Chapter 434 Perseverance
? A group of onlookers, listening to the normal but unusual voice of the monitor, immediately revived their spirits.
This is a conditioned reflex developed over the years.
The family members were naturally a little slow.
It is the first time for most of the family members of the patients to see a doctor to rescue the patient, and some may be the first to see cardiopulmonary resuscitation, or the first time to see a monitor. How do they know what kind of sound is normal and what kind of sound is abnormal? .
Even when a nurse shouted "sinus rhythm" excitedly, the patient's family members were still bewildered.
"Acne... is it good or bad?"
"It's funny, it's not necessarily good... I can't say it, what are you kidding?"
"People look green..."
"Hush..."
A group of relatives stretched their necks, talking quietly in guesswork.
Only the patient's son had his eyes widened, but he was not focused at all.
"Continue to send to the operating room, the carbon dioxide level is continuously monitored, and the brain's cryogenic protection must be done well..." Ling Ran looked at the monitor and ordered, and then took off his gloves.
One result of doing chest compressions frantically is that you are sweating and tired to death.
Ling Ran took out an alcohol gel from his clothes, wiped his hands slowly, and made the doctor's order.
His doctor's orders are all generalized, not specific to the dosage of a certain medicine.
This is because Ling Ran hopes that Yu Yuan can adjust the dosage of the medicine in real time. After all, everyone reacts differently to each drug, and it would not be the most appropriate for Ling Ran to give a standard value of drug dosage.
The most appropriate dosage often requires constant trial by the patient and adjustments based on the patient's response.
Although Yu Yuan's practical operation level is as weak as a soft-footed chicken, her knowledge reserve is as strong as a hard-billed goose. Of course, the most important thing is that Ling Ran has already explained the direction of the medicine.
When it comes to the use of medicines, this is something that residents can do.
Yu Yuan quickly agreed,
He began to think about ordering.
Ling Ran was listening, and seeing that Yu Yuan had her own thoughts, he nodded secretly.
The most important thing about cardiopulmonary resuscitation is for the heart to restore its own heart rhythm. The next part, waiting for the patient to wake up, cannot be solved with strong medicine in a short period of time. What is needed is long-term careful medication, and most importantly... luck!
At least so far, sudden cardiac death is still a major factor in human death. Let alone a 100% chance of resuscitating patients, there is a 10% probability, which is already a blessing.
The family members of the patient stared at it for a while before someone came to their senses:
"Is this saved?"
"Really alive?"
"I just said, if the person is sent to the hospital, everything will be fine."
Bingzi was stunned for a while, then called out "Dad", and rushed forward, looking like he was about to get into the hospital bed.
Lu Wenbin turned around and grappled: "What do you want to do? The patient may die if he touches it."
Bingzi struggled even more when he heard it.
Zuo Cidian coughed twice and said, "Doctor Lu, don't talk like that."
When it was over, Zuo Cidian patted Bingzi's shoulder, then let go of his voice and shouted: "If you touch your finger, the patient may die, do you understand?"
The patient's son was so frightened that he trembled all over, so he stopped struggling.
"People are at a loss when they encounter important events." Zuo Cidian said in a well-informed tone: "Doctors in your big hospital rarely see them. When I was in the town health center, some family members saw patients and asked themselves Go crazy first, don't know who to listen to, and don't know what to do, some men can vomit themselves when they smoke."
"I...I'm not..." The patient's son took a deep breath, then stood on tiptoe and looked in the direction the patient was pushing away: "I haven't seen my dad yet, at least let me take a look, what's going on?" Let's do it."
"Myocardial infarction, it's not out of danger yet." Zuo Cidian looked at him and said, "I can't show you now."
Zuo Cidian omitted words like "you don't understand".
"But...now...what's the situation now?" Bingzi asked.
Ling Ran walked over at this time and said, "The patient's heart has returned to its own rhythm, and the next step is surgery to ensure the smooth flow of the blood vessels. After that, if the patient can wake up, he can go for further recovery treatment."
"What if you can't wake up?" Bingzi was afraid.
"The patient is in danger of being in a vegetative state, that is, brain dead..." Zuo Cidian took over the conversation again, and said, "I said before that the reason for doing cardiopulmonary resuscitation is because the patient's heart is failing. Now, with so many of us, finally It is to rescue your father, but, is there any sequelae, what are the sequelae, and it still doesn't show up, do you understand?"
Bingzi was in a trance again.
Zuo Cidian could see that, as soon as this guy heard something a little more professional, his mind would be distracted, a proper posture trained in a specialized school.
After thinking about it, Zuo Cidian said again: "In general, things are going in a good direction, and your family members should cooperate, understand?"
"Understood, understood!" Bingzi understood now.
"Your family members also communicate with each other. If there is any problem, we can discuss it after our operation is completed."
"good!"
Zuo Cidian paused for a moment, and then said: "After one hour of cardiopulmonary resuscitation, it can still be brought back. A hospital has never encountered a case in several years. Your father's luck has been good so far."
Bingzi was a little sober at this time, and hurriedly said: "Thank you, thank you...Thank you doctor..."
Zuo Cidian only smiled when he heard this, and signaled Bingzi to go back to the family group.
Wei Jiayou came over and listened quietly.
Ordinary cardiopulmonary resuscitation has a very high rate of waking up, and he has done it himself.
Except for the super-long CPR, Wei Jiayou's success rate is not higher than the average index of the hospital. Therefore, Wei Jiayou actually has no experience in the follow-up of ultra-long cardiopulmonary resuscitation.
"There are talented people from generation to generation." Academician Di stood behind Wei Jiayou and praised loudly.
Academician Di has seen a lot of super-long CPR, and he has done many of them himself. Regarding what Ling Ran did, Academician Di took it into his heart and silently savored it.
"If it was in this hospital, I might have succeeded just now." Wei Jiayou sort of explained.
Academician Di smiled and said: "There is no need to hold on to what has already happened. What you need most now is actually a general affairs officer."
"What?"
"Even the secretary who handles daily work needs to know some medicine." Academician Di's eyes were on Zuo Cidian's head.
Wei Jiayou laughed, "What do I want this for?"
"At least you won't be beaten." Academician Di said, approached Zuo Cidian, and said with a smile, "I just heard from you that you worked in the town health center?"
"Yes." Zuo Cidian still felt guilty when facing Academician Di. If the self-deprecating resident doctor is a little yellow dog, the academician-level doctor is at least a big wild donkey.
Academician Di tried his best to be as approachable as possible, and asked, "Are you a doctor in Yunyi? It's unusual to go from the town health center to Yunyi."
"I was... recruited by the society, and I started from scratch." Zuo Cidian felt even more guilty.
"It's not easy to start from scratch."
"Okay."
"Which part do you think is the hardest?"
Zuo Cidian didn't understand why Academician Tangtang asked such detailed questions, so he thought about it, and whispered: "The most difficult thing...may be the long working hours."
Academician Di thought for a while, and felt that the working hours of his own hospital were also very long, so he asked, "What about it?"
"No vacation."
Academician Di first asked himself "what is a holiday", and then nodded pretendingly: "What about it?"
"The salary is low." Zuo Cidian also let go: "I have to rent a house to live in Yunhua now, and I can't make ends meet..."
Academician Di sighed, the rent in the Shanghai market is higher, and the salary may not be much higher than that of Yunyi.
Academician Di asked himself, is it so difficult to find a young man now? What about the classic complaints of those residents, why can’t learn technology, feel that there is no future, and have no chance to get started? Such an old resident doctor should have more things to complain about.
"I'm talking about clinical technology." Academician Di pointed out the direction again.
Zuo Cidian shook his head: "There is nothing too difficult in the clinical aspect. I think it is much better than in the hospital."
"Is it not difficult to learn technology?"
"It's not difficult."
Now, Academician Di doesn't know what to say, this is not right.
Fortunately, Zuo Cidian still has the ability to detect words and emotions. After realizing that Academician Di was stuck, Zuo Cidian worked hard to turn his brain, and then whispered: "There are also things that I don't adapt to. The most uncomfortable thing for me now is that everyone keeps calling Zuo Doctor, I actually like everyone calling me Little Zuo, I look young... the title of Doctor Zuo, my former leader only started with 'Doctor Zuo' when he was going to scold people."