Path of Medicine With a System-Chapter 283: Cold world

When Zhang Fan rapidly rushed over to the patient room, he first saw glass shards all over the floor, while Wang Yan’s parents were standing by the bedside and supporting her. Wang Yan was currently looking out the window while forcefully pushing her parents.

“Don’t move! Please don’t move! Hurry and lie down, lie down!” Although Zhang Fan couldn’t see Wang Yan’s face from where he stood, he could tell that she was pushing forcefully right now. Zhang Fan was so scared that he broke out in a cold sweat! This was extremely dangerous for the patient in her body’s current condition!

Zhang Fan immediately dashed over. When he saw her face, he immediately shouted, “Nurse! Hurry! Immediately bring a gurney for emergency treatment! Hurry!”

Thrombocytopenic purpura was a highly dangerous condition to begin with. The patient absolutely couldn’t exert too much strength. In fact, not only would forceful pushing be dangerous, the patient wouldn’t even be allowed to use too much strength when pooping. If the patient was constipated, the hospital would give them an enema. That was how serious thrombocytopenic purpura was.

Currently, Wang Yan was spitting up a large amount of blood while pushing her parents away. Since her hair was messy and covered her face, and she had her head lowered, her parents hadn’t even noticed. By the time that Zhang Fan saw this and called for the nurses, Wang Yan was already in severe condition.

At this moment, no matter what had just happened here with her parents, the first priority was to save the patient! Zhang Fan needed to be swift as well as gentle. In Wang Yan’s current condition, her body wouldn’t be able to handle any major movements at all. Anything slightly forceful would easily cause additional internal bleeding in her body.

The nurses of the rheumatology department moved slightly slower in comparison to nurses in the major surgical departments, major internal medicine departments, and emergency department. That was because patients who required emergency treatment were quite rare in the rheumatology department, so the nurses’ reactions weren’t as well trained. They weren’t at the level of being able to react instantly and unconsciously.

Zhang Fan’s shouting had been especially loud. The nurse at the nurse station hadn’t even reacted yet, but Doctor Hu Jun hurriedly ran from the patient room he was in to the department’s emergency treatment room while shouting, “Hurry! Patient #9 probably has major bleeding!”

Hu Jun was as muscular as a bear. He pushed a gurney at an incredibly high speed. He seemed just like an unstoppable truck as he flew. As he ran while pushing the gurney, he also shouted to a nurse who was changing medicine for another patient, “Immediately call the director!”

Zhang Fan swiftly supported Wang Yan’s body and had her sit down while leaning forward. She absolutely couldn’t lie down right now, because she had too much internal bleeding. If she lay down, then her blood would enter the windpipe and cause intense coughing, which would only make things worse for her body.

When Hu Jun entered Wang Yan’s patient room, he saw that the floor was covered in dark red blood, and that Wang Yan’s face was scarily white. He asked Zhang Fan, “Rupture of a gastric fundus vein?”

“Yeah. Give me a Sengstaken-Blakemore tube and prepare for blood transfusion.” The nurse had yet to arrive. There was no time to wait, so Hu Jun acted as a nurse and started bringing medical equipment to Zhang Fan.

Wang Yan’s parents were so scared by this scene that they both went pale. Both of them were also trembling so much that they could barely stand. “What happened!? What happened here!? Yan, please don’t be angry. We’ll leave, we’ll leave, alright? Please don’t be angry! Yan!”

Wang Yan’s mother almost couldn’t take it anymore at the sight of her daughter who was now spitting up mouthfuls of frothing blood. Wang Yan couldn’t even keep her eyes open anymore.

Wang Yan’s parents were in the way as they were standing by the patient bed. “Get out!” Zhang Fan shouted at them as he prepared the necessary medical equipment. He had no time to be polite right now.

Time was far too precious right now. Moving just a little bit slowly would directly result in Wang Yan dying from major internal bleeding. Even a single second could spell the difference between life and death here.

A nurse, whose name was Little Wang, also finally arrived. Zhang Fan immediately told the nurse, “50 mL gas injection. Bring a blanket and place it behind the patient’s back. Then, sit behind the patient so that you’re supporting the patient. You absolutely must support her properly.”

“Okay!” Little Wang was a weak woman. She was afraid that she wouldn’t be able to support the patient properly just by sitting behind her. Little Wang agilely jumped up onto the bed like a monkey and used her shoulders to solidly support the patient!

Meanwhile to the side, Zhang Fan grabbed Wang Yan’s chin, gently tilted her head to the side, and loudly told her, “You must persist! No matter what, there’re still people who care about you in this world! You must persist! We won’t give up on you! Hurry and open your eyes for me! Say something!”

Zhang Fan’s voice was really loud and ferocious. It was as if he was a roaring lion! Since the patient Wang Yan had no desire to live right now, it was likely that she would die right here if Zhang Fan didn’t give her some forceful stimulation.

Wang Yan slowly opened her eyes and mouth. This pitiful woman tried to say something through all the blood in her mouth, although Zhang Fan didn’t know what. He didn’t have the time to bother with her emotions right now.

“Open your eyes, open your eyes! I’m going to stick something into your nose right now. Persist! You must persist!” Zhang Fan didn’t slow down in his movements at all as he said this.

He swiftly and gently used a cotton swab to clean Wang Yan’s nose of blood. Zhang Fan then took the Sengstaken-Blakemore tube which had paraffin applied to it by the nurses already, and began to insert the tube into her nose until Zhang Fan gradually sensed it reaching her throat.

“Swallow your saliva, hurry! Swallow your saliva!” Although Wang Yan had no desire to live, she was quite cooperative. She was just like a zombie who was waiting for the reaper to take her to the next world.

Since there was no other way, Zhang Fan directly used the plastic Sengstaken-Blakemore tube to stimulate her throat and make her dry heave. Zhang Fan’s action was really dangerous. If he didn’t do it well, or if his luck was poor, this would only make the patient die faster!

However, Zhang Fan really had no other recourse. He wouldn’t have taken such a risk if there had been any other way. Saving human lives was really important, but when a patient no longer had any desire to live on in this world, sometimes it wouldn’t matter how skilled the doctor was.

No living person would be able to resist their physical body’s natural reaction to throat stimulation. “Urk!” Right when she made a dry heaving movement, Zhang Fan swiftly inserted the Sengstake-Blakemore tube all the way down to her stomach by taking advantage of her swallowing movement!

Normal doctors would also need to perform a suctioning movement when the tube reached the stomach to ascertain if the tube had really reached the stomach or not. However, Zhang Fan didn’t need to do this. First, there was no time, and second, he was simply that confident! He had practiced this thousands of times in his System already. He figured that his System would self-destruct out of anger if he still couldn’t guarantee standardized movements by then!

He then began to inject gas into the tube.

“Doctor Zhang, it’s already 300!”

“Okay! Fixation,” Zhang Fan answered. He was sweating all over, but this wasn’t because he was tired or hot. The sweat was all from fear. Zhang Fan had never seen such vicious spitting up of blood before!

What was going on exactly? To explain simply, a major vein underneath the stomach had ruptured in the patient’s body. At such a time, no surgery would possibly be fast enough, so this could only be treated with pressuring.

The Sengstake-Blakemore tube was similar to a flat balloon. After inserting the tube all the way to the stomach, the tube would then be inflated, applying pressure to the gastric vein to stop the bleeding.

Zhang Fan treated the patient while saying to the nurse, “Blood pressure! Pulse! Begin taking measurements!” Due to the required emergency treatment, he didn’t even have time to take basic measurements.

“Doctor Zhang, 60/30 mmHg, 30 times per minute. Pulse is weak!” the nurse reported.

“Provide oxygen, open three vein channels, and prepare a central venous catheter. Dopamine, 200 ug/min. Sodium bicarbonate solution, 250 mL through the veins. Scopolamine, 0.3mg through IV. Packed red blood cells, 500 kl! Dexamethasone via IV!” Zhang Fan had gotten accustomed to giving orders in the surgical departments. He immediately started issuing medical commands without even asking for Hu Jun’s opinion.

Hu Jun had originally been about to speak up, but then he heard that Zhang Fan’s medical commands were highly accurate and experienced. Thus, he went to help the nurses save the patient.

This was what a doctor was. Since Zhang Fan had already taken over the emergency treatment, and he wasn’t doing it wrong, then Hu Jun would start helping out without complaining!

Even if he was filled with displeasure since he was the more veteran internal medicine doctor, he would still help out here. Even if he was angry and wanted to scold Zhang Fan, that would have to wait for after the emergency treatment was over.

Right now, they could only cooperate!