3 hours ago.

The First Hospital of the Medical University, ICU.

Director Qian encountered a difficult thing, he had a gloomy face all day long, and every little doctor hid far away, for fear that he would be scolded if he caught him.

A retired employee admitted to the ICU was diagnosed with high cervical spinal cord damage and quadriplegia 3 months ago. How did the damage come about, Director Qian had a vague guess in his heart.

The elderly have been bedridden for a long time due to a variety of geriatric diseases, which is estimated to be an injury in the process of turning over. But this kind of thing involves the carelessness of the patient's family, and it is difficult for a doctor to say it.

Whether it's the patient's fucking son or the fault of the nanny he hires, it will end up on the head of the hospital.

Now the doctor is really not good, the big pot and the small pot are countless black pots on the back, and the heavy ones can't lift their heads or straighten their waists.

The patient's condition is very simple, he has reached the stage of his last years, and he may deteriorate sharply at any time due to any change in his physical condition, and finally embark on the road to death.

Everybody has to go down this path, and there's no way around it.

However, the complex social relations make it difficult to treat the otherwise simple treatment.

For retired personnel, because of their contributions to the Republic, the state stipulates that medical care is free of charge.

There was no question of money, which was supposed to make the doctor breathe a sigh of relief and a lot less stress. But because the patient's son treats him as a money bag, he receives more than 10,000 yuan of severance allowance every month, which is all family income.

So he can't die, absolutely can't die!

If you die, it is equivalent to cutting off people's financial resources.

The patient has three sons, two of whom have passed away, and the youngest son is also nearly 60 years old this year. Nothing serious, every day yo-yo, square dance, life is quite nourishing.

Most of the people who support his life come from the old man's retirement allowance.

He prefers to put the old man in the hospital, so that even the cost of the nanny will be saved, and everything will be reimbursed by the state.

He doesn't come to visit the old man every day, even if Director Qian wants to communicate about his condition once, he needs to make an appointment one day in advance.

Similar patients have a very low rating in the minds of doctors, and belong to the kind of patients who are willing to have an accident and may have a moth.

Sure enough, after meeting the patient's family, Director Qian confirmed his thoughts.

The patient's youngest son's first sentence was not to ask about his condition, but to say - if my father dies, I will not live anymore and hang myself at the door of your house.

Director Qian did not think this threat was real.

Living moisturizing, who has the courage to hang. But if something happens, even if it is normal pneumonia, it will cut off the patient's son's money bag and cause trouble.

Filing with the medical department and trying to make the medical documents as error-free as possible, Director Qian did a lot of non-clinical work with all his might, just to avoid medical disputes with too high probability.

As the days go by, the old man's condition is getting worse and worse, and he has come to the last step of his life and faces death.

If Director Qian was his own old man, he would definitely be cured. It has nothing to do with money, the main thing is to suffer.

It's not an enemy, why throw the old man on the bed, use all kinds of medical means to maintain his last breath, and medically show that he is still alive.

It doesn't make sense at all.

Although it is of no significance to Director Qian, it is of great significance to the patient's son. Most of the income of 10,000 yuan a month is for the living, not for the dead. On average, five or six hundred yuan a day, it's not good to do something.

Director Qian knew that there was no way to do it. They do not have the right to decide whether the patient lives or dies, the only person who can decide is the patient's immediate family.

The patient's pneumonia is getting worse and worse, and even if it is maintained with antibiotics, it cannot be controlled. Antibiotics have been used for a long time, and there are still things like mold infections. Thinking of so many complications, Director Qian's head turned into two big.

When it was time to be put on a ventilator, I asked the patient's son to come and he showed up at the hospital after 2 days.

Confessed, signed, and as soon as the matter was over, the patient's son disappeared without a trace.

Director Qian couldn't help it, he knew it was a fire pit, and he had to jump in. Public opinion is here, and the patient's family can refuse to continue the treatment, just sign and pull the person away. However, doctors do not have this right, so they can only try to persuade the patient's family.

The one in front of me is unpersuadable. He didn't care about the condition of the old man who was lying on the hospital bed and suffering every day, what he cared about was the income of a few hundred yuan a day.

In life, sometimes that's how it is.

Because the patient has no sensation from the neck down, the respiratory muscles are getting weaker and weaker, and the vigorous movement of coughing is no longer there, and it is foreseeable that the pneumonia will become more and more serious.

But now after all, there are still medical methods, and Director Qian is as uncomfortable as being fed feces, and is ready to intubate the patient.

For key patients, Director Qian is still responsible, and he personally operates it to eliminate accidents that may be caused by improper operation.

The patient himself had no idea of living, and although he could not speak, the violent agitation showed his intentions.

Director Qian stood at the head of the bed in a daze, looking at the restless old man, feeling very uncomfortable. He could feel the old man's thoughts, and he would be relieved earlier and suffer less sin.

But......

No way.

"Old man, I explained the situation to your son and also told you about your status, but he didn't agree to give up. Director Qian didn't know if the patient could understand, so he stood at the head of the bed and said slowly, "I don't feel good either, you can take care of it." I'll give you a tube to help you breathe. ”

Even if the patient shows his attitude with restlessness, Director Qian can't do anything. He stood in front of the bed for a full ten minutes before he sighed deeply and said, "Prepare for endotracheal intubation." ”

It is said that raising children to prevent old age, but in the end, the son is ignorant and suffers a lot of crimes. Director Qian felt very uncomfortable, but there was no way. Doctors have the duties of doctors, and at the legal level, doctors only have the right to make recommendations and dispositions, but not the right to decide.

And even if the old man can sign the document and hope to get rid of it as soon as possible, there is no euthanasia bill in the country. Once you relent, you may end up in endless trouble.

Because the patient was restless, Director Qian also wanted to make the old man suffer less crimes, so he was ready to use topical anesthesia to alleviate the pain.

The anesthetic spray gun was ready, and the surface infiltration anesthetic drug tetracaine was drawn, and Director Qian tried his best to appease the patient, put the gun to the old man's mouth, pulled the trigger, and sprayed anesthesia.

But the accident did happen.

The patient didn't know if he was determined or confused, so he bit off the tip of the anesthetic spray gun, and it was accurate.

When Director Qian felt that the force was wrong, he took out the gun and looked at it, almost not crying.

The tip of the gun falls in the patient's mouth.