"I have a friend who is a loving husband and wife and has never quarreled in his life. But when his wife was in her thirties, she had cancer, which was very malignant, and she died in two or three months without any crime. ”

"At that time, I thought that my friend would not be able to stand the stimulation and the whole person would have a nervous breakdown. So when he knew that his wife was going to fail, he hurried over to comfort him so that there would be no accident. ”

"But it's the opposite."

Director Liu slowly told Ji Xiang about the past, and Ji Xiang listened carefully.

After experiencing empathy many times, Ji Xiang can easily substitute himself into it, but he does not let himself be lost.

"My friend was very indifferent to his wife's death, and he was very polite and polite to relatives and friends who came to see him off, and he was no different from doing things as usual. There was even a moment or two when I felt a little dazed.

No, I thought at the time, could it be that the love between husband and wife in the past was an illusion? ”

"I've heard other people say that he might have someone out there, or that he doesn't want to spend money on his wife's medical treatment, but it's not like that, at least from my point of view."

"On the day of the funeral, my friends still had a habitual smile on their faces when they talked to people, in short, it was completely different from everyone's imagination, and I couldn't see the sadness."

Saying that, Director Liu looked at Ji Xiang, Ji Xiang's face was calm, and there was no change.

After that, after about half a year, people began to introduce him to girlfriends. My friend is widowed, although he has a child, after all, he is not very old, and his income, figure, appearance, temper, and status are all considered first-class. ”

"But no matter what kind of person he introduced, even if it was a college student in his twenties who had just graduated, he would directly refuse and not look at it."

"Later, there was a rumor that he had someone outside early in the morning, and he had a nose and eyes, and I almost believed it."

"Rumors, how evil they spread, everyone seems to like this."

Ji Xiang thought of Shen Lang.

Brother Lang...... It seems to be somewhat similar to the people in Director Liu's mouth, but it is very different.

People know that in their hearts.

"Another year passed, and a lot of the rumors were dispelled. One day when we were having a meeting, we talked about the time when we were young, and there was nothing to reminisce about, but he suddenly cried bitterly.

The one who cries is called miserable.

I'm kind of well-informed, but that day scared me, and I never saw him cry like this. ”

“！！！”

Ji Xiang was stunned for a moment.

A year and a half, a full year and a half!

Director Liu's friend's mood collapsed for a year and a half before it was released.

"It doesn't matter later." Director Liu said lightly, "Later, when I recalled this incident, I guessed that it was a kind of self-protection before my friend's indifference. People have a subconscious instinct for self-preservation. ”

"But I can't tell you the specifics, but I guess he subconsciously wanted to forget about it at the time, so it wasn't until time passed slowly that it finally broke out one day. But after all, after a year and a half, the wound is almost over, and the whole person will not go crazy. ”

Ji Xiang sighed.

"Director, what about the future?" Ji Xiang asked like Shen Lang.

"Now he is still alone, and whoever persuades him to find another one just shakes his head, which doesn't mean that at all. Last year, his son was admitted to college, but he still has no idea of finding a girlfriend or getting married again. ”

In his words, after getting married, he had to take away all the photos of his wife, and the home was not like a home, but it was better now. When he saw the photo, he thought his wife was still there. ”

The words were very flat, but Ji Xiang could feel a huge force enveloping him.

After thinking about it, Ji Xiang suddenly asked, "Director, have you read Turgenev's "Cabbage Soup"? ”

"Cabbage soup? Pearl jade white jade soup? ”

"It is a short story about the sudden death of the best young man in the village, and the mistress of the village, when she heard what had happened to the young man's mother, went to visit the old peasant woman and tried to comfort her."

The old woman, who had just lost her son, stood at the table, in the very center of the hut, and raised her right arm unhurried and calmly.

Scoop the light cabbage soup from the darkened pot and drink it spoonful-by-spoonful.

Her face was sunken and dark, and her eyes were swollen and bloodshot, but she stood solemnly and straight, as if in church. ”

Ji Xiang was at his fingertips, and Director Liu knew that he was reciting an unpopular short story.

This kid has a really good memory, and the short stories he found at random are very consistent with the "story" he just told.

"Oh my God!" The hostess thought, "At such a moment, she can still drink the soup, why is this person so indifferent, doesn't she know the warmth and coldness of the world?" ”

At this moment, the hostess remembered that a few years ago, when she lost her little daughter, who was only nine months old, she refused to go to the dacha near Petersburg to escape the summer because of her grief, and spent a whole summer in the city!

Director Liu listened silently.

Although I haven't read this, although Ji Xiang is just a retelling, from the expressions and words of the patient's family just now to the experience of his friends, here again. Listening to the simple and powerful language, Director Liu's mood was inexplicably complicated.

"Aren't you sad, the mistress asked?"

"My son Vasya is dead. The old peasant woman said in a calm voice, tears of grief rolling down her sunken cheeks.

Of course I'm sad.

He died, and I went with him, and he pulled my heart out of my body.

She couldn't stop crying, but suddenly changed back to a calm tone, but this soup can't be wasted, and there is still salt in it. ”

"Director, to be honest, I didn't understand the article at all. What does the son have to do with salt? ”

Ji Xiang said very frankly.

"So, I'm going to ask my father."

"Your father? Your father and son have a good relationship, I thought he used the trumpet to pretend that a girl was in love with you, and you would hold a grudge. Director Liu laughed.

Ji Xiang was slightly embarrassed, but still smiled, "My father just wants to teach me a lesson." No matter who it is, sooner or later he will have to be deceived, and in his words, it is better for him to do it himself than to let others deceive. ”

“……”

Director Liu expressed puzzlement at the brain circuitry of the strange father and son.

"What did your father say?" Director Liu asked.

"What he said was very simple – why not eat minced meat." Ji Xiang replied flatly, "I've always had a hard time understanding, I don't know what it means not to eat minced meat, but today I seem to understand a little." ”

"That's it."

Director Liu nodded.

Ji Xiang's maturity has found a more perfect explanation.

I was also worried that Ji Xiang would be wrong, so I specially explained to him why the patient's family had such strange words and expressions.

But his father had done relevant education early on, and Ji Xiang even thought more than himself.

"That's what it means, Xiao Ji, I think you ......"

"Director, I'm sorry to interrupt." Ji Xiang bowed slightly and said politely and respectfully.

"Huh?"

"I think the patient can still be saved, it's a little too early to grieve."

"......" Director Liu was stunned.

"Yes, I think the patient's mother is a nurse after all, and she still has basic skills in cardiopulmonary resuscitation, and it is very important to rescue in a timely manner. After a patient loses spontaneous breathing, the hypoxia does not necessarily last long and does not necessarily cause irreversible damage. ”

"But now the patient is still not breathing on his own." Director Liu emphasized, "There is nothing wrong with judging that he is brain dead and vegetative. ”

"But why don't we give it a try?"

Director Liu groaned, he didn't answer Ji Xiang directly, but picked up his phone after being silent for about a minute.

called Director Bai, and Director Liu didn't say that this matter was Ji Xiang's meaning, mainly explaining the patient's condition.

"Try double plasmapheresis, what do you think?" Director Liu asked, "It's just that the cost is relatively high, and I estimate that it is difficult for the patient's family to bear it." After all, you are a former worker, is there anything you can do on your side? ”

Director Bai said something over there, and Director Liu had a knowing smile on his face.

Hanging up the phone, Ji Xiang couldn't wait to ask, "Director, how is it?" ”

"Double plasma exchange has just entered our hospital, and it costs 6,000-7,000 yuan at a time, plus other expenses, and the patient's family is estimated to be difficult to bear."

"Since it's new equipment, let the manufacturer come out, and come to the technician for another on-site training. This is also for the good of the manufacturer and for the faster promotion of the product. ”

Ji Xiang remembered the problems that the system NPC gave him at the beginning.

Director Liu seems to have formed a habit of calling Director Bai, but he rarely does so.

"Thank you, Director."

"What are you thanking me for?" Director Liu waved his hand lightly, "Let's go, let's see the specific situation of the patient." ”

Ji Xiang is grateful for Director Liu's trust.

Although Director Liu held opposing views, he directly agreed and was ready to try according to his own plan, and he wanted to use double-layer plasma exchange.

In the system operating room, I was treated with double plasma exchange under the guidance of a senior doctor.

Bilayer plasmapheresis is a new technology developed from membrane plasma separation technology.

Compared with the membrane plasmapheresis method, this technology has the characteristics of high safety, wide range of application, less nutrient loss and less plasma use.

It is a selective plasma apheresis therapy that achieves the purpose of treating diseases by secondary separation of pathogenic plasma after primary separation, and then transfusing the plasma and blood formed components after discarding pathogenic factors into the body.

The patient was judged to be brain dead and vegetative because he was unable to breathe spontaneously due to oral administration of an unknown drug.

However, Ji Xiang rescued many times in the operating room of the system, and finally proved that the patient lost spontaneous breathing because of the inhibition of the respiratory center by the effect of drugs.

Double-layer plasmapheresis can "filter" out the drug in the shortest possible time.

It is also a therapeutic diagnostic method that can determine whether the patient is brain dead or has a drug that suppresses the respiratory center.

Coming to the intensive care unit again, in the corridor of the department, Ji Xiang was stunned to see Zhou Tianbo and Wei Fusi arguing.

Faintly, a voice came, and Ji Xiang's ears moved.

"There is still a possibility of treatment for patients, and I firmly refuse to do transplant surgery directly."

Zhou Tianbo seemed to be a little tired, and his attitude had become very tough, and he said very simply.

Ji Xiang saw it from a distance, and he could even feel the change in the aura on Zhou Tianbo's body.

In the past, Zhou Tianbo has always been a gentle and elegant image, but this time he is particularly firm, as if he is a long sword out of the sheath.

"Director, why is Professor Wei still here? I remember that a few days ago, he came to fly knives, and it seemed that he had returned to the imperial capital. ”

"I guess I received the news that there is a transplant, and the nose is more than that of a dog Turin." Director Liu said disdainfully.

"Does the volume of surgery matter?"

"The number of surgeries in the selection of Jieqing is not the point, but if the background, identity, education and literature of the two people, the boss behind them. If these conditions are similar, the number of surgeries becomes an objective indicator. ”

"Oh."

"Professor Zhou Tianbo and Zhou have accumulated enough surgery, and Gu Lao put him here very early to help him. Professor Wei's opponent is not Professor Zhou, so? ”

Director Liu didn't finish speaking, and stopped at the point.

"Old Zhou, what do you mean!" Wei Fusi seemed to be a little anxious, and asked with a red face.

"It's not interesting, I think the patient's condition can continue to be treated." Zhou Tianbo said seriously.

"You!"

"Old Wei, heal first." Zhou Tianbo patted Wei Fusi's shoulder.

Wei Fusi shook his shoulders and shook Zhou Tianbo's hand away.

Far away, you can already see the gunfire of the two bursting out.

Director Liu smiled and walked over quickly, "Two, what are you busy with?" ”

Zhou Tianbo and Wei Fusi shut up in unison, and Wei Fusi glanced at Zhou Tianbo viciously.

"We just had a small consultation."

"Consultation? How I don't know. Wevos was surprised.

"Ha, after all, the patient is in our Second Affiliated Hospital, even if there is an organ transplant coordinator to investigate and improve the procedures, but that is on the premise that the patient is diagnosed with brain death." Director Liu began to speak in an official tone, and his words were extremely smooth.

"The diagnosis in the medical record is still marked with a question mark, don't worry."

"You guys! The patient's family has agreed!! Wei Fusi was a little anxious.

"So what? The patient's family is not a doctor. ”

“……”

Wevos felt that the whole world was targeting him.

Ji Xiang didn't understand what Wei Fusi was thinking.

I once heard that there are several orthopedic professors in the magic capital and the imperial capital, who can treat minor diseases into major diseases, but Ji Xiang still doesn't believe it.

It may be that my family conditions are relatively good, so some things are difficult to understand.

Ji Xiang thought to himself.

However, how to consult the system NPC for similar things, he is unwilling to answer, thinking that it belongs to the category of family ugliness that cannot be publicized.

"Professor Wei, wait a minute, after all, I am the director of the relevant department of the Second Affiliated Hospital." Director Liu didn't mention Ji Xiang at all, but took everything on his shoulders, and didn't care whether Wei Fu Sigao was happy or not, whether he was willing or not.

"We'll get a definitive diagnosis first."

"What are you going to do?" Wei Fusi asked helplessly.

"Double layer plasmapheresis, let's talk about it after a few times."

"So expensive disposal! And the patient is no longer breathing on his own, you are! This is!! ”

Wevos was a little angry.

Director Liu smiled, shrugged his shoulders, and walked directly into the ward of the intensive care unit.

The patient lies on the hospital bed with his rib cage lying on the ventilator.

Although there are still basic vital signs, and the vital signs are relatively stable, the doctors present know that it is just a machine that maintains the most basic operation of the human body.

"Do you breathe on your own?" Director Liu asked.

The doctor in the intensive care unit shook his head.

"I just reported to Director Bai and think that there is still a need for treatment, so let's try it."

Director Liu took care of everything and took all the problems on himself.

Ji Xiang stood aside and listened silently.

Director Liu knows how much he cares for him, and he does not count what he has said about this matter, but more importantly, if the patient in front of him does what Wei Fusi said, there is nothing wrong with it.

And Director Liu originally had similar ideas to Wei Fusi.

The patient's family agreed, and they were still tossing and turning. In addition, patients who need organs are also patients.

But because of his own insistence, Director Liu directly changed his attitude, and even did not fake his colors to the professor from the imperial capital.

It's really worry-free, Ji Xiang didn't say a word of nonsense, and followed Director Liu and looked at the patient silently.

Soon, the machine pushed in, and Director Bai followed behind.

"I learned about the situation, is it Xiao Ji's opinion?"

Director Bai really knew his old friend, and he opened his mouth to explain the truth.

"Hmm." Director Liu nodded and looked at Wei Fusi, who had a dark face.

"Let's give it a try, there can't be any investigation, so I'll do an organ transplant in a hurry." Director Bai expressed his attitude flatly.

"When I was working in neurosurgery, I once resuscitated a patient who had suffered a cardiac arrest." Director Bai continued, "At that time, there was no Saab, we lined up, and more than a dozen medical staff took turns to press and pinch the ball. ”

"It took an hour and 23 minutes for the patient to be successfully resuscitated and regain spontaneous breathing."

"Afterwards, the patient was fine, and he was clear."

Director Bai talked a lot, and he spoke a little louder, and Ji Xiang knew that this was for Wei Fusi.

Watching the critically ill doctor give the patient double plasma exchange, Director Bai chatted: "In the past few days, the provincial station invited me to do a show, and I originally wanted to popularize cardiopulmonary resuscitation. I think it's necessary for all people to be universal. ”

"Back then, when I went out of the emergency room, some patients arrived too late. If there are similar conditions, it is estimated that there is a high probability of rescuing people. ”

"I remember when Xiao Ji went to shoot a variety show, the show also popularized Heimlich." Director Bai said.

Wevoth's face became more and more ugly.

Although Director Bai was just chatting, his tendencies were obvious.

Wei Fusi didn't know who he had offended, Zhou Tianbo? It shouldn't be possible. Zhou Tianbo supported the First Affiliated Hospital.

He was a little irritable, and even imported some conspiracy theories, feeling that someone was deliberately targeting him.

But who that person was, Wei Fusi didn't know at all.

After the installation of the double plasmapheresis equipment and the operation began, Wevos simply stood in front of the ventilator panel with his arms crossed, looking at the values and waveforms on it.

Commissioner Pak walked over and adjusted the ventilator from IPPV mode to A/C mode.

Respiratory rate 15 breaths per minute.

The IPPV mode is a basic aspiration modality, which is characterized by the fact that the ventilator delivers air to the patient in a certain form and regularly and compulsorily, regardless of the patient's spontaneous breathing, without being affected by the patient's spontaneous breathing, and all parameters are provided by the ventilator.

The A/C mode assists in controlling breathing, which simply means that the patient breathes and the ventilator helps you; The patient is not breathing, and the ventilator is controlled for ventilation!

"You're so confident." Wei Fusi said coldly.

"I'm used to fiddling with ventilators." Director Bai said lightly, "When I first came to the hospital, in addition to the anesthesiology department, the first ventilator in other departments in the hospital was allocated to our neurosurgery intensive care unit. ”

Belch......

Wei Fusi was stunned.

This one doesn't look very old, but what he said makes people think about it.

There were very few ventilators in the past, and Wevos had never experienced that era, but he had heard about it.

"At that time, the anesthesiology department couldn't figure out any situation, so they had to come down to consult me." Director Bai smiled slightly, "There was a time when the pressure was very high, and I couldn't find the problem after looking for a long time, and the result was water accumulation in the pipes. ”

Having no intention of arguing with the old doctor, he looked at the waveform on the ventilator carefully.

An A/C mode has been given, and if the waveform is changed, it proves that the patient is breathing spontaneously.

But is that possible?

In Wevos's view, the patient was brain dead and was not breathing spontaneously at all. I once changed the mode to SPONT mode, and it took less than ten seconds to change back.

Patients can only rely on machines to provide breathing.

The respiratory rate set by Director Bai is 15 breaths per minute, and the actual respiratory rate is also 15, and the respiratory waveform is very regular, indicating that the patient is not breathing spontaneously and is completely controlled by the ventilator.

The waveform was smooth and regular, and Wevers felt that it was all a waste of time.

He also heard the sound of Director Bai chatting in his ears, which made Wei Fusi more and more unhappy.

"Old Wei, don't worry, take a rest." Zhou Tianbo felt that Wei Fusi was a little embarrassed, and came over to ease the suffocating atmosphere.

"There's something to rest, I'll just stand here and watch." Wei Fusi said coldly, "I don't believe that brain-dead patients can be cured with double plasma exchange." If all of this were possible, it would be a medical miracle! I'm going to apply for the Nobel Prize for you. ”

"Look at what you say." Zhou Tianbo scratched his head, "Removing the residual medicine from the blood should be able to help the patient wake up, and there is always a glimmer of life." ”

Wei Fusi was unhappy in his heart, so he simply lost his temper and ignored Zhou Tianbo, and just looked at himself.

Double plasmapheresis takes 3-5 hours each time.

2500ml of plasma, 4 hours and 22 minutes later, Wevos still maintained the original posture and stood in front of the ventilator, staring at the waveform on the ventilator without blinking.

Ji Xiang had finished today's operation, and when he returned to the intensive care unit, he saw Wei Fusi's back.

This person is really stubborn and persistent, Ji Xiang thought to himself.

"It's been 12 minutes since the replacement ended, has the waveform of the ventilator changed?" Wills pointed to the values and waveforms on the ventilator's panel and rebuked in a deep voice.

"It's so regular, it's all breathing on a ventilator, I really don't know what you think about the Second Affiliated Hospital. The level of technology is so low! ”

"Lao Zhou, I didn't expect you to come here for less than a year, and your level was lowered like this!"

(End of chapter)