"Teacher Meng." Ji Xiang scratched his head, "This rare patient is difficult to deal with, what if there is a cardiac arrest on the way to the ward." ”

"Well, you know what if." Meng Qingfei smiled, "There are not many cases where there is an extremely serious pleural reaction in the next tube that leads to cardiac arrest and cannot be rescued. It's a bit conservative to say that, at least not once in my career as a doctor. ”

"It's like an urban legend, and of course, you're right to be careful."

"And if you take precautions early, I'll send it over with a first-aid kit, and if the surgery department comes to an emergency rescue during this period, what do you say?"

"A few more doctors? Hehe. ”

It would be cumbersome to say this again, so Meng Qingfei changed the topic.

"Xiaoji, let me ask you a common thing."

"Teacher Meng, you say."

Meng Qingfei was not in a hurry, he went to wash his hands first, and then wiped his hands vigorously on the buttocks of the white clothes, and the two black marks became more and more obvious after being soaked in water.

Back in the duty room, Meng Qingfei opened the window, and the cold wind outside the house poured in all of a sudden.

"That's not good for smoking, the winter in the Northeast is too cold, and the ventilation is not good. I rarely smoke when I'm on duty. Meng Qingfei explained.

But in the next second, Ji Xiang had already taken out a cigarette and handed it to Meng Qingfei.

Meng Qingfei took a puff of cigarette and asked, "Xiao Ji, you must have encountered a case in the ward where the patient's family refused to be rescued, right?" ”

Ji Xiang nodded.

"Let's assume a common scenario, let's say a patient is terminally ill and can only breathe on a ventilator. Due to the high cost of the ICU and the financial conditions of the patient's family, among other factors, the patient's family decided to abandon the treatment after comprehensive consideration. ”

"Tell me what you'd do if something like this happened."

Meng Qingfei held a cigarette in his hand, looked at Ji Xiang deeply, and asked a common clinical situation.

This question is not difficult, Ji Xiang thought about it and said seriously, "I will first find all the patient's immediate family members to see if their attitudes are unified."

If it is not unified, it will go to the medical office.

If it is unified, I will write a relatively strict communication of the condition, and mark the words that the patient's family asks to give up and be responsible for all the consequences.

The signature form must be signed by all the patient's immediate family members and fingerprinted, in duplicate, one copy of the medical record and the other copy for my own keeping. ”

Meng Qingfei listened to Ji Xiang say a lot, and nodded with satisfaction.

Ji Xiang's disposal is not leaky, but it is also decent. Especially in duplicate, having one copy for one's own keeping, this may seem like a pointless move, but it can avoid a lot of accidents.

I didn't expect Ji Xiang to be so old and spicy.

But Meng Qingfei was still not satisfied, he continued to ask, "According to what you said, the patient's family members are all cooperative, you leave a signature slip in the medical record, lock one in your cabinet, and then what." ”

"That's just going to have to be extubated." Ji Xiang said with a little regret.

"Oh?" Meng Qingfei smiled playfully, "If that's the case, the patient will die." ”

Ji Xiang was slightly stunned.

"There is a clause in the doctor's guidelines that the patient's life cannot be harmed in any way.

Although the family signed to abandon the treatment, the doctor pulled out the ventilator, which indirectly led to the patient's death.

As for you, you have the signature and consent of the patient's family in your hand, but whether this communication has legal effect, if the patient's family has bad intentions and bites back at that time, the court may decide how it will be judged. ”

“！！！” Ji Xiang's eyes narrowed into a slit.

Meng Qingfei's words made his heart thump.

"But let's think about it from another angle - the patient's family cannot afford the cost of treatment, and there is no corresponding institution to solve the cost problem.

Emmmm, should this be a doctor's concern? Wipe! ”

Meng Qingfei complained.

"The patient's family insisted on giving up treatment, and the doctor was authorized by all the immediate family members, and there was no subjective intention to cause the patient's death. It also helped the patient, and there should be no mistake in the law. ”

"Let's talk about how you can minimize your risk." Meng Qingfei crossed Erlang's legs, held a cigarette, and asked in a dangling manner.

The last sentence is a bit winding, but Ji Xiang understands it in seconds.

There is nothing difficult to understand, the focus is on the patient's death after extubation, assuming that the patient's family does not admit it, how can they be sure that they are okay if they bite back.

Mr. Meng Qingfei was telling himself about his clinical experience.

Ji Xiang contemplated solemnly about a cigarette.

But in the end, Ji Xiang shook his head, he couldn't think of a better way.

What I just said is already very thorough and complete in Ji Xiang's opinion, and the rest depends on fate.

However, he tied his future to the patient's family as an inappropriate person, and Ji Xiang didn't think it was right.

"When I was young, I met a similar patient, and I didn't understand the treatment of the senior doctor at that time, but every time I recall the treatment in the past ten years, I always feel wonderful."

Ji Xiang pricked up his ears like Shen Lang and listened carefully.

"The patient is still the patient who just said, my senior doctor first communicated cordially with the patient's family, and it was not easy to empathize with the other party, and he said a lot of nonsense, but nonsense can pull into the feelings between each other."

"Of course, the signature still has to be signed."

"The senior doctor didn't extubate directly, but asked a lot of relevant questions when talking nonsense. After learning that the patient's family did not have the habit of going home to get dressed, he asked the patient's family to go to the pharmacy opposite the hospital and buy a leather ball. ”

The ball is the thing that anesthesiologists often pinch.

"Extubation is the last step, and automatic discharge is done before extubation. That's right! You're missing one thing – the patient's family asks for voluntary discharge. When you look at my memory, you feel that you have said something less, and you forget it in the blink of an eye. ”

"Uh......" Ji Xiang was slightly stunned.

"There are so many benefits to being discharged from the hospital." Meng Qingfei seriously told Ji Xiang a lot of things about automatic discharge, and then continued, "After completing the discharge procedures, I will be extubated again, and the patient will be sent to the disposal room while pinching the ball of the patient's family. ”

"Next, give the ball to the patient's family and let them pinch it themselves."

As he spoke, Meng Qingfei looked at Ji Xiang's eyes and did not continue.

Ji Xiang knew what Meng Qingfei meant, this was a test of himself.

He has already said it thoroughly, and the rest will be added to himself.

"The patient's family pinched the ball, and the patient still had a breath, and it was said that the person was still alive when he was discharged from the hospital. After that, when the patient's family is tired, it has nothing to do with the hospital and the doctor in charge of the bed. ”

Meng Qingfei didn't praise Ji Xiang, but sighed, "You say, what do we think about every day." With this kind of spirit, shouldn't you delve into business? ”

This old groove is only understood by doctors.

Ji Xiang was also very helpless.

"That's about it, you have to remember that it's important to be discharged automatically." Meng Qingfei said, "There are a lot of involved, and when it comes to automatic discharge, you can basically determine the mind of the patient's family." ”

Ji Xiang nodded cautiously, he understood what Meng Qingfei meant.

"Well, that's all there is to say, there's no point in going on." Meng Qingfei stretched his waist, "You go back, I'll rest early, your brother and I will do a big thing tomorrow!" ”

Ji Xiang asked curiously, "Teacher Meng, what's the big deal?" ”

"Buy a car." Meng Qingfei laughed.

"Oh, that's right." Ji Xiang didn't have the slightest interest in buying a car or anything like that, but he was infected by Shen Lang's gossip atmosphere, and with the words Meng Qingfei said just now, he still asked with interest, "Mr. Meng, what good car are you going to buy?" ”

"You look like I look like a good car owner?"

"No matter how you say it, they are all doctors from the Second Affiliated Hospital, and they are not far behind."

"Don't be, the doctors in the Second Affiliated Hospital also have to see which department it is. Orthopedics, circulatory interventional surgery, oncology, plastic surgery, and stomatology are all first-class departments. ”

"By the way, do you play Texas Hold'em?"

Meng Qingfei directly pulled the topic to the sky.

"Occasionally, I don't have much interest, I don't like bluffs." Ji Xiang said honestly.

"It's not about Texas Hold'em technology, and in many of the videos, there's a dentist guy. According to the UP master, he loses hundreds of thousands of dollars every week. ”

"Well, dentists are quite rich in this way."

"After all, it's a dentist." Meng Qingfei said, sighing deeply, "I was wrong back then, there were no practice requirements at that time, so I should have transferred to the oral cavity." If you go to the oral cavity, you can't do any tumor surgery with dry mouth surgery, and you must repair your teeth. ”

"If I had the knowledge I have when I was younger, I wouldn't have to buy a murder car."

Ji Xiang's ears moved, "Murder car? What murder car? ”

"The kind that has had an accident and has died."

“！！！”

Ji Xiang was stunned.

This kind of car can still be sold?!

And this kind of car, Meng Qingfei Teacher Meng even dared to buy it?

"I know a buddy, doing business is real, a murderous car is a murderous car, and people don't shy away from it at all. It's like a person who sells a murderous house, and he made it clear from the beginning that it's good. ”

"It's cheap?"

"I bought a murder car that had a major accident, and the previous owner also died, and this Mercedes-Benz is only 7 years old, and it is sold as scrap iron."

Teacher Meng...... Not good. Ji Xiang frowned and persuaded.

"Harm, after the founding of the People's Republic of China, you are not allowed to become a fine, why are you worried about this. Besides, when I was younger, I was a great master of socialism. ”

“……”

Ji Xiang disagreed with Meng Qingfei's attitude.

If you don't believe in it, you still have to stay away.

And Meng Qingfei is talking nonsense, what kind of archmage, but his attitude is really not to believe it.

"Teacher Meng, are you reliable, don't have an accident." Ji Xiang still wants to persuade.

"Come on, come on, show you this buddy." Meng Qingfei smiled and took out his mobile phone.

Find your bio.

[I have been in the second-hand car industry for more than ten years, and I have never sold a boutique car. The condition of the car is transparent, and it does not pit old iron and fans. Say a few dead, just a few! Eight characters are hard, not afraid of nightmares, not afraid of cheap come. 】

Finally, there is one more word - an important partner of the funeral home.

Emmmm。

Ji Xiang felt his skull buzz.

Maybe Shen Lang will like it, but Ji Xiang really doesn't like it.

"Awesome!" Meng Qingfei praised.

"According to the scrap iron sales, what kind of car are you going to buy tomorrow, Mr. Meng?"

"Mercedes GLE350."

Ji Xiang sighed, it turns out that this is the case, maybe the system can really know the cause and effect.

"Show you my car." Meng Qingfei has already used "my" to describe it.

Ji Xiang didn't persuade either, Meng Qingfei looked gentle and amiable, but he actually had a very stubborn temper.

[7-year-old Mercedes-Benz GLE350, major traffic accident, black dog has been detected, three dead in the back seat, the blood has not been cleaned, come to a person who is not afraid of things. 】

Damn it!

Ji Xiang cursed in his heart.

This guy who sells cars is really not afraid of big things, and what major traffic accidents and three deaths are clearly written, and even the blood is not cleaned.

Is this alternative marketing?

Perhaps.

Everyone sells boutique cars, and when they buy cheap cars, they don't know the condition of the car, but this kind of person who really explains it clearly is more likely to be believed.

But Meng Qingfei's courage is really big!

Although Ji Xiang is not very afraid, he is always uncomfortable.

"There's also interaction here." Meng Qingfei didn't seem to care, he opened the video with a smile and found an interaction.

This is a 13-year-old Mazda, two people have died, and the owner of the bought car left a message.

[Boss, why is the air conditioner still foaming blood. 】

The boss replied - [Isn't that normal, my car also has it, don't be afraid if the eight characters are hard, it's okay.] 】

Ji Xiang sighed.

Although he knew that there was a high probability that it was a joke between fans and the UP master, it was also a bit excessive.

"Teacher Meng, don't you count it? I always feel weird. Ji Xiang asked tentatively.

"Xiao Ji, I want to ask you something." Meng Qingfei lay down directly on the bed in the duty room, stepped on the edge of the ladder to go to the upper bunk, crossed Erlang's legs, and said leisurely.

"You speak."

"You say, many people go to the snow area and think that the blue sky, white clouds, and snow-capped mountains can cleanse people's souls. How do you explain this? ”

"It's normal, the hypocrisy of literary and artistic youth." Ji Xiang replied.

"Hahaha, I think it's a short circuit in the brain due to lack of oxygen, and I think of a lot of things, so I feel happy." Meng Qingfei's nonsense is very deep.

"Hahaha." Ji Xiang laughed.

"So, from a materialist point of view, it doesn't matter how many people have died in the car, it's just cheap. Then there is the fact that the engine has not been overhauled, and it can be driven back after being bought. ”

Ji Xiang deeply suspected that Meng Qingfei also lacked oxygen in his brain.

Well, can it be the same?

"Are there still fewer dead people in our hospital? To put it mildly, I've seen more dead people than otaku...... There are many familiar living people. Meng Qingfei said disdainfully.

"Teacher Meng, you are awesome, a pure materialist."

"What others say is business, but what I say is materialism."

Ji Xiang gave a thumbs up.

"Well, I won't talk to you, you should hurry up and go back to rest." Meng Qingfei turned over and wanted to send Ji Xiang away.

At that moment, an old lady came at the end of the hallway.

She covered her right hand with her left hand, and she could see blood.

Meng Qingfei sighed, slightly frustrated, "I'll deal with it, you go back first." ”

"Don't worry, it's too late for me to leave after I finish disposing of the patient." Ji Xiang immediately stretched out his hand.

Meng Qingfei was not too polite, and happily threw the key into Ji Xiang's hand.

After changing his clothes, Ji Xiang saw that Meng Qingfei was asking about his medical history, so he leaned over.

The medical history is very simple, the old lady was picking up garbage, and her hand was accidentally scratched by broken glass, and there was bleeding, so she came directly to the hospital to bandage.

Ji Xiang took the patient to the treatment room, turned on the floor lamp familiarly, and probed the patient's wound.

The wound is not deep, but it is relatively long, about 5 cm.

"Just two stitches." Meng Qingfei glanced at it and gave advice on how to deal with it.

"No, no, I'll bandage it, no sewing, no sewing." The patient hurriedly refused.

"It's better to get two stitches, it doesn't hurt, it's okay aunt." Meng Qingfei said politely.

"Not really."

Meng Qingfei glanced at Ji Xiang.

"Auntie, when you take anesthetic, it's like a mosquito bite, it doesn't hurt at all, don't worry."

Ji Xiang showed a friendly, pure smile.

"Uh...... I don't have any money, just bandage it, it's a minor injury anyway. The old man said with some embarrassment.

Meng Qingfei didn't speak, he looked at Ji Xiang and the patient with great interest.

Similar situations are very common in hospitals, and Meng Qingfei obviously wants to see how Ji Xiang handles it.

"Harm." Ji Xiang smiled, "Auntie, it's okay." In the middle of the night, I feel troublesome to open a bill and collect money, hurry up and finish with two stitches, you go, and I will rest. ”

"......," the old lady was stunned.

"But tetanus is still needed, and it's not expensive. Hurry up, it doesn't cost you anything to stitch up. ”

“……”

Ji Xiang persuaded a few more words, and then went to Meng Qingfei's locker to get a spare anesthetic.

Meng Qingfei just looked at it with a smile and didn't say a word superfluous.

Since he didn't want money, the old man didn't insist, Ji Xiang put on gloves to clean the wound, and then injected anesthetic and simply sutured two stitches.

I didn't even use it for 10 minutes.

Ji Xiang said with great satisfaction, "Let's go, I'll give you tetanus." ”

Waiting for the patient to get the medicine, Meng Qingfei smiled and asked, "I'm very good at doing favors." ”

"Old man, you still have to pick up rags, and it's more practical to sew two stitches."

Meng Qingfei laughed, but didn't say much.

"I also have the anesthetic." Ji Xiang scratched his head, he knew that it was not good for him to take Meng Qingfei's spare anesthetic, it was all sold out of his own pocket, so he said embarrassedly, "I'll send it to you another day." ”

Meng Qingfei waved his hand, "Xiao Ji, it's okay for you to do this when you are on the night shift in the emergency department, but the head nurse in the department is very strict." ”

"Oh, yes, no problem." Ji Xiang smiled, "The head nurse doesn't care about me." ”

"Huh?" Meng Qingfei was puzzled.

In the past ten years, the cost performance appraisal has become more and more stringent, and the income and expenditure of the department have to deduct the bonuses of the moths of the organs, and finally the performance award.

The head nurse turned into a miser one after another, not to mention stitching, even if it was a small disposition, staring at it tightly with a cotton swab.

Missed charges?

It simply doesn't exist.

Knock down a fierce head nurse who can stand in the hallway and point at the doctor who missed the bill for an hour.

But Ji Xiang said that the head nurse didn't care about him.

"Is your head nurse so gentle?" Meng Qingfei was a little confused.

Whether it is the head nurse of the urology department or the head nurse of the orthopedic department, it seems that they have nothing to do with gentleness. Meng Qingfei was a little puzzled, could it be that Ji Xiang's appearance has reached this level?

"I wrote two SCI articles for the head nurse." Ji Xiang said casually.

“……”

Meng Qingfei burst into tears.

It turned out that Ji Xiang had already paid all the expenses, and he still advanced in advance and made a generous move.

It's amazing!

This is smashed with money!

If you want to be the head nurse, you will definitely not worry about Ji Xiang because of this.

Even if Ji Xiang pokes a hole in the sky, as long as he is not seriously injured, he can protect Ji Xiang.

But this thing can never be replicated, and Meng Qingfei doesn't want to replicate it.

"Awesome." Meng Qingfei gave a thumbs up and praised Ji Xiang as if Ji Xiang had praised him for buying a murder car.

There are two SCI two works, and there are no professors, but Ji Xiang casually took them to the head nurse.

"Hey, it's okay." Ji Xiang smiled, "I'm also here to be comfortable while working, otherwise there are too many rules in the department now, and it's inconvenient." And SCI papers, as long as there are not many citations, it doesn't help me much, buy a comfortable one. ”

"Who told you?"

"Nobody told." Ji Xiang recalled empathizing many times, but there was no way to tell Meng Qingfei about this matter, so he could only perfunctory, "By the way, the main thing you told me was Mr. Meng." ”

“……”

"It's kind of a lesson by word and deed."

"I'm not that generous." Meng Qingfei said disdainfully.

"Then I'll go, Mr. Meng." Ji Xiang didn't argue with Meng Qingfei either, and waved goodbye.

"Okay, let's go."

Seeing Ji Xiang leave, the night nurse grabbed Meng Qingfei, "Brother Meng, are you charged?" ”

"Forget it." Meng Qingfei said, "It's not easy for the old man to pick up rags in the middle of the night, so be it." ”

"You explain to the head nurse early tomorrow morning." The little nurse simply threw the pot to Meng Qingfei.

Meng Qingfei was also very helpless, although this was Ji Xiang's pot, but in the end it fell on him, and he had to solve it.

Alas.

Meng Qingfei sighed and pondered Ji Xiang's means of sending favors.

It's really hard to replicate.

Thinking of the clinical experience he told Ji Xiang, and Ji Xiang's way of dealing with the old man who picked up rags, Meng Qingfei felt a little greasy.

Perhaps when people reach middle age, not only will their skin be oily, but they will also be more greasy when they do things.

It's still good for Ji Xiang, he is young, he is refreshing and crisp in his work, he has very few concerns, and he goes all out.

Meng Qingfei was envious of Ji Xiang to the core.

I don't know where this kid can go in the future.

……

Late at night, in the magic capital, a group of people were still in a meeting.

The old man who witnessed Li Cailing winning the championship sat in the corner and listened to the experts of Huashan Hospital in the magic capital talk about his understanding of the athlete's condition.

The national sprint team has been having a bad time lately, and it is about to play the Diamond League, but two big players have been injured one after another.

There are still a little more than two years to go before the Olympic Games, and the General Administration is ready to let them hone for two years to win gold and silver in the subsequent Olympic Games.

Locally, they also want to show their strength in this year's National Games.

But no one expected that the front and back feet were seriously injured, and it was also the kind of serious injury that athletes were most afraid of ruptured Achilles tendon and affected their careers.

Experts at Huashan Hospital recommend that athletes be sent to Wellington Hospital in the United Kingdom or some hospitals in the United States to complete the surgery.

Although the effect is ...... It's hard to put into words, but after all, it is the world's top hospital for sports medicine, and there is no better way.

But now the old man has another choice.

(End of chapter)