Surgery Godfather
Chapter 1069 - 877: The Biopsychosocial Medical Model

Chapter 1069: Chapter 877: The Biopsychosocial Medical Model

Head Nurse Cai immediately ran to the ward after receiving the call, and shared the good news with Lan Xueping and Wang Xiaojing.

"Fang Liu and Old Xiao are both alive with no serious issues, just some lung damage, and they have now been brought to the emergency department of our hospital, where Professor Yang is in charge of their treatment," said Head Nurse Cai.

If the earlier news that many firefighters had been sacrificed had hit Lan Xueping and Wang Xiaojing like a bolt from the blue, leaving them heartbroken, this news was like thunder striking again, pulling them back from despair and worry.

"What did you say?" Both Wang Xiaojing and Lan Xueping almost asked Head Nurse at the same time.

The Head Nurse said with a smile, "Everyone is fine. They had already evacuated to a safe zone before the explosion happened. It was the blast wave from the explosion that caused damage to their lungs, but their lives are not in danger. They should have been taken to the ICU for treatment by now, and I will send someone to take you to see them later, don’t worry! Everything is fine! Professor Yang specifically had someone call back to share the good news."

Whooosh!

The two women couldn’t hold back any longer, bursting into tears with emotion, having held back for too long, they had been trying hard to stay strong and keep their emotions from collapsing.

At this moment, they could no longer hold back, and their emotions were released instantly.

Head Nurse Cai embraced them, "It’s okay now, it’s okay, don’t worry. Professor Yang, together with our doctors, is personally taking care of their treatment. Professor Yang asked me to tell you that he promises to return your men to you full of life and vigor, don’t worry, don’t be afraid!"

"Yeah! Everything’s fine!" said Wang Xiaojing and Lan Xueping.

Blast lung is a consequence of the high-pressure wave from the explosion impacting the chest, causing the chest wall to strike and contuse the lung tissue. The subsequent negative pressure following the high-pressure wave causes the lung tissue to rebound and hit the chest wall again, causing a second contusion. These twin traumas can lead to bleeding and edema in the lungs, hemorrhaging of the lung’s capillaries, rupture of the small bronchus and alveoli, widespread exudation of lung tissue, and pulmonary edema, which can sometimes result in gas embolism.

Combining the history of injury, physical examination, and X-rays or CT, the diagnosis is fairly straightforward, and the treatment is simple.

Oxygen therapy, ensuring clear airways, removal of secretions including phlegm and blood; providing prophylactic treatment against infection to prevent the lungs from becoming infected; if lung function is impaired, causing breathing difficulties, respiratory support treatments like ventilator-assisted breathing may be given; in cases of hemothorax or pneumothorax, thoracic closed drainage is applied to reduce bleeding and pneumothorax.

Currently, Fang Liu and Old Xiao are both experiencing respiratory distress, which is why Yang Ping put them on ventilators right away so as to maintain their normal breathing and at the same time allow their injured lungs to rest, which is conducive to recovery.

Fang Liu, Old Xiao, and their teammates are fortunate as they only have blast injuries to their lungs, with no other fatal damage.

Fang Liu might have been unconscious due to the explosion, and while being transported to the ICU, he was groping for something with his hand, wanting to speak but temporarily unable to do so.

Yang Ping told him, "We’ve already notified your fiancée and have informed her that you are safe."

Only then did Fang Liu stop groping with his hand and lay on the gurney with great relief.

Old Xiao’s condition was much better than Fang Liu’s since he was outside the fire scene, making him more conveniently situated for evacuation, hence the minimal impact of the explosion on him.

"Call my wife---" Old Xiao was able to speak and remembered his wife’s phone number.

"We already did, don’t worry, we’ve informed your wife that you are safe."

"I want to talk to her!"

Seeing that he was in a good state, Yang Ping immediately dialed Head Nurse Cai’s number to put Old Xiao’s wife on the phone. Head Nurse Cai, who happened to be by Wang Xiaojing’s side, handed her the phone.

Old Xiao’s groggy voice came through the phone: "Wife, I’m fine, don’t worry, tell Lan Xueping that Fang Liu is also fine. It’s just that his lungs are more severely affected than mine, and he can’t speak temporarily, but everyone is alive and well."

Upon hearing Old Xiao’s voice, Wang Xiaojing trembled, overcome with emotion. And once again hearing that Fang Liu was also all right, even if he couldn’t speak for the time being, Lan Xueping was so excited she didn’t know what to say. They felt as if they had gone through a life-and-death separation, like they were in a dream.

To reassure them, Sisi’s mother and the nurse took Lan Xueping and Wang Xiaojing to the ICU. Through the glass corridor, they could see Fang Liu and Old Xiao from a distance. Yang Ping also came out of the ICU personally to explain their conditions, telling Lan Xueping and Wang Xiaojing that they were not in danger for their lives, it was just the explosion that damaged their lungs, they would need some time to recover, but given their generally good physical condition, they should get back to normal soon.

Seeing Fang Liu and Old Xiao in person, and having Professor Yang himself explain their conditions, the two women felt even more reassured. As long as they were alive, everything else would be fine.

Besides the blast injuries to their lungs, Fang Liu and Old Xiao had other organ damages, but they were much less severe compared to the lungs and only needed time to heal. The main concern lay with the lungs, but there was no need for excessive worry.

In the ICU doctors’ office, Yang Ping carefully examined Fang Liu’s chest CT images that hung under the lightbox.

The hila shadows were enlarged, lung markings were more numerous and thicker with blurred edges, and patchy ground-glass opacities could be seen in the lungs.

At the moment, apart from using the ventilator to assist breathing and IV antibiotics to prevent lung infection, they were also administering lung-protective medications, such as N-acetylcysteine, and corticosteroids like dexamethasone could be used if necessary.

Yang Ping carefully estimated the area of the injured lung, which was still within the range of compensatory ability. Even in the worst-case scenario, if these damaged lungs could not recover and permanently lost function, the remaining lung tissue could still undertake the work of breathing, meaning that the lives of Fang Liu, Old Xiao, and these firefighters were not in great danger.

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