Doctor Song, are you married?

Chapter 241 241. Intubation brings only pain

At the entrance of the ICU, Mr. Wang's youngest son has been waiting at the door.

He had thought that if they didn't put the ventilator on the old man again this time, he would go to the Jun District compound to cause trouble.

The old man is an old man. He has been shot, so we can't just let him die like this.

"Mr. Wang, your father's tracheal intubation has been re-inserted and the ventilator has been put on. However, I still want to explain something to you again. Your father's condition is very bad now. He is 95 years old and his health is... All functions have declined, and multiple rounds of radiotherapy and chemotherapy have caused him great pain. His physical condition really cannot withstand the torture." The attending doctor explained the condition to the family again.

"No, we will never give up. Doctor, just use any good medicine. My father is a national hero, and all medical expenses can be reimbursed." The old man's son insisted without any surprise.

"The old man's heartbeat and breathing will stop at any time. With the current medical level, there is really nothing we can do." The attending doctor shook his head helplessly.

"Doctor, I understand what you mean. We don't ask you to cure him. We just need to keep him breathing. You have to know that my father's monthly pension is more than 2 yuan. If he lives for half a year longer, it will be 10,000 yuan. + Well, I'll think of another way, if it doesn't work, isn't there something called ECMO?" the old man's son said with pride.

ECMO?

The attending doctor smiled bitterly and shook his head.

ECMO, also known as extracorporeal artificial membrane lung, is an emergency equipment used to assist patients with severe cardiopulmonary failure in extracorporeal breathing and circulation.The principle is to pump blood from the veins through the membrane to remove carbon dioxide, and then infuse the gas-exchanged blood back into the patient's body.

ECMO is a high-end medical device. When doctors evaluate whether a patient is suitable for ECMO, they often have to consider three aspects. The first is whether the patient's cardiopulmonary failure is reversible.

If it is reversible, ECMO can naturally be used to temporarily replace lung function, and the patient can be weaned off the machine after the cardiopulmonary disease is treated.

However, Mr. Wang's lungs have no chance of recovery. Even if it is a lung transplant, Mr. Wang does not meet the transplant conditions.

Therefore, the old man does not meet the first condition.

Of course, there are economic considerations and ethical considerations.

After all, ECMO can reach 10,000+ as soon as it is turned on!
Although the old man provides public medical care, this is not a waste of medical resources!
It has to be said that the hospital is like a magnifying glass, magnifying the greed and desire in human nature hundreds of times and displaying them unabashedly in front of the doctor.

"The old man does not have the qualifications to be put on ECMO. Even if it is a ventilator, the old man cannot be put on it for a long time. Fortunately, the tracheal intubation was inserted this time. If it cannot be inserted next time, the tracheotomy will be necessary. That would be a serious problem for the elderly couple. It is even more painful torture. You have to suction regularly. If you are not careful, you will get a lung infection and then a systemic infection." The attending doctor tried his best to persuade, even though he knew that this was basically useless.

"Doctor, why are you afraid of being in pain? In these days, what can you do to earn more than 2 yuan a month? The old man is getting older, so he should think about future generations. My son has not paid off the mortgage to buy a house when he got married. I'm counting on the old man's pension. Doctor, please think of a way."

Song Qi watched all this from the side, and his heart became heavy.He was a doctor, and in a sense, keeping patients alive was his mission, but at this moment, he suddenly began to question this.

"Doctor, please help me."

Seeing that the attending doctor didn't speak for a long time, Mr. Wang's youngest son reached into his pocket, took out a red envelope, and stuffed it into the attending doctor's white coat pocket.

"Doctor, it's a small thing, but I'm asking you to do me a favor, even if you let him live for three more months."

The attending doctor quickly took out the red envelope from his pocket and said, "I can't accept this. The old man is Lao Ge. It is our honor to serve him. But...hey! I will try my best."

After the attending doctor finished speaking, he sighed and turned back to the ICU ward.

Song Qi also sighed and silently turned back to the emergency room.

Along the way, he and Cheng Weiye didn't say a word.Song Qi felt it because of the unsolvable boredom in his heart, while Cheng Weiye felt a mixture of surprise, jealousy, and even anger.

Chi Haoran was also surprised when he saw Song Qi and Cheng Weiye entering the department one after another.

He held a cup of coffee in his hand and handed it to Cheng Weiye's hand, "Teacher Cheng, you worked overtime again at noon. You should pay attention to your rest. I ordered you a cup of coffee to refresh yourself in the afternoon."

Cheng Weiye felt very depressed and pushed the coffee away: "I don't have time to drink it now, you can drink it yourself." After that, he returned to the doctor's office.

Chi Haoran was a little embarrassed, so he had to give the coffee to the little nurse next to him.

The little nurse curled her lips and said extremely arrogantly, "You didn't buy it specifically for me. I don't want it. Chi Haoran, did you throw the mask into the trash can this morning? How many times have I told you? Masks are medical waste and should still be placed in the trash can with the yellow garbage bag. I can’t remember how many times I said it.”

The little nurse walked away angrily.

Chi Haoran was even more embarrassed, so he had to poke the coffee tube in and start drinking by himself.

However, I drank a little too hard and almost choked.

Dongfang Wenyan held back his laughter.

"Song Qi, where did you go with Teacher Cheng at noon?" Dongfang Wenyan was not a gossip, so he immediately turned his attention to Song Qi.

"Go to the ICU and help them get a tracheal intubation."

"Ah? Did you do it or did Teacher Cheng do it?" Dongfang Wenya was excited again.

"I did it," Song Qi said, but she was not as happy as expected.Just because this endotracheal intubation brings only pain to Mr. Wang
"Wow! Song Qi, you are simply amazing!" Dongfang Wenyan shouted excitedly.

Song Qi just smiled bitterly and shook his head.

Leisure time is always short. Before Chi Haoran finished his cup of coffee, the siren of the ambulance rang again.

Everyone quickly cheered up and ran to the door.

The visitor is an old patient with diabetes and chronic renal failure.

Also a frequent visitor to the emergency room.

The old man’s surname is Ge. He is in his sixties and has a history of diabetes for more than ten years. In recent years, his blood sugar has been poorly controlled and he has been complicated by chronic renal failure. He has been to the emergency department several times before. Due to his average family economic conditions, he was not hospitalized each time. , I just prescribed some medicine and went back to take it. This time it was because I suddenly fainted while going to the toilet, so my wife immediately called 120.

"Doctor, I'm sorry to trouble you again. My old man's condition has not been very good these days. Please take a look and prescribe some medicine."

The old man was placed on the emergency bed, and his vital signs were measured to be stable, but his blood sugar was very high. An emergency blood sugar was measured, and it turned out to be 28.5mmol/L.

Although the patient is currently in a coma, he has been breathing oxygen and his blood oxygen saturation is still good, so there is no need for intubation for the time being.

Li Da heard the sound of the ambulance and rushed over. When he saw that it was an old patient, he couldn't help but sigh, "I told you last time that you had to be hospitalized for dialysis. You had to be discharged and go home. Look, it's broken." I've only been back for a few days. Isn't this back again? Let's give 20 units of insulin intramuscularly first. In addition, where are the family members?" Li Da turned around and looked at him.

(End of this chapter)