Since 1981 Health School

  Chapter 447 The first operation in Africa

   This was an eye-opener.

   It was the first time Chen Qi encountered such a trauma patient, who was actually pierced through the stomach by a fish.

   Moreover, this fish is so big that Chen Qi couldn't help but look at it a few more times, almost drooling in surprise, this is real seafood.

  Chen Qi is someone who has watched "Animal World". He knew it was a swordfish at first glance, but other Hua Guo doctors had never seen it.

  The special products of Haidong Province are small yellow croaker and hairtail. When have you ever seen such a giant fish, placed on a carriage, the visual impact is too great.

  If this was a fisherman from the previous life, he would be crazy, dragging the big fish through the house three times without entering.

  Not to mention little girls and old ladies, even middle-aged men like Captain Qi and He Fule were extremely surprised:

   "Hey shit, what's this?"

   "Such a big fish can be eaten in a few days, my dear."

   "I don't know if this fish tastes good, should it be braised in soy sauce or steamed?"

  Wherever Chinese people go, or see an animal or plant, the first thing they think of is whether it can be eaten? taste good or not? What a foodie country.

  Chen Qi has a dark face: "Please everyone, shouldn't we pay attention to this dying African fellow first?"

   "Oh~~~"

   Everyone came to their senses, and started to rescue in a hurry.

   Those who came with Vivian, except for a few fishermen, it is estimated that all the people from the tribal fishing village where Vivian is located, at least more than a hundred people.

   I don’t know whether these villagers really care about their compatriots, or they just came here to watch the excitement.

  Anyway, Africans don’t have much employment rate to speak of. It’s a joke to cultivate fields and herd cattle and sheep.

   A group of black family members were crying and shouting at the side. After talking for a long time, Chen Qi couldn't understand a sentence, so he pulled the translator:

   "Tell them to stop arguing, their brains are too big, just ask how long has it been since they were fished?"

  The translator replied after a while: "They said, about an hour."

  Chen Qi came to Vivian again, measured the arterial artery, and found that the person was still alive, but nothing else could be seen.

  It is written in the book that hemorrhagic shock will cause paleness, which can't be seen on Uncle Hei's face.

  The family members were about to collapse at this time, and they already regarded Vivian as a dead person.

  In their pitiful understanding, unless God reappears, the stomach is pierced by a sword, and the pillar of the family must be dead.

  In Sierra Lean, there is no subsistence allowance or preferential treatment. If Vivian dies and loses his source of income, the consequences for Vivi's family members can be imagined.

   Either they are forced to go to the mountains to dig diamonds, or they are slaves for others, and they are full and hungry. There is no hope in this life.

  So a black young woman with huge **** hugged Chen Qi's thigh and burst into tears:

   "Doctor, please save my husband. We are willing to be your slaves and serve you like a chief. Please save my husband."

  Chen Qi did not shake off the black sister-in-law a few times, and hurriedly shouted at the translator:

   "Tell her to stop howling. Isn't this delaying the matter? If the wounded by the fishbone is not rescued, he will bleed to death."

   Several women came with the translator and persuaded the crazy black sister-in-law, while Chen Qi quickly ordered to his subordinates:

   "Xiaoyi, hurry up, cut off the long spines of this fish, you can't bring the fish into the operating room, right?"

  When Yi Zewen heard this, he took a machete for cleaning the yard from the side, and hacked for a long time, but the tip of the swordfish's snout was too hard, and he couldn't cut it off.

  Seeing that the patient was about to die, Chen Qi was also anxious:

   "Old Wang, hurry up, bring the chainsaw, cut and cut, hurry up!"

  Logistics Lao Wang hurriedly moved a huge cutting machine, and only then cut off the tip of the swordfish's snout, and Chen Qi shouted:

"Immediately send to the operating room, Chen Li monitors vital signs, Yang Xiuxiu prepares surgical instruments; Lao He, you prepare for emergency anesthesia immediately, and you will be a dead horse as a living doctor. We must fire the first shot when we open the door. We have it cured." Eat swordfish, it won't cure you if you eat corn mush every day!"

  The illness is an order, everyone acted immediately, several doctors pushed the rescue bed and put Vivian on it.

  When Vivian moved, blood flowed out from the wound. Chen Qi looked at the good guy, this uncle Hei's blood was really strong enough.

  Yi Zewen was about to hold the gauze with his bare hands to stop the bleeding when Chen Qi stopped him:

   "Xiao Yi, wait, go back and put on gloves before rescuing. In the future, everyone must wear gloves when rescuing fellow Africans. Did you hear that?"

  Although the doctors present didn’t understand very well, the leader’s words were orders. If you don’t manage and don’t understand, you can only obey firmly.

  Chen Qi turned around and looked at the crowd:

   "Then, translate it. You should immediately inform the villagers and have them all line up. You guys, immediately give them blood types and draw blood. I need a lot of blood for rescue here."

  When Chen Qi was in Huangtan Health Center, he rescued a girl who was bleeding heavily, asked everyone to donate blood, and then directly injected it into the patient.

  At that time, he was quite hesitant. After all, this was an illegal operation. Although it could save lives, it also had certain risks.

   Now it’s a different matter in Africa. This country probably doesn’t even have a legal order, let alone restrictions like the Law on Practicing Physicians.

  With less medical restrictions, doctors are more courageous and dare to let go of their hands and feet to rescue patients and fight for a chance of survival.

   Otherwise, there are too many rules and regulations, and the doctor will not take the risk of rescue in order to protect himself.

   It is useless to save lives, but it is troublesome to put them to death. Almost 99% of doctors choose not to save them, and the patients lose their last hope.

   When the translator heard that Vivian was in critical condition, he hurried to the fishing village by the sea to call someone.

  Chen Qi quickly ran to the operating room, ready to perform disinfection on stage.

  This is his first operation in Africa, and he is extremely eager to succeed. Besides, with so many doctors in the Haidong Provincial Medical Corps watching, he had to show his skills, otherwise how could he be able to control people in the next two years?

  The operating room has not been fully completed, even the windows have not been installed. The African monsoon is accompanied by dust, and the humidity of the sea has blown into the operating room.

  Chen Qi didn't care about these anymore. For him, it seemed that he was back in the simple operating room of Huangtan Health Center.

   Oh no, it’s actually better than Huangtan Health Center. In Huangtan, all the equipment used is second-hand, and even the operating table is made by carpenters themselves.

  At any rate, it is now a foreign aid, all the equipment is brand new, provided by the state, and it will never fool people.

   Although it is the first time for everyone to cooperate, everyone is very skilled.

  After Chen Qi finished disinfecting and put on the surgical gown with Chen Li's help, He Fule was reporting:

   "President Chen, the anesthesia is over, and the operation can begin."

  Yi Zewen also reported next to him: "Dean Chen, the disinfection is complete."

  Yang Xiuxiu acted as the instrument nurse, and said softly: "Dean Chen, all surgical instruments and equipment are ready to graduate."

  Chen Qi nodded: "Okay, then the first operation of our Haidong Aid Africa Medical Team will begin."

   "Chen Li, I've left the infusion and blood transfusion to you, so hurry up!"

   "Good Dean Chen!"

   At this time, Head Qi of the medical team also rushed to the operating room. Originally, he was outside to discuss the follow-up work with the local health officials. When he heard that there was an emergency rescue in the camp, he couldn't sit still and rushed back.

   "Chen Qi, how is it? Are you sure? This is our first operation. More than a hundred fellow Africans outside are waiting for the results. Even officials from the Serbian Ministry of Health have come over."

  Chen Qi thought to himself that I haven't had surgery yet, so who knows if I'm sure.

   One is that you don’t know what’s going on in the abdominal penetrating injury, and the other is that you don’t know the amount of blood loss.

  But Chen Qi has been the dean for several years, and he is not a straight man, so it is appropriate to give the leader confidence.

"Qi Chu, don't worry, I will do my best. You see, the place where the fishbone is pierced is on the left abdomen. From the perspective of anatomy, apart from the intestines, it is the kidney or spleen at the back. The patient is currently in shock. I need a laparotomy right away."

  Qi Yunming nodded after hearing this:

   "Okay, you can start now."

  Chen Qi didn't say much, walked onto the operating table, picked up the scalpel, then Chong Yi Zewen nodded, regardless of the fishbone, opened the abdominal cavity first.

  Blood poured out, and the operating room immediately filled with a **** smell.

   To rescue a penetrating abdominal injury, the first step is not to remove the fishbone, but to know which organs the fishbone pierced, and then temporarily block the relevant blood vessels in a targeted manner, so as to avoid massive bleeding.

  For any operation, heavy bleeding is the natural enemy, and it can often determine whether the operation will be successful, so it is very important.

   After Chen Qi opened his abdominal cavity, he breathed a sigh of relief:

   "It's okay, it's okay, the kidneys and spleen are fine, but the sigmoid colon was pierced, and the repair operation is probably not going to work, I have to cut off a piece of intestine."

  This operation is not too difficult for Chen Qi, even Yi Zewen should be able to do it easily.

  As long as a large amount of blood and fluid is replenished during the operation to maintain vital signs, and timely anti-infection and anti-inflammation after the operation, most of them can still survive.

   But what Chen Qi didn't know was that the surgery, which was not very difficult for him, was as difficult as heaven for this group of black uncles who were basically in a primitive tribal state.

  For them, an ordinary, small appendicitis or kidney stone may kill them.

  In the camp, a group of black uncles showed their arms and started donating blood.

  In the operating room, Chen Qi was like flying flowers, trying to remove the fishbone in the shortest possible time, resect part of the sigmoid colon, and then perform intestinal anastomosis.

   After this process, 3 hours have passed.

  When Chen Qi came out of the operating room, the camp was already densely packed with black fellow Africans, all eager to look at the surgeon.

  A little old man dressed in brightly colored clothes and like a chief came forward and asked eagerly:

   "Doctor, is the patient saved?"

  Chen Qi chuckled: "I'm rescued, but I haven't passed the critical period yet, so I have to stay here for anti-infection treatment, and I have to change the medicine every day."

  Wow~~~~

  When the translator passed Chen Qi's words to the villagers at the scene, the group of black villagers all jumped up, and then began to sing and dance under Chen Qi's astonished eyes.

  The family members rushed up again, hugged Chen Qi's thigh, and said a lot of words of thanks.

  Officials from the local health department also held the hand of Commander Qi tightly:

   "Thank you, thank you Huaguo for sending such an excellent medical team, I thank you for my country, we will definitely cherish the friendship between our two countries."

  The other members of the Huaguo Medical Corps also applauded.

  The warm atmosphere can be contagious. In an unfamiliar environment, these medical staff are actually not at ease in their hearts. They are afraid that they will not be able to adapt to the environment and that the local people will not be friendly.

   Now that Chen Qi got off to a good start, he was warmly welcomed by the African people and officials, which relieved most of everyone's worries.

  Chen Qi was wearing a surgical gown, watched the folk dance of these fellow Africans for a while, and finally blushed a little.

  Because these African women don’t wear clothes on their upper bodies, they just hang some decorations there. When they dance, the two lumps of flesh on their chests are all exposed, and they vibrate with the dance, like a vibrato.

  Hua people pay attention to seeing no evil, Chen Qi quickly moved his eyes away.

   I don’t know if I don’t see it, but when I saw it, my eyes lit up, because the chef Lao Zheng was sprinkling ice cubes on the swordfish to keep it fresh.

  As a chef, the most unsightly thing is the waste of ingredients, especially the chefs in Huaguo, who were hungry in those years. How could such a big fish be willing to rot?

  So Lao Zheng asked someone to help him, put the giant swordfish weighing more than 200 kilograms in cold water, and took ice cubes from the freezer in the camp, and kept cooling and keeping it fresh.

  Chen Qi became excited when he saw it. This is a gift from nature. The freshest seafood is delicious that he can't usually eat.

   So he called for an interpreter: "Go, ask me, how much is that sailfish? I bought it."

  The translator ran over to ask the family members. The family members gestured excitedly with their hands, and the translator said:

   "They said they don't need any money, and they gave it to our medical team as a thank you. In addition, they said they don't have any money, can they use the seafood they caught to give to our medical team for medical expenses?"

  Chen Qi really doesn't know whether the Medical Mission to Africa charges or not.

  Anyway, he only knows that his subsidies for the past two years have been issued by his original unit, and all medicines are provided domestically.

  Head Qi explained at this time:

"We actually assist the African people for free, but in order to ensure the normal medical order, we still charge a certain fee, but all of them are at cost price and cannot make a penny. In addition, we also need to organize free free clinics regularly. Only then can we Give them free medical care and medicine.”

  A doctor next to him asked:

   "Then why don't we do it all for free? Looking at the conditions of the people in this country, it is estimated that we can't even afford the cost."

  Head Qi smiled helplessly:

   "It's not that it can't be free, but it's that I don't dare to free..."

  (end of this chapter)