Zheng Ren couldn't believe that this number was real.
The surgery completion rate exceeded 100%, and now it has jumped by 17.2 percentage points on the basis of 110%!
He hesitated for a moment and immediately realized that it might be the effect of specializing in organ transplantation.
Each point of organ transplant specialization may increase the completion rate of the operation by 10%. Then the original operation completion rate is 96%. After adding 10%, it is 106%. Plus the 20% specialization bonus, this is an appalling number. .
Zheng Ren felt that he was invincible. The medical team worked together to pile up the original surgery completion rate like crazy. In the end, he could only express satisfaction with the final result. Very satisfied.
"Boss, why do I feel like ECMO can be weaned off? Is it an illusion?" Su Yun turned around and stepped down, looking at the latest blood gas analysis values and asked in confusion.
"Su, if it were my patient, he would definitely not take ECMO." Dr. Charles took a look at the test sheet and expressed his opinion.
Zheng Ren hesitated for a moment, and finally said, "It's better to take it down. I'll stop it little by little depending on the situation."
Su Yun looked at the various machines with some worry.
There are ventilators, monitors, five micropumps connected to the carotid artery and radial artery, and infusions connected by three-way connections. Further down, there are two chest bottles, ECMO and liver dialysis equipment.
He had ignored this point before, and it was something Zheng Ren had never practiced in the system operating room. After all, the system operating room is just a training, success is success, unlike reality, there are so many troubles.
After the operation is successful, how do you send the small stone back with so much equipment
An elevator certainly couldn't hold so many things, and Zheng Ren had nothing to do about it. I was thinking about how to complete the operation smoothly before, but I didn't expect that there would be problems after the operation was completed.
"Wait a moment, the plasma exchange device can be withdrawn first." Zheng Ren hesitated for a while and began to give medical instructions.
Xiao Shitou has passed the acute liver failure stage, and his bilirubin has dropped to an acceptable value. With one-time adsorption of bilirubin and plasma exchange, it is reasonable to wean the patient off the machine. If it doesn't work after getting off, just get on the plane again. This is the best option.
Zheng Ren glanced at it and wanted to find a small round stool to sit down and watch.
Through the leaded glass, he was surprised to see that the operation room was already overcrowded, with 20 people standing densely packed like sardine cans.
The airtight lead door opened, Zheng Ren walked out, and a wave of heat hit him.
"Boss Zheng, congratulations!" Vice President Yuan said with a smile.
"Dean, why are you here?"
"For such a major surgery, Lin Ge must report to me. Let me take a look and coordinate. You are really well prepared, there are no surprises." Vice President Yuan said with a smile.
"It's okay, it's okay. I'm lucky. The operation went well." Zheng Ren took off his mask and took a breath.
"When will the patient be sent back?"
"We have to wait, it may take about 2 hours in the operating room." Zheng Ren said, "There are too many pipes and machines on the body, so some of them have to be removed before the person can be sent to the ICU."
"It's okay, I only arranged this surgery. If you don't feel tired, Boss Zheng, you can wait here for a few more hours and observe more. No one will compete with you for the surgery room." Director Xu said with a smile.
Zheng Ren's heart moved and he smiled slightly, "Director Xu, then I'm not welcome."
"Boss Zheng, why are you so polite for such a major surgery?" Director Xu smiled, "The most important thing is that the patient can get off the stage safely and recover smoothly."
With Director Xu's words, Zheng Ren was more supportive, said a few polite words, and turned back to the operating room.
"Boss, are you planning to stop ECMO before going on?"
"Well, observe for 6 hours, just in the operating room. If possible, we will remove the ECMO and then go back in." Zheng Ren said with certainty, "There should be no need for a second operation. The sterile conditions here are sufficient and the resources are sufficient. It is suitable for observe."
Everyone knows that the operating table in the operating room is the most suitable for observation, but it has to meet certain conditions. In the 912 operation room, these are all resources. In order to ensure the smooth progress of this operation, many people worked silently.
Not to mention the needs of other departments, generally speaking, you don't have to step down from the stage after the operation. There are at least 10 doctors and nurses surrounding you, and you have to occupy an operating room. Only the dean and the director of the anesthesiology department gave the green light to think about such a thing. Before this, Zheng Ren had no concept at all.
After he finished speaking, he found a small round stool and sat in the corner, watching the Xie people wiping the surgical instruments.
"Yiren, I'm going to observe you for 6 hours."
"I heard that. I'm not going down. I need to clean up and disinfect the surgery box first." Xie Yiren said crisply.
"Boss, when will the ventilator be removed after you return?"
"Don't worry, I'll wait for 24 hours before we talk." Zheng Ren said, "The ECMO can be taken offline, which is beyond expectations."
"Today's surgery was really good." Su Yun said happily. He could also feel that the completion of today's surgery was quite high, but there was no specific value given by the system panel.
"Well, it was done well. The situation is better than expected. The 3D printed organs have no rejection reaction, and there is no need to take oral anti-rejection drugs after surgery. This is also a very important point."
"Zheng, do you really refuse to go to Mayo Clinic?" Dr. Charles looked around at the values of each device and made his own judgment in his mind that the operation must be successful. But the more this happened, the more regrets he felt. The doctor came to Zheng Ren for one last persuasion.
Zheng Ren quickly stood up and said apologetically, "Doctor, if you want to see me perform surgery, I can fly directly to Mayo Clinic when I have time."
He refused simply, and Dr. Charles sighed slightly.
Zheng Ren sent the doctor out of the operating room with a smile, but instead of sending the doctor out, he asked Su Yun to send him off and tell Wen Xiaonuan the news of the successful operation.
The operation went smoothly and was highly completed, but the little stone was still lying on the operating table, so we must not be careless.
If something really happened and I was not at the scene, rescue would be delayed and there would be no place to cry.
Sitting on the small round stool, Zheng Ren looked at various numerical values. As the plasma was replaced bag by bag, Lao He was still monitoring blood gas, liver and kidney function.
Soon, Su Yun came back.
"Boss, Sister Wen immediately sat on the ground after hearing the news that the operation was successful." Su Yundao said.
"Oh, she's too nervous." Zheng Ren's focus was not on that. He was calculating the values in his mind and suddenly asked, "What do you mean by what the doctor said?"
"Which sentence? Is the population aging?"
"yes."
"There is a game called Plague Inc., have you played it?"
"Such an anti-human name?" Zheng Ren frowned.
"A strategy game based on infectious diseases developed by ions, an independent game studio in London, England." Su Yundao said, "I don't think it's that simple. This game is a bit interesting. Come and play it when you have time."
Zheng Ren stared at the various values and casually chatted with Su Yun, saying that playing games was much better than driving in the operating room.
"Why isn't it simple?"
"Like you said, anti-humanity. I think the capitalists have long thought about using the plague to change the aging society, just to let everyone get used to it and adapt first. The game setting is interesting, like Ebo The virus is not strong at all, and there is no way it can infect all humans. Boss, if you design a virus, what are you going to do?"
"It must be a long incubation period, whether the outbreak is violent or not is secondary. It is best to start slowly, so that everyone will slack off. But when it reaches a certain level, it will explode directly, which will spread the most widely." Zheng Ren was very casual. said.
"Yes, this is the only way to conquer Greenland. I have contact with a friend from the P4 laboratory in the United States. They study various viruses there, but I always feel that the influenza there every year is related to research."
"Don't talk nonsense, it's impossible." Zheng Ren scolded.
"Hey." It was rare for Su Yun not to argue. If he did, it would be too anti-human. He would be a criminal, not a traitor.
To change the topic, Su Yun was just guessing, not sure. And this idea is really so anti-human, even Su Yun couldn't draw such a picture with his most unreasonable and darkest ideas.
"Did Little Shitou get another life?" Su Yun looked at the various values and spoke briskly and happily.
"Absolutely. According to current indicators, ECMO can be withdrawn in more than five hours."
"That's good." Su Yun wandered around and felt bored in the room, so he ran out to find someone to chat with.
Blood gas, liver and kidney function were measured every half hour, and the values continued to improve in a good direction.
After 4 hours, the liver dialysis equipment was removed.
After 6 hours, ECMO was removed.
Armed with a ventilator, a monitor, and a bed of micropumps, the entire medical team escorted him back to the ICU.
Sitting in the intensive care unit, Zheng Ren stared at the values of the ventilator and monitor. Monitoring tests have been reduced from every 30 minutes to once an hour.
The various numerical values of the small stone were stable, and the total bilirubin, which was frighteningly high during the operation, returned to the pre-operative level. The various numerical values of the kidney function were also acceptable, and there was no need for dialysis or other equipment.
After the ECMO was removed, the ventilator was used to assist breathing. The replaced lungs began to work, blood oxygen exchange was good, and the blood oxygen saturation was maintained between 98-100%.
"Boss, are you no longer worried about smoking?" Su Yun asked with a smile.
"Can I have a lung transplant at any time? Aren't you talking nonsense?" Zheng Ren said, "Don't think about having surgery, take good care of yourself. If you smoke, you should smoke less if you can."
"Maybe the whole body will be replaced in a few decades. Looking at the progress of neurological research, if even the memory can be replaced, human beings will really be immortal." Su Yundao.
"No, before tuberculosis was conquered, everyone thought that there would be no such serious disease in the future, but look at cancer. Once cancer is conquered, there will be other diseases in the future. This is a battle that will never end."
"Don't think so much, shouldn't this be celebrated?" Su Yun said with a smile.
"Little Shitou doesn't need a ventilator to help him breathe. After leaving the ICU, we should go back to Haicheng." Zheng Ren said, "I miss old Director Pan."
"It's the Chinese New Year. Are you planning to perform surgery day and night during the Chinese New Year this year?" Su Yun asked.
"It's a normal holiday. Anyone who has nothing to do during the Chinese New Year comes to the hospital."
"Are you going to spend the Chinese New Year with Uncle Ning this year?"
Su Yun is really annoying, he won't say nice words well! The operation was successful, which was a very happy thing. Why did he have to mention Uncle Ning
But now when I think of Uncle Ning, my first thought is not the image of the towering figure who is calm, calm and in control of the situation in Pengxi Township Hospital, but the image of the little old man who was unable to seek medical treatment in Sweden.
There seemed to be nothing to be afraid of, Zheng Ren smiled.
Thinking about it, Zheng Ren was a little dazed. Uncle Ning, I’m celebrating the New Year with Uncle Ning this year. Everyone has a reunion dinner and sets off firecrackers... This feeling is really strange.
It's strange, but it's still very warm when you think about it carefully. Zheng Ren smiled. He already subconsciously wanted to accept the concept of family.
"I'm going to lie down for a while. If you need something, call me." Su Yun made a gesture of calling, "If you are tired, let me know and we will change shifts."
"Yeah." Zheng Ren nodded.
After Su Yun left, Zheng Ren looked at the little stone lying on the hospital bed with a smile on his lips. The ICU of 912 is still relatively backward. It is said that it is undergoing renovation, and it is estimated that the construction will not start until spring comes.
Will I be able to use the new ICU by this time next year? Zheng Ren looked at Xiao Shitou, thinking about the appearance of a new laminar flow ICU in one ward for critically ill patients.
In that kind of ward, the patient's postoperative antibiotic dosage can be reduced and cross-infection reduced. It is estimated that antibiotics for severe patients for one day after surgery are considered very serious and are generally not used.
When I went to Mayo, I had access to first-class diagnostic and treatment machines, and I didn’t have to piece together an intraoperative liver dialysis machine before surgery.
But can that be the same
Zheng Ren has never considered this matter at all. The main body of medical treatment lies in the patient, not the machine.
If he had been talking about doctrine and thinking about business, Zheng Ren would have gone to Hopkins long ago, and the conditions there would be no worse than those at Mayo.
But Zheng Ren sincerely disdains the medical treatment in the United States, and even in a country like Sweden, which claims to have universal medical insurance and free medical treatment.
Logically speaking, the number of doctors determines everything. Can their doctors do all this in their working hours? joke.
Uncle Ning's removal of the fish bone and Wu Hui's failure to complete the appendix perforation, and the conservative treatment and waiting for the second-stage surgery were matters that Zheng Ren could not touch.
The medical level there is high, but it is... In Su Yun's words, it serves capital. The door of Mayo is always open, and wealthy people flock to go for physical examinations, including some domestic capital tycoons.
Indeed, that is a top resource.
But all this has nothing to do with ordinary people. People like Wu Hui were misdiagnosed and mistreated...
Just as I was thinking about it, my shoulder shook and there was a snap.
"Boss, what are you thinking about?" Su Yun asked.
"Looking at the little rocks."
"I'm asking you what's going on in your head."
"Emmm, I'm thinking about rejecting Dr. Charles." Zheng Ren said with a smile.
"Boss, have you thought about it before? The doctor has never communicated with you. Your refusal was too straightforward, without any room for maneuver."
"I never thought about it," Zheng Ren said calmly, "Maybe it's instinct."
"I guessed that with your temperament, you would definitely refuse, but I didn't expect you to refuse so simply." Su Yun said, "What does instinct mean?"
"Do you still remember the day when the earthquake was felt in the capital city?"
"Well, I remember Fugui'er stood under the car and asked us what to do if we can't come back." Su Yun said with a smile, "What should we do? What else can we do."
"Yeah." Zheng Ren said, "Usually, all kinds of voices on the Internet feel like they are finished. When something happens, they naturally gather together. Maybe it's just this kind of fucking."
"Ha." Su Yun suppressed his voice and laughed, "What did you think at that time?"
"I didn't think about anything. I just felt that even if I die, I will die in Chengdu." Zheng Ren said with a smile, "But it would be great if I can come back alive. I hope the weather will be good and the country will be peaceful and the people are safe. But if it happens again, I will not be able to go to the front line if I am not in the country."
"I thought you were going to talk about the same old thing again, saying that the medical conditions at the same level in the country are the best, and telling the truth. Let me tell you, if you say that, you will easily get beaten to death."
"Medical resources are scarce resources. If we want to be fair, we have to advance science and technology. There are too many reasons in this, it is difficult to think about it." Zheng Ren shook his head slightly, "And doctors always take the blame, no matter how many grievances they have suffered. , you see if there is a next time, there will definitely be countless doctors and nurses rushing forward."
"I remember what a netizen named Xianyun Yehezhihe said was very reasonable. Every time there is a major disaster, there are medical staff. They are a group of people that can be praised and praised. But this group has no sense of existence like a painted fan. Like a bereaved dog, like a mouse crossing the street.”
"Hey, this description is quite appropriate." Zheng Ren smiled nonchalantly, "Being anxious is like a dog that has lost its home, and being anxious is like a fish that has slipped through the net."
"Tell me why."
"You're taking the blame, and everyone thinks... emm, do you remember that an old professor at Tsinghua University was defrauded of more than 10 million yuan, what did everyone say?" Zheng Ren suddenly asked.
"Well, the public opinion at that time was why a teacher had so much money!" Su Yun shrugged and said helplessly.
"Yeah, isn't that what it should be?"
"Later, an old professor from Tsinghua University went to Maryland, and the trend of public opinion turned to improving wages and retaining high-tech talents. I think the two groups are similar, and they can fall out faster than turning over a book."
"Everyone wants to be the best person in their life. It's easy to understand. It's like medical treatment. Uncle Ning took root in Sweden and struggled for 24 hours to get out the fish bone. Most of the voices in China cost dozens of fish bones. Medical fees?"
"Boss, I think you don't have that much respect for Uncle Ning since the fish bone incident." Su Yun said with a smile.
"Don't talk nonsense." Zheng Ren slowly looked at the various values on the instrument and chatted with Su Yun.
"I think the fees charged by the American medical system are very reasonable. For example, let's do a ureteral hose lithotripsy for a few hundred yuan. In the United States, it costs tens of thousands, which is still US dollars. I don't know if it's better than that, but I'm shocked when I compare it. "
"Don't compare, it's meaningless." Zheng Ren said lightly.
"That's what I'm talking about. The sustainability of our domestic medical system depends on this, isn't it? When there are more and more private hospitals, we will use the economic siphon effect to attract people to private hospitals, hey!" Su! Yun sneered.
"The reason why a university is called a university is not because of the school itself, but because of the masters." Zheng Ren said slowly, "Mr. Mei Yiqi, the old president of Tsinghua University, is right. The reason why a hospital is a hospital is also because of the masters." here."
"Speaking of this, Teacher Yan Ning resolutely decided to resign from Tsinghua University and move to Princeton University in the United States, where he was appointed as the Shirley Tillman Lifetime Chair Professor in the Department of Molecular Biology. According to this logic Presumably, it is natural for you to go to Mayo."
"There's nothing logical about it. How many years has it been popular to advise people to learn medicine and be struck by lightning?"
"I forgot, it seems to have been popular for a long time."
"There are fewer and fewer children doing clinical work, and the pressure is getting higher and higher. There will always be a collapse. Although everyone's ability is limited, I can reduce the pressure on Mr. Zhou a little by running to the emergency room."
"Don't sound so noble."
"It doesn't involve nobleness. When you go to school, you must recite the Hippocratic Oath. The capitalization of medical care is a tear in itself. But facing the torrent of the times, it cannot be reversed by personal power. The tear of the times and the tear of cognition , how did you say that sentence?"
"Which sentence are you talking about? This is the best of times and the worst of times; or is despicability the pass for the despicable, and nobility the epitaph for the noble?" Su Yun asked.
Zheng Ren smiled. Su Yun was really smart. He spoke out all his thoughts directly.
"Brother Yun."
While the two were chatting, a young nurse came over and whispered.
"Yeah." Su Yun narrowed his eyes and smiled, "What's the matter?"
"We have a problem there, please see if there is anything we can do."
Zheng Ren saw several medical staff discussing something around a patient in another ICU bed. The viewing angle was limited and the patient's system panel was not visible. 912 Severe Disease is very powerful, and Zheng Ren doesn't want to worry about it.
But taking the initiative to see what's going on and asking others for help are two different concepts.
"The patient is a 56-year-old male. He was admitted to the department due to loss of consciousness caused by a car accident. He was diagnosed with severe craniocerebral injury, cerebral herniation, and right frontotemporal and parietal subdural hematoma. Complete preoperative preparations were made, and the right frontotemporal and parietal surgery was performed in the emergency department under general anesthesia. Subdural hematoma and intracranial hematoma removal + decompressive craniectomy." The young nurse began to report the medical history softly, professionally and skillfully.
"The gastric tube was not put in before the operation. We wanted to put it in after the operation, but the one-minute downtime was too short and too difficult!"
Uh... Zheng Ren was also a little helpless when he saw the girl who was a bit fussy when talking to Su Yun involuntarily.
It is normal that the gastric tube cannot be inserted. The patient is in a coma, the swallowing and coughing reflexes are weakened or disappeared, and the patient cannot cooperate; the indwelling endotracheal tube and balloon compress the esophagus, reducing the diameter of the esophagus and affecting the insertion of the gastric tube; the indwelling endotracheal tube Excessive removal may lead to laryngeal edema, esophageal spasm or esophageal mucosal edema.
These are all reasons why the stomach tube cannot be inserted.
"How much paraffin oil was touched?" Su Yun asked.
"A lot..." The little nurse said a few words, her face turned red.
"Let's take a look." Zheng Ren glanced at Xiao Shitou's vital signs and lowered the dopamine micropump speed by 1 ml.
When Su Yun came to the patient after cerebral hemorrhage surgery and stopped the ventilator, he took a look with a laryngoscope. Sure enough, the esophageal spasm and edema were severe, much more severe than expected.
Because the gastric tube is soft, no matter how well lubricated it is, it will become pleated when it encounters spasm in the esophagus and cannot be inserted at all.
Su Yun pondered for a moment, then Zheng Ren said, "Deep venipuncture..."
"Eh? You think so too?" Su Yun asked.
The patient in ICU was always confused as to what the relationship between gastric tube and deep vein puncture was.
"Try it." Zheng Ren had no intention of reaching out and just said calmly.
"Do you still have the guide wire for deep venous puncture?" Su Yun asked.
"It's been thrown away," the ICU resident said.
"Take another one," Su Yun said, "If you use our guide wire, it will be more expensive."
Hospitalization in the ICU is always a little confusing, but Su Yun made it very clear that he was going to use a slightly harder guidewire to insert the guidewire for deep vein puncture first, and then insert the gastric tube.
This is the thinking of a typical interventionalist, but I never thought it could be used in nursing work.
Seeing the ICU resident preparing the guide wire, Su Yun smiled and said, "Boss, if we were at Mayo Clinic, there would be professional equipment to solve this problem."
"It's okay. Our 912 team can deal with it and solve it." Zheng Ren smiled, "The principle is similar, it's just a little more troublesome."
Su Yun raised his eyebrows but said nothing.
Soon, the hospital manager prepared a gastric tube, a nasogastric feeding bag, which contained paraffin oil, cotton swabs, gauze, a 20ml syringe, a guidewire for deep vein catheterization, and a stethoscope.
Su Yun did not explain. Instead, he smeared the gastric tube with paraffin oil, measured the length of the gastric tube, inserted the guide wire into the gastric tube, folded the top into a small round shape, inserted it from one nostril, and passed the gastric tube through the nostril. Insert to the position of 14~18cm.
When he reached the throat, before Su Yun could speak, Zheng Ren had already lifted the patient's head, brought the mandible close to the manubrium of the sternum, and positioned himself.
The assistant was very skilled at what he did, and Su Yun cursed in his heart. Then operate to smoothly pass the gastric tube through the laryngeal edema, insert it to the predetermined depth, and then withdraw the guidewire.
Fix the gastric tube, aspirate the stomach contents or inject air, and listen for the sound of air passing through the water, indicating that the tube is successfully inserted.
"Well, it's done." Su Yun said easily.
I'm always dumbfounded by hospitalization in ICU.
She and the nursing team placed the patient's gastric tube 6 times, and spent most of the day wandering around the patient and the tube.
Unexpectedly, Su Yun took action and solved the problem immediately.
This time it was really eye-opening. Not only could they do lung transplants, but they were also very good at such unpopular small operations. A deep venous puncture guidewire solved a problem that had troubled me for a day. I always couldn't believe it when I was hospitalized.
"If nothing happens, I'll leave first." Su Yun said calmly.
"Brother Yun, Boss Zheng, you two are busy." The ICU resident said quickly.
"Boss, if you don't need me, I'll lie down for a while." Su Yundao said, "When do you think the tube can be extubated?"
"24 hours," Zheng Ren said seriously, "It might even be less than 24 hours, it depends on the situation."
"It's really fast." Su Yun's tone was a little erratic, as if he had a hard time trusting his boss's judgment.
After Su Yun left, Zheng Ren sat quietly in front of Xiao Shitou's bed, looking at various numerical values, drainage, and urine output, and kept calculating in his mind.
He is like a hard and silent hill, standing beside the small stone, shielding him from the wind and rain.
This is a war. Fortunately, he doesn't have to be wary of cold shots from behind, Zheng Ren sometimes thinks to himself. It would be great if we could concentrate on treating diseases and saving lives, and all patients could be very cooperative, without having to consider the cost or the psychology of the patients' families.
Although this is impossible, Zheng Ren still thinks so occasionally.
In the end, all the great principles can't compare to the words "cure the sick and save the people". Zheng Ren didn't bother to think too much. He looked at the small stone silently and looked at the various machines and numbers around him. His whole body was like a computer, tirelessly importing data. , the central processing unit turns cold and boring data into medical conditions for analysis.
Time passed by, and the five micropumps were withdrawn one after another. There was about 50ML of clear urine per hour in the urine bag, and the airway pressure value of the ventilator...
It was late at night, and Zheng Ren was still observing all the values awkwardly, without any sign of fatigue.
As each instrument stopped, Zheng Ren accurately calculated the input and output, maintained the balance of body fluids, and worked hard to make the condition of the little stone as good as possible, and then better.
Adjust the parameters of the ventilator and watch the fluctuations of positive end-expiratory pressure. As Xiao Shitou's vital signs stabilized little by little, the sky lit up little by little.
Zheng Ren refused Su Yun's request to change shifts, and he took care of Xiao Shitou gently and attentively.
It was getting brighter and it was time to go to work. There were more people in the ICU.
Icu Director Cai changed his clothes and came in. At a glance, he saw that Boss Zheng was still in the same posture as when he left yesterday, looking at the postoperative patients motionlessly.
He walked over in surprise, took a look at the various values, and then asked in a low voice, "Boss Zheng, have you been up all night?"
"Director Cai, it's time to go to work." Zheng Ren turned around and said with a smile when he saw it was him.
"Well, how's the situation?"
"It's pretty good. All the values are normal." Zheng Ren said, "I think I'll be able to get off the machine and breathe on my own at noon."
noon…
Director Cai was startled for a moment, do you want it so fast
It takes a long time to be on a ventilator for three days after a lung transplant. Is Boss Zheng doing this too hastily
"Boss Zheng, do you want to observe for another day? If you are tired, I will watch here." Director Cai tentatively asked.
"I'm not tired. The progression of my condition has allowed me to go offline. Give it a try, and if it doesn't work, I'll take medicine to assist my breathing for another two days." Zheng Ren said gently.
Director Cai still couldn't understand. He winked, called to the hospital manager, and asked in a low voice, "How much is the return for the urgent check this morning?"
"Director Cai, I have been watching the patient myself. 15 minutes after yesterday's surgery..."
Seeing that Director Cai was worried, Zheng Ren asked about the treatment and began to talk about the post-operative experience.
Monitor the intake and output for 24 hours and record every 30 minutes; urgently check liver and kidney function, blood gas analysis, blood routine, D2 polymer, etc. every 2 hours on average; time and reason for withdrawal of various drugs, vital signs at that time...
It's so meticulous that as the director of the ICU, I feel strange. It would be great if my own hospital staff could always perform at this level and report on changes in condition in a clear and timely manner, down to the minute level.
But Director Cai then smiled sarcastically, and he also knew that he was dreaming. Use Boss Zheng as the hospital manager? Who in 912 has this qualification now
Zheng Ren talked for twenty minutes, and finally said with a gentle smile, "Director Cai, I think there is no problem."
"Okay then." Director Cai said politely, "As long as you are here, we won't care about this patient. If you need anything, please feel free to say it."
"Excuse me." Zheng Ren bowed slightly to express his gratitude.
Zheng Ren saw that the ICU doctor had started a new day's work. He smiled slightly, sat on the chair, and continued to observe changes in the condition.
Xiaoshi's chest was rising and falling under the influence of the ventilator. The new lungs were working very well and the blood oxygen exchange was perfect. Zheng Ren also thought that there was no problem. After all, the completion rate of the operation was 127%. After the operation, he had a sleepless night to take care of him. If there were any problems, it would be unreasonable.
If Xiao Shitou can wake up and overcome another hurdle, I hope the postoperative recovery can be faster.
This child is very sensible, and he doesn't know whether he is panicking or calm when he is "floating" in the boundless darkness in a calm state.
Stopping his composure is equivalent to lifting the seal, and he doesn't know if he will become violently restless due to excitement and fear when he wakes up.
Zheng Ren began to have random thoughts in his mind. The closer it was to the 24 hours after the operation, the more nervous he became.
This kind of nervousness is completely unreasonable, and Zheng Ren knows it in his heart. Various objective indicators have been clearly laid out in front of us. We have reviewed them countless times and found no problems. But emotions are emotions, and even Zheng Ren, who is as immovable as a mountain, can hardly contain objective emotional changes.
As time passed by, Zheng Ren lowered the pumping speed of the sedative medicine and began to wake up.
It was a simple operation, but Zheng Ren was very nervous.
There are many things to worry about, and no one is 100% sure. Zheng Ren was afraid that something unexpected would happen, so he observed the situation of the little stone without blinking.
Slight restlessness, airway pressure increases momentarily.
"Little Shitou, don't panic when you wake up, breathe steadily." Zheng Ren whispered in Xiao Shitou's ear.
Zheng Ren wasn't sure that Xiao Shitou heard what he said. He vaguely saw Xiao Shitou's eyelids moving slightly, and then Xiao Shitou became quiet without resistance. It was unexpectedly smooth.
He is such a good doctor. Zheng Ren breathed a sigh of relief.
Generally speaking, it takes a while to wake up. After all, most people are not used to using a machine to assist breathing, and subconsciously resist the machine.
But he only said one sentence, and Xiao Shitou's slight restlessness disappeared without a trace, and his blood oxygen saturation returned from 92% to 99%.
If all patients had such good medical compliance, it would be a doctor's paradise. A smile appeared on Zheng Ren's lips.
After a few minutes, Xiao Shitou gradually adapted to the ventilator's assisted breathing, and gradually gained strength as the amount of sedative drugs accumulated in the body was metabolized and the concentration decreased. His whole body was relaxed, except for his eyelids that kept beating.
"Slow down, don't be in a hurry, breathe more steadily." Zheng Ren patted Xiao Shitou's shoulder and said in his ear.
I don't know if Xiao Shitou heard it, but Zheng Ren just vaguely felt that his breathing rate became more stable after he finished speaking.
Zheng Ren did not continue talking to Xiao Shitou. He was looking into Xiao Shitou's eyes. I promised Xiao Shitou that he could see himself when he opened his eyes, and he must do it.
After another ten minutes, Xiao Shitou slowly opened his eyes, his eyes clear and agile, completely without the turbidity and confusion caused by the effects of sedative drugs.
Looking into each other's eyes, Zheng Ren let out a sigh of relief and smiled slightly.
"I'm recovering well. Now close your eyes and continue breathing steadily." Zheng Ren said softly, "In another hour, I will take off the ventilator and you can feel the fresh air."
Xiao Shitou blinked twice obediently, telling Zheng Ren that he understood with his eyes. But instead of closing his eyes, he blinked twice more.
"Can you move?" Zheng Ren asked.
Xiao Shitou's fingers moved slightly and he could move, but he definitely couldn't communicate by writing.
"Do you want to go offline now?" Zheng Ren asked tentatively. After saying that, the little stone blinked again.
Zheng Ren slightly hesitated for a few seconds and said gently, "Okay, but if your respiratory function can't keep up, you will need to use a ventilator for another 12 hours."
Zheng Ren was the only one who spoke, and Xiao Shitou expressed his thoughts with simple blinking movements. But Zheng Ren felt that he could understand what Xiao Shitou was thinking, and the two communicated in this weird way without any obstacles.
His heartbeat accelerated slightly, just like the reaction when his cell phone rang in the middle of the night and asked him to go for surgery. Zheng Ren first took a deep breath to calm down, and then removed the ventilator connector from the endotracheal tube.
The ventilator alarm sounded, but Zheng Ren ignored it. His attention was entirely on Xiao Shitou, and his blood oxygen saturation must not drop.
To Zheng Ren's expectation, there were no twists and turns. Xiao Shitou closed his eyes and "breathed" attentively.
A breath of fresh air, normal people cannot feel its existence at all, but for little stones, it is the most precious thing.
The chest rose and fell, the blood oxygen saturation was 98%, the respiratory rate was 22 times/min, and the heart rate did not fluctuate violently, remaining at about 110 times/min.
Done! Zheng Ren shouted in his heart.
At this time, after Xiao Shitou breathed two or three times, a very complicated emotion appeared on his face. The air you breathe is incredibly sweet. After entering the lungs, it immediately participates in blood oxygen exchange, and then follows the hemoglobin to provide a continuous supply of oxygen to the body.
Unbelief and relief, many complex emotions were written on Xiao Shitou's face. However, he did not get emotional and cause the condition to relapse. Instead, he quickly closed his eyes and began to breathe hard and greedily.
The sound of the air in the endotracheal tube hitting the wall with breathing is so sweet, it is the sound of life. Zheng Ren listened carefully and used his ears to judge whether there was much secretion in the little stone's lungs.
Fortunately, there wasn't a lot of phlegm, but Xiao Shitou's expression was particularly interesting.
Zheng Ren knew that the new lungs were definitely different from the previous lungs with severe fibrosis. But this is theoretical. Zheng Ren doesn't know exactly how much easier breathing will be after the lungs are replaced.
After observing for a few minutes, everything was stable, and Zheng Ren finally felt relieved.
It seems that there is no problem in being offline for 24 hours. If everything goes well, the tube can be extubated early tomorrow morning.
The ventilator alarm sounded a little noisy. Seeing that Xiaoshi was in stable condition, Zheng Ren turned around, hooked up the pipe, and turned off the ventilator.
The sunlight coming in from outside was a bit dazzling. Zheng Ren squinted his eyes and looked at the blue sky in winter, feeling peaceful and happy.
After packing up the machine as quickly as possible, Zheng Ren turned around.
Xiao Shitou opened his eyes and tried hard to raise his left fist. The infusion tube hanging on his arm was like a broken piece of armor after a battle. After a hundred battles, the child's life was still good. Zheng Ren remembered the time they met on the mountainside. This was the agreement he made with Xiao Shitou.
He made a fist with his left hand and lightly touched Xiaoshi's thin fist.
In the afternoon, the sun is shining brightly.