we had one case in the emergency at 4: 56 am. The surgeon in the operating room. From the chatter phone has sharply jumped up picking up half asleep on the machine: -reception hall, listening. The voice from the other side: high rise trauma, take!-, left. I indignantly the receiver box back. Call in the staffroom.It was the first, the second horn are not taken. And the third is just encouraged: “wait a little, now.” I had better go, before I regret, as the phone on the other side of the line finally picked up, after a moment’s pause: -Ivan Shmakov, taking high-altitude injury! -Mmm,- threw. Not surprising. Damn, again ahead! I had to say quickly and first to leave every time I’m thinking when I hear the regular beeps. Okay, next time I will interrupt the conversation I promised myself. -Lugovskogo awakened!-I turn to Anastasia. With half-closed eyes, something unintelligible mumbling under his nose, by the tone she was clearly not happy. -I was hoping now when I run into his grim face….The door opened, and entered three of them: -hi, we have for you. Here is a… uh…man down! -what happened? -not willingly, I ran my eyes over him. -He fell, he..we.. we didn’t touch it! -where? -Here in the city. We told him, pogoed… -Sick, where I say?-I interrupted him. And then he remembered the aborted phone call with high-rise trauma. “There,” he frantically reaches out his hand to the side of the corridor. -Deliver, what are you doing?-with a loud cry of order I, immediately regretting what he did. Still had softer, poor fellows themselves was confused, and then I yelled. The picture is not of the best. Man. Asthenic physique. Lies on the right side. All blood-stained, the face is not visible. Immediately struck by the hand that unnaturally hanging from the gurney. Explicit fracture and not in one place, I thought. Noticeable, frequent, shallow breathing. Throwing open a cupboard, She took out a stethoscope. -190/240! -loud voiced it. And where did he go, that still can not be reached? In anger jumped up,heading for the exit nearly collided with the “object” of my discontent with the man “stagnation” as he likes to say. I silently bowed his head walked away as the losers, who once again burned with a spur. -How much? -he asked menacingly. -190/240!-repeated exactly in that tone, as if it was a pre-recorded recording on the recorder. -Here an ambush, the result is not the best!-he exclaimed. What do you expect? every thought is interrupted by a call, I carry what ever nonsense?!-wanted slipit to him. Netwiki to say that, it’s like going on a suicide mission-I caught myself thinking. Continued: the results of the inspection. Objectively: pulse on the carotid naievity, poorly palpable. The pupils were dilated, reacted sluggishly to light. Consciousness is present, confused. Diagnosed: OCMT in the left temple, which was not discovered at the initial examination the surgeon. Cause: lying on the left side. To change the situation is fraught with risk. Closed displaced fracture of the proximal right femur. Fracture of the pelvic bones, the divergence of the symphysis, followed by a gap. Fragmented (comminuted) fracture of the vertebrae, in particular lumbar. Contusion of both lungs. The ruptured spleen. The crushing of the left kidney, bladder, testicle. Traumatic shock 3st. on a background of multiple associated injuries. According to the document: Patient G. 1984 Nationality: Moldovan. Citizen of the Republic of Moldova. According to his “colleagues”. He came to work, the family lives in Moldova. Rents an apartment in Zhezkazgan, Balkhash arrived on a business trip. Yesterday, allegedly at the “request” of the chief it was necessary to finish and complete the project. -Both finished, we were about to leave, told him to wait for us. And he snapped. Then there is on the threshold of a fat guy with a belly. Seen people influential. Had the owner of construction companies. Lit up a dour look those three up, and they hurried to leave the lobby. Said that no one was forced to work off hours, they took the initiative. -He and his companions drank often, probably snapped, and pushed. It is not surprising. Only himself to blame. No one bother to listen to him. All ozabocheny condition of the patient. Let’s face it, someone who forced. Failed to blame someone else, your employees are already informed that Yes it was. Especially in the blood alcohol not found-looked angrily at him, the surgeon, watching his reaction. -I see you – the boy’s not stupid. Let’s decide together. Why raise a fuss over nothing? I also will wear out, and no time, time is money-his last word sounded like a motto, which he holds for life. -human life in the balance, for you it is nonsense? Used to solve everything with money? He imagines himself the Lord God, to dispose of who will live, who to die? I’m by the collar, throw and not blink an eye, you know? I’m in charge here. My first of all civilians and medical duty to inform the authorities said flatly. I couldn’t help but admire his answer: Here’s the man!Put in place!-I think. -Who are you?! Yes, I love you..cell phone in his pocket was Sabirova, probably something serious facial expression on his face changed dramatically. Out. Immediately rang the familiar melody of our receiving your phone. Today too many imaginary phone calls. Took: -reception,- a quiet voice. Hello, please tell me about the condition of the Patient?-the voice female. -Your relationship? the wife is in a critical Condition, the operation will be. -tell me honestly, will you survive? -of course, everything will be fine, don’t worry! -I hastened with conclusions. All the best! Again a call. Yes there is they can not understand? My hands literally seized the phone: -Raise!-left. His style. In conversation, the operating room was ready. Oper-block: Introduced the anesthesia. Believe. All ready. Deathly silence. No one even bothered to turn on the music. Usually everything is done to the music. Not the case.The as if in a minefield. Suddenly our operated patient: Ramstein his mother! All exchanged glances at each other. And not just V. confused: hold on, Germans! Today without music. ” damn, dude, you’re cool!”- I wanted to answer him, looking at his twitching half-open lashes.And I want to cross this sterile line. To support a kind word, even if he’ll never hear me. Is the 4th hour. The last step was removal of the spleen. It is the condition of agony, the last terminal breath. The sounds of the clock on the wall and saying, “All, nothing to help him. Stating death.” Put a plaster on the hand. So it should be. Only now I remember the trembling woman’s voice on the phone, which gave false hope. Only now I realized that ran ahead of the train. Today my shift ends, instead I will come the other, and to call the women answer that they have a breadwinner is no more, having put out her last ray of hope to which I felt no responsibility, probably due to the fact that it was a telephone conversation, it could be much different if this woman would appear in front of me. What you need to have a character of steel the surgeons, when after an unsuccessful operation, they inform the relatives about the patient’s death. We humans tend to look for guilt in others but not in themselves, no. Example I the powerful man with a paunch, who wanted to Dodge responsibility. He later received their due, at such moments, want to believe that after all the world is justice. And I after this incident, I can’t stand when the clock is ticking, causing a feeling of terrible awe,catching unexpected fear. Don’t happy end. And this is only one of the cases, which in my mind clearly remember down to the smallest particles.
You write: “And to punish that would work better, “it would Seem that everything is correct. But in medicine, straightforward logic does not work. Remaining within the framework of existing legislation, the doctor can always work in very different ways. I’ll try to explain with an example. A lot of letters, but try to understand […]
Everyone, good day! I would like to hear the opinion of those people who has experienced this or doctors. I’m 26 years old, a year and a half ago I was operated on, checked the pipes, the method laparoscopia. Given year, independently conceive, nothing happened. Now check the fallopian tubes, using fluid injected there, medication […]
Traditions. Knowledge. Progress – Convention. Knowledge. Development! Do you know whose slogan? First MSMU n. a. I. M. Sechenov, who was and remains the driver of our medicine. It is not only cultivate the personnel for the hospitals and clinics in the city, but still have the Institute of electronic med. education to improve the […]
to be honest, the homeless, few people on the ambulance loves. Usually after the transportation of this character in the hospital, the car have to send to sanitation ( no sanitation – cleans all the brigade itself). But other homeless people, and one to which we have arrived on a call have caused very different […]
Bring chela with acute appendicitis. Pax twisted with pain very complex figure, Hatha yoga rest in the hallway. Seriously, in this situation the person really is experiencing terrible pain from what is not thinking. The case was extremely heavy, the person had to be cut, so the clothes he tore literally on the move, on […]
Saratov, the beginning of the 70s, Ravaging some cholera, all being taken to the hospital and kept a minimum of three weeks. And here comes my father, a young engineer. Anguish wild, a contingent of mostly homeless people, intellectuals one master with plant defense. And they sat the ensign, which of course selects the intelligent […]