126 Difficult Choices (3/6 for the Loneliness, Emptiness, and Coldness)
"I heard that you had a car accident last night, and you were all sent to the ICU?" asked Zhou Li, who went to work in the morning, casually.
"Isn't it, it's dawn after the busy work. Liu Banxia stretched.
"This is knowing that our second hospital is going to upgrade the emergency department or what, there are really a lot of emergency departments in the past half a month. Xu Dan said.
"You, don't think about it, think about what you're going to do in the future. In the past, it didn't matter if I had little life, but last night two patients came together, and I dragged Dr. Wang over to help. Liu Banxia said.
"Ponder for yourselves if you want to add some new skills to yourself. If there are not enough surgeons, you can rush up. ”
"You said it easily, how can we have such qualifications. can only be used as an auxiliary, otherwise it will have to be messed up. When the time comes, it will be a big deal if something happens, and it will not be enough to compensate us if we are sold. Zhou Li said helplessly.
"Haha, it's man-made. At the very least, we can learn more about the use of surgical instruments, right?In the future, we will definitely have our own operating room, where can we find so many surgical nurses?" Liu Banxia blinked.
Zhou Li was stunned, this seemed to be indeed an opportunity. But this is nothing for her, she is already a nurse now, and she has to work hard to hit the next level after giving birth to a baby.
However, for Xu Dan and those who have just entered the industry, it is definitely an opportunity. The only drawback is that the difficulty coefficient is slightly higher, and the work pressure in the future will be a little high.
Nurses in the operating room are more professional because they are also the most important part of the whole operation.
Comforting patients, inspecting, checking instruments, supervising operating room discipline, and transferring to the ward after surgery still need to be explained in detail, and the operating room must be cleaned up after returning from work.
Although the work in the operating room is more tiring than that of clinical nurses, it is only physically tiring, not exhausting.
Later, there were more beds in the emergency department, and there were more patients and family members who needed to be contacted, and it was probably even more tiring than the nurses in the inpatient department.
"What do you all think I'm doing?" asked Xu Dan a little confused.
"It's nothing, you're just a little silly. Liu Banxia said a word and slipped to the side with his hands behind his back.
"It's really a little silly girl, think about it carefully, do you want to be the head nurse in the future, or do you want to go to the operating room to see the operation. Zhou Li also pinched her nose.
Xu Dan wrinkled his nose, what is this talking about, people have just started internships, why do you have to think so much.
Seeing that there was nothing going on here, Liu Banxia walked to the ICU ward outside the gods. Although it had only been a long time, he was also thinking about this patient in his heart.
"Ah, Dr. Zhang, haven't you gotten off work yet?" Seeing that Zhang Xiao was also here, Liu Banxia hurriedly greeted.
"Today I came over to take a look. It's only been a long time, and the oxygen supply has reached 70%. Are you communicating with the patient's family or am I coming?" asked Zhang Xiao.
"Come on, I see the patient's son standing outside. Hey......"
Liu Banxia sighed.
This communication is not only about informing the patient about the patient's condition, but also about making the patient's family come up with a choice. In other words, how much resources the hospital has to use to save this patient.
This is different from the emergency room last night, yesterday without family members, the hospital needed to do its best to treat it. Now that there are family members, it is up to the family members to make the decisions.
When he came out, he found the patient's son, and after seeing Liu Banxia coming over, he also became very nervous.
"I just went to see your mother, and the ventilator is currently giving 70% oxygen. Liu Banxia said.
"Let me explain to you, normally we give 50% oxygen, and every time it increases, it proves that the patient's breathing ability becomes worse. If, after reaching 100%, the patient's vital signs cannot be maintained, we will open the extracorporeal membrane lung. ”
"This machine is equivalent to an artificial cardiopulmonary function, which can replace the patient's cardiopulmonary function and maintain the patient's vital signs. In less than three hours, the oxygen supply has reached 70%, and our forecast is not optimistic. ”
"Doctor, is my mother still saved?" didn't you say at first that she would be able to recover by letting her sleep?" asked the patient's son anxiously.
"Let's sit down and talk. Liu Banxia pulled him to the side.
"Being able to recover is the best outcome we can foresee, and yesterday's crash has definitely taken a toll on our lungs. And now her body can no longer withstand bigger surgery, whether it is thoracotomy or craniotomy, we can only treat it conservatively. ”
"You have to be mentally prepared, because as long as you use the extracorporeal membrane lung machine, the start-up cost will be very high, about 50,000 yuan. Then add the related costs of puncture, examination, laboratory tests, medication, etc., which is about 10,000 yuan. ”
That is to say, the cost incurred on the day of start-up will be more than 60,000 yuan, and the daily cost of normal operation of the machine will be about more than 1,000 yuan per day. Based on the patient's current situation, you need to make preparations. ”
"I shouldn't have told you this early, tell you in advance, you can also think about it carefully, so as not to leave regrets in the future. ”
This is the dilemma, it can be said that the life and death of the patient is now in the hands of her son. Such a choice is really too difficult for him.
Although Liu Banxia said it very vaguely, the patient's son also understood. The spirit, which was already very sluggish, suddenly became agitated. He pulled out his cigarette, and with the last shred of sanity told him that it was in the hospital, and stuffed it back in.
"Doctor, you rescued you yesterday, I believe you, do you think there is still a good chance?" asked the patient's son after hesitating for a moment.
Liu Banxia patted him on the shoulder, "For every patient, we doctors will have the greatest expectations. And we can't give any advice on such matters. ”
"I know it's going to be painful, so I'm telling you in advance so you can be prepared. There's no rush now, it's not time for a formal decision. ”
If it had been before, he would have said, "I'm going to have to give it a try." If you try, you may not succeed, and if you don't try, you will definitely have no chance.
But now he is no longer the reckless regular doctor, but has grown into a hospitalized hospital, and he cannot give any inducement to the patient's family on this issue.
Behind the seemingly indifference is the greatest respect for patients and their families.
Liu Banxia knew that this was just the beginning. With the accumulation of my own medical career in the future, I will encounter more such situations. The choice is difficult because there is no right answer.
What Liu Banxia can do now is to accompany him here and give him some spiritual support.