In the corridors were many worried-faced family members, sitting, standing, or squatting on the ground.

These people, without exception, are here because they have relatives or friends in the intensive care unit.

Most of the patients who need to be admitted to the intensive care unit are critically ill.

To put it mildly, it's still unknown whether they will come out alive.

The person in charge rang the doorbell, and after a few moments, the door shrank to the left. A nurse stands inside the door.

The anxiously waiting family members immediately flocked to the front.

"Hey, if the family wants to apply for a visit or find out about the situation, please go through the side door. These are the doctors who have come to support, let them in first. ”

The nurse is fierce and has a loud voice.

Not to mention, only she can calm these anxious family members.

One by one, they obediently got out of the way.

Zhou Can and the others all followed the person in charge into the ward of the intensive care department.

If you want to enter the ward inside, there are two more doors.

Including the person in charge of the team, there are a total of ten doctors, which is quite spectacular in number.

When they all entered, the outermost protective door was also quietly closed. Outside family members were isolated from all noises.

"Doctor Yu, did you bring another batch of recruits here?"

The female nurse greeted the person in charge with a smile.

"Not really! ushered in the send-off, this time a total of thirty-two trainees came, you have to teach! ”

Dr. Yu, who was in charge of leading the team, responded with a smile.

After a brief exchange with the nurses, he looked at the nine trainees.

"Let me first introduce you to the main process of entering the ward. After entering the first door, go there to wash your hands and then go to the changing room to change into isolation gowns, including shoe covers. After exiting the changing room, you can enter the second door. See the big print on the ground? After entering that gate, there can still be pollution, so it is called a potentially polluted area. ”

"Once you enter a potentially contaminated area, you will be subjected to sanitize all over your body, mainly with ultraviolet sanitize. Then you can enter the third gate. That is the real ward, do not make loud noises in it, and pay attention to cooperate closely with other medical staff to carry out all kinds of effective rescue of patients. ”

These processes are essentially the same as those in the ICU.

However, it is much larger than the specialized ICU.

All aspects need to appear more professional and staffed.

Just in the contaminated area inside the first door, you can see many nurses busy.

"There's the duty room, there's the makeshift conference room, there's the material room, there's the sewage disposal room. Dirt including the patient's feces, aspirated pus, sputum and other filth can be disposed of in it. ”

Through the translucent glass wall, you can see several doctors and nurses sitting around their desks in the duty room, operating computers or discussing patients' conditions.

Zhou Can washed his hands, changed into an isolation gown, and walked out.

"Don't go into the ward yet, wait here. When your senior doctor is not busy, he will come out and call you by name. When the time comes, just listen to the instructions of the senior doctor. ”

After bringing them here, the task of the person in charge is basically completed.

He walked to the duty room and knocked on the door.

"I've brought you a new batch of trainees, the list is here, and each of them will bring one."

"Doctor Yu, when will you be able to come and get a few fixed ones? I just taught a little bit, I was able to get started and help with some work, and then I ran away. ”

A younger doctor complained to the person in charge.

This problem is particularly acute in the nursing department.

It is difficult to train a nurse without three to five years.

Just after being trained, the nurse quit or changed jobs.

Because of the fame of Tuya Hospital, the treatment, status, and growth space are not bad, and the turnover rate of nurses is much less.

In some small hospitals, there is often a shortage of labor.

"You have to report this problem to the hospital, I am a trainee, and it doesn't work if I say it."

Dr. Yu smiled wryly.

"Eh, who is Zhou Can? As soon as this trainee came, he asked the attending to take it, and Dr. Yu revealed to us that it was a related household? ”

Doctors are extra attentive when dealing with related customers.

At work, I will try not to offend related households.

As the saying goes, it's up to the owner to beat a dog.

Those behind the accounts cannot afford to offend.

"What kind of relationship, people rely on their strength to get on top! The top students in this year's regular trainees are focused on cultivation by the hospital. Dr. Yu explained to them.

"That's a cow! Okay, these people throw it away, we'll arrange it. Go get busy! ”

Several doctors and nurses heard that Zhou Can was on the top with strength.

I couldn't help but be a little more curious about him.

After Dr. Yu left, those doctors called their names one after another, and the Gui Peisheng, who was called by name, happily followed the senior doctors who led the teaching into the ward to study.

Zhou Can was a little miserable.

His senior doctor is at the attending level, and he hasn't come out of it for a long time.

So I had to stand outside and wait.

"Something is wrong with bed 6, your doctor is busy dealing with it, if you want to go in, I'll take you there."

A young doctor in his mid-thirties said to him in a friendly manner.

"Yes, yes! Sorry for you! ”

Zhou Canchong smiled gratefully at the doctor.

"You're welcome. When I was a pearson, I was just like you, very reserved. After a few more years in the hospital, you will find that senior doctors are actually not that difficult to deal with. They curse because something is wrong with the patient or because they are worried that the junior doctor will mess things up. ”

The doctor taught him in the tone of a man who had come before.

Zhou Can followed this person into the ward, where many doctors and nurses were busy nervously.

The sound of various machine alarms comes and goes.

Once inside, it feels like you're on a real battlefield.

The tense atmosphere brought Zhou Can an invisible psychological pressure.

"That's Dr. Hu, he already knows about you, just go over directly."

Zhou Can looked over and found that there was a middle-aged doctor in his forties in bed No. 6 who was bending over to deal with the patient on the bed.

The nurse was on hand to help.

The patient's breathing was very poor, and the oxygen was frighteningly low.

His nails are cyanosis, his lips are black, and his face is a little purple and blue.

Zhou Can walked to the side of the hospital bed and saw that Dr. Hu was carefully suctioning phlegm on the patient, so he didn't dare to disturb.

"It's called Zhou Can, right?"

Dr. Hu saw all sides and listened to all directions, and he had long noticed Zhou Can's arrival.

"That's right!"

Zhou Can looked very restrained.

"You can't help this bed for the time being, go to bed 7 and help the patient turn over. Bed 7 is for patients with gastrointestinal bleeding, and the movements should be as gentle as possible when turning over. ”

Dr. Hu advised.

"Okay!"

Zhou Can walked to the 7th bed behind him, a male patient with a thin face and a shriveled body.

The age is estimated to be thirty-seven or eighteen years old.

It looks bad.

The breath is dying, and he wears a non-invasive and non-suction machine.

Gastrointestinal bleeding usually takes a long time to go to the hospital for treatment. Small problems eventually drag into big problems.

In addition, patients with gastrointestinal bleeding have another significant feature, unexplained weight loss and black stools.

If it is upper gastrointestinal bleeding, it is even possible to vomit blood.

Zhou Can carefully helped the patient turn over.

"Hmm, hmm...... Poop, defecation......"

The patient makes a weak voice.

Zhou Can seemed to understand.

This guy wants to.

"Just give him a potty!" A nurse walked over and skillfully picked up the bedpan and caught the patient.

As soon as he opened the patient's pants, Zhou Can felt a wave of nausea and nausea.

The patient is already pulling on the body.

Red.

"He seems to have blood in his stool." Zhou Can was a little overwhelmed.

"In patients with gastrointestinal bleeding, blood in the stool is normal. The patient had unexplained lower gastrointestinal bleeding that had been going on for a long time. It was very severe before it was sent for treatment. ”

The nurse introduces the patient's condition and handles it skillfully.

I really admire the professionalism of the nurse girl.

Zhou Can watched how she dealt with it from the side, and secretly remembered it. You can't call someone else's nurse to help every time, right?

"What's that? It's not stool and blood, it's like intestines. ”

Zhou Can was shocked.

When the patient had a bowel movement, he actually pulled out his intestines.

In medicine, it can also be called anal prolapse.

It's scary.

On his first day in the intensive care department, he felt like he had entered a hellish world.

Every patient here is half a foot, or even half of his body, stepping into the ghost gate.

In an ordinary ward, you don't feel this dying fear of severe illness at all.

"Don't be afraid! In this case, check it, as long as there is no ulceration and bleeding, and help the patient to return to the body. ”

The nurse saw that Zhou Can looked frightened, and couldn't help but laugh at him for being timid.

She took it calmly and skillfully helped the patient deal with it, and then put the intestines back into her body.

"The treated sewage cannot be left in the ward, and it needs to be taken to the sewage treatment room in the polluted area for timely treatment." She said to Zhou Can.

Looking at her back as she left quickly with the filth, Zhou Can was ashamed again.

At this time, I finally had the opportunity to take a good look at this dying patient with gastrointestinal bleeding.

Dr. Hu did not assign him a new task for the time being, so he simply checked the patient's examination report and other information.

According to the doctor's diagnosis, the patient had diffuse bleeding from the intestines.

This kind of bleeding is usually very tricky.

If the bleeding site can be identified and there are only one or two bleeding spots, colonoscopy may be done.

For bleeding of unknown origin like this, colonoscopy surgery is of little significance.

Traditional exploratory laparotomy surgery, that is even more unthinkable.

The patient looks like this, who dares to let him go to the operating table.

Zhou Can checked the patient's medical history and found that black stool had lasted for nearly half a year.

In order to find out the cause of the bleeding of the surface mailer, the attending doctor even performed a barium X-ray examination and an angiography examination for the patient. Still not much to gain.

At present, it can only be determined that the patient has diffuse intestinal bleeding.

The patient has survived until now because of chronic bleeding.

"Tumors and polyps can basically be ruled out."

With Tuya's level of physicians and examination equipment, millimeter-level tumors can be detected.

He is only 36 years old and in the prime of life, what is the cause of intestinal bleeding?

Zhou Can repeatedly studied the inspection report and inspection data.

"Xiao Zhou, come here to help!"

Dr. Hu called him over there.

I had to put down the information and walk over quickly.

The patient in bed 6 seemed to be dying, and his face looked even more blue. It's like there's an invisible hand that grabs his neck.

Breathing also becomes very laborious.

It feels like you're pulling bellows.

"What's wrong with him?"

Zhou Can looked at the patient, his heart full of fear.

I don't know if he has a sixth sense, he thinks that this patient has reached the point of death.

"Drinking pesticides, multiple organ failure, lung fibrosis!"

Dr. Hu's face was expressionless, his brow furrowed as he stared at his patient. It can be seen that he has done everything in his power to save this patient, but with little success.

The nurse is already nebulizing the patient's breath on the side.

The effect is also not good.

Lung fibrosis is an irreversible lesion that makes it increasingly difficult for people to breathe.

A normal person's lungs are made up of many alveoli.

The total area of an adult's alveoli is about the size of a house, spread out evenly, about 100 square meters.

When the lungs are fibrotic, the contraction and movement of the alveoli will be severely affected.

It's like a balloon made of soft rubber skin, which can be easily blown up.

However, when the wall of the balloon becomes stiff and the elasticity deteriorates, it becomes difficult to blow it up or vent it.

"Depending on the situation, this patient is afraid that he will not be able to survive. Paraquat is too harmful. Few patients who drink this pesticide can be saved. The patient who drinks it is like activating a Fandora's box, and the consequences are doomed and difficult to reverse. ”

Dr. Hu sighed as he watched the patient's vital signs fall.

Doctors worked tirelessly day and night to take care of patients, all kinds of rescue, medication, and careful care, in order to get patients through the most difficult time and transfer them from the ICU back to the general ward alive.

However, after all, doctors are human beings, not gods, and what they can do is to treat patients with the help of various professional medical equipment and drugs that they have learned all their lives.

In the minds of ordinary people, paraquat is just a herbicide.

But in the minds of doctors, this pesticide is not the same as ordinary pesticides, it is synonymous with demons, the Grim Reaper.

When many patients drink it, they can't think about it for a while, and they act impulsively. When he entered the hospital, his relatives, wife and children were crying around the bed, and he felt that his behavior was too impulsive.

Under the persuasion of relatives, wife and children, he was strong and wanted to live.

In the first two days of paraquat, after gastric lavage and infusion, the patient hardly felt much physical harm. I can eat and drink, and my spirit is quite good.

Just when they thought they could recover and be discharged from the hospital quickly.

The condition will continue to deteriorate.

And it's the irreversible kind.

The kidneys fail, the lungs become fibrosis, and then the organs of the whole body fail, breathing becomes difficult, and the body is destroyed step by step.

Gastric lavage, hemodialysis, doctors can think of all the methods used.

But this pesticide is terrible.

No treatment has been effective. I could only watch the patient's condition deteriorate day by day, and eventually he died.

Fortunately, the country has taken pesticide safety seriously and has banned the production of paraquat pesticides.

"Go tell your family! Let the family see the patient for the last time, it is estimated that he will soon die. ”

Dr. Hu said these words to the nurse in a low tone.

"Hmmm! I'll go and inform the family right away! ”

When the patient is dying, the hospital will allow the family to meet with the patient in consideration of humanitarianism.

Say goodbye on your deathbed.

"Xiao Zhou, have you ever encountered a patient who died?"

Dr. Hu looked at him.

"I've seen it!"

When Zhou Can was an intern, he saw him in the general ward. He just stood at the door, watching from afar. Family members gathered around the hospital bed and wept, calling their loved ones by name.

He will never forget that scene.

"That's good! In the future, working in the ICU, we often encounter situations where our doctors are unable to do anything. Although human medicine is already very advanced, there are too many diseases that cannot be cured. I've heard about some of your things, and you've been very good in every way. ”

Dr. Hu's words changed sharply and talked about Zhou Can himself.

"The rumors may not be credible, and I am at best a little bit better than the other trainees in some ways." Zhou Can is not entirely modest, either.

I really think so.

At present, the highest level of his medical skills is the deputy director level. Others, most of them are at the attending level, and there are also at the resident level.

In addition, in the future, if you acquire new medical skills, you may have to start with an internship level.

So, he's still far from being very good.

He put himself in the right place.

"You're quite modest. These three months of training in the ICU, basically I should take you. In the later stage, if you perform very well, there may also be a chief physician who is willing to take you personally. In any case, the hospital focuses on cultivating you, which is a good thing, and I hope you can always maintain an open-minded and studious attitude. ”

Dr. Hu looked him in the eye and said.

"I will." Zhou Can nodded heavily.

"I really hope that our Tuya Hospital can train more and more excellent doctors, and it is best that no patient will be admitted to the ICU forever. Prevention is better than cure for all diseases. ”

Dr. Hu talks about his inner feelings and vision.

The fact that so many patients are admitted to the ICU only shows that today's medicine is still very backward, and there are still many diseases that cannot be treated in a timely and effective manner.

(End of chapter)