Chapter 442: Intussusception
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
“Call Yu Yuan over,” Ling Ran ordered and continued, “And ask the Pediatrics Departnt to prepare an air insufflation device. If any of the pediatricians are free, ask him to co over and take a look too. Intussusception, the onset was probably around four hours ago.”
Intussusception was definitely an ergency condition, as death might occur less than twenty-four hours upon onset. However, since the patient only developed intussusception four hours ago, the disease was still at its early stages. The child was rely crying and throwing tantrums, and they still had plenty of ti to treat him before the pain beca worse.
Of course, as the Pediatrics Departnt was very busy, they might only send a doctor to treat this child after a long ti as the situation was not too dire yet. Instead of waiting for them, Ling Ran would rather treat the child in the Ergency Departnt.
Huo Congjun’s line of thought was the sa as Ling Ran’s when it ca to this matter. What was the point of seeking out specialist departnts when the Ergency Departnt could very well manage the patient? The specialist departnts were very busy and would often give all kinds of excuses to reject a patient. Sotis, they would reject a patient that the Ergency Departnt wanted to transfer over on the basis that the patient’s symptoms were not grave enough. Because of this, the Ergency Departnt did not like transferring patients to other departnts.
The only reason why the Ergency Departnt was not allowed to treat patients with minor illnesses on their own was because of hospital policy.
If the policymakers gave them the green light, the Ergency Departnt rely needed to expand itself and hire more doctors to be able to treat patients with minor illnesses on their own.
The Ergency Departnts of hospitals in China were unlike the Ergency Departnts of hospitals in other countries. As the Ergency Departnts of hospitals in other countries often needed to foot the bill for patients who had no one paying for them, they often could not make ends et. As a result, many of the hospitals were forced to abolish their Ergency Departnt. So of them did it voluntarily.
This was why in movies set in Europe or the United States, patients often needed to wait for a long ti for their turn in Ergency Departnts.
However, the Ergency Departnts of hospitals in China did not face this kind of problem. Even though there were patients and their family mbers who fled the Ergency Departnt before they made paynt, patients who could not afford to pay, and patients who refused to leave the wards for various reasons, but as a whole, the Ergency Departnts of hospitals in China could at least afford to finance themselves.
Since they were able to finance themselves, it was natural that they could expand themselves as much as they want to, unless they were limited by their hospital’s policy…
Right now, Ling Ran wished that there was a subdepartnt for pediatrics in the Ergency Departnt.
This way, they would not even need to borrow an air insufflation device.
The dical intern did not really know what was going on. He asked in a hushed tone, “Don’t we need to wait for the ultrasound scans to co out to confirm the diagnosis?”
This was not his first day in the hospital, and he knew that complications might arise when it ca to diagnosing a patient. The most common complication was the wastage of other departnts’ resource.
If the patient was really suffering from intussusception, the Pediatrics Departnt had to prepare the air insufflation device for them no matter what.
Compared to other patients in the Ergency Departnt such as those who had a cold and rely needed a fluid transfusion, and those suffering from diarrhea and rely needed a prescription for drugs, Ling Ran’s young patient was obviously in more need of the hospital’s resources.
But if the Ergency Departnt were to say that they had made a mistake and that the patient did not really suffer from intussusception after the Pediatrics Departnt had prepared the machine, the Ergency Departnt would beco more than a laughingstock. The staff from the Pediatrics Departnt would be furious at the Ergency Departnt.
Ling Ran answered imdiately, “There’s no need for that. Hurry up and get it done.”
The dical intern had no intention to go against Ling Ran. He imdiately went to make a phone call.
After the dical intern got everything settled, he hung up and breathed a sigh of relief. He chuckled and said, “Doctor Ling, you’re pretty efficient when it cos to getting things done.”
“That’s how Doctor Ling is like.” When the young nurse at the nurses’ station heard Ling Ran’s na, she imdiately paid the dical intern, whose forehead was covered in sweat, so attention.
The dical intern nodded in agreent. There was a wistful expression on his face.
It only took the young nurse one glance to know what the dical intern was thinking about. The number of dical interns she had seen was more than the number of patients the dical intern had seen. And most dical interns were more or less alike.
“Doctor Ling said that there’s no need to wait for the ultrasound scans to confirm the diagnosis, right?” The young nurse decided to treat the dical intern with kindness.
The dical intern humd in acknowledgnt and said, “This way, we can start treating the patient the mont he returns.”
“Do you know why Doctor Ling said that there’s no need to wait?” the young nurse asked in a soft voice.
The dical intern knew that the young nurse was implying sothing, but he did not know what it was. Puzzled, he shook his head.
“Doctor Ling is a doctor in charge of a treatnt group. Besides, he’s a nice person, and he’s very skillful too. Everyone likes him.” The young nurse smiled. “For you, you’ll have to be aware of the consequences if you write an authorization request form before you wait for the diagnosis.”
The dical intern imdiately understood what the nurse ant. Every single person had a different destiny. This was sothing that a person would understand after going through many things in life.
“I wonder when I would be able to write an authorization request form without waiting for the diagnosis to be confird.” The dical intern chuckled self-deprecatingly.
The young nurse waved in dismissal. “By the ti you no longer need to ask this question, you would probably know how many more years of hard work you need to put in.”
Yu Yuan and the patient arrived at the treatnt room at the sa ti.
After Ling Ran received the ultrasound scans, he looked carefully at them before passing them to Yu Yuan. “The ultrasound shows that there’s a concentric circle, but it’s not very serious. Go ahead and administer air enema.”
Yu Yuan was the only one in Ling Ran’s treatnt group who had operated an air insufflation device before, so the task was naturally assigned to her. Even Ling Ran himself had to watch on the sidelines.
Yu Yuan started reading the ultrasound scans on her tablet and confird what Ling Ran just said. She then nodded and asked, “Where’s the patient’s family mbers?”
“Here.” The child’s father who was just beside her quickly answered. He had an extrely anxious and guilty expression.
Aside from feeling worried, he was also blaming himself for the fact that his child developed intussusception from playing the swinging ga with him. His palms were sweating profusely, and his palms were still drenched in sweat even after he wiped his palms against his pants.
“Are you the only one? Is anyone else coming?”
“His mother will be arriving soon.” The child’s father got even more worried.
Yu Yuan humd in acknowledgnt and said, “The air insufflation device has to be operated together with X-ray fluoroscopy. We’ll be heading to the Radiology Departnt now. The child’s mother can join us when she arrives.”
The child’s father beca extrely uncomfortable when he heard the word “X-ray”. He said in a soft voice, “Erm… X-ray produces radiation, right? Is it a must?”
“There are two treatnts for intussusception, which are air enema and surgery. If there’s any further delay, surgery would be the only option.” Yu Yuan had been a chief resident for a while, and even her tone was starting to beco stern.
Petite people were even scarier when they were being fierce. The child happened to cry again at that mont, and his father imdiately beca flustered.
“Let’s make a move. The device is probably ready.” Ling Ran raised his chin and led everyone to the Radiology Departnt.
Soon, the child’s mother dashed into the Radiology Departnt.
Yu Yuan, who had already received the signed inford consent form, ignored how terrified and sad the child’s mother looked and imdiately said, “Intussusception is a serious condition that might cause death within twenty-four hours. Fortunately, you guys sent him over in ti, and there is no need for surgical intervention. I suggest that we begin treatnt right away to prevent missing out on the optimal treatnt ti.”
When the child’s mother heard the word “death”, she was so terrified that she started trembling. She did not even bother to hit her husband anymore and quickly asked, “What do we do now?”
“Hold your child down. I’ll administer treatnt.” Yu Yuan paused for a mont and continued, “As anesthetics are not recomnded for children, I’ll not be administering any. So, both of you must make sure that your child doesn’t move around.”
Soon, the three-year-old was placed on the treatnt table.
Yu Yuan took a rubber tube and inserted one of its ends into the child’s anus. The child imdiately started wailing, and his parents had to forcefully press his limbs against the table.
“I’m done.” Yu Yuan administered air enema at lightning speed. She then removed the rubber tube from the child’s anus. So feces splattered out of the anus on Yu Yuan’s hand.
Satisfied with Yu Yuan’s performance, Ling Ran nodded. He had heard that this was indeed what would happen. By the looks of it now, a doctor could indeed learn a lot by watching other doctors work.
“The patient must not eat eight hours after this…” Yu Yuan calmly gave dical advice as she cleaned up.
The child’s mother apologized profusely and helped Yu Yuan out.
“Thank you so much, Doctor Ling.” Still dizzy from fear, Mister Niu carried his child in his arms. “If it weren’t for you, we’d be in a lot of trouble.”
While he waited for the treatnt to be carried out earlier, he had already typed “intussusception” into the Baidu search engine, and the results that ca out absolutely terrified him.
“It’s fine as long as your child is alright.” Ling Ran nodded, and he was in a pretty good mood as he gazed at the child’s serene expression.
The only good thing about working in the Pediatrics Departnt was that the patients were almost always able to recover completely. This was not always the case with the Oncology Departnt, Thoracic Departnt, General Surgery Departnt, and other departnts.
“Ling Ran.” Doctor Zhou entered the X-ray room in a leisurely manner with his hands in his pockets.
“Doctor Zhou?”
“Since I happened to bump into you, let tell you sothing. I just received a call regarding a car accident victim. His liver seems to be injured. Do you want to co over and take a look?” Doctor Zhou had his back straight, and he really seed like he just happened to pass by as he sauntered around.
Ling Ran raised his head to glance at the access cardholder of the X-ray room and as if it was the most natural thing in the world, said, “Sure, I happen to be in the mood for a hepatectomy.”
“I knew it. I reckoned that you’d be up for the job.” Doctor Zhou imdiately flashed a smile and dragged Ling Ran away from the X-ray room.
They chatted as they walked.
“The patient was a child?”
“Yup.”
“What did you cut off?”
“Nothing.”
“If nothing was cut off, why was there a whole bunch of people there?”
“Intussusception.”
“Doesn’t the treatnt of intussusception involve surgery? What happened? The General Surgery Departnt snatched the patient away?”
“It was discovered early, and air enema was enough to treat the child’s condition.”
“That’s so uninteresting.”
Behind them, the young patient’s mother hugged her child tightly as she trembled fearfully. She said in a hushed tone, “All doctors are so scary.”
“Yeah, kind of.” His husband could also feel a chill run down his spine.
When the young patient’s mother heard her husband’s voice, she beca slightly more relaxed. Because of this, she also rembered that she was angry at her husband. She clutched the back of her husband’s lower back with one hand and said fiercely, “If you dare to play the swinging ga with my son again, I’ll castrate you, gauge your eyes out, remove your tongue, and dig your intestines out. I’ll then make a slingshot using your tongue and intestines so that I can shoot your eyeballs, heart, liver, spleen, lungs, and stomach out one by one. Do you understand?”
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