Path of Medicine With a System

A pillar of support!

"Hurry up, the heart is failing!" The director and Ouyang in the heart said hastily after seeing it. Ouyang got out of the way, there is no need to say anything at this time, heart failure is too common in hospitals. But the position of this patient is a bit funny, it was a very serious scene, but it can't be serious no matter what!

Because of the special position, Zhang Fan and a few young male doctors quickly helped the patient sit up, and a few nurses in the emergency department in the distance secretly covered their mouths and laughed! The director of the emergency department rolled his eyes and glanced at it, but it was useless, not to mention the little nurses, even many female doctors raised the corners of their mouths, this kind of scene is too rare!

The heart is a simple and complex organ in the human body. It is very simple. There are only four cavities and four doors. How can I describe it? Constantly doing contraction and relaxation exercises, pumping blood out and in.

This cycle is divided into two cycles, a large cycle and a small cycle. The small circulation is the circulation between the heart and the lungs, replacing the carbon dioxide-rich blood with oxygen-rich blood, and then sending the oxygen-rich blood out.

The big circulation is to transport the oxygen-rich blood to all parts of the body, replace it with carbon dioxide blood, and then recycle it back. It’s that simple. It’s very similar to the power system of a car. If you connect the exhaust pipe of the car to the engine , is directly a property.

Difficult to say, it is also super difficult. Heart disease is actually an abbreviation. It is really called a disease of the cardiovascular and circulatory systems. This term includes two systems.

The heart is like a house, with rooms, channels, and circuits that manage the orderly contraction and relaxation of the heart's muscles. Once the circulation is not smooth, there is a problem with the passage. Problems in the pathway can also cause problems in the circuit, which is a chain reaction.

The heart and lungs are connected, and if there is a problem with the heart, then there will be a problem with the lungs. Ordinary people can't see heart problems. The first thing that shows up is the problem with the lungs, and it's difficult to breathe!

There is a problem with the lungs, and the arrogant brain starts to be in a daze. Once the carbon dioxide is stored, it becomes like drunk, and starts to feel confused. Then, in order to protect this arrogant brain, the body began to tighten the blood vessels of the whole body to send oxygen to the brain as much as possible.

Then, other organs in the body are not happy. First, the kidneys start to rebound, urination starts, and then the toxins are stored away, and then other organs of the body also have problems.

This is the general process of organ failure. The failure of various organs caused by other diseases is not very fast. If there is time, let the doctors in the hospital slowly stop and block this process.

One heart and one brain,

Especially the heart, there are major problems, and the failure of various organs is very fast. Once it reaches the kidneys and cannot be stopped, there is no chance! Even if it is rescued, the sequelae are also very difficult.

Therefore, the rescue of the heart must be done quite quickly. The rescue of other organs can be divided by hours, but the rescue of the heart is calculated by seconds. Once a threshold is exceeded, the damage is very serious.

Heart failure, drug-induced heart failure. How can there be time to worry about his one pillar at this time, let's save lives first! Hospitals only treat diseases and not people, but people are complex social animals. Often times, there is a suffix after the last name, such as boss!

Because this kind of person is like a spider, which involves many relationship lines, and then connects many energetic people, and many people with 120 feet.

Women, a woman in her thirties, and a woman who just arrived in her fifties. "Sister, go and see what's going on. What should I do if he dies! Sister, hurry up!" The younger woman said to the older woman, after all, young people go fast.

"What are you afraid of, you can't die! What can you do even if you die! You are too, and I let you in. Is that how you control him?"

"Sister, I was wrong! Can't I be wrong!" The young woman took a closer look, she was really like a dewy flower, so delicate at such an age! She is really not a woman that ordinary people can afford! It's nothing more than that,

An older woman with a Chinese character face and decree lines, round eyes, and a big nose. She is not a beauty at all, but she is a bit heroic, with a frosty face. The subordinates of Boss Wang's company are very polite to older women , "Li Dong!" Nodding all the way.

The leader of the bank also hurried down the steps, "Leaders, please rest assured, even if Lao Wang fails, and me, I will definitely admit it. For the sake of the past, please give us a chance to breathe .”

"As long as Director Li can come out, we are not in a hurry!" Sometimes, the so-called assets and so-called collateral are actually jokes.

Hospital emergency department. The doctors were busy in resuscitating, and the director of the heart was the first rescue physician. She kept giving verbal doctor's instructions: "Take a seat, with your legs drooping. Oxygen, mask-style oxygen supply, bipap (bi-level airway oxygen supply) Give oxygen, install all monitors!" The voice was quick and calm, she was the only one in the rescue room, and even Ouyang stood quietly aside! This is her Ren Li's battlefield!

The general rescue involves a doctor, several nurses, and a special nurse. At this time, the records are all abbreviations, focusing on the abbreviations of the time description. For example, in this rescue, all the descriptions of the director of the heart are recorded according to the time. .

Laymen sometimes think that doctors did not try their best to rescue them, or did not deliver things, and did not do their best. In fact, these are all rumors. As long as it is an operation and an emergency patient is on the stage, no matter what level of doctor he is, he will not dare to mess around with gifts or not.

Regulations and regulations are not just for fun. At this time, if the patient dies in first aid, the family members will report and the medical records will be sealed directly, unless the superiors come to investigate and open them. So on this occasion, it is equivalent to the police standing behind the doctor. Sometimes it is very helpless. The disease is not a simple question of right and wrong. Use it, maybe it can save people, or maybe it can kill people. Whether it is used or not, this is the courage and professionalism of a doctor.

"Morphine, 5g intravenous injection. Furosemide 40g intravenous injection, finish within two minutes, time!" With a calm voice, the emergency nurse beside Ren Li lay down on the high tray and quickly recorded Ren Li's oral doctor's order.

The doctors were all standing aside, listening to Ren Li's verbal doctor's orders, while observing the patient's condition. If the medicine failed to achieve the therapeutic effect, then it was time for the nurses to step down and the doctors to step in.

This is not a good thing, often when the nurse can't solve it, it is the moment when the cruelty begins, so the nurse is an angel in white, and there is nothing wrong with what she said. Many treatments by the nurse are non-invasive treatments, but when the doctor goes up, it is often The bloody beginning, if the patient cannot be rescued, it is time to use the knife. Intraarterial balloon anti-struggle, cardiopulmonary assist system, all need to see blood.

Ouyang watched the patient's changes expressionlessly. At this moment, laymen don't understand how to know if the patient has improved. A very simple observation method can tell if he has urinated or not!

The body's self-protection mechanism prioritizes the brain. Once the condition improves, the blood will rush towards the kidneys. Once the blood is perfused, it will be filtered, and once filtered, there will be urine!

From the beginning to the end of this rescue, Ouyang only said one sentence, because Ren Li's skills are better than hers, so she will not interfere with Ren Li, because when the little nurse was holding a pillar to support the sky, Ouyang was a little bit hesitant. With a straight face, he said one word: "Put it in!"

The state of the patient can be said to be between shock, and one step ahead is shock. During the emergency rescue in the emergency department, the door of the emergency department was knocked lightly.

Ouyang turned his head and saw that it was an officer of the Health Bureau. The officer beckoned to Ouyang. The first-aid room is really a place that should not be entered. There are tense figures and serious scenes inside, and most people dare not enter.

"What's the matter?" Ouyang's voice was a little blunt. It really shouldn't be disturbing her at this moment.

"Mr. Li wants to know about Mr. Wang's condition." The officer said hastily. He didn't dare to be disrespectful to Ouyang, maybe Ouyang would go to the health bureau to be the head of the health bureau that day.

"I can't do anything. I don't have time now. I'm going to rescue the patients!" Ouyang already disliked this kind of people. In addition, there was a businessman who was so ostentatious that he even directed the people in the Health Bureau. She didn't plan to show it.

"You're the director of the hospital? You've got a serious tone!" Mr. Li appeared and gently pushed away the officer of the Health Bureau.

"The tone is so small that it's not your turn to comment." Ouyang glanced at the woman and was about to turn around and enter the ward.

"Stop, tell me clearly what's going on. If you don't explain clearly what's going on with my man, believe it or not, I'll go to the CPPCC to complain to you!"

"Hehe, you don't know what's going on with your man? Don't show your teeth and claws here. This is a hospital. If you want to complain, go and complain!" Ouyang has such a temper that he doesn't pee on her.

"This is the hospital, this is the doctor, come and see, I just want to ask about the situation, look at her face, is there any law, and is there anyone else to care about it." The woman was already full She was angry, angry at her man for not being up to date, angry at the bank for being shameless, and now she didn't give any face to Ouyang, she broke out completely.

This woman is not simple. In the early years, she and Mr. Wang conquered the world together. If it wasn't for being unable to have children, Old Wang would not have dared to cheat and would not have her legs broken by him. For many years, from the leaders to the employees of the company, that one has not treated her with respect and respect.

Now no matter whether Lao Wang is able or not, she wants to find a reason to find trouble with the government to ease the pressure of repayment. Maybe she really hopes that the hospital can't save Lao Wang in her heart! When money reaches a certain level, although it is said that there is no difference, it is actually wrong. When this thing reaches a certain level, it can be transformed into rights.

Power is like a drug to such a person, it is addictive.

"Is this how you treat the family members of patients? Is this the way we pay so much tax a year? You must give me an explanation, otherwise today will be endless!"

"Mr. Li, calm down, Mr. Wang is still in the rescue!" The president of one of the banks hurried out to calm down.

After all, this is the entrance of the emergency room. Ouyang doesn't want to quarrel with her, and she doesn't want to affect the doctors in the emergency room.

But this Mr. Li, this woman is endless, "Don't worry, this kind of person can become the director of the hospital, what hope does this hospital have, if Lao Wang is buried here today, can you take this responsibility? Garbage! Garbage Hospital!"

"Security Division, go, push her out! If you want to complain, go now!" These words directly made Ouyang Huo angry, she said with a cold face.

The security department of the hospital, especially the frontier security department, is actually organized. Almost all of these people are from the army, and they usually go out to exercise as usual. The security department didn't care who you are, and just pushed this woman out.

In fact, this matter is just a rush of words. The hospital is trying to rescue you. No matter what the situation is, they will not explain the situation to you at this time. Either you will live, or you will die, or your family members will sign.

Today, ordinary family members would not ask about the situation at this moment, but Mr. Li, because he wants to know the situation early and make plans for the next step, and because he feels that he has status and should be respected.

As for Ouyang, he was a little disgusted with this kind of person, and he was being rescued, so he was not very polite.

Many times, under special circumstances, the dean is required to make a decision. At the moment of rescue, there are some special circumstances and special people, such as whether to use an uncertain drug or not. At this time, the director of the hospital must decide whether to use it. Therefore, if the director of many hospitals is a layman, it is over. You If you can't bear the responsibility, you don't have the corresponding rights. The doctor below will not urinate directly on you.

Although the security department was pushing, it was actually pulling the woman out of the emergency room in a disguised form. Ouyang Li ignored the few people from the bank, and then went directly to the emergency department.

Mr. Li was blown away. A head of curly hair that was originally delicate, let himself be thrown into three or seven points. "Are you all wooden? Are you a wooden standing here? Can't you see that I am being bullied? Hit me, and I will take responsibility if something goes wrong."

A few bodyguards and the middle-level manager who accompanied Mr. Wang to play immediately took action. The bodyguards didn't say anything. These middle-level people relied on the couple to make money to support their families. Besides, they were not afraid of the hospital security guards on the opposite side. If it was really a gangster, they had to weigh it.

The two sides were mixed together. The emergency department was tense to rescue patients, while outside it was full of fists and kicks. "Dean~~" the director of the security department whispered to the dean.

"Go, call, and get the male doctors in the hospital to gather. I don't believe it anymore, is it great to be rich?" Ouyang left the emergency department without interfering with the rescue.

After a while, all the male doctors from internal medicine and surgery gathered at the door of the emergency department. From what age did Ouyang come here, and she has never seen anything, and she was originally a passionate woman. Fear of trouble, for her, it's out of the question!

"Take off your white coat, count one by one, and drive them out. This is not a place for these gangsters to make trouble. Take out the shovel from the warehouse too." Ouyang stood on the steps and shouted with a loudspeaker. The male doctors stood neatly in front of Ouyang, and in front of the dean who was usually very protective.

The officer of the Health Bureau and several leaders of the bank almost fainted when they saw it, it was too hot. Is this still a woman? None of them are directly under the leadership, and there is no way to direct them. The phone call immediately began to report. If something really happened today, none of them would be able to bear the responsibility.

Riot Team! police station! Menacing came. The scene seemed to be extremely hot, but in fact there was no real injury. The bodyguards did not have personal enmity against the security guards. what! When male doctors gather.

The anti-riot team also came and immediately separated the crowd.

"Sodium nitroprusside is activated at 5ug/(kg), and the second channel is given 10ug/(kg) of nitroglycerin to monitor blood pressure. Dopamine is 2ug/(kg)." The shouting outside did not affect the doctor inside at all. At this time, even if a knife is stabbed outside, it will not affect them, because saving people is their first mission and vocation.

"Nonsense!" The leader in charge of sanitation was confused and his lips trembled. Ouyang is skilled and capable, and he is a superior health care doctor, and Mr. Li is a big profit and taxpayer, so they are not good.

He was angry, angry because he couldn't do anything about these two!

(..)