Chapter 0006: The heart bears thorns, yet humanity is filled with love
Current treatment methods must also be combined with different types of antibiotics to reduce the risk of complications
At this moment, Luffy could only brace himself and proceed. If he did not perform the surgery, the vast majority of hospitals would not assist her. By the time those church hospitals took her in, she would have already passed away.
Rossi, did Mike catch a viral cold? Around the middle stage, is he coughing?
"Thank you so much," Rossi said happily
Luffy suddenly remembered something and asked Mandy: "Do you know where I can buy a dagger or a flying knife"
Mandy replied happily: "Alright, Dr. Jack, I will call you shortly. I will come to you again if I need your signature." Mandy felt that the newly arrived Dr. Jack was good because of his youth, great enthusiasm, and thorough consideration. Even without witnessing his medical skills, she had already experienced his professional attitude.
After getting off the car, holding his own first aid kit, he pushed open the door of the clinic. Nurse Mandy was already cleaning the lobby. Lu Fei surveyed the clinic; it appeared to be small, but the equipment was complete, and the environment was tidy and clean
Dr. Jack, I know that some matters are not easy to handle, but I feel uneasy not mentioning them. Here’s the situation: there is a female homeless person who has been wandering near the town hall, living off the supermarket vouchers provided by the government. However, I noticed something was off with her yesterday, and this morning she has been lying in a corner without moving for a long time. She is homeless and surely does not have insurance.
Jack, on your first day here, you underwent heart surgery, and it was so successful; it is nothing short of a miracle. Even Carson's large hospital might not be able to successfully remove a foreign object from the heart.
Chris looked at Luffy with gratitude, seemingly understanding the situation in his heart. He nodded at him and Mandy, then closed his eyes
You should go to Huaxia Supermarket to buy some ginger and scallions. After washing them thoroughly, peel the ginger and take the roots and white parts of the scallions. Add about 500 milliliters of purified water, bring the water to a boil, and then let it simmer for a few more minutes. Allow the boiled water to cool down to 40 to 50 degrees Celsius, and give it to Mike to drink, 2 to 3 times a day. Follow this method and drink plenty of water. For fever, use ibuprofen suspension; try this first, and if there are any issues, come back to find me.
Then please call Carson's medical equipment company to order 50 surgical knives and 50 No. 2 knife handles as spares. The consumption in emergency situations will definitely be significant in the future, so also apply for more medical supplies and injection consumables.
I will provide you with medical advice, but there is no need to prescribe any medication; you just need to care for the child according to the advice given
Luffy smiled and waved his hand, saying, "No need to be polite, it's only right. Let's leave it at that, goodbye, next one." After bidding farewell happily, the Lyon father and son left.
Hello, Rossi and Mike, good morning, how can I assist you
If you want to place an order, you need to report the clinic's supplies and medications to the town, and they will procure them. Alternatively, you can apply for funding to order from a pharmacy or Carson yourself, Mandy said seriously
Mike, you speak so beautifully, I like you, and I will heal you. Let big brother take a look.
The mayor has told me that he wants me to take full charge of the clinic. What are your thoughts on this matter?
Mandy did not call out a number; after hesitating for a moment, she approached Lu Fei and said
It is truly remarkable that she has survived, as damage to the myocardium is quite dangerous. Needles can introduce bacteria, which may enter the bloodstream, triggering an immune response. Infections occurring in parts of the heart can lead the immune system to attack certain areas of the heart, potentially resulting in abnormal heart function. While infections caused by foreign objects in the heart are rare, they can be extremely perilous when they do occur. The presence of foreign objects in the heart may lead to the formation of clots, which can be transported throughout the body. If such clots reach the brain, they can obstruct blood vessels, causing ischemic strokes, or provoke vascular inflammation, leading to cerebral hemorrhage. Infections caused by foreign objects in the heart are rare, but when they occur, they are very dangerous. The presence of foreign objects in the heart may lead to the formation of clots, which can be transported throughout the body. If such clots reach the brain, they can obstruct blood vessels, causing ischemic strokes, or provoke vascular inflammation, leading to cerebral hemorrhage
Lu Fei has hetushu.com. The situation is difficult to handle. This surgery is not considered major; it only requires an incision at the appropriate location, using large forceps to quickly and forcefully extract the needle, minimizing damage. However, if something goes wrong, it could be fatal. He is well aware of his surgical capabilities, and the system recognizes him as a Level 2 surgeon, which is roughly equivalent to a department head level. However, currently, there is no one to sign the consent, and if something goes wrong, it could be quite troublesome. He is well aware of his surgical capabilities, and the system recognizes him as a Level 2 surgeon, which is roughly equivalent to a department head level. However, currently, there is no one to sign the consent, and if something goes wrong, it could be quite troublesome.
The two individuals went out and found a female homeless person curled up on the ground in front of the town government office next door. The woman appeared to be of Asian descent, her face was very dirty, making it difficult to see her clearly, and she was estimated to be around 40 years old. Mandy approached to help her up, only to discover that she had already fainted. The two quickly carried her into the clinic and placed her on a hospital bed
"Mandy, quickly start her intravenous drip and administer the balanced solution." As Lu Fei issued the medical orders, he began the physical examination, listening to the heart and lung sounds, which he found rather unusual. He then pushed over the portable X-ray machine and conducted a scan of the lungs and heart.
It is also fortunate that the patients behind have been delayed for a long time. You may call the next number and transfer Chris to the examination room inside, taking care to prevent infection. Please charge the medication expenses she incurs to my account; it won't amount to much.
At 8:45 in the morning, Lu Fei arrived at the clinic by car
Lu Fei continued the examination. She also exhibited symptoms such as difficulty in breathing, fever, abnormal heart rate, and cardiac infection. In this situation, the only way to save her is to remove the needle and then administer medication to open the blood vessels, in order to alleviate or cure the stroke
"It's nothing, I'll just show it to her. If I can help, I will. It's a matter of a life. If the medical expenses are too high, we can have the government cover it. The town mayor will give me some face. It wouldn't look good if someone were to collapse right at the town government entrance," Lu Fei said.
According to the X-ray, it is estimated that several months ago, a needle pierced the woman's chest tissue; however, the reason for the needle's penetration into the chest remains unknown. This needle, similar to a bookbinding needle, penetrated the chest tissue and muscle, with part of the needle embedded in the myocardium. The portion of the needle located in the myocardium has undergone partial calcification, which has led to the formation of a blood clot. The blood clot entered the heart and, through the circulatory system, reached the brain, resulting in a severe stroke
That's great, I'll write a notice and post it outside the clinic right away, Mandy said excitedly
Fortunately, the patient woke up on her own. Although her speech was unclear due to a stroke in the brain, she was still able to understand that surgery was necessary to save her. Mandy quickly took the consent form and had her sign it. The signature of the female homeless person revealed that her name was Chris
The clinic is currently in a semi-stagnant state, with only about 2 days of normal operation each week, which has caused significant dissatisfaction among the town's residents. However, Mr. Bell's situation arose due to a family tragedy, making it difficult for the residents to voice their complaints. At present, even when we receive scheduled patients, we can only make a basic assessment of their conditions to determine if they require urgent medical attention. If so, we issue a referral for them to go to Carson City or even San Francisco. Currently, there are just the two of us, Mr. Bell and myself, along with you, making a total of three, but I believe only two are in a working state. " Mandy explained to Lu Fei in detail.
A needle the length of a finger is pierced into the heart
He is my son, and he seems to have a cold. I am not familiar with the clinic's rules; some people say that you need to make an appointment with a family doctor. I should call first, but I heard that since it's your first day, there might not be anyone to schedule an appointment for you. I want to take a chance. After all, going to the large hospital in Carson for an emergency would be too troublesome, and I probably wouldn't even see a doctor.
Using lidocaine for local anesthesia, the scalpel was steadily brought down onto the position he had marked on her chest.
Hello, handsome doctor. I have had a headache since last Sunday, along with a runny nose and occasional chills. I developed a fever yesterday. My mother put something very cold on my head from m.hetushu.com. Today I feel a bit better, but I keep wanting to sleep
"Okay," Mandy nodded.
Luffy said to Mandy: "You handle the appointment calls, starting tomorrow, every 20 minutes. No patients will be accepted from 12 to 1 PM. If there are emergency patients, handle them if possible; if not fully manageable, provide initial life-saving treatment and then refer them."
Mandy nodded and said to Luffy with admiration
Mandy said: "There is one at the gun shop next door"
Hi, Jack, good morning. I know Sally. My name is Rosie, and I am the seamstress in town. This is my son, Mike
After more than half an hour of surgery, the needle was removed; however, treatment must continue. The medication to open the blood vessels has begun to be administered via intravenous drip, with the hope of minimizing the risk of stroke and related complications
Luffy shrugged and said, "We all know that damned alcohol has confused Mr. Bell, so why don't you introduce me to the situation at the clinic"
China has the most effective treatment for colds, this I know
Hello, Jack, good morning. Mr. Bell usually arrives in the afternoon; if he does not come in the afternoon, he will not come at all that day, Mandy said with a helpless shake of her head
Looking at the film, Lu Fei was astonished. As an experienced emergency physician, he had seen many things, but he had never encountered such a bizarre X-ray. He called Mandy over to take a look. Although Mandy was not very skilled at interpreting X-rays, she understood this one.
Luffy picked up the tongue depressor, instructed Mike to open his mouth, and carefully examined whether his tonsils were inflamed. He listened attentively to the sounds of both lungs and measured the child's temperature, forming a judgment in his mind
Remember to call the mayor's office to formally inform the town government, so that the town office can notify the residents of the town
Not long after, at 9 o'clock, Mandy turned the sign on the clinic's door from "close" to "open," and the clinic began its operations
In the United States, medical consultations can be accessed at any time, essentially resembling VIP services of private hospitals. Today, Lyon experienced this.
"Rossi, I do indeed require an appointment here. I am the family doctor for our entire town, and there are no exceptions," Lu Fei said with a smile. "However, you are quite fortunate; I have time now. Let me have a chat with little Mike."
Hello, Mandy, good morning, has Mr. Bell arrived
There is a little bit.
Dr. Jack, I personally welcome your arrival. I am concerned that if the clinic continues like this, it will be forced to close. Losing this job would be terrible for me, as I would have no choice but to seek a livelihood 60 kilometers away in Carson.
As Lu Fei was filling out the form, he said to Leon: "If Mike's fever reaches 38 degrees Celsius or higher, I recommend you purchase over-the-counter ibuprofen suspension and administer it according to the dosage indicated on the box for the child's age, approximately 3 to 4 milliliters, to reduce the fever. Additionally, I suggest giving the child plenty of warm boiled water, with a temperature between 40 and 50 degrees Celsius, ensuring it is not too hot. There is also a traditional method from Huaxia that you can try, which is completely harmless.
Luffy nodded, thought for a moment, and said: "We need to increase our reserves of medical supplies and medications"
Due to the "roadside promotion" by the mayor yesterday, several groups of people were already waiting in front of the clinic early this morning. The residents of the town lined up in an orderly manner at the entrance. As soon as the door opened, a middle-aged man entered first, accompanied by a 6 to 7-year-old boy.
Luffy smiled and said: "It won't be a problem. From now on, we will fully accept appointments for comprehensive preliminary diagnoses and treatments. Additionally, we will restore emergency services. As long as it is within our capability, we will do our best to handle it, so that the residents of the town do not have to drive an hour to Carson's emergency room, as many conditions have been delayed."
Lion, holding the medical advice written by Luffy, happily said to Luffy: "From now on, when you come to my shop to make clothes, I will give you a 50% discount"
Mike, what is wrong with you? Can you tell me where you feel unwell?
Wednesday, April 28