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Krins's agent and wife, Eva is not a simple woman, and Qin Chuan and others quickly appreciated her fierceness. Pen Fun Court www.biquge.info a star player in Collins MLS, otherwise he doesn't need a dedicated agent. has a star-level husband, Eva is full of natural scenery, and she has also developed the habit of commanding. Everywhere you go, your aura is quite sufficient. In addition, he is more familiar with the legal provisions, and he will always issue a rhetoric of "believe it or not, I will sue you" at every turn.

There is a saying in China that there is no such thing as happiness, but there is no single line of disaster.

Spacey didn't know what kind of bad luck he had hit, one trouble was not over, and another trouble had already come to his door.

Collins was still half-dead and dependent on equipment, and Eva had already rushed over, and as soon as she saw Collins still breathing under the tube, she immediately had a seizure.

"Who did it? What authority do you have to do that? You're screwed! Tell you, just wait for the summons from the court! "Eva is in her thirties, a few years older than Collins. Like all Western women, when she is a little older, she relies entirely on a deep foundation to bring out her beauty. It's so-so from a distance, but it's really miserable up close. Regular smoking makes her teeth a little yellow, and even a little black. The glasses were buckled in, and he was angry, looking a little cautious.

Spacey's eyes were black, and he almost didn't fall directly. This brother was really hit badly this day.

"Questions?" Qin Chuan asked.

"Who are you?" Eva was slightly stunned when she saw the Chinese in front of her.

"I'm the doctor here. Your husband has just had a problem. We're trying to find a way to get him right. "Qin Chuan naturally tried to mix the water as much as possible.

Eva is not a very clear woman, and women who are generally keen on dressing up and obsessed with luxurious clothes are probably full of mush. Being so stirred up by Qin Chuan, she had forgotten to ask Qin Chuan's identity. Anyway, Qin Chuan was wearing a white coat.

"My husband's medical record is very clear. DNR, do you know what it means? That is, when his breathing and heartbeat stopped, he was not allowed to be rescued. My husband is a substance abuse counselor. He was very opposed to the disregard for the dignity of the patient, and the lifeless body was maintained by the machine. I am the executor of his will. If you want to rescue him, you must ask for my opinion. Eva said instructively.

"You also forgot a little. DNR is not always available. DNR is only meaningful if it is medically meaningless. We think that Collins, who is only in his early thirties, is far from being lifeless. His situation is serious, but it is not impossible to reverse it. Qin Chuan said.

Eva was dumbfounded.

Qin Chuan didn't give her a chance to come back to her senses, and preemptively said, "Besides." Whereas, you are the direct beneficiary of the Klins estate, even if you exercise your will. We can also insist on resuscitating Mr. Collins on the premise of putting the patient's life first. Because your behavior may be due to a certain situation, and you cannot avoid the influence of selfishness. ”

Qin Chuan's words made Eva react greatly.

"What do you say? I've always loved Klins, how could I possibly want him to die? It's just that his physical condition is really very bad. Aren't you doctors at a loss? How else would it have to be rescued? Eva caught the key in her eagerness.

"We've been working on it. The situation with Collins is really bad. But we've found a way to do it. I believe it will stabilize Clarin's situation. and even reversed his situation. At this time, Qin Chuan could only continue.

Linus wanted to interject several times, but Qin Chuan took the lead and blocked his words. It made Linus very distressed. He is the attending physician in the ICU. If something goes wrong with Klins, he, the attending doctor, will not be able to escape responsibility. He had wanted to put all the blame on the trainee doctor who was resuscitating. Linus has effectively given up on Collins' treatment. He doesn't have any hope that Linus will get back to health.

But before Linus could speak, Eva had already let go of her cruel words: "You'd better get Klins better, or you'll wait for the court's transfer." I've recorded everything I just said. And you, the doctor. I remember you! ”

Eva took a photo of Qin Chuan with the click of her mobile phone, then turned around and twisted her curvaceous body towards the door of the ward. Only the crisp clicking sound of the high heels on the ground was left.

"It's over. I may never be a famous American doctor in my life. Collins has become like this. Will he be able to turn around? Spacey cried.

Emerson and the others hurriedly comforted Spacey.

"What are you talking about? Now it's all on me. Well, do you really have any experience treating Collins? Linus asked nervously.

Qin Chuan shook his head: "To be honest, no." ”

"Then why did you say before that you had been treated for this disease? Aren't you hurting me? Linus glared at Qin Chuan angrily.

"There will definitely be a cure for any disease. Isn't it a good opportunity for our doctors to come across such a case? Why don't you try hard. Maybe we can cure this patient. I just looked at Collins' medical records and he was thirty-one years old. If it weren't for the injury, maybe he would still be active on the NBA court. With such a patient, should we give up saving because of such a rule as DNR? Qin Chuan asked rhetorically.

"No, it's not China. This is the United States. All treatments are subject to the law. Otherwise, you will be severely punished by the law. Linus had no tone for Qin Chuan.

"Nope. You're wrong. I have a very good understanding of the law in this area. In this case, Collins should not have applied DNR at all. And Eva is even more unfit to be his executor. Qin Chuan said.

"Then you say! What now? "Linus is running out of patience.

"I've seen Collins' condition. I think the most important thing at the moment is to stabilize Collins first so that we can buy time. If only Collins could wake up. Perhaps the problems we face will be solved. Qin Chuan said.

"He's all like this? How do you save? I don't know why you're hurting me so much. Linus said angrily.

"Okay. You still continue to believe in me. Krins was injected with sodium bicarbonate. Qin Chuan said.

Sodium bicarbonate is a major component of the blood buffering system, but intravenous sodium bicarbonate is a controversial issue in emergency medicine. Sodium bicarbonate in the test tube can effectively buffer strong acids and increase the pH value of the solution. However, it is not a simple chemical test when used in humans. First, hydrogen ions cannot pass freely through the cell membrane, but the carbon dioxide produced by the sodium bicarbonate neutralization reaction can be freely dispersed. Intravenous injection of sodium bicarbonate produces a large amount of carbon dioxide at once, which cannot be exhaled in time and enters the cells. The potential danger is that the pH of the blood will improve and the intracellular acidosis will worsen. Secondly, sodium bicarbonate is high in sodium. Sodium is the main ion that maintains blood volume through osmosis, and intravenous sodium bicarbonate will inevitably cause a sudden increase in circulating blood volume. Collins has stopped urinating, his heart function is poor, and the expansion of blood volume will almost certainly worsen pulmonary edema.

"You're murder! If you do this, you'll hasten Krins' death. No, it was decided that this could not be done. Linus shook his head.

"Is there anything worse than the current situation? At this point, it is impossible to be exhaustive. At this point, you can only make mistakes. You're the doctor. Don't think it's Spacey who carried out the rescue and violated the rules. But you know, when Spacey came here to intubate the patient, you weren't here at all. You are the attending doctor and the doctor on duty. However, our trainees ran from the fifth floor to the tenth floor, and you, the doctor on duty, had not yet arrived. Spacey was not in sight of the medical records at the time, and he was not at fault. "Qin Chuan is also on fire.

Spacey listened to Qin Chuan's words, and his spirit was also lifted.

"Dr. Linus, although Qin is only an intern, he is already an attending doctor in China, and his clinical experience is even more abundant than yours. Why can't you listen to Qin's advice? Deborah asked.

"Dr. Linus, now that the patient's life is in your hands, our time is running out. Collins's situation is almost desperate, and if the vicious circle cannot be broken, it can only get worse. His time is running out, and we can't afford to sit still. Qin Chuan said.

Linus closed his eyes, opened them after a while, and said decisively: "Inform the nephrologist to prepare for emergency dialysis, and inject 150ml of sodium bicarbonate followed by continuous infusion." ”

After saying such a simple sentence, Linus's forehead was already covered with beads of sweat. It was the most difficult decision he had ever made in his medical career. He had been forced to the edge of the cliff by Qin Chuan, and he could only make a desperate bet.

Qin Chuan also breathed a sigh of relief. It was true that he had not dealt with this case, but he had seen it. In the [Genius Famous Doctor] system, all kinds of strange cases will appear. Qin Chuan had personally treated this kind of case in the immersive treatment room. Although this treatment is very risky, it is the most effective way to do it at this time.

"The patient's blood pressure is rising." Alyssa had good news. As the pH of the arterial blood corrected, Collins' blood pressure began to improve dramatically.

Six hours of dialysis were followed by an improvement in Rins's bacteremia and fluid retention. (To be continued)

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