Emergency Doctor Mercenary Road: Chapter 144 May all beings be free from pain
Chapter 144 I only wish all living beings to be free from illness
"I also have a present for you, but it's not a bag or something. This time I came to Gaul in a hurry, and I ran out in a hurry. Here's to you, this is the last time I went to Mexico, from Don't think it's unlucky to get things from the drug dealers." Lu Fei turned around, took out the golden Glock 17 from his arms, and handed it over to Levery.
"Wow, it's so cute and luxurious. It's actually pure gold, so it's not loaded." Livery's eyes lit up and he couldn't put it down with the golden pistol. Lu Fei loaded her bullets, took her to the gym in the basement, and tried a few shots against a wall.
Levery likes this golden gun very much, and is clamoring to go to the wild fox home shooting range tomorrow to have a good time. The two snuggled together on the balcony, watching the invincible night view of Los Angeles, and pouring out their thoughts of not coming.
The two made an appointment to attend the opening ceremony of the clinic together on Wednesday afternoon and cut the ribbon as the main donor. Afterwards, Lu Fei would go to the doctor for at least a week, and perform a series of medical work such as diagnosis and surgery. You can do volunteer work in the days, and we will talk about the situation later.
The night was slowly getting deeper, and under the moonlight, the two people who were snuggling slowly "sticked" together.
A night of crazy passion, gentleness and sweetness, the two of them kissed me and I didn't get up until noon to eat something, and went to the wild fox's house to meet everyone. After entering, Leverry was led by Ada to practice guns. The wild fox brothers discussed the security of the charity clinic.
Bell said: "Security work should be relatively easy during the day. After all, this is Los Angeles, which means it's a little troublesome at night. Most of them are extortion by gangsters, or drug addicts are making trouble. So we don't need and don't need to bring rifles on the scene. So everyone has a pistol, and prepare a baton or something."
Vasily said: "The task shouldn't be difficult and dangerous. Dewey and I are probably enough. Why don't we go in shifts, is the opening hours of the Charity Hospital set?"
Lu Fei said: "The scheduled business hours are from 2:00 pm to 10:00 pm. I suggest everyone to go there for the first three days. After that, everyone will go in shifts. One thing to remind everyone is to pay attention to safety and medical safety. Wear a mask and wash your hands with alcohol gel frequently, the patients we face have the possibility of skin diseases and infectious diseases." The brothers expressed their receipt.
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After two days of media promotion, the clinic opened on time on Wednesday. Because Gino, Charlize, and Levery cut the ribbon at the scene, a large number of media were present, and Eva Green, Kate Beckinsale, and B girl Leighton also came to join after knowing it. The scene was full of stars and beautiful women.
The brothers of the wild foxes are responsible for maintaining order and security. Jack is wearing a white coat and chatting with several celebrities. The media also joins in a lot of fun. Even the Los Angeles official sent a senator to speak a few words. Politically correct words. Half an hour later, the clinic officially opened for business, and there were many patients outside hearing the news, forming a long queue of hundreds of meters.
Except for Keno, Charlize, and Livery who changed into volunteer clothes to help guide and maintain order, the other stars all left the stage and went back. Lu Fei started the consultation, and Levery assisted him in registration. The clinic has regulations that all patients who have medical insurance and are covered by commercial insurance will not be accepted. After all, resources are limited.
Lu Fei and Monica received patients respectively, Monica was in charge of internal medicine, Lu Fei was in charge of emergency and surgery, and a young male doctor assisted Monica.
At 2:30 pm, Lu Fei received the first patient, a teenage African-American boy accompanied by his mother.
Lu Fei saw that the child had a Tang syndrome face, which should be considered mentally retarded. He asked the fat mother who was accompanying him, and said, "You are the mother of the child, what's wrong with the child, can you speak by yourself?"
"Dr. Jack, I saw the advertisement yesterday, so I came to line up this morning. My son, you can tell, is a bit stupid. I didn't know what to eat yesterday morning, and I kept having diarrhea. I can't help it, it's all up to you. Now, we Los Angeles people know you and S, you treated homeless people in the city center last time, and you are good people." The black aunt rambled.
Lu Fei nodded and patiently examined the child. The child was found to have no symptoms other than a little weakness and dehydration. Lu Fei knew that there would be a lot of patients today, so he had to hurry up and scan the child's body directly, and found that there was a hard object similar to a clip in the child's stomach.
"Child's mother, your child should have eaten a foreign body in his stomach. I will make him a gastroscope right away, just take out the things, don't worry, don't struggle when you ask him to have a gastroscope, I will give him a proper spray. The anesthetic is in the throat."
Lu Fei invited Vasily over again, and he helped hold the child's hands. Lu Fei took the child into the treatment room, and after a lot of tossing, he finally took out the foreign object - a plastic clip on the outer packaging of the bread, and returned to his seat with his mother's constant thanks.
Levery recorded and observed the entire case, and asked curiously, "Dear, what will happen to this child if the plastic clip in his stomach is not found or taken out?"
Lu Fei shook his head and said: "Severe complications may occur in patients. There are not many cases of bread bag clips found in the gastrointestinal tract. Last year, there were 26 related reports worldwide; 3 of them died after surgery. In most cases, foreign bodies can induce small bowel complications. occur."
Levery said in surprise: "It's very serious, you will die if you're not careful."
Lu Fei said: "Yes, children with low intelligence are more difficult to feed. They can't tell what is edible and what is harmful. If they accidentally eat indiscriminately, their stomach will be damaged. This is not bad. , that's called danger."
The second patient, a white homeless, walked in with the help of another homeless person. According to the description of the escort, Lu Fei learned that the patient felt dizzy after eating something similar to a mint an hour ago. , weakness of limbs, followed by disturbance of consciousness, accompanied by twitching of limbs, which continued for a while and relieved on its own, and consciousness became clear.
Lu Fei asked the patient to open his mouth and went up to check himself, and immediately smelled the smell of mothballs!
He hurriedly called a nurse and asked her to support the patient. He quickly gave fluids to promote excretion, blood perfusion to remove toxins, ambroxol to reduce phlegm and symptomatic and supportive treatment. Especially for blood perfusion, I was afraid that the nurse would not be sure to implement it, so I quickly asked another doctor to watch it.
's companion asked Lu Fei in confusion, "Doctor, what's wrong with him, is it serious?"
Lu Fei said: "It is very serious. He accidentally ingested mothballs and was poisoned by naphthalene and dichlorobenzene. If it is not delivered and treated in time, the liver and kidneys will soon be damaged or even fail. Whether it can be completely detoxified depends on the situation. If you are fine, just stay with him, we will eat and drink here." Lu Fei said after looking at the embarrassed face of the man who came with him, and pointed to the side to provide Food table.
The homeless person who came to **** thanked Lu Fei gratefully and went to accompany the patient.
Levery saw the homeless man go to the treatment room, and asked inexplicably, "Mothballs are so poisonous, what should the child do if they eat them?"
Lu Fei said: "Moth camphor pills have been basically stopped in the world at present, and the chemical toxicity is extremely strong. Generally, the probability of accidental ingestion by children is not high, because the taste is really unpleasant, and it is too unpalatable, that is, homeless people who often have unclear brains. The group will eat it by mistake, but it does need the attention of the caregivers, there are many small things, if you look at it, it will kill you!"
Levery meticulously helped Lu Fei record the patient's condition, and patiently told the waiting patients not to worry.
The third patient is an elderly Asian male in his 60s. He sat down with the support of a young woman.
"My name is Wang Jin, Jack, you are Chinese, and I will not hide it from you. After a lot of examinations in the hospital more than 10 days ago, the foreign doctor said a lot, and I understood one sentence, saying that my neck is swollen. Da, the lymph node biopsy pathology combined with immunohistochemistry is consistent with small cell lung cancer. I have no further treatment, I really can't cure it, I want to go back to China for treatment. But yesterday, my face was swollen, and it was difficult to breathe. Is there any way you can help me? After a few more days of life, I can go back to China for treatment." The old man said in Mandarin.
Lu Fei asked him, "What's wrong with your body these two days? Do you have high blood pressure?"
Wang Jin said: "Yesterday, I was short of breath, short of breath, unable to lie down, coughing mainly with white phlegm, dizziness and nausea, unable to see clearly, poor appetite, and poor sleep at night."
Lu Fei asked him to do a lung CT, and found that the patient's right upper lobe mediastinal lung cancer with peripheral inflammation, chronic inflammation in the right upper lobe, right pleural effusion, a small amount of interlobar effusion, compressive consolidation in the right upper lobe, left A small amount of pleural effusion, multiple mediastinal lymphadenopathy.
Returning to his seat, Lu Fei said to the patient, "You have right lung small cell lung cancer with extensive-stage superior vena cava syndrome and hypertension. I will immediately treat you symptomatically. This small cell lung cancer is very sensitive to chemotherapy and radiotherapy. You have a chance to heal or prolong your life, don't lose faith. It's a good idea to go home for treatment."
Lu Fei asked the nurse to come over and gave the doctor's order. The patient was placed in bed, the head and upper limbs were raised, oxygen inhalation was given, lower extremity intravenous infusion, dexamethasone mg 10 mg intravenously, and diuretics were given intermittently. At the same time, preventive symptomatic and supportive treatment was given for adverse drug reactions, and oral drugs were used to control blood pressure, so as to reduce dyspnea, congestion and swelling of the face and limbs.
Patient Wang Jin went to the treatment with great gratitude. Levery looked at the old man's hard work and said to Lu Fei, "Honey, can't we treat cancer together? I'll pay for it if it's a big deal."
Lu Fei touched her head and said, "We're not a general hospital here, and I'm not an oncologist. It's good to let him go back to China for treatment after helping him relieve his condition. We can't cure everyone, nor can we invest in 100 million to build a general hospital, resources are limited.”
The fourth patient is a strong black man who seems to be a gang member, covered in tattoos, but his attitude is very humble. There was a long wound on his arm, the wound was still oozing blood, and some pus.
"Dr. Jack, I've heard the name for a long time. Please help me treat my arm. It's been three days and I can't sleep because of the pain. I can't afford the hospital, and no hospital is willing to help me."
Lu Fei nodded and said: "No problem, since you are here, I will definitely save you. If you can stop fighting and killing in the future, don't do such a thing. It's all raised by your father and mother. It's the same with other people being cut by you."
The strong man nodded involuntarily. Afterwards, Lu Fei injected him with a local anesthetic, helped him debride the wound, removed the rotten tissue, then washed him, sutured the wound, instructed the nurse to give him an intravenous infusion of anti-inflammatory drugs, and instructed him to have an intravenous infusion of anti-inflammatory drugs for three consecutive days. . The big man left with great gratitude. Before leaving, he patted his chest and said that he must take care of the brothers and watch here, so that no one will make trouble.
treated a few patients with minor injuries and skin diseases. Lu Fei took a break at dinner and continued to treat the patients quickly.
It was after 9 o'clock in the evening, and there were not many patients. At this time, a middle-aged woman in very sloppy clothes was the last patient in the line, and suddenly staggered, her feet were unstable, and she was about to fall to the ground. span
Levery hurriedly supported her and asked her to sit down first, and Lu Fei rushed over to understand the situation.
"Doctor, please help me. I can't stand the stomach pain. I haven't been able to go to the toilet for three days. I have abdominal distension, sometimes nausea and vomiting once, and my stomach is still full after vomiting."
Lu Fei scanned her abdomen and found that it was purulent appendicitis and perforated, and the situation was very critical. Lu Fei called the nurse loudly to perform rapid rehydration and volume expansion. Immediately sent for a B-ultrasound, ten minutes later, it was confirmed that it was perforated appendicitis, and she was immediately sent to the operating room, where she immediately operated on her.
The patient already had symptoms of septic shock. Lu Fei added norepinephrine to increase the blood pressure at the same time as the operation. The blood pressure was maintained at 120/70mmHg. He used a ventilator to assist breathing. Abdominal cavity, remove the decayed and perforated appendix, clean and disinfect the abdominal cavity. and used cardiotonic drugs.
After a lot of hard work, the patient finally turned the corner. After the operation, Lu Fei asked another young doctor and nurse to give her intensive care, focusing on anti-inflammatory and paying attention to vital signs. Only then did she save her life. After a week, the patient fully recovered. discharge. This is the most critical patient he has encountered today, and if there is a slight error, he will die on the spot.
After working with the most dangerous patient today, Lu Fei breathed a sigh of relief and assisted Monica in diagnosing a few more patients. That was the end of the day's work. The other brothers of Yehu have nothing to do today. Except for maintaining order, there is basically no one there. Come here to seek sympathy and trouble. After all, the charity clinic treats and saves people and does not accept money. If you make trouble again, you will inevitably risk being reviled by thousands of people.
After ten o'clock, everyone got off work and evacuated together. Anyway, they all lived near Beverly Hills and went back together. Gino and Charlize admired Jack's medical skills and morals very much, and they praised them again and again, hoping that he would often sit in town and help the weak.
Lu Fei said that as long as he is free, he will try his best. After saying goodbye to everyone, I took Leverry home. Leverry felt that her boyfriend was getting better and better, especially liked his compassionate feelings, and appreciated his ability to help many people and make her proud.
(end of this chapter)