Late at night, the phone of the oncology department suddenly rang. On the other end of the phone, there was only one sentence: Anesthesiology? Come to the medical oncology rescue!
Dr. Zhang, who received the call, immediately replied: Good!
Turning around, she had disappeared into the dimly lit hallway with the rescue kit.
When it comes to the Department of Oncology, the corridor is like daylight. Sleeping patients or family members, or dressed in clothes, or draped in large quilts all came out.
The focal point is on a ward diagonally opposite the nurse's station. Patients in a department like the Department of Oncology, arranged near the nurse's station, must be in a very serious condition.
Push the door in, almost can't push the door open. Behind the door, the family hid inside and shivered.
On the bed again, the doctors and nurses of the department of oncology are doing chest compressions.
As a health care worker, I know exactly what chest compressions mean. So Dr. Zhang immediately asked: Do you need to be intubated?
In the past, on such occasions, the other party was bound to reply to the "need" immediately. But this time, the doctor who was pressing in the oncology department froze. Presumably, he was thinking: Should I make this decision?
Since he couldn't be sure for a moment, he said to Dr. Zhang: You can take a look.
At this time, Dr. Zhang, who walked up to the patient, had already found some abnormalities: a very thin patient, but the stomach was very large; the original rosy lips, almost no blood; in the deep vein catheter, the milky white nutrient solution still flowed into the patient's body little by little.
Dr. Zhang tried to lift the patient's jaw, and there seemed to be resistance. However, it is difficult to see accurate life data on the monitor. So she asked the oncologist: How long has it been stopped? Answer: It doesn't take long, it's only 1 to 2 minutes. These days, the patient's condition is very bad, we monitor it 24 hours.
Dr. Zhang told him to stop pressing, and there was no sign of ECG on the monitor.
This is not the first time Dr. Zhang has encountered this situation. What she knows very well is that this is an advanced patient. Even if you try hard, you have to live a few more days. However, the cost of these days is sky-high for ordinary families. Because such a critical illness needs to be sent to the intensive care unit.
Entering the intensive care unit means saving lives with all your might. But any measure that exists will be on. Therefore, the cost of each day is calculated at least in terms of "how many tens of thousands".
At this time, Dr. Zhang also knew very rationally what to do. She shouted to those around her: Who are the family members?
The family member who was hiding behind the door replied, "I am." Presumably, the huge cost of medical treatment has made her have no confidence. If it wasn't her loved ones lying in bed, she would have fled and left the place that had made her sad. However, the inseparable affection firmly fixed her behind the door.
Due to the large number of people in the ward, coupled with chest compressions, it cannot be stopped. Dr. Zhang and the oncologist exchanged a few brief words, and the oncologist completely agreed with Dr. Zhang's idea. In addition, if the endotracheal intubation also needs to communicate with the family to sign. So Dr. Zhang pulled the patient's family to the office.
As soon as I entered the office, the tears of the family members "suddenly" came down. Crying, he said: Doctor, save my father, he has worked hard all his life, and he has not enjoyed a day of happiness...
Seeing that the family was wearing cheap clothes, Dr. Zhang reassured: In the end, I hope you still want to open a little. The time of cardiac arrest is not long, and there may be hope of rescue if all-out rescue is made. However, there is no way to do anything about the tumor. That is to say, even if it is rescued, it will not last for a few days.
The family members who still did not want to give up "pounced" and knelt on the ground, wailing and crying: Please, Doctor!
At this point, Dr. Zhang must remain sane: at this crossroads, she must direct the family. Once the family chooses to continue to rescue, she knows very well what the outcome will be.
She explained: Even if this rescue comes back, it will not last long. Because this condition is basically the result of organ failure in advanced tumors. The human body itself has a great ability to adapt. Since there has been a "crash", it means that it must be a big problem. In addition, once admitted to the intensive care unit, the cost of tens of thousands of yuan a day is indispensable.
Gradually, the family calmed down. But still unwilling to give up: Can you save it for a while? It's here to rescue.
Dr. Zhang said: We continue to rescue, and your families must also be prepared.
Turning back to the ward, Dr. Zhang told the oncologist the results of the communication.
After handing over the work of chest compressions to another doctor, the oncologist pulled the family members to sign.
In the distance, the cries of the families were heard again.
Dr. Zhang's brain is very messy: the hospital itself is a place to save people, if it is not a dilemma of people and money, who wants to persuade you to sign and give up?
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