104. First sight of death

The day of leaving school finally came inadvertently, and the classmates who had been together for five years in the farewell of each other all went their separate ways, and it may be difficult to see each other again in this life. Usually there are some contradictory classmates who also hug each other and bless each other, this is the intersection between people, and a short fate is just a momentary situation in life. Whatever happened in these five years is a thing of the past, and grievances are no longer significant.

Yao Xiaoling stayed in the Maternal and Child Health Hospital in Hohhot as an obstetrician and gynecologist, Wang Ning returned to Beijing and became an otolaryngologist in a large hospital, Gillian was admitted to graduate school, Alan returned to Shanxi, and others also went their separate ways.

Gu Haiping accompanied Shandan home and moved home all the "belongings" of the past five years.

When I got home, I watched my daughter graduate from college and go to work in the largest hospital in Qili, Tie Dan'er and Mom were happy, killing sheep and chickens to celebrate, and also celebrating Gu Haiping's admission to graduate school.

But Tie Dan'er's mother was a little worried: Gu Haiping was admitted to graduate school and left for a foreign country, will they not be able to get along?

Gu Haiping euphemistically put forward the idea of holding a ceremony during the winter vacation after receiving the marriage certificate before leaving, but Tiedan'er's mother also politely refused, she was worried that the distance of thousands of miles would bring them changes, she had to wait and see, and took this pass for her daughter.

Tie Dan'er mother said: "I haven't seen your parents yet, as the old saying goes, 'look at the branches and leaves to see the roots', although you don't need to talk about the matchmaker when you graduate from college, but the parents of both sides still have to meet, I also want to know what kind of family my daughter married to, you let your parents come to our old people to discuss your marriage." ”

Gu Haiping agreed very happily.

But Gu Haiping immediately discussed with Shandan: "Our two families are far away, my parents are also old, and it is inconvenient to run around, I don't want to tire them out of our marriage, anyway, we will live our own lives in the future, and we will not live with the elderly, you persuade your mother, see if you can not let my parents come? I promise to be good to you, for a lifetime! You still can't trust me?"

Shandan was embarrassed and said: "My mother is right, we are getting married for such a big thing, and the old people on both sides do not see each other, is it unfair to my parents? They have raised their daughter for more than 20 years to get married, and they don't know who to marry? Do you think it is appropriate?"

In fact, Gu Haiping was worried about whether his father could handle this matter well, he knew his father's personality too well, his father's shrewdness and speculation were in his eyes, and the six people in the neighborhoods and in-laws did not interact with each other, and none of them had any dealings with their family. Since childhood, their family has lived alone in the village, and they have no contact with the people in the village, and their parents still quarrel and fight with others from time to time. Will his father's way of dealing with the world mess up the relationship he had worked so hard to manage?

Therefore, in order not to cause any accidents, he had to do his best to dissuade their parents from meeting, with the shrewdness and insightful heart of Tie Dan'er's mother, the father's words and deeds would definitely arouse her attention, and it would be difficult to say whether he would agree to marry his daughter or not.

But such a worry can't be told to Sù Shandan, let alone Tie Dan'er's mother, who clearly wants to inspect his family. Without Shandan's support, Gu Haiping had to come up with a delaying plan, he said: "It's too late these days, Shandan is going to report to work, and I'm going to report to school." We'll talk about it when we come back from winter vacation, okay?"

Tie Dan'er's mother agreed to Gu Haiping's suggestion, she was very satisfied with Gu Haiping, Erlian's sick family could use all their savings to help, and Gu Haiping helped a lot with the cost of Shandan going to college, and he was usually very diligent at home, and he was willing to help in everything. is kind, humble, and realistic, Tie Dan'er's mother has actually promised this marriage in her heart.

The matter had to be put on hold for the first time.

Gu Haiping returned to Hoh, and Shandan reported to Qi Hospital to work, and the days seemed to come over step by step.

Shandan reported to the hospital's single dormitory, which is an old-fashioned bungalow of the original hospital, with a brick structure, at the back of the hospital building, and it is only five minutes away from the office.

Shandan was assigned to the Department of Internal Medicine as a resident.

The hospital is not big, only 120 beds, the department only has a few major departments of internal and external gynecology and pediatrics and a few necessary auxiliary departments, each department has a maximum of five doctors, each department must be a generalist, unlike the doctors of large hospitals who are specialized and specialized, here you must be involved in general practice, otherwise you don't want to cure patients.

The medical conditions are really limited, there is only one X-machine in the radiology department, and the B-ultrasound machine is also very old.

Every patient goes to the hospital until they can't hold it anymore, and every day they are faced with serious patients, even dying patients.

Shandan followed an old doctor for a month and began to take charge of himself.

She manages ten patients every day, and sometimes she has to manage fifteen or sixteen patients, all of whom are patients who have today and tomorrow, and Shandan's physical and mental pressure is very great, she has no time to leave for herself, and the planned postgraduate entrance examination has to be stranded.

I got up every morning and started a day like a war, first of all, I made rounds to see the situation of each patient, recorded the cases and gave medical orders, received new patients, went to a big night shift every three days, asked the old doctor from time to time to turn back and read the textbooks and various materials and books, and even went to the canteen to eat was running forward, and my mind was full of the condition of each patient.

Most of the patients are farmers and herdsmen in agricultural and pastoral areas, the economic situation is not optimistic, they are all people who fight the disease with their lives, seeing their suffering, Shandan's heart is always deeply touched, she wants to do her best to alleviate their pain and save money, so she can use cheap medicine and never use expensive medicine, and try not to do the examination if she can't do it, the local people are honest and honest people, Shandan will make it clear to them, that is, sometimes Shandan has inconsiderate places, they will also tolerate and do not care.

After a few months, everyone knew that Dr. Shandan, a college student who graduated from medical school, was a good doctor who could think about patients and save money for medical treatment.

Shandan took over one of Dr. Yang's old patients with a cerebral hemorrhage and was half paralyzed. I have been in the hospital for a few months, and my condition has gradually stabilized, and Shandan has seen it every day during my rounds, and all kinds of indicators are normal, so I will take medicine step by step, and I can be discharged from the hospital when I am more stable, and the old lady is also in her sixties, and the younger son is very filial to accompany the bed, and the younger son is attentive to eating, drinking, and sleeping.

One day, Shandan was on night shift, and after checking a circle of rooms, every patient was in stable condition, and it was already midnight at midnight. Shandan sat in her office reading a book, holding a patient with an unexplained fever who had not yet found the cause, and she flipped through the relevant content of the fever chapter to see what items should be checked out?

Suddenly, the old lady's youngest son ran into the doctor's office in a panic: "Quick! Dr. Shandan, my mother is no good!"

Shandan hurriedly ran to the ward with a stethoscope and asked the nurse to take a blood pressure monitor.

Seeing that the old lady was already pale, short of breath and irregular, the whole person was convulsed, her blood pressure dropped to the point that she could not be measured, her heart sound was weak, and her carotid artery was only faintly pulsating. Notify the ECG room of the emergency ECG, and ask the nurse to call the second-line doctor to come in time.

Watching the old lady slowly breathe a sigh of relief after a series of treatment measures, her condition seemed to be relieved, her blood pressure was measured to be 90/40mmHg, and her heartbeat gradually recovered, and Shandan breathed a sigh of relief.

She did not leave the ward, stayed by the bedside, measured her blood pressure, breathing, and heart rate from time to time, and waited for the second-line doctor to arrive. A few minutes later, the old lady suddenly breathed and cardiac arrest, and suddenly there was no sign of life, Shandan hurriedly began cardiopulmonary rehabilitation, she pressed the sternum while cooperating with artificial respiration, ten minutes passed, the patient did not show any signs of recovery, the second-line doctor Yang also arrived in time, he replaced the tired and panting Shandan and then cardiopulmonary recovery, but in the end failed to save the patient's life.

Shandan looked at the afternoon and smiled and said that the patient who wanted to go home for the New Year had lost his life under his nose, and he couldn't do anything about it, what caused her to suddenly have a seizure and die?

The first patient to die in her own hands touched Shandan a lot, and she even blamed herself deeply - if she had been more careful and careful, maybe the patient would not have died suddenly, and she could go home for the New Year, and she could see her little grandson who she missed day and night.

Dr. Yang and Shandan discussed the causes of the patient's sudden death: cerebral hemorrhage caused hemiplegia and bed confinement for several months, first, her arteriosclerosis was very strict, and there was a possibility of bleeding again at any time, and secondly, her body had weakened a lot during a few months of bed rest, and it was possible to form a blood clot, and the thrombus broke off and blocked the coronary artery, causing a large area of heart infarction, and the clinical phenomenon of sudden death occurred.

"Once the heart has a large-scale infarction, Ren Huatuo can't be saved alive, so you don't have to blame yourself at all, it's not something you can do. Dr. Yang looked at Shandan with a look of self-reproach and said.

"But at the beginning of my treatment, she recovered a little, her heart rate increased, her blood pressure increased, and she ...... all of a sudden," Shandan still couldn't accept this fact.

"That's a flashback, and it also shows that your treatment is appropriate, but her heart is no longer functioning, so your cardiotonic treatment can't cure a dead heart. In the future, you will see countless patients dying in front of you, the first time I saw the patient die in my hands, it was also unacceptable, slowly seeing more, and then numb, as long as you do your best, there is no need to be affected, the doctor can treat the disease but not save the life, you know?"

"But...... Alas!" Although Shandan also studied medical ethics and knew that some patients could not be saved, and doctors could do their part, she still could not let go.