This familiar scene suddenly reminded Du Wei of who this guy was.

A musician who plays a trumpet is considered a celebrity in the music industry.

After being paralyzed by an accident, he was incorrectly diagnosed with amyotrophic lateral sclerosis, or A.L.S.

Now the paralysis has been getting worse, and now he can't even play his favorite instrument.

That's why he always had the intention of dying when he went to the doctor.

He even later signed the D.N.R. (Waiver of Rescue Agreement), which means that when his condition deteriorated, he refused any first aid and chose to die with dignity.

In short, this guy named Giles is a very troublesome patient, because a doctor can't save a patient who is bent on death.

Just then, the sound of House arguing with Dean Cady came from behind him.

Roughly speaking, House wanted to take over the case, but Dean Cady told him that the neurologist Pete was in charge of the case.

Because after the initial diagnosis, the reason why Giles will go to the emergency department is simple lobar pneumonia.

This disease is not difficult for most doctors.

The reason for choosing Pitt as the doctor in charge was because he was good friends with Martin Hamilton, the distinguished neurologist in the hospital who diagnosed Giles with A.L.S. and Giles' attending doctor.

So Martin named Pete to take over his case.

But it is clear that Pete did not intend to treat Giles's paralysis, but wanted to sign him a D.N.R agreement in accordance with his wishes.

So after Giles signed the agreement, Pete came out with a relaxed look.

When he saw the figures of Dewey, House, and Dean Cady, his brow immediately furrowed.

He hated Dewey and House so much now, and even felt disgusted at the sight of them.

In his original plan, he would wait until his friend successfully entered the hospital before dealing with the two men.

But now, it seems that there is a plan to disgust the two of them.

I saw a hypocritical smile on his face and said to Dean Cady:

"Dean Cady, I didn't know much about the members of the department when I first came here.

But as you can see, my hand was accidentally injured yesterday.

So I need someone to be my assistant to help, but I don't know who to go to help me now. ”

Although Cadi was also very dissatisfied with the doctor who had parachuted in, he could only squeeze out a smile and greet him when he looked at the face of the medical committee:

"Really? As long as the doctors are available, I have no objection to them coming to your aid. ”

Pete was waiting for this sentence, only to see him look at Du Wei:

"Well, I know that most of the other doctors have something to do, so I won't waste their time.

Let this intern do me a favor.

I want to take care of patients and other simple tasks, this intern can't be mistaken, right? ”

Cady glanced at Du Wei, who was an intern, and nodded in agreement:

"Of course, Du Wei, you can be transferred from the diagnostics department to Dr. Pitt today.

Dr. Pitt is a professional neurologist, you should be serious and learn more knowledge, which will be very beneficial for you to get a doctor's license in the future. ”

Hearing that Cady had transferred his men without his consent, Houston said dissatisfiedly:

"Wait, when will my doctor be seconded to someone else?

What should I do if I need a consultation?

What should I do if my condition is delayed?

If you want me to say that you can simply assign this patient to me for treatment, so that I can justifiably transfer my subordinates to participate in the treatment. ”

Seeing that House complained, Cardy turned his head helplessly and said:

"House, I said it, this guy's doctor in charge is Pete.

Besides, Du Wei is just an intern, wouldn't you have been diagnosed without him?

Or does his diagnosis directly affect yours?

If that's the case, then I'd rather consider whether hiring you was the right choice. ”

Seeing that House still wanted to speak, Pete, who had already had an idea, immediately answered first:

"House, this is my patient, I don't need your intervention, please stay away.

Otherwise I will let the patient apply to the court for an injunction against you! ”

House swallowed back what he had just wanted to say, turned around, looked at Pete with his very oppressive eyes, and sneered:

"Your patient? Are you trying to find out the real cause of his paralysis?

Instead of helping him solve the problem, you sign him a D.N.R. agreement.

Is there a doctor like you? ”

Pete was very unimpressed.

The patient has given up the treatment, and the doctor still advises him to accept the treatment? Isn't this looking for nothing to do, and finding yourself unhappy?

"That's his own choice, and as a doctor, you should respect the patient's choice!"

House slammed his cane:

"But he doesn't have to die! Have you considered that he may be multifocal motor neuropathy?

You can give him intravenous immunoglobulin for treatment. ”

Pete replied coldly:

"You don't have to worry about how I should be treated, I don't have to repeat it again, this is my patient, not yours!

Dewey, now start intravenous steroids and thyroxine infusions to the patient, right now! ”

Du Wei raised an eyebrow, the fate of the intern was so bleak.

Not even the right to freedom of work.

After all, this hospital is still up to the director of the hospital for the time being.

In the face of Pitt's legitimate demands, Du Wei could not raise any objections.

And it's clear that this Pete is coming for him.

Looks like he wants to add a little intensity to Du Wei's work today.

If nothing else, Du Wei will not get any rest today.

Sure enough, just after the intravenous drip, this Pete instructed Du Wei again.

It's just that he seems to really take House's opinion into account and ask Du Wei to get a dose of 1/1000th of his body weight of immunoglobulin for Giles to inject intravenously.

After all, if House's advice did work, the credit would go to him, Pete.

Thinking of House's frustrated expression after he had succeeded in treating the patient with House's idea, Pete felt that he was going out for a cigarette to celebrate.

Taking advantage of the gap when Pete went out to smoke, Du Wei looked at Giles on the bed with a boring look and whispered:

"I don't think you got A.L.S."

Giles's expression moved slightly, and he turned his head and asked:

"Who are you?"

"I'm Du Wei, an intern in the diagnostics department."

Giles laughed to himself when he heard that Du Wei was just an intern, and he knew he shouldn't have hoped.

"Really? Is this what you're talking about? Learning to comfort a dying patient?

Let him rekindle the hope of life, and then put himself through all kinds of uncomfortable examinations?

Then you don't have to, I've signed the D.N.R. agreement, you can just sit and play on your phone and wait for me to die. ”

Du Wei knew that his current status in the medical field would not convince him.

So Du Wei pulled out House's tiger skin in the next sentence:

"Dr. House shares my sentiments."

Seeing that Du Wei mentioned House, Giles's face showed an interested look.

He hadn't heard of Du Wei, but he had heard of House, a brilliant expert in internal medicine.

"Oh, I've heard of this guy and they all say this guy is an obsessive-compulsive asshole."

Du Wei smiled:

"I don't deny that he's a jerk, but he does have a unique perspective on diagnosing the disease.

Since he said that there are other possibilities, then your illness must not be A.L.S.

I suggest that you can redo the MRI to see how it works. ”

Hearing Du Wei say this sentence directly in an affirmative tone, even Giles, who was already determined to die, felt a little shaken in his heart.

Admittedly, if Du Wei had just used the word possible, not necessarily speculative, then Giles would have scoffed at it.

But Du Wei actually said it so surely, he couldn't help but make Giles feel lucky again.

In case of...... Is it really a misdiagnosis?

Suddenly, a voice came from outside the door:

"Hey, Dewey, what are you doing?! Chat? Are you done with your life?

The sheets were quickly taken away.

What are you waiting for? Why don't you get to work? ”

Du Wei stood up helplessly, and was about to leave here with the dirty sheets he had changed.

Giles, who had just been talking to him normally, suddenly gasped for breath and made a coughing sound.

Then he tilted his head and passed out.

And the blood oxygen concentration on the monitor is dropping rapidly, and this Giles actually has symptoms of imminent suffocation!

Pete roared in disbelief:

"Dewey, what did you do?!"

In the face of Pete's throwing pot, Du Wei spread his hands and threw the sheets on the ground:

"I've been giving medication to patients at 'your's request.

So, is it time to give him first aid? ”

The expression on Pete's face was cloudy, and finally he said:

"No, he's signed the D.N.R. agreement, and we don't have any right to rescue him.

But after his death, I'll find out whose mistake caused the accident. ”

Dewey understood Pitt's words quite clearly.

The subtext is that this Pete is ready to put the responsibility for this incident on Du Wei's shoulders.

Then he said that it was because of the intern's improper operation that caused the patient's death.

Du Wei smiled indifferently, and Pete watched, he really couldn't cross the D.N.R. protocol for rescue.

But he can't, that doesn't mean House can't.

Du Wei will hand

Reached into his pocket and sent a text message to House.

Soon, House, limping on crutches, appeared at the door of the ward.

Pete immediately frowned when he saw the uninvited house:

"What are you going to do?"

House didn't pay attention to Pete, but asked Du Wei with a solemn face:

"How long has it been?"

"It's been ten minutes, and it's supposed to be a symptom of respiratory failure caused by immunoglobulin."

Hearing Du Wei's judgment, House turned his head to look at Pete:

"You gave him immunoglobulin therapy?"

Pete looked at House, who had bitten back, in disbelief, and said in surprise:

"Isn't that the treatment you told me about? You are primarily responsible for his death on immunoglobulin. ”

House directly blocked back with a cold sentence:

"It's your patient, it's you who messed everything up.

Besides, he's not dead, Du Wei, give him a throat insert! Create an artificial airway! ”

Pete immediately stopped:

"You can't do that, he's signed a D.N.R!"

House then understood why Dewey had called himself.

He put the cane in his hand into Du Wei's arms, directly opened the cabinet and took out a disposable hose, ready to do it.

Seeing that Pete still wanted to stop him, Du Wei quietly put his crutches under his feet.

Pete, who was only thinking about stopping House's operation, didn't notice the situation under his feet, and directly stumbled and fell into a!

What's more, his right hand was propped up on the ground because of the human body's subconscious movements.

He could even clearly hear the plastered palm clicking again and cracking!

The severe pain caused Pete, who fell to the ground, to gasp incessantly, making an indelible contribution to the warming of the air.

Of course, he was no longer able to stop House's first aid.

It didn't take long for Giles to regain stability, and after putting him on a ventilator, he was no longer in danger of life.

Pete, who had just risen from the ground, pointed at House with his trembling hand:

"You're done, not only will you receive a court injunction, but your doctor's license will also be revoked!"

House's indifference to the hollow threat from Pitt:

"Really? Then you can come, and the hospital has kept 50,000 dollars to find me a lawyer.

It's a waste of money if you don't use it. ”

Hearing House's answer, Pete's chest rose and fell violently.

Are people so brave now?

How could this House be like Du Wei and not afraid of his threat at all?

Could it be that these people eat leopard gall every day?

What's even more annoying is that Du Wei still pretended to care in the back:

"Dr. Pete, the gauze wrapped around your palm seems to be oozing blood, are you alright?

Why don't you lie in a hospital bed and let me check you out? ”

Seeing Du Wei talking cool behind him, Pete was really anxious and angry, he opened his mouth for a long time, and he couldn't say a complete sentence.

Then he only felt that his eyes were dark, and he actually fainted under the attack of anger.

As for Pete, who was lying on the ground, neither Dewey nor House wanted first aid.

House glanced at Dewey:

"Hey, Du Wei, you're not going to let me crouch down with a lame guy to give him first aid, will you?"

Du Wei shrugged his shoulders and said that he couldn't help:

"I'm just an intern, what do I know about first aid? Why don't you call a nurse? ”

The two looked at each other and smiled, and tacitly asked Pete to lie on the ground for a while.

Fainting when he gets angry proves that Pete may have cerebrovascular disease.

However, it was not a big problem, and even if he didn't give first aid, Pete would have recovered for a while, and they took advantage of this time to give Giles some treatment that he was unwilling to do.

As for Giles' wishes?

What else can a comatose patient wish to do?

Moreover, House had already violated the D.N.R. protocol, and taking a patient for a test against his will was a trivial matter.

After the two of them took Giles for an angiogram together, Pete, who woke up, couldn't stop the established facts that had happened.

Enraged, he immediately called Giles's relatives.

House then immediately received an injunction from the court prohibiting House from being fifty feet from Giles, and the plaintiff appealed against House.

In other words, House could end up in jail.

But House didn't care about this, he just asked Du Wei to take the angiogram film to Chase and Cameron to analyze together and find out the problem as soon as possible.

With the joint efforts of the three of them, it didn't take long to find something unusual in the film of the angiography.

Cameron suddenly exclaimed:

"It's really a blood clot, House is right, his arm paralysis has nothing to do with A.L.S."

House also appeared at the door of the laboratory at this moment:

"What is the diagnosis?"

"It's a blood clot in the brain, and the paralysis in the arm is because of a blood clot."

"So we just need to administer tissue plasminogen activator or heparin, and there is a great hope that the blood clot can be cured."

"No, it can't be treated with heparin."

Suddenly, Du Wei raised an objection, and everyone's eyes looked at Du Wei.

Chase, who had just proposed treatment with heparin, also looked at Du Wei with a puzzled expression.

It's normal to use this drug to treat blood clots, why not.

Du Wei, who was under everyone's questioning gaze, organized his language and said:

"Because he was a trumpet player, his lungs were badly damaged because of the paralysis.

Therefore, if it is treated with heparin, it may cause bleeding in the lungs, and he will not be able to play his favorite trumpet in the future.

I would recommend that surgery be used and embolectomy to remove the blood clot is better for the patient.

This avoids lung damage, but surgery carries risks.

So if we do that, we can either cure his arm paralysis, or the patient will die.

But after my contact, I believe he will choose the latter. ”

House thought about it carefully, and Dewey did make a lot of sense.

But the risk of surgery is really high, and this choice has to be left to Giles himself.

"Is the patient awake? Du Wei, tell Giles of the risk. ”

……

When Giles, who woke up from a coma, saw Du Wei who came in again, he barely showed a pale smile:

"I heard that House forcibly rescued me in violation of the D.N.R. protocol? Then he's in big trouble. ”

Du Wei smiled, nodded and said:

"That's right, he's already received a court summons to appear in court.

That's not the point, though, the point is that Dr. House did a few tests while you were unconscious.

The test results showed that your arm paralysis was not related to A.L.S., that your arm was paralyzed because a blood clot in your brain prevented blood from flowing to the area of your brain that controls your arm.

So we just need to dissolve it or take it out, and you'll regain your perception of the arm. ”

Giles didn't show any excitement, he just calmly asked:

"What are the side effects?"

"If you use the dissolution method, your lungs may bleed, and you may not be lucky in the future.

With surgery, there are no side effects, only one risk, and that is either cured or ...... Die. ”

(Thank you Chris Weber, Sauce Sipid, Book Friends 20211103133517523 for the monthly pass, thank you!) ）