For any disease, as long as the cause and pathological mechanism are diagnosed, and then the symptoms are treated, it can basically be treated accurately.

Unless it is a malignant disease, the medicine stone is weak.

For example, in most cancers, even if you know where the lesion is, once it spreads, taking drugs can only reduce the pain and delay death. There are no drugs that can accurately kill cancer cells.

However, with the increasing development of human medical science and technology, drugs are also becoming more and more advanced.

The advent of a variety of anti-cancer drugs has given hope for a cure for cancer.

Maybe one day, cancer will become like a small cold that can be easily cured.

The patients in the 7th bed found the real cause, and after targeted medication, the treatment effect was really visible to the naked eye.

As long as nothing happens, the patient will be able to be transferred out of the ICU soon.

Zhou Can felt that the value of studying medicine had been greatly reflected.

At this time, the doctors and nurses who were surrounding the 14-bed rescue not far away began to disperse, with serious expressions one by one. There were two little nurses with tears in their eyes.

It seems that the patient has been more than lucky.

The family members were soon dressed in isolation gowns and were ushered in by nurses.

Lying on the bed was an elderly man, who was unclear about what was ill. The family did not cry bitterly, and the whole farewell process was simple and silent. The time is also very short, maybe about ten minutes at most.

After extubation, the patient took his last breath and left this wonderful but painful world forever.

When the nurse finished disposing of the deceased's body, the nurse pulled the cart in, carried the body into the yellow body bag, and then pulled it out through the corpse door. A life is over.

It was an old man who died this time, much better than a white-haired man sending a black-haired man.

"Alas, that old man has advanced lung cancer and has been in our intensive care ward for almost two months. The attending doctor had long told the family that the treatment was of little significance. However, the family insisted on treating the elderly, and no matter how much money they spent, they did not hesitate to spend more money. Now that people are gone, it is actually a relief for both the family and the patient. ”

After Dr. Hu came back, he took the initiative to tell Zhou Can the story of the 14th bed.

After hearing this, Zhou Can couldn't help but feel emotional.

In the intensive care unit, you can see the most authentic side of the family.

For example, yesterday's six-bed patient who drank paraquat, his wife cried more than anyone else, but the real sadness is difficult for outsiders to know.

The family members of the 14-bed patients did not cry or make trouble, and the whole farewell process seemed very calm.

seems to be indifferent and ruthless, but it is far more filial than imagined.

Knowing that the old man is old and terminally ill, he is willing to spend a huge amount of medical expenses and insists that the old man live in the best ICU ward to receive the best treatment.

The money spent is real money, and few family members are generally willing to spend this money knowing that they are losing both people and money.

"Patients don't know they have cancer until they die. Otherwise, we should be asked to extubate. ”

Dr. Hu said again.

"For patients, if they know that they are terminally ill, they may choose to leave this world with dignity. The filial piety of the family seems to be very good, but if it were my parents who had reached this point, I would not hesitate to ask the doctor to remove the tube. Lying in this place where there is no light of day, believing that the patient is tortured every day. ”

Zhou Can expressed his opinion.

"Hey, under the leadership of our Chinese ideology of etiquette and filial piety, it is easy for you to be scolded as unfilial son." After hearing this, Dr. Hu was stunned and looked at Zhou Can as if he had re-acquainted himself.

"My parents told me from a young age that I don't have to care about other people's opinions, live my day well, and stick to my heart, and that's enough! For the sake of the so-called filial piety, let the parents lie on the hospital bed in pain and live without dignity, it is better to let them free as soon as possible. ”

Zhou Can's thoughts are indeed different from many people.

He seems to have understood many life philosophies that should not belong to this age.

Even in the eyes of the world, it seems to be deviant, but it still doesn't care.

The patients in the intensive care unit must be taken care of by people after eating, drinking, and lazing.

For example, the 17-bed patient is also very old. I heard that he is a retired cadre, and the official is quite big. Looking at the present, breathing needs to be relied on a ventilator, and eating needs to be fed by nasogas. Pull urine by urinary catheter.

The person is awake, but the body is paralyzed and cannot move.

Eating, drinking, turning over, lifting hands and feet, all need to rely on medical help.

It's no different from a walking corpse.

However, the patient insisted on treatment, and heard that he had been very strong before his retirement, and his family did not dare to disobey.

It's been almost half a year since he was left in the intensive care unit.

It's just a breath of air.

I really don't know what this man is drawing? If you know that it is death, why should you suffer that sin?

"Huh! I really can't see that you are so young and have such a deep understanding. Dr. Hu was praising him, but what was revealed in his eyes and tone was that he did not agree with Tong Can's approach.

Everyone's ideas are different, and the way of life is different.

"Okay, let's not talk about those big things about life. I'm going to continue to teach you how to use the various instruments and how to administer medicine to patients today. ”

Dr. Hu changed the subject and began to teach him more about critical care technology.

"First of all, I have to tell you that the purpose of the existence of the intensive care department is not to treat patients, but to save patients' lives."

Zhou Can nodded in agreement.

Intensive care medicine is all about saving the lives of patients in every possible way. Treatment is a matter for specialists.

Because doctors have limited energy and time, trying to do one thing well is the most important thing. Doctors and nurses in the intensive care department have spent their lives trying to figure out how to better save patients' lives.

"You were trying to find a cure yesterday for a seven-bed patient, and from my point of view as an intensivist, I don't approve of that. Professional things should be left to professional people. Of course, if you succeed this time, you may think that I can't eat grapes and say that grapes are sour. Jealous that you have made meritorious deeds and so on. ”

Dr. Hu's words are not unreasonable.

"I definitely didn't think so. Although I have not been dealing with you for a long time, I know that you are a good doctor. ”

Zhou Can didn't pat him on the back, but told the truth.

Maybe everyone's position is different, and the idea is naturally different.

"Thank you for agreeing. I will go on and explain why I don't approve of you doing this. For example, now giving this patient medication, it seems like a simple intravenous drip, but you know what? The drug ratio and dosage given to the patient, as well as the infusion rate or pumping speed, need to be rigorously calculated over and over again, and observed and adjusted at any time. ”

"A doctor wants to learn all the rescue skills and various medications in the intensive care unit, and use them proficiently, which is difficult to achieve in more than ten years

Higher level. Our doctors here need at least two to three years to slowly become independent. But those residents often have all kinds of problems that they can't solve. Then turn to us, the doctors, for help. ”

"Our attending physician will also have times when he is unsure, so he has to ask the chief physician for help. In fact, the chief physician is not a god, and he will often encounter diseases and rescue situations that he has never encountered before. They also need to continue to learn, continue to work in this field, improve the success rate of rescue, and strive to reduce the mortality rate again and again. ”

Dr. Hu said so much to Zhou Can openly and honestly, but he was actually full of kindness.

"I just want to tell you that to do a good job, it takes a lifetime of energy far from enough. Even the chief physicians also need to continue to learn and study more deeply in the subdivided fields. For example, Director Liu has a very high level of research in the field of respiration. But instead of moving on to other areas, he continued to work in the field of respiration. ”

"Judging by your performance in the past two days, you have a very high talent for medicine. But a genius like you can easily make a serious mistake. Ambitious people feel that they can do their best in everything, but in the end, they can't chew more than they can, and there is no achievement that can really be achieved. It's a shame that we really got to that point. ”

Dr. Wu is well-intentioned.

Tried to dissuade Zhou Can not to follow the path of a general practitioner.

lest nothing be achieved in the end.

There is a truth in martial arts, which is called a trick of freshness, and it is eaten all over the world.

Rather than a hundred tricks, it is better to be fine.

"Thank you for your kind words, when I choose to specialize in the future, I will definitely choose one or two fields carefully. I don't want to be an all-round general doctor. ”

After listening to Dr. Hu's words, Zhou Can solemnly thanked him.

Dr. Xu also told him about this matter.

"Hehe, you can listen attentively to the chatter of my old comrade, that's it. As for your future career, I don't dare to interfere. I would like to share with you some of the experiences and insights of those who have come before! ”

Dr. Hu could see that his attitude was quite sincere, indicating that he really listened to these words.

Dr. Hu is very satisfied with this.

I'm afraid that some geniuses are stubborn and self-serving, and they can't listen to the advice of their predecessors at all.

"Okay, I'll explain to you the dosage of medication, pumping speed and other techniques for patients in 7 beds!"

Next, Dr. Hu patiently explained to him the medication for critically ill patients.

In particular, some medications are contraindicated.

For example, patients with asthma should pay attention to what problems when pumping medicines.

Or for patients with renal failure, how to operate when taking medication, what data to closely observe, and so on.

……

Zhou Can studied very seriously and even took a lot of notes.

It's just that there are so many things to learn that you can't learn in a day at all.

Now, for the hospital to let him train in the intensive care medicine department for three months, he has deeply understood the foresight of Vice President Ye.

Not to mention learning mastery, even if it is only to the level of basic mastery, three months is still very tight.

Today, learning medicine with Dr. Hu is like opening a new window for him.

I never knew that there was so much attention to medication.

Time flies, and to work here, there is no break at noon. Even if it's a meal, it's all done quickly in just a few minutes.

The medical care in the intensive care unit, the pressure and intensity of the work, is really too great.

When it was busy until more than four o'clock in the afternoon, it was already time to take over the shift, but the patient with 6 beds was in serious danger again.

Even a deputy chief physician in his fifties came to help with the rescue.

In the end, even the ice blanket was used.

I was busy until five o'clock, and the patient's condition finally stabilized again.

"From the patient's symptoms and the fact that the condition was under control after the ice blanket was applied, it can be inferred that the patient's intracranial hemorrhage has definitely not stopped. There must have been another serious intracranial hemorrhage. And his intracranial pressure is very high, whether he can survive tonight, it's really hard to say. ”

The deputy chief physician's face was full of worry.

"Director Yu, can we increase the input of coagulation factors and platelets to help him stop bleeding?"

Dr. Hu was also full of sadness.

I just sent one away yesterday when I was in charge of the bed, and today I sent away another one, so I really hit the jackpot.

The patients in this case, after the medical staff tried their best to save them, still could not be saved, but there was no responsibility.

But the high mortality rate is certainly not good for the doctor who administers the bed.

"At present, the intracranial blood pressure of patients remains high, and increasing the dose of coagulation factors is not helpful, and it is easy to form cerebral thrombosis. Also, the patient must have had an acute cerebral hemorrhage, which had a lot to do with the sudden increase in blood pressure. His systolic blood pressure has exceeded 180 mm Hg, and I think it should be actively intervened with intravenous antihypertensive drugs at this time. ”

The level of the deputy chief physician of Yu is obviously higher than that of Dr. Hu.

The treatment plan given goes straight to the heart of the matter.

"You seem to have something to say? If you have any suggestions, don't worry about low job titles and shallow qualifications. ”

Deputy Director Yu glanced at Zhou Can's expression of wanting to speak and encouraged him to speak boldly.

"I think surgery should be the most radical solution."

Zhou Can had a very bad premonition.

This patient will most likely not survive tomorrow.

For critically ill patients, it is more difficult to endure at night than during the day.

Just like many elderly people are afraid of winter. Many of the elderly died in the winter. Because of the cold temperature in winter, it is easier for the elderly with weakened blood circulation to become the last straw that breaks the camel's back.

"Surgery is really the best thing to do. It's just that the patient's condition you have also seen, does not meet the surgical indicators at all. Director Yu said helplessly.

"What if a patient is given a cranial endoscopic surgery?"

Zhou Can already had an idea.

He has successfully completed dozens of difficult major surgeries, including many intracranial surgeries. This also gave him a certain amount of experience in judgment.

Judging from the patient's current physical signs, endoscopic intracranial surgery is between red lines.

It's barely possible, but it's very risky.

"The risks of endoscopic surgery are still extremely high, and few doctors are willing to do it. Because this operation needs to be done at least by the chief physician of the gods, they should not agree. And if you want to do it, tonight will be more significant. There are only a few chief physicians outside the gods, and they are temporarily scheduled for major surgery, and they can't arrange it on their schedules. ”

Deputy Director Yu didn't have a shelf at all.

patiently explained to Zhou Can the difficulties of the operation.

He mentioned that it is more meaningful to have surgery tonight, indicating that he does not have any confidence in the patient to survive tonight.

Deputy Director Yu doesn't have that energy arrangement for this matter, Zhou Can does. He has been training outside the gods for two months, and he has a good relationship with the two directors outside the gods. With him personally taking the lead, it should be possible.

(End of chapter)