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Chapter 1120 Newcomer
Chapter 1120 Newcomer
At 45:[-] p.m., Sister Pan's body was sterilized and transported to the negative pressure clean operating room.Professor Liu Liang from Yunhe University and his team will conduct pathological anatomy on Sister Pan's body here.
Although the doctors tried their best to treat her, they still couldn't stop Sister Pan.To be honest, since the day of ECMO, everyone has been more or less psychologically prepared - generally only a quarter of patients can be successfully weaned from ECMO.But Sister Pan's situation is... different.
She is much younger than Mr. Shen, and her underlying diseases are milder.More importantly, she is also a medical worker, a local nurse in Yunhe who was infected before.
Based on this alone, the departure of Big Sister Pan made it difficult for almost all members of the medical team in North Fifth District to accept.And the more unacceptable thing is yet to come - after Sister Pan passed away, they had to report the news to the supervisor on duty and ask him to call the family, hoping that the family would agree to donate Sister Pan's body and conduct a pathological autopsy.
When someone lost a loved one, the doctors had to persuade them to donate the body for autopsy in addition to a few words of comfort.This is inconsistent with traditional Chinese culture, and it does make people feel uncomfortable.As soon as she left, she was sent to a cold dissecting table, the skin was cut to take out the organs, and then made into specimens for human research?
But it has to be done, and it has to be done right away.
Sister Pan's condition is very special. She embodies several typical changes in the treatment of patients with pneumonia infected by the new coronavirus. From the beginning, Sister Pan's symptoms were very mild.The condition worsened rapidly, and during the first intubation, she experienced cardiac arrest.After active rescue by the doctors at that time, Sister Pan's heartbeat was snatched back again.
Then Sister Pan's condition began to fluctuate repeatedly, and her PCR test was always positive.Although some progress has been made through triple therapy, precise control of pulmonary edema, and active use of traditional Chinese medicine decoctions, her condition began to deteriorate after a slight improvement.
Until the situation deteriorated to the point where the doctors ran out of room to adjust and used plasmapheresis, convalescent plasma and ECMO.
Repeated illness is also one of the typical manifestations of severe and critically ill patients with pneumonia caused by the new coronavirus infection.But doctors have never been able to determine what caused the recurrence of the disease.
At least from the bedside CT, in early February, Sister Pan's lung lesions showed signs of absorption and improvement.
If we can figure out the reason why Sister Pan's condition suddenly deteriorated, and find out the reason why her condition deteriorated all the way, maybe the lives of more patients can be saved.
Doctors have too many questions to answer—does the new coronavirus only target the lungs, whether the damage it causes is interstitial pneumonia and pulmonary fibrosis or other types of damage, whether it invades Central Nervous System.And the most important question - whether its effects on other organs are based on hypoxemia, or are there other influencing factors.
If these questions can be answered, perhaps in the subsequent treatment, doctors will be able to find a more accurate treatment direction, and prevent the patient's condition from developing in a more serious direction in advance.
In order for more people to survive, it is imperative to mobilize family members to agree to autopsy.But Li Chengping himself...was not very willing to make this call.As a veteran respiratory and critical care physician nearing retirement, he understands the importance of performing an autopsy.But... Li Chengping was still unwilling to make this call.
As a doctor who fights on the road, and also a doctor who is nearing retirement and has expertise in academics and business, Li Chengping decided to play tricks.He called Sun Lien and asked Sun Lien to communicate with the patient's family.
And Sun Li'en borrowed the donkey from the slope and left this job to Professor Zhang Zhifu.
Zhang Zhifu dialed the phone number of the patient's family, and just explained his identity and even did not explain the intention of calling.The family member of the patient who was still crying on the other end of the phone said directly, "President Zhang, we want to donate my mother's body."
·
·
·
The person who proposed the idea of donating Sister Pan's body at the beginning was Sister Pan's husband.
As an engineer of the Water Conservancy Design Institute, Sister Pan's husband usually has a romance that is completely inconsistent with the three characters of "science and engineering man".Even though the two have been married for more than 30 years, Sister Pan's husband still maintains the habit of giving his wife a bouquet of flowers every month.Going to the cinema to watch movies, and occasionally going to a restaurant together to have a good meal has become a regular habit of the two of them.Being able to persist in the position of nurse in the emergency department for more than 30 years is due to Sister Pan’s own persistence on the one hand, and the support from her husband on the other.
The engineer of the Water Conservancy Design Institute is usually very busy at work, but he still encourages his wife to work actively.When the child was only five years old, Sister Pan's husband even took the child to the drawing room.Give her a pen and a piece of paper, and the scene where the father and daughter draw on the paper without distraction has become a good story in the design institute.
The couple, who have always had a very harmonious relationship, bid farewell suddenly this winter.Sister Pan's husband was struck by lightning and could not speak a word for a long time.
Sitting on the sofa and crying silently for a while, he suddenly said to his daughter cautiously, "Donate your mother's body...to the country."
For Chen Gong, his wife is undoubtedly the most important part of his life.He couldn't imagine what his life would be like after his wife passed away.If there is no shadow of her in this home, her loud yelling and agile figure, then this home...is no different from an empty tomb.
The pain of losing a loved one took away his ability to speak for a moment.After he barely got used to the pain, Chen Gong's first reaction was to discuss with his daughter, "Donate your mother's body and let the doctors study this disease."
Chen Gong's thoughts were chaotic, but his thoughts were very clear.Pan Jing is a person who loves her work, and she has always taken care of patients with utmost care.Donating the body for scientific research, the wife must agree.
He hated the disease that took away his wife's life, but at the same time, he was deeply grateful to the medical team who had traveled all the way to Yunhe.He is very clear that these doctors have exhausted all means and methods.But the disease was too foreign, too cunning.If it continues, there will be more people like their own wives who will be separated from their families forever this winter.
The pain of losing the love he loved weighed heavily on Chen Gong's mind like the essence.This feeling was so uncomfortable, so uncomfortable that he felt... that other people might not be able to resist it at all.
More people cannot go through such pain.This is the only reason that prompted Chen to make a decision.He said to his daughter, "Your mother has been a nurse all her life, and what she did was to help others. Now that she is gone, let her help others one last time. When people leave, what is left is a shell. Let this shell Playing the final role is better than just burning it with a little dust."
The father's words convinced her daughter, and Chen Lianjing cried and nodded.Later, she received a mobilization call from Zhang Zhifu, and explained her and her father's wishes to Zhang Zhifu on the other end of the phone.
"On behalf of all the medical staff of Yunhe City Infectious Disease Hospital, I would like to thank you and your family for your support to the health cause." Zhang Zhifu took a deep breath and said, "According to the notice from the National Health and Medical Commission, a subsidy will be issued to you in the future .Please provide your bank card account number."
"We don't need any subsidies." Chen Lianjing said without hesitation, "Please donate all the money for us."
"This is a state subsidy. You can decide how to use it after the subsidy is in place." Zhang Zhifu said, "It doesn't matter what you decide, but you must accept this money first."
After communicating the general content with Chen Lianjing, Zhang Zhifu ended the call with "the staff will contact you later, and they will explain the specific matters to you".After that, he didn't care about what to say to Sun Li'en and others, but directly called Professor Liu Liang.
"Professor Liu, please bring your team back to our hospital immediately." Zhang Zhifu said to Professor Liu Ming on the phone, "I just got an autopsy consent from a family member of a deceased patient, please come quickly and do the examination Oh... yes, the location is still in the negative pressure operating room. I will have the body transported there first."
The autopsy started at [-]:[-] pm. In addition to Professor Liu Ming himself, several other assistants of the professor also performed the forensic examination.
As for the specific process of the autopsy... Sun Lien didn't know and didn't want to know.He stood outside the inpatient department of Yunhe City Infectious Disease Hospital, facing the building, and stood silently for a long time.
Thank you, sorry, goodbye.The thousand words in my heart were summed up into eight short words.Sun Lien looked at the brightly lit inpatient department, sighed, turned and left.
·
·
·
Bernard, Sun Lien and others went to the hotel together.As the team leader, Sun Lien had to help him with the check-in procedures.After Bernard figured out what happened just now, he also seemed a little preoccupied.
After arriving at the hotel, Bernard recovered a little while eating.Of course, it is also possible that when Bruen was chatting with him, he mentioned Rachel's matter, which made him refreshed.
Bernard expressed surprise that Rachel is now working in China, and he asked curiously, "I remember that after Rachel left Hopkins, she should have gone to work at Massachusetts General Hospital affiliated to Harvard. Why did she suddenly decide to resign?" Are you coming to China?"
The series of stories about Rachel's resignation and coming to China...involved Rachel's personal privacy.Bruen couldn't answer, so he turned his attention to Xu Yourong who was also sitting at the table.
Xu Yourong thought for a while and said, "You know... Rachel likes women, right?"
This topic made Bernard suddenly... weird.He seemed very reluctant to revisit the topic, but finally he nodded tremblingly, "I... I know."
"Because of this orientation, she encountered some very...inhuman experiences in the United States." Xu Yourong coughed lightly and continued, "After getting rid of this experience, she resigned and came to the United States for her own safety and other reasons. China."
Bernard glanced at Xu Yourong in some surprise, and then quickly deduced the crux of the whole problem, "Is she married? And married to a Chinese?"
Xu Yourong glanced at Bernard, "Are you very concerned about her situation?"
Bernard hesitated, then nodded.
"She married me." Xu Yourong showed off the diamond ring she had just put on again, "So, would you mind explaining to me why you care so much about my wife?"
The atmosphere at the table suddenly became weird.It was the first time for Sun Li'en to see such an aggressive Xu Yourong, while Bruen whistled softly from the side - Old Bu had an expression that he didn't think it was a big deal to watch the excitement.
Bernard opened his mouth several times and remained silent several times, and finally he smiled wryly and said, "I...I liked her before. However, she told me that she liked women...so I gave up."
It is impossible for outsiders to know how many stories, sadness and reluctance are hidden in these two sentences.Xu Yourong's expression softened a little, and she said to Bernard, "She's doing well now. She's in a safe country, and she's doing a job she likes. You don't have to worry."
Bernard nodded with a wry smile, then sighed, "At least judging by the expression just now, you cherish her very much. That's enough."
"Okay, let's talk about something else." Sun Li'en coughed, and then changed the direction of this outrageous topic, "Bernard, have you ever worked in the intensive care unit before?"
"I did rotations in the intensive care unit, but not for a long time," Bernard said. "My oncology department at Hopkins was mainly doing some clinical work, and I also did research work-I have a lot of clinical experience, but more than that." Other doctors are weaker."
To play a good role in a position that has never been held before, the team leader must first have an objective and true understanding of himself.Bernard confessed his shortcomings to Sun Lien, and also conducted some analysis of his shortcomings.
"For example, Dr. Brunn, he is a typical clinician." Bernard used Brunn as an example. "As far as I know, at least when he was at Hopkins, Brunn was He has been engaged in clinical work in the emergency department. His job is to treat patients—but I am different.” He pointed to himself and said, “Although I also treat tumor patients, but more often, I am engaged in Research work. The main direction is to assist existing tumor treatments through immune regulation."
Sun Lien nodded, "That's why you met Dr. Pascal."
(End of this chapter)
At 45:[-] p.m., Sister Pan's body was sterilized and transported to the negative pressure clean operating room.Professor Liu Liang from Yunhe University and his team will conduct pathological anatomy on Sister Pan's body here.
Although the doctors tried their best to treat her, they still couldn't stop Sister Pan.To be honest, since the day of ECMO, everyone has been more or less psychologically prepared - generally only a quarter of patients can be successfully weaned from ECMO.But Sister Pan's situation is... different.
She is much younger than Mr. Shen, and her underlying diseases are milder.More importantly, she is also a medical worker, a local nurse in Yunhe who was infected before.
Based on this alone, the departure of Big Sister Pan made it difficult for almost all members of the medical team in North Fifth District to accept.And the more unacceptable thing is yet to come - after Sister Pan passed away, they had to report the news to the supervisor on duty and ask him to call the family, hoping that the family would agree to donate Sister Pan's body and conduct a pathological autopsy.
When someone lost a loved one, the doctors had to persuade them to donate the body for autopsy in addition to a few words of comfort.This is inconsistent with traditional Chinese culture, and it does make people feel uncomfortable.As soon as she left, she was sent to a cold dissecting table, the skin was cut to take out the organs, and then made into specimens for human research?
But it has to be done, and it has to be done right away.
Sister Pan's condition is very special. She embodies several typical changes in the treatment of patients with pneumonia infected by the new coronavirus. From the beginning, Sister Pan's symptoms were very mild.The condition worsened rapidly, and during the first intubation, she experienced cardiac arrest.After active rescue by the doctors at that time, Sister Pan's heartbeat was snatched back again.
Then Sister Pan's condition began to fluctuate repeatedly, and her PCR test was always positive.Although some progress has been made through triple therapy, precise control of pulmonary edema, and active use of traditional Chinese medicine decoctions, her condition began to deteriorate after a slight improvement.
Until the situation deteriorated to the point where the doctors ran out of room to adjust and used plasmapheresis, convalescent plasma and ECMO.
Repeated illness is also one of the typical manifestations of severe and critically ill patients with pneumonia caused by the new coronavirus infection.But doctors have never been able to determine what caused the recurrence of the disease.
At least from the bedside CT, in early February, Sister Pan's lung lesions showed signs of absorption and improvement.
If we can figure out the reason why Sister Pan's condition suddenly deteriorated, and find out the reason why her condition deteriorated all the way, maybe the lives of more patients can be saved.
Doctors have too many questions to answer—does the new coronavirus only target the lungs, whether the damage it causes is interstitial pneumonia and pulmonary fibrosis or other types of damage, whether it invades Central Nervous System.And the most important question - whether its effects on other organs are based on hypoxemia, or are there other influencing factors.
If these questions can be answered, perhaps in the subsequent treatment, doctors will be able to find a more accurate treatment direction, and prevent the patient's condition from developing in a more serious direction in advance.
In order for more people to survive, it is imperative to mobilize family members to agree to autopsy.But Li Chengping himself...was not very willing to make this call.As a veteran respiratory and critical care physician nearing retirement, he understands the importance of performing an autopsy.But... Li Chengping was still unwilling to make this call.
As a doctor who fights on the road, and also a doctor who is nearing retirement and has expertise in academics and business, Li Chengping decided to play tricks.He called Sun Lien and asked Sun Lien to communicate with the patient's family.
And Sun Li'en borrowed the donkey from the slope and left this job to Professor Zhang Zhifu.
Zhang Zhifu dialed the phone number of the patient's family, and just explained his identity and even did not explain the intention of calling.The family member of the patient who was still crying on the other end of the phone said directly, "President Zhang, we want to donate my mother's body."
·
·
·
The person who proposed the idea of donating Sister Pan's body at the beginning was Sister Pan's husband.
As an engineer of the Water Conservancy Design Institute, Sister Pan's husband usually has a romance that is completely inconsistent with the three characters of "science and engineering man".Even though the two have been married for more than 30 years, Sister Pan's husband still maintains the habit of giving his wife a bouquet of flowers every month.Going to the cinema to watch movies, and occasionally going to a restaurant together to have a good meal has become a regular habit of the two of them.Being able to persist in the position of nurse in the emergency department for more than 30 years is due to Sister Pan’s own persistence on the one hand, and the support from her husband on the other.
The engineer of the Water Conservancy Design Institute is usually very busy at work, but he still encourages his wife to work actively.When the child was only five years old, Sister Pan's husband even took the child to the drawing room.Give her a pen and a piece of paper, and the scene where the father and daughter draw on the paper without distraction has become a good story in the design institute.
The couple, who have always had a very harmonious relationship, bid farewell suddenly this winter.Sister Pan's husband was struck by lightning and could not speak a word for a long time.
Sitting on the sofa and crying silently for a while, he suddenly said to his daughter cautiously, "Donate your mother's body...to the country."
For Chen Gong, his wife is undoubtedly the most important part of his life.He couldn't imagine what his life would be like after his wife passed away.If there is no shadow of her in this home, her loud yelling and agile figure, then this home...is no different from an empty tomb.
The pain of losing a loved one took away his ability to speak for a moment.After he barely got used to the pain, Chen Gong's first reaction was to discuss with his daughter, "Donate your mother's body and let the doctors study this disease."
Chen Gong's thoughts were chaotic, but his thoughts were very clear.Pan Jing is a person who loves her work, and she has always taken care of patients with utmost care.Donating the body for scientific research, the wife must agree.
He hated the disease that took away his wife's life, but at the same time, he was deeply grateful to the medical team who had traveled all the way to Yunhe.He is very clear that these doctors have exhausted all means and methods.But the disease was too foreign, too cunning.If it continues, there will be more people like their own wives who will be separated from their families forever this winter.
The pain of losing the love he loved weighed heavily on Chen Gong's mind like the essence.This feeling was so uncomfortable, so uncomfortable that he felt... that other people might not be able to resist it at all.
More people cannot go through such pain.This is the only reason that prompted Chen to make a decision.He said to his daughter, "Your mother has been a nurse all her life, and what she did was to help others. Now that she is gone, let her help others one last time. When people leave, what is left is a shell. Let this shell Playing the final role is better than just burning it with a little dust."
The father's words convinced her daughter, and Chen Lianjing cried and nodded.Later, she received a mobilization call from Zhang Zhifu, and explained her and her father's wishes to Zhang Zhifu on the other end of the phone.
"On behalf of all the medical staff of Yunhe City Infectious Disease Hospital, I would like to thank you and your family for your support to the health cause." Zhang Zhifu took a deep breath and said, "According to the notice from the National Health and Medical Commission, a subsidy will be issued to you in the future .Please provide your bank card account number."
"We don't need any subsidies." Chen Lianjing said without hesitation, "Please donate all the money for us."
"This is a state subsidy. You can decide how to use it after the subsidy is in place." Zhang Zhifu said, "It doesn't matter what you decide, but you must accept this money first."
After communicating the general content with Chen Lianjing, Zhang Zhifu ended the call with "the staff will contact you later, and they will explain the specific matters to you".After that, he didn't care about what to say to Sun Li'en and others, but directly called Professor Liu Liang.
"Professor Liu, please bring your team back to our hospital immediately." Zhang Zhifu said to Professor Liu Ming on the phone, "I just got an autopsy consent from a family member of a deceased patient, please come quickly and do the examination Oh... yes, the location is still in the negative pressure operating room. I will have the body transported there first."
The autopsy started at [-]:[-] pm. In addition to Professor Liu Ming himself, several other assistants of the professor also performed the forensic examination.
As for the specific process of the autopsy... Sun Lien didn't know and didn't want to know.He stood outside the inpatient department of Yunhe City Infectious Disease Hospital, facing the building, and stood silently for a long time.
Thank you, sorry, goodbye.The thousand words in my heart were summed up into eight short words.Sun Lien looked at the brightly lit inpatient department, sighed, turned and left.
·
·
·
Bernard, Sun Lien and others went to the hotel together.As the team leader, Sun Lien had to help him with the check-in procedures.After Bernard figured out what happened just now, he also seemed a little preoccupied.
After arriving at the hotel, Bernard recovered a little while eating.Of course, it is also possible that when Bruen was chatting with him, he mentioned Rachel's matter, which made him refreshed.
Bernard expressed surprise that Rachel is now working in China, and he asked curiously, "I remember that after Rachel left Hopkins, she should have gone to work at Massachusetts General Hospital affiliated to Harvard. Why did she suddenly decide to resign?" Are you coming to China?"
The series of stories about Rachel's resignation and coming to China...involved Rachel's personal privacy.Bruen couldn't answer, so he turned his attention to Xu Yourong who was also sitting at the table.
Xu Yourong thought for a while and said, "You know... Rachel likes women, right?"
This topic made Bernard suddenly... weird.He seemed very reluctant to revisit the topic, but finally he nodded tremblingly, "I... I know."
"Because of this orientation, she encountered some very...inhuman experiences in the United States." Xu Yourong coughed lightly and continued, "After getting rid of this experience, she resigned and came to the United States for her own safety and other reasons. China."
Bernard glanced at Xu Yourong in some surprise, and then quickly deduced the crux of the whole problem, "Is she married? And married to a Chinese?"
Xu Yourong glanced at Bernard, "Are you very concerned about her situation?"
Bernard hesitated, then nodded.
"She married me." Xu Yourong showed off the diamond ring she had just put on again, "So, would you mind explaining to me why you care so much about my wife?"
The atmosphere at the table suddenly became weird.It was the first time for Sun Li'en to see such an aggressive Xu Yourong, while Bruen whistled softly from the side - Old Bu had an expression that he didn't think it was a big deal to watch the excitement.
Bernard opened his mouth several times and remained silent several times, and finally he smiled wryly and said, "I...I liked her before. However, she told me that she liked women...so I gave up."
It is impossible for outsiders to know how many stories, sadness and reluctance are hidden in these two sentences.Xu Yourong's expression softened a little, and she said to Bernard, "She's doing well now. She's in a safe country, and she's doing a job she likes. You don't have to worry."
Bernard nodded with a wry smile, then sighed, "At least judging by the expression just now, you cherish her very much. That's enough."
"Okay, let's talk about something else." Sun Li'en coughed, and then changed the direction of this outrageous topic, "Bernard, have you ever worked in the intensive care unit before?"
"I did rotations in the intensive care unit, but not for a long time," Bernard said. "My oncology department at Hopkins was mainly doing some clinical work, and I also did research work-I have a lot of clinical experience, but more than that." Other doctors are weaker."
To play a good role in a position that has never been held before, the team leader must first have an objective and true understanding of himself.Bernard confessed his shortcomings to Sun Lien, and also conducted some analysis of his shortcomings.
"For example, Dr. Brunn, he is a typical clinician." Bernard used Brunn as an example. "As far as I know, at least when he was at Hopkins, Brunn was He has been engaged in clinical work in the emergency department. His job is to treat patients—but I am different.” He pointed to himself and said, “Although I also treat tumor patients, but more often, I am engaged in Research work. The main direction is to assist existing tumor treatments through immune regulation."
Sun Lien nodded, "That's why you met Dr. Pascal."
(End of this chapter)
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