Chapter 489: The World Is Too Tired
Yu Zhiming, with the resident doctor who reported the letter, rushed to a ward on the fourth floor as soon as possible.
He found a man in his forties and fifties, who had been in slightly better health, sitting on a hospital bed.
The man was sweating like a pulp, and although he was inhaling oxygen, he was still panting as quickly as an old ox pulling a cart.
Yu Zhiming stretched out his hand and pressed on his left chest, and after probing for a while, his heart sank again and again.
The patient in front of me is no longer an arrhythmia, but has evolved into an even more serious acute heart failure.
Yu Zhiming learned from the investigation just now that the man's coronary artery stenosis was close to 80%.
This inevitably leads to a long-term ischemic state of the myocardium.
Yu Zhiming guessed that the man's arrhythmia attack just now should be the last straw that crushed his heart.
It caused the heart muscle to finally be unable to support it after a burst of rapid output, and there was a collapse.
During the investigation, Yu Zhiming found that the patient's heart muscle was necrosis at an alarming rate, which caused his heart's pumping function to decline rapidly.
He raised his head to meet the man's longing gaze, and said very cruelly: "Your situation is very serious. ”
"There are two options."
"First, I can buy you about half an hour of sobriety and say a final goodbye to your family."
After Yu Zhiming said this, he saw the man's eyes widen suddenly, and his face was full of shock and disbelief.
At this time, Yu Zhiming didn't have time to explain in detail, and said in a quick tone: "The second way is to rescue according to the conventional method." ”
"After three or five minutes, you'll fall into a cardiogenic coma."
"After about three or four hours, your heart will completely lose its function and you will have to use cardiopulmonary bypass to keep you alive."
"If your family asks the hospital to save you at all costs, we will give you an artificial heart-lung machine or give you an artificial heart transplant to keep you alive."
"If you're very lucky, in the next one to three months, you might be able to get a suitable heart donor for a heart transplant."
Yu Zhiming added: "For the second treatment plan, the cost of treatment starts at least one million. ”
He met the man's gaze again and urged, "Choose one?" Or two? ”
Yu Zhiming continued: "If you don't make a choice, I will choose the second rescue plan by default." ”
"The outcome depends on your family's choices and your own luck."
Between the words, Yu Zhiming kept staring at the man's eyes.
I saw that the man's gaze kept changing, first pleading and pleading, then hesitating and struggling.
Suddenly, the man's gaze became calm.
He opened his mouth and tried to speak, "One, one......"
"I'm too tired in the world, leave early...... Good morning......
Yu Zhiming was slightly stunned, and then stretched out his hand and shouted: "Adrenaline, two!" ”
The next moment, two adrenal hormones were placed in Yu Zhiming's hands.
Yu Zhiming did not hesitate at all, and injected two adrenalines into the man's body at the same time.
Then, Yu Zhiming got up and looked at the resident doctor who had brought him and was about the same age as himself.
"You, stay! Every five minutes, remember to give the patient two injections of epinephrine. ”
Yu Zhiming saw Cheng Wen in the ward again, and advised: "Cheng Wen, you also stay." ”
"Others, go out with me. Don't bother the patient and family to say goodbye to ......"
Yu Zhiming walked out of the ward and did not stop, but walked towards the stairs.
He went down the stairs to the second floor, and went straight back to the big office with a heavy face.
Zhou Mo got up and silently poured him a glass of warm water.
Yu Zhiming took it and drank it all.
"The patient chose to say a final goodbye to his family, and when he made the choice, he said that the world is too tired, and it is better to leave early."
Zhou Mo said slowly: "Some time ago, there was a very popular short video on the Internet, and a girl's sentence of 'I won't come in the next life' resonated with millions of people. ”
"The pressure on ordinary people's lives is too great."
Yu Zhiming came to the desk and sat down, and sighed lightly: "Life is not easy, everyone is moving forward with a load. ”
"Zhou Mo, let's eat......"
Next, Yu Zhiming turned his heavy mood into a meal and launched a steady stream of attacks on the food.
As a doctor in a premium hospital, it is not uncommon for patients to die.
Yu Zhiming must adjust his mood, get rid of bad emotions, and prepare physically and mentally for the afternoon's work......
Twenty minutes later, the resident doctor who had reported the news before came to the big office again.
It's just that he walked in this time, his steps were steady, and his eyes were full of tears.
"Dr. Yu, the patient, is gone."
Before leaving, he spoke on the phone with his parents and two sons. However, he did not say anything about his situation, only told them that he loved them and let them take care of themselves. ”
"When he talked to his wife on the phone, he thanked his wife for her dedication, and then explained the aftermath one by one."
The young resident choked up for a moment, then continued, "Dr. Yu, he also asked me to thank you so that he could have time to say goodbye to his family. ”
Yu Zhiming glanced at the identity plate hanging on the resident's chest and knew his name.
Tang Xing.
"Dr. Tang, who joined this summer?"
Tang Xing nodded.
"How many patients have passed away?"
Tang Xing said softly: "Not to mention the rest, just the patients I have taken care of, plus today's one, there are eleven." ”
Yu Zhiming said softly: "Eleven, it's still less." ”
"Of the patients I have been responsible for, a total of 117 have passed away after ineffective treatment."
After a pause, he turned to say, "Doctor Tang, you shouldn't have eaten yet, right?" Let's go eat. ”
"There's more work ahead of you in the afternoon."
Tang Xing shook his head and said, "I don't have an appetite." Dr. Yu, I'll go upstairs and won't disturb your rest. ”
After saying this, Tang Xing owed Yu Zhiming, nodded to Zhou Mo again, and left the big office.
After Tang Xing left, Zhou Mo couldn't help but ask, "Doctor Yu, have you really experienced the death of one hundred and seventeen patients?" ”
Yu Zhiming glanced at Zhou Mo and said, "That's a lot, right?" On average, there are only twenty or thirty people a year! ”
"When I was working at the county hospital, it was normal for two or three patients to die a day."
Zhou Mo sighed lightly and asked again: "At the beginning, when you encountered the death of a patient who was ineffective in treatment, did you also feel very sad and cried your nose?" ”
Yu Zhiming closed his eyes and began to close his eyes to recuperate, ignoring Zhou Mo.
Zhou Mo pursed his lips and no longer bothered Yu Zhiming......
At nearly three o'clock in the afternoon, the women's volleyball players who had made an appointment before, accompanied by Dr. Cai Yongxian of the Department of Trauma Surgery, came to the big office.
The long figure of more than 1.9 meters really gave Yu Zhiming a lot of oppression in his heart.
Fortunately, the figure looks quite slim, not very strong, otherwise the sense of oppression will soar several times.
The women's volleyball player is named Wu Shuang, and she is 28 years old this year.
After a brief understanding, Yu Zhiming asked bluntly: "Miss Wu, do you want to do a detailed combing and repair of the injuries on your body to improve your sports status?" ”
"Or do you just solve a few individual problems?"
Wu Shuang said with some embarrassment: "Doctor Yu, I am twenty-eight years old this year, and I have already passed the peak of exercise. ”
"I'm going to retire and work as a physical education teacher at a college."
After a pause, Wu Shuang continued: "Of course, if possible, it would be great to be able to solve the problem of the size of the whole body at one time." ”
"If you can't, it's better to solve ......"
She pointed to her left ankle and said, "I've been uncomfortable here, and every time I finish a fight, it hurts for a few days. ”
Wu Shuang pointed to his right shoulder again and said, "Every morning when I wake up, I feel sore and uncomfortable here. ”
"Also, my right waist is ...... here."
Wu Shuang pointed out six places that Yu Zhiming needed to pay attention to.
Then, Yu Zhiming, who knew what to expect, took the person to the examination room and gave her a physical examination.
Frost is a classic sports injury.
Her wrists, knees, ankles, etc., are overwhelmed.
At the same time, there are dozens of tendon injuries, muscle injuries, bone injuries, blood vessel injuries, and nerve injuries in the thighs, calves, arms, waist, shoulders, and back.
This inspection also made Yu Zhiming feel the difficulty of athletes.
After one or two decades of training, the development of some bones has been deformed.
In order to make Wu Shuang suffer less now, and let Wu Shuang suffer less in a decade or two, Yu Zhiming gave her a total of 31 places that need to be repaired.
Wu Shuang saw the large and small marks that Yu Zhiming marked on his body, and his mouth never closed.
】
"Dr. Yu, that's too much, isn't it? I'm going to have to go through surgery all over my body. ”
Yu Zhiming said solemnly: "Miss Wu, I have already picked out the main damage to mark. ”
"There is also some damage, although it has no effect now, but in a decade or two, as your function degrades, the impact will become obvious."
"When you see what happened to your teammates, you'll thank me."
Cai Yongxian also spoke: "Dr. Yu is very responsible and very forward-looking. ”
"Trust Dr. Yu, I won't let you suffer."
Wu Shuang said softly: "Of course I can trust Dr. Yu's ability. ”
"It's just that there are so many damages to be repaired......"
She looked at Cai Yongxian and asked, "How long will this take?" How much does it cost? ”
Cai Yongxian groaned and said: "The ankle joint, as well as the damage repair of the left knee joint, is a little troublesome. ”
"Repair a joint, about 100,000 costs."
"Plus so many damages......"
Cai Yong thought about it first and said, "The total cost is about five or six hundred thousand." ”
"As for the operation time, it takes about two to three surgeries, each time a day!"
Wu Shuangyu said with embarrassment: "The cost of this treatment is too high, and my budget cannot exceed 200,000 yuan." ”
Cai Yong said first: "With a budget of 200,000 yuan, it can only repair the ankle joint and the left knee joint." ”
"Judging from Dr. Yu's description, these two joints of yours are the most in need of surgical repair."
"Otherwise, it will affect your future actions......"