Chapter 668 - Men Are Determined Even In Death
Looking at the dense lead clouds and drizzling rain, Zheng Ren's fist in mid-air trembled a little. But in just a moment he immediately steadied himself as if he was undergoing surgery. Men are determined even in death. Watching the rescue helicopter leave, Zheng Renyang did not slowly lower his arm until the shadow of the rear wing disappeared into the clouds. It was as if that person was still there, saluting and punching him before flying away with the helicopter that brought endless hope to the people on this isolated island. Su Yun did not know what had happened but his sharp intuition told him that something was off. When Zheng Ren turned around, he asked, "Boss, what's wrong? I feel that you're not in the right state of mind right now." "It's nothing," Zheng Ren said lightly. There was no grief or passion, only a kind of unexplainable strength. Su Yun pursed his lips and did not say anything. He knew how his boss was. Usually, no matter how much he teased him, he would be fine. But at this moment, Zheng Ren's mental state was obviously not right. It was better...to forget it. As for what exactly happened, he would know sooner or later. It was not the appropriate time now. "Where's Chief Zhao?" Zheng Ren asked. "There are a few injured people with c.h.e.s.t injuries. They went to work after receiving supplies," Su Yun said. "C.h.e.s.t injuries?" "Wasn't there an aftershock just now? A few team members were injured and are undergoing emergency treatment. It's not critical. I just went to take a look. The injuries weren't serious," Su Yun said. He and Zheng Ren were really lucky. They were actually fine in that kind of dangerous place. The word 'sacrifice' could barely touch him. No one d.e.s.i.r.ed to sacrifice. All soldiers wanted to be able to return to their hometown after the war ended. But sometimes, they had to make a sacrifice. There was only a slight difference between life and death. Just as he was about to go and check on the treatment of the injured, Zheng Ren suddenly heard someone shouting something. The voice came from afar and broke the silence. Turning his head to look, Zheng Ren saw a surviving villager jumping continuously and shouting something. The people around him were a little stunned at first. Then, they followed his gaze and shouted excitedly. Could it be that the rescue team had come up? Zheng Ren followed his gaze and saw a few spots of light that were like fireflies appearing in the darkness. There were not many of them but in the dark sky, they were particularly dazzling. They were not fireflies. Fireflies were not as bright. They were like the morning star, signaling that the darkness would eventually pass. They tore apart the night's curtain, stepped through the rain curtain as they pressed forward. The light continued to increase and gradually spread. That side...seemed to be a collapsed mountain ridge. Was there a road? Zheng Ren vaguely remembered that there was no road there, only countless jagged rocks. The students had sent people to explore the road. It was possible to walk through it but it was extremely dangerous. The light spots did not care whether it was dangerous or not. They continued to spread and appear. The little things added up just like a spark that gradually became a prairie fire. They were like countless bright stars, covered by the fog in the distance. "They're here," Su Yun muttered, his voice a little hoarse. "Yes, they're here." Zheng Ren felt that his eyes were dry from the strong wind and there were sand in them. He blinked a few times and slowly stabilized his emotions. More and more cheers rang out, as more and more survivors jumped up in joy. More fine stars seemed to have broken out of the darkness and appeared in the distant horizon. Over time, they became brighter and brighter. A long, sparkling 'dragon' meandered forward. Although it was slow, it would not stop. Suddenly, Zheng Ren saw a blinking dot of light landing far away. His heart suddenly clenched. This was a long-distance warrior who had fallen into the mountain stream. However, the long dragon did not stop, continuing to move forward. Along the way, the dragon suffered countless injuries which made him stronger and more fearless. Similar incidents continued to occur. The faint light was like a swaying shadow, showing the team's majestic and firm determination. They did not dare to walk this kind of mountain path during the day because it was too steep and narrow. Furthermore, it was now dark. Zheng Ren did not dare to imagine what kind of casualties the team had suffered. However! No matter what difficulties they faced, they could not stop the spread of light spots! No matter what dangers they faced, they would still continue to advance! "Boss, it was not a wasted trip. I feel like my previous worldview has been shattered," Su Yun muttered as he looked at the bright stars in the sky. "Hehe." Zheng Ren smiled faintly. "In their eyes, we are the same." "Is that so?" "Yes. All sacrifices will be rewarded in the end." Zheng Ren thought of the sound of the propeller and the rough figure holding the newborn child in his arms. He clenched his fists tightly. They drenched in sweat but full of strength. Zhao Yunlong heard the joyful shouts. After he finished suturing, he walked out of the simple 'operating theatre'. As he walked, he took off the sterile gloves that were covered in blood. When he saw this scene, he was stunned. Really... Had they really arrived? Yes, they had! He had been thinking about the troops coming up from behind all the time but when he really saw them, the whole situation felt unreal. They really came. They really were here. Zhao Yunlong quickly suppressed the fluctuation of his emotions and personally brought people to support the troops. Su Yun did not go. He just stood quietly beside Zheng Ren and said in a low voice, "Boss, our mission is complete, right?" "This mission is considered complete, but it's not the final victory yet." Although Zheng Ren knew that Su Yun only needed a word of comfort, he was still rigid. "Then where are we going?" "We have to ask Zhao Yunlong about this. When they come, we'll ask more." "Aren't you going to Huaxi? They have professional equipment there." "Huaxi has a lot of amazing doctors. If we go there, I won't be of much use." Zheng Ren made some plans when he was bored and said then, "I'm thinking that many patients who need amputation have been trapped for several days. Their tissue muscles are probably filled with blood and edema. Even if we bring them to Huaxi, we can still barely perform the surgery. However, we can either expand the wound and cut off more tissues, or we can simply perform embolectomy first. As for the patients with severe pelvic fractures and retroperitoneal hematoma, I don't think I have to explain further." "Emergency treatment? You're using interventional treatment on them." "I'm the best at it. I can perform general surgery but compared to Huaxi's chief physician, there's nothing special about it," Zheng Ren said honestly. He had said it again! Su Yun really wanted to curse him with a sentence full of sarcasm. However, when he thought about how Zheng Ren said that he was the best at interventional surgery... He was telling the truth. Afterward, he would wait until he knew the overall situation and carefully thought about it before he said anything else. It looked very close, but they were actually still quite a distance away. Zhao Yunlong brought the people who had explored the road during the day to greet the troops. After a long time in the darkness, a long, winding dragon finally met up with the rest of them. There was no longer a need to continue their sacrifice. Zheng Ren smiled.
Chapter 669 - Frontline Medical Records
At the Second Provincial Capital Hospital's operating theatre. Everyone flew up. The old chief of the orthopedics department who was about to retire had been waiting in the operating theater for nearly 24 hours. During that time, he had only had one meal and had been standing next to the operating table for the rest of it. There were so many injured people that there was no end to them. The scrub nurse's eyes turned red as she worked. One of them could not help but cry right there at the operating theater. As a person in the operating theater, what kind of thing had they not seen? No matter how tragic or sad the matter was, they usually kept a distance. But now, they could not do it. Chief Jing remained silent. He stubbornly refused all requests for him to step down from the stage and take a break. He even refused requests from the medical administration division. After the amputations were completed, another batch of patients was sent over like an unending wave. Chief Jing did not want to see what was going on. He was old and his legs weren't as good as before. If he had to go to t
he frontline, he would have to drag two or three people down to take care of him. He used his own methods to play the greatest role. However... There were simply too many amputees. The amputations he had performed in his lifetime were not as many as the ones he had performed in the past 24 hours. This was under the premise that most of the seriously injured patients were sent to Huaxi for treatment. The Second Provincial Hospital was not ranked in the top five in Chengdu in terms of overall medical strength. But even so, countless seriously injured patients were still sent over. Chief Jing had endured for nearly 24 hours, his body already overdrawn. He did not crack his usual jokes at the operating table, such as introducing boyfriends to the nurses. The atmosphere in the operating theater was tense, the air pressure increased by at least five pascals. He carefully devoted all his energy to the patients— those who were seriously injured had their limbs smashed and crushed by heavy objects, did not receive treatment for a short period of time, and developed compartment syndrome, making the range of amputations much larger than expected. He tried hard to save as many limbs as possible for all the injured, but he just could not do it. Compartment syndrome was caused by an increased volume on the compartment due to hematoma and edema of the tissue following a traumatic fracture or by tight wrapping. Local pressure reduced the volume of the compartment and resulted in increased compartment pressure. When the pressure reached a certain level (8.7 kph, which was around 65 mmHg in the forearm, and 7.3 kph, about 55 mmHg in the lower leg), the small arteries supplying the muscles closed, forming a vicious cycle of ischemia-edema. This was a more common clinical acute symptom. Usually, it is enough to cut open the wound to reduce the pressure. There was no need to amputate. However, in the face of natural disasters, almost all the injured did not receive immediate treatment, and the situation was completely opposite to the usual singing and dancing situation. Even in most of the patients, because there was a heavy weight on the limb, the huge pressure led directly to ischemic necrosis of the limb. The edema gradually spread upward. That led to ischemic and necrotic death, and the bone fascia compartment syndrome continued to appear above the blackened limbs. The range of amputations had expanded. Many limbs that did not need to be amputated were amputated under Chief Jing's hands. He felt that he was committing a crime. However, if he did not do so, it would inevitably lead to more and more complications. It would cause the injured to fall into an even more troublesome form of infection and poisoning. Chief Jing carried a huge amount of pressure and self-blame. He carried out one surgery after another in silence. He knew that the operating theater next door was arranged for orthopedic surgeries. The other surgeries were mainly performed by the neurosurgery department. However, there were not many patients in the general surgery department and thoracic department. Because of organ bleeding or pneumothorax, it was difficult for the seriously injured to last for more than 48 hours. A middle-aged male patient that was seriously injured was carried down. His right t.h.i.g.h was amputated. If it were any other time, the injured patient would only need to perform fracture fixation. If it were any other time, they would just need to perform an incision to reduce the pressure. But now, one of his t.h.i.g.hs had to be amputated... "Next." Chief Jing's voice was completely hoarse. Even he himself could not tell that he had just said those words. Another patient was sent to the operating theater. Chief Jing sat on a stool in the operating theater while he waited and closed his eyes to rest. The junior doctor under him was responsible for carrying the patient and sterilizing them before the operation. There was a tightly wrapped plastic bag with medical tape on the patient's c.h.e.s.t. The orthopedic surgeon removed the tape without hesitation and threw the plastic bag into the red trash can. The circulating nurse saw this scene. She had just slept for a few hours and was still in good spirits. Yes, previously she had only slept for two or three hours a day. The rest of the time was spent working. It was enough to make one break down. But in the current situation, she was the most energetic person there. The circulating nurse realized that there might be something important in the plastic bag, such as the patient's identity, so that the patient's family could find them. She used the oval pliers to take the plastic bag out of the red trash can and opened it to take a look. "This patient's limbs are not very swollen, chief. Sister Su, get ready..." The circulating nurse interrupted the orthopedist halfway through his words. "This is the medical record left by the frontline doctor," the circulating nurse said in a deep voice. "What?" The orthopedist did not understand. The Frontline? Doctors? Medical records? The frontline lacked everything. In some places, even water had to be dropped by air and the cost of dropping a bottle of purified water by air was at least 100 yuan per bottle. Even so, due to the weather, most of the water and food could not fall into the hands of the disaster victims and the frontline headquarters did not care about the cost and continued to drop the purified water by air regardless. They were already so short of things and there was still a doctor who left medical records at the frontline? Chief Jing opened his eyes immediately. He reached out and said, "Let me take a look." A tissue was handed to Chief Jing. The entire piece of tissue was wet. It was very heavy in his hand. He looked at the messy handwriting on it and felt a lump in his throat. What kind of difficult conditions were these medical treatments under... Although he had not experienced it personally, Chief Jing could imagine it. After watching for nearly three minutes, Chief Jing fell silent and did not say a word. The hand that was carefully holding the tissue trembled slightly. The more it trembled, the stronger it became. "Chief Jing?" The circulating nurse only took a glance before she handed the tissue to Chief Jing. She saw that Chief Jing's condition was not right, so she immediately asked. Chief Jing did not say anything. He used his large hand to carelessly wipe his face. After he calmed down slightly, he said, "This patient underwent embolectomy at the frontline. The time was six hours ago." The circulating nurse was stunned. The orthopedic doctor who was disinfecting was also stunned. With the conditions at the frontline, how could they still perform embolectomy? For severe trauma, the difficulty of embolectomy was many times greater than that for common cardiovascular and cerebrovascular diseases. Because the normal physiological and anatomical structure was destroyed, the thrombectomy was numerous and dense, making it difficult to remove. This kind of surgery was rarely done in the Second Provincial Hospital, but there were actually people at the frontline who had done it?
Chapter 670 - Was Buried
"Remove the suppository?" The orthopedic doctor who was disinfecting was stunned. He looked at the twisted and deformed ankle joint of the patient. There was also a necrotic indentation on the skin. However, the strange thing was that although the swelling of the patient's wound was more obvious, it was much lighter than expected. Moreover, there was no black necrotic tissue spreading. Only the front half of the foot was completely necrotic. The other parts seemed to be preserved. For the same patient, the best amputation was below the knee joint. Which god-level figure was at the front line? The orthopedic doctor pondered for a long time. He heard that on the day of the earthquake, all the people in Huaxi Hospital were directly brought to the frontline to participate in the rescue. It was very likely that the person came from there. Chief Jing stood up and went to the front of the stage to observe the patient's condition. He carefully considered for a long time before he said, "Preserve the ankle joint and prepare for internal fixation." This was undoubtedly the best choice. Although the complexity of the surgery had now multiplied, it involved the patient being able to recover properly afterward so who wouldn't be willing to do such a small task? Even though they had already stood there for 24 hours... Even though everyone was almost exhausted... Even though there were still countless patients behind them... "Tell the others to look at the medical records if they come across another patient with such a plastic bag," Chief Jing said in a hoarse voice. The circulating nurse immediately ran out and informed the people in the other operating rooms. She also called the person in charge of triage in front of them to explain
the reason why. Unfortunately, there was only one such patient. Because his condition was relatively mild, he was sent to the Second Provincial Hospital. The heavily injured patients were all piled up in Huaxi and the Provincial Hospital. It was busier there than here. Chief Jing's surgery was done in a very meticulous manner, and he performed at the highest level since the prime of his medical career. The doctors at the frontline had to endure some kind of terrible situation to perform the first stage of emergency treatment. If something happened to him, he would feel sorry toward the patient and also to the doctors at the front line. "Doctor, do you need to do an amputation?" the patient asked as he lay on the hospital bed. Because it was continuous epidural anesthesia, he could hear the conversation between the doctors and nurses in the operating theater. He could see the change in Chief Jing's expression. It was not until half an hour after the operation began that he mustered up the courage to ask. "You require one but half of the sole of the foot is enough." Chief Jing told the truth. At this moment, there was no need to hide anything from the patient. "Half of your foot is fine." The first assistant across from him comforted the patient. "If you want to install a prosthetic limb, it's very simple. If you don't want to, you just need to walk slowly and get used to it. Maybe after a year, you can still run and jump." Hearing the doctor's explanation, the patient finally felt at ease. "Thank you," he muttered. "Where are you from? Who performed the surgery on you?" Chief Jing asked. "Nanchuan Town. Two People's Liberation Army soldiers performed the surgery on me." The patient grinned. He wanted to laugh but in the end, his entire face became sad. "The surgery seemed to be performed in the ruins. In the ruins of our town's hospital, there was a machine that was still functional." Chief Jing's hand paused for a moment, but he immediately began the surgery. "At that time, an aftershock happened right after I was sent out after the surgery," the patient said. "The person who carried me lost balance and fell." "What about the ruins?" "They were buried..." the patient said. "Later, I was sent to a tent where only the severely injured could lie down. I fell asleep in a daze. After that, when I woke up, I was already on the helicopter." Buried... Chief Jing lowered his head and widened his eyes as he performed the surgery in a more meticulous manner. He had heard that the rescue workers at the frontline suffered heavy casualties, but he did not expect it to reach such a level. The soldiers at the frontline had risked their lives to perform a surgery. There was absolutely no reason for him to perform in a subpar manner. Chief Jing abandoned all distracting thoughts. He no longer thought about the doctor who insisted on performing the surgery on a rainy night in the ruins despite the risk of aftershocks. He no longer thought about the long-distance soldiers who braved the wind and rain, going forward into the night and advancing without fear of sacrifice. He had to do his job well, he had to! "Wipe my sweat," Chief Jing turned his head and whispered. A piece of sterile gauze brushed past his forehead. He took the opportunity to rub the corner of his eye before continuing the surgery. .. .. All the operating theaters in Chengdu were lit up all night. In all the operating theaters, there were people going about. They did not sleep or rest. They did not even have much time to eat or drink. The patients transported from the frontline received professional treatment at the first opportunity. As the army marched into the mountains, batches of lightly and severely injured people were sent down from the frontline. All the hospitals in Chengdu were full. In the orthopedic ward of Huaxi, an old man who had just had a double hip replacement was angry with his family. The old man, who was already in his eighties, did not even have silvery white hair anymore. His body was not in good condition, and his heart and lungs were not functioning properly. Originally, the Huaxi orthopedic doctor had specially reserved a quiet ward for him. However, after the old man heard and saw the situation outside, he refused to stay there no matter what. Usually, whenever there were children who dared to disturb his sleep at home, he would get up and scold them. He would even beat them with crutches. However, in the messy hospital, he refused the advice of his children and the nurse. He insisted on living in the corridor where the extra beds were and gave his bed to the people who came out of surgery. The old man was so stubborn that he did not listen to anyone and was very angry. In the end, Huaxi's nurse asked the bed doctor at the operating table to move the old man out of the ward and into the corridor with extra beds. Faced with a large number of patients, Huaxi and the major hospitals in Chengdu were already overwhelmed. The corridor was full of extra beds, which were all patients who had been hospitalized beforehand. The seriously injured patients who were sent down from the front were all living in standard beds in the ward, with volunteers to accompany the patients. All the problems did not need to be solved as a solution would naturally occur. Many of the difficulties that the medical administration division had anticipated did not happen at all. There was no need to explain, nor was there a need to. Even if they wanted to explain, they could not find anyone. Usually, people would quarrel over trivial matters. Those who complained to the medical administration division would quiet down and do their part to help the survivors who had lost their homes and were seriously injured. There was a small fast food restaurant in a row of small restaurants in the northeast corner of Huaxi Hospital. This place was neither beautiful nor cheap. The boss was a disabled person. He was a cook and his cooking was average. Usually, there was rarely even meat in his dishes. At this time, he was carrying two huge burdens. One side was rice, and the other side was vegetables. He was walking from ward to ward. A full meal was placed at each bedside for free. The fragrance of the dishes assailed the nose. It was the standard of a first-class chef. The dishes were full of meat, and he did not look as stingy as usual. He insisted on preparing three meals a day, including meals for 100 patients in a single ward. There were other people who came to deliver food but when they bumped into each other, they almost got into a fight over it.
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