The artificial cardiopulmonary team summons both parties to the application to be present for an in-person assessment.

Li Yanling was dumbfounded when she entered the assessment site, because there was a white-haired old woman sitting inside, wiping her tears. Next to her sat a middle-aged man and woman, with gloomy faces.

Li Yanling immediately knew that this should be the family of another patient who applied for the use of an artificial heart-lung machine.

After Li Yanling sat down, the leader of the artificial cardiopulmonary team who presided over the assessment said: "Let's make a long story short, both sides will briefly talk about their respective patients, and then our team will decide which one is more suitable to save." - Speaking of the above, our criteria for judging do not involve the patient's identity, status, or position, but only the patient's condition. The criterion for judging is who is more likely to be saved, only by saving the patient, can the value of the artificial heart and lungs be brought into play, otherwise it will be a waste of money not to mention, and it will waste the conditions for others to survive, I hope the two can understand. Well, get started. ”

The middle-aged man immediately said: "Let me say first,—— my father is a well-known astrophysicist in the country, a famous old professor, and has many students. My dad has published a lot of books and won many national awards. ”

His wife was a little anxious, the doctor just said that he didn't consider the patient's status, background contribution or anything, but as soon as the husband came up, he put out a lot of his father's brilliance, which was completely against the doctor's requirements at the beginning, so she quickly said: "Husband, the medical team doesn't consider this, only the condition." ”

The middle-aged man said loudly: "Why don't you think about it? If Dad can survive, he will contribute much more to this society. I just heard that the other party is just a small nurse, and he is also a contract nurse, can you compare with my father? There are so many nurses like her in the world, and there are a lot less of her, my dad will be different, if he is gone, it will be a huge loss for our country! ”

The white-haired woman who had been sitting there wiping tears was the mother of a middle-aged man, and she raised her voice and said, "What nonsense are you talking about? Shut up if you can't speak. ”

The middle-aged man was taken aback by his mother's scolding, and also felt that his words were a little excessive, so he quickly blushed and said, "I don't mean anything else." I just think the medical team should calmly consider who is more valuable to save. Identity is not a criterion, but it should be a reference, and it should be considered who can survive and contribute more to society,—— if both people have a chance to survive. ”

The team leader nodded and said, "Let's talk about the condition of both of your patients, you can briefly talk about it first, and we will verify it later." If the situation you say is more verified, we have the right to cancel the treatment, so I hope you can tell the truth. ”

The white-haired old woman suddenly stood up: "Forget it, my husband will give up the treatment." He is 86 years old, has a bad heart, high blood pressure and diabetes, and is critically ill. And I like to smoke, my lungs have long been bad, and the probability of being able to save them is too small, so let's give it to the little nurse, she is young, and she is more likely to survive, and my husband is eighty-six, and the little nurse is only twenty years old, and there is still a long way to go. I also roughly understood just now, this little nurse is infected with the new crown on the front line of treating patients, so young, there is no underlying disease, if she gets this machine, the probability of survival is much greater. So we give up, and you go and save her. ”

The middle-aged man cried and said, "Don't save Dad?"

"I can't save it!" The old woman shook her head bitterly, "Your father is a good man, does he have less honor in this life?" Now he was in a coma and didn't know that he would be very sad and miserable if he knew that he had squeezed out a man who should have lived in order to save him. I don't want him to live his last days with deep guilt and pain, and I'm sure your dad would have said the same if he had made his own decisions. - Let's go. ”

He then stood up, nodded to the team, and walked away quickly.

The middle-aged man and his wife had no choice but to cry and follow.

Before this, Li Yanling was already hopeless, but now she got an artificial heart-lung machine that is related to a life without saying a word, the excitement in her heart is beyond words, and she is full of gratitude to the rational and kind old lady.

Seeing that they had gone out, he came back to his senses, quickly stood up, ran out quickly and stopped the old lady, bowed respectfully, and said, "Thank you, old man." I thank you on behalf of this little nurse and her family, thank you for giving her a second life, thank you! ”

The old lady nodded, did not speak, and went straight away. The middle-aged man was full of anger, glared at Li Yanling fiercely, and followed without speaking, but her wife smiled apologetically at Li Yanling.

Li Yanling rushed back to the main city hospital with the artificial heart-lung machine team, and after evaluation, the time for the machine was determined, and finally the little nurse was put on the artificial heart-lung machine.

The effect was immediate, and the little nurse had dropped to 50% oxygen saturation and returned to 95%, and everyone's hearts were temporarily relaxed.

However, at this time, the little nurse was already in a comatose state in the town, and she didn't know that she had walked around the ghost gate and was now pulled back, but in the end, even the artificial cardiopulmonary team didn't dare to say. In the face of this strange virus, there are too many unknowable things.

Dai Yunyang was the most excited, because Nurse Xiao was his patient, as a doctor. There is no greater joy than healing one's own patients. There is no greater sorrow than watching a patient leave and not being able to do anything about it.

This powerlessness now falls on the doctor Zhu Shan.

One of the patients treated by Zhu Shan was a middle-aged woman who went to the city from the countryside to work, her condition was not serious, she had a cough and fever, and there was no obvious chest tightness, but her oxygen saturation was slightly low, because her lips were slightly cyanotic, so the doctor who received her was classified as a severe new crown patient in accordance with the provisions of the "diagnosis and treatment plan", and she was waiting to enter the severe isolation ward.

So when Zhu Shan just took over her, he still muttered, is such a mild illness considered severe pneumonia and needs to be admitted to the intensive care isolation ward?

But what happened next made Zhu Shan feel what the new crown virus was.

Zhu Shan's first ward round, the female patient was conscious and answered the relevant questions, but her blood pressure was slightly low, but before midnight, she had difficulty breathing, her lips were cyanotic, and she needed to be put on a non-invasive ventilator.

After only an hour, the non-invasive ventilator could not keep her oxygen saturation at the 90% passing line, so Zhu Shan had to intubate her.

The female patient was very cooperative and completely obeyed Zhu Shan's treatment arrangement.

In the middle of the night, the tracheal tube is intubated and mechanically ventilated.

In the second half of the night, the sputum sucked out of the transparent cannula was bright red bloody sputum. The CT chest X-ray at the bedside showed a terrifying white white lung.

The ventilator has been adjusted to 80% oxygen concentration, and the positive end-expiratory pressure of 12 cm of water column. Oxygen saturation still does not reach 90%.

What made Zhu Shan even more desperate was that the patient's blood pressure had to be maintained with a large dose of norepinephrine.

And it has only been half a day since it has developed to this point.