Doctor of Healing
Page 516
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 plasma exchange 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!"
Chapter 771 Wonderful hand, rejuvenation
"The double plasma exchange has just ended, wait a minute, don't worry." Zhou Tianbo comforted with a wry smile.
"Changed to A/C mode a few hours ago, don't know who gave him confidence."
"..."
"What's the matter? It is said that the provincial tertiary hospital, or the affiliated hospital of the medical school, should have a strong intensive care unit. That's it?"
Wei Fusi said contemptuously, his face full of disdain.
That's it?
That's it! !
The last two words were like two bullets hitting Zhou Tianbo's chest, he felt a bit difficult to breathe.
Zhou Tianbo felt that there was a thunderbolt about to strike Wei Fusi's head in the next second, and he wanted to stay away from him.
Looking carefully at the panel of the ventilator, Zhou Tianbo was a little disappointed.
After trying double plasma exchange, the patient's spontaneous breathing still did not appear, which undoubtedly made Zhou Tianbo feel a little uncomfortable.
It would be great if the waveform moved.
But at this time, as a doctor, it's fine not to express regrets. There is no reason to question the medical level of the Second Affiliated Hospital like Wei Fusi.
Normally speaking...forget it, Zhou Tianbo sighed.
Subconsciously, he moved a little in the opposite direction to Wei Fusi, to avoid the thunder that would fall from the sky anytime and anywhere.
Lao Wei has gone crazy, and the selection of Jie Qing is extremely important to him. Now his mind is full of surgery, and he can't listen to any persuasion from others.
That's it, if thunder doesn't strike him, he will strike anyone.
"How long are you going to wait?" Wei Fusi turned his head to look at the intensive care doctor who was waiting beside him.
"Let me ask." The intensivist was very embarrassed, Director Bai had come, this matter was no longer in the hands of the director.
"Ask, hum!" Wei Fusi did not hide his hostility and disdain at all. In his opinion, the old doctor who just changed the ventilation mode must have done something wrong.
The most likely reason is that the opponents who selected Jieqing asked him to make things difficult for him!
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