Surgical Fate

After the operation, wait until the patient recovers to breathe spontaneously and the anesthesia passes.

An Min asked someone to put him on the bed, and walked out of the operating room by himself, but today he felt that his steps were very heavy, as if he was groggy and his chest was tight.

"Doctor Fu, are you alright?" The anesthetist who performed the same operation also noticed that something was wrong with her.

"It's probably a stomach problem again." She hadn't had a good appetite for the past two days, "I'll go to Director Huang later." She mustered up her energy to do things.

At the nurse station in the operating room, she filled out the form and handed it to the nurse.

The nurse received the call, "Doctor Fu, there is a call from the chest, and Lu Chenxi's mother has an arrhythmia!"

An Min wanted to leave, but her eyes turned black with dizziness.

"Doctor Fu." Head Nurse Zhou grabbed her quickly, "Didn't you have breakfast? Low blood sugar, hurry up, bring a glass of water!"

An Min stabilized herself, "I probably haven't had a good rest recently." He took a sip of the water handed over by the nurse, "It's okay, I'll be there right away."

"You'd better sit down for a while before going over." Head nurse Zhou felt that she had a bad face. "Is there any sugar and chocolate, go and get some." She thought it was hypoglycemia.

The little nurse went to get it.

An Min sat for a while, ate two black chocolates, and felt much better. "I didn't have any appetite in the morning, so I drank two mouthfuls of plain porridge; thank you, Teacher Zhou."

"It's good that people are fine. If it's really not good, get some fluid." Head nurse Zhou looked at her pale face, "Don't worry too much about Dr. Zhuang, your body is important."

"Yeah." He raised his hand and said goodbye to them.

When An Min arrived at the ward, Professor Chen, Zhuang Shu, and Lu Chenxi were all there.

Lu Chenxi was listening to the phone, "Pulmonary edema may have occurred, I will send it."

"I'll go, where is it?" Seeing that there were too many people in the room, An Min didn't go up. "What's the situation?"

Lu Chenxi really didn't want to leave now, so she told her the medical history, "... now I have difficulty breathing, my blood oxygen saturation is 82, I have paroxysmal cough, accompanied by pink frothy phlegm, and obvious moist rales in both lungs, probably due to pulmonary edema. The person is in Puwai, bed 31; I will come here as soon as I am well.”

Zhuang Shu was auscultating Cheng Lu, he turned his head to An Min and nodded, then turned back again.

An Min went first.

In general.

When An Min arrived, the chief resident of general surgery was auscultating the patient. When he saw that she had arrived, he immediately turned to "Director Fu."

A long-haired woman turned her head, and the expression of being happy when she heard the director immediately changed when she saw An Min, and shouted, "Why are you so young again!" What a director.

An Min was already holding the patient's chest X-ray and medical records, without looking at the family member with a sharp voice, and auscultating the old man, "Come, take a deep breath."

The old man was wearing an oxygen mask, and had been coughing and had difficulty breathing.

"Take blood for blood gas analysis, and take a chest X-ray." An Min whispered to the nurse.

The nurse went to do it right away.

The long-haired woman also stopped talking, but her suspicious gaze did not retract.

After An Min checked, the condition was very bad, "He has to be put on a ventilator." He raised his eyes to the nurse, "Go push the ventilator."

"Director Fu, you've seen the situation. I think it's better to wait until the blood gas analysis is done." The resident doctor in general surgery didn't dare to make decisions, and handed over a list.

"The carbon dioxide partial pressure list an hour ago?" Fu Anmin held the list, "Where's your director?"

"Surgery!" Puwailin's resident doctor looked distressed, "Deputy Director Li is in the specialist outpatient clinic this afternoon, and another one just went to the emergency department for consultation, and the attending doctor is also busy."

"This situation cannot be delayed. Once irreversible damage occurs, his life will be in danger." An Min glanced outside, "I know that most people are resistant to invasive treatments, and his daughter looks difficult, but the blood He can’t wait for the examination to be done! You watch here, I’ll tell the family about the ventilator, watch.”

Outside.

The woman had already called the phone in tears, and she didn't know who she was crying to. When she heard the sound of the door opening, she stopped her voice and turned around, "Doctor, why did the stomach bleeding turn into lung bleeding again? Are you fooling me? Did the bleeding not stop? Why didn't the original female doctor come?"

"Do you want to quarrel with me?" An Min said lightly, "If you don't want to quarrel, but want your father to recover, then put away your disrespectful attitude."

Chang Dalin's daughter stared wide-eyed, embarrassingly.

"Your father's condition is deteriorating. Now your father must be on a ventilator. I need you to make a decision. Putting on a ventilator is an invasive treatment." An Min calmly faced this woman who looked mean and mean, "This decision is urgent. , on a ventilator, or not on a ventilator.”

"On a ventilator? What do you mean?" Chang Dalin's daughter shouted excitedly again, "It's not just pulmonary edema, why do you need to be intubated!? Are you young people bullying our hospital? Take turns to practice with my dad!"

"Director!" Doctor Lin opened the door.

"What kind of director? I became a director at a young age. She looks so delicate and delicate. Who knows how to become a director!" Chang Dalin's daughter despised.

"If your father is not on a ventilator now, it will cause irreversible damage." An Min said without any confusion, "I want your decision now, put on a ventilator!"

"I don't understand, I don't make a decision!" Chang Dalin's daughter shook her arm.

"That means you don't have the right to make decisions?" An Min turned to Dr. Lin, "to contact Chang Dalin's other relatives. We can't prove whether there is a legitimate direct blood relationship between this woman who is Chang Dalin's daughter and Chang Dalin; Now inform the medical department that there is no family member of this patient present, but he must be put on a ventilator immediately, and ask them to find a way to notify the family members to come."

"You woman!" Chang Dalin's daughter had never met such an arbitrary doctor.

An Min has already entered the ward.

Doctor Lin blocked the woman who wanted to rush in, "Director Fu, you..."

Fu Anmin put on a hat, "She doesn't respect me, why should I respect her? I don't pick patients, I only pick patients' families!" put Chang Dalin on a ventilator, "Contact the ICU!"

……

An Min dealt with Chang Dalin's problem well, asked Dr. Lin to send him to the ICU for monitoring immediately, and called a deputy director of General Surgery to take over the matter, and sorted it out for Lu Chenxi.

There was news from the chest that Jiang Shouren had heartache and dyspnea again, An Min immediately left the ward and rushed to the chest.

"Let me tell you, I didn't agree to put you on a ventilator. I'm not done with you!" Chang Dalin's daughter rushed over immediately.

An Min squinted her eyes, extremely cold, "Nurse, call the security guard!"

Chang Dalin's daughter stopped when she heard the word security.

An Min ignored her and hurried away.

"Wait, wait until my brother comes, I'll see you!" Chang Dalin's daughter yelled from behind.

When I rushed to Jiang Shouren's ward, I saw Zhuang Shu doing bedside ultrasound for Jiang Shouren, "What's going on?"

"The patient suffered heartache again and had difficulty breathing." Zhuang Shu looked at the ultrasound, which showed that "the heart rate and respiratory rate increased suddenly, but no pericardial effusion was found in the TTE examination."

An Min also looked at, "Just now, the pericardial effusion is due to pressure on the right heart chamber." But now there is a problem with the function of the left ventricle, "Look at the apex area."

Zhuang Shu moved the probe and found that "this part has abnormal movement."

"Bring the previous examination film, next to the X-ray machine!" An Min was still looking at the screen.

Jiang Shouren's latest check-up came out, and Zhuang Shu looked at the list, "The original electricity alternately disappeared, the chest leads were abnormal, and the r-wave disappeared."

An Min did not speak: the cardiac tamponade has been relieved, and now this symptom is not caused by pericardial puncture, the current situation is apical enlargement, which is the same as the balloon lesion "stress cardiomyopathy SCI?"

Zhuang Shu took her aside, "This situation..."

"Stop the chemotherapeutics, and make a surgery plan immediately. Surgery must be done before cardiac tamponade again." An Min knew this very well, "but I have to find a surgery plan that his heart can bear." And this is not easy, the tumor is so big.

Zhuang Shu knew that she never thought of giving up "You still have a little time." The operation must wait for his current situation to improve "I will accompany you."

There was a knock on the door.

An Min turned around and saw Jiang Ming outside the door, "Take a look for me."

Zhuang Shu nodded.

Outside.

An Min looked at Jiang Ming, "It can be confirmed now, three thousandths."

In fact, Jiang Ming has already gone back to confirm. Hearing that his father has such a situation again, he understands that it is the three-thousandth "Now what is your suggestion?"

"Stop chemotherapy, surgery." This is the only solution.

At this time, the daughter of the patient Chang Dalin felt that she was being bullied in the hospital, so she contacted her brother and rushed to the hospital. They went to the ICU first, but there was no answer there, and then Chang Dalin's daughter urged her brother to find Fu Anmin.

"...Although she is not in the emergency department, she is in general surgery, and she is also the ventilator for our dad. She also said that I don't understand anything, and I don't know if I have a father-daughter relationship with our dad. Brother, I have a relationship with my dad. You said she was irritating! Later I heard from that little doctor that she is an expert, and even the boss’s father called her to do the operation!”

They aggressively came to the chest to find someone.

In the corridor of the chest ward.

Chang Dalin's daughter suddenly pointed, "That's her, she is that Director Fu!"

An Min turned her head and saw a pair of men and women approaching fiercely, "Mr. Jiang, it seems that you are not suitable for the next scene. Please go back to the ward."

Jiang Ming also saw it, "Okay, let's continue later." He walked back to the ward.

Fu Anmin walked to the nurse's desk and took other people's medical records and a ballpoint pen.

"Brother, it's her!" The mean woman with long hair pointed.

The nurses at the nurse's desk saw it all.

Chang Dalin's son has a fierce appearance, and he looks like the kind of person who is fierce and fierce, "You are Fu Anmin?"

"I am." An Min looked up.

Chang Dalin's son did not take any dangerous actions for the time being, "My dad had stomach bleeding, pulmonary edema, and you were the one who was admitted to the ICU?"

"No." An Min curled the corners of his mouth, "The initial gastric bleeding was treated by the first doctor."

Chang Dalin's son looked at the girl, she nodded: it was indeed not her at first.

"Okay, now I ask you that my dad is in the ICU, why did you come to the thoracic surgery department?" Instead of guarding my dad?

"I'm a chest surgeon, is there any problem coming back here?" An Min asked him back.

Nurse Lin looked at the situation, "The patient's family, she is the chief chest doctor."

"You came just in time. Your father is in a stable condition and is under ICU care. I think it would be better for you to visit there!" An Min said in a friendly manner, "And I have entrusted his follow-up treatment to a general surgeon." Old experts, because it looks like the lady next to you is hostile to women younger than yourself."

"Since you have started to take care of it, you should take care of it to the end!" Chang Dalin's son began to be unreasonable, "What do you eat in the hospital? My dad wants three doctors to take care of it? And why did you just give it to my dad without my sister's consent? On a ventilator?"

"She's your sister?" An Min looked completely ignorant, "I don't know, and was it a mistake to save someone? It's been about 31 minutes now, and your father is waiting for you to arrive. I will explain the situation to you and then sign the breath." It’s really hard to say what will happen to your father, I can probably predict what will happen to me, I was beaten to death by you!”

"You!" The mean woman pointed at An Min.

Chang Dalin's son pulled her away, "Don't worry about it, okay, you said you entrusted my father to an old expert, but I went to the ICU just now, and there are no doctors there!"

"Does that mean that I want someone to take you to find that doctor?" An Min still smiled softly.

"Don't mess around, you just don't want to take care of my dad anymore!" The mean woman shouted loudly, "You want to take care of the boss's father!"

"Wang Chen." Seeing Wang Chen, An Min "took them to find Deputy Director Li, and said they were Chang Dalin's son and daughter."

When Wang Chen saw these two people, he also knew that they were difficult to deal with, but he still went up, "Okay, come with me!"

"We're not going away. You selfishly put my dad on a ventilator without the consent of the family. If my dad has a good or bad thing, I will never end with you." The mean woman yelled.

"The medical office is downstairs." An Min didn't want to talk nonsense with them, and turned to the nurse's desk, "Give me the medical records of eleven beds."

"Don't go." Suddenly Chang Dalin's son grabbed An Min's arm, "If I don't go to the medical office, I'll come to you!"

An Min didn't move, "Let go!" Facing this unreasonable man, he remained calm.

Chang Dalin's son clenched his arms tightly, "Hmph, you're quite stubborn!"

"I'll say it again, let go!" An Min still didn't move.

Chang Dalin's son couldn't hold back anymore, "Go and cure my dad!" He dragged An Min hard while speaking.

An Min naturally refused to obey, and pressed down the ballpoint pen with the other hand to touch the back of the man's hand,

Chang Dalin's son was in pain, so he pushed Fu Anmin back.

An Min was pushed so hard that he lost control.

The author has something to say:

It's open, Yu He is hard to say, but there is no copywriting, no text, and no cover. Now it is a three-nothing

Suddenly found Ming Lou, He Han's woman is: a murderer

Zhuang Shu's woman is: the one who does the surgery

Tan Zongming's woman is: a man-eating person

It's not something ordinary men can afford