769 Changing the way of living
"Xiaoji, what needs to be done to improve the success rate of the operation?" Deng Chaohong asked.
Obviously, Deng Chaohong is quite concerned about this.
Ji Xiang was curious, Deng Chaohong seemed to have something wrong today.
Deng Chaohong hesitated a little after seeing Ji Xiang's gaze, and said directly, "Recently, several of my classmates have been contacting me and asking me about the recovery process of our patients after surgery, and even every physical examination is very detailed. ”
"I feel like they're coveting it."
"I didn't participate in Neymar's surgery, but I didn't understand Zhao Dali's surgery at the time, and I have been paying attention to this young man since then. His recovery can be said to be very good, if ......"
Deng Chaohong hesitated, but still told the truth.
The value of this procedure is clear not only to sports medicine specialists, but also to general orthopedic surgeons.
I definitely can't think that Ji Xiang doesn't know, if that's the case, he will take people too seriously.
Ji Xiang smiled and did not interrupt Deng Chaohong's words.
"It's still to make money." Deng Chaohong said calmly, "I think Xiaoji, your surgery is still biased towards post-embolization and resection of kidney cancer." ”
Speaking of this, Deng Chaohong himself was embarrassed, he rubbed his hands and smiled again and again.
It's like being with my mentor many years ago.
"It's really lucrative to operate on athletes, especially top athletes." Ji Xiang said with a smile, "Teacher Deng, the operation is definitely fine." ”
"The difficulty is to destroy the capillary network as little as possible, and the previous surgical procedures were too rough."
Deng Chaohong was embarrassed.
"It's good if you have more experience, and if someone asks you for surgery, I'll give you a table."
Finally!
Deng Chaohong received an affirmative reply from Ji Xiang.
Although he was a little embarrassed, Deng Chaohong couldn't care about it so much.
Now the vast majority of people know that their "students" took a casual shot and completed Neymar's surgery, and Neymar is recovering well.
If I had done it myself as a teacher, the surgery would have been better!
Deng Chaohong smiled, slightly embarrassed.
There is no shame in being able to earn some points and make money with Ji Xiang's hands.
"Xiao Ji, what do I say to the general manager?"
"I'm just an assistant, you're a teacher, and you do the surgery, and the success rate is not low." Ji Xiang replied very politely, just in line with Deng Chaohong's intentions.
"Really...... It's really ......" Deng Chaohong rubbed his hands, not knowing what to say.
"When are the patients coming?" Ji Xiang asked.
"I didn't say it, I guess I might have to go to the magic capital."
"Oh."
Deng Chaohong saw that Ji Xiang was a little reluctant, so he hurriedly persuaded, "Xiao Ji, there are many large tertiary hospitals in the magic capital, and the level is also high, and the income is higher, so it would be better to change the platform." ”
"I ...... There is no shortage of money. ”
“!!!”
Deng Chaohong was stunned and sighed deeply in his heart.
There is no shortage of money, this reason is really enviable.
However, Deng Chaohong knew that Ji Xiang was definitely not talking nonsense, a SCI paper cost tens of thousands of yuan, and if it was sold for 10,000 yuan, it would be a big favor, but Ji Xiang actually smiled slightly, didn't care, and gave it away.
The gap between people and people is really big, Deng Chaohong thought about it, and the sadness in his heart flowed backwards.
However, he soon became happy, if Ji Xiang was short of money, where would he still have such a good opportunity.
Deng Chaohong was thinking about it when his mobile phone suddenly rang.
"Hello?"
"Ahh Where is it? ”
"Okay, good, it's coming soon!"
Deng Chaohong hung up the phone and ran out hurriedly.
"Xiaoji, I'll go to the intensive care unit."
Deng Chaohong ran a few steps and found that Ji Xiang was following him behind him. This kid is really a good believer, Deng Chaohong thought to himself.
While waiting for the elevator, Deng Chaohong took the initiative to say, "Once upon a time, the daughter of a nurse in the department was sick, and she should consider taking medicine." ”
"People are all right."
"Not good, no breathing on their own." Deng Chaohong frowned, "I am in the intensive care unit, and I say that I am likely to be brain dead." ”
Brain dead!
Vegetable!!
Ji Xiang was slightly stunned.
Arriving at the door of the intensive care unit, a middle-aged woman squatted on the ground, covering her eyes with her hands, tears streaming from between her fingers.
"Qu Dan, what's going on." Deng Chaohong asked.
"Brother Deng, I don't know. The child was studying at home, and when I went to deliver the fruit, she smiled at me and fell to the ground when she turned around. I...... I ......"
"I'll take a look."
Deng Chaohong did not comfort the middle-aged woman, but entered the door of the intensive care unit.
Ji Xiang followed Deng Chaohong, put on a sterile suit, changed his shoes, and strode in.
After asking about the situation, Deng Chaohong and Ji Xiang were dumbfounded.
The director of the intensive care unit considered that the patient had taken an oral overdose of the drug, which should be suicidal. I haven't been breathing on my own since I was sent to the hospital, and now I still haven't, considering brain death, I'm already in a vegetative state.
The patient is now on a ventilator and is fine for the time being.
Deng Chaohong tightened his eyebrows and sighed.
"Director Lei, is there any salvation?" Deng Chaohong asked.
The director of the intensive care unit had a straight face, "Although the rescue is timely, the current situation is not optimistic." ”
Not optimistic, these three words have many extended meanings, and in the current context, they can basically be understood as a high probability of brain death and a vegetative state.
Ji Xiang quietly went for a simple physical examination, and the patient's nerve reflex was indeed like what Director Lei of the intensive care unit said, which was not optimistic, and the score was almost zero.
The diagnosis of this patient is relatively simple, but this age is quite embarrassing.
After cardiac arrest, although the patient has regained his spontaneous heart rate, he is still in a deep coma, unable to breathe on his own, and has low blood pressure, requiring vasopressors to maintain blood pressure.
Now she has a tube in and is on a ventilator to help her breathe.
With the operation of the ventilator, the patient's chest wall fell together, and this scene made Ji Xiang's heart empty.
Deng Chaohong didn't have much to do, he asked about the situation and went out to talk to the patient's family.
When something like this happens, the doctor can only comfort him.
It was obvious that Deng Chaohong's mood was not good, and half an hour later, he took Ji Xiang away with red eyes.
"Xiao Ji, this nurse was a good hand at her work back then. It's a pity that it's an out-of-establishment person. One year I went crazy in the hospital, and it was ...... All doctors and nurses in the hospital who are not staffed have to go through the year of labor dispatch. ”
Ji Xiang vaguely knew that in order to avoid many things, the doctors and nurses who did not have the establishment were managed by a labor company, and the labor company signed a contract with the hospital.
"At that time, the hospital didn't understand it, and the nurses were all dismissed. The people who came in the back were a bit lazy, so every time we had an accident, we missed them. Although I don't work here anymore, I still try to help as much as I can over the years.
Every year, I also find a few of them to eat together and catch up. But who would have thought that such a thing would happen. ”
Deng Chaohong said and sighed.
He didn't say much about labor dispatch, just explained a background, and then came to the fire escape, and was just about to touch the cigarette out, and the cigarette case had been handed to him.
Deng Chaohong took the cigarette, his mood was very bad, "Xiaoqu has not been easy these years, her daughter is said to have good grades, and when she was admitted to a key high school, several doctors and nurses who were familiar with us also drank a drink to celebrate." ”
"Who would have thought...... Alas. ”
"The children are under a lot of pressure, and when I was an intern, I met a high school student who jumped off the building because he took the second place in the school year and couldn't accept that someone had a better score than her." Ji Xiang said.
Deng Chaohong shook his head.
"Teacher Deng, do you think you have a chance to wake up?"
"Nope." Deng Chaohong gave an affirmative answer.
"But you asked the patient's family to go home and find the medicine box to see what kind of medicine they were taking, and if there was a miracle?"
"I hope, but just the two of us, to be honest, there's no hope. The score of the neurology examination is very low, no play, and it is estimated that it is a vegetative person. ”
Deng Chaohong took a deep breath of cigarette, as if he forgot to spit it out, he was silent for a long time, and finally sighed.
But no smoke came out.
"Teacher Deng, this can't be helped." Ji Xiang hadn't experienced anything like that, he didn't know how to comfort Deng Chaohong, so he could only say dry words.
"Harm." Deng Chaohong eased his nerves, "It's all fate, it's okay." The child is still young, what the is taking medicine! That's all scary!! Every year, nurses in the hospital have to take medicine at least three or five times a year in order not to work night shifts. ”
"Just scare and scare people, why eat yourself into a vegetative state."
Deng Chaohong has always been elegant, and Ji Xiang is also the first time to hear him scold.
"Then there are the people who drink paraquat...... Forget it, don't mention it. ”
Deng Chaohong's joy was swept away just now, and after he finished speaking, he fell silent, smoked a cigarette, and went back.
Since then, Deng Chaohong has gone to the intensive care unit every year to have a look.
The intensive care unit issued several critical illness notices and informed the family that the patient had no signs of brain resuscitation, had a very low nervous system score, and preliminarily judged that the outcome might be brain death.
A day later, Ji Xiang followed Deng Chaohong to the intensive care unit again.
"Brother Deng." The middle-aged woman's eyes were full of bloodshots, and her complexion was extremely bad, she lowered her head and said to Deng Chaohong, "Thank you." ”
Deng Chaohong was stunned for a moment, he seemed to realize what was happening. Deng Chaohong's lips moved, but he swallowed back when the words came to his lips.
"The child is probably gone, so I discussed with her father that instead of being a vegetative person with ventilator-assisted breathing, it is better to change the way of living."
"Organ donation?" Deng Chaohong asked in a hoarse voice.
The middle-aged woman nodded.
"Do you want to wait?"
"I knew it when the doctor issued the critical illness notice." The middle-aged woman said blankly, "Brother Deng, what they mean is that Xiaoyu must be a vegetative person, even if she can be offline in the future." ”
"The cost of the intensive care unit is too high to afford. There is no such condition at home, even if you regain spontaneous breathing, you can't afford to take care of brain death at home, so be it. ”
Ji Xiang lowered his head.
The woman whispered that this was it, she didn't cry, she didn't feel relieved, she just explained one thing, one decision.
"Okay, now that you've decided...... Call me if there's something. Deng Chaohong said softly.
"Yes, Brother Deng. During this time, I have worked hard for you. ”
Do you want to find a new meaning in life by changing your life and doing organ transplants?
Ji Xiang didn't understand, he thought of the system NPC.
"The organ donation coordinator of the First Affiliated Hospital will come in a while, I don't know the specific process, Brother Deng, you are busy, this point is about to be handed over. When the matter is over, the two of us will find you for dinner. ”
"Okay, you ...... festival" Deng Chaohong didn't even finish the word mourning.
Ji Xiang endured and endured, and after leaving, he asked, "Teacher Deng, the intensive care unit is more than 10,000 a day, and I will see it for two more days." ”
"Hey." Deng Chaohong bowed his head and walked towards the ward.
met Director Liu head-on, and he was surrounded by Zhou Tianbo.
Ji Xiang was slightly stunned, Professor Zhou Tianbo and Professor Zhou did not greet Ji Xiang, but came to the patient's family and bowed deeply.
"Teacher Deng, you go back first, and I'll take a look at Director Liu."
"Okay, don't worry, I'll do the surgery first." Deng Chaohong was in no mood, and after finishing speaking, he kept his head down and left.
"Director."
"You and Professor Deng came to see the patient." Director Liu whispered, "Zhou Tianbo came to assess the patient's kidney function, and the organ donation coordinator will come over later." ”
Ji Xiang was in an extremely complicated mood.
Director Liu was the same, just briefly described the situation with Ji Xiang, and the two were silent at the same time.
Although Professor Zhou Tianbo did not speak, he expressed his respect through body language.
He was then admitted to the intensive care unit.
After checking the patient's condition, Zhou Tianbo did not speak for a long time.
"Professor Zhou, the patient's kidney function seems to be okay." Director Liu asked.
"It's fine, but I've always felt a little weird." Zhou Tianbo frowned, completely different from the stereotype that Ji Xiang left when he saw him for the first time in a private hospital.
"How?"
"The patient's family seems to be a former nurse at the Second Affiliated Hospital, right?"
"Yes." Director Liu said, "I heard that I used to be a nurse in the orthopedic department. ”
Zhou Tianbo did not continue.
"The first time to rescue, the patient was reluctantly sent to the emergency department, and then to a serious illness. Professor Zhou, do you have any doubts? ”
"Yes...... No. Zhou Tianbo looked solemn.
Ji Xiang's heart moved.
Prior to this, Ji Xiang and Deng Chaohong examined together, and the patient was in a deep coma and had a spontaneous heartbeat, but did not breathe on his own. The nerve reflex score is extremely low and can be diagnosed as vegetative.
But Zhou Tianbo's intermittent questioning made Ji Xiang feel a little doubtful.
Ji Xiang silently turned around, came to the corner, pretended to look out the window, and entered the system space with bated breath.
"The kidney function is okay, it can be used, talk to the patient's family, and prepare for surgery."
Ji Xiang had just come back to his senses when a familiar but annoying voice sounded in his ears.
Wevoth!
How is it him again!!
Ji Xiang sighed.
"Don't worry, let's take a look first, I have some ideas about this patient." Zhou Tianbo hugged his shoulders and held his cheeks, and whispered.
"Lao Zhou, although he is a patient taking medicine, his kidney function has not been damaged, should you dare to do it." Wills asked.
"No, the main patient ......"
"Patient, can you tell me what's wrong with my kidney function?" Wevos asked.
"The patient should not be in a vegetative state, Professor Zhou, you think so." Ji Xiang walked over and interrupted Wei Fusi's words.
“!!!” When Wei Fusi saw Ji Xiang, he seemed to feel the same as Ji Xiang, he wanted to look at both sides, and he felt disgusted when he looked at each other.
"The patient was in a coma at home and then went into respiratory and circulatory arrest, because the patient's family was a medical worker, and CPR was performed as soon as possible until the 120 ambulance arrived."
"In the emergency department and intensive care unit, rescue was also carried out until intubation and ventilatorization."
"What are you going to say? Did you check the physical examination? Do you know what the Patient Neuroreflex Score means? Wei Fusi said directly with disdain on his face, "I am in a deep coma, and I haven't breathed on my own until now, what are you talking nonsense." ”
"Lao Wei, I also think that the cause of the patient's coma is the drug, plus he has been doing cardiopulmonary resuscitation, so he can't easily diagnose brain death." Zhou Tianbo took a deep look at Ji Xiang, hesitated slightly, and still chose to stand on Ji Xiang's side.
"Old Zhou, why are you fainting too?" Wevos was a little angry.
"The possibility of patient brain resuscitation needs to be reassessed."
Ji Xiang and Zhou Tianbo gave the next plan in unison.
Wei Fusi looked at Ji Xiang coldly and pouted, "Xiaogui Peisheng, you're crazy." Lao Zhou, shouldn't you have come here to help for a year, have done less surgery, and have no confidence in yourself? ”
Zhou Tianbo sighed and shook his head.
"The patient's family agreed, the patient was assessed as deep coma, did not breathe on his own, and his kidney function was up to standard, and I felt that he could do an organ transplant." Wevos did not hesitate to give his opinion.
"Let's wait." Zhou Tianbo raised his head and looked directly into Wei Fusi's eyes.
"What's there to wait for? and other rescue drugs accumulate in the kidneys, resulting in renal insufficiency? Or wait for the patient to stay in a serious condition for thirty or fifty days before making a decision? ”
Wei Fusi looked at Zhou Tianbo's eyes very dissatisfied, and finally said in a deep voice, "Old Zhou, you used to be responsible, why haven't you seen you for a few months, and you have become a girl." ”
"It has nothing to do with the decision, I agree with Xiao Ji that the patient needs to be further observed."
"You!" Wei Fusi was a little angry, "Are you dissatisfied with the person who receives the organs?" To wait? ”
Zhou Tianbo was dumbfounded and didn't know how to explain this.
"Lao Zhou, all the formalities are complete, you ...... You...... It's amazing! Wei Fusi faced Zhou Tianbo's questioning, and he didn't want to turn his face, so he stomped his foot one last time, turned around and left.
"Old Wei, you wait for me." Zhou Tianbo hurriedly followed.
"Xiao Ji, do you think there is still salvation? I have seen many similar patients, even if they are rescued, have spontaneous breathing, and end up in a vegetative state. Director Liu frowned slightly.
"Huh?!" Ji Xiang looked at Wei Fusi's back in a daze.
"Many years ago, there was an 18-year-old guy who was repairing his car, and there was something wrong with the equipment, and the car fell off and slapped directly on his body. Cardiac arrest, rushed to the hospital for rescue, vital signs were back, but brain dead. ”
"Because he is an only child, the patient's family has refused to give up. It has been more than ten years now, and the patient is still lying at home. The nurses in our department are taken in every two weeks to change the urinary catheter and do urinary catheter care. ”
"So long! Do you have bedsores? Ji Xiang was surprised.
"No, the nurse said the boy was fat." Director Liu sighed, "I don't know which is right or wrong, it's really hard to say this kind of thing." It's normal for you to be young and soft-hearted, but it doesn't make sense after all. ”
Although Director Liu said that he didn't know what was right and who was wrong, the last sentence had already indicated his attitude.
"Director, I just think the patient can still be saved."
Director Liu glanced at Ji Xiang helplessly.
Maybe when you first started working, you thought about having a perfect solution.
This is Ji Xiang did not see the patient who wanted to receive the kidney, and if he saw the other party, he did not know how to choose.
"Let's go, it has nothing to do with us. Xiaoji, do you know why I didn't choose to have an organ transplant? Director Liu asked.
Ji Xiang understands that Director Liu is definitely not because of insufficient level.
In urology, kidney transplantation is not the most difficult procedure.
It is estimated that Director Liu and the system NPC have similar ideas.
Director Liu saw that Ji Xiang didn't speak, and he didn't bother to explain. The topic of organ transplantation, no matter what, will cause a lot of unnecessary trouble and controversy.
Therefore, he was reluctant to touch this technique and save trouble.
If the 3D printed organs are really formed, the surgery is not just done by picking it up.
"Let's go." Director Liu patted Ji Xiang on the shoulder, "It has nothing to do with us, Director Bai is just trying to make some technical reserves, and he doesn't want to cause trouble." It's a boring thing to put it bluntly. ”
"Oh."
Ji Xiang and Director Liu walked out of the door of the intensive care unit.
When he went out, Ji Xiang saw Wei Fusi bowing and saluting.
Doctors and nurses have a high level of respect for organ transplant donor patients, their families, and doctors.
"We have a little different opinions, what do you think?" Wei Fusi asked politely.
Although he didn't look down on Ji Xiang, he didn't look down on the patient's family.
"We agreed to an organ transplant." The middle-aged woman said flatly, "You have my phone number, just call me if you have a decision." ”
"Calling? You ......"
"I can't take a leave of absence." The middle-aged woman recounted the fact very blandly, "Today's day shift, the unit only let me go for one morning." ”
Wei Fusi looked horrified.
He hesitated, his expression uncomfortable as if he had eaten a fly.
"Teacher Wei, Teacher Zhou, then I'll go first." The middle-aged woman bowed and said very respectfully.
Watching the woman leave, Wei Fusi frowned and said in disgust, "There really are such patient families!" ”
"Alas, old guard, don't say a word."
"Her heart is so hard, her daughter is about to die in the intensive care unit, and she still has to go to work!"
Wei Fusi's voice was not loud, but the feeling of respect just now was gone, and there was only disgust and disgust.
Ji Xiang was also stunned.
"Director Liu?"
"Do you have surgery?" Director Liu asked with a flat expression.
"Yes, but don't worry, Professor Deng and Dr. Lin are already on board." Ji Xiang knew that Director Liu had something to say to him.
"Come to my office."
Ji Xiang didn't say anything, he could sense that something was wrong with the atmosphere.
followed Director Liu to his office, Director Liu sat down and looked at Ji Xiang for 20 seconds.
20 seconds is not a long time, but it makes Ji Xiang feel very embarrassed.
"Director, do you have anything to point out to me?" Ji Xiang had no choice but to ask questions.
"Do you think the same way as Professor Weswell?" Director Liu asked very flatly.
"I just think it's a little weird."
"I'll tell you something." Director Liu looked at Ji Xiang and said softly.
(End of chapter)