Three hours ago.
The first hospital of Medical University, ICU.
Director Qian encountered a difficult thing. He looked gloomy all day. Every little doctor hid far away for fear that he would scold him if he caught him.
ICU lived in a retired person, who was diagnosed with high cervical spinal cord damage and quadriplegia three months ago. How did the damage come from? Director Qian had a vague guess in his heart.
The old man is in bed for a long time because of a variety of geriatric diseases, which is estimated to be the injury in the process of turning over. But this kind of thing involves the careless care of the patient''s family members, but it''s hard for a doctor to say.
Whether it''s the patient''s son or his nanny''s mistake, it will eventually fall on the head of the hospital.
It''s really hard to be a doctor now. There are countless black pots on your back. You can''t lift your head and straighten your waist.
The patient''s condition is very simple. He has reached the stage of wind and candle in his old age. At any time, his physical condition may deteriorate sharply due to any change, and finally embark on the road of death.
Everyone has to go this way. There is no way.
However, the complex social relations make the simple treatment difficult.
For retired personnel, because they have made contributions to the Republic, the state stipulates that medical treatment is free.
Without money, doctors should have breathed a lot less pressure. But because the patient''s son regarded him as a money bag, he received more than 10000 leave allowances every month, which were all family income.
So he can''t die, absolutely not!
Death is equivalent to cutting off people''s wealth.
The patient has three sons, two of whom have died, and the youngest son is nearly 60 years old this year. There''s nothing serious. I walk around the corner and dance square dance every day. My life is very moist.
Most of the support for his life comes from the old man''s retirement allowance.
He prefers to put the old man in the hospital. In this way, even the expenses of the nanny will be saved, and everything will be reimbursed by the state.
He doesn''t visit the old man every day. Even if director Qian wants to communicate his condition, he needs to make an appointment one day in advance.
Similar patients have a very low rating in the minds of doctors. They belong to patients who are willing to have an accident and may have a moth.
Sure enough, after meeting the patient''s family members, director Qian sat down and confirmed his ideas.
The patient''s youngest son didn''t ask about his condition, but said - if my father dies, I won''t live, and I''ll hang at your door.
Director Qian doesn''t think this threat is true.
Living moist, who has the courage to hang. But in case of an accident, even normal accumulation pneumonia will break the patient''s son''s money bag and cause right and wrong.
Record with the medical department and try to make the medical documents correct. Director Qian has done a lot of non clinical work to avoid medical disputes with too high probability.
With the passage of time, the old man''s situation is getting worse and worse. He has come to the last step of his life and faced death.
If director Qian were his own father, he would certainly die. It has nothing to do with money. It''s mainly suffering.
It''s not an enemy. Why throw the old man into bed and use various medical means to maintain his last breath, which shows that he is still alive in medicine.
There is no point in doing so.
Although it is of no significance to director Qian, it is of great significance to the patient''s son. Most of the income of 10000 a month is for the living, not for the dead. The average day is five or six hundred yuan. It''s not good to do something.
Director Qian knows that there is no way. They have no right to decide the patient''s life and death. The only thing they can decide is the patient''s immediate family.
The patient''s accumulated pneumonia is getting worse and worse. Even if it is maintained with antibiotics, it can''t be controlled. Antibiotics are used for a long time, and things like mold infection will happen. At the thought of so many complications, director Qian turned one head into two big ones.
When it was time to get on the ventilator, he asked the patient''s son to come. He didn''t appear in the hospital until two days later.
Explain and sign. As soon as it was finished, the patient''s son disappeared without a trace.
Director Qian can''t help it. He knows it''s a fire pit and wants to jump in. Public opinion is here. The patient''s family members can refuse to continue treatment and sign to pull the person away. However, doctors do not have this right and can only try to persuade the patient''s family members.
In front of this, it just can''t be persuaded. He doesn''t care about the condition of the old man who is suffering every day in the hospital bed. He cares about the income of hundreds of dollars a day.
Life is like that sometimes.
Because the patient has no consciousness below the neck, the respiratory muscles are getting weaker and weaker, and the violent exercise of cough has disappeared. It can be predicted that the accumulated pneumonia will become more and more serious.
But now, after all, there are medical means. Director Qian is as uncomfortable as being fed with shit. He is ready to give the patient endotracheal intubation.
Director Qian is still responsible for key patients. He operates by himself to eliminate accidents that may be caused by improper operation.
The patient has no idea of living. Although he can''t speak, his violent agitation shows his intention.
Director Qian stood stunned at the head of the bed and looked at the restless old man. He felt very uncomfortable. He can feel the idea of the old man, get rid of it early and suffer less crime.
But
no way out.
"Old man, I told your son about the situation and your status. He didn''t agree to give up." director Qian didn''t know if the patient could understand it. He stood at the head of the bed and said slowly, "I''m not feeling well. You have to bear more. I''ll give you a tube to help you breathe."
Even if the patient shows his attitude with agitation, director Qian has no way. He stood in front of the bed for ten minutes before he sighed deeply and said, "prepare for endotracheal intubation."
It is said that raising children to prevent old age, but in the end, his son was not sensible and suffered a lot of crimes. Director Qian felt very uncomfortable, but he couldn''t help it. Doctors have the responsibility of doctors. At the legal level, doctors have only the right to make suggestions and disposal, not the right to make decisions.
Moreover, even if the old man can sign documents and hope to get rid of it as soon as possible, there is no euthanasia bill in China. Once you are soft hearted, you may end up in endless trouble.
Because the patient is restless, director Qian also wants to make the old man suffer less crime, so he is ready to relieve the pain by means of surface anesthesia.
The anesthetic spray gun was ready, and the surface infiltration anesthetic drug tetracaine was pumped. Qian director tried to pacify the patient, and sent the gun to the old man''s mouth. He pulled the trigger and spray anesthesia.
But the accident happened after all.
The patient did not know whether he was dead or determined. He seized the front gun head of the anesthetic spray gun.
When director Qian felt the force was wrong, he took out the gun and almost didn''t cry.
The gun head fell into the patient''s mouth.