Chapter 101: Past and Dead (I)
Pulmonary embolism is dangerous, with about 20% of patients dying within an hour of onset. But for Zhou Xiufang, it no longer makes sense.
In a clinical and legal sense, brain death is synonymous with death. This old man, who dedicated his life to medical education, passed away in this way.
Sun Lien looked at Liu Tangchun and asked with difficulty, "This is ...... What's going on?"
"I guess it's a pulmonary embolism. Liu Tangchun sighed, "What do you think?"
"I ......" Sun Lien struggled to organize his words, he thought for a long time, lowered his head and sighed, "I don't know." Sun Lien was not in the ward at the time of the incident, and he did not know what Zhou Xiufang had experienced and what kind of reactions and symptoms she had shown. Although the status bar directly told him the answer, he couldn't say a word.
Liu Tangchun patted Sun Lien on the shoulder, "Get ready, I'll ask Dean Liu to come over for an appraisal......," he paused and continued, "You are an apprentice next to you." ”
The content of the internship is how to identify brain death. According to the regulations, the diagnosis of brain death must be made by two clinicians who have practiced for more than five years. Liu Tangchun planned to let himself and Liu Pingchuan come to see Teacher Zhou off - Lao Zheng was still lying in the ICU. It is more appropriate for the current vice president of the college to make a diagnosis of brain death, and it is also a sign of attention.
Before Liu Pingchuan rushed to the rescue room, Liu Tangchun made a few more calls. It is mainly to notify the hospital office and the college office. Although Zhou Xiufang's posthumous affairs are still handled by his family, considering the body donation and the clear medical history record in that box, Liu Tangchun keenly feels that this is a thing worth recording and reporting.
At the very least, it can make the teacher known to everyone in another form.
Sun Lien slowly walked to the old man's bedside and half-knelt on the ground, like a young son who had come to answer the old grandmother's question, a little timid, but also a little nostalgic and sentimental.
"Teacher Zhou......" Sun Lien said in a low voice, "The patient just now was suffering from acute methamphetamine poisoning. ”
The old man was lying on the bed, his bloodless lips slightly open. It's as if there's something to say, and it's as if nothing has happened.
Sun Lien lowered his head and continued, "Without your reminder, it may take us another two days to confirm his problem...... That's dangerous. Thank you. ”
The resurrection on TV is actually just a good wish, and the 81% number on Zhou Xiufang's heartbeat monitor, which symbolizes brain damage, has not changed. Non-pressurized oxygen has long been replaced with non-invasive pressurized oxygen masks. The strap of the mask ruffled Zhou Xiufang's gray hair.
Xu Yourong silently walked to the old man's side and helped her restore her messed hair to its original state with his hands. patted Sun Lien on the shoulder, "Are you waiting here for Teacher Liu to come over, or are you going to take a rest first?"
Sun Lien stood up a little confused, he looked at Zhou Xiufang, and suddenly shook his head vigorously. His hands slapped his face a few times.
Putting down his hands, Sun Lien's white face was a little red from being beaten. He made up his mind, "Let's learn first." After sending Mr. Zhou away, we will go to the ward rounds. ”
Doctors can't see through life and death, they just don't have time to be sentimental.
Liu Pingchuan walked quickly into the rescue room, looking at the old man Zhou Xiufang on the hospital bed, he was stunned at first, and then the expression on his face froze.
"Have you notified your family?" Liu Pingchuan asked in a low voice, "What did Mr. Zhou say that he wants to donate his organs?"
"Zhou Jun is rushing to the hospital. Liu Tangchun said calmly, "Teacher Zhou means that he wants to donate his body to the medical school to be a general teacher." Then donate the cornea as well. ”
"What's the problem?" asked Liu Pingchuan, "Can organ donation be done?"
Liu Tangchun nodded and shook his head, "Teacher Zhou was diagnosed with PPCL, and his organs cannot be donated." As for whether the cornea can be donated...... Liu Tangchun paused, "After all, Mr. Zhou is almost ninety years old, and it is difficult to say whether the cornea can be maintained and used." I've called the ophthalmologists to come over and check it out. Wait and see what they think. ”
It's just that the ophthalmology consultation doctor is really slow to come. The two waited together for more than ten minutes, and then they waited for Feng Ming, who came out of breath, and Feng Ming's teacher, Zhao Yumin.
"I'm sorry. Zhao Yumin didn't even have time to put on a white coat, she rushed over directly wearing the surgical hand washing gown. "I just brought an emergency eye contusion and laceration, and it was delayed for a while. ”
Liu Pingchuan was very calm, "It's okay, Mr. Zhou...... There's a lot of time now. Take your time. ”
Zhao Yumin did not be polite with Liu Pingchuan and others. She ran towards Zhou Xiufang's bedside and closed the old man's eyes with her hand. Two drops of artificial tears are dropped in the corners of the eyes to keep the cornea moist. Then he turned his head and asked, "How old is the patient, and what is the disease?"
“PPCL。 Sun Lien replied, Liu Tangchun looked really tired, as the attending doctor, he should also come out to do his own work. "It's a ...... Spontaneous plasma cell leukemia. Mr. Zhou is 88 years old. ”
Zhao Yumin shook his head with some regret, "According to the regulations, corneas of patients with malignant tumors and leukemia cannot be donated. And the old man is too old. Although there is a shortage of donors in the eye bank, the standard is only relaxed to 70 years old. She's also over the age limit. ”
Liu Pingchuan and Liu Tangchun glanced at each other and nodded, "I'm sorry for you." ”
Cornea donation is not only significant to the donor, but also the only hope that brings light to the recipient. The eye bank strictly adheres to the rules in its work, and there is nothing to blame. It's just that if Zhou Xiufang knows that he doesn't meet the donation standards, I'm afraid that he will joke and scold two sentences like "people are useless when they are old".
The atmosphere in the rescue room was not very suitable for chatting, and Feng Ming didn't say a word when he left, but just patted Sun Lien on the shoulder. Thinking about it, I was also a little worried about my roommate, who sent away two patients in three days, but I was afraid that I would definitely not feel good.
Zhou Jun finally rushed back to the hospital with his father. The two of them held a thick stack of notebooks in their hands. This is all the medical history that Zhou Xiufang has recorded for herself since she entered the medical industry at the age of 21. From the notebook I copied down to the recently copied case records. Two thick stacks of paper were protected by the father and son, and they were moved all the way from the family building of the college to the hospital - light snow began to fall outside again, but there was not a trace of snowflakes left on the record.
"Good work. Zhou Jun put the record book in the hands of himself and Comrade Lao Zhou on the duty platform. With red eyes, he nodded to his colleagues around him, and shook Sun Lien's hand. "I'm sorry for everyone's trouble. ”
.m.