The Greatest Showman

1623 Operation Time

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surgical protocol.

Extubation protocol.

Renly's heart trembled slightly.

He suddenly remembered that when the two of them were surfing in Hawaii before, Paul had discussed the topic of life and death with him.

"If the brain died and became a vegetative state, what would you choose?" This is Paul's question.

"I would want my family to be extubated," Renly said without hesitation.

In the United States, patients can choose to sign a variety of agreements, one of which is for special circumstances, when a patient suffers from pain and finally falls into a blue alert for cardiac arrest again, he can choose to sign a " No treatment agreement", voluntarily giving up the hospital's right to continue to provide assistance.

This is not euthanasia, but the final end of repeated pain.

Among them, brain-dead patients can also sign such an agreement. Brain dead, from a social point of view, he is still alive because his body functions are still maintaining life; but from a medical point of view, he is already dead, without the ability to think, speak, or reflex, or even to be autonomous Breathing only depends on the machine to maintain life. Once the ventilator is unplugged, the symptoms of life will be directly terminated.

From a humanitarian point of view, brain death is still not considered "death". For his family and friends, there is still no way to easily send the other party away. As long as he can continue to pay for hospitalization, he can continue to "live". Guarding a vegetative person, waiting for a miracle that will never be realized.

From a medical point of view, brain death is still not extubated, which is a kind of comfort to those who are still alive, nothing more.

Different people have different views on the same thing.

Some people hope that they will remain in a vegetative state and continue to live; some people hope that when they are brain-dead, their family and friends can choose to let go.

Therefore, there are extubation protocols and no rescue protocols. The patient can designate a person independently, and let them decide the direction of life and death after brain death-often, the patient always chooses the closest family member or friend, or chooses the family member or friend who has the most similar thoughts and ideas to replace him. Make the choice you want.

It's a heavy responsibility, not just trust, but wholehearted trust -- because the family or friend has to make a decision: the decision to send the friend away in person. This is not an easy task, or even a heavy burden, for anyone.

"Why?" Paul wasn't surprised by Renly's choice, but he was surprised by Renly's simplicity.

For Renly, it was a simple decision.

In the last life, after ten years of suffering on the hospital bed, he always thought, "alive" is sometimes a pain; "death" is a kind of relief. If you encounter brain death, or go back and forth on the edge of death repeatedly, you will be relieved, but you will be rescued abruptly, and then you will continue to struggle above the death line. Having to go to the blissful world, that kind of suffering is the most terrifying.

At that time, Renly showed a bright smile to Paul, "Because I want to live, not to survive. Instead of fighting for survival, it's better to enjoy life while you are still alive, and don't let it go that it is only in the summer. blooming season."

"Renly, sometimes I really envy you. Not because of your handsomeness, but because of your open-mindedness." Paul showed a bright smile. Just then, a huge wave came, Paul said cheerfully, "How about it, let's see who is better in this wave? Let's try and test?"

Renly is naturally bound to. The two of them slid their hands towards the waves and opened their chests to embrace the sun and the sea.

Closing his eyes, Renly could still picture Paul's smile on that day in his mind, the cheerfulness and wantonness that eclipsed the sunlight in Hawaii, so clean that there was no trace of impurities.

damn it!

So, are those rights now in his hands? If it really gets to that point, will it be up to him to decide Paul's life or death?

This is really cruel.

If Paul is really faced with such a situation, then...then what should he do? Those nightmare memories of the last life came flooding back again, and the ending of Paul in the last life resurfaced. Renly didn't dare to continue thinking wildly, but his thoughts split violently and became more and more turbulent.

Renly's heart couldn't help but start to tremble slightly, but then he noticed Meadow, who could barely stand still. They all knew what those agreements meant, but they didn't dare to think deeply. Renly quickly supported Meado, then straightened his back, and became Meado's most solid backing with tenacity. All those messy thoughts were thrown away, and he calmly and calmly faced the doctor's line of sight. The pair of eyes that regained brightness still maintained a high degree of concentration.

Derek could notice the changes in Meadows and Renly, and felt a little more at ease deep inside. For doctors, the patient's family is the most difficult thing to deal with. Especially when they hear about the worst moments of critical illness, they often lose their minds and even make extreme actions. The harm to the doctor is still a small thing. The most terrible thing is to delay the most best treatment time.

Doctors need the trust of their patients' families in order to do their jobs.

Derek could notice Renly's composure and focus, which meant that Renly's sanity still prevailed, which immediately relieved a lot of misunderstandings in his work.

Can be put into the work of treatment as soon as possible, "patient..."

"Paul," Renly interrupted Derek. "His name is Paul."

Derek paused for a moment and stared at Renly, but those eyes never wavered. They were projected calmly and tenaciously, clearly expressing his persistence and willingness, so Derek continued, "Paul has just been sent to the emergency room. There was bleeding in the abdomen and a ruptured blood vessel in the head at the same time, which caused cardiac arrest due to multiple complications."

Derek seemed to notice Meadow's action of taking a breath, and added, "Don't worry, we completed the rescue work as soon as possible." This eased Meaduo's consternation and worry a little, Derek continued. Going down, "But it's still not over. We need to find the bleeding point and complete the repair work."

"The whole operation will be divided into two parts, one is the head and the other is the abdomen, and the two parts will be performed at the same time, under the responsibility of different attending doctors. Now the time is very urgent, if we miss the best time for treatment, the next There may be..." Derek tried to explain the importance of the surgery.

But Renly knew the importance of surgery, and doctors always imagined the worst-case scenario. Those terrible results were really shocking. For Meadow, it was almost unbearable. After the first speech, he interrupted the doctor's follow-up introduction, "Sorry, you just introduced yourself, your name is...?"

Derek was stunned for a while, not knowing why, but then he noticed Renly's eyes, those calm eyes were full of scrutiny and inquiry, but in a polite way that would not make people feel aggressive, but He also stood his ground and refused to compromise.

He realized that Renly was expressing doubts in such a way that they needed the best, best, and best doctors to do the surgery. This is also the hope of every family member, but Renly expressed it in a more euphemistic and polite way.

"Derrick Shepard. I am now the director of the neurology department; I am also the deputy director of the entire surgical department." A simple sentence showed Derek's qualifications and confirmed his strength, "In addition, as Paul's abdominal surgery The primary surgeon for the operation was Miranda-baily, who was the director of the inpatient department and the head of general surgery."

After the detailed introduction, Derek took the initiative to meet Renly's steady and wise gaze, "Mr. Hall, we know that Paul is a VIP guest. The hospital will dedicate its best resources to treatment and rescue. This is our responsibility. responsibility."

There is something in the words.

Obviously, Derek is not the kind of doctor who doesn't listen to the outside world. How can he work and live in Los Angeles without knowing anything about Hollywood? What's more, the riots created by the reporters at the entrance of the hospital have spread throughout the hospital in a short period of time, and it is extremely difficult for them to know whether they want to or not.

The meeting maintained an uninformed calm state at all times, which was a professional attitude. But in fact, the hospital director personally issued an order just now. This is the highest-level VIP and must go all out. Derek is naturally impossible to neglect.

Renly nodded lightly to show his understanding. On the way from Burbank to the hospital, he immediately called Steven Spielberg and Tom Hanks, and also called Got Andre Hamilton's call, mobilized all his contacts, and provided Paul with the best team.

It now appears that those calls are working.

"Where's the consent form for surgery?" Renly said nothing, and went straight to the point. Now that Paul is at stake and his life is on the line, everything must be done against the clock and must not be taken lightly.

Derek handed the clipboard in his hand to Renly: According to the regulations, the family members must be informed of the consequences of the operation, which is a legal procedure; but his eyes also noticed the state of Meadows, and then he noticed Renly's small movements, hesitating. For a moment, the words were swallowed again.

Renly didn't sign it right away, but looked down at the agreement quickly to get a general overview of the situation. He is not Alf Hall, and his knowledge of medicine is only scratches; but he has some knowledge of the types of protocols in hospitals, and different protocols represent different situations - in order to avoid further scaring by Derek's explanation Meadow, Renly chose this way to learn about Paul's current situation.

critical.

One hundred thousand in a hurry.

Renly's heart curled up like this. Without hesitation, he quickly completed the signing and handed over the consent form to Derek, "Dr. Shepherd, thank you."

Derek raised his eyebrows slightly, as if he could feel the importance of the operation consent form, but he didn't say much, just nodded politely, and then quickly turned and left.

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Chapter 1625/2507
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The Greatest ShowmanCh.1625/2507 [64.82%]