The patient was already dead by the ti he was brought to the ergency departnt.
Director Huo rushed to the resuscitation room, but it was too late.
Director Huo called Jiang Ming, Wu Ting, Luo Ming, and Xiao Xixi over to conduct a post-mortem analysis.
According to Wu Ting’s records from the ambulance, the patient’s blood pressure was 195 mmHg, and there was a 20 mmHg difference between his upper limbs!
At the ti, the patient had difficulty breathing, his face was cyanotic, his consciousness was fading, and he was unresponsive. Just before they reached the hospital, the ECG monitor showed his heart rate had dropped to 48 bpm, his blood pressure was undetectable, and his blood oxygen had fallen to 73%.
Wu Ting had administered oxygen via a face mask, suctioned his airway, given him pressor dication, perford a tracheal intubation, and maintained continuous CPR.
But by the ti they arrived at the hospital, a bedside cardiac ultrasound showed no cardiac pulsations and pericardial effusion. With his breathing and heartbeat stopped, and a flatline on the ECG, he was declared clinically dead!
Aortic dissection isn’t an uncommon disease, but it’s notoriously difficult to diagnose. Thanks to Nurse Xiao’s extensive experience, combined with the patient’s long history of hypertension and a constellation of matching symptoms, Xiao Xixi had imdiately initiated ergency asures.
It was a sha. Aortic dissections strike with incredible speed. Reviewing the case, everyone was heartbroken to realize the patient had missed his chance by a re five minutes.
Otherwise, had he gotten to the hospital in ti for surgery—especially with an early diagnosis of aortic dissection—imdiate intervention would have had a high probability of saving his life.
The final autopsy report concluded:
Cause of death: cardiac tamponade resulting from a ruptured aortic dissection. The patient had a DeBakey type I aortic dissection, renal infarction, and tearing of major arteries, including the coronary arteries...
Afterward, the case attracted widespread public attention.
When a devastated Jia Ming arrived at the ergency resuscitation room, he fell to his knees, sobbing uncontrollably.
He saw the final cause of death and knew it was because of the few minutes he had cost them.
The mory of Xiao Xixi’s frantic pleas made Jia Ming’s regret sharpen. dical staff like her had done everything in their power to save his father.
And yet... soone fild Jia Ming’s remorseful breakdown in front of the resuscitation room.
Soon after, it caught the dia’s attention.
A video titled "Fan City, Jin Province: Man Maliciously Blocks Ambulance, Causing Patient’s Death, Discovers It Was His Own Father" instantly went viral online.
Public opinion exploded. The comnt section was a mix: so cursed Jia Ming, so expressed sympathy for the City First Hospital dical staff, and so lanted the injustice of Jia Qingshan’s fate.
In short, the incident sparked a public debate about the act of maliciously obstructing ambulances.
The video ended with a public service announcent:
Deliberately obstructing an ambulance on an ergency call violates not only traffic safety laws but also public security administration laws. Obstructing the passage of ergency vehicles like fire trucks and ambulances can result in a warning, a fine, or even detention for five to ten days.
If soone intentionally blocks an ambulance, knowing there is a patient requiring ergency care inside and having the ability to yield, and this action leads to the patient’s death, it can be prosecuted as intentional homicide, punishable by three to ten years in prison!
For Jia Ming, however, his father’s death was the greatest punishnt of all.
A comnt with over ten thousand likes on the video read:
Qingshan, may there be no idiot sons blocking ambulances in heaven!
Back at City First Hospital.
Despite the patient’s death, the hospital officially comnded Xiao Xixi and Wu Ting for the professionalism and responsibility they demonstrated during the transport.
At the sa ti, Director Huo decided to implent comprehensive pre-hospital ergency care training for the entire hospital, with a focus on junior doctors.
In the ergency departnt, a patient’s death is a common occurrence. Everyone soon returned to their daily routines.
...
...
「At City Second Hospital.」
Director Yao Shi had been riding high for the past few days. His followers on Kuaiyin were soaring.
The hospital was setting up research projects for him and organizing free clinics. A TV appearance was just around the corner.
After arriving at the ergency departnt, Yao Shi went looking for the doctors from the previous day’s free clinic. He planned to consolidate the patient registration list, hold a quick eting, and schedule the surgeries.
Seeing Director Yao approach, attending physician Wang Qian knew he couldn’t hide and braced himself to face him.
That morning, Wang Qian had done a tally and discovered that over a dozen more patients had chosen to transfer to City First Hospital for their surgeries.
The oblivious Yao Shi waved Wang Qian over, offering encouragent.
"Wang Qian, good work at the free clinic yesterday. I bet you saw a lot more patients after I left. This ti, I’ll make sure to assign you as the lead surgeon for a few of them."
"No need to thank for fighting to get you all these training opportunities."
"Wang Qian, you’ve been in our departnt for nearly a decade. If you do a good job this ti, once our laparoscopic techniques mature and we build a reputation, you’ll be able to stand on your own and form your own team."
Yao Shi’s goal in courting the younger generation like this was to build his own faction, either to seize power within the departnt or to eventually take his research projects and switch hospitals.
Listening to Yao Shi’s empty promises, Wang Qian was cringing so hard he could have dug a hole to China with his toes.
’Big shot? Train my ass,’ Wang Qian thought. ’You need to get past this hurdle yourself first...’
Wang Qian rolled his eyes internally, but on the surface, he didn’t dare offend Director Yao.
"Director Yao, there’s been a change of plans. More than half of the scheduled patients have left. Especially the younger ones looking for minimally invasive procedures—the ones we hoped to use as promotional cases..."
Unable to take the pressure, Wang Qian spilled the beans, handing the updated registration list to Yao Shi.
Looking at the list, Yao Shi’s head throbbed. The notes next to the nas were all "refused contact" or "transferred hospital."
"Wang Qian, you’re a veteran in this departnt. How could you ss up a simple free clinic? Everything was fine when I was here. Why did they all suddenly transfer?"
Yao Shi didn’t understand.
Wang Qian said awkwardly,
"It’s not that we did anything wrong or failed to serve the patients. It’s just that the ergency surgery departnt at City First Hospital launched a groundbreaking new surgical technique, a national first, called Wu’s Umbilical Appendectomy."
"They’re marketing it as a non-invasive, costic surgical technique. Apparently, they even designed a brand-new ’Wu’s Umbilical Knife’ just for it."
Wang Qian took out his phone and sent Yao Shi the article from City First Hospital’s official social dia account.
Director Yao began to read, but he was confused.
’Impossible,’ he thought. ’I know City First Hospital’s ergency departnt like the back of my hand. Besides Huo Yun, only Jiang Ming has any real skill. There are no impressive doctors there with the surna Wu.’
’In their general surgery departnt, there’s Zheng Duqing and Lin Hu, but it couldn’t be them.’
’So where did this Wu’s Umbilical Hole Laparoscopic Appendectomy co from?’
’Is it a technique they brought in from Qinghe City or Xianglin City?’
But rack his brain as he might, Yao Shi couldn’t think of any expert with the surna Wu.
Yao Shi felt sothing was off.
He had just been thumping his chest, making guarantees to Director Li. Now all the patients were gone. How the hell was he supposed to run his research project or train his junior doctors?
Grabbing the registration list from Wang Qian, Yao Shi stord back to his office.
’No, I can’t let City First Hospital get away with this publicity campaign. It’s like they’re shitting on my head from on high.’
Yao Shi imdiately took out his phone and fild a comntary video to strike back.
"A Few Thoughts on the Newly Promoted ’Wu’s Umbilical Hole Laparoscopic Appendectomy’ by City First Hospital’s Ergency Surgery Departnt."
"In my many years of contact with City First Hospital’s ergency departnt, I have never heard of any expert with the surna Wu in their ergency surgery division."
"You can all look at the latest list of experts for City First Hospital’s ergency departnt, which I’ve pulled up right here. There’s no one by that na on it."
"So why na the surgical technique this way? There’s only one possibility: it’s a brand-new technique they’ve brought in from elsewhere. Or, City First Hospital has just hired new talent from another hospital."
"If this surgical technique is really as perfect as City First Hospital claims—non-invasive and costic—then ask yourselves: why wasn’t it promoted at this so-called Expert Wu’s original institution? Why didn’t it build a reputation there?"
"Let offer a reasonable speculation. The institution where this Expert Wu ca from either didn’t think highly of this technique, or it has significant flaws. Therefore, this ’expert’ had to lower himself and co to City First Hospital to partner with their ergency surgery departnt."
"This expert provides the so-called ’latest technical support,’ and City First Hospital provides the platform, using their patients as guinea pigs."
"So, I urge everyone to be rational about this new surgical technique. Just wait and see."
At the end of the video, Yao Shi added one more point:
"Ever since City First Hospital’s ergency departnt started hyping up that young Dr. Wu Ting, I’ve noticed a trend of empty grandstanding over there."
"They’re clearly copying the big tech companies, throwing around high-end buzzwords and jargon. Stuff like ’synergy,’ ’empowernt,’ ’ecosystem,’ ’top-level design,’ and ’granularity.’ And now this unproven surgical technique, with its ’Wu’s Umbilical Hole’ and ’Wu’s Umbilical Knife.’ Have they no sha?"
"I hope City First Hospital can be more pragmatic and focus on the truth, instead of false advertising and excessive hype."
To close out the video, Yao Shi added a final taunt:
"Speaking of which, I almost forgot City First Hospital has that Dr. Wu Ting. His surna is indeed Wu. A pity he’s just a rookie, not even a resident yet. In my departnt, a young doctor his age wouldn’t even be qualified to hold the laparoscope, let alone have perford a traditional open appendectomy."
"Of course, I don’t know how City First Hospital trains its young doctors, so I won’t comnt."
"And I welco this so-called ’Expert Wu’ to co forward and explain himself."
Yao Shi’s sharp-tongued comntary was, of course, designed to grab attention and drive traffic to his page.
He didn’t dare provoke Huo Yun or Jiang Ming, but he figured he could get away with attacking Wu Ting.
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