Medical road

If the hullabaloo of the pediatric department still represents the vitality of the children, then the respiratory department is completely suffocating dead air. Many old men and women were suffocating their faces like frozen eggplants, their lips were like purple lipstick, and they couldn't see a bit of vitality in their eyes.

Obviously as thin as a stick, but the chest cavity is round like a barrel, each inhalation of a breath has to be a full-body effort, which is still slightly smooth, if a mouthful of phlegm suddenly blocked in the trachea, on, can not cough out, under, phlegm sticky in the trachea mouth.

Then the patient suddenly wanted to be pinched like a neck, hands dancing violently, the whole body is like a maggot, violently writhing on the bed. The eyes instantly became bulging out, as if they were about to fall out.

The near-death feeling derived from the intense suffocation is definitely like purgatory, and the elderly in the respiratory department often experience this torture many, many times a day, and the energy that was not much is almost all consumed in the struggle again and again.

Really, the feeling of suffocation is definitely not something that ordinary people can imagine.

"Hospital Zhang! There are several patients who are obviously suffocating with air, and there are already indications for cutting the tube." After the deputy director of the respiratory department saw Zhang Fan, he hurriedly walked over quickly.

Respiratory Department, formerly in the Cha Su City Hospital is a rather alternative department, under the leadership of the protective old Jui, every morning morning morning meeting thunderous Ha-style English floating in the department, many patients are like watching the Western scenery, lying on the glass wall, watching a group of doctors in white coats, as if chanting scriptures.

Old Jui is not only familiar with various relationships in the local, in the capital's several specialist respiratory hospitals, but also has considerable contacts, after all, the year together life and death, so the department inside the doctors and nurses are surrounded by old Jui.

Old Jui good name is not good, which makes the department united as a piece of iron, Cha Su City Hospital's most money-loving doctors, Zhang Fan when the respiratory teaching teacher, if not old Jui, it is estimated that early smashed the rice bowl.

This department has obvious shortcomings, but also obvious advantages. In the hospital, the number of papers published in core journals in their department is the most in the hospital. Moreover, the doctors and nurses in this department are the most durable and hardworking.

If the cardiology department has 60 beds, if the number of extra beds reaches 80, from the director to the doctors, from the head nurse to the nurses, they all sigh and sigh, and take turns to go to the director to complain.

But the respiratory department has 60 beds, but when the number of beds is increased to 100, the doctors and nurses in the department seem to be fine. The department with obvious characteristics of the old residence, arrogant with a sense of resilience.

The deputy director Tajik, everyone calls her Ayiguli, the name is abbreviated Chinese sound, if all shouted out, anyway, the long is not ordinary. People in the medical office to stay in the bottom of the signature, but also Aiguli, anyway, in the city hospital, including nurses, there are many Aiguli, but generally everyone shouted her A director, she definitely will not, as the old residence, will emphasize, every time is a slight smile, nodding, as if very shy look.

Although over forty years old, but still very beautiful-looking, look at the photo of her young, surprisingly and the Ukrainian prosecutor woman a little like. She and the old residence obviously have different personalities, the old residence is like a proud peacock.

The director is as low-key as a small transparent, in fact, whether it is spoken English, or written in English, than the old Jiu's much stronger, the department published papers, they can account for a large part of the credit, but is not as protective as the old Jiu, so the department inside the prestige is not as high as the old Jiu.

Hearing Ayiguli say this, Zhang Fan asked, "Is the situation very bad?"

"Well, the blood gas analysis is showing type 2 respiratory failure, and we don't have enough bedside ventilators."

"Severe transfer to ICU."

"There are no more beds in the ICU!"

When this was said, Zhang Fan was at his wits' end. Other departments could think of ways to add a bed or something, and the aisles were heated anyway. But ICU can not, ICU is like a carrot a pit, just add beds is useless, the most important thing is that you can not add the attached instruments, because there is no extra.

Just a few words, the nurse shouted, "Old man Li can not!"

Zhang Fan was flabbergasted, because he was not familiar with the patients in the respiratory department. And Aiguli had already turned and started running, and Zhang Fan kept up with Aiguli's footsteps. The building is full of extra beds, and can't even run well.

General surgery, rarely have this kind of call, a few beds is a few beds, and internal medicine, especially the department with many elderly patients, many patients are familiar with the doctors and nurses can not be familiar with, every year will come on time to report, if not this year, it is estimated that in the future will not come again.

Therefore, the relationship between this kind of patients and doctors and nurses is very special, such as a patient in his sixties from the beginning of the bubble hospital to the death of seventy years old, more than ten years down, go, doctors and nurses, although the heart has hardened like steel, but still not good.

Often several doctors come together, will talk a few words of low, my who who who left, another will also sigh and say, my who who who also did not come this year, I guess ......

Director A quickly ran to the ward, the ward has arrived several doctors. "What's going on, did not do nebulization in the morning!" As soon as you enter the door, Aiguli knew the approximate situation at a glance, asking without even having to ask more.

The old Li head, a dry and thin patient, about a more than sixty seventy less than the age of. At this time, the old man's two feet constantly rubbing the bed, toe nails scratching on the sheets issued snorting tearing sound, the old man's hands while dancing open and close, a moment to raise, a moment nails gouge to his throat, as if to swim against the water to grab a thing like. And as if wanting to dig a hole in the neck.

The old lady beside the patient with a tearful face, while grabbing the old man's hand, afraid of the old man himself scratching himself, while shivering and do not know what to say.

Twisting her head from side to side against the pillow, it really was like someone who got high in a disco or like a ghost possessed.

Aiguli scolded the doctor in charge of the bed while snatching the aspirator. The doctor in charge of the bed is a young female doctor, who was so nervous and scared that she was about to cry. Because of this period of time, not enough doctors, directly into the hospital doctors just graduated as a bedside doctor, lack of experience, she did not know what to do.

With a sobbing voice, he said, "I gave a medical order for nebulization last night, but when I checked the room this morning, it was not done."

"Step aside!" Ayigulli snapped in a rare moment. The doctor in charge of the bed, teardrops in the eyes turning heart aggrieved but can not explain a word.

Zhang Fan did not say anything, quickly walked over, reached out and quickly drew off the old man's pillow, and then put his hand under the old man's neck, slightly up, this time, the old man's posture is as big as a rooster before the morning crowing, stretching his neck.

The old man's hands grabbed Aiguli's arms while grabbing Zhang Fan's arms. Big winter wear a lot, but Zhang Fan can feel the old man's strength, because the meat is scratched pain, estimated that love beauty wear less of Ayiguli pain more powerful.

However, the two of them do not move. Let the old man's death grip. Aiguli took the aspirator, hands while resisting the old man's shaking, while steadily dipping a little water. Then slightly raised his head and looked at Zhang Fan.

He-snorting and snorting sound, close to the doctors at the old man's side, can clearly hear the phlegm is like a rolling ball, rolling back and forth in the old man's organs, just do not come out. The sound of breath suffocation, listening to the normal people are uncomfortable, can not wait for people to reach into the mouth for him to pull out the same.

One hand holds the neck, and one hand forcibly pinches open the patient's jaw. When a person is dying, the force is very fierce, if a female doctor is estimated to be able to let the thin old man pull the swing around, but Zhang Fan is standing very stable.

When Zhang Fan quickly pinched open the old man's mouth, Aiguli quickly put the suction tube into the old man's organ steadily.

If the sputum will make the patient appear to hold his breath, and the suction tube will directly cause instant asphyxiation. What is a sputum sucker? It's actually a small suction device. And in layman's terms, it's a small vacuum cleaner.

And the suction tube, which is drinking yogurt straw, of course, this straw is thicker, about a little thicker than the current drinking milk tea straw, Aiguli steadily inserted into the old man's organs, instantly opened the suction, bared and began to extract phlegm from the organs, the sound is exactly the same as some people drink most of the yogurt, but also do not give up, must suck off the inside of the yogurt standing on the wall of the tube sound, at most At most, it's just one louder and one smaller sound.

The sputum, sticky yellow and sticky yellow, was stuck in the suction tube, and it didn't go very smoothly. Sucking sputum is quite unpleasant.

In this operation, you don't insert it and wait for it to be sucked, you have to hold the head of the suction tube, first shallow and then deep, try to suck a larger amount at a time, go in and out, and observe the patient's expression while trying to insert it deeper into the organ.

All these actions are counted by seconds, not slow, slow will suffocate the old man to death.

Also can not be fast, fast can not suck out the sputum. Not only do you have to go in and out, deep and shallow, but you also have to take the hose and rotate it around the old man's organ to find more sputum.

The old man originally held his breath has been able to hand dance, when the suction tube inserted, the old man's abrupt eyes are as if to split open, blood is bursting out.

How unbearable this feeling, other than to say, the average person accidentally choked when drinking water, this feeling is hundreds of times more unbearable than the feeling of choking on water.

Choking sensation, thrusting sensation, strong muscle rejection, to be honest, this thing to be not the operation of the treatment, can definitely be used as a sentence.

The patient is uncomfortable, the doctor is also uncomfortable.

The soft tube in the hand, not only to quickly in and out, but also with the patient's writhing head activities, but also must look for the sticky phlegm standing on the sputum, to be honest, too tough. While watching the old man to suffocate, while anxiously looking for sputum, while the strength in the hand also has to be controlled, otherwise this hose since it will fold together.

Really, doctors and patients at the same time are all sweaty, doctors of this tough, older greasy middle-aged men, definitely have experience, often the other side of a sultry look, definitely more than a slap are hard to bear.

"Zhang hospital, no, the organs are edematous, can not be inserted. Sputum can only suck the shallow part of the throat, a little deeper, simply can not enter."

Aiguli tried several times, but could not get in.

The medical operation is all about a gentle, and there are times.

And aspiration is actually the same, often if you can't get in the first time, it's even harder to get in later.

"Cut open the bag!" Zhang Fan shouted to the head nurse of the respiratory department, and then said to the small doctor standing to the side who was already panicking, quickly talk to the family about the condition to go.

And the old man's old companion did not dare to cry, holding the phone shivering to call the child: "Da Wa ah, come quickly, your father can not!"

The words were spoken with a whimper.

It is estimated that the other side hung up the phone, the old lady while finally crying, as if to the child after the briefing, the heart released a little emotion, while crying, while saying, "Yesterday let him do nebulization, he is too breath suffocation, and secretly smoke at night.

Can't you stop smoking? Can't you listen to the doctor? What can I do if you're gone? It's my fault. If I hadn't given you cigarettes, you wouldn't be like this. You must insist."

The old lady was trembling with aggression.

Young couples in old age, many elderly people serving stubborn old man, in the eyes of others seem to feel for this old lady is not willing, but who knows, the old lady often take the old man as a kind of trust, or as a task like.

Once the old man passed away, in most cases, it is the old lady's spirit step back in a big way, it does not take long, not even a few years, the old lady will not work.

Aiguli heard, is their own wrong blame the little doctor, but wrong blame on the wrong, who let her not carefully check the room, apologize is impossible, down not pack her have been good.

The doctors in the office can spare their hands, all came to the ward, this situation more than one doctor, more than one helper, in general, do not need others to greet, once you hear that the room of the patient is not working, need to rescue, doctors will consciously come to help.

This is the teamwork of internal medicine.

The incision kit was brought over the first time.

As soon as Li Hui saw that the female doctor in charge of the bed was shivering and couldn't speak clearly, he immediately resulted in a conversation record and began to preach to the old lady.

The old lady was originally nervous, and now she couldn't even stand up.

"Can you wait for the child, let him see the last side of the child. Ugh! Woo! Woo!" The old lady probably didn't listen to anything, just heard that she might die.

Li Hui, after all, has been doing this for several years, and while talking, he shoved the pen into the old lady's hand, spent a few random moments, turned around and left.

"The incision consent is signed." While walking, he shouted towards the ward.

In fact, the incision was already underway.

The nurses were pulling the curtain hanging on the roof while moving the patients in the surrounding beds to other wards.

The other old man in the next bed, his face was blue with fear, it was too scary. In his eyes, these doctors were like killing a pig, holding down the patient and inserting tubes into the organs.

Just when his heart was palpitating, his wife said, "Look at you still smoking or not, you smoked with that old man last night."

A sentence, scared the old man are shivering.