I can see the status bar

Chapter 494 Responsibilities
Facts have proved that whether you want to step on something like Ray or not, it will always be there.Maybe you can't step on it today, and you won't be able to step on it tomorrow, but as long as it exists, you will meet it sooner or later.

Sun Lien was very sure that he really stepped on a huge landmine.

Qian Aiwu's condition took a turn for the worse. In the 10 minutes from Lao Bu's WeChat report to Sun Lien's arrival at the hospital, Qian Aiwu experienced attacks including respiratory failure and cardiac arrest.When Sun Lien rushed to the ICU, her heartbeat still hadn't recovered.

"Talk to the family members and push the ECMO over immediately!" Sun Li'en ignored that this is the site of the intensive care medicine department, and immediately prepared to use the last resort.Qian Aiwu's electrocardiogram showed T-wave inversion in the precordial leads and complete right bundle branch block, which are common electrocardiographic changes in pulmonary embolism.Although electrocardiographic changes in pulmonary embolism are nonspecific, prethoracic T wave inversion, which suggests right ventricular dysfunction, is a major indicator of pulmonary embolism.

她的V1、V2、V3、V4导联全部都出现了T波倒置，如果孙立恩再怀疑其他的，那才是不专业的表现——更何况状态栏都明说了“弥散性血管内溶血（00.15.27）急性肺栓塞（00.13.33），急性右心衰（00.12.45）”

Although the nature of the embolus is unknown, judging from experience, it is more likely that a thrombus is more likely—DIC appeared in Qian Aiwu’s body under severe infection, and a large number of thrombus blocked her capillaries, which led to pulmonary hypertension , and cause acute right heart failure.Although the possibility of bacterial emboli cannot be completely ruled out, it is of little significance to entangle the nature of the emboli now.Judging by the fact that Qian Aiwu's blood oxygen saturation is less than 84%, if she does not take immediate and resolute measures to deal with it, she will definitely die, and she will die in a very short time.

Sun Li'en is directing the rescue, but the start-up permission of ECMO has been delayed.After waiting for about 5 minutes, Sun Li'en couldn't wait anymore, he rushed out of the ICU directly, "Qian Aiwu, where are Qian Aiwu's family members?"

"Here." Cao Yanhua waved at Sun Li'en with a helpless face.In front of him was a middle-aged man with a calm expression and no panic at all.

"You are Qian Aiwu's family member, right?" Sun Lien trotted all the way to the other party, "Who are you?"

"I'm her son." The middle-aged man said calmly, "You are?"

Sun Lien was sweating from anxiety, and there was no time to chat with him slowly, "I am Qian Aiwu's attending doctor. Her current condition is very bad-she has pulmonary embolism and acute right heart failure, and conservative treatment methods are insufficient In order to reverse the situation as soon as possible. I suggest direct extracorporeal membrane oxygenation to maintain her vital signs first. Only in this way will it be possible to give us enough time to treat the existing pulmonary embolism and heart failure.”

The middle-aged man looked at Sun Lien and asked, "Why did she become like this?"

"Because of a severe infection..." Sun Lien was very anxious, but answering the questions of the patient's family members is an important condition for obtaining a treatment permit, so he could only patiently try to explain.

"What I'm asking is why she has a serious infection." The middle-aged man interrupted Sun Lien's question, "My mother came to your hospital for surgery because of cancer. Why is there something wrong with her lungs now?"

Sun Li'en was at a loss for words for a moment, he looked at the middle-aged man in front of him in shock and said, "Have you figured out the current situation? She is in a critical condition now, and it will kill her!"

"That doesn't excuse your medical negligence." The middle-aged man resolutely said, "Of course I hope she goes home safely, but you also have to bear your own responsibilities, instead of throwing all the decisions on us or something The family members of the patients who don’t understand it come on!”

Sun Li'en glanced at Dr. Cao Yanhua who was full of helplessness, "You told him that it would cost 2 yuan to start the machine, right?"

Doctor Cao Yanhua nodded helplessly.

"Every effort we are doing now is to save people first. If you feel that there is something wrong with our medical treatment process, you can submit an audit request to the relevant department later, and let the Health and Medical Commission organize experts to review our medical treatment. Investigate the process." Sun Lien tried to get the other party to focus on the most important things first by speaking at the fastest speed. "But that can all be dealt with after the fact, we need to act as soon as possible..."

"The deterioration of her condition is your responsibility, and you should take the initiative to take measures, and you have to bear the corresponding costs." The middle-aged man seemed to be discussing with Sun Li'en about a piece of pork, not his mother's life safety. "I can't sign it."

"You..." Sun Lien was at a loss for words for a while, he stared at the middle-aged man in a daze for a while, this attitude even made him feel a little "unreal".It's not that Sun Li'en has never seen family members of patients making trouble, nor is it that he has never seen medical troubles.But at least the starting point of the nonsense is to save the lives of relatives, and the medical troubles at least wait until the patient is dead before making troubles and smashing.The person is still alive and still being rescued, so it is necessary to start discussing the attribution of responsibility for medical accidents. This huge contrast makes Sun Lien feel like he is dreaming.

Cao Yanhua took two steps back, holding a mobile phone in his hand and taking video for evidence.Sun Lien swallowed hard, looked at the middle-aged man and said, "Let me tell you clearly again, the patient's life is in a very critical state. We believe that ECMO is the only effective and necessary rescue method now. In order to rescue the patient Life, we need your signature to authorize ECMO."

"I won't sign." The middle-aged man refused the request to sign without hesitation, "This is your responsibility, I can't sign."

"If you don't sign, it means you refuse to rescue. You understand what you are talking about, right?" Sun Lien was interested in arguing with the other party.He raised the volume a little, "The person is still alive. If you refuse to rescue him, the patient has no chance of surviving. Do you understand what I said?"

The middle-aged man asked back, "This is your responsibility, do you understand?"

Sun Lien glanced at Cao Yanhua, and Dr. Cao nodded towards Sun Lien - he had already saved this video and uploaded it to the cloud for storage.The family members of the patient clearly refused to continue the rescue, and there is no problem with using the video as evidence.

"As a child, even if there is any disagreement with your parents, it is at least human life." Sun Lien shook his head and said to the middle-aged man, "By putting all the problems on our hospital, maybe we can stop others from gossiping, But whether you can rest assured, only you can know."

The middle-aged man looked at Sun Lien and let out a cold snort from his nose, "It's all your responsibility!"

(End of this chapter)