Author: Xue Shouwei, Yang Yuan
On this day, the Department of Orthopedics of Shanghai Sixth People's Hospital received a severed hand.
The hand that had been crushed by the machine had been roughly broken into 4 sections, and the bones inside were also broken. The owner of the hand, Shui Fengwei, was unusually calm from the time he broke his hand to entering the hospital.
She thought that the top doctors here would be able to take over her hands. In fact, the success rate of replanting in such cases is very low, and even if it is connected, necrosis and infection are very likely.
After the doctor confessed her injuries, the originally calm Shui Fengwei suddenly fell into a collapse. This woman, who had always been strong, knelt down in front of the doctor.
Source: Emergency Room Story
At the end of the story, in the face of Shui Fengwei's strong desire, the doctors decided to give it their all. After a lengthy 17-hour operation, most of her fractures were miraculously revitalized, and 45% of her hand's function was retained.
In the square emergency room, it may not be common for fingers to be broken into 4 segments, but patients cry and collapse often occur here.
This "Emergency Room Story", taking the Shanghai Sixth People's Hospital, the place that can best condense and refract the great changes in the trajectory of life, as an incision, presents the stories of those in the emergency room that are warm or cruel through a panoramic record of 7 × 24 hours.
Source: Douban
Every second counts
Shanghai Sixth People's Hospital is a nationally renowned acute trauma emergency center, and patients who are seriously injured for various reasons are brought in almost every day.
Wang Zhengyun, 37, was hit by a car on her way to work, her legs were crushed, and when she was taken to the hospital, her legs were blurred with blood and flesh, and the intense pain made her moan.
Damage to the right lower extremity, multiple open fractures of the left lower extremity, extremely unstable vital signs, and blood pressure 40/20 mmHg. The damaged legs were like open faucets, the blood flowed like a flood, and according to the doctor's preliminary judgment, Wang Zhengyun's blood loss reached 3,000 to 4,000 milliliters, almost more than half of her whole body's blood volume.
The situation is urgent, Director Zhang is the centering needle in the emergency room, he urged the blood bank to match blood, while notifying the orthopedic doctor for consultation, while always paying attention to Wang Zhengyun's condition...
At his repeated urging, the blood finally arrived, and the nurses hung up the list before they could even write it, squeezed it in with their hands, and added it with a pressurizer, because they knew that if they waited another 5 minutes, the patient would really be gone.
After a large number of blood transfusions, Wang Zhengyun temporarily escaped the disaster. The orthopedic surgeon rushed to the rescue room, and the rescue had entered a critical moment: amputation, life is likely to end on the operating table; without amputation, life will pass in a pool of blood.
In such a critical situation, the safest thing to do is to have a direct amputation, but as long as there is a 1% chance of leg preservation, the doctor will do 100% of the effort -
"Can you not amputate your leg?"
"If I can keep my blood pressure shut, you still have hope."
"Or keep (legs)..."
The doctors competed for every second, and won the opportunity for Wang Zhengyun to get on the operating table, but because she was too badly injured, she finally cut off a leg.
However, it is gratifying that after the operation, Wang Zhengyun recovered well and retrieved a life from the line of life and death, she showed a calm smile that she had not seen for a long time.
The camera renders this scene wordlessly to the audience, as if to tell us: life is so fragile and so vigorous.
True humanity in the face of money
In the emergency room, in addition to the patient's moaning, the word heard the most was money.
"What happened to you going to Changzhou?" Can't you go to Changzhou and make money?"
"I'm waiting for money to save this person, you can't pay this money now..."
This young man with a lot of money is called Liu Tong, his father was crushed by the falling wall of the construction site, and the boss paid five thousand yuan and disappeared.
On the other end of the phone, there is an ominous delay and evasion, and on the other end of the phone, the father's condition is very serious, far beyond the range of 5,000 pieces that can be solved - multiple fractures of both lower limbs.
Due to the difficulty of the operation, the doctor suggested that Liu Tong's father's surgery be done in two parts, the injury has been 4 hours, according to the golden treatment time within 6 hours, Liu Tong's father must complete the first operation as soon as possible, otherwise he will face the danger of amputation.
And the operation cost reported by the charging window is no less than a thunderbolt on a sunny day for Liu Tong - nearly 54,000 yuan, the boss gave 5,000, plus the money made up by his mother and relatives, a total of 24,000 yuan, and there is a difference of nearly 30,000 yuan, what to do?
In order to raise the remaining surgical fees, Liu Tong made all the phone calls he could make - comrades-in-arms, relatives, but in order to raise nearly 30,000 yuan in a short period of time, these phone calls were really a drop in the bucket.
In hospitals, some patients' families may often tell doctors that money is not an issue and that the best treatment is needed. However, for some families, money is the biggest problem, and the difficulties of the people at the bottom are nowhere to be seen here.
In the face of the 30,000 yuan of surgery fees, human nature is at a glance - the boss who threw up his hands when something happened, the panicked and helpless family, the son who resisted the problem...
Fortunately, Liu Tong finally borrowed money, and his father successfully underwent surgery without leaving regrets.
A "contradiction" that is about to erupt
In the emergency room, the family members have the pain of the family, and the doctor also has the pain of the doctor.
At the peak of the flu season, the hospital will be particularly busy. The long queue became the biggest obstacle to treatment, and the smell of anxiety spread in the air in the overcrowded emergency hall...
This morning, an intern nurse was beaten by a hypertensive male patient who was eager to see a doctor - because of the verbal dispute, the male patient knocked on the intern nurse's head in a hurry.
Under the camera, on one side are the patients who are thunderous, and on the other side are the nurses who are crying and swollen their faces.
Outside the closed catheter of the door, inside the door, the doctor is struggling to rescue the patient who has not yet been operated on, and the severe pain makes the patient struggle and scream; outside the door, the family hears the moaning of their loved ones, and can no longer hold back the anger in their hearts, and indecent words come out of their mouths...
After 5 or 6 times of electric shock defibrillation and the release of the stent to open the blood vessel, the patient was rescued. But as soon as I opened the door, I was confronted with questions from family members who did not know the truth.
However, the family does not understand, because they have been delayed in signing before, every minute of the delay is a fatal factor for the patient, nor do they understand that the electric shock itself is very painful.
Behind this, the reality of long-term information asymmetry between doctors and patients is exposed.
"Emergency Room Story" truly presents the current situation of these doctors and patients, and strives to make the information between doctors and patients more transparent, just like a restaurant moving the back kitchen to the front desk.
Outside the emergency room
The emergency room is the closest place in the world to the Shura Field, where all kinds of pain, suffering, and struggle in the world are gathered. Because of this, film and television works set in the emergency room have always emerged in an endless stream, but the quality of the quality is different.
Some would argue that the purpose of making war films is to reduce wars. In the same way, medical films should improve the understanding between doctors and patients and popularize medical knowledge.
And "Emergency Room Story" did it - some patients realized the impropriety of their words and deeds after watching the film, and some doctors also began to think about how they should understand patients in a state of information asymmetry.
As the lilac garden user's message said: "The patient's understanding and trust is the motivation for the doctor to take a risk, and the doctor and the patient should always go in both directions." (Curator: Joy, Kiki, Carollero)
Executive Producer: Gyouza
Title image source: Figureworm Creative