Great Wonderful

Author: True Bear Chumo

Great Wonderful

"Teacher Meng." Ji Xiang scratched his head, "It is difficult to deal with such rare patients. What if they have cardiac arrest on the way to the ward?"

"Here, you know if it's the case." Meng Qingfei smiled, "There was extremely serious pleural reaction in the lower tube, which caused cardiac arrest. There were not many cases where rescue could not be recovered. It was still a bit conservative, at least in the case of

I haven't met it once in my career as a doctor."

"It's equivalent to an urban legend. Of course, you're right to be careful."

"And if there is early prevention, I will bring the first aid kit to take it there. What do you think if the surgeon will come to the emergency department for emergency rescue during this period?"

"How many more doctors? Haha."

If you continue to say this, it will be a burden, and Meng Qingfei changed his topic.

"Xiao Ji, I'll ask you a common thing."

"Teacher Meng, you said."

Meng Qingfei was not in a hurry, so he went to wash his hands first, and then wiped his hands hard on the butt of the white clothes. The two black marks became more and more obvious after being soaked in water.

Back at the duty room, Meng Qingfei opened the window and the cold wind outside the room suddenly poured in.

"It's not good to smoke. The winter in the northeast is too cold and the ventilation is not good. I rarely smoke when I am on duty." Meng Qingfei explained.

But the next second, Ji Xiang had already taken out the cigarette and handed it to Meng Qingfei.

Meng Qingfei took a breath of cigarette and asked, "Xiao Ji, you must have encountered a case where the patient's family refused to rescue him in the ward, right?"

Ji Xiang nodded.

"Let's assume a common scenario, such as a patient who is terminally ill and can only use a ventilator to maintain breathing. Because of the high cost in the ICU and the financial conditions of the patient's family, and other factors, the patient's family decided to give up treatment after comprehensive consideration.

”

"Tell me, what will you do when you encounter such a thing."

Meng Qingfei held a cigarette in his hand, looked at Ji Xiang deeply, and asked about a common clinical situation.

This question is not difficult. Ji Xiang thought about it and said seriously, "I will first ask all the immediate relatives of the patient to see if their attitudes are unified.

If it is not unified, I will contact the medical department.

If unified, I will write a relatively strict communication of the disease, marking the words "The patient's family members ask to give up and take responsibility for all consequences if they occur.

The signing form requires all the immediate relatives of the patient to sign and print them in duplicate, one in medical records, and I keep the other one myself."

Meng Qingfei nodded with satisfaction when he heard Ji Xiang say a lot.

Ji Xiang’s disposal is not only true, but it is also considered to be fair. Especially in duplicate, one of which is kept by himself. This action seems meaningless, but it can avoid many accidents.

I didn't expect Ji Xiang to be so experienced.

But Meng Qingfei was not satisfied yet. He continued to ask, "As you said, the patient's family will cooperate. You can leave a signature form in the medical record and one in your own cabinet, and then."

"Then you can only get rid of the tube." Ji Xiang said with a little regret.

"Oh?" Meng Qingfei smiled jokingly, "If that were the case, the patient would die."

Ji Xiang was slightly stunned.

“The doctor’s guidelines contain clauses that cannot harm the patient’s life in any way.

Although the family signed a sign to give up the treatment, the doctor pulled out the ventilator, which indirectly led to the death of the patient.

As for you, you have the signature and approval of the patient's family, but whether this communication is legally effective? If the patient's family has bad intentions and bite back then, the court may decide how the court will make a judgment."

"!!!" Ji Xiang's eyes narrowed into a slit.

Meng Qingfei's words made his heart thump.

"But let's think from another perspective - the patient's family is unable to bear the treatment costs, and there is no corresponding institution to solve the cost problem.

Emmmmm, should this be a question that the doctor considers? Do you know!"

Meng Qingfei complained.

"The patient's family firmly demanded to give up treatment. The doctor has obtained authorization from all immediate relatives. There is no subjective idea of ​​intentionally causing the patient to die in a reasonable manner. It also helped the patient, and there should be no mistakes in law."

"Tell me, how can you minimize your risk?" Meng Qingfei asked casually, crossing his legs, holding a cigarette in his mouth.

The last sentence is a bit confusing, but Ji Xiang understands it instantly.

There is nothing difficult to understand. The focus is on the patient's death after extubation. Assuming that the patient's family does not admit it, if you bite back, how can you make sure you are fine?

Teacher Meng Qingfei and Meng are telling him about his clinical experience.

Ji Xiang concentrated on his mind and solemnly thought about the skill of squirting cigarettes.

But in the end, Ji Xiang shook his head, and he couldn't think of a better way.

What I just said seems to be very thorough and complete in Ji Xiang's opinion, and the rest depends on your life.

However, Ji Xiang didn't think this was right to the patient's family or not.

"When I was young, I met a similar patient. I didn't understand the treatment of the superior doctor at that time, but every time I recall the treatment method in the past ten years, I always feel it is wonderful."

Ji Xiang pricked up his ears like Shen Lang and listened carefully.

"The patient is still the patient I just mentioned. My superior doctor first communicates with the patient's family in a cordial manner. It is not easy to empathize with the other party. He said a lot of nonsense, but nonsense can bring into each other's feelings."

"Of course, it's time to sign."

"The superior doctor did not directly extubate the tube, but asked a lot of related matters while talking nonsense. After learning that the patient's family did not have the habit of going home to wear clothes, he asked the patient's family to go to the pharmacy opposite the hospital to buy one.

The ball."

A ball is the thing that anesthesiologist often pinches.

"Extubation is the last step. Before extubation, you will be automatically discharged. By the way! You said less - the patient's family members require automatic discharge. Judging from my memory, you feel that you have said less and forget in the blink of an eye.

”

"Uh..." Ji Xiang was slightly stunned.

"There are many benefits of automatic discharge." Meng Qingfei seriously told Ji Xiang about automatic discharge, and then continued, "After completing the discharge procedures, the tube is then extended, and pinched it with the patient's family's ball while pinching it.

, while sending the patient to the treatment room."

"Next, hand the ball over to the patient's family and let them pinch the ball on their own."

As he said that, Meng Qingfei looked at Ji Xiang's eyes and did not continue talking.

Ji Xiang knew what Meng Qingfei meant, and this was a test of himself.

He had already said it thoroughly and had to supplement the rest by himself.

"The patient's family is pinching the ball, and the patient is still breathing a sigh of relief. As the person is still alive when he is discharged from the hospital. After that, when the patient's family is tired, it has nothing to do with the hospital and the bed doctor."

Meng Qingfei did not praise Ji Xiang, but sighed, "You said, what do we think about every day? Shouldn't we study the business with this spirit?"

Only doctors can understand this old slap.

Ji Xiang also spread his hands helplessly.

"It's probably that. You must remember that it is important to be discharged automatically." Meng Qingfei said, "It involves a lot, and when it comes to automatic discharge, you can basically determine the feelings of the patient's family."

Ji Xiang was cautious when he focused on his head, he understood what Meng Qingfei meant.

"Okay, just say so much, it's meaningless to continue." Meng Qingfei stretched, "You go back, I'll take a break early, and I'll go do something big tomorrow!"

Ji Xiang asked curiously, "Teacher Meng, what's the big deal?"

"Buy a car." Meng Qingfei laughed.

"Oh, that's it." Ji Xiang was not interested in buying a car or something, but he was infected by Shen Lang's gossip. With the words Meng Qingfei said just now, he still asked with interest, "

Teacher Meng, what good car are you going to buy?"

"You see, I look like a good car owner who can afford it?"

"Anyway, they are all doctors from the Second Affiliated Hospital, so they are not far behind."

"Don't talk nonsense. Doctors from the Second Affiliated Hospital also need to see which department they belong to. Orthopedics, circulating interventional surgery, oncology, plastic surgery, and dentistry, are all first-class and good departments."

"By the way, are you playing Texas Hold'em?"

Meng Qingfei directly brought the topic to the horizon.

"Occasionally, I don't like cheating." Ji Xiang said honestly.

"There is no Texas Hold'em technology. There is a dentist in many videos. According to the UP owner, this person loses hundreds of thousands of dollars in cards every week."

"Uh, it's quite rich to look at the stomatologists."

"After all, I'm a stomatologist?" Meng Qingfei said, sighing deeply, "I was wrong back then. At that time, there were no professional requirements, so I should have switched to the mouth. You can't even get dry oral surgery to do any tumors.

Tooth repair is necessary for surgery.”

"If I had the current knowledge when I was young, I wouldn't have to buy a murder car."
To be continued...