Chapter 127: Xinglin Master Who Can Revive The Dying
In the upper right corner of Zheng Ren’s vision floated the System panel, which revealed the patient’s details in bloody red.
Clostridium tetani infection. The diagnosis was confirmed.
This was… a tricky case.
Zheng Ren had been involved in the medical field for almost ten years, housemanship included, but he had never seen or even heard of tetanus before this.
According to standard medical procedure, every trauma patient would be given an intramuscular injection of tetanus toxoid, but this was his first time witnessing an actual case of acute Clostridium tetani infection.
Zheng Ren vaguely remembered that there was a short explanation about the treatment for tetanus in an inconspicuous corner of the surgery book.
Even so… He was reluctant to take over the case due to inexperience.
“Chief Physician Pan, have you treated tetanus before?” asked Zheng Ren.
Old Chief Physician Pan shook his head and said, “I’m going to make a phone call and request for a multidisciplinary consultation. Relevant departments will handle this case afterward.”
Then, he began to make necessary arrangements for a multidisciplinary consultation.
The family member’s confidence slowly faded away after listening to their conversation. He helplessly stood at the head end of the bed and stared at his zombie-like mother before shifting his gaze to Zheng Ren, who wore a solemn expression. His quivering lips parted ways, but words failed to slip out of his throat.
A senior nurse quietly walked into the room and tried her best to maintain her composure as she measured the patient’s blood pressure and other vital signs.
Her vital signs were normal just like any ordinary human being.
Zheng Ren was also aware that the most dangerous part, in this case, was not hemorrhagic shock or other ordinary life-threatening scenarios.
The most terrible part of,
This disease was,
Generalized muscle spasms.
Especially when the patient’s respiratory system was affected,
She would instantly lose her ability to breathe.
Soon…
Death would occur…
A few minutes later, senior consultants and deputy senior consultants of relevant departments arrived one after another.
Even these clinically experienced senior consultants and professors agreed that this was a tricky case.
None of them was willing to handle the treatment of such a rare disease.
This was a responsibility for ownself and the patient.
The diagnosis was evident, and no one gave words of refutation.
However, none of them had seen or had any experience in this case, so when it came to treatment plans, everyone shook their head, sighed and left the area.
“Do you know how to treat this case?” Old Chief Physician Pan had no choice but to ask Zheng Ren.
“It’s written in the book. I can give it a try,” answered Zheng Ren.
“Send the patient to the emergency ward, and let me know if you need anything else,” Old Chief Physician Pan finally made up his mind and said, “I’ll personally counsel the patient’s family members.”
Zheng Ren immediately called Su Yun and asked him to prepare a single room with thickened curtains in a quiet location.
Su Yun was competent enough to perform his task straight away without inquiring about the reason behind the cumbersome requirements.
Zheng Ren received a call in less than ten minutes stating that the room was fully prepared.
Before escorting the patient, he stacked up several pieces of sterile gauze, like a thick towel, and applied them onto her eyes to prevent bright light from discomforting the eyes.
Old Chief Physician Pan cleared the path in advance by doing everything he could to lower the volume of surrounding sound along the way.
An elevator had been waiting for them, thanks to a family member standing by in front of it beforehand. That way, the stretcher trolley could head directly to the emergency ward without wasting time waiting for the elevator.
The patient was successfully transferred from the resuscitation room to the emergency ward within three minutes.
“The patient is infected with Clostridium tetani. Prepare an intravenous infusion of 500mL of normal saline and 3000u of tetanus toxoid, given once per day. Do a skin test before starting the infusion.” Zheng Ren gave a few instructions.
Chang Yue was taken aback. Intravenous infusion of tetanus toxoid? This was the first time she heard about this technique as it was usually injected via the subcutaneous or intramuscular route.
However, her good clinical skills made her decide to obey the command.
“500mL of normal saline plus 8 million units of penicillin for infusion, once per day,” Zheng Ren stared at the patient and continued.
Chang Yue meticulously recorded every instruction he mentioned.
“Su Yun, contact ICU and request for a ventilator. Also, prepare a sterile pack of tracheostomy equipment, we might need it when necessary.”
Su Yun nodded in response.
He would not waste time on nonsense in an emergency rescue.
“The curtains must be closed and the patient’s eyes must be covered with a towel at all times. Try not to talk in the room and limit all noises outside the ward.”
Patients suffering from tetanus had an increased sensitivity to light and sound. Therefore, any light or auditory stimulation could precipitate spasms and generalized convulsions, resulting in an uncontrollable condition.
“Use a bed fixation strap to secure all the patient’s limbs, but be careful not to cause any harm or induce ischemia in the extremities.
“Let one family member stay in the room and stand by for twenty-four hours.”
Those were all he could think of at the moment. Zheng Ren then left the room after all instructions were softly delivered.
He felt that he had done whatever he could in the treatment of this rare disease, and the rest… depended solely on fate.
Accurate diagnosis and proper treatment plans were only part of the therapy.
After spending a considerable amount of time in the medical field, all doctors and nurses would begin to believe in fate.
Fate was indeed very important.
Some patients appeared to be on the brink of death, but somehow could fully recover like a cockroach.
On the other hand, Some patients looked perfectly fine and could even perform the hospital discharge process in person, but they collapsed as soon as they left the hospital.
These rare occasions were not unprecedented in the world.
Zheng Ren could only do everything within his power to treat the patient with such a rare disease, but no one could guarantee the result.
When the others left the room and began their busy tasks, Zheng Ren quietly stood in front of the bed and observed the patient’s condition in the dark.
The muscle spasms visibly reduced following the removal of light and auditory sources.
‘Luck is on our side if she doesn’t end up with respiratory arrest,’ Zheng Ren thought.
A nurse hung the bottle of tetanus toxoid after it had been fully prepared. However, she was having difficulty cannulating the vein in this pitch-black room.
Zheng Ren took over the cannula and brushed his finger over the back of the patient’s hand, trying to locate a vein. Then, he blindly plunged the needle through the skin into the vessel and noticed a flashback of blood.
He had no idea whether it was due to his psychological imagination or the drug effect, but the patient’s generalized muscle spasms seemingly reduced following the drug infusion.
Half an hour later, the patient’s condition became stable.
Su Yun pushed a ventilator over with a white sterile package on it, and Zheng Ren instantly knew that the tracheostomy equipment was finally delivered.
Even if the patient developed acute respiratory failure, she could still be rescued.
Zheng Ren sighed in relief upon realizing that the most dangerous moment had passed.
After leaving the ward, he returned to the office and saw Chang Yue counseling the family members regarding the patient’s condition.
She looked serious when explaining the situation to the family members in detail, which was unflawed after listening to her for a while. Then, he returned to his desk and turned on the computer, trying to come up with a contingency plan to prepare for any unforeseen events that may arise in the patient’s condition.
The phone suddenly rang, emitting a loud noise.
“Reduce the ringtone volume of every nearby phone,” said Zheng Ren after locating an omission.
“Chief Zheng, Chief Zheng, look outside the window,” said a doctor on duty in the emergency department on the other end of the phone.
Huh? What was there to see outside?
Zheng Ren stood up and walked to the window.
There were lots of people surrounding a man outside the Sea City General Hospital emergency building.
The man in the middle was holding a big, red silk banner, seemingly with lots of words written on it, high up in the air, unlike ordinary silk banners that usually stated Xinglin Master Who Can Revive The Dying.
What the hell was this?