
Lin Sanqi pointed at the operating room and said in fear, "This, this, let me be the surgeon?"
The male doctor standing at the assistant's position said politely:
"Hello, Dr. Lin. My name is Jia Renqing, and I'm a surgeon at the People's Hospital. You're a great doctor from the capital, and it's my honor to be your assistant this time."
Lin Sanqi really wanted to turn around and leave.
He could see that the only surgeon in Qinghai Hospital was obviously a cunning one. He probably had no confidence in his medical skills, so he would rather be an assistant than the main surgeon. He must be afraid of losing the patient and having to bear the wrath of the dean.
So he has no respect at all and is a middle-aged doctor who wants to be an assistant to a young doctor.
Just as Lin Sanqi was hesitating, the pregnant woman on the bed suddenly cried out:
"Doctor from the capital, please save me, save me~~~"
Lin Sanqi was also shocked. Wasn't the patient anesthetized? How could he still be talking?
(Ching Hai Hospital was unable to perform general anesthesia at the time, so they only used partial anesthesia. The patient was conscious.)
The head nurse was a shrewd person. She had already seen the clues, but now the arrow was on the string and had to be shot, so she whispered to comfort him:
"Doctor Lin, as you can see, our hospital is limited in its capacity, and the patient's life is in imminent danger. If we don't perform this surgery today, as a doctor, you know the consequences. For the safety of the people, let's fight together."
Lin Sanqi wailed in his heart.
He understood that what the head nurse said made sense. If the patient did not undergo surgery, he would definitely die. If he took a risk, there might be a chance of survival. This multiple-choice question was not difficult to answer.
But Lin Sanqi's family knew their own affairs and they really lacked confidence.
Asking an intern to treat an ectopic pregnancy right away is not the same as Dr. Ling Ran.
Looking at the expectant eyes of everyone in the operating room, the trust placed in the family members outside the door, and the patient on the operating bed's desire to live, Lin Sanqi knew that he had no way out.
Let's give it a try. Thinking of this, Lin Sanqi's eyes became firm:
"Okay, then let's try this together. Head nurse, please arrange for blood supply for the operation immediately. Once the abdominal cavity is opened, the amount of bleeding will be huge, so at least three intravenous channels must be opened and rapidly dripped simultaneously, while also focusing on monitoring vital signs.
Doctor Jia, right? As the first assistant, your key task is to quickly remove the blood from the abdominal cavity. Only by cleaning the abdominal cavity can I find the bleeding point immediately. This is the key to the operation, so you must act quickly."
Jia Renqing reminded him a little embarrassedly: "Doctor Lin, we don't have an electric suction device, so we can only use a syringe to draw blood."
Lin Sanqi almost fainted after hearing this...
(End of this chapter)
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