I can see the status bar

Chapter 1034 D+4 day (9)

The "uncomfortable method" mentioned by Sun Li'en has a special clinical term called "anal canal exhaust".It's a simple...and direct way to expel compressed gas from the inside of the bowel, relieving a patient's bloating.

For any normal adult male, being invaded into the rectum by a hard tube about 15 to 18 centimeters is not a pleasant thing-regardless of sexual orientation, in a two sober In the patient's room, even if there is a screen as a shield, the experience of being assisted by three people wearing protective clothing and rubber gloves is far from "comfortable".

In fact, for a normal adult, the act of excreting to maintain control over the excretory organs and privacy is an extremely important part of dignity.

Diseases too debilitating to get out of bed took away the second, and now the first is killed by medical practices.Sun Li'en doesn't even need to look at the status bar to know how much brother Qian, who has bought a big house for himself and his family in Yunhe, a city with a population of tens of millions, with his own hard work, is feeling right now. uncomfortable.

But such self-esteem-damaging behavior is a medically necessary action.Brother Qian's current intra-abdominal pressure is about 40, and a large amount of gas has caused serious obstruction.And if this blockage continues, together with the first stage of AGI that has already appeared, Qian Guojian's body—especially his digestive system—will quickly collapse.A bowel that lacks peristalsis can start to develop blood clots, which block the blood supply to the mucous membranes and intestines.Organs that lack blood supply quickly die and, along with the bacteria in the gut, begin to attack all surrounding organs.

Within about a day of this happening, doctors had to start thinking about surgically removing the gut.And once the patient and his family hesitated to undergo surgery due to various reasons, or the doctors did not remove this intestinal tract in time due to various reasons... Then, Brother Qian's life will start counting down in minutes .And coming to the endgame in less time than anyone could have predicted.

In order to save the patient's life, sacrificing his dignity for a short period of time is also a perfectly acceptable choice.In the entire ward of the fifth northern district, there are only 11 patients who can get out of bed and meet their personal excretion needs.Among the remaining 36 people, except for the eight critically ill patients who are completely immobile, the remaining 28 people all need to solve their personal excretion problems in bed.They don't have many choices, either pull them directly on the bed and wait for the nurses to help clean them up, or ask the nurses to help put the bed toilet, and then let the nurses operate, praying not to pull themselves all over.

This is very sad, and many patients even refuse to eat because of it at first.Urinary bags may solve some problems, but not others.To prevent these patients from getting infected due to intestinal damage and eventually dying from the bacteria in their own intestines, early enteral nutrition is a very important and meaningful medical method.

Therefore, not only can doctors not make patients stop eating in order to take care of their self-esteem.It is difficult to maintain the usual caloric needs of adults with only the nutritional agents injected into the blood vessels of patients by doctors.It is simply impossible for these patients who are in severe infection and trauma, and the body is in a state of high stress, to rely on intravenous injections to maintain life, while doctors have to take care of treatment and balance input and output.

All patients require strict monitoring of input and output.The patients' kidneys were more or less damaged, and their ability to maintain their own intake and output was greatly limited.Doctors need to carefully consider whether to inject a little therapeutic drug for them, and carefully consider whether to use peritoneal dialysis or simply go to CRRT or go directly to dialysis.In this case, giving a patient a minimum of 3000 calories per day means injecting 2500 ml of parenteral nutrition into their body.

This is something completely impossible to achieve.Now in the entire North Five Districts, the average infusion rate that patients can tolerate is about 45 drops per minute, which is 180 milliliters per hour.Even if the patient's natural water metabolism rate is not considered, and the dialysis equipment is completely used to separate out the water in their body, the upper limit of continuous intravenous infusion within 24 hours is only 4320 ml.

If the parenteral nutrition solution is to be completely relied on to provide patients with enough calories, then there is only 1820 ml of empty window left for doctors to use drugs every day.Now, the total amount of antiviral drugs, immune enhancing drugs, antibiotics and hormones used to prevent infection and other medicines for patients is about 2000 ml or more every day.

This window cannot cover the needs of patients at all. If the "self-esteem" of patients is to be taken care of, doctors must choose between "slowly starving the patient to death" and "unable to give sufficient therapeutic doses of drugs". question.

That being the case, it is better to directly let the patient's self-esteem suffer some small injuries.

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A group of small air bubbles began to be produced in the water bottle connected to the rubber at the end of the hard tube, and there were some waves on the water surface, and some "grumbling" sounds gradually sounded.

A bad smell also appeared in this ward at the same time - but fortunately, the patients in this ward lack the ability to smell this smell, and the doctors in charge of the operation are all wearing two layers of masks .It is indeed not easy to smell such a taste.

The many negative factors form a slightly useful positive factor here.Although this can't bring even a sliver of peace to Qian Guojian's heart - if it were anyone, he would have tubes all over his body, and his... excretory organs are now also inserted with a tube .The purpose of this pipe is to make him fart.

Personally, Qian Guojian was only grateful to Dr. Sun Lien and the entire medical team from Song'an Province.Whether it was under the effect of drugs or the consciousness of survival, after calming down, Qian Guojian was deeply sorry for every word he said.He really hurt these great doctors and tried to brand them a "nosy".

With guilt in your heart, it is very difficult to generate resentment.But... Qian Guojian felt that he was very close to the limit of resentment.

"How long do I have to lie like this?" Even with the effect of drugs, it is extremely difficult to fall asleep while keeping a hard tube fifteen centimeters inside the rectum.And Qian Guojian was no longer sleepy at all, and there was only one thing he cared about in his mind - get this damn tube out of his body as soon as possible.

"It will be fine in about 10 minutes, just bear with it." Sun Li'en comforted beside him, "You still have a lot of gas in your stomach, and you will feel better after you let it out."

"To be honest, I'm already very close to the limit of cursing." Qian Guojian tried hard to describe his anger in the calmest language, "If I can't hold back cursing later, don't take it to heart—— This is not about you."

"It's okay, if you really can't hold back and curse a few words, it's fine." Sun Lien said to Qian Guojian, "But this tube really can't be pulled out now, you have to wait until all the gas in your intestines is exhausted."

A few seconds later, there was a faint sound of cursing in the ward.

(End of this chapter)