"Below the Chengmai City, there were countless injured soldiers from both the enemy and ours. The situation at that time was said to be like 'people will not rest until they rest.' The leaders said, do your best to do your best, obey fate, and treat as many as you can. As for me,
What I learned at that time, even though I was an assistant, what I did originally was just beating the drum, disinfecting the sheets, carrying my legs and raising my hands. Now I don't care about these many things. I also divide one or two of the things that are not very difficult for us to cook.
In some surgical departments, I only observed what the chief had done, and some even just listened to the chief's lectures. At that time, there were so many wounded people, whether they knew how to do it or not, they had to bite the bullet. At that time, I didn't know it was me, so I just said to a few chiefs, immediately
It is common to be helpless on the stage. There are countless people who cannot be rescued. How many days are there not a few?
"Not much else to say, just a brave soldier of the Ming Army had his tibia shattered by a cannonball, and it was necessary to debride the leg during amputation. This amputation happened to be performed by Chief Lin and myself. Looking back afterwards, I don't know when the surgery was done.
Some evil spirit, I just thought that the newly distributed hydrogen peroxide was too tight, so I soaked it with gauze, gathered it into a gauze ball, and stuffed the hydrogen peroxide gauze ball into the bone marrow cavity to wipe it..."
Hearing this, Chen Ruihe's eyes widened. Before he could speak, Xie Yao gave a self-deprecating smile: "Yes, since you have been to the emergency room, it is easy to think that this hydrogen peroxide will give birth to a bunch of...
Bubbles; when the gauze ball is blocked, many bubbles cannot come out and can only be squeezed into the medullary cavity... If the pressure is so high, what consequences can it have?"
"...air embolism?" Chen Ruihe asked cautiously.
Xie Yao nodded and admitted: "Earlier, I heard that air embolism is very dangerous, but I didn't expect that it would strike so fast and violently that it was beyond human control! Before Chief Lin could turn around to see what medicine was in my hand, the wounded man screamed."
"It's so boring." I fell unconscious in an instant, and... in an instant, I was useless. If you sincerely submit a complaint to sue, you might as well tell me first: a piece of gauze killed someone, what crime should I be responsible for? Supervisor
His inability to do his job allowed his assistants to kill the wounded. What crime should Chief Lin face?"
Chen Ruihe was startled, and then replied: "This... how can this be compared! Director Xie, no one knows your level in the Senate. Who is qualified to judge you, so naturally you should not be punished; the chiefs... of course more
You can't be punished... But, I heard that in Australia, this is called a 'medical accident', and the doctor will go to jail - even if the government doesn't take action, the injured person's family will demand the doctor to pay for it!"
"Do you still need to go to Australia? If this matter had happened in Bairen General Hospital, it would have been a medical accident!" Xie Yao smiled meaningfully: "But this matter is on the front line. Paying for one's life? This soldier has a surname for his bravery.
I can’t even name him, and in these troubled times, I probably have no relatives or friends, so who would come to this place for him and ask for his life?”
"This is not..." Chen Ruihe blurted out, but Xie Yaoyi raised his hand to stop him.
"Stop yelling. Let me ask you, what is the level of medicine in Australia, and what is the level of this newly restored homeland?"
"This..." Chen Ruihe was at a loss for words: No one has been to Australia. Everyone only knows what the chiefs are like. But aren't the chiefs' level the same as Australia's? What does this have to do with whether it is a "medical accident"?
"I once heard Chief Lin mention that although in Australia, doctors in the capital and doctors in the remote areas make the same mistakes, and the punishments are different - the punishments in the capital are heavier and more severe, while the doctors in the backcountry are punished differently.
They are much lighter." Xie Yao said, "If Wang Chuyi's leg was left in Lingao, it would be enough for the health worker to go directly to Fu Youdi to report and work as a health worker in the hard labor camp for one or two years; but in
This frontline...hehehehe..."
"But this... this, this is wrong..." Chen Ruihe only felt that there was something wrong, but he seemed unable to say what it was: "They are all naturalized citizens of the Senate, why should they be treated so obviously differently!"
"Today, as an elder, I need to tell you some life experience and teach you to be good. Just remember: this matter happened on the ground of this quasi-public security area. If the people don't take action, the officials will not investigate.
Even you and I can see that the level of health workers is low. Can’t Chief Song see it? Can’t Chief Lin see it? Can’t the Senate see it? Why not let them go to prison? Why still let them go to the front line? This
Have you thought about the joints?" Xie Yao asked.
"..." Chen Ruihe opened his mouth, but did not say anything. He remembered that when he took the training course, several veteran doctors said that the health training was "too rudimentary". It is said that a doctor in Australia trained him to
It took more than ten years of hard work to be able to independently diagnose and treat patients.
And here in the Senate, the best naturalized doctors in the Bopu General Hospital only have five years of experience - most of them started out as nurses and health workers, and have not received much medical education at all. They all "grew up in practice" and relied on
He continued to treat people and then participated in various short-term training courses to train them. It is conceivable that there have been countless "hydrogen peroxide" accidents similar to Xie Yao's under such "instant doctors".
"Think about it carefully. If you can't figure it out... you have at least taken a political class. There are many chapters about the world under the rule of the Ming Dynasty. You must read it. Don't be so grand when you go to work on weekdays." Xie Yaoye
Without further explanation, he just smiled helplessly: "It's okay to learn skills from Lao Xie, but don't imitate my temper."
Such an answer did not satisfy Chen Ruihe, but he seemed to understand Xie Yao's subtext. This subtext made him vaguely feel that this kind of double-standard indulgence was inconsistent with the spirit of the original oath, but he did not know how to refute it.
――Maybe it’s just that he doesn’t really want to refute it in his heart.
Fortunately, the conversation did not continue. While they were talking, the orthopedic surgeon who was on duty yesterday also came to eat. Seeing that they seemed to have finished eating, he just nodded and went to get food.
Xie Yao said hello easily: "Are you off work? How many screenshots did you take yesterday?"
Chen Ruihe knew that "how many amputated" was referring to amputations.
For the Department of Orthopedics and Traumatology, due to the lack of internal fixation materials and limited transportation conditions, amputation and bone grafting are almost all of their work - the "surgery" in the Department of Orthopedics and Traumatology refers to amputation.
In this time and space, the lack of medical treatment and medicine is the norm. Even the veteran doctors who have mastered modern medicine are helpless in the face of many injuries that were common in the old time and space. Especially for mechanical limb injuries, surgery can be done in the old time and space.
Treatment and recovery. But here, amputation has become a common treatment method. This phenomenon is exactly the same as that in the early days of surgery.
"The data says that early surgeons were barbers and butchers. Although this is discriminatory, it is also true." Hippo once said at a health clinic meeting.
In the expectations of the veteran doctors, soldiers who had gone through unbearable bumpy transportation were performed inappropriately by surgeons who were not well educated and trained in a dirty operating environment, using homemade anesthetics that were often out of stock.
Surgery must be full of blood, fear, despair, and reported shocking complications and mortality. But what surprises them is that the wounded often show perseverance and endurance without complaint during the operation. Of course, this
This kind of thing is not surprising in the eyes of the naturalized people: if you are willing to give medicine to your soldiers, you can be called a benevolent general, but the Senate actually gives equal medical assistance to beggars and enemy soldiers.
They are saints, what else do these big-headed soldiers have to complain about?
Before the war, the veterans of orthopedics had already anticipated that amputation surgery might be abused—because even in Lingao General Hospital, which has the best medical and health conditions, treatment of work-related injuries also had such a tendency. Therefore, corresponding indications were formulated.
Lin Motian repeatedly emphasized the danger and cruelty of amputation. However, under primitive medicine and transportation conditions, amputation in order to save the lives of the wounded has become more and more common.
"Don't mention it again... I'm a mother-in-law. I have to take a break and take a break. This scalpel is so blunt that I can't even cut through the skin! Cut off, cut off his ovary sac! That wounded man,...
"It's from the local county magistrate. What do you call it when you gave it to me? Yes, Wang Chuyi! It hurts so much. I kept yelling during the whole operation! The anesthetic didn't work either."
The injured doctor seemed to be in a bad mood, but his appetite was very good. The iron lunch box in his hand was full. "The scalpels haven't been replaced for a long time. How many days will it take for the supplies to be delivered? It's really urgent."
It’s terrible. If you go any further, you won’t even have enough sutures!”
"Isn't his amputation dangerous? There are many blood vessels in the amputation leg." Xie Yao said.
"That's true." The orthopedic doctor nodded, "It didn't take too long to say, about twenty minutes. It's just that the wounded man was so loud that I didn't dare to operate the knife, but it was even slower! Fortunately, he was alive, so he only
If you hit a few cannonballs, otherwise the cannonballs will penetrate too much into the flesh, you can use this blunt knife to find iron sand and lead, and you will be able to do something good!"
"How much of his left leg was saved?"
"Above the knee, I can barely survive. I don't know what will happen in the future. This infection is very sad." The orthopedic doctor sat next to them and began to wolf down, "This day! I can't even lift my arms." His hands were shaking, and he couldn't even lift them.
I can hardly hold the chopsticks.
Chen Ruihe sighed, there was nothing he could do about it.
"I heard that you also did it for one night, but the injured spleen could not be saved?"
Xie Yao shook his head: "He has a good life. Even though he lost a spleen, his life is always safe. Unfortunately, the one in front of him suffered an open abdominal wound or a deep wound caused by a cold weapon: you also know that it is more dangerous than a gunshot wound."
, more susceptible to infection, and was already suffering from typical peritonitis when it was delivered. Although I had my intestines sutured, there was no medicine available, and I didn’t know if the injury could survive the infection - even if I survived, I was afraid that I would suffer from it in the future.
It is inevitable that a fistula will be left - I think I will have to carry a feces bag around my waist for the rest of my life. If I am not careful, I will get infected. I am afraid that I will not live long."
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Next update: Volume 7 - Guangzhou Governance Chapter 434