Chapter 372： Occupational exposure

Xu Yongchang put his hands on his chest and stared at the ceiling with his eyes wide open.

The patient in the same room played with his mobile phone for a while, and found that Xu Yongchang was still an hour ago, and he couldn't help wondering: "What are you looking at?"

"Take a rest." Xu Yongchang's lips were dry, and he didn't mean to drink water. He understands the reason for fasting and dehydration before surgery. The white paper used in the Ling treatment group's examination also stated clearly. If the fasting and dehydration is not completed, the operation will be postponed to meet the requirements of fasting and dehydration.

The patient in the same room looked at the screen of the mobile phone, only looked up, and said, "You don't read books, or play with mobile phones? Don't like it?"

"It's better to sleep for a while."

"can not fall asleep."

"Also. It's been a day since you slept." The patient in the same room smiled, ended the topic, lowered his head, and commented in his heart: Sand sculpture.

Xu Yongchang made two more coughing sounds and repositioned his position. His eyes were looking at the ceiling, and his mind was rumbling with countless thoughts.

"Bed 42. Has the family arrived?" The nurse came in, holding the notebook.

"Coming soon." Xu Yongchang was lying still, he didn't want to make himself too tired, but the action of sitting up easily showed this fatigue.

The nurse nodded and said, "Family members must sign the informed consent form. Also, remember to ask your family members to take the test."

"Family members have to take exams?"

"That must be, otherwise, when you fall asleep, what do the family members do wrong." The nurse said again, "Let the family member come to the nurse station."

"Okay." Xu Yongchang watched the nurse leave before he touched the phone and sent a text message.

Not long after, a middle-aged man in his forties looked into the ward.

"Brother." Xu Yongchang shouted, and his throat was blocked, speechless.

"It's okay, I'll run the procedure for you." Xu Yongchang's elder brother spoke quickly and quickly. After asking a few words, he went out and ran.

When he showed up again, the nurse followed.

"42 beds, ready for surgery." Among the nurses on duty today, the oldest cow nurse came serious, and began to do the final finishing work.

Xu Yongchang looked at the gloves he was wearing, and couldn't take it anymore.

There was a feeling of tension and relaxation.

"Family follow." Nurse Niu urged again.

"Oh." Xu Yongchang's elder brother bowed his head and followed.

Nurse Niu led the team in the front and left the ward. Instead of going directly to the elevator, she entered the talking room not far away.

When Xu Yongchang saw this, his face changed: "Don't you say that you need surgery?"

"Conversation before surgery." Nurse Niu was not hesitant and pushed Xu Yongchang directly.

Xu Yongchang's elder brother had to follow in.

In the room.

Zuo Cidian and Ling Ran, sitting in the talking room, were wearing white coats, with cases in front of them, looking serious.

When Xu Yongchang saw this, his face changed slightly: "What does this mean?"

"Mr. Xu Yongchang, right?" Zuo Cidian didn't even smile.

"Yes, it's me." Xu Yongchang raised his chin.

"Mr. Xu Yongchang, we got the results of your blood sampling this morning. The report shows that your HIV is positive." Zuo Cidian paused and asked, "You know HIV."

"Know, AIDS." Xu Yongchang's expression, with a sense of indifference and indifference.

Zuo Cidian gritted his teeth, refusing to curse.

Concealing AIDS history is a huge threat to them, surgeons.

Occasionally, doctors cut their hands while holding a scalpel on the operating table. The most common case is during a suture, where the needle pierces the doctor's finger. This is like women who used to do needlework in the past often have needle stick injuries in their fingers. Sometimes, it is not superb to avoid injuries.

The difference is that if you perform an operation on an ordinary patient, the injury will be caused by the injury, and there will not be much problem.

However, the risk of occupational exposure is greatly increased when surgery is performed on AIDS patients.

There is no need to have a wound. If the patient's body fluid splashes and contaminates the doctor's eyes, the cornea of ​​the eye will directly absorb the virus in the patient.

As for why the patient's body fluids splashed, think about it when a digging foot man breaks the acne on his face, it may be practised in a bunch, then, an invasive surgical operation, the splatter Liquid, what's strange.

Although after the occupational exposure, soapy water, disinfectant, and drugs such as zidovudine and lamivudine are available, the risk is the risk-if informed, multilayer protection can still be tolerated In that case, concealment is putting the surgeon at unnecessary risk.

Zuo Cidian used 20 years of experience in bearing humiliation before holding his anger.

Ling Ran looked at Xu Yongchang, but the expression on his face was much calmer, and asked: "Mr. Xu Yongchang, in the case of HIV, your risk of surgery will be greatly increased. Do you understand this?"

Xu Yongchang envisioned all kinds of scenes, swearing, on-line and online, punishing the world ...

Xu Yongchang did not expect that Ling Ran would be so calm.

For a moment, Xu Yongchang slowly said, "I understand."

"Compared with ordinary ones, HIV-positive patients have much weaker recovery capabilities. Therefore, after arthroscopic surgery, nerve recovery may also become slow or even impossible, do you understand?"

"understand."

"Your internal organs such as the heart, lungs, liver, and kidneys are facing the possibility of intraoperative failure. The chance of sudden symptoms of your heart, brain, and blood vessels is much greater than that of ordinary people. You cannot rule out the possibility of heartbeat listening and apnea ... Understand?"

"understand."

Ling Ran said another string, almost what he said, Xu Yongchang agreed.

At this time, Ling Ran took a deep look at Xu Yongchang and asked, "Do you want to continue the operation?"

"Of course ..." Xu Yongchang wondered, and asked, "Do you still want to do it for me?"

"We will wear a full set of protective clothing for surgery. In addition, I will call a doctor in the infectious disease department for a consultation. This will incur more medical costs than ordinary people." Ling Ran said easily and got up after speaking. Already.

Xu Yongchang was still in doubt, but Ling Ran could not be seen.

Leaving Zuo Cidian and reluctantly clearing his throat, he said, "Family is here too. I ’ll tell you something. The patient's examination booklet has not been completed yet. Please remember it first ... first. Point, your surgery is the last one today, so that after the operation is over, the operating room will be fully cleaned ... "

The two brothers Xu Yongchang looked at each other and listened very carefully.

Not every hospital and doctor is willing to perform surgery on HIV patients, but HIV patients often get sick. In the past, Xu Yongchang had to go to a disease control center or a designated hospital. Now the scope of medical treatment has become larger ~ www.novelhall .com ~ but he still heard a lot of rejections.

The most common recommendation is to go to another hospital for treatment, and the second is to persuade conservative treatment.

For example, Xu Yongchang ’s knee has been injured for a long time. The recurring inflammation has more difficult torture for him.

However, Xu Yongchang's advice was always conservative treatment.

As a last resort, Xu Yongchang could only conceal his illness and came to Yunhua Hospital.

"That ... I was going to say it when the operation started." Xu Yongchang explained in a low voice.

Zuo Cidian did not show a good face to Xu Yongchang, saying: "You have your difficulties, I have my professional ethics."

Turning his head, Zuo Cidian continued to explain the operation in a calm tone.

Operating room.

Battered horses and wild horses are an excellent description.

Compared with the calm surface in the talking room, the nurses and doctors in the operating room do not need to hide their fears.

In fact, the emotions of nurses are still stable. After all, they will not directly contact the patients. The risk of occupational exposure is relatively low, especially when there is comprehensive protection, not to worry too much.

However, the dangers of doctors are greatly increased.

If an experienced emergency department attending or deputy director may be able to stabilize the mood, the Ling treatment group composed of residents will not have such a mindset.

Especially the three interns who came to the internship were all shuddering when they saw protective clothing.

Only Ling Ran checked the operating room in an orderly manner, and then looked at the three interns, saying, "As long as you wear protective clothing properly, the probability of infection by aids is very low."

"How low?" Guan Fei's teeth shuddered.

Ling Ran thought about it and said, "I don't know."

"I ..." Guan Fei's eyes were desperate.