Do nothing

When the shift was over on Monday, Yan Ke heard that Yang Minghuan's condition was not very good.Now he not only has metastases on his lungs, but also begins to develop pleural effusion and interstitial pneumonia, which means that his heart and lung function will be affected.The lump on the thyroid is also growing rapidly, and it seems that the previous radiation therapy has not had much effect.

Yan Ke was worried, and asked for another oncology consultation.This time it was Yu Cheng's acquaintance who also had some friendship with Yan Ke.After seeing Yang Minghuan, the consulting physician expressed helplessness: the patient's current physical condition is too poor, and he cannot tolerate radiotherapy and chemotherapy, so he can only be treated conservatively. If he can't, he can take Chinese medicine.

Yan Ke couldn't help asking: "Is he hopeless?"

"Almost. His pathology showed undifferentiated carcinoma, which is the most malignant type and has the fastest progression. Now the primary tumor is out of control, and the lung metastasis is also very fast." The consulting physician suddenly remembered something, and said, "Yes. Yes, just now he told me that I have low back pain recently, and there may be bone metastases. You can order him a bone scan, bone metastases of thyroid cancer are quite common."

Yan Ke knew that bone metastasis of cancer would cause pathological fractures and cause severe pain, so his heart sank: "What if the bone metastasis is diagnosed?"

The consulting doctor spread his hands together: "That's no way, let's get a painkiller injection."

After sending off the consulting doctor, Yan Ke sat down in the office and entered the consultation opinion into the electronic medical record.He felt sad while typing on the keyboard, not knowing how to explain his illness to Yang Minghuan.

The printer at hand began to spit out paper.Yan Ke picked up Yang Minghuan's medical records one by one, and at the end, there was a discussion about the death case.Yan Ke was shocked, thinking that he had typed something wrong.Taking a closer look, the patient's name was not Yang Minghuan, and the bed number was wrong.

"Ah, this is mine." Zhu Yunting glanced at it, and reached out to bring over the death case discussion.

Yan Ke asked in surprise, "Is this your patient?"

Zhu Yunting was also very surprised: "That's right, didn't you tell me that the shift was over in the morning, and the rescue failed last night, a hyperventilated patient (Note)."

Morning shift?Yan Ke was too busy thinking about Yang Minghuan, but really didn't pay attention to other things.

Hyperventilation syndrome, which is a disease in which breathing is too fast, causing carbon dioxide in the body to be expelled rapidly, causing an acid-base imbalance.In Yan Ke's impression, this is not a serious illness. Even if respiratory alkalosis occurs, wouldn't it be enough to give him some fluids to correct the acid-base imbalance?Most cases can even be relieved by paper bag breathing, which is to inhale the exhaled carbon dioxide.Such patients do not need to be hospitalized at all.

Yan Ke couldn't help asking, "How did you die?"

"Oh, this man has a problem with his mind."

Brain problem?Yan Ke's first reaction was cerebral hemorrhage, pulmonary encephalopathy and the like.Unexpectedly, Zhu Yunting said next, "It's an anxiety disorder."

Yan Ke was taken aback.Zhu Yunting also immediately realized that her words were inappropriate, and quickly explained: "Young Master Yan, I have no other intentions, so don't think too much about it."

Yan Ke smiled: "It's okay, you continue to talk."

Zhu Yunting was a little embarrassed, and said slowly, "This patient...he went to the toilet at night, probably because of an anxiety attack, which induced hyperventilation. He didn't ring the emergency bell, and the toilet door was locked again. It's like a patient in a ward. When he was found, he was already dead, so he couldn’t be rescued.”

Yan Ke imagined the scene at that time, and couldn't help but sympathize: "This is also fate."

"Well, yes..." Zhu Yunting looked cautious and didn't dare to speak too much.

Yan Ke knew that she was taking care of her own emotions, but her emotions were still depressed.He wanted to tell Zhu Yunting that he was not that fragile and that he didn't have to be so cautious when communicating with him, but before he could speak, Zhu Yunting picked up the medical record folder and left, almost like running away.

"..." Yan Ke lowered his head to sort out Yang Minghuan's medical records, trying to pull out a smile.

In fact, there is nothing to discuss about this death case.When the patient was admitted to the hospital, the nurse had already instructed him to go to the toilet and try not to lock the door, and the emergency call bell was also prominently posted on the wall.Hospitals have achieved this level, and patients still have accidents, and no one can do anything.

Yan Ke originally thought that the discussion of death cases was just a process, but Yu Cheng listened carefully to the whole process, and then came up with an idea.

"This anxiety patient, if the anti-anxiety drugs don't work in a short time, can we give him morphine first?"

Director Wang said: "This plan will not be used in routine treatment, but it is indeed possible. How did you think of this?"

Yu Cheng explained: "I remembered a medical dispute case some time ago, which was the use of morphine for end-stage cancer patients with respiratory failure. Morphine can inhibit breathing, but it can also improve shallow and fast breathing. Foreign countries have long used it This method is used to alleviate the suffering of patients with terminal dyspnea before death, but there are no relevant guidelines in China. Most people still think that morphine inhibits breathing, so it cannot be used for patients with respiratory failure. The dispute case involved this issue.”

Director Wang asked, "How did the case end?"

Yu Cheng said: "There is no result yet."

Director Wang sighed: "Since it hasn't been included in the guidelines, it may be difficult to win the lawsuit."

He said winning, of course, from the standpoint of medical staff.Yan Ke was a bit impressed by the news, as if the family members thought the patient's death was caused by the doctor's use of morphine, so they sued the doctor in court.

Yan Ke sympathized with the doctor. He must have good intentions and wanted to alleviate the pain of the patient before he died, but now that the patient's family is biting back, he has nothing to reason with.

"We medical staff must first protect ourselves..." Director Wang sighed and ended today's discussion.

Nothing good happened all day today, and Corey was busy, and the outpatient and emergency departments took turns calling to ask them to move beds to admit new patients.But the beds were already full, and everyone had to try their best to arrange for the patients to be discharged.Most of the patients expressed their understanding, and a few complained.

Yan Ke felt very tired.This kind of exhaustion comes from the heart. He feels unmotivated and doesn't want to do anything.Today, he wanted to ask his uncle if his relatives had left, and if they would move back in?But when he remembered this, he was already in the parking lot, and the uncle had also left work.Yan Ke thought about it for a second, since the uncle didn't take the initiative to mention it, there was no need for him to ask.

Uncle Master will come back naturally if he finishes his work, if he doesn't plan to move back... then there's nothing he can do about it.

Yan Ke sat in the car and waited for Xiaolu. When he was bored, he didn't even want to play with his mobile phone, so he lay on the steering wheel and closed his eyes to rest.Not long after, the glass was knocked several times.As soon as Yan Ke looked up, he saw Xiao Lu's bright smiling face.

"Teacher Yan! I'm sorry I'm late!"

Yan Ke suddenly felt his mood brighten up.

He unlocked the car door, saw Xiao Lu was carrying a lot of gift bags, and asked casually, "Where did these things come from?"

"It was given by someone else." Ling Lu rubbed his nose embarrassedly, "Today is my birthday, I don't know where they found out about it, many people came to give me presents..."

Yan Ke was surprised: "Your birthday? Why didn't you tell me, I didn't prepare anything."

Ling Lu hurriedly said: "No, no, I just didn't want to cost you money, so I didn't say anything."

"Then let's go out for dinner. What do you want to eat?" Yan Ke started the car.

Ling Lu asked back: "What do you want to eat? I can do it."

Yan Ke actually had no appetite, but he still suggested: "Western food?"

"Okay." Ling Lu smiled openly.

"You didn't tell me your birthday in advance, and you didn't even order a cake." Yan Ke was looking for a cake shop while driving, "Now I can only buy small cakes."

"Actually, you don't need to buy small cakes..." Ling Lu struggled to take out two small boxes from the pile of presents, "Someone gave them, exactly two."

Yan Ke said helplessly: "Others have prepared everything for you, which made me even more embarrassed."

Ling Lu smiled: "I will be very happy if you celebrate my birthday with me."

Yan Ke sighed: "How about this, I'll send you a red envelope. I didn't say anything about your birthday, and it doesn't make sense."

Ling Lu just said "no", when he suddenly thought of something, his eyes lit up and said: "Okay."

It happened that there was a long red light ahead, Yan Ke stopped the car, took out his mobile phone to send him red envelopes.Seeing him press 200, Ling Lu hurriedly said, "It doesn't need to be too much! 100 is enough."

Yan Ke was taken aback, then smiled and said, "Is there too much red envelope?" Then he clicked to confirm.

Ling Lu accepted the red envelope, immediately returned 100 to him, and said seriously: "100 is enough."

"Okay." Yan Ke didn't understand what he was thinking, and only thought he was being polite.

Unexpectedly, after dinner, Ling Lu proposed to go to the home appliance city, and Yan Ke accompanied him.Ling Lu went in and went straight to the kitchen utensils section, as if he had already picked it out, pointed to a small household oven and said, "I want this."

Yan Ke laughed and said: "So you have something you want, so you didn't say it earlier." Just as he was about to pay the bill, Ling Lu hurriedly stopped him.

"Don't move, I'm rich!"

Yan Ke looked at the price and found that the oven cost more than 500 yuan, which was not expensive, so he let it go.

The thing is not heavy, and the salesperson helped to move the oven to the back seat of the car.Ling Lu got into the car and sat in the back seat, fondling the oven.

Yan Ke smiled and said, "Why did you think of buying this?"

Ling Lu said: "I want to make dessert for you to eat. I read in the book that sweets can make people feel happy and are good for your illness."

Yan Ke's heart warmed up, but he hummed: "Do you still want to take the postgraduate entrance examination?"

"I've already researched the recipe! It's not very time-consuming. Most of the time I wait for it to ferment, bake, etc. I can read a book while waiting."

"Then you don't have to buy it yourself, it's for the apartment anyway."

Ling Lu happily said: "No, I didn't buy this entirely myself. You also paid for it! This is our common property."

"what?"

"Didn't you just send me a red envelope?"

"Just the 100?"

"Yes."

Yan Ke laughed out loud: "I didn't expect that I still have 20.00% equity."

As soon as the steering wheel was turned, the car suddenly turned around.Ling Lu was surprised: "Hey, don't you want to go home?"

"Go to the supermarket, don't you buy ingredients? You don't need cream flour or something to make desserts..."

Ling Lu was stunned for a moment, and suddenly blushed: "Let's not buy it today...I have no money with me."

"You don't need to pay." Yan Ke thought about it and felt wrong, and said in surprise, "Why do you have no money? You don't spend all your living expenses on the oven, do you?"

"It's almost..." Ling Lu whispered, "There are more than 400 left this month. I originally wanted to buy it next month."

No wonder he only needs 100 red envelopes.

Yan Ke suddenly remembered that Xiaolu was shopping for vegetables recently, so he said, "Is the vegetable gold used up long ago? I'll get you some later."

"No, no, Cai Jin still has some."

Yan Ke was even more surprised: "Then why do you have no money?"

Ling Lu pouted: "That's Mr. Yu's money. I don't want to use his money to buy things for you."

Yan Ke laughed and said, "Don't you usually buy vegetables for me?"

Ling Lu said angrily: "This is different!"

"What's different?"

"..." Ling Lu stopped talking, and turned his head to look out of the window sullenly.

Yan Ke didn't know what he was thinking, but he felt that he was a little unhappy, so he comforted him: "Okay, okay, don't use his money if you don't want to. Then can I buy it? I'll buy the materials, you did it Let's eat together, okay?"

Ling Lu was happy again: "Good!"

As a result, the two of them made cookies until midnight that night.In fact, the cookies are not difficult, but they have no experience in making them for the first time, and they did not melt well when they melted the butter, so that they broke the piping bag several times when squeezing the cookies.The more frantically you try to save it, the worse it will end up.

In the end, Ling Lu went crazy, and threw the batter onto the baking paper in lumps, then stuffed it into the oven.The aroma came out while roasting, and both of them were very happy.I didn't expect to take it out and have a look. Some places are burnt, and some places haven't been painted.A bunch of yellow and ugly, I am really sorry for the name "cookie".

"Like shit." Yan Ke couldn't help but comment.

Ling Lu tasted one under psychological pressure, and said in surprise: "It's actually quite delicious?!"

Yan Ke didn't believe it, he stuffed one into his mouth, and said unexpectedly: "It's really delicious... I thought it was not cooked yet."

"But ugly is really ugly..." Ling Lu had picked up his phone to take a picture, but after changing several angles, he couldn't take a decent picture, so he had to give up aggrievedly.

Yan Ke laughed and said, "Then take it to the hospital tomorrow and distribute it to everyone."

Ling Lu's eyes lit up: "Give it to Yu Cheng!"

"Good good."

Ling Lu was happy again, and put the cookies into the bag with a smile.Yan Ke glanced at the time and said in surprise: "It's already twelve o'clock? You go to sleep, I'll clean up."

Ling Lu said: "It's okay, I'll take care of it."

"You are a little birthday star today." Yan Ke pushed him to the bedroom, suddenly remembered something, "Oh, I haven't eaten the cake yet, and you haven't even made a wish..."

Ling Lu suddenly lowered his head and smiled shyly: "My wish has come true."

"Ah? What wish."

Ling Lu looked at the cookies on the table, his eyes suddenly became gentle.

"Oh, you said to buy an oven." Yan Ke shook his head and smiled, "Your wish is really simple."

"No..." Ling Lu wanted to explain, but suddenly remembered Zhang Xingduan's advice, so he could only smile and say, "Then I'm going to bed, good night, Teacher Yan."

"Well, good night. Happy birthday."

"Very happy, thank you."

Ling Lu returned to the small room, lay down on the bed and looked at the ceiling with a smile on his face.

In fact, my wish is not simple at all.

I want to be with you and spend every day happily.

Today is only half done.When will the remaining half be realized?

Note: Hyperventilation syndrome is a group of syndromes caused by abnormal regulation of the respiratory center and hyperventilation exceeding physiological metabolic needs.It often manifests as dyspnea, numbness of limbs, dizziness, and severe cases may have symptoms such as syncope and convulsions.During the attack, the patient will feel rapid heartbeat, palpitations, and sweating. Because he can't feel breathing, he breathes faster, causing the carbon dioxide in the body to be continuously discharged and the concentration is too low, causing secondary respiratory alkalosis and other symptoms, also known as respiratory alkalosis. Alkalosis syndrome, respiratory syndrome, hyperventilation syndrome.Anxiety is a common trigger.The above is taken from Baidu Encyclopedia.

The author has something to say: Yan Ke: Cookies are made like shit.

Xiaolu: Give it to Cheng Yu!

Yan Ke: All right.

Yu Cheng:? ? ? ? ? ? ?