From small clinic to medical empire

Chapter 212 What's the Use of Regret?

Before writing this chapter, please inform readers.

Paraquat has no specific medicine, no specific therapy, and the death rate is extremely high. The contents of this book are all fabricated by the author. Don't take any chances and try such dangerous substances.

However, if there is a fool around you who does such a stupid thing, never give up treatment, and remember to induce vomiting and send him to the hospital as soon as possible. Time is hope.

----------------

"Pooh!"

Lao Dao said heartbrokenly, "That's paraquat, paraquat! One mouthful is enough to kill people! How many of you are making fun of it?"

"Is it really that serious?"

The child's mother also panicked, "I know, I heard from the relative who gave me the potion that the potion is very poisonous...

But Mao Mao just took a sip, and we also induced vomiting, so it should be fine, right?Look at him, he's just a little dizzy..."

Hearing this, Zhang Zifan finally understood what was going on.

If it weren't for not being able to scold patients and family members, he really wanted to say that he was mentally retarded!
The son threatened his parents with drinking poison in order to get a pair of basketball shoes. The parents knew that paraquat was highly toxic, and the son also took a small sip, but he didn't pay a million attention to it.

It can only be said that if you are not a family, if you don't enter a family, you are really a family of idiots.

However, as a doctor, you cannot ignore your patients just because they are idiots.

Zhang Zifan immediately stepped forward to participate in the first aid treatment, and notified the Department of Respiratory Medicine and Nephrology to come for consultation immediately.

……

If you ask, the most painful way to die in the world.

There were only two things that came to Zhang Zifan's mind.

One is brown bear and the other is paraquat.

Many people think brown bears are very cute animals, but they don't know that they are even more ferocious carnivorous beasts.

Whether it is the Japanese Sanmao Bieku incident in Japan or the Tibetan horse bear cannibalism incident in my country, they are all shocking human tragedies.

There are rumors in the rivers and lakes that brown bears have no dignity in Russia, but in fact, in Russia, the number of loggers and forest rangers eaten by brown bears every year is not a small number.

The most disappointing story happened a few years ago.

The 19-year-old Russian girl Olga was attacked by a mother bear and three bear cubs after seeing her stepfather killed by a bear, and was eventually eaten alive.

During the more than an hour of being eaten alive, Olga called her mother three times. First, she asked for help, then struggled in pain, and finally the helpless Olga comforted her mother, "Mom, the pain is gone now, I love her. you".

Just thinking about it, you can realize what kind of pain and despair it is when a person can only watch his body being eaten bite by bite.

And paraquat, to some extent, is as terrible as the bite of a brown bear, and even more terrible.

Paraquat also makes people watch themselves die bit by bit, but there is nothing they can do.

Paraquat, give you time to regret, but not give you a chance to regret.

must die.

This is the promise of paraquat to those who commit suicide.

Even if it's just a small sip, it will take your life away days to months later.

During this period, you can regret and cry.

However, the contract cannot be broken.

Perhaps, there were one or two people who were forgotten by the god of death, and finally escaped the contract.

But what awaits them is also a short remaining life and endless torture.

……

Gastric lavage, diuresis, blood oxygen detection, indwelling needle, hemoperfusion, liver protection, drug treatment...

In a short period of time, all available means have been used.

Check the liver function indicators: alanine aminotransferase 94U/L, direct bilirubin 12.3umol/L, aspartate aminotransferase 44umol/L, cholinesterase 10492U/L,

Check renal function indicators: creatinine 88umol/L, blood urea nitrogen 7.64mmol/L
Blood gas analysis: PH7.4, PO2 74mmHg
The faces of the doctors and nurses have become increasingly serious.

But the patient himself still feels good about himself, showing a typical bear child, I am great, and even tried to play some silly pranks to attract everyone's attention.

At first, the patient's parents thought that the doctor was exaggerating, and felt that the medical staff always liked to exaggerate the disease.

Because the first aid procedure just now cost three or four thousand at once, maybe it was just to make money.

But fortunately, with the progress of the times, we are no longer the information-blocked era we were ten years ago.

They went online and made phone calls, looking for a possible way to determine the authenticity of the matter.

The end result makes them desperate.

What the doctor said...

It seems to be true!
This is their only son.

And the son who has always been so energetic that he causes trouble everywhere.

He is still lively and active today, but he is already hovering on the verge of death.

The woman's emotions are broken.

She wailed loudly and scratched her husband's face with bloodstains with her nails.

She complained that her husband gambled and played cards outside all day instead of taking care of the family.

And the husband also yelled at him, saying that it was because you spoiled his son that today's disaster happened!

……

Hearing the noise outside the corridor, Lao Dao didn't even have the mood to call the security team to deal with it.

He leaned against the wall and sat down on the examination bed.

Zhang Zifan squatted beside Lao Dao and comforted: "We just try our best..."

According to the general plot, Zhang Zifan should pass a cigarette to the middle-aged man beside him at this time.

But Zhang Zifan doesn't smoke, and so does Lao Dao.

Lao Dao sighed and suddenly said: "Dean Zhang, you know, this is not the first time I have faced a patient who has taken paraquat..."

Lao Dao's tone was very sad, Zhang Zifan could only listen silently.

"At that time, I had just been admitted to the deputy high school and became the director of the emergency department, so I was full of energy.

That night, a 17-year-old girl came, with a ruddy complexion, talking and laughing, also accompanied by her mother.

The girl said that she had an awkward relationship with her boyfriend and drank some 'pesticide'.

I asked her how much and what she drank, and she said she took a sip of pesticide used to kill weeds.

When I heard about weeding, my heart tightened, and I asked her if it was paraquat.

she said yes.

She then asked, "Doctor, when can I be discharged from the hospital? Your hospital charges are too expensive. Our family is not rich and we don't want to waste money here."

The girl looked childish and indifferent, and kept scrolling through Moments with her mobile phone.

It seems that he also took a picture of himself lying on the emergency bed at a 45-degree angle, which received a lot of likes and hearts from friends.

I struggled for a long time before telling her and her mother about the condition in as calm a tone as possible.

They are also indifferent.

I asked the parents to find a way to raise money and fight for the last little chance.

Her mother said that saving lives is the job of a doctor, and it is not easy for us to earn money, so you should simply handle it for the child.

I said, there is no easy way to deal with it.

Her mother pulled my white coat and said, it's just a herbicide, how can it be so powerful?Wash the stomach, isn't it all right?Can you stop being so dark in your heart and act more lightly!
I didn't know what to say, so I could only shake my head and leave.

During the rounds the next day, the eldest sister stopped me again and asked why her daughter was getting sicker and sicker, and she was already a little out of breath.

I was a little surprised because I had explained my condition to her several times and signed all the records of the conversation.

It turned out that until this time, she thought her daughter was just 'slightly seriously ill'.

In the end, she and her daughter understood what I said and knew that everything I said was true.

They cried loudly.

Also pretty useless.

The girl's condition is getting worse day by day.

The girl's father rushed back from other places and brought a patchwork of several 10 yuan.

But the child is still getting weaker every day.

She was plugged into a ventilator, with various tubes hanging from top to bottom of her body. She scratched bloody handprints on the bed sheet with her fingers and wrote: I don't want to die, I regret it. "

At this point, Lao Dao's eyes were already red.

At this time, there was a pack of tissues in front of him.

Of course, this was not given by Zhang Zifan, he was not so careful.

A freckle-faced, square-faced, not-so-pretty Caucasian girl showed up the broken cell phone in her hand.

Gina said to Lao Dao: "Although I can't understand what you are talking about, I think you are very sad. You must be a good doctor."

……

After hearing Lao Dao's story, Zhang Zifan felt very uncomfortable.

Although rationally speaking, among all patients, those who commit suicide and self-harm are the least worthy of sympathy.

But people are not plants and trees, who can be ruthless.

Watching a fresh life die in front of him like this is really very powerless.

Even Zhang Zifan couldn't think of how to treat such a patient at the moment.

Paraquat is harmful to all organs of the body, but the most serious one is the lungs.

Within a few days, the patient will develop systemic jaundice, severe fibrosis in the lungs, and eventually die from multiple organ failure.

Liver and kidney toxicity may be alleviated by Haoran Hospital’s unique peritoneal/CGF composite dialysis therapy.

But how to solve the disease that affects the whole lung?

How long can a large amount of fibrosis in the lung parenchyma be maintained even if ECMO is used?

Relying on [Eye of Deconstruction/Reconstruction], Zhang Zifan can deconstruct fibrotic tissues.

But that was a total of five lung lobes, even if Zhang Zifan was squeezed dry, it would be impossible to complete them all.

After much deliberation, the only possible solution is probably a lung transplant.

As long as the patient's liver and kidney functions are stabilized, this is theoretically feasible.

For liver transplants, kidney transplants, and even corneal transplants, the donors are very nervous.

But lung transplantation is different.

Lungs are indispensable in the medical field.

Because lung transplants are rare, and the requirements for matching are very low.

The lungs of the dead, or heroes, who donate their organs are generally not used.

However, lung transplantation is not an easy task.

The operation is more than ten times more difficult than liver and kidney transplantation, but the long-term survival rate is only one-tenth of that of liver and kidney transplant patients!

Not to mention, the cost of a single lung transplant operation is close to one million, and the follow-up anti-rejection and anti-infection treatment needs more than [-] yuan per year.

There are patients taking paraquat every year, but there is almost no precedent for successful lung transplantation.

Therefore, Zhang Zifan felt that the possibility of relying on lung transplantation to break the situation seemed unlikely.

……

On the second day, Zhang Zifan, Yang Fan, and Zhu Jiannan formed a temporary medical team to go round the ward early in the morning.

The patient's renal function test creatinine was 332umol/L and urea nitrogen was 14.65mmol/l, suggesting that the patient's paraquat poisoning caused acute renal failure.

The medical team decided to abandon hemoperfusion and switch to peritoneal/CGF composite dialysis to replace kidney function.

At this time, the patient no longer had the perverseness of yesterday, and began to experience rapid breathing and a decrease in blood oxygen saturation.

He pulled Zhang Zifan's clothes and asked, "Am I really going to die? I really only took a sip! It stinks, I didn't drink much, really!"

Zhang Zifan shook his head and said: "It doesn't matter whether it's true or false anymore, we will do our best."

After speaking, Zhang Zifan walked out of the ward.

The child's father didn't sleep all night and looked extremely haggard.

"I mortgaged the house and borrowed 400 million. Doctor, you must save my son! I'm just such a son!"

Zhang Zifan couldn't help being speechless.

Sure enough, the world is unfair.

The rotten gamblers in S City can actually mortgage 400 million casually.

What about rural children?
In Laodao's story, the girl's family managed to collect hundreds of thousands, so what about those impoverished families?
With the increasing number of foreign wealthy patients, Zhang Zifan has gradually become the "first rich".

Maybe it's time to open a green channel to drive riches?

As early as when the official website of Haoran Hospital was established, the website template provided by the system had a green channel for difficult patients.

This green channel can accept applications from patients, and has a very powerful review function to ensure that only patients who strictly meet the requirements can be admitted.

At that time, due to practical reasons, Zhang Zifan had to seal off this function.

Now Zhang Zifan is trying to open it in the second half of the year.

Of course, no matter whether the green channel is opened or not, this idiot kid who likes to drink pesticides will definitely not be included in the list of medical expenses reduction and exemption.

His gambler dad still looks like a human being.

I didn't sell the house with the gambling money, but I took it out without saying a word to save my son.

"Okay, don't worry about it."

Zhang Zifan nodded, "Our Liaison Office has already contacted the experts from the Respiratory Department and Cardiothoracic Surgery Department of Annex [-], and they will come back for consultation in the morning.

No matter what, we will do our best to save your son.

But... you still have to be mentally prepared! "

……

At around nine o'clock, experts from the Second Affiliated Hospital arrived.

Haoran Hospital can contact experts from the second level for consultation. On the one hand, it is upgraded to a third-level hospital, which raises its own level. On the other hand, it is still in Kong Xiang's favor.

In Annex [-], there is a vice president who is Kong Xiang’s classmate at Peking Medical University, and the two have a good personal relationship.

Even after the other party learned that Kong Xiang had recovered and came to work in S City, he even came to poach a corner.

Of course it failed in the end, but the relationship didn't have any impact.

So this time Zhang Zifan borrowed the line set up by Kong Xiang to invite experts from the Second Attachment for a consultation.

Of course, the consultation fee is not cheap and is paid directly by the patient.

In the province, the Respiratory Department of the Second Affiliated Hospital is second to none.

Two years ago, they successfully completed a lung transplant, which shocked the industry.

Zhang Zifan felt more at ease when they consulted on the patient's condition.

Although Haoran Hospital of Respiratory Medicine also has one, its strength is still too weak.

(End of this chapter)