Surgical protocol.

Extubation protocol.

Lan Li's heart couldn't help but tremble slightly.

He suddenly remembered that when the two of them were surfing in Hawaii before, Paul had discussed the topic of life and death with him.

"If your brain died and you were in a vegetative state, what would you choose?" was Paul's question.

"I would want my family to be extubated. Lan Li said without hesitation.

In the United States, patients can choose to sign a variety of agreements, one of which is for special circumstances, when the patient is suffering from pain, and finally falls into the blue alert of cardiac arrest again, he can choose to sign a "non-treatment agreement", voluntarily give up the right of the hospital to continue to help.

This is not euthanasia, but the final end of repeated suffering.

Among them, brain-dead patients can also sign such an agreement. Brain dead, from a social point of view, he is still alive, because the body functions are still sustaining life, but from a medical point of view, he is dead, he has no ability to think, no ability to speak, no ability to reflex, and even no way to breathe on his own, just relying on the machine to maintain life, once the ventilator is removed, the life of the body will be directly terminated.

From a humanitarian point of view, brain death is still not considered "death", for his family and friends, there is still no way to easily send each other away, as long as he can continue to pay for hospitalization, he can continue to "live", guarding a vegetative person, waiting for a miracle that can never be realized.

From a medical point of view, brain death is still not extubated, which is a comfort to those who are still alive, nothing more.

Different people have different opinions about the same thing.

Some people want to stay in a vegetative state and continue to live, while others want to let their family and friends choose to let go when they are brain dead.

Thus, there is an extubation agreement and a non-rescue agreement. Patients can designate a person to decide what they want after they are brain dead – often, they always choose their closest family member or friend, or choose a family member or friend who has the same ideology as themselves, to make the choice they want.

It's a big responsibility, not just trust, it's trust with all your heart – because the family member or friend has to make a decision: the decision to send the friend away with his own hands. This is not an easy task for anyone, and it is even a heavy burden.

"Why?" Paul was not surprised by Lan Li's choice, but he was surprised by Lan Li's simplicity.

For Lan Li, it was a simple decision.

In his previous life, after ten years of suffering on the hospital bed, he always thought that "living" was sometimes a kind of pain, and "death" was a kind of relief. If you are brain dead, or if you go back and forth on the edge of death again and again, and you see that you are about to be freed, but you are rescued alive, and then continue to struggle to die above the death line, and in the end, you still have to go to Elysium, and that kind of torment is the most terrible.

At that time, Lan Li showed a big smile at Paul, "Because I want to live, not to survive." Instead of fighting for survival, it is better to live while you are still alive, enjoy life, and live up to the blooming period that only blooms in summer. ”

"Lan Li, sometimes I really envy you. Not because you're handsome, but because you're open-minded. Paul smiled brightly, and just then a great wave came, and Paul said cheerfully, "How about seeing who is better at this wave?"

Lan Li is naturally obliged. The two of them slid their hands towards the waves, opening their chests to embrace the sun and the sea.

Closing his eyes, Lan Li can still paint Paul's smile that day in his mind, making the Hawaiian sun eclipsed by the cheerfulness and wantonness, clean without a trace of impurities.

Damn it!

So, is that power in his hands now, and if it does, will it be up to him to decide Paul's life or death?

It's really cruel.

If Paul was faced with such a situation, then ...... So what should he do? Those nightmare memories of the previous life came again, and the ending of Paul in the previous life resurfaced, Lan Li didn't dare to continue thinking nonsense, but his thoughts fissioned violently, becoming more and more turbulent.

Lan Li's heart couldn't help but start to tremble slightly, but then she noticed Mei Duo, who could barely stand still, they both knew what those agreements meant, but they didn't dare to think about it. Lan Li hurriedly supported Mei Duo, then straightened his waist, and became Mei Duo's most solid backing with perseverance, all those complicated thoughts were eliminated, and calmly and calmly met the doctor's gaze, and the eyes that regained their brightness still maintained a high level of concentration.

Derek could notice the change in Meadow and Lan Li, and he felt a little relieved in his heart. For doctors, the patient's family is the most difficult, especially when they hear about the worst critical moments, they are often easy to lose their minds, and even make radical moves.

Doctors need the trust of their patients' families in order to do their jobs.

Derek could notice Lan Li's composure and focus, which meant that Lan Li's sanity still prevailed, which immediately alleviated a lot of missteps for his work, and he could be put into the work of treatment as soon as possible, "patient ......"

"Paul. Lan Li interrupted Derek's words, "His name is Paul. ”

Derek paused for a moment, staring at Lan Li, but his eyes never wavered, calmly and tenaciously projected, clearly expressing his persistence and willingness, so Derek continued, "When Paul was first taken to the emergency room, he was bleeding from his abdomen and a ruptured blood vessel in his head, due to multiple complications that caused cardiac arrest. ”

Derek seemed to notice Meadow's gasp and added, "Don't worry, we've done the rescue as soon as possible." This eased Meadow's consternation and apprehension a little, and Derek continued, "But it's still not over. We need to find the bleeding point and then fix it. ”

"The whole operation will be divided into two parts, one for the head and one for the abdomen, and the two parts will be performed at the same time, with different attending doctors in charge. Time is of the essence now, and if we miss the best time to treat us, ...... could happen next," Derek tried to explain the importance of the surgery.

But Lan Li knew the importance of surgery, and the doctor always imagined the worst-case scenario, those terrible results were really shocking, which was almost unbearable for Mei Duo, so after he gently bowed his head, he interrupted the doctor's follow-up introduction, "Sorry, you just introduced yourself, your name is ......?"

Derek was slightly stunned, not knowing why, but then he noticed Lan Li's eyes, those calm eyes were full of scrutiny and inquiry, just in a polite way, not to make people feel aggressive, but also to hold their ground and refuse to compromise.

He realized that Lan Li was expressing his skepticism in this way that they needed the best, the best, and the best doctors to perform the surgery. This is also the hope of every family member, but Lan Li expressed it in a more tactful and polite way.

"Derek Sherpad. I am now the Head of the Department of Neurology and the Deputy Director of the Department of Surgery. "In a simple sentence, Derek's credentials are revealed, and his skills are confirmed," and the attending physician for Paul's abdominal surgery is Miranda-Baily, who is the head of the inpatient department and the head of the general surgery department. ”

After the detailed introduction, Derek took the initiative to meet Lan Li's calm and wise eyes, "Mr. Hall, we know that Paul is a guest of honor. It is our responsibility that the hospital will devote its best resources to treatment and assistance. ”

Read between the lines.

Obviously, Derek is not the kind of doctor who doesn't listen to anything outside the window, and how can he not know anything about Hollywood when he works and lives in Los Angeles? What's more, the riot caused by the reporters at the entrance of the hospital has spread throughout the hospital in a short period of time, and it is extremely difficult for them to know about it.

The meeting was kept in an uninformed and calm state, which was a professional gesture. But in fact, just now the director of the hospital personally gave the order, which is the highest level of VIP and must go all out. Naturally, Derek couldn't afford to slack off.

Lan Li nodded lightly to show that on the way from Burbank to the hospital, he immediately dialed Steven Spielberg and Tom Hanks, as well as Andre Hamilton, mobilizing all his contacts to provide Paul with the best team.

Now it seems, those calls are working.

"Where's the consent form for surgery?" Lan Li didn't say anything more, and went straight to the point. Now that Paul is at stake, his life is hanging by a thread, everything must be done against time, and he must not take it lightly.

Derek handed the clipboard in his hand to Lan Li: according to the regulations, the family must be informed of the consequences of the operation, and this is a legal procedure, but his eyes also noticed Mei Duo's state, and then noticed Lan Li's small movements, hesitated for a moment, and swallowed the words again.

Lan Li didn't sign it immediately, but lowered his head and quickly skimmed the agreement, and got a general understanding of the overall situation. He wasn't Elph Hale, and his knowledge of medicine was only scratching the surface, but he did have an idea of the types of protocols in hospitals, and the different protocols naturally represented different situations - in order to avoid further scaring Meadow with Derek's explanation, Lan Li chose this way to understand Paul's current situation.

Critical.

100,000 urgent.

Lan Li's heart curled up like this, and he didn't hesitate, he quickly signed it, and handed the surgical consent form to Derek again, "Doctor Shepard, thank you." ”

Derek raised his eyebrows slightly, as if he could feel the weight of the surgical consent form, but he didn't say anything more, just nodded politely, and then quickly turned to leave.

"Bookmark for easy reading"