readx;

Qin Chuan thought that Spacey would rush over to look at their idol without hesitation, but he didn't expect that they just talked, their eyes were full of heat, but they didn't take any action. Pen, fun, and www.biquge.info

"Old history. Why don't you run up and see your idol? Qin Chuan asked strangely.

"I'm telling you, William is my last name, and Spacey is my first name. It's different from what you Chinese are used to. Spacey complained. Although the clan mentality of the Americans is certainly not as strong as that of the Chinese, Spacey is still very proud of the family name.

"But I'm used to it. Just forgive me. Qin Chuan said with a smile.

"Nima, can this be accommodated?" Spacey was really forced by Qin Chuan.

"You haven't told me why you didn't go upstairs to find your idol? If you don't get people in a good mood, I'll give you an autograph. Qin Chuan said a result that tempted Spacey very much.

"Who am I? I'm the future doctor of the United States, can I do such a dishonorable thing? What do you know? If someone finds out, there will be trouble. Collins is a big star, but when he arrives, he's a hospital patient. And I, although I am only a trainee doctor, how can I also be a doctor. I have to keep the pride of the doctor. Spacey said that even he believed that he was above board.

Qin Chuan looked at the typical middle-two teenager in front of him a little speechlessly: "I'll just ask casually, do you use it so much?" ”

Spacey was immediately deflated, and looked at Qin Chuan with resentment: "Why is it that every time I am a little proud of something, you will always be ruthlessly beaten to hell?" You can hit me medically, so why do you want to destroy me so mentally? ”

Spacey was aggrieved like a tired little daughter-in-law. His eyes looked at Qin Chuan with a blank look. It's all tears!

Qin Chuan was a little dumbfounded, so he asked casually, is it necessary to be so serious?

"Well, that. Little Shi, oh little William, I know maybe, maybe, if I hurt you inadvertently, I really didn't mean to. Don't be too sad. ”

"Alas. You name it. I also feel very uncomfortable when you call it that. I'm used to hearing it. And you can't be blamed for these things. But someday. I want you to know that I am the future famous doctor of the United States! Spacey came back to life like a chicken, and ran away with high morale.

"What's wrong with him?" Deborah looked at Spacey's back a little strangely.

"You can't guess the thoughts of the second middle school boy." Qin Chuan's words were a little unfathomable, which made Deborah a little confused. The big eyes are wide open, where can a head think about it?

However, it seemed that the heavens were perfect, and Spacey soon had the opportunity to get up close and personal with the big star Collins.

When he went out to eat at noon, Shi Spacey, the future famous doctor of the United States imperialism, may have been slightly depressed because he was overhit by Qin Chuan in the morning. Hiding in the locker room and nibbling on a large box of pizza, I lost my appetite at noon.

It was at this time that the special patients in the ICU ward were called-blue. Spacey rushed to the ward very quickly this time, and the patient who call-blue turned out to be Collins. Spacey performed a very successful resuscitation, allowing Collins to regain his heartbeat after a cardiac arrest.

Endotracheal intubation: A doctor's battle with death. Patients who need to be intubated are often dying, and due to the lack of oxygen, they try their best to take in oxygen, and the suffocating experience is like suffering in hell.

When intubating. It takes a lot of people to participate in the rescue at the same time. The airway is a very sensitive part of the human body when drinking water. Just the slightest bit of entry into the airway can make people choke. Anyone who walks through once will be impressed. This is because the airways react strongly when they come into contact with a foreign body.

There are many precautions when intubating. The first step is to clear the airway, hold the patient's mouth and nose, and deliver pure oxygen to the lungs through the air bag. A large dose of sedative is then used to make the patient unconscious, unconscious, and the muscles are in a relaxed state. Intubation can only be performed at this time. At this time, the patient's life is completely under the control of the doctor. The doctor must hurry, within a few minutes, to deliver the tube into the trachea. This undoubtedly requires a great deal of skill and courage.

As a trainee doctor, I was able to perform such a difficult operation. It made Spacey feel an incredible sense of accomplishment.

However, Spacey didn't have time to celebrate with a few other medical trainees and nurses who had rushed over. was hit by the next scene, and his face turned pale.

Collins is a drug abuse consultant at the Baltimore City Academy of Sciences. He opposed excessive medical treatment, and after his illness, he established a will through his lawyer, stating that in the event of loss of consciousness, he hoped that the medical staff would not resuscitate. This is also known as a letter of intent to survive. The medical status selected by Collins in his letter of intent to survive is DNR. That is, in the case of cardiorespiratory arrest, CPR operations are not allowed.

"You're in trouble, you're in trouble! He is a DNR. Alyssa, who arrived in a hurry, saw the intubation on Collins and knew that she was in big trouble. It's really getting into big trouble.

But Spacey was indiscriminately intubated when he learned that his idol was dying. This is a serious act against the patient's will and is generally classified as a bad practice in the United States. Once Spacey's behavior is documented, it will have serious repercussions for him in the future. In particular, if Spacey has not yet obtained his medical license at all, it will even affect his medical qualifications in the future.

Spacey also changed color, and said incoherently, "I don't know at all! I don't know, yes! ”

Spacey's love for the profession of a doctor trumped his life, and now that the future of his profession is in jeopardy, his life is beginning to be overshadowed. He didn't know what to do.

Qin Chuan and the others hurried over after lunch, knowing that Spacey was in big trouble, so they hurriedly comforted Spacey.

"Actually, you can't be blamed for all this. At that time, you didn't know it. You have no problem doing that without seeing the patient's medical records. Qin Chuan comforted.

"However, in court, the judge will ask me to show evidence that I don't know. I'm in big trouble this time. Spacey crouched on the ground with his head drooping.

"Actually, you still have a chance. Now that Collins has woken up, if you get his forgiveness and he doesn't prosecute you, everything will be fine. In addition, if Klins's attending physician believes that Klins' condition is still medically significant. You will not be held accountable for this practice. DNR is only meaningful when it really has no medical significance. Qin Chuan's words gave Spacey hope.

"Qin, you must help me. I know you're the best at it. "Spacey has already regarded Qin Chuan as the last straw.

Linus is the ruler of Krins. For Linas, Collins was indeed a very tricky patient. The condition is so severe that no matter what you do, it may not be useful. In this case, if it is not cured, no one will be surprised. Linus also has to take any responsibility. However, rescuing such a patient would only make Linus ask for trouble. Therefore, Spacey's recklessness also made Linus very distressed. Because at this time, it is impossible for him to pull out the tube of Collins. Unplug Collins at this time, and Collins will die instantly. It is tantamount to directly murdering Collins's life. Although Collins is a DNR patient, at this time, whoever pulls out Collins's tube will suffer a conscience condemnation.

"You're in a big trouble for me!" Linus's tone clearly indicated that he was very upset about the matter.

"Can you find a cure for Krins?" Qin Chuan asked.

"How to cure it? If it weren't for the disease, Collins might have been inducted into the NBA Hall of Fame. However, due to osteomyelitis caused by an ulcer infection of the skin of the left leg, the left leg has almost completely necrosis below the knee. Bacteremia plus toxemia due to absorption of necrotic muscle disintegration products causes multisystem failure. Since his kidneys had completely stopped urinating, his arterial pH was only 6.85, well below the normal 7.4. That serious injury a few years ago didn't get enough attention from him. Before he fully recovered from his injury, he chose to make a comeback. Although he got a championship ring that year, he also paid a painful price for ending his career early. Now, it is very likely that his life will be put on the line. "Linus knows the best about Collins' situation. Naturally, he also understands the complexity of Linus's condition.

Hearing Linus's words, Spacey's heart went cold. The expression was also more depressed.

Deborah comforted, "Don't worry, Qin will definitely have a way." ”

"I encountered this kind of condition when I was in a Chinese hospital. Maybe we can discuss it. "Qin Chuan also came out of this for his good friend.

"Oh, since you've healed such a patient before, we'll have to discuss it." Naturally, Linus was also very interested in what good treatment there would be for this almost terminally ill disease.

"But before that, I think it's better to solve the problem at hand. Everything only makes sense if the patient survives first. I also don't want Spacey's efforts to end up being a stain on his career as a doctor. Qin Chuan made a request in disguise.

"It's not that I don't want to get Klins around. It's just that his situation is too serious. He could die at any moment. Once he dies, that classmate of yours will be in great trouble, although there is evidence that he was not aware of it at the time. But Klins's agent, his wife, is not a fuel-efficient lamp. Linus said worriedly.

"Don't worry about that, as long as we can prove that Collins is still therapeutic. Everything is not a problem. Qin Chuan said. (To be continued.) )

...

...