Doctor of Healing

Chapter 770
"Mr. Meng." Ji Xiang scratched his head, "This kind of rare patient is difficult to deal with. What if he suffers a cardiac arrest on the way to the ward."

"Here, you know it's just in case." Meng Qingfei smiled, "There are not many cases where there is an extremely severe pleural reaction after the next tube, which leads to cardiac arrest and cannot be rescued. It is a bit conservative to say that, at least in the In my medical career, I have never encountered it once."

"It's equivalent to an urban legend. Of course, you are right to be careful."

"And if it is prevented early, I will send it with a first aid kit. If the surgery comes to the emergency department during this period, what do you say?"

"How many more doctors? Hehe."

It would be cumbersome to say this any longer, so Meng Qingfei changed the subject.

"Xiaoji, let me ask you a common question."

"Teacher Meng, tell me."

Meng Qingfei was not in a hurry, he washed his hands first, and then wiped his hands vigorously on the buttocks of the white suit. The two black marks became more obvious after being soaked in water.

Back in the duty room, Meng Qingfei opened the window, and the cold wind from outside rushed in.

"Smoking is bad at this point. The winter in the Northeast is too cold and the ventilation is not good. I rarely smoke when I am on duty." Meng Qingfei explained.

But in the next second, Ji Xiang had already taken out a cigarette and handed it to Meng Qingfei.

Meng Qingfei took a puff of cigarette and asked, "Xiaoji, you must have encountered family members of patients refusing to rescue them in the ward, right?"

Ji Xiang nodded.

"Let's assume a common scenario. For example, a patient is terminally ill and can only use a ventilator to maintain breathing. Because of the high cost of the ICU, the financial conditions of the patient's family, and other factors, the patient's family decides to give up treatment after comprehensive consideration. "

"Tell me, what do you do when you encounter this kind of thing."

With a cigarette in his hand, Meng Qingfei looked at Ji Xiang deeply, and asked a common clinical situation.

This question is not difficult, and Ji Xiang said seriously after thinking about it, "I will first ask all the immediate family members of the patient to see if their attitudes are unified.

If not unified, will find the medical office.

If it is unified, I will write a more rigorous communication on the condition, and mark the words that the patient's family members request to give up, and they will be responsible for all consequences.

The signature form needs to be signed and fingerprinted by all the immediate family members of the patient, in duplicate, one copy is kept in the medical record, and the other copy is kept by myself. "

Meng Qingfei nodded in satisfaction after hearing a lot from Ji Xiang.

Jixiang's handling is not to say watertight, but it is quite satisfactory.In particular, there are two copies, and one copy is kept by yourself. This move seems meaningless, but it can avoid many accidents.

I didn't expect Jixiang to be so old-fashioned.

But Meng Qingfei was still not satisfied. He continued to ask, "According to what you said, the patient's family members will cooperate. You will leave one signature form in the medical record, and lock the other in your own cabinet, and then do it later."

"Then we have to extubate." Ji Xiang said with a little regret.

"Oh?" Meng Qingfei joked, "If that's the case, the patient will die."

Ji Xiang was slightly taken aback.

"There is a clause in the doctor's code not to harm the patient's life in any way.

Although the family members signed to give up the treatment, the doctor pulled out the ventilator, which indirectly led to the death of the patient.

As for you, you have the signed consent of the patient's family members in your hand, but whether this communication has any legal effect, if the patient's family members have bad intentions and bite back at that time, the court may decide how to judge. "

"!!!" Ji Xiang narrowed his eyes.

Meng Qingfei's words made his heart skip a beat.

"But let's think about it from another angle-the patient's family cannot afford the cost of treatment, and there is no corresponding institution to solve the cost problem.

Emmmm, should this be a question for doctors to consider?wipe! "

Meng Qingfei complained.

"The patient's family insisted on giving up the treatment, and the doctor had the authorization of all immediate family members. There is no reason to intentionally cause the patient's death. It also helped the patient, and there should be no legal error."

"Tell me, how can you minimize your risk." Meng Qingfei asked casually with his legs crossed and a cigarette in his mouth.

The last sentence was a bit convoluted, but Ji Xiang understood it in seconds.

There is nothing difficult to understand. The focus is on the death of the patient after extubation. If the patient's family members do not admit it, if they bite back, how can they ensure that they are all right?

Mr. Meng Qingfei is telling himself about his clinical experience.

Ji Xiang focused his attention and solemnly thought about the effort of smoking a cigarette.

But in the end Jixiang shook his head, he couldn't think of a better way.

What I just said, in Ji Xiang's view, is very comprehensive and complete, and the rest depends on fate.

However, Ji Xiang doesn't think it's right to tie his own future to the patient's family members.

"When I was young, I encountered a similar patient. I didn't understand the treatment of the superior doctor at that time, but every time I recall the treatment method in the past ten years, I always feel great."

Like Shen Lang, Ji Xiang pricked up his ears and listened carefully.

"The patient is still the patient I just mentioned. My superior doctor first communicated cordially with the patient's family members. I can empathize with each other's difficulties. I talked a lot of nonsense, but nonsense can draw in the relationship between each other."

"Of course, the signature still needs to be signed."

"The superior doctor did not directly remove the tube, but asked a lot of related matters while talking nonsense. After learning that the patient's family did not have the habit of going home to get dressed, he asked the patient's family to go to the pharmacy opposite the hospital to buy one. Ball."

The ball is what anesthesiologists often pinch.

"Extubation is the last step. Before extubation, you should go through automatic discharge. That's right! You missed one thing - the patient's family members asked for automatic discharge. Looking at my memory, I feel that what you said less is forgotten in the blink of an eye. "

"Uh..." Ji Xiang was slightly taken aback.

"There are many benefits of automatic discharge." Meng Qingfei told Ji Xiang a lot of things about automatic discharge, and then continued, "After the discharge procedures are completed, the extubation is performed, and the patient's family member's ball is held , while sending the patient to the treatment room."

"Next, give the ball to the family members of the patient and let them pinch the ball by themselves."

As he spoke, Meng Qingfei looked into Ji Xiang's eyes and didn't continue talking.

Ji Xiang knew what Meng Qingfei meant, it was a test of himself.

He has already said it thoroughly, and the rest has to be added by himself.

"The patient's family members pinched the ball, and the patient still breathed a sigh of relief. It is said that the person is still alive when he is discharged from the hospital. After that, when the patient's family members get tired of pinching the ball, it has nothing to do with the hospital or the bed doctor."

Meng Qingfei didn't praise Ji Xiang, but sighed, "Tell me, what do we think about every day. With this spirit, shouldn't we study business?"

This old trough can only be understood by doctors.

Ji Xiang also helplessly spread his hands.

"That's about it. You must remember that automatic discharge is very important." Meng Qingfei said, "It involves a lot, and when it comes to automatic discharge, you can basically judge the wishes of the patient's family."

Ji Xiang nodded carefully, he understood what Meng Qingfei meant.

"Yeah, that's all I've said, there's no point in talking any further." Meng Qingfei stretched his waist, "You go back, I'll go to bed early too, tomorrow your brother and I have a big event to do!"

Ji Xiang asked curiously, "Teacher Meng, what's the big deal?"

"Buy a car." Meng Qingfei laughed.

"Oh, that's it." Ji Xiang has no interest in things like buying a car, but he was infected with gossip by Shen Lang, and with what Meng Qingfei said just now, he still asked with great interest, " Teacher Meng, what kind of car are you going to buy?"

"Do you think I look like the owner who can afford a good car?"

"In any case, they are all doctors from the Second Affiliated Hospital, not much worse."

"Don't talk nonsense, the doctors in the Second Affiliated Hospital also depend on which department they belong to. Orthopedics, circulatory interventional surgery, oncology, plastic surgery, and stomatology are all first-class good departments."

"By the way, do you play Texas Hold'em?"

Meng Qingfei directly dragged the topic to the horizon.

"Occasionally, I'm not interested. I don't like bluffing." Ji Xiang said honestly.

"It doesn't involve Texas Hold'em technology. In the videos of many rounds, there is an old dentist. According to the UP owner, this guy loses hundreds of thousands of dollars in poker games every week."

"Well, it's quite rich to see a dentist in this way."

"Are you a stomatologist after all?" Meng Qingfei said, sighing deeply, "I was wrong back then. At that time, there was no requirement to practice, so I should have transferred to stomatology. I can't go to stomatology because of the tumor. For surgery, the teeth must be repaired."

"If I had the knowledge I have now when I was young, I wouldn't need to buy a bad car."

Ji Xiang's ears twitched, "A murderous car? What kind of murderous car?"

"The kind that has had accidents and killed people."

"!!!"

Ji Xiang was stunned.

Is this car still for sale? !
And this kind of car, Meng Qingfei, Mr. Meng, dared to buy it?
"I know a buddy who does business really well. A bad car is a bad car. He doesn't shy away from it at all. It's like a man who sells a haunted house. He made it clear from the beginning that it's good."

"Very cheap?"

"I bought a murderous car that had a serious accident, and the previous owner died. This Mercedes-Benz is only 7 years old, and it is sold as scrap iron."

"Teacher Meng...not good." Ji Xiang persuaded with a frown.

"Damn, after the founding of the People's Republic of China, you are not allowed to become a master. Why are you worrying about these things. Besides, I was a socialist archmage when I was young."

"..."

Ji Xiang does not approve of Meng Qingfei's attitude.

Believe it or not, you still have to stay away from it.

And Meng Qingfei was talking nonsense, he was not a great mage, but his attitude was that he really didn't believe it.

"Teacher Meng, is it reliable? Don't let anything happen to you." Ji Xiang wanted to persuade him.

"Come, come, let me show you this buddy." Meng Qingfei laughed and took out his phone.

Find a profile.

[I have been in the second-hand car industry for more than ten years, and I have never sold a high-quality car.The condition of the car is transparent, and it does not cheat veterans or fans.How many people died, how many people died!The horoscope is hard, not afraid of nightmares, not afraid of cheap ones. 】

Finally, there is one more sentence - an important partner of the funeral home.

Emmmm.

Ji Xiang felt a buzzing pain in his head.

Maybe Shen Lang would like it, but Ji Xiang really didn't like it.

"Awesome!" Meng Qingfei praised.

"Sold as scrap iron, what kind of car are you going to buy tomorrow, Mr. Meng?"

"Mercedes-Benz GLE350."

Ji Xiang sighed, it turned out to be like this, maybe the system can really know the cause and effect.

"Show you my car." Meng Qingfei already described it as "mine".

Ji Xiang didn't persuade him any more, Meng Qingfei looked gentle and amiable, but he was actually quite stubborn.

[7-year-old Mercedes-Benz GLE350, a major traffic accident, the black dog has been tested, three people died in the back seat, the blood was not cleaned, come to be fearless. 】

Oh shit!

Ji Xiang cursed in his heart.

The guy who sells the car is really not afraid of big things. He wrote clearly about major traffic accidents and deaths, and even wrote that the blood was not cleaned.

Is this also considered alternative marketing?

maybe.

Everyone sells high-quality cars, and people who buy cheap cars don't know the condition of the car. On the contrary, people who speak clearly are more likely to be trusted.

But Mr. Meng Qingfei's courage is really great!

Although Ji Xiang wasn't very scared, he just felt uncomfortable.

"There is still an interaction here." Meng Qingfei seemed to really not care. He opened the video with a smile and found an interaction.

This is a 13-year-old Mazda, two people died, and the owner who bought it left a message.

【Boss, why is the air conditioner still foaming with blood? 】

The boss replied - [Isn't that normal, my car has it too, don't be afraid if the horoscope is hard, it's okay. 】

Ji Xiang sighed.

Although he knew that there was a high probability that it was a joke between the fans and the UP owner, but it was a bit too much.

"Mr. Meng, why don't you forget it? I always feel that something is weird." Ji Xiang asked tentatively.

"Xiaoji, I want to ask you something." Meng Qingfei lay down directly on the bed in the duty room, stepped on the edge of the ladder to the upper bunk, crossed his legs, and said leisurely.

"You speak."

"Tell me, many people go to the snow area and think that the blue sky, white clouds, and snow-capped mountains can cleanse people's souls. How do you explain this?"

"It's normal, the hypocrisy of literary youth." Ji Xiang replied.

"Hahaha, I think my brain is short-circuited due to lack of oxygen. I remember many things, so I feel happy." Meng Qingfei is very good at nonsense.

"Hahaha." Ji Xiang laughed.

"So, from a materialist's point of view, it doesn't matter how many people died in the car, as long as it's cheap. What's more, the engine hasn't been overhauled, so it can still drive after you buy it."

Ji Xiang deeply suspected that Meng Qingfei also lacked oxygen in his brain.

Then, can it be the same?

"Aren't there fewer dead people in our hospital? To put it bluntly, I've seen more dead people than nerds...the familiar living people." Meng Qingfei said disdainfully.

"Mr. Meng, you are awesome, a pure materialist."

"Others talk about business, but I talk about materialism."

Ji Xiang gave a thumbs up.

"Okay, let's stop talking nonsense with you, hurry up and go back to rest." Meng Qingfei stood up and wanted to send Ji Xiang away.

At this moment, an old lady came to the end of the corridor.

She was covering her right hand with her left hand, and she could see blood.

Meng Qingfei sighed, slightly frustrated, "I'll deal with it, you go back first."

"Don't worry, I have time to leave after treating the patient." Ji Xiang immediately stretched out his hand.

Meng Qingfei was not too polite, and happily threw the key into Ji Xiang's hand.

After changing his clothes, Ji Xiang saw that Meng Qingfei was asking about his medical history, so he moved over to him.

The medical history is very simple. The old lady was picking up trash, and accidentally cut her hand on broken glass, and there was bleeding, so she went directly to the hospital for bandaging.

Jixiang brought the patient to the treatment room, turned on the floor lamp familiarly, and checked the patient's wound.

The wound was not deep, but relatively long, about 5cm in length.

"Just two stitches." Meng Qingfei glanced at it and gave advice on how to deal with it.

"No, no, I'll just bandage it up, no need to sew or sew." The patient quickly refused.

"It's better to get two stitches, it won't hurt, auntie." Meng Qingfei said politely.

"It's really not necessary."

Meng Qingfei gave Ji Xiang a look.

"Auntie, when you take the anesthetic, it's like a mosquito bite, it doesn't hurt at all, don't worry."

Ji Xiang showed a friendly and pure smile.

"Uh... I don't have any money, just bandage it up, it's just a minor injury anyway." The old man said with some embarrassment.

Meng Qingfei didn't speak, he looked at Ji Xiang and the patient with great interest.

Similar situations are common in hospitals, and Meng Qingfei obviously wanted to see how Ji Xiang would deal with it.

"Bad." Ji Xiang smiled, "Auntie, it's fine. In the middle of the night, I find it troublesome to issue bills and collect money, so hurry up and finish with two stitches. You go, and I will rest."

"..." The old lady was taken aback.

"But tetanus is still necessary, and it's not expensive. Hurry up, sutures don't cost money."

"..."

Ji Xiang persuaded him a few more words, and then went to Meng Qingfei's locker to get a spare anesthetic.

Meng Qingfei just looked at it with a smile and didn't say a single unnecessary word.

Since he didn't want money, the old man didn't insist. Ji Xiang put on gloves to clean the wound, and then applied anesthesia with two simple stitches.

The whole set didn't even take 10 minutes.

Ji Xiang said to Pi Yuan very satisfied, "Come on, I'll give you a tetanus."

Waiting for the patient to get the medicine, Meng Qingfei asked with a smile, "I'm good at being human."

"Old man, you still need to pick up the tatters. It's more practical to sew two stitches."

Meng Qingfei laughed, but didn't say much.

"I also have anesthetics in stock." Ji Xiang scratched his head. He knew that it was not good to take Meng Qingfei's spare anesthetics, which were all sold out of his own pocket, so he said embarrassedly, "I will bring them to you someday."

Meng Qingfei waved his hand, "Xiaoji, it's okay for you to do this during the night shift in the emergency department, but the head nurse in the department is quite strict."

"Oh, it's okay." Ji Xiang smiled, "The head nurse doesn't care about me."

"Huh?" Meng Qingfei was puzzled.

In the past decade or so, the cost performance assessment has become more and more stringent, and the department's income and expenses have to deduct the bonuses of the moths, and finally the performance award.

One after another, the head nurse turned into a miser, not to mention suturing, even a small treatment, with a cotton swab, she stared closely at it.

Missed fee?

does not exist at all.

After knocking down a fierce head nurse, she can stand in the corridor pointing at the doctor who missed the fee and scolding for an hour.

But Ji Xiang said that the head nurse didn't care about him.

"Is your head nurse so gentle?" Meng Qingfei was a little confused.

Neither the head nurse of the urology department nor the head nurse of the orthopedics department seemed to have anything to do with gentleness.Meng Qingfei was a little puzzled, could it be that Ji Xiang's appearance is so high?

"I wrote two sci articles for the head nurse." Ji Xiang said casually.

"..."

Meng Qingfei burst into tears.

It turned out that Jixiang had already paid all the expenses, and he paid in advance and spent a lot of money.

What a surprise!

This is throwing money at it!

If I were the head nurse, I wouldn't bother with Ji Xiang because of this shit.

Even if Ji Xiang pokes a hole in the sky, as long as he is not seriously injured, Ji Xiang will be saved if he can.

But this matter can never be replicated, and Meng Qingfei doesn't want to replicate it either.

"Awesome." Meng Qingfei gave a thumbs up and praised Ji Xiang like Ji Xiang praised him for buying a bad car.

There are not many professors for two SCI second works, but Ji Xiang casually sends them to the head nurse.

"Hey, it's okay." Ji Xiang smiled, "I also want to feel comfortable when I'm working, otherwise there are too many rules in the department now, which is inconvenient. And SCI papers, as long as there are not many citations, are of no help to me. , Buy a comfortable one."

"Who told you that?"

"No one told me." Ji Xiang recalled that he felt the same way many times, but he couldn't tell Meng Qingfei about this matter, so he could only perfunctory, "By the way, it was mainly you, Teacher Meng, who told me."

"..."

"It can be regarded as teaching by example."

"I'm not that generous." Meng Qingfei said contemptuously.

"Then I'm leaving, Teacher Meng." Ji Xiang didn't argue with Meng Qingfei, and waved away.

"Okay, let's go."

Watching Ji Xiang leave, the night shift nurse held Meng Qingfei back, "Brother Meng, have you paid yet?"

"Forget it." Meng Qingfei said, "The old man still has to pick up junk in the middle of the night, it's not easy, so let's do it like this."

"You explain to the head nurse tomorrow morning." The little nurse simply blamed Meng Qingfei.

Meng Qingfei was also very helpless. Although it was Jixiang's fault, it fell on him in the end and he had to solve it.

Ugh.

Meng Qingfei sighed, thinking about Ji Xiang's means of giving favors.

It's really hard to replicate.

Thinking of the clinical experience he told Ji Xiang, plus Ji Xiang's way of dealing with old people picking up rags, Meng Qingfei felt a little greasy.

Maybe when a person reaches middle age, not only the skin will leak oil, but also doing things will become more greasy.

It's better for Ji Xiang, who is young and straightforward in his work, has very few worries, and goes all out.

Meng Qingfei envied Ji Xiang to the core.

I don't know where this child will go in the future.

……

Late at night, in Shanghai, a group of people are still in a meeting.

The old man who witnessed Li Cailing winning the championship was sitting in a corner, listening to experts from the Huashan Hospital in Shanghai explain his understanding of the athlete's condition.

Things have not been going well for the national sprint team recently, and the Diamond League is about to start, but two generals have been injured one after another.

There are a little more than 2 years before the Olympic Games, and the General Administration is also preparing to let them hone for two years, and win gold and silver in the subsequent Olympic Games.

The local government also wants them to flex their muscles in this year's National Games.

But no one expected that the front and rear feet were seriously injured, and it was the Achilles tendon rupture that athletes fear most, the kind of serious injury that affects their careers.

Experts from Huashan Hospital suggested sending the athlete to Wellington Hospital in the UK or some hospitals in the US to complete the surgery.

Although the effect...is hard to describe in words, but that side is the top hospital for sports medicine in the world after all, there is no better way.

But now the old man has another choice.

(End of this chapter)