Geng Yongzheâs breath grew heavy as he leaned over to check the drainage bottle. The amount of fluid flowing out was not insignificant.
"What did you say?" Suddenly, a voice sounded from behind them.
The two students turned around to look.
Dr. Yuh stumbled, getting up from the chair where he had been dozing off. It seemed it wasnât just Student Geng who got a shock.
It scared him to death, Dr. Yuh thought. Student Xieâs words shattered his sweet dream like waking up to a nightmare, asking, "What do you mean by Teacher Du?"
Dr. Yuhâs words suggested he didnât know Teacher Duâs intention for being in the ward at that moment, possibly unaware of what exactly Dr. Du was closely observing about the patientâs condition.
Swallowing hard, Dr. Yuh wiped the cold sweat from his hands. He was exhausted from a long day, his brain somewhat numb. Hearing Du Yeqing and Zhang Huayao talking on the phone, he really thought Du Yeqing was staying here for appearances because the patient was some VIP donor.
Now Xie Wanyingâs words were like a bucket of cold water, a blow to the head.
Not understanding the bossâs intentions and failing to grasp the leaderâs spirit of handling matters would lead to doing things poorly. The nature and consequences of such issues are severe. Any slight mishap in clinical settings concerns human lives.
Dr. Yuhâs face turned pale and green, looking like he was about to fall ill, as he quickly came to measure the drainage fluid.
Seeing the senior in this state, Xie Wanying clarified, "I didnât hear Teacher Du say anything himself, I donât know, these are just my personal deductions, Teacher Yuh."
She absolutely dared not speak on behalf of the silent boss.
Dr. Yuh had no time to listen to her words carefully, checking the time and recalculating the amount in the drainage bottle. At a glance, there was indeed trouble. Now, the surgery had not reached an hour post-operation, and the patientâs thoracic drainage had reached 400; this amount was alarming, nearing the critical line of the patientâs weight multiplied by 10 ml per kilogram.
What to do? Quickly call the superior to report the situation?
However, the current drainage value had not yet exploded. Who knows if such a call might lead to scolding.
Dr. Yuh was pacing anxiously like an ant on a hot pan, muttering to himself, "Has the four coagulation tests been drawn? Whatâs the situation now?"
"When is coagulation drawn after cardiac surgery?" Du Mengen asked.
Zhang Shuping thought for a moment: "Could it be one hour after the surgery ends?"
No one knew when these two arrived, perhaps after dozing off and hearing the commotion in the ward, they rushed over.
Du Mengen whispered in Zhang Shupingâs ear: "Do you think this patient is going to hemorrhage heavily? What if they do? Take them back to the operating room to stop the bleeding?"
"What do you mean take them back to the operating room to stop the bleeding?" Dr. Yuh glared at the two of them.
If you donât understand, donât talk nonsense or make wild guesses here; it will only make the on-duty doctor more anxious.
"Isnât she going to hemorrhage heavily? Arenât you going to stop it?" Du Mengen muttered.
"Go back and study." In the midst of his panic, Dr. Yuh wouldnât speak nicely to educate medical students.
There are many hemostatic measures, and the source of the bleed must be addressed. Todayâs bleeding is not due to poor surgical operation, known as non-surgical bleeding.
Dragging a patient with non-surgical bleeding back to the operating room is useless. What needs to be done is to quickly stop this abnormal condition in the patientâs blood. Dr. Yuh composed himself, focusing on Student Xie: "Are you sure the PAI issue is inside this patientâs body?"
"Teacher, youâre considering using antifibrinolytic medication? I think we can try some tranexamic acid," Xie Wanying immediately responded to the teacherâs words.