Chapter 242 Solution?
Two days later, I began to regret my decision. The patient was not worthy of treatment with me. There was a kind of blame in his eyes, and the sound of "Ah, Ah" in his mouth became louder and louder. And a fatal thing happened. He began to have a fever, and the high fever did not subside. He lay on the bed motionless, and his eyes felt so distracted. His son couldn't bear to look at it, so he lowered his head and cried silently.
I panicked and called the director and my teacher.
All the doctors from our department gathered in the dressing room. Open the gauze and a large amount of yellow pus flowed out. The necrotic skin smelled foul. After three hours of debridement and change the dressing, some doctors left silently, and in the end they were only me, my teacher and director.
The fever caused by infection after burns is fatal, which means that the patient has an infection throughout his body. If it cannot be controlled, the patient will die from septic shock.
When changing the dressing, the director mentioned that hypertonic saline is beneficial to the recovery of infected wounds, but our hospital did not. I remember that afternoon when my body's resistance decreased, such as large-scale burns, long-term use of immunosuppressants, etc.
This bacteria looks like.
I found that what he ate was steamed buns, noodles and some vegetarian dishes, which were not nutritious at all. So every time I ate some dishes and
I remember that I couldn't sleep after I got home, and I kept thinking about this patient in my mind. At that time, I even suspected that I had obsessive-compulsive disorder.
Patient's 22nd day of admission
I."
"Do we just ignore it if you are not here? Don't say that your dressing changes in the past 20 days are really effective. Now the wound is much better than when he came. You should pay attention when changing the dressings next time..." The senior brother reminded me while operating.
I
I had a big meal from a general practitioner (takeout, and the hotel waiter would give it to me).
One month after the patient is admitted:
He could walk slowly by holding the wall. We saw hope. I think it was just a matter of time. His life was saved.
At that time, I remember that the patient's son brought us cooked sticks, cucumbers, and loofahs every day. Even the patients in other hospital beds were concerned about the old man's condition after they knew about this. Then they felt that the whole ward was laughing and the patient was full of trust and affirmation for us, which was really good.
Patient's 40th day of admission
That day the nurse called me and said something happened to the old man. I ran to his ward like crazy. He screamed in pain, "Ah, Ah", his eyes kept looking at me, and his eyes seemed to say "Save me, save me..."
Later, after examination: spontaneous subarachnoid hemorrhage (small amount).
The main cause of spontaneous subarachnoid hemorrhage is ruptured by cerebral aneurysm, accounting for about 75% to 80% of subarachnoid hemorrhage, arteriovenous malformations account for a small part, and abnormal vascular reticulosis in the base of the brain accounts for a very small part. Other causes include hypertension, arteriosclerosis, hematology, intracranial tumors, immune vascular diseases, intracranial infectious diseases, after anticoagulation treatment, pregnancy complications, intracranial venous system thrombosis, cerebral infarction, etc.
I hated him at that time, why did God be so unfair to him? It was really a bit insult to injury.
The patient's son did not question or blame any of them, but just said silently: "I'll go find money again."
This disease requires the decision of surgical treatment after cerebral angiography, but the high cost and the old man's current physical condition finally decided to treat it conservatively.
From that day on, my heart hangs again.
I am very grateful to the family for their understanding. In fact, the patient's disease has nothing to do with the treatment of burns, but the patient's illness is in the hospital, and many family members will definitely question it, but his son did not, because he saw everything we did during this period.
The next two weeks:
Change the medicine every 3 days, because the ooze is decreasing, and my movements are lighter when changing the medicine. I am afraid that the stimulation causes pain to aggravate the intracranial bleeding. I hope that the patient will not increase the intracranial bleeding and absorb it quickly.
During that time, I took his examination information to the superior hospital to consult with the teacher, went back to study further and adjust the treatment plan myself. I was working hard, and the old man and his son were also struggling strongly.
70 days after the patient's admission
The bleeding in the skull did not increase further, and it was absorbed bit by bit, and we won. That day, his son and I got drunk in the small shop at the entrance of the hospital.
The patient was admitted to the hospital for three months
He was discharged from the hospital that day. Seeing him being able to move on his own, eat, go to the bathroom, look at the wound formed by his scars, and watch him grinning all the time, I cried again...
A few days after the patient was discharged from the hospital, my son carried another sheep, and I quietly put 1,000 yuan in the patient's hospitalization deposit again. At that time, I found that 90 days of hospitalization cost the patient less than 30,000 yuan.
That day I found a restaurant and took the sheep over. At night, the general practitioners had dinner together. I cried, my master cried, the nurse cried a lot, and I got drunk again.
I went home for 2 days without any concern or any disturbance, and I steadily recalled what happened in the past three months...
Reality: Meeting again in ten years
Today, I saw him again, the old man ten years ago.
He became thinner and recognized me at a glance. I still vaguely remembered the burns on his face. He was lying on the bed in the rescue room, and his son recognized me from the side.
"It's been ten years. You have let my father live for ten years. I often mention you to the people in the village. You are the benefactor. This time my father may really not be able to do it. The doctor said that even the gods could not save him." He said, crying.
"What's the disease in bed xx?" I ran to the doctor's station and grabbed one of my buddies and asked.
"The arterial dissection is broken. It probably will be very soon..."
I returned to the old man's bed, and I just sat next to him. I held one of his hands and his son held the other. For the first time, I used my glove-free hand to caress his scarred face. My tears kept flowing. My son cried, and the old man cried too. His "ah, ah" voice became smaller and smaller, his face gradually paled, blood oxygen fell, blood pressure fell, and the electrocardiogram finally showed a straight line...
Old man, please let me call you this last time. Ten years ago, you didn’t say a word, except “ah, ah” and just laugh.
But do you know? Ten years ago, I lacked enough experience. What really saved you was not my skills, but my passion, persistence, and persistence at that time. It was the trust you and your son in me that made me understand how to be a good doctor.
Do you know? Ten years ago, I regretted accepting you. At that time, I was angry and competed with my senior brother. But your trust changed me and let me know my own responsibilities as a doctor.
Do you know that it is this trust that makes me continue to grow, work hard to persevere, and touch everyone around me!
Sorry, I can't save you this time...
Please give the doctor more trust!
Chapter completed!