Chapter 372 Occupational Exposure

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

The patient in the same room played with the mobile phone for a while, and found that Xu Yongchang was still the same as an hour ago, and asked curiously: "What are you looking at?"

"Take a break." Xu Yongchang's lips were dry, and he didn't intend to drink water. He understood the principle of fasting before surgery, and the white paper used by Ling's treatment group for the examination also clearly stated that if the fasting was not completed, the operation would have to be postponed to meet the requirements of fasting.

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

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

"can not fall asleep."

"That's right. I see you've slept all day." The patient in the same room chuckled, ended the topic, then lowered his head, and commented in his heart: sand sculpture.

Xu Yongchang coughed twice, adjusted his position again, looked at the ceiling with countless thoughts in his mind.

"Bed 42. Are the family members here?" The nurse walked in with a notebook.

"Coming soon." Xu Yongchang lay down without moving, he didn't want to make himself look too tired, and the movement of sitting up easily showed this kind of fatigue.

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

"Family members also have to take the test?"

"That's for sure, otherwise, what should you do if your family members do something wrong when you are asleep." The nurse said and told her again: "When the family members come, let them come to the nurse's station."

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

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

"Brother." Xu Yongchang yelled, as if his throat was blocked, and he couldn't speak.

"It's okay, I'll go through the formalities for you." Xu Yongchang's elder brother spoke anxiously and quickly, asked a few words, and then ran out.

When he reappeared, the nurse followed behind.

"Bed 42, ready for surgery." Among the nurses on duty today, Nurse Niu, the oldest, came over with a serious face and began to do the final finishing work.

Xu Yongchang looked at the gloves the other party was wearing, and couldn't hold himself up.

There is a feeling of tension and relaxation.

"Families follow." Nurse Niu urged again.

"Oh." Xu Yongchang's elder brother followed with his head down.

Nurse Niu led the team out of the ward. Instead of going directly to the elevator, she entered the conversation room not far from the next door.

Seeing this, Xu Yongchang's expression changed: "Didn't you say you're going to have an operation?"

"Talk before the operation." Nurse Niu didn't hesitate and pushed Xu Yongchang in.

Xu Yongchang's elder brother had no choice but to follow in.

in the room.

Zuo Cidian and Ling Ran were sitting in the conversation room, both wearing white coats, with a medical case in front of them, looking very serious.

Seeing this, Xu Yongchang's face changed slightly: "What does this mean?"

"Mr. Xu Yongchang, right?" Zuo Cidian didn't have a smile on his face either.

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

"Mr. Xu Yongchang, the results of our blood sampling this morning came out, and the report showed that you were positive for HIV." Zuo Cidian paused and asked, "You know about HIV, right?"

"I know, AIDS." Xu Yongchang's expression was full of indifference and indifference.

Zuo Cidian gritted his teeth and held back his curse.

Concealing the history of AIDS is a huge threat to surgeons like them.

On the operating table, it happens from time to time that doctors cut their own hands with a scalpel. The most common situation is that the needle pierces the doctor's finger during suturing. This is like the women who used to do needlework, their fingers were often poked by needles. Sometimes, it is not skillful to avoid injuries.

The difference is that if you perform surgery on ordinary patients, you will be injured if you puncture it, and there will be no major problems.

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

Even without a wound, if the patient's body fluid splashes and gets into the doctor's eyes, the cornea will directly absorb the virus in the patient's body.

As for why the patient's bodily fluids splattered, think about the fact that when a big man squeezed the pimples on his face, it might be in vain. Then, an invasive surgical operation, splattered Liquid, what's so strange about it.

Although there are still soapy water, disinfectants, and drugs such as zidovudine and lamivudine available after occupational exposure, but the risk is the risk-if you know it and use multiple layers of protection, it can still be tolerated Otherwise, underreporting is putting surgeons at unnecessary risk.

Zuo Cidian used 20 years of experience in bearing humiliation and bearing heavy burdens to restrain his anger.

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

Xu Yongchang had envisioned various scenarios, those who cursed, those who went online, those who punished the world...

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

After being stunned for a moment, Xu Yongchang said slowly: "Understood."

"Compared with ordinary replacements, the recovery ability of HIV-positive patients is much weaker. Therefore, after arthroscopic surgery, nerve recovery may also become very slow, or even impossible, do you understand?"

"clear."

"Your heart, lung, liver, kidney and other internal organs are facing the possibility of failure during the operation, and your chances of sudden cardiovascular and cerebrovascular symptoms are much higher than ordinary people. The possibility of heartbeat and apnea cannot be ruled out...you Understand?"

"clear."

Ling Ran said a bunch more, and Xu Yongchang agreed to almost everything he said.

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

"Of course..." Xu Yongchang was puzzled and asked, "Are you still willing to do it for me?"

"We will wear a full set of protective clothing for the operation. In addition, I will invite a doctor from the Department of Infectious Diseases to come for a consultation. This will incur more medical costs than ordinary people." Ling Ran's tone was relaxed, and he got up after speaking up.

Xu Yongchang was still in doubt, so he couldn't see Ling Ran anymore.

Left Zuo Cidian behind, cleared his throat reluctantly, and said: "The family members are also here, and I will tell you the precautions. The patient's exam booklet has not been made yet, so you can memorize it yourself...First of all, first At this point, your operation is the last one today, so that it will be convenient for the operating room to be fully cleaned after the operation is over..."

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

Not every hospital and doctor is willing to operate on HIV patients, but HIV patients often get sick. In the past, Xu Yongchang had to go to the CDC or designated hospitals. Now the scope of medical treatment has expanded, but he heard There are still many rejections.

The most common is to suggest to go to another hospital for treatment, and secondly, to persuade conservative treatment.

For example, Xu Yongchang's knee has been injured for a long time, and the recurring inflammation is a more difficult torture for him.

However, the advice Xu Yongchang received 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 didn't show any good face to Xu Yongchang, and said, "You have your difficulties, but I have my professional ethics."

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

operating room.

Chaos is an excellent description.

Compared with the superficial calm in the conversation room, the nurses and doctors in the operating room did not need to hide their fear.

In fact, the mood of the nurses is still stable. After all, they will not come into direct contact with patients, and the risk of occupational exposure is relatively low, especially with comprehensive protection, so there is no need to worry too much.

Doctors, however, are much more at risk.

An experienced attending or deputy director of the emergency department may be able to stabilize the mood, but the Ling treatment group, which is mainly composed of residents, does not have such a mind.

Especially the three interns who came to practice, when they saw the protective clothing, they all trembled.

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

"How low?" Guan Fei's teeth were shaking.

Ling Ran thought for a while and said, "I don't know."

"I..." Guan Fei's eyes were filled with despair.