Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 67 - 61: Transfer or Push Through? Divided Opinions

Chapter 67: Chapter 61: Transfer or Push Through? Divided Opinions

Qin Feng walked into the rescue room,

On the hospital bed, the man’s pants between his legs faintly showed red-black bloodstains spreading gradually.

Fortunately, he was still conscious, his face as pale as paper, lying on his side motionless, muttering something repeatedly.

"I can’t die~ I can’t die~ I can’t die~~~"

"Can you hear me?"

He looked at the man, waved his hand, and saw the man blink.

"How many is this?"

Qin Feng held up one finger and said clearly.

"1~"

"And this?"

"2"

"Hold on, we’re trying to save you."

"Thank you~"

The patient said, Qin Feng nodded, but his heart sank a little.

Because none of the man’s answers were correct, although there was still light in his eyes, it was clear that there was a vision problem.

He glanced at the hideous piece of rebar sticking out of the top of his head, instantly mapping in his mind the insertion position and the distribution of cranial nerves.

There’s only one possibility for the vision problem, the rebar might already be touching or has injured the optic nerve, or the patient is experiencing a clouding of consciousness.

Both scenarios are bad!

"How’s the situation?"

When he saw Xiao Jing returning, he asked.

Xiao Jing didn’t speak, just shook her head and handed him the examination report she had just obtained.

Qin Feng took it, and upon glancing, his brow furrowed deeply.

The enhanced CT scan of the brain was out, although the rebar hadn’t damaged the crucial nerves at the back of the skull, the situation was more troublesome than imagined.

Because that piece of rebar is tightly adhered to the semilunar ganglion of the trigeminal nerve at the dura mater’s front and shows signs of compressive bending!

This is why the man couldn’t see the fingers clearly!

Not good!

If surgery is to proceed, they face at least three deadly risks!

Trigeminal ganglion!

Heart!

Massive hemorrhage of the liver and spleen!

"This is really troublesome now."

Qin Feng couldn’t help his heart from racing as he muttered in a low voice.

Even with his world-class surgical experience, the likelihood of success for this operation doesn’t exceed 70%...

He felt this was the greatest challenge he had ever faced!

Surgery doesn’t have to involve injury to the body or organ pathology to be considered dangerous and severe.

When there’s internal injury, the task is a race against death, to stitch up and heal the wound, restore normal circulation before it’s beyond saving, and secure vital signs.

But for a doctor, the greatest challenge is precisely the opposite!

For this patient in front of them, no matter how skilled the expert, they’d probably be overwhelmed!

A joint surgery involving at least three departments is needed here, and each part reaches a fourth-level surgery complexity. 𝙛𝓻𝒆𝓮𝒘𝙚𝙗𝒏𝙤𝙫𝓮𝒍.𝓬𝒐𝙢

Without any errors, there’s hope to extract the rebar safely from these fatal areas and save the patient.

Difficult!

With the current medical standards at Jiangcheng City First Hospital, this cannot be assured right now.

"I’ll head to the meeting room; you must closely monitor the injury’s progression and prevent any mishaps."

Qin Feng said to her with a serious expression, and Xiao Jing nodded.

He turned and left; outside the rescue room, a coworker, the patient’s wife, and daughter still sat.

Returning to the meeting room, everyone was still discussing a viable surgical plan.

"No, I disagree with this plan; if it damages the brain nerves, it can’t be recovered!"

"Then what do you suggest? Do you have a better solution?"

"The patient’s urinary system has also sustained some damage, and we can’t ensure the surgery’s safety!"

....

At this moment, each department in the meeting room voiced their own opinions, creating a somewhat chaotic scene.

Neurosurgery proposed opening the skull first to ascertain whether there was even a chance to save him.

But Cao Ke of cardiothoracic surgery disagreed; if opening the skull recklessly led to problems, they’d have no opportunity for a save since the rebar was too close to the heart!

Not even a defibrillator could be used!

As for Zhang Chen, he insisted on first opening the abdomen to stop the bleeding, given the countless vessels in the liver, even instruments couldn’t determine how many arteries and veins are injured right now.

Qin Feng placed the latest test results in front of Director Zhou Xianren, leaned in, and asked,

"Director Zhou, is there a definitive surgical plan now?"

"Several departments have come up with a few surgical plans, but none can satisfy; we’ve never encountered such a complex lethal injury before, it’s quite difficult."

Zhou Xianren wore a bitter smile; indeed, this surgery was excessively challenging.

After ten minutes of arguing, no one could decisively say how to proceed with the procedure.

Even he was afraid, worried that the patient might die on the operating table.

"Alright, everyone, stop arguing and let’s first review the situation."

Zhou Xianren waved to everyone to be quiet and placed the enhanced CT scan on the projector.

As soon as the image appeared, everyone inhaled sharply!

Because the rebar was already compressing the trigeminal ganglion!

Instantly, everyone felt half their hearts turn cold and fell silent.

The trigeminal nerve is the largest cranial nerve in our face, made up of three sensory nerves (ophthalmic nerve, maxillary nerve, mandibular nerve), commonly referred to as the trigeminal nerve.

The trigeminal nerve is an important nerve responsible for managing facial sensation, where its three branches converge at the semilunar ganglion (trigeminal ganglion) and then transmit to the brain to complete sensory organ information processing.

Located at the apex of the petrous part of the temporal bone, the trigeminal nerve impression is covered by the dura mater, situated within the trigeminal cavity formed by the two layers of the dura mater.

This is a very critical location!

Currently, it is being compressed by a steel bar, and any slight mishap could result in total paralysis of all facial organs in mild cases, or even damage to other cranial nerves in severe cases.

The direct result is death!

The neurosurgeon observing from outside the room couldn’t help but shiver.

Damn it!

He can’t perform this surgery!

"Everyone, the current situation might be worse than we thought. If the patient’s trigeminal nerve remains compressed for too long, even if we save their life, there will be very severe after-effects,"

Zhou Xianren’s voice turned heavy, and this result left everyone’s hearts sinking halfway.

"Director Zhou, given the current situation, I recommend a hospital transfer."

The attending neurosurgeon immediately stood up and said,

"This situation has exceeded what our hospital can handle. Even if we manage to preserve the heart, liver, spleen, and urinary system, I fear there’s no way to operate on the position of the trigeminal ganglion."

...

As the words fell, no one continued to argue, as everyone realized the seriousness of the situation.

But transferring the hospital now poses an even higher risk!

Because Jiangcheng City definitely can’t perform this surgery, and the transfer would have to be to a bigger city, like Suzhou or Jinling.

They have the most advanced equipment and doctors there, and technically, there might be a glimmer of hope.

However,

time is no longer on our side. It would take at least three to four hours to get from here to the nearest Suzhou.

And should an accident occur on the way, and if the steel bar shifts during the patient’s relocation, injuring other cranial nerves or the heart, or causing massive liver and spleen bleeding,

it would be a one-way ticket to death!

"I disagree with this plan."

Intensive Care Director Qi immediately saw the implication and broke the silence, pursing his lips,

"Transferring the patient now is tantamount to sending them to their death; the patient certainly can’t hold on long enough to reach the upper-level hospital in their current condition.

I know everyone’s thoughts, but as the director of intensive care, I still oppose it."

Qin Feng also understood; in fact, the purpose of arranging the transfer now was for only one reason.

To avoid responsibility!

Of course,

technically, it is compliant because they really aren’t confident in performing this surgery.

As long as the family signs the transfer consent form, if the patient leaves for another hospital, saying that even if the person dies on the way, it has nothing to do with our hospital.

But anyone with half a brain sitting here can see the outcome, survival against all odds!

The probability of surviving to the upper hospital for surgery isn’t even 5%!

"But what can we do now?"

Director Wu of the urology department sighed and said,

"Rather than wasting time here and waiting for death, we seem to have no better plans."

"But the patient can’t be moved easily now. If moving them causes a rupture in the trigeminal ganglion, they might die before even leaving the hospital."

"Perhaps we should let the family decide. If they choose to have the surgery here, they’ll have to bear the consequence of death."

"Right, if we save them, fine, but if not, and something goes wrong, what would the hospital do?"

....

Suddenly, the question of whether to transfer or proceed was debated fiercely, with everyone caught in a dilemma.

In all honesty, they’ve nearly given up on the possibility of saving the patient through surgery, tantamount to gambling with very low odds.

Zhou Xianren’s head felt like it was going to explode!

No one was more at a loss than him, especially with the patient in the emergency room!

Save?

Life at great risk.

Transfer?

Again, life at great risk.

He felt a strong urge to bang his head against the table, as a doctor, saving lives is a duty.

Though called white-robed angels, they know they’re not gods, unable to save everyone.

How to deal with this patient, whose hope seems so bleak, right before their eyes?

"Qin Feng, do you have any thoughts?"

He turned to Qin Feng, hoping for an affirmative answer.

"At the moment, I have a surgical plan, with a higher chance, but there’s also a considerable risk, let’s see what everyone thinks."

Qin Feng, after pondering for a long time, spoke with a low voice just as his eyes were about to dim.

"Really?"

Upon hearing this, Zhou Xianren’s eyes lit up. He quickly stood and raised his hand to stop the discussion,

"Everyone, hold on, Qin Feng has a plan, let’s hear it first."

Hearing this, everyone stopped talking and turned their attention to Qin Feng.

"Alright, Qin Feng, go ahead,"

Cao Ke from cardiothoracic spoke up quickly.

The others nodded in agreement, looking expectant.

Only Zhang Chen, with doubt in his eyes, found himself speechless seeing all directors and attendings pausing, seeming full of expectation.

He started doubting, is Qin Feng really just an intern?

Why does every department show this expression upon hearing Qin Feng’s name?

...