Chapter 73: Regret to Die
Dai Yunyang waved his hand and said: "Don't think so, to tell you something from the heart, in fact, I still envy you!" Even if you are right, we are all infected and died, at least you are luckier than me, because you have a son left, you have your flesh and blood in this world, and I have nothing. You have no regrets, I can only die with regrets. ”
Dai Yunyang saw that Xiao Juan was afraid of being anxious now, the so-called extreme things must be reversed, and it was useless for him to comfort her now, and he couldn't alleviate her fear. But if I add fear to her fear, I may be able to change her mood and stimulate her with these words.
Sure enough, after listening to Dai Yunyang's words, Xiao Juan's body shook violently again, and said to Dai Yunyang: "Doctor Dai, I don't think you will be infected, you have been wearing a mask from the beginning and paying attention to personal protection." I now understand that you are right, that being a doctor is about learning to protect yourself, all the time. Actually, the reason why I was so scared was because I had a fever last night, 37 degrees 3, and I measured it twice. Although it was just enough for a fever, I was so worried that I was infected, and I was afraid that I would die. ”
Dai Yunyang understood even more that the reason why Xiao Juan reacted so radically was because she suspected that she was infected. The fear of death, the worry and concern for her children, and the despair and helplessness that made her react so strangely when she saw so many patients dying in front of her for the first time.
This time, Dai Yunyang chose to be relieved and said: "Don't think so, you must know that thirty-seven degrees and three can only be regarded as a barely feverish, and many people may reach this standard by drinking hot water or exercising." Besides, the thermometer has a certain error, in short, don't scare yourself, how do you feel now? Still having a fever? ”
Xiao Juan nodded and said, "I always feel itchy in my throat, I want to cough but can't cough it out, and I have chest tightness, as if something is stuffed in my chest." Especially the respiratory tract, it's like someone has put their fist into my trachea, I can't breathe, am I infected with new crown pneumonia, Dr. Dai? ”
Dai Yunyang shook his head and said, "At present, it really can't be said that you are infected, because there is no evidence to support it. I guess you're not used to the heavy protective suits, which are airtight, and even though it's winter, it's too hot to breathe, and you're wearing thick N95 masks and goggles. This mask has been in place for a long time, and if you have breathing problems, you will definitely feel stuffy, which is a natural reaction that everyone will have. Actually, I'm also scared, but it's still the same sentence, although I'm afraid, we still have to do what we should do, otherwise we retreat and evade or give up our responsibilities, and then this room full of patients can only die helplessly. ”
Xiao Juan nodded, wiped away her tears and said, "Thank you, Doctor Dai, I think I'm fine, let's go back." ”
Both raised their hands and walked out of the paramedic lounge like puppets.
Xiong Shengnan, the head nurse, seemed to have understood that Xiao Juan did not deliberately disobey her orders, but that there was a temporary mental disorder. With a bit of sympathy, he couldn't help but sigh and smile at her.
Xiao Juan was originally very scared, and looked at the head nurse with a cower, waiting to be trained, but she didn't expect the head nurse to train her, but smiled at her rarely, which really moved her.
Dai Yunyang began to make ward rounds for the patients he treated.
When the pregnant woman Tan Yuanyuan was found, Dai Yunyang found that Tan Yuanyuan was still in an extremely dangerous situation, although the water from the tracheal intubation was no longer rising, the oxygen saturation was only 85%, which was a dangerous area where the heart could stop beating at any time, depending on the tenacity of her heart.
Xiong Shengnan, the head nurse, told Dai Yunyang helplessly: "The mother's life is now completely maintained on this ventilator, as long as she is slightly disengaged, the bloody phlegm will immediately soar, and the blood oxygen saturation will fall down in free fall, so our nurses dare not suck her sputum at all, because the ventilator must be taken off during sputum suction." ”
Dai Yunyang nodded: "Yes, her situation is too bad, but if she doesn't suction, she will be even more annoyed." It must be carried out with the fastest speed and the most accurate operation. ”
As soon as she said this, Li Yanling not far away greeted Dai Yunyang: "Doctor Dai, come over quickly." ”
Dai Yunyang hurriedly walked to the bed where she was, and the patient lying on the bed was the big fat man like a mountain in the urology department.
Li Yanling said: "You are responsible for this patient? It's not going to be good. ”
Dai Yunyang nodded.
The big fat man's breathing has not been good, his blood oxygen saturation has been at a very low level, and he has been intubated, and later changed to tracheostomy. Blood oxygen saturation is only 80 percent, which is a very dangerous warning line, and if you go any lower, you will be unconscious, and on this line, there is also a great risk that cardiac arrest may occur.
But he soon found that Li Yanling's gaze was not at blood oxygen saturation, but at heart rate. Immediately looked at it, and was startled, the patient's heartbeat became very slow, the normal person's heart rate is generally sixty beats per minute, and this patient, the fat man, has lost thirty-eight.
Dai Yunyang clearly remembers that when he was operating on him in the urology department, he once looked at his ECG monitoring, and there was nothing wrong with his impression. If his heart rate was so low, he would not have been given surgery, and now it has fallen to this extent, when he was transferred to the hospital before, it was not worse than now, which made Dai Yunyang's heart hang.
Dai Yunyang bent down and asked the big fat man, "How do you feel?" ”
The big fat man opened his eyes with great effort and looked at him, as if he was very sleepy, and closed his eyes again and fell asleep.
He is already on a non-invasive ventilator and has been prescribed to pure oxygen levels, and his blood oxygen saturation is still very poor.
Li Yanling said to Dai Yunyang: "His blood oxygen saturation has been dropping, you have to find a way." With that, Li Yanling walked away.
Of course, Dai Yunyang knew this, and if he continued like this, there would always be a moment when his heart would stop beating. And in the face of all this, they were helpless, they had already used all the medicines they could use, and they couldn't do anything about it when they watched their heartbeats drop by a number after a while.
Xiao Juan was already calm, but at this moment, looking at the number that was gradually falling down on the ECG monitor, she began to be a little frightened and stupid again.
Dai Yunyang found out, walked over and stopped her and said, "You find a few people to turn over a few patients over there, and then wipe their bodies." ”
The patients in the intensive care unit basically do not have the ability to turn over on their own, and many of them are full of tubes, all kinds of things. And because of the ventilator, especially the invasive respiratory tracheal intubation, in order to reduce the pain and make the patient tolerable, a large dose of sedative is also used, so the patient is almost in a coma or semi-comatose state, and it is extremely important to turn over. As a result, the number of nurses in intensive care units is much higher than in general wards, and the workload is much higher.