[Comprehensive] First Love Trainee

Seeing Maki's indescribable expression, Tokiwa Riho quickly explained: "Please don't get me wrong. I appreciate your professionalism as a doctor, but it's just a little immature suggestion from the perspective of a lawyer. If you don't If you mind, please let me record it, and please explain your condition verbally, just in case there is still a video file."

As she said that, she actually turned on the computer camera to record the video, and urged Zhen Ji again.

Is it worthy of being a legal practitioner?So rigorous...

It should have been a tense situation, but Maki was really confused by Miss Tokiwa's weird and kind behavior.She resisted the twitching corners of her mouth, looked at the value on the blood pressure meter, and opened her mouth slowly and with difficulty.

"I am Maki Asai, a doctor at the Emergency Center of the Affiliated Hospital of Dongdae University. The patient, Ms. Sawano Liangjiang, 39 years old, suffered from turbulent airflow while using the toilet. Her chest and abdomen hit the door handle and her body was trapped in the narrow gap, resulting in coma. Palpation It is judged that there is intra-abdominal bleeding, blood pressure 100/70, and heart rate 95." Maki, who entered the role of a doctor, quickly abandoned the influence of the outside world, her expression was calm and focused, and her voice was steady and inorganic. "On flight number NH920, the captain contacted the control tower and reported that he will land at Fukuoka Airport in 15 minutes."

The patient lying on the ground suddenly woke up in pain, Maki glanced at the blood pressure meter, and his eyes suddenly sank.

"Blood pressure is 75, and heart rate has risen to 126." She had forgotten that Tokipan Riho was still recording, and reporting the values ​​was just a matter of work habits. "The patient entered a state of shock. There was no increase in intra-abdominal hemorrhage, no subcutaneous emphysema, jugular vein engorgement, and a diagnosis of cardiac tamponade."

The most unexpected result appeared.

Before Shinji officially became a doctor, he had heard and seen many cases where doctors gave first aid to patients but were sued instead.Her mentors and seniors also reminded everyone several times that the bounden duty of a doctor is to save lives and heal the wounded, but first of all, he must learn to protect himself.

Treating patients outside the prescribed medical facilities is a typical case that will cause medical disputes and be sued for illegal medical practice.

They are now at an altitude of 1 meters, and the plane has at least 15 minutes to land at the airport and meet the ambulance.The patient suffered intra-abdominal hemorrhage, heart tamponade, and would have died within minutes, but there wasn't even the necessary medical equipment on board, and she didn't have an assistant.

She is not sure about the treatment now, and the patient may not be saved.

But if it is not dealt with, Sawano Yoshie will definitely die of heart hemorrhage before landing.

If there is no protection and no equipment for medical treatment on the passenger plane, once the patient dies, as Tokiwa Riho said, even if there is a live video, she is very likely to lose the lawsuit.

Maki took a deep breath and closed his eyes hard.

When she opened it again, her expression returned to firmness and calmness, her eyes looked directly at the camera in Tokiwa Riho's hand, her voice was as steady as a machine.

"From now on, we will perform pericardiocentesis on Yoshie Sawano."

Pericardiocentesis was done in Brompton when Dr. Zhen was in memory.But at that time there were ultrasound and guide wires, which could confirm the depth and puncture angle. However, now, the first aid kit on the plane only has conventional medicines and ordinary syringes, and the plane still turbulates from time to time due to the airflow. All factors are overwhelmingly unfavorable.

But the more this time, the more Maki calmed down.

The experience of a flying doctor made her grow rapidly, and Lan Ze asked her to make judgments in emergencies many times, which greatly improved Maki's ability to resist stress.She quickly got rid of distracting thoughts and said to the flight attendant next to her, "Please help me to raise Ms. Sawano's upper body by 30 degrees, so that she is in a sitting and lying position."

The flight attendants had also undergone first aid training before taking up the job. Although they did not know how to perform surgery, they could still cooperate with each other, and they were quickly prepared according to Maki's requirements.

Without a puncture needle, you can only choose a large needle tube and a thick needle.Shinji put on gloves, knelt above the patient's head, aimed the needle under the xiphoid process at a 45-degree angle to the skin, and then turned the needle tube to the left by 45 degrees to prepare for needle insertion.

The fuselage was trembling and bumping in the airflow, and the position of the needle was difficult to stabilize. Maki changed his posture, kneeling with his left leg next to the patient's ear, keeping his right leg parallel to the ground, supporting his arms, and his entire waist and abdomen stretched as hard as possible to fight against it. Shaking fuselage.

There is no ultrasound for confirmation, and the depth of needle insertion can only be judged by experience and feeling. If the needle is inserted too deep, it will enter the myocardium and cause damage.While pulling back, Maki carefully and slowly inserted the needle, estimating the position by feel.

The needle seemed to be blocked by something, and Maki knew that there should be the pericardium, and the withdrawal after the puncture should be successful.

It is too close to the myocardium. If the pericardium is punctured too hard and the myocardium is damaged, it will be a fatal injury.She inhaled slowly, exhaled silently and softly, trying to keep her body as stable as possible.

The resistance of the needle tube is very high, and the blood does not flow back.Maki's back went cold for a moment.

She quickly changed several plans in her mind, and finally, she decided to take another gamble.

Cautiously pushing inward a few millimeters, Maki was pleasantly surprised to find blood drawn back in the needle tube amidst her frantic heartbeat.

Pulse and consciousness are restored.

She let out a long breath, and felt weak all over for a while.

Because of the contact in advance, the local medical helicopter in Fukuoka picked up Ryoko Sawano at the terminal, and the plane Maki took will be re-adjusted by the air traffic control to take off time and route, and continue to fly back to Tokyo at an appropriate time.It's just that after all, it was a flight that did not belong to Fukuoka Airport, and it would take a while for the flight to be vacated. The passengers got off the plane temporarily and waited for the notice at the terminal.

I didn't expect such an accident at all, and the night shift must be late. Maki first called Aozawa to explain the situation, and asked him to temporarily arrange someone else to take over, and then called Tezuka. Quite helplessly teased himself a few words.

Although the job of becoming a doctor is to save lives and heal the wounded, can you avoid accidents almost every time you go out?

Because of this episode, she chatted with Tokiwa Riho instead.

The two are the same age.Tokiwa graduated from the Harvard Law Department. He originally practiced law in New York. After returning to China, he co-founded T&H Law Firm with a senior. He is a lawyer specializing in family cases. His winning rate since practicing is 100%.

As we all know, Concubine Eri, known as the "Queen of Law and Politics", who has never failed, specializes in criminal debate, so Tokiwa Riho can be said to be Concubine Eri in the field of family debate.

When Maki learned that Tokiwa worked for the top Cravath firm in the United States in Manhattan, he hesitated to speak.

Although in this country, lawyers are considered a respected profession, and the income is not low. If it is a partner level, it may be better, but the TOP3 law firms in the United States, if they do a good job, the salary is not comparable to that of Japanese lawyers.Since Tokiwa has this strength and has already established a foothold in Manhattan, why abandon many cases and return to China to fight again?

We must know that the profession of lawyers is the same as that of doctors. When clients make choices, they must refer to the experience of practitioners to a large extent.Tokiwa is only 26 years old. Even if she is a partner in the firm, she has only a short working experience. In terms of family matters, major clients have their own regular team of lawyers. She is like starting from scratch.

However, they had just met each other not long ago, so asking such a question seemed to be a bit superficial, so Maki tactfully didn't talk too much.

Tokiwa saw Maki's doubts, smiled lightly and said nothing.

Originally, it was out of professional habits to save video data for her, and to promote the firm by the way, but I didn't expect it to be a very worthy person to make friends with.

In today's society, there are not many people who are measured and know how to advance and retreat.

After waiting at the terminal for five and a half hours, the announcement was made to re-board the plane. It was already late at night when we returned to Tokyo.He had to go to work early the next day, and he couldn't cope with high-intensity work if he didn't go to bed quickly. Maki quickly took a shower, and fell asleep on the bed before he could blow his hair.

Even so, when Maki rushed into the morning meeting room the next day, she stepped in.

She has always been active and conscientious in her work, rarely asks for leave, and has never been late or left early.Last night's night shift heard that the flight had an accident and couldn't make it back. Miura was temporarily hired to replace him, and the morning meeting was rushed again, which was a bit eye-catching.

Today, there is a visit organized by the Medical Federation. Experts from various university hospitals will come to investigate. A few trainee doctors are at the end of the reception team, watching the female leader of the expert team whispering.

"That's Professor Asai Yuri, Dr. Asai's mother." Yuri is already 50 years old, but she doesn't show any signs of age. On the contrary, she is no different from when she was around 40 years old.As the leader of the Department of Critical Care Medicine at the University of Tokyo School of Medicine, it is natural for her to take the lead in visiting the emergency center.

And Maki didn't deliberately shy away from her relationship with Yuri, and she didn't feel disgusted at all when the expert group and the hospital's superiors asked her to go to the side to talk, but she was very generous.

Although she never thought of asking Yuri to open the door of convenience for her at work, Maki also didn't think there was anything to hide about the mother-daughter relationship with Yuri.Of course, she didn't publicize it, but if she did, Maki wouldn't deliberately conceal her relationship with her family like many young masters and ladies who pursue balance in the workplace and interpersonal relationships.

Anyway, in Lan Ze's eyes, work ability has nothing to do with family background. Whether she admits to her relationship with Yuri or not, young doctors should be tested at work, so why bother to lie to her.

Anyway, before she joined the job, all kinds of rumors about her were already flying in the sky.

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Note:

Subcutaneous emphysema: Gas accumulation in the subcutaneous tissue of the chest.

Cardiac tamponade: Traumatic heart rupture or intrapericardial blood vessel injury causes blood accumulation in the pericardial cavity, which can lead to rapid death.

Dangerous behavior, please do not imitate.

Performing surgery outside the prescribed places will really be charged with illegal medical practice.Maki took too much risk