Chapter 3 maternal love

When I saw the vehicle involved in the accident, it had already parked quietly in the yard of the traffic police team. A very ordinary Santana, if you don't go around to the front of it, you can see that the front bumper is a little bit damaged, the front windshield is broken at the top, and the iron sheet of the roof is also a little dented, you really can't see it. The car hit the man just two days earlier. Actually this is not my job. Naturally there are professionals to inspect the vehicle, I don't know how to inspect the vehicle. In fact, Director Chen is not very satisfied with my "not doing business properly", I understand what he means is that we have enough cases, we don't need to go to this kind of thing in person - isn't it almost the same after looking at the car inspection report?However, in a traffic accident, I still like to see the vehicle involved in the accident myself, if I can see it.

After reading it, everyone will understand that it is because it allows me to know which part of the dead or injured I should focus on checking. This is a common traffic accident. This Santana hit a farmer carrying a load. According to the driver who caused the accident, the farmer rushed over suddenly carrying a load, and he had no time to brake. The witnesses around did not see clearly what was going on. They only heard a muffled noise, and the car accident had already happened. The person who was hit was lying on the ground, bleeding everywhere, and the vegetables in the cargo load were scattered all over the ground.

Frankly speaking, I don't trust the testimony (if any) of the driver and the victim in this kind of case. Because both parties will try their best to reduce their responsibilities. The person hit in this case did not die, but he could not speak. I know that he was sent to the orthopedic department of a nearby hospital soon after being hit. After making a few phone calls, I soon found out that the doctor in charge of the bed happened to be a friend of mine. I usually call him a "blacksmith". So there are two reasons for calling him a blacksmith. The first is that he is indeed very strong. In the northern dialect, he is the kind of "pickled flesh", which is very similar to the blacksmith in my mind; the second is because of my experience as a surgeon. Let me know, when orthopedic surgeons perform operations with materials such as intramedullary nails, screws, steel plates, and steel wires, it feels like they are not performing a precise operation, but are forging iron, and it is even possible Because a piece of steel plate does not completely match the patient's bone, etc., they really have to beat that piece of steel plate on the operating table.

Under his leadership, I quickly walked to the intensive care unit. At this time, the injured looked particularly pale under the sunlight. This should be a strong young man. I know he is only nineteen years old. His tall figure makes the hospital bed seem to be longer. But at this time, the medical equipment all over his body made him look a little weird: the bandage wrapped around his head took up more than half of his head, and a rubber tube protruded from one side of the thick white gauze. It seemed that this was a widespread brain injury. The left and right hemispheres of the brain were damaged, and the doctor also thought that the slowly accumulating blood might squeeze the brain tissue again, so the congestion was simply drawn out.

The trachea was cut, and the ventilator was moving regularly; his hands and feet were receiving infusions; his lower limbs were fitted with a strange external fixator, and five steel needles protruded vertically from the skin. Joined together again by a stainless steel guy full of joints. All this tells me that the injured may be an open comminuted fracture. In this case, the internal fixation plate is difficult to fix, and it is easy to cause infection, so I had to add such a weird thing (of course, it also has benefits: it can be used at any time) adjust). The injury was exactly as I had imagined: the front bumper of the car hit his left leg, and he fell towards the windshield of the car due to inertia (this may not be as usual, but recalling junior high school You will understand the physics), hit his head between the roof and the windshield, and then he most likely flew out and landed on the ground, although this landing caused him any damage I can't see it yet.

But the damage stopped here, because I didn't see the crush marks left on the injured person because the car couldn't brake like the injured person in some cases. But at present, I can't see some more specific situations, such as the posture of the injured person's body when he was hit. If what the driver said was true, the injured should have been hit from the side. But at present, the wounded person is covered with gauze all over his body, and his body is covered with medical equipment. I really can't check it clearly. It seemed I had no choice but to turn to my doctor friend.

On the night of the car accident, the blacksmith performed the operation himself, and the doctor in charge of the bed should know the patient well, so I first listened to the blacksmith's opinion on the patient's condition. He was not optimistic: the patient's skull was severely fractured, and the skull almost fell off during the incision of the scalp; I know that the diameter of the blood sinus here is very large, but the special tissue structure (lack of elastic smooth muscle) will make even the repaired needle hole seriously ooze blood, so in less than forty-eight hours, two drainage tubes in the head have drained two One hundred milliliters of congestion, logically he wants to do another CT to see if the drainage is sufficient (it is more dangerous to stay in the brain), but the family has no money; the brain tissue is extensively contused, and he had to remove part of the necrotic brain during the operation tissue, and opened a large window to the skull to decompress the brain tissue; now the cerebral edema is severe, and the patient has symptoms of brain herniation (the brain tissue is severely compressed and squeezed to other places, which is often a precursor to death).

He even thinks that the reason why the wounded are still alive is only because of their young and exuberant vitality, if someone who is a little older is already in the morgue. The comminuted fracture of the patient's leg was nothing more than mange in comparison, but that was one of my concerns. I brought the preoperative X-rays and wanted to study them carefully. It is a pity that not all cases will be like the textbooks. In the textbooks, this situation will be explained as the so-called "wedge fracture", that is, the fracture fragments add up to look like a triangle, the tip points in the direction of the car, and the bottom surface is the impact surface.

I have seen this kind of fracture in countless traffic accidents, and it can even tell us the original direction of the escaping vehicle; but this time it failed, and five or six pieces of broken bones overlapped and crossed each other like a mess. Flat X-rays can't hold so much information, only a mess. I have to say that the complex structure of the human body will bring us a lot of trouble. For example, in this case, if a wooden stick is hit, then the direction where its broken end points is the direction of the force, but the human body is different , the broken bone fragments will be pulled by the muscles and entangled by the tissues...

Just as my friend and I were discussing the patient's fracture situation in the nurse's office, I heard a not too loud female voice from the opposite ward: "Sell the cow!" Then a middle-aged man left He came out, squatted at the door, stared blankly at the corner, and smoked heavily in silence; then a rural woman came out, with the corners of her mouth tightly pursed, showing strength and grievance, her eyes were red, showing Seeing that he had cried just now, he went to the washroom with the hospital's disposable washbasin in his hand. Apparently these were the parents of the injured.

I smiled wryly, which is what I am used to. It is not uncommon for the driver who caused the accident to play tricks before the court judges, and there are even some who refuse to execute after the judgment. It is still very early before the accident is resolved. The first is my appraisal report and vehicle inspection report within 20 days, and then the accident responsibility Letter of determination, and then potentially protracted litigation...and the family is from the countryside and can no longer afford the medical bills. sell cattle!I know what a cow means to a farmer and that is the hope for the year ahead!I am speechless, I can only continue to do my forensic work well. My discussion with the blacksmith had to be stopped immediately, though I still couldn't get to the point. Another patient came to the hospital, a child who accidentally (was it purely careless?) fell from a height of two meters while playing roller, and apparently broke his foot. I couldn't help laughing, our TV station can be called proficient in filming this kind of complex sports. Even a layman like me finds it dazzled to watch, but shouldn't it also be a reminder to the children? Are sports also risky?I think the biggest obstacle in the communication between me and the blacksmith is due to our different occupations: what he cares about is the treatment of patients, such as lower limb fractures, and what he cares about is whether they can be reset well and whether there will be dead bones formation; and I am concerned about the mechanism and cause of the injury, which is not within his professional scope, so whenever I encounter such a problem, I still have to go to the X-ray by myself, so the radiologist also Familiar, I turned around and went to the radiology department. Since the broken leg didn't help me, I had to try my luck on the CT scan of the head. I have to thank this American brand for the helical CT. Ordinary CT shows a cross-section of a human body, but this CT (of course, it can only be used on a doctor's computer, or to be precise, a graphics workstation) can reconstruct the skull in three dimensions based on these cross-sectional images. So I can observe the patient's skull at any angle and any section, and all this only needs to drag the mouse a few times. Without its help, I would have been in a lot of trouble: when I was an undergraduate student, there was no such thing as transverse anatomy. I could barely understand CT scans, but it was impossible to form such a three-dimensional image in my mind. None of this is sci-fi. I have to tell everyone that what I write is at most a documentary, and there will never be any sci-fi elements. I've been salivating over this system, but the price of both the hardware and the software has put me off, luckily I've recently managed to get a piece of software that can do this on my PC, though It's not as perfect as the radiology one. With the help of the radiology department software, I quickly figured out the collision process of the car accident: of course, the most protruding front bumper of Santana hit the injured person's leg first, and then the intersection of the windshield and the roof of the vehicle hit the back of the injured person's head at one place, causing a depressed fracture; then the injured person flew out and hit the hard ground causing a so-called "concentric circle" fracture (like when we crack eggs on the table, the crack of the egg will be formed by It consists of rings one by one, with cracks arranged radially in the middle). The two are so different that I can tell them apart at a glance, and I can then confirm my judgment by the so-called "T" principle: when the fracture from the latter impact meets the fracture from the previous impact, When it is time, it will no longer extend down, forming a small "T" in the local area (obviously the injured will fly out and hit the ground after hitting the car first); this also explains why the blacksmith's skull Almost fell off: two fractures, one in front and one in the back, joined together because of the intersection of these fracture lines. This proves that the driver at fault was lying. Apparently the injured man was walking on the road (but he didn't obey the traffic rules and walked on the sidewalk), the driver for some reason didn't see him, and hit the pedestrian hard without even slowing down; It is not my area of ​​expertise to say what the driver was doing at the time, but according to a traffic police friend, the driver who caused the accident later admitted that he was answering the phone. Here's another commonplace reason!My work has come to an end, because the appraisal letter related to the part of responsibility determination has a deadline, and I must complete it within 20 days. But my work is not over, because the identification of the final injury degree and sequelae of the injured will probably still be done by me (this part is obviously not completed by me because I am still undergoing treatment). So every time I have an opportunity (these opportunities were either given to me by traffic accidents or personal injury) to go to the blacksmith’s hospital, I would check the situation of the injured by the way. The ventilator is not turned on, which means that the most basic life center of the part of his brain stem that manages breathing movement has not had any vitality. Blacksmith is an extremely responsible doctor. I have personally seen him running in the corridor of the hospital because of his emergency. The ground in the corridor would shake because of him. Whenever this happens, I will smile knowingly, because I used to be such a surgeon too. I always thought that this kind of vibration might drive away death, right?But this time he was also discouraged, because the possibility of waking up after a month was extremely slim. At this time, the family members not only sold the cattle, but also built a house, but what is this little money enough to do with such a serious illness?The money for the house is not enough for a week's medical expenses (the house in the countryside is worthless, and I am in a hurry to sell it). The blacksmith was also heartbroken, and even organized a hospital fundraiser, but it was still a drop in the bucket, to no avail. The parents of the injured were divided into two groups. The father specialized in borrowing money in his hometown. I can imagine how many sleepless nights he spent in his hometown because he had nowhere to borrow; "Total parenteral nutrition" (in this case, the injured cannot eat, and nutrition needs to be supplemented through the vein), and she even learned to inject milk through a gastric tube; but the injured are still getting thinner and weaker day by day, and there is no sign of waking up. The blacksmith couldn't bear it any longer. He performed an EEG on the wounded man: there was no sign that the wounded man still had brain activity, so he began to persuade the injured man's mother to give up. But the only response from the injured mother was to take out the money from the blood sale and ask for another intravenous nutrition injection for her son. On that day, the driver at fault finally appeared. To be precise, it was not the driver at fault, but his representative—a lawyer. And I happened to be there to witness what happened. I have to admit that although I saw the mother countless times, and even sometimes when I came very early, she couldn't afford to stay in any hotel due to lack of money (perhaps to save every penny). Can't afford an "extra bed" (the family members who have to stay overnight to take care of the patient can pay a little money to let the hospital put a bed next to the patient, many people may have experienced it), so the situation of curling up at her son's feet (she is So careful, for fear of touching anything that maintains my son's life, she always looks very weak at that time), but that was the first time I looked at her carefully, and saw that she could burst out with such strength. The purpose of the lawyer's visit is very clear: to persuade the family members to give up the treatment. Obviously, the cost of treatment will eventually be transferred to the driver who caused the accident. He's not really out of money, at least he has money for a lawyer). He even brought along a colleague of mine (I have to call him that, though I loathe) who diagnosed the patient as brain dead. The lawyer even proposed that if the family members sign to give up the treatment and stop the operation of the ventilator (the blacksmith would be willing to do this out of mercy), they can immediately give a certain amount of financial compensation, such as 20,000 yuan. His mother responded by throwing the thermos on the floor and telling them to roll. The sound of the hot water bottle breaking attracted onlookers, and the splash of hot water and glass shards made the lawyer take two steps back, and he almost stood at the door, but he did not give up, but tried to impress his mother by increasing the price. Suddenly my mother bit and beat him like a crazy lioness (at this moment she was like a crazy lioness), and pushed him out, hitting hard on the concrete guardrail of the hospital corridor outside the ward. Fortunately, the corridor It was closed, and the aluminum alloy window on the guardrail saved his life, otherwise he would have turned into a "high fall" that I would have to dissect. I have to admit that it was not legal for my mother to do this. He made a personal attack on a symbol of the law: the lawyer, and this personal attack was so serious that I later learned from the blacksmith that the lawyer broke a rib (when While he was holding the X-ray ouch, a blunt nurse is said to have scolded him for what he deserved). Fortunately, I have not heard of any lawsuits brought by this lawyer (this should be his strong point, it seems that he still has a conscience), so there is no need for me or my colleagues to write an appraisal for him; Thank goodness for that, because I still have to tell the truth in this situation, but it's going to leave me unwell for days. But I also have to admit that this was the only choice my mother had in that situation. The contest was so unbalanced: the family members of the injured were so busy that they didn’t even have time to sue the driver with the certificate of responsibility for the traffic accident (In this case, it is necessary to prosecute in time. The judge may be able to carry out property preservation or freeze the account, which will be much more direct and effective than my appraisal); Find the best time to attack. Obviously, the lawyer and his mother are not at the same level in terms of understanding of the law. I even felt that he was a bit of a cat and mouse when he talked with his mother at the beginning, but his mother's final outburst made him a embarrassed man. mouse. When the lawyer finally left the hospital, the mother suddenly collapsed on the ground like a soldier who had just finished a battle. She didn't even have time to straighten out her chest that was exposed because the button fell off during the scuffle, so she sat on the ground and burst into tears... …I have to admit, my eyes were rosy at that moment. I don't know what played a role, of course I don't believe in ghosts, but the miracle happened slowly. At one month and two weeks, my son was able to breathe on his own (Blacksmith is such an impatient doctor that he would stop the ventilator every day to see if the patient could breathe on his own. He did this at least three times in a row), so Blacksmith stopped the ventilator, put oxygen on his face mask, and was also transferred out of the intensive care unit. This obviously brought great hope to the mother. She brought a basket of eggs from home to thank the doctors and nurses who had been taking care of her son. This was the first time she left the hospital after her son was in a car accident. When she showed up at the hospital, I barely recognized her. Doctors and nurses really couldn't refuse her kindness, and every time she returned it to her, she would quietly take it back. So the orthopedic department of the hospital organized another donation, but this time she refused to ask for anything. I don't want to make up a perfect ending to fool everyone and myself. The patient improved day by day, and soon no longer needed oxygen. But two months to three days after the car accident, when the son finally opened his eyes, he couldn't recognize his mother, let alone realize where he was, he couldn't do the simplest addition within ten, he couldn't even He eats with his own rice bowl, and his mother has to feed every mouthful, and because of the large number of scars formed by the repair of brain tissue damage, his son will have epileptic seizures at any time. But my mother was not discouraged, and taught my son to call "Mom" again and again. When I later found out that a small blackboard appeared in my son's ward and my mother was teaching my son that 2+3=5, I was shocked again. , I asked about my mother, and my mother replied happily and proudly: "I will just pretend that I just gave birth to him!" A very simple answer. I can think of no more plain language, no better reason why my mother can still feel happy and content in this situation. And in all of this, isn't the mother showing the warm and tenacious maternal love of all mothers in the world?Haven't we all enjoyed this kind of motherly love?God may not give us a second life when we encounter such a car accident, so should we cherish this time even more, this is the only time?I am very glad that the identification work of the final case (the identification of the degree of disability and mental retardation, which is the basis for the court to judge the amount of compensation) fell on me again, and I can once again approach this lovely and respectable mother , although I have to drive for hours on bumpy mountain roads (procedurally I should let them come instead of me, but I'd love to). When I saw my mother, she was still so simple. Although she was caught off guard by my visit, she quickly recognized me and served me with her own groundnuts. My son went to carry water at this time. When he came back and my mother served me a bowl of mountain spring to quench my thirst, my heart seemed to be soothed by the mountain spring. My appearance below seems to be a bit superfluous, but I still want to tell everyone that when I wrote the words "moderately mentally handicapped" on the appraisal certificate a few days later, I felt that my appraisal could stand Deliberate, because although his son's language is still very poor, he can already work simply. While this may reduce the family's compensation compared to severe intellectual disability, I think it is more comforting to me. By the way, I almost forgot to tell everyone that the family finally received various compensations totaling a little over RMB 230,000. I have to admit, it's not my fault.
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