Four Hundred and Forty-Five Old People Under the Flu

Latest URL: If the uproar in the pediatric department also represents the vitality of the children, then the respiratory department is completely suffocated and dead. The faces of many old men and women were like frozen green eggplants, their lips looked like special purple lipsticks, and there was no vitality in their eyes.

He is obviously as thin as a stick, but his chest is round like a bucket. Every breath takes all the strength of his body, which is still a little stable. Come out, down, sputum sticks to the trachea.

Then the patient suddenly wanted to be pinched by the neck, his hands danced violently, and his whole body was like a maggot, writhing violently on the bed. The eyeballs protruded instantly, as if they were about to fall out.

The near-death feeling derived from a strong sense of suffocation is definitely like purgatory. The elderly in the respiratory department often experience this kind of torture many times a day. They don't have much energy in the first place, and almost all of them are spent in struggling again and again .

Really, the feeling of suffocation is definitely beyond the imagination of ordinary people.

"Zhang Yuan! There are several patients who are obviously short of breath and have indications for cutting the tube." The deputy director of the respiratory department saw Zhang Fan and hurried over.

The Respiratory Department used to be a very different department in the Chasu City Hospital. Under the leadership of Hu Duzi's Laoju, the unshakable Kazakh English fluttered in the department every morning in the morning meeting. Many patients looked like they were watching a western scene. On the glass wall, watching a group of doctors in white coats is like chanting scriptures.

Laoju is not only well-connected in various localities, but also has connections in several specialized respiratory hospitals in the capital. After all, he lived and died together in the past, so the doctors and nurses in the department all hang around Laoju.

The good name of the old residence is not good, which makes the departments united like a monolith. The doctor in Chasu City Hospital who loves money the most, Zhang Fan, who was the teacher of the respiratory department at the time, if he didn't have the old residence, he probably lost his job. .

The disadvantages of this department are obvious, but the advantages are also obvious. In the hospital, the number of papers published by their departments in core journals is the largest in the hospital. Moreover, the doctors and nurses in this department are the most practical.

There are 60 beds in the cardiology department, and if there are 80 extra beds, everyone from the director to the doctors, from the head nurse to the nurses will all sigh and complain to the dean in turn.

But the respiratory department has 60 beds, and there are 100 extra beds. The doctors and nurses in other departments seem to be okay. The department has the obvious characteristics of an old residence, and there is a certain tenacity in the arrogance.

The deputy director is Tajik, and everyone calls her Ayigul, which is an abbreviated Chinese pronunciation.

If they were all shouted out, they would be unusually long anyway. The signature plate left in the medical office is also Ayigul. Anyway, there are many Ayiguli in the city hospital, including nurses, but generally everyone calls her Director A. She will definitely not be like the old house. I will emphasize that every time I smile and nod, as if very shy.

Although she is over forty years old, she is still very pretty. Looking at the photos of her when she was young, she looks a bit like the female prosecutor in Ukraine. She is obviously different from Lao Ju in character, Lao Ju is like a proud peacock.

And Director A is as low-key as a little transparent. In fact, no matter whether it is spoken English or written English, it is much better than that of Laoju. He can account for more than half of the credit for the department's published papers, but it is not as protective as Laoju. Dude, so the prestige in the department is still not high.

Hearing what Ayigul said, Zhang Fan asked, "Is the situation very bad?"

"Well, the blood gas analysis showed Type 2 respiratory failure, and our bedside ventilators are not enough."

"Seriously transferred to ICU."

"There are no more beds in the ICU!"

After saying this, Zhang Fan couldn't make a difference. Other departments could find ways to add a bed or something. Anyway, there was heating in the hallway. But the ICU is not good. The ICU is like a radish and a pit. It is useless to add a bed. The most important thing is that you cannot add the attached equipment because there is no extra.

After a few words, the nurse shouted, "Old man Li is dying!"

Zhang Fan was taken aback because he was not familiar with patients in the respiratory department. And Ayiguli had already turned around and started running, Zhang Fan closely followed Ayiguli's footsteps. There are extra beds all over the corridor, and it is difficult to run.

General surgery rarely has this kind of name, a few beds are just a few beds, and internal medicine, especially a department with many elderly patients, many patients are not familiar with 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 this kind of patient number and doctors and nurses is very special. For example, a patient in his 60s went to the hospital until he died in his 70s. Yes, but still uncomfortable.

Often when several doctors get together, they will talk in a low voice, my so-and-so has left, and the other one will sigh and say, my so-and-so has not come this year, probably...

Director A quickly ran to the ward, where several doctors had already arrived. "What's the matter, didn't you do atomization in the morning!" As soon as she entered the door, Ayigul knew the general situation at a glance, so she didn't need to ask any questions.

Old Li Tou, a skinny patient, is about sixty or seventy years old. At this time, the old man's two feet kept rubbing against the bed surface, and his toenails scratched on the bed sheet, making a tearing sound. It scratched his own throat, as if a person going against the current wanted to grab something. It's like trying to dig a hole in the neck.

The old lady next to the patient had tears on her face, while holding the old man's hand, fearing that the old man would scratch herself, she was trembling and didn't know what to say.

Twisting his head against the pillow from side to side, he really looked like someone who was pumped in a disco, or like a ghost got on his body.

While asking the doctor in charge of the bed, Ayigul grabbed the sputum suction device. The doctor in charge of the bed was a young female doctor, and she was so nervous and frightened that she was about to cry. Because during this period of time, there were not enough doctors, so the doctor who just graduated and entered the hospital was directly asked to be a bed doctor. She was inexperienced and didn't know what to do.

He said in a crying voice: "I ordered the nebulization last night, but during the rounds this morning, the nebulization was not done."

"Stand aside!" Ayigul got angry in a rare way. The doctor in charge of the bed, with tears rolling in his eyes, felt aggrieved but couldn't explain a word.

Zhang Fan didn't say anything, walked over quickly, stretched out his hand and quickly pulled off the old man's pillow, then put his hand under the old man's neck, and lifted it up slightly. At this time, the old man's posture is like a big rooster crowing in the morning Before, like stretching your neck.

The old man's hands grabbed Ayigul's arm and Zhang Fan's arm at the same time. He wears a lot in winter, but Zhang Fan can feel the strength of the old man, because his flesh hurts from being scratched, and Ayigul, who Amy wears less, probably hurts more.

However, the two of them remained motionless. Let the old man hold on desperately. Ayigul held the sputum suction device, while resisting the shaking of the old man with both hands, firmly dipped some water. Then slightly raised his head and glanced at Zhang Fan.

Amidst the chirps, the doctors who were close to the old man could clearly hear the sputum rolling back and forth in the old man's organs like rolling balls, but it just wouldn't come out. The suffocated voice made even normal people feel uncomfortable, wishing someone would put their hand into their mouth and take it out for him.

Support the neck with one hand, and forcibly pinch the patient's jaw open with the other. When a person is on the verge of death, his strength is very fierce. If a female doctor can probably make the skinny old man swing back and forth, but Zhang Fan stands still.

When Zhang Fan quickly pinched the old man's mouth open, Ayigul quickly inserted the suction tube firmly into the old man's organ.

If the sputum makes the patient feel suffocated, the sputum 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.

And the suction tube is the straw for drinking yogurt. Of course, this straw is relatively thick, and it is slightly thicker than the straw for drinking milk tea now. Liuliu began to extract sputum from the organs. This sound is exactly the same as that of some people who drink most of the yogurt and insist on sucking up the yogurt standing on the wall of the tube. Just a little bit smaller.

The sputum is sticky and yellow, stuck in the suction tube, and it doesn't go very smoothly. Suctioning is quite uncomfortable.

This operation is not to insert it in and wait for suction. It is necessary to hold the head of the suction tube, first shallow and then deep, try to suck as much as possible at a time, in and out, while observing the patient's expression, While tentatively inserting it deep into the organ.

These movements are counted by the second, and cannot be slow, otherwise the old man will be suffocated to death.

It can't be too fast, the sputum can't be sucked out too fast. Not only to go in and out, deep and shallow, but also to rotate around the old man's organs with a hose to find more sputum.

The old man was so breathless that he was able to dance with his hands and feet. When the suction tube was inserted, the old man's sudden eyeballs seemed to burst open, and bloodshot eyes burst out.

How uncomfortable this feeling is, not to mention other things, the average person accidentally chokes when drinking water, this feeling is hundreds of times more uncomfortable than the feeling of choking on drinking water.

The feeling of suffocation, thrusting, and strong muscle repulsion, to be honest, if it wasn't for the operation of treatment, it could definitely be used as a punishment.

The patient is uncomfortable, and the doctor is also uncomfortable.

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 is also necessary to find the sticky sputum standing on the sputum. To be honest, it is too difficult. While watching the old man about to suffocate to death, he anxiously searched for the sputum, and he had to control the strength in his hand, otherwise the hose would be folded together.

Really, both the doctor and the patient are covered in sweat at the same time. A greasy middle-aged man definitely understands the difficulty of a doctor. Often a resentful look from the other side is definitely more painful than a slap in the face.

"Zhang Yuan, no way, the organ is swollen and can't be inserted. The sputum can only be sucked into the shallow part of the throat, and the deeper part can't get in at all."

Ayigul tried several times, but couldn't get in.

Medical operations all pay attention to gentleness and frequency. For example, catheterization, the old man’s prostate is swollen. When catheterizing, he can only do it three times at most. If he can’t get it in, he can’t do it. A fistula must be made, because this thing in the human body is not plastic or rubber. If you do it more times, it will cause edema. .

The same is true for suctioning, often if you can't get in for the first time, it will be more difficult to get in later.

"Cut the bag!" Zhang Fan yelled to the head nurse of the respiratory department, and then said to the panicked little doctor standing aside, hurry up and talk to the family members about the condition.

And the old man's wife didn't dare to cry anymore, and called the child tremblingly with the phone: "Big baby, come quickly, your father is dying!"

There was a whimper in his speech.

It is estimated that the other party hung up the phone, and the old lady finally cried out, as if she released a little emotion after notifying the child, she cried and said, "I asked him to do atomization yesterday, he felt suffocated, and secretly at night smoking.

Can't you stop smoking, can't you listen to the doctor's words, what should I do if you are gone. It's all my fault, if I didn't give you cigarettes, neither would you. You must persevere. "

The old lady trembled with grievance.

Young couples come to accompany each other, and many old people serve the stubborn old man. In the eyes of others, it seems that they are not reconciled to 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 passed away, in most cases, it was the hind legs of the old lady's spiritual strides. It didn't take long, or even a few years, for the old lady to die.

When Ayiguli heard it, she blamed the little doctor by mistake, but if she made a mistake, she made a mistake. Who told her not to check the ward carefully, it is impossible to apologize, and she will be fine if she doesn't clean up.

All the doctors in the office came to the ward as long as they could spare their hands. In this case, there are multiple doctors and only multiple helpers. In general, no one else needs to greet them. Once they hear that the patient in that room is dying and needs to be rescued, Doctors will come to help consciously.

This is teamwork in internal medicine.

Cut open the package and took it over immediately.

When Li Hui saw that the female doctor in charge of the bed was trembling and couldn't explain clearly, he immediately finished the conversation record and began to preach to the old lady.

The old lady was already nervous, but now she couldn't stand up anymore.

"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, but heard that she might die.

After all, Li Hui had been working for several years. He put the pen into the old lady's hand while talking, spent a few casual strokes, turned around and left.

"Cut and agree to sign." He shouted into the ward as he walked.

In fact, the incision is already underway.

While pulling the curtains hanging on the roof, the nurses moved the patients in the surrounding beds to other wards.

The other old man in the next bed was so frightened that his face was blue from fright. In his eyes, these doctors are like butchering pigs, holding down patients and inserting tubes into organs.

Just when he was in palpitations, his wife said, "See if you still smoke or not. You smoked with that old man last night."

In a word, the frightened old man trembled.