Back in 2002 as a doctor
Page 725
"It is also possible for the manufacturer to contact the chartered flight to send it directly. As for our hospital..." Yuan Qingyao said, looking at Director Han.
Director Han breathed a sigh of relief, "Pull it here! I'll take care of the other procedures!"
"Okay, I'll get in touch. The factory in Japan should have ECMO, and the distance is relatively short." After Yuan Qingyao finished speaking, she walked out of the ICU locker room with her mobile phone.
"Director Han, Professor Zhou said he wants ECMO? Is there any cure for Shen Lang?" Xiao Kai asked.
"Alas." Director Han sighed deeply, and the most frequent movement he made today was to sigh.
In the face of rabies, it seems that there is nothing else to do except sigh.
"Professor Zhou said there is still hope, it mainly depends on Shen Lang's luck."
luck……
Xiao Kai didn't know what it was like to say such illusory things from Zhou Congwen's mouth.
He felt that Zhou Congwen was dying, jumping over the wall, dying...
Countless idioms came to mind, Xiao Kai smiled helplessly.
Especially when he opened his mouth to ask for tens of millions of equipment, what can I say about this thing.
Spend money, maybe spend more money, Professor Zhou Congwen Zhou will feel better.
"I'll go to the courtyard to report, Director Zhang, what is the name of the machine, you can send it to my mobile phone."
Director Han said, shook his head, changed his clothes and left the locker room.
Zhang You glanced at Xiao Kai, bared his teeth and was about to speak when Xiao Kai stood up, turned and walked out of the locker room.
The room was empty, and Zhang You's heart was also empty, feeling very lost.
……
12 hours go by in the blink of an eye.
Zhou Congwen sat on the stool beside the bed and looked at Shen Lang nonstop.
"Damn it, you have to hold on." Zhou Congwen murmured.
In addition to the conventional ventilator, monitor, and rows of micropumps and aspirators, the bedside machine also has an EEG machine.
With 24 hours of uninterrupted EEG, Zhou Congwen was observing Shen Lang's brain waves, capturing subtle changes in the EEG.
Putting Shen Lang into a "hibernation" state and deceiving the rabies virus is the core content of the Milwaukee therapy.
But when Shen Lang entered the hibernation state, things were just beginning.
Shen Lang was very calm, lying motionless on the hospital bed like a vegetable.
But Zhou Congwen knew that any small waves would put Shen Lang in an extremely dangerous state, and the huge waves would overturn this small ship carrying life in an instant.
"Zhou Congwen."
An old voice came from behind Zhou Congwen.
Zhou Congwen stood up and stood at attention. Although he was exhausted, his heart calmed down instantly.
"boss."
"The EEG is okay, how is the drug control?" Elder Huang walked to the bed with his hands behind his back and asked while looking at the EEG.
"There was metabolic acidosis and hemolysis, and I gave corresponding symptomatic treatment." Zhou Congwen said, and glanced at the people behind Mr. Huang.
He didn't speak, just bowed deeply.
At this moment, the only person Zhou Congwen could trust was himself, and the critical illness strength of the Second Hospital of Medical University was not enough before this kind of treatment.
When the 912 reinforcements arrived, Zhou Congwen was finally able to breathe a sigh of relief.
After all, this is not something that will happen overnight. The book says it will take ten days, and Zhou Congwen has made preparations for half a month.
"What medicine was given, and what dosage." Huang Lao didn't talk to Zhou Congwen about the past, and asked about the treatment directly.
Zhou Congwen answered them one by one.
Deng Ming watched as his boss communicated seriously with Zhou Congwen and a group of seriously ill people, and what they discussed was how to treat rabies...
Even as the director of the 912 Chest Department, he couldn't help feeling a little dazed.
Chapter 1237 The Hibernating Shen Lang Listens to Gossip
Half an hour later, Zhou Congwen's cell phone rang.
"Here, okay, I'll go out." Zhou Congwen said.
"Who?" Elder Huang asked.
"Shen Lang's parents." Zhou Congwen said solemnly, "Boss, watch the meeting for me. I'll go and talk to Shen Lang's parents."
Huang Lao put his hands behind his back, and the index finger and middle finger of his right hand kept tapping the back of his left hand.
"You continue." Huang Lao said, "That side, I'll go."
"..." Zhou Congwen looked at his boss silently, without arguing.
Mr. Huang didn't explain anything, he looked back at the various values, then turned and left.
Zhou Congwen sighed.
The boss always puts the heaviest work on his shoulders.
Healthcare is never just about patients.Human beings are social creatures, and they always have various social relationships.
Sometimes, no, many times the most difficult thing is not in the medical field, but in the human heart.
Why is the medical environment getting worse and worse, with medical disputes 1.0, 2.0 and even 3.0 years?
When the boss was young, he discovered leukemia and lymphoma, and he died of terminal illness immediately, with almost no expenses.
What about the future?
For leukemia and lymphoma, flow cytometry + gene rearrangement + fish cost tens of thousands; chemotherapy tens of thousands; bone marrow transplantation tens of thousands; CAR-T hundreds of thousands to more than 10 million.
The patient in "I'm Not the God of Medicine" suffers from chronic myeloid leukemia and needs to take imatinib for a long time to control the progress of the tumor. Although it cannot be completely cured, as long as he has money to take the medicine, he can live.
This makes patients who have no money feel very unfair.
The human heart, that's part of the healing.
It's just that the doctor is somehow blamed.
When it comes to Shen Lang, there are two opinions about whether the Milwaukee therapy can work, whether Shen Lang's parents can accept it...
This is the hardest.
And Huang Laoyi asked Zhou Congwen to take care of Shen Lang honestly without hesitation, and to communicate with Shen Lang's parents by himself and do the most difficult things.
Fortunately, Zhou Congwen didn't argue with his boss, he greeted the intensive care unit that came to support from 912, and asked Xiao Kai to arrange for them to settle in.
Zhou Congwen decided to take care of the night by himself, and the intensive care unit of 912 to take care of the daytime.
That should be the safest thing to do.
Half an hour later, Deng Ming called Zhou Congwen and told him that Shen Lang's parents had been comforted by the boss, and that there was no particularly violent emotional fluctuation.
Zhou Congwen was a little relieved.
After all, his boss has a halo all over his body, even if he is not an ordinary person in the medical circle, he can get some sense of security from the halo.
Moreover, the boss's clinical experience is so rich that even Zhou Congwen thinks he can't match it, and the boss may not be able to do things that others can't do.
As for what the boss explained, Zhou Congwen could vaguely guess something, but it was meaningless.
He sat quietly in front of the bed, watching Shen Lang enter the hibernation state, after a long time, Zhou Congwen suddenly smiled.
Zhou Congwen stood up halfway, pulled the chair under his buttocks, and approached Shen Lang.
"Tell you some gossip." Zhou Congwen said with a smile.
I don't know if it was an illusion, but Zhou Congwen seemed to see Shen Lang's ears move.
Even though he was in a state of hibernation, Shen Lang's muscle memory was still there, and he still had a reaction when he heard the word "gossip".
Alas, men only react when they see beautiful women, but Shen Lang reacts when he hears gossip, what a freak.
Zhou Congwen said slowly after slandering in his heart.
"I beat someone once." Zhou Congwen said, "Once I went to the emergency department for consultation. It was a 16-year-old female patient who was diagnosed with appendicitis and chest pain. The patient was not hospitalized for surgery because she was afraid of leaving scars. In the emergency department In the observation room of the hospital, antibiotics were given intravenously for treatment."
"After I went there, I took a look at the doctor's order. Do you know what medicine that bastard emergency doctor used?"
With that said, Zhou Congwen paused.
If Shen Lang was awake, he would definitely ask what he was using, or express his inner guess.
But Shen Lang, who was in hibernation, "slept" soundly, without saying a word, which made Zhou Congwen feel empty and uncomfortable.
"Ciprofloxacin was used, BID quiet. I pulled the emergency doctor to the duty room and communicated with him.
Speaking of the side effects of ciprofloxacin, quinolones are antibacterial drugs that mainly act on Gram-negative bacteria and have weaker effects on Gram-positive bacteria, although some varieties have better antibacterial effects on Staphylococcus aureus. "
"Let's not talk about whether it is right or not. Just because quinolone drugs can affect the development of cartilage, pregnant women and underage children should be used with caution. Is it unreasonable to use this thing?"
"For appendicitis, if the patient refuses the operation and insists on being conservative, other antibiotics should be used. The 16-year-old girl's kidney function is affected, and she will not grow up in the future. Although this is a rare thing, it exists after all."
"He was still talking to me. I grabbed his hair and pressed him against the wall and beat him up."
Zhou Congwen was talking, recalling his arrogance and domineering in his previous life, with a light smile on his mouth.
"Who the hell doesn't know why ciprofloxacin is used, but making money is making money, so you can't go against your conscience."
"What do you mean, Shen Lang?"
Shen Lang lay quietly on the hospital bed, his brain waves did not change at all.But Zhou Congwen thought that Shen Lang had heard what he said, so he smiled, "I'll tell you another gossip."
"I know a big boss of a listed company in the southeast region, with a family fortune of tens of billions. He used to go to Mayo for a physical examination, and later met me, so he came to me for a physical examination, and he has a good relationship."
"One year, he came to me suddenly, saying that he was not feeling well and his limbs were weak."
"Especially the back pain, it's troublesome to stand up. I just laughed at him, saying that sex is like cutting flesh with steel knives, and it's better to have less contact. Hehe, what do you think?"
Zhou Congwen kept asking with a smile, as if Shen Lang was listening to him gossip.
"He came to me, but he couldn't stand up after sitting down, and he stood up hard, showing me his waist."
"You know, I can tell right away that something is wrong."
"A person in his 40s can't compare with you, but he doesn't have to work so hard. And the lumbar MRI is fine, not the lumbar disc."
"You can't guess it, but I knew what was going on at the time. Blood tests, emergency blood gas, and sure enough, the patient has a triad of alkalosis, hypertension, and hypokalemia. And I guess there is already rhabdomyolysis, you said Scary is not scary."
"But I kept quiet and asked him what he had been taking recently, only to find out that there might be something wrong with one of the medicines his lover gave him."
"Just tell me, what kind of yang is strong." Zhou Congwen chuckled, and twisted his fingers, as if holding a white ganoderma.
"I quietly asked him to bring the medicine to me."
"Then, guess what you found in the medicine? A lot of licorice! Go back and read the book yourself to see what happens when you take too much licorice."
"Before he came to me, he went to the hospital once, but he didn't pay attention to it. Ordinary people wouldn't pay much attention to hypokalemia. With his wife's support, he was discharged from the hospital and went home."
"Tell me, what's so good about having money. After many years, people from a listed company were involved in poisoning. They were not as smart as this woman. Licorice is colorless and tasteless, even if it is discovered There is a way to tell."
"You're right."
As Zhou Congwen spoke, he saw Shen Lang's brainwaves slightly changed.
Presumably, this gossip was even more exciting than the last one, it stimulated Shen Lang who was in hibernation, and made him inexplicably excited.
Although this would lead to an unstable hibernation state and the dosage of the medicine needed to be adjusted, Zhou Congwen didn't care.
After the silence, Shen Lang's EEG immediately returned to normal.
Zhou Congwen looked carefully at the previous EEG fluctuations, and after half an hour, he said, "Do you feel like you are floating in the void now? Don't be afraid, I will accompany you."
"I know you can hear me. I'll tell you some gossip to make you happy. Don't be afraid, I'm here." Zhou Congwen patted Shen Lang's hand, as if that guy's eyes were shining brightly, and his ears were erected like antennae. I am listening to myself gossip.
"Besides, do you know how much the girls are attacking the dean now? Let me tell you, there is a head nurse who specially gives gifts to the dean's driver, and knows where the dean is drinking and other information, and then That's all."
"In the future, this head nurse will fly to Huang Tengda, it's no problem."
"Do you understand, this is a human thing, and has nothing to do with the medical circle. Look at those people who are not yet thirty and who are promoted to be a department or deputy department, either their parents are awesome or..."
Zhou Congwen was nagging.
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