Doctor of Healing

Chapter 773 Dispute
"I have a friend who is a loving couple and has never quarreled in his life. But his wife got cancer when she was in her 30s, and it was very malignant. She passed away in two or three months without suffering any crime."

"At that time, I thought that my friend would not be able to stand the stimulation and he would have a nervous breakdown. So when I knew his wife was going to die, I hurried over to comfort him to avoid accidents."

"But the opposite is true."

Director Liu slowly told Ji Xiang a past story, and Ji Xiang listened carefully.

Having experienced empathy many times, Ji Xiang can easily put himself into it, but he doesn't let himself get lost.

"My friend's wife's death was very ordinary, and he was very polite and courteous to relatives and friends who came to see him off, and he was no different from doing things as usual. Even for a moment or two, I felt a little dazed.

It shouldn't be. At that time, I thought, could it be that the love between husband and wife in the past was an illusion? "

"I've also heard other people comment that he may have someone outside, or that he is unwilling to spend money on his wife's medical treatment, but it doesn't look like that, at least from my point of view."

"On the day of the funeral, my friend still had a habitual smile on his face when he talked to people. In short, it was completely different from what everyone imagined, and he couldn't see the sadness."

As he said that, Director Liu looked at Ji Xiang, and Ji Xiang's face was calm without any change.

"Further on, after half a year or so, someone began to introduce girlfriends to him. My friend is considered widowed. Although he has a child, he is young after all, and his income, figure, appearance, temper, and status are all considered first-class. , It is definitely not an exaggeration to say that the diamond king is the fifth."

"But no matter what kind of person is introduced to him, even if it is a college student in his 20s who has just graduated, he directly refuses and doesn't even look at it."

"Later there were rumors that there were people outside that he had been outside early in the morning, and the rumors were full of nose and eyes. I almost believed it."

"Rumours, how evil they are, everyone seems to like this."

Ji Xiang thought of Shen Lang.

Brother Lang... seems to be somewhat similar to those people Director Liu said, but very different.

People know it clearly.

"Another year passed, and many rumors were self-defeating. One day when we got together, everyone talked about the time when we were young, and there was nothing to recall, but he suddenly burst into tears.

It's miserable to cry.

I'm well-informed, but I was terrified that day. I've never seen him cry like this. "

"!!!"

Ji Xiang was taken aback.

A year and a half, a full year and a half has passed!

Director Liu's friend's emotions collapsed for a year and a half before he was released.

"It doesn't matter later." Director Liu said lightly, "I recalled this incident later, and guessed that my friend's previous mediocrity was a kind of self-protection. Humans have the instinct of self-protection in their subconscious mind."

"However, I don't know the details. I just guessed that his subconscious wanted to forget about it at the time, so until time passed, it finally broke out one day. But after all, after a year and a half, the wound has almost healed. The whole person went crazy."

Ji Xiang sighed.

"Director, what about the future?" Ji Xiang asked like Shen Lang.

"I'm still alone now. Whoever advises him to find another one just shakes his head. It doesn't mean that at all. Last year, his son was admitted to university, and he still has no idea of ​​finding another girlfriend or getting married again."

"In his words, after getting married, you have to take away all the photos of his wife. The home is not like a home, but it is better now. Seeing the photos, I feel that his wife is still there."

The words were very plain, but Jixiang could feel a huge force enveloping him.

After thinking about it, Ji Xiang suddenly asked, "Director, have you read "Cabbage Soup" written by Turgenev?"

"Cabbage soup? Pearl jade white jade soup?"

"It's a short story about the most capable young man in a village who died suddenly. After hearing what had happened to the young man's mother, the mistress of the village visited the old peasant woman to comfort her."

"I saw this old woman who had just lost her son standing in front of the table, in the very center of the hut, raising her right arm calmly and calmly.

Scooped the light cabbage soup from the blackened pot and drank it spoonful by spoonful.

Her face was sunken and dark, her eyeballs were swollen and bloodshot, but she stood solemnly and straight, as if in a church. "

Ji Xiang wrote it at his fingertips, and Director Liu knew that he was reciting an unpopular short story.

This kid's memory is really good, and the short stories he found at random fit very well with the "story" he just told.

"My God!" the hostess thought, "at this moment, she can still drink soup. Why is this person so indifferent? Doesn't she know the warmth and coldness of the world?"

At this moment, the hostess remembered that a few years ago, when she lost her little daughter who was only nine months old, she refused to go to the summer villa near Petersburg because she was too sad, and spent a whole summer in the city!
Director Liu listened silently.

Although I haven't read this novel, and although Jixiang is just retelling it, from the expression and language of the patient's family members to the experience of his own friends, it is here again.Listening to the simple but powerful language, Director Liu's mood was inexplicably complicated.

"The hostess asked, aren't you sad?"

"My son Vasya is dead," said the old peasant woman in a calm voice, tears of grief rolling down her sunken cheeks.

Of course I'm sad.

He died, and I went with him, and he ripped my heart out of my body.

She couldn't cry, but suddenly her tone changed back to calm, but this soup can't be wasted, there is still salt in it. "

"Director, to be honest, I didn't understand this article at all at the time. What's the relationship between your son and Yan?"

Ji Xiang said frankly.

"So, I'm going to ask my father."

"Your father? You father and son have a good relationship. I thought you would hold a grudge if he used a trumpet to pretend to be a girl and fall in love with you." Director Liu laughed.

Ji Xiang was slightly embarrassed, but still smiled, "My father just wanted to teach me a lesson. No matter who it is, sooner or later, he will be deceived. In his words, it is better for him to do it himself than to let others deceive him."

"..."

Director Liu was puzzled by the brain circuits of this strange pair of father and son.

"What did your father say?" Director Liu asked.

"What he said was very simple - why not eat minced meat." Ji Xiang replied flatly, "I have always had a hard time understanding it. I don't know what it means to eat minced meat, but I seem to understand a little today."

"so."

Director Liu nodded.

Jixiang's maturity has found a more perfect explanation.

I was also worried that Jixiang was wrong, so I explained to him why the patient's family members had such weird language and expressions.

But his father had done relevant education early on, and Ji Xiang even thought more than himself.

"That's what it means, Xiaoji, I think you..."

"Director, I'm sorry, let me interrupt." Ji Xiang bowed slightly, and said politely and respectfully.

"Ok?"

"I think the patient can still be saved, it's a little too early to grieve."

"..." Director Liu was taken aback.

"That's right. I think the patient's mother is a nurse after all. She still has basic skills in cardiopulmonary resuscitation. Timely rescue is very important. After the patient loses spontaneous breathing, the hypoxic time may not be very long, nor will it cause irreversible damage."

"But the patient is still not breathing spontaneously." Director Liu emphasized, "There is nothing wrong with judging that he is brain dead or in a vegetative state."

"But why don't we try it?"

Director Liu pondered. Instead of answering Ji Xiang directly, he picked up the phone after a minute of silence.

When calling Director Bai, Director Liu didn't say it was Ji Xiang's intention, but mainly explained the patient's condition.

"Try double plasma exchange, what do you think?" Director Liu asked, "It's just that the cost is relatively high, and I think the family members of the patient can hardly bear it. After all, they are former employees. Is there any way for you?"

Director Bai said something over there, Director Liu had a knowing smile on his face.

After hanging up the phone, Ji Xiang couldn't wait to ask, "Director, how are you doing?"

"Double plasma exchange has just entered our hospital, and it costs 6000-7000 yuan a time, plus other expenses. It is estimated that the family members of the patients will find it difficult to bear."

"Since it is a new device, let the manufacturer sell it, and the technicians will conduct another on-site training. This is also for the benefit of the manufacturer and for the faster promotion of the product."

Ji Xiang remembered the problems that the system npc posed to him at the beginning.

Director Liu seems to have formed a habit of calling Director Bai, but he rarely does so.

"Thank you, Director."

"What are you thanking me for?" Director Liu waved his hand calmly, "Go, go and see the specific condition of the patient."

Ji Xiang is very grateful to Director Liu for his trust.

I insisted that although Director Liu held an opposing view, he directly agreed and was going to try his own plan, and he would use double-layer plasma exchange.

In the operating room of the system, I was treated with double-layer plasma exchange under the guidance of the superior doctor.

Double-layer plasma exchange is a new technology developed on membrane plasma separation technology.

Compared with the membrane plasma exchange method, this technology has the characteristics of high safety, wide application range, less nutrient loss, and less plasma consumption.

It is a selective plasma separation therapy for the purpose of treating diseases by performing secondary separation on the pathogenic plasma after primary separation, and then injecting the plasma with the formed components of blood back into the body after discarding the pathogenic factors.

The patient had no spontaneous breathing due to oral administration of unknown drugs, and was judged to be brain dead and in a vegetative state.

However, Ji Xiang rescued many times in the operating room of the system, and finally proved that the patient lost spontaneous breathing due to the inhibition of the respiratory center by the drug effect.

Double-layer plasma exchange can "filter" the drug out in the shortest time.

This is also a therapeutic diagnostic method that can determine whether the patient is brain dead or whether the drug suppresses the respiratory center.

Coming to the intensive care unit again, in the corridor of the department, Ji Xiang was surprised to see Zhou Tianbo and Wei Fusi arguing.

Faintly, a voice came, and Ji Xiang's ears moved.

"The patient still has the possibility of treatment. I firmly deny direct transplantation."

Zhou Tianbo seemed to be a little tired, and his attitude became very tough, he said bluntly.

Ji Xiang saw it from afar, and he could even feel the change of Zhou Tianbo's aura.

In the past, Zhou Tianbo had always had a gentle and refined image, but this time he was particularly firm, like a long sword drawn out of its sheath.

"Director, why is Professor Wei still here? I remember he came to throw a knife a few days ago, as if he had returned to the imperial capital."

"It's probably because of the news that there is a transplant. The nose is stronger than a dog." Director Liu said contemptuously.

"Is the amount of surgery important?"

"The number of surgeries in the selection of Jieqing is not the key point, but if the two people's backgrounds, identities, education and literature, and the boss behind them. If these conditions are similar, the amount of surgeries becomes an objective indicator."

"Oh."

"Professor Zhou Tianbo Zhou has accumulated enough surgeries, Mr. Gu put him here to help work very early. Professor Wei's opponent is not Professor Zhou, so why?"

Director Liu didn't finish talking, so he just clicked.

"Old Zhou, what do you mean!" Wei Fusi seemed a little anxious, and asked with a red face.

"It's not interesting. I think the patient's condition can continue to be treated." Zhou Tianbo said seriously.

"you!"

"Old Wei, treat the illness first." Zhou Tianbo patted Wei Fusi on the shoulder.

Wei Fusi shook his shoulders and shook Zhou Tianbo's hand off.

From a distance, the gunfire of the two could already be seen bursting out.

Director Liu smiled all over his face and walked over quickly, "You two, what are you up to?"

Zhou Tianbo and Wei Fusi shut up at the same time, and Wei Fusi gave Zhou Tianbo a vicious look.

"We just had a small consultation."

"Consultation? Why don't I know." Wei Fusi was surprised.

"Ha, after all, the patient is in our Second Affiliated Hospital. Even if there is an organ transplant coordinator to investigate and complete the procedures, that is on the premise that the patient is diagnosed with brain death." Director Liu began to speak in an official tone, speaking extremely smoothly.

"The diagnosis in the medical record is still marked with question marks, don't worry."

"You! The patient's family has agreed!!!" Wei Fusi was a little anxious.

"So what? The patient's family is not a doctor."

"..."

Wei Fusi felt that the whole world was targeting him.

Ji Xiang didn't understand what Wei Fusi was thinking.

Ji Xiang once heard that there are several professors of orthopedics in Shanghai and the capital who can cure minor diseases into serious diseases, but Ji Xiang still doesn't believe it.

It may be that my family conditions are relatively good, so some things are difficult to understand.

Ji Xiang thought to himself.

However, no matter how he consulted the system npc about similar matters, he was unwilling to answer them. It seemed to belong to the category of family ugliness that should not be publicized.

"Professor Wei, wait a minute. After all, I am the director of the relevant department of the Second Affiliated Hospital." Director Liu didn't mention Ji Xiang at all, but took everything on his shoulders, and didn't care if Wei Fusco was unhappy. willing.

"Let's get a definitive diagnosis first."

"What are you going to do?" Wei Fusi asked helplessly.

"Double-layer plasma exchange, let's talk about it after a few times."

"Such an expensive treatment! And the patient is no longer breathing spontaneously, what are you! This is!!"

Wei Fusi was a little angry.

Director Liu smiled, shrugged his shoulders, and walked directly into the ward of the intensive care unit.

The patient is lying on the hospital bed, and the chest rises and falls with the ventilator.

Although there are still basic vital signs, and the vital signs are relatively stable, but the doctors present all know that this is just a machine maintaining the most basic operation of the human body.

"Do you breathe on your own?" Director Liu asked.

The doctor in the intensive care unit shook his head.

"I just reported it to Director Bai, and I think there is still a need for treatment. Let's try."

Director Liu took care of everything and took all the problems on himself.

Ji Xiang stood aside and listened silently.

Director Liu is clear about how much he cares for him, and it really doesn't matter if he is a small Pearson, and what is more important is that if the patient in front of him does what Wei Fusi said, there is nothing wrong with it.

Director Liu originally had the same idea as Wei Fusi.

The patient's family members all agreed, so why bother.Besides, patients who need organs are also patients.

But because of his persistence, Director Liu directly changed his attitude, and even treated the professor from the imperial capital with no false feelings.

It was really worry-free, Ji Xiang didn't say a word of nonsense, just followed Director Liu and looked at the patient silently.

Soon, the machine pushed in, and Director Bai followed behind.

"I checked the situation. Is it Xiaoji's opinion?"

Director Bai really knew his old friend, and he opened his mouth to explain the truth.

"En." Director Liu nodded, and looked at Wei Fusi with a dark face.

"Let's try it. We can't still do the investigation, so we rush to do organ transplants." Director Bai expressed his attitude flatly.

"When I was working in neurosurgery, I once rescued a patient in cardiac arrest." Chief Bai continued, "At that time, there was no Saab. We lined up, and more than a dozen medical staff took turns to press and pinch the ball."

"It took an hour and 23 minutes for the patient to be rescued successfully and regain spontaneous breathing."

"Afterwards, the patient is fine, and his mind is clear."

Director Bai talked a lot, and his voice was slightly louder, and Ji Xiang knew it was for Wei Fusi.

Watching the critically ill doctor perform double plasma exchange on the patient, Director Bai chatted: "The provincial TV station has invited me to do a program these days. I originally wanted to popularize cardiopulmonary resuscitation. I think it is necessary to popularize it for the whole people."

"That is, when I was out of the emergency department, some patients were sent too late. If there are similar conditions, it is estimated that the possibility of saving people is very high."

"I remember when Xiaoji was filming a variety show, the show also popularized Heimlich." Director Bai said.

Wei Fusi's face became more and more ugly.

Although Chief Bai was just chatting, his tendencies were obvious.

Wei Fusi didn't know who he had offended, Zhou Tianbo?It should not be possible.Zhou Tianbo supported the First Affiliated Hospital.

He was a little irritable, and even introduced some conspiracy theories, feeling that someone was deliberately targeting him.

But who that person is, Wei Fusi has no idea at all.

After the double plasma exchange equipment was installed and started to operate, Wei Fusi simply stood in front of the panel of the ventilator with his arms folded, looking at the values ​​and waveforms on it.

Director Bai came over, and then adjusted the ventilator from IPPV mode to A/C mode.

The breathing rate is 15 breaths per minute.

The IPPV mode is a basic air supply mode, which is characterized in that the ventilator will forcefully supply air to the patient in a certain form regardless of the patient's spontaneous breathing, and will not be affected by the patient's spontaneous breathing, and all parameters are provided by the ventilator.

The A/C mode assists in controlling breathing. Simply put, the patient breathes, and the ventilator helps you; the patient does not breathe, and the ventilator controls ventilation!

"You really have confidence." Wei Fusi said coldly.

"I'm used to fiddling with ventilators." Director Bai said lightly, "When I first came to the hospital, except for the Department of Anesthesiology, the first ventilator for other departments in the hospital was assigned to our Neurosurgery Intensive Care Unit. "

Uh……

Wei Fusi was taken aback.

This one doesn't look very old, but what he said makes people think about it.

In the past, there were very few ventilators. Wei Fusi did not experience that era, but he heard about it.

"At that time, the anesthesiology department encountered any situation that could not be resolved, so they always came down to consult me." Director Bai smiled slightly, "One time the pressure was particularly high, and I couldn't find the problem after searching for a long time. It turned out that there was water in the pipes."

Wei Fusi didn't have any thought of arguing with the old doctor, he looked at the waveform on the ventilator seriously.

The A/C mode has been given, and if the waveform changes, it proves that the patient is breathing spontaneously.

But, is that possible!
From Wei Fusi's point of view, the patient was brain dead and had no spontaneous breathing at all.I once changed the mode to SPONT mode, and changed back in less than ten seconds.

Patients can only rely on the machine to provide breathing.

The respiratory rate set by Director Bai was 15 times/min, and the actual respiratory rate was also 15, and the respiratory waveform was very regular, indicating that the patient did not breathe spontaneously and was completely controlled by the ventilator.

The waveform was very smooth and regular, and Wei Fusi felt that all this was a waste of time.

He also heard Director Bai and the others chatting in his ears, which made Wei Fusi even more unhappy.

"Old Wei, don't worry, take a break." Zhou Tianbo felt that Wei Fusi was a little embarrassed, so he came over to ease the suffocating atmosphere.

"If there's anything to rest for, I'll just stand here and watch." Wei Fusi said coldly, "I don't believe that brain-dead patients can be healed with double plasma exchange. If this works, it's a medical miracle! I'll give it to you." You apply for the Nobel Prize."

"Look at what you said." Zhou Tianbo scratched his head, "Removing the residual medicine in the blood should help the patient wake up. There is always a chance."

Wei Fusi was not happy, so he simply played his temper and ignored Zhou Tianbo, just watching for himself.

Double plasmapheresis takes 3-5 hours each time.

2500ml of plasma, 4 hours and 22 minutes later, Wei Fusi still maintained the original posture standing in front of the ventilator, staring at the waveform on the ventilator without blinking.

Jixiang has finished today's operation, and when he returned to the intensive care unit, he saw Wei Fusi's back.

This person is really stubborn and persistent, Ji Xiang thought to himself.

"It's been 12 minutes since one replacement, has the waveform of the ventilator changed!" Wei Fusi pointed at the numerical value and waveform on the panel of the ventilator, and reprimanded in a deep voice.

"It's so regular, and it's all breathing by the ventilator. I really don't know what your Second Affiliated Hospital thinks. The technical level is so low!"

"Old Zhou, I didn't expect that you have been here for less than a year, and your level has been lowered to such a low level!"

(End of this chapter)