If the bustle in the pediatric department still represents the vitality of the children, then the respiratory department is completely suffocating and lifeless. Many old men and women's faces were as cold as blue eggplants, their lips looked like special purple lipstick, and there was no trace of vitality in their eyes.
He is as thin as a stick, but his chest is as round as a barrel. Every time he takes a breath, he has to exert all his strength. This is still a little stable. If there is a mouthful of phlegm suddenly blocked in the trachea, he will not be able to cough. It comes out and goes down, and the sputum sticks to the tracheal opening.
Then the patient suddenly felt like someone was pinching his neck, his hands danced violently, and his whole body was like a maggot, twisting violently on the bed. The eyeballs instantly became bulging, as if they were about to fall out.
The feeling of near-death derived from the strong sense of suffocation is absolutely like purgatory. Elderly people in the respiratory department often experience this kind of torture many, many times a day. Almost all of their little energy is wasted in struggling again and again. .
Really, the feeling of depression is definitely not something that ordinary people can imagine.
"Yuan Zhang! There are several patients who are obviously short of breath and have indications for tube removal." After seeing Zhang Fan, the deputy director of the respiratory department hurried over.
The Respiratory Department used to be a rather unusual department in Chasu City Hospital. Under the leadership of Lao Ju, who protects the calf, the unshakable Kazakh English was heard in the department every morning during morning meetings. Many patients lay down like they were watching a Western. On the glass wall, looking at a group of doctors in white coats is like chanting sutras.
Lao Ju is not only well-connected in the local area, but also quite well-connected in several specialized respiratory hospitals in the capital. After all, they lived and died together in the past, so the doctors and nurses in the department all circle around Lao Ju.
Lao Ju has good reputation but not good fortune, which makes the department unite like a monolith. Zhang Fan, the doctor who loves money the most in Chasu City Hospital, was the teaching teacher of the Respiratory Department. If it weren't for Lao Ju, he would probably have lost his job. .
This department has obvious shortcomings, but also obvious advantages. In the hospital, their department has the largest number of papers published in core journals. Moreover, the doctors and nurses in this department are the most practical and hardworking.
There are 60 beds in the Department of Cardiology. If the number of beds increases to 80, everyone from the director to the doctors, from the head nurse to the nurses will sigh and take turns going to the director to complain.
But the respiratory department has 60 beds, and the number of extra beds has reached 100. The doctors and nurses in this department seem to be fine people. The department has obvious characteristics of being an old resident, with a hint of perseverance in its arrogance.
The deputy director is a Tajik, and everyone calls her Ayiguli. This name is the abbreviation of Chinese pronunciation. If everyone calls her out, she looks extraordinary anyway. The signature sheet left at the medical office is also Ayiguli. Anyway, there are many Ayiguli in the city hospital, including nurses, but generally everyone calls her Director A. She will never be like Lao Ju. I would emphasize it, and every time I would smile slightly and nod, as if I was very shy.
Although she is over forty, she is still very beautiful. Looking at the photos of her when she was young, she looks a bit like the female prosecutor in Ukraine. She and Lao Ju obviously have different personalities. Lao Ju is like a proud peacock.
Director A is as low-key as a transparent person. In fact, his spoken and written English is much better than that of Lao Ju. He can account for more than half of the credit for publishing papers in the department, but he is not as protective as Lao Ju. Duzi, so the prestige in the department is still not as high as that of Laoju.
After hearing what Ayiguli said, Zhang Fan asked, "Is the situation very bad?"
"Well, the blood gas analysis showed type 2 respiratory failure, and we don't have enough bedside ventilators."
"Serious transfer to ICU."
"There are no beds in the ICU!"
After saying this, Zhang Fan didn't know what to do. Other departments could think of ways to add beds or something. Anyway, there were heaters in the corridors. But not the ICU. The ICU is like a carrot and a pit. Just adding extra beds is useless. The most important thing is that you can't add additional instruments because there are no extra ones.
After saying a few words, the nurse shouted, "Old Man Li is dying!"
Zhang Fan was stunned for a moment because he was not familiar with patients in the respiratory department. But Ayiguli had already turned around and started running, and Zhang Fan closely followed Ayiguli's footsteps. There are extra beds all over the corridor, making it difficult to move around.
In general surgery, it is rare to have such a name. The number of beds is the same as the number of beds. However, in internal medicine, especially departments with many elderly patients, many patients are very familiar with the doctors and nurses, and they come on time every year. According to reports, if you don’t come this year, you probably won’t come again in the future.
Therefore, the relationship between patients and doctors and nurses is very special. For example, if a patient in his sixties goes to the hospital until he dies in his seventies, after more than ten years, when he passes away, the doctors and nurses will have their hearts as hard as steel. Yes, but it still doesn't feel good.
Often when several doctors get together, they will chat in low spirits, saying that my so-and-so is gone, and the other doctor will sigh and say, my so-and-so has not come this year, I guess...
Director A quickly ran to the ward, where several doctors had already arrived. "What's going on? Didn't you do atomization in the morning?" As soon as she entered the door, Ayiguli knew the general situation at a glance, so she didn't need to ask any more questions.
Old Li Tou, a skinny patient, probably in his sixties or seventies. At this time, the old man's two feet kept rubbing against the bed, and his toenails scratched on the sheets, making a tearing sound. The old man's hands danced while opening and closing, lifting for a while, and digging his nails for a while. It grabs one's own throat, as if someone trying to go against the current wants to grab something. It's like trying to dig a hole in your neck.
The old lady next to the patient had tears on her face. She was holding the old man's hand, fearing that the old man would scratch herself, and was trembling without knowing what she was saying.
Twisting his head left and right against the pillow, he really looked like someone who was high in a disco, or like someone was possessed by a ghost.
While questioning the doctor in charge of the bed, Ayiguli snatched away the sputum suction device. The doctor in charge of the bed was a young female doctor. At this time, she was so nervous and scared that she almost cried. Because there were not enough doctors during this period, a doctor who had just graduated and entered the hospital was directly appointed as a bedside doctor. She lacked experience and did not know what to do.
He said with a cry: "I gave the doctor's order for atomization last night, but during the ward rounds this morning, the atomization was not done."
"Move over!" Ayiguli got angry in a rare moment. The doctor in charge of the bed had tears rolling in his eyes. He felt aggrieved but could not explain it in a word.
Zhang Fan didn't say anything. He walked over quickly, reached out and quickly took off the old man's pillow, then put his hand under the old man's neck and raised it slightly. At this time, the old man's posture was like a big rooster crowing in the morning. Like before, I stretched my neck.
The old man's hands grasped Ayiguli's arm and Zhang Fan's arm at the same time. She wore a lot of clothes in the winter, but Zhang Fan could feel the old man's strength, because her flesh was scratched and hurt. It is estimated that Aiguli, who loves beauty and wears less, felt the pain even more.
However, the two of them remained motionless. Let the old man hold on tightly. Ayiguli held the sputum suction device, and while resisting the old man's shaking, her hands were steadily dipped in some water. Then he raised his head slightly and glanced at Zhang Fan.
Amidst the roaring sounds, the doctors who were close to the old man could clearly hear that the phlegm was rolling back and forth in the old man's organs like a ball, but would not come out. The suffocated voice would make a normal person feel uncomfortable, as if he wished someone could put it into his mouth and take it out for him.
One hand supports the neck, and the other hand forcefully pinches the patient's jaw open. When a person is on the verge of death, his strength is very ferocious. A female doctor would probably be able to make the thin old man swing back and forth, but Zhang Fan is standing very steadily.
When Zhang Fan quickly opened the old man's mouth, Ayiguli quickly inserted the suction tube firmly into the old man's organ.
If the sputum makes the patient feel suffocated, the suction tube will directly cause instant suffocation. What is a sputum suction device? It is actually a small suction device. To put it more simply, it is actually a small vacuum cleaner.
The suction tube is the straw used for drinking yogurt. Of course, this straw is relatively thick, probably slightly thicker than the straw used for drinking milk tea today. After Ayiguli stably inserted it into the old man's organ, the suction was instantly turned on. Liu Liu began to extract phlegm from the organs. The sound was exactly the same as the sound some people make after drinking most of the yogurt and insisting on sucking out the yogurt standing on the wall of the tube after drinking most of the yogurt. At most, it is one loud, one sound. Just a little smaller.
The sputum, which is sticky and yellow, sticks to the sputum suction tube and does not flow smoothly. Suctioning is quite uncomfortable.
This operation is not about inserting it in and waiting for suction. You must hold the head of the suction tube, first shallowly and then deeply, trying to suck a larger amount at one time, going in and out, while observing the patient's expression. While tentatively inserting it deep into the organ.
These movements are counted in seconds and cannot be slowed down, otherwise the old man will be suffocated to death.
Don't do it too fast, because if you do it too fast, you won't be able to suck out the phlegm. 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 organs to look for more phlegm.
The old man who was holding his breath was already able to dance. When the suction tube was inserted, the old man's sudden eyeballs seemed to burst open, and bloodshot eyes burst out.
Not to mention how uncomfortable this feeling is, if most people accidentally choke when drinking water, this feeling is hundreds of times worse than the feeling of choking on drinking water.
The feeling of suffocation, thrusting, and strong rejection in the muscles. To be honest, if this thing was not a therapeutic operation, it could definitely be used as a punishment.
The patient feels uncomfortable, and so does the doctor.
The soft tube in the hand not only has to go in and out quickly, but also moves with the patient's twisting head, and it also has to find the sticky phlegm standing on the sputum. To be honest, it is too difficult. While watching the old man suffocate, he was anxiously looking for phlegm, and he had to control the strength in his hands, otherwise the hose would fold together.
Really, both the doctor and the patient are covered in sweat at the same time. The greasy middle-aged man definitely understands the difficulty of the doctor. Often a resentful look from the other person is definitely more uncomfortable than a slap in the face.
"Zhang Yuan, no, the organ is swollen and can't be inserted. Sputum can only be sucked into the shallow part of the throat, but deeper places can't get in at all."
Ayiguli tried several times but couldn't get in.
Medical operations all require gentleness and frequency. For example, when the old man had a swollen prostate, he had to do a catheterization three times at most. If the catheter couldn't go in, he couldn't do it. He had to make a fistula, because the human body is neither plastic nor rubber. If the catheter is used too many times, it will cause edema. .
The same goes for suctioning phlegm. If you can't get in the first time, it will be more difficult to get in later.
"Cut the bag!" Zhang Fan shouted to the head nurse of the respiratory department, and then said to the panicked young doctor standing aside to discuss the condition with his family members.
But the old man's wife didn't dare to cry anymore. She took the phone and called the child tremblingly: "Baby, come here quickly, your father is dying!"
There was a hint of whimpering in his words.
It was probably because the other party hung up the phone that the old lady finally burst into tears, as if she had released some emotions after informing the child. While crying, she said, "I asked him to do nebulization yesterday, but he was so angry that he couldn't hold it in, and secretly went to the hospital again at night." of smoking.
Can't you stop smoking? Can't you listen to the doctor? What will I do if you leave? It's all my fault. If I didn't give you cigarettes, you wouldn't be like this. You must persist. "
The old lady was so aggrieved that she started to tremble.
Young couples come here to keep company, and many old people serve the stubborn old man. In the eyes of others, they seem to feel unwilling to accept this old lady, but who knows, the old lady often regards this old man as a kind of sustenance, or as a task.
Once the old man passes away, in most cases, it will be the hindrance for the old lady's spiritual progress. It won't take long, or even a few years, for the old lady to die.
When Ayiguli heard this, she realized that she had wrongly blamed the little doctor, but if she made a mistake, she would blame her wrongly. Who told her not to check the ward carefully? It was impossible to apologize. It would have been good if she didn't deal with her.
The doctors in the office who could spare their hands all came to the ward. In this case, if there are multiple doctors, there will be multiple helpers. Under normal circumstances, no one else is needed to greet them. Once they hear that the patient in that room is dying and needs rescue, Doctors will come to help voluntarily.
This is teamwork in internal medicine.
I cut the bag and took it immediately.
The female doctor Li Hui was guarding the bed was trembling and couldn't speak clearly. He immediately recorded the conversation and started preaching to the old lady.
The old lady was already nervous, but now she couldn't stand still.
"Can you wait for the child and let him see the child for the last time? Woo! Woo! Woo!" The old lady probably didn't hear anything except that she might die.
After all, Li Hui had been working for several years. As he talked, he put the pen into the old lady's hand, spent a few words casually, and then turned around and left.
"I signed the incision agreement." I shouted towards the ward as I walked.
In fact, the incision is already underway.
The nurses pulled the curtains hanging on the roof while moving patients in surrounding beds to other wards.
The other old man in the bed next door was so scared that his face was blue. It was so scary. In his eyes, these doctors were just like killing pigs, pressing down the patients before inserting tubes into their organs.
Just when his heart was palpitating, his wife said, "Let's see if you still smoke. You smoked cigarettes with that old man last night."
One sentence made the old man tremble with fear.
