Somewhere in Kyoto, in a basement of less than five square meters.

A bed, a table, and the rest were filled with all sorts of small goods, and there wasn't even a place to put your feet on.

Yang Lei just hung up the phone and gently stroked the swallow's head, "Swallow, do you remember the big sister last night?" ”

Yanzi put the dialed eggs into Yang Lei's bowl, "Is it the big sister who bought several lanterns?" ”

"Hmm!" Yang Lei's eyes were full of love, "She contacted the Affiliated Hospital of Shuimu University, where you can receive the best treatment." ”

Swallow lowered her head, "Dad, it must cost a lot of money, right?" Can I still be cured? ”

The voice of frustration in the immaturity surrounds the ears, like a sharp knife cutting through the flesh of the heart.

Yang Lei hugged his daughter into his arms and didn't let her see the tears flowing from his eyes, "What stupid things to say, Yanzi's illness will definitely be cured, it will definitely be able to." ”

In the end, Yang Lei himself was skeptical.

An hour later, the Department of Medical Oncology.

Yang Lei looked nervous, and looked intently at the doctor who was looking through the case, "Doctor, how is it?" ”

You Xia put aside the inspection materials in his hand, "Your earliest of these inspections was done half a year ago, and they can only be used as a reference." Have you eaten in the morning? If you don't eat, you take your child for a few tests first, and then you bring your child over when the results come out. ”

As soon as he heard the inspection, Yang Lei was a little hesitant.

In the past two years, I have taken Yanzi to countless hospitals, large and small, and every time I go to a hospital, I say that I want to check this and that. What kind of examination has not been done, a CT scan has been done five times, not to mention blood tests, more than a dozen times.

You Xia opened the checklist, "What?" Are there any difficulties? ”

Wang Shiyun, who was standing on the side, thought that Yang Lei would hesitate because of money, "Brother Yang, don't worry about the cost, the hospital has a reduction or exemption for special groups." ”

The CT scan is okay, the blood test is checked, and the child's suffering is lighter, but every time the child does a gastroscopy, it is uncomfortable, thinking of that scene, Yang Lei is distressed, "The examination has been done so much, why do you still need to check?" Can you not do it? ”

After reading the examination report, Tang Yi patiently explained, "The metabolism of the human body is carried out 24 hours a day, and the validity period of blood tests is usually about two weeks. In addition, depending on the patient's condition, CT, gastroscopy and other imaging data are valid for between six months and one year. Swallow underwent chemotherapy for more than half a year, during which there was no basis for examination. In addition, the child is still young, and many situations cannot be described in words, so it is necessary to do the examination again. ”

Listening to Tang Yi's explanation, Yang Lei sighed and nodded unwillingly, "Okay then!" ”

The so-called people in the DPRK and China are easy to handle, and the same is true for hospitals.

With Wang Zhenhua's relationship, all the examinations are expedited, and there is no need to queue up like ordinary patients.

The hospital is always the place that people hate to come to, and sometimes they don't.

In the hall of hundreds of square meters, people come and go endlessly.

Noisy sounds, mixed with shouting.

The four of them sat in the hall waiting for the results of the examination to come out, and suddenly there was a rush in a voice from far and near.

"Get out of the way!"

Hearing this, Tang Yi looked up and saw that a doctor in his thirties was running towards the emergency room with a child in his arms.

Along the way, the surrounding patients who came to the hospital for treatment hurriedly gave way.

Until the back was far away, Yanzi retracted his gaze, raised his head to look at his father, and his immature voice was full of reluctance and fear, "Dad, will I be like this one day?" If there is such a day, Dad, you must not cry, the swallow likes to see you smile. ”

Retracting his gaze, Yang Lei squeezed out a smile and stroked Yanzi's head, "Yanzi must believe in the doctor, your disease will definitely be cured." ”

"Where's my child?"

"My child! Where is your doctor going with my baby? ”

Less than a minute later, the sound of crying echoed in the hall, attracting the attention of countless people.

Wang Shiyun heard the prestige, "The doctor just now should be holding her child, right?" What happened? ”

Combined with the situation of the doctor and the child, Tang Yi said, "The doctor should have taken the child to the emergency room just now." ”

The emergency room is responsible for cardiopulmonary resuscitation, maintaining the patient's life, diagnosing while rescuing, and giving various basic rescue measures to critically ill patients, and it is also a life-saving place.

Wang Shiyun turned his head, stretched his neck and looked curiously in the direction where the voice came from, "Rescue room? Didn't the doctor notify the family? How could you not know? ”

"It should be an emergency, so it's too late to tell the family." After thinking for a while, Tang Yi stood up, "I'll go over and take a look!" ”

Following the direction from which the voice came, Tang Yi soon came to the Department of Stomatology.

At the door of the dental department, a woman grabbed a doctor's shoulders with both hands and shook it vigorously, "What happened to my child?" You say? It's a filling, you tell you to breathe! ”

"Maybe your child has congenital or acquired diseases, so he will have chest tightness and breathing difficulties during the filling process!" The doctor bobbed his head back and forth, still patiently explaining.

The tears on the woman's face were like a dam that opened the gates, and she couldn't stop it, "My child is in good health, and the last time I came to the hospital to fill my teeth, I still had a fever and was fine, why did I suddenly have difficulty breathing this time, it must be your doctor's improper operation, it must be!" ”

The doctor saw more and more people gathered around him, "Girl, I can understand your feelings, but it is true, the child has difficulty breathing during the filling. There are no irregularities on the part of our doctors, I can tell you for sure. ”

"No, no, no, my child has always been healthy and free of other diseases!" Whatever the doctor could explain, the woman shook her head, unwilling to accept the fact.

The doctor sighed, "Madam, please calm down, now that the incident has happened, our first priority is to rescue the patient first." We have surveillance footage in our operating room, and if you don't believe it afterwards, we can call up the surveillance and let you see it. ”

Maybe it was because the child had a sudden emergency, and the woman panicked for a while, and was reminded by the doctor, so she remembered the child, "Yes, yes, my son, where did you take my son?" ”

The doctor said, "Your child should have been taken to the emergency room by this time!" ”

The woman's face was full of anxiety, "Where is the rescue room?" ”

"I'll take you there."

Tang Yi, who had been standing on the periphery of the crowd, recalled the scene he had just seen, and combined with the woman's words, he suddenly thought of a possibility.

Thinking of this, Tang Yi didn't dare to hesitate and ran wildly in the direction of the rescue room.

"If the child does not have a congenital or acquired disease, sudden chest tightness, or difficulty breathing, then there is only one possibility. The more he thought about it, the more worried Tang Yi became.

Sudden chest tightness and dyspnea medical staff first consider respiratory diseases and cardiovascular system diseases, and the rescue plan will also provide first aid according to these two conditions.

If this is the case, the child is likely to miss the best time to be rescued.

"What are you doing?"

"Stop him!"

"This is the rescue room, you can't go in!"

……

Saving people is like fighting a fire, Tang Yi didn't have time to explain so much, he pushed away the nurse who was blocking the way in front of him, and rushed directly into the front rescue room.

"Blood oxygen levels continue to decline."

"One hundred and fifty-nine heartbeats per minute!"

"Increased blood pressure."

……

The heavy door was pushed open from the outside, and it immediately attracted everyone's attention.

Tang Yi threw himself directly down in front of the hospital bed, and picked up the stethoscope belt next to him with one hand.

One of the doctors in charge of resuscitation yelled, "Who are you? Get out of here! ”

"Who let you in, don't you know it's being rescued now?"

"Get out!"

……

The noisy voice made Tang Yi unable to hear the child's lung sound at this moment, "Shut up Lao Tzu!" ”

The doctors present had never seen any strong winds and waves, how could they be frightened by a young man.

A doctor in charge pointed at Tang Yi, "Get out quickly, we are rescuing now, and we can't afford any delay!" ”

Tang Yi's fingers pressed the head tightly, and he could hear the lung sound clearly.

The doctor in charge of the rescue scolded, "Boy, I don't care who you are? Hurry up and get out, something happens, you can't afford it! ”

Retracting the stethoscope, Tang Yi looked at the doctor pointing at him, "Yes, I can't afford it, can you afford it?" ”

Zhao Yang snorted coldly, "What can't we afford to deal with?" Normal rescue, even if it is not rescued, the responsibility is not ours! ”

Now if you don't dispel the concerns of these doctors, there is no way to carry out rescue normally, Tang Yi understands this very well, so he opened his mouth to explain, "But what if you make a wrong diagnosis? If I'm not mistaken, you should have been rescued according to cardiovascular or pulmonary problems, right? Haven't you ever thought that a foreign body is blocking the trachea? ”

In general, the methods to check for foreign bodies and obstruction of the trachea include chest X-ray, CT, etc., or flexible bronchoscopy.

The fastest of the three methods can take an hour to produce results, which is too slow in case of an emergency.

In addition, the patient was sent from the dental department, and he had not heard of a foreign body entering the oral cavity, so the doctor in charge of the rescue did not think about the foreign body entering the trachea at all.

Zhao Yang frowned and looked at the child on the rescue table, "Impossible, the child was sent from the stomatology department, and he was filling his teeth at the time, and it is impossible for a foreign body to block the trachea!" ”

Tang Yi sneered, "Did you listen to the lung sound?" The patient has vibrations on both sides of the trachea, and there is wheezing! ”

"What?"

As the words fell, the faces of the medical staff who were still angry just now all leaked a look of disbelief.

Zhao Yang didn't believe it, and hurriedly stepped forward to pick up the stethoscope for examination.

"Dididi!"

At this moment, the ECG monitor emits a piercing alarm sound.

The blood oxygen level, heart rate, and blood pressure on the monitor are declining rapidly.

Zhao Yang's gaze looked at Tang Yi, his brows furrowed, "Boy, do you know what you just said?" If you follow the plan you say, if something happens, the responsibility can be all on you. ”

Healthcare workers are likened to angels in white, but that's just a metaphor.

Doctors are human beings, and when they encounter problems, they often think of themselves first.

Tang Yi is still a little sure about his diagnosis, "I am also a doctor in our hospital, and since I am here, I am ready to take responsibility." ”

Zhao Yang stared at Tang Yi and nodded lightly, "Okay, this is what you said, use the Heimlich First Aid Method!" ”

The Heimlich maneuver is mainly used for on-site first aid for airway foreign body obstruction, and to prevent the occurrence of crisis situations such as suffocation, coma, and cardiac arrest in time.

If the patient has just been trapped in the trachea by a foreign object, this method is not the answer. But at this time, the situation is critical, and it is too late to simply use the Heimlich maneuver first aid. If we continue to delay, it is not certain whether the child can be saved.

"Get out of the way!" Tang Yi stepped forward and picked up the scalpel in the tray.

Just as he was about to start, a nurse reached out and stopped, "What are you going to do?" ”

By this time, Tang Yi had lost the patience to explain, and pushed away the nurse who was in the way, "Can't you see this?" Tracheostomy, of course. ”

"In this case, tracheostomy is really the best option." Zhao Yang looked at Tang Yi, who had already walked to the rescue table, "The anesthesiologist prepares for anesthesia, and the others do their own work." ”

With the order given, the entire operating room was once again busy.

A nurse put a pillow under the child's shoulders and tilted the head back so that the trachea was close to the skin and exposed.

The anesthesiologist did not inject the child with the anesthetic immediately, but stood aside after the anesthetic was prepared.

Now the child is still in a coma, it is the same whether it is injected or not, and it is only prepared in case the child wakes up due to excessive pain during the operation.

Another nurse held tweezers and held gauze stained with iodine to sanitize the wound area.

There is also a doctor who consciously acts as an assistant, sitting at the front of the operating table, on the side of the patient's head, and you hold your head in a neutral position with your hands.

Everything is in an orderly manner, and without long-term cooperation, it is impossible to achieve such a tacit understanding between them.

Tang Yi, who was located on the side of the operating table, put away the knife and cut the skin and subcutaneous tissue along the anterior midline of the neck from the inferior edge of the thyroid cartilage to the proximal fossa close to the suprasternal fossa

Tang Yi has not had tracheostomy surgery, not once.

However, the difficulty of tracheostomy is not at all on the same level as the difficulty of establishing cardiopulmonary bypass and internal circulation.

The vascular clamp separates the hyoid muscle and sternal thyroid muscle, exposing the thyroid isthmus, and the small hook pulls the isthmus upwards to facilitate the exposure of the trachea.

There are no pauses in the whole process, it can be described as flowing and silky.

"Pull the hook with both hands evenly!" Seeing that the incision in front of him was offset, Tang Yi reminded Zhao Yang, who was acting as a helper next to him, and at the same time probed his fingers to see if the cricoid cartilage and trachea were kept in the middle position.

Zhao Yang, who was in charge of the hook, nodded again and again, "Okay, okay!" The tracheal wall is about to be cut, so be careful not to puncture the posterior tracheal wall and the anterior esophageal wall and cause a tracheoesophageal fistula. ”

There is no need to be reminded that at the selected second tracheal ring, the tip of the scalpel goes down to the top until it cuts to the wall of the first ring.

At this point, Tang Yi took a deep breath, stretched out his hand and said, "Incision dilator." ”

With the dilator secured, the incision is completely exposed.

This time, there was no need for Tang Yi to order, and the instrument nurse on the side had already handed the tracheal cannula with a wick to Tang Yi.

When the outer tube was inserted into the trachea, Tang Yi immediately took out the tube core, put it into the inner tube, and began to suck up the foreign body.

Over time, nothing has been sucked out yet.

At this moment, all the medical staff present raised their hearts.

If the foreign body is not absorbed, then it proves that Tang Yi's judgment is wrong.

Everyone present, whether it is Zhao Yang, who is supporting the attending officer, or the anesthesiologist, or the interns who have been standing aside to study, everyone must be responsible.

"It's been all this time and nothing? Isn't this kid misdiagnosed? ”

"It's over, it's over, you shouldn't believe this kid."

"It's a dead deal, not to mention losing your job, and you may face prosecution."

……

At this moment, Tang Yi also doubted himself, could it be that his judgment was wrong, the child was really because of congenital or acquired cardiopulmonary function, which caused chest tightness and poor breathing?

But if so, why is there a murmur in the lungs?

Just when everyone had given up, the trachea in his hand suddenly trembled slightly.

Something the size of a small thumb is sucked out down the pipe.

"Is there really something?"

"Great, great, don't be responsible!"

"MD, I'm scared to death, if nothing gets stuck in the trachea. The hospital pursued it, and the job was lost. ”

……

The foreign body was sucked out and the child gradually regained spontaneous breathing.

Heartbeat, blood pressure, and blood oxygen levels gradually return to normal.

The child, who had fallen into a coma due to lack of oxygen, had a painful expression on his face.

Tang Yi picked up the sucked foreign body, gently rolled it with his fingers, and a ball of white medical cotton appeared in front of everyone.

A nurse exclaimed, "How can there be medical cotton in the child's trachea?" ”

Putting the medical cotton in the tray, Tang Yi slowly spoke, "When repairing teeth, in order to avoid excessive saliva secretion caused by opening the mouth for a long time and affecting the filling of teeth, doctors often put a small ball of cotton in the patient's mouth to absorb saliva. It is inevitable that there will be uncomfortable reactions during the filling process, and the child is still young, so it is natural to cry, and it is not strange to accidentally inhale cotton into the trachea. ”

Zhao Yang frowned, "Didn't that dentist find out at that time?" ”

Tang Yi shook his head and took off his sterile gloves, "That's what the dentist has to ask." The surgery was a success overall, and the suturing and follow-up will be left to you. ”

Zhao Yang asked the assistant doctor next to him to take over the rest of the work, "Thank you, if it weren't for you today, we might have delayed the best rescue time for the child because of our temporary misdiagnosis!" ”

Looking at the physiological characteristics that were gradually recovering on the monitor next to him, Tang Yi leaked a polite smile on his face, "It's nothing, before I came, the child's mother was arguing with the doctor in the dental department. Today's incident is considered a medical accident, so let's truthfully explain the situation to the patient's family. Don't let the patient's family call up the monitoring at that time, and the hospital will be passive at that time. ”

Zhao Yang's eyes looked at the tray next to him, and a ball of white cotton was lying quietly inside, "Don't worry, this matter can't be hidden at all." Not to mention that the operating room of the dental department has monitoring, we also have it here. You are also a doctor, so you should know the patient's treatment records, and the case cannot be falsified. ”

Any data records, medications, and cases in the hospital are not allowed to be modified or deleted, regardless of size, severity or severity, and if they have to be modified, they also need to be signed by senior doctors.

Even so, the original record before the modification needs to be retained.

Hearing Zhao Yang's words, Tang Yi was relieved a lot, he was afraid that some doctors, in order to take care of the reputation of the hospital, would have any favoritism and malpractice among colleagues.

When the time comes, as soon as the patient's family says it on the Internet, the Health Supervision Bureau will definitely send someone down to investigate, and at that time, including the doctors involved in the treatment, and the hospital from top to bottom, no one will be able to escape their responsibilities.

When I left the emergency room, I saw the patient's mother waiting anxiously outside the emergency room.

When the woman saw someone coming out, she hurriedly stepped forward, "Are you a doctor?" It's my baby being rescued in the operating room, he, what the hell is going on with him? ”

It is not uncommon for women to have such questions, and when they enter the operating room, the child's condition is already very critical, and there is no time to change into a sterile gown.

"Well, I'm a doctor!" Tang Yi nodded and comforted softly, "Don't worry, the child is out of danger, the doctor is doing the final suturing work, and he will be sent out in a while!" ”

Originally, when I heard that I was out of danger of my life, my hanging heart finally fell to the ground, but the appearance of the second half of the sentence once again tightened the woman's originally relaxed nerves again, "Stitches, what stitches?" Why is my child unconscious? ”

Tang Yi glanced at the middle-aged man in a white coat standing beside the woman, if he was not mistaken, the first person to come to the rescue room with the child in his arms should be the one in front of him.

The child's suffocation was probably due to the doctor's error, and the patient's family was emotional, and telling the truth was likely to make the situation worse.

"Why the child is in a coma, the attending doctor has to answer you!" Tang Yi broke free from the woman's hands, "I'm sorry, I still have something to do, so I'll leave first." ”

The woman may have not noticed Tang Yi's eyes because she was too emotional.

But the dentist is different, although he is anxious, he is not nervous, after all, in his opinion, there is nothing improper in his operation, and the child's coma is his own reason.

Noticing the change in Tang Yi's eyes, the dentist "chuckled" in his heart, and hurriedly caught up with Tang Yi, who had already left, while the woman was not paying attention.

"Wait, lad, wait a minute!"

Hearing the shouts behind him, Tang Yi stopped, saw the oncoming dentist, and after being slightly stunned, he quickly guessed the reason why the other party was looking for him.

Zhou Yun ran to Tang Yi's side, "Young man, you are the doctor in the emergency room, right?" After more than half an hour of hard work, let's go out for a cigarette and relax? ”

Tang Yi glanced back at Wang Shiyun and the three of them who were still sitting in the hall, "No need, you want to ask about the child's situation." ”

When he was in the corridor just now, Zhou Yun recalled the entire filling process countless times, not to mention that every step was deeply memorable, but he was more or less impressed. Every step, every action, as always, without any mistakes, with a somewhat hopeful tone, "Well, I want to ask you, does the child have any congenital diseases?" For example, pneumonitis, bronchitis, or cardiogenic disease? ”

Tang Yi understood the other party's mood at this moment, "No, the child doesn't have any diseases." The reason why he fell into a coma was because a medical cotton was blocked between the trachea and the bronchi. ”

A word shattered all of Zhou Yun's illusions, and the whole person stood in place in a daze, and kept muttering in his mouth, "Medical alcohol cotton?" How does it get into your child's trachea? No, it can't be! ”

Until Zhou Yun woke up from hysteria and wanted to ask something, Tang Yi had already walked away and didn't know where to go.