I can see the status bar

Chapter 1022 D+3 day (6) (blood donation plus 051)

本章是为了感谢书友“书友141230212750325”于2021年7月18日在广州献血而特别加更。单次全血加更三章，今天是Chapter 2加更，后面还有一章。感谢您的善举！
What surprised Sun Li'en the most, or perhaps expected, happened.

Patients in bed 11 refused tocilizumab.And asked Sun Lien to stop all treatment for him.

As for why... the 44-year-old middle-aged man didn't say a word.

"If it weren't for the fact that I got this disease and couldn't be discharged from the hospital, I would have just been discharged from the hospital and went home." After being repeatedly questioned by Sun Lien, the elder brother's attitude became even tougher, "What are you young doctors asking, I will not treat you , you can accept other people for this bed!"

"I'm very annoyed by what you just said." After staying in Yunhe for a few days, Sun Lien also quickly learned a few words of Yunhe, and now it comes in handy. "There are more than 100 of us, and we have not passed the year. We came to Yunhe from a thousand kilometers away, just to hear you say that we are dead?"

"You cured me to be Mozi? I beg you to cure me?" The eldest brother's attitude was still tough, but his eye circles suddenly turned red. "You guys don't celebrate Chinese New Year, we celebrate Chinese New Year?! Poke you, my dad is dead, and my mother is dead too. I just bought a big house at the beginning of the year, and I said that I want my family to live together for the new year..." Speaking of this , the eldest brother was already crying, "I drive outside all day long, and I can't go home two or three times a year. After working so hard for so many years, I just want to invite my parents home to fulfill my filial piety. As a result... the two elders did not live for two days They all have this ghost disease..." The eldest brother suddenly stretched out his hand and slapped himself in the face. After the slap, he seemed to have not relieved his hatred, and he scolded himself fiercely, "I'm an idiot! Why am I so cheap, they If you don't stay here, you won't get this disease..."

Sun Li'en, who came to his senses, swooped and hugged his elder brother's hand tightly, struggling with both feet for a long time before pressing his arm back.But after such a toss, the elder brother's blood oxygen saturation dropped from 95% to about 80%.Sun Li'en clearly saw that his flushed face turned purple instantly.

"Nurse!" Sun Li'en turned his head and yelled, then quickly rushed to the ambulance beside him, found a diazepam, opened the medicine, and injected the whole one through the elder brother's intravenous access.

This elder brother obviously had a sudden increase in the body's oxygen consumption due to emotional agitation and excessive movements.And the sudden drop in blood oxygen saturation will inevitably make his heart beat faster because of his emotional excitement.

A faster heart rate in this situation... the consequences could be fatal.In the past few days in North Fifth District, Sun Lien has seen many such patients.Whatever the cause of their elevated heart rate—whether it was lack of oxygen, agitation, or even a slightly out-of-the-way position—the result was often fatal cardiac arrest.

The most urgent task now is to immediately block these high-oxygen-consuming activities of the big brother.Reduce his consumption and reduce the squeeze on the circulatory system.

The nurses who were originally from Lu Zhimin's group rushed in quickly, and then directly began to adjust the oxygen flow of the eldest brother.

"Doctor, the oxygen flow has reached its maximum." After a few seconds, the nurse reported to Sun Lienhui, "Do you want to apply positive pressure?"

The maximum rate of oxygen flow for the nasal cannula is 6 liters per minute.The heating and humidifying equipment that can be installed for nasal cannula oxygen inhalation can only meet this level of maximum flow.If you want to give more oxygen to the patient, you can only switch to higher-level equipment.

For example, positive pressure mechanical ventilation, or a higher level of invasive ventilation, can provide patients with more oxygen supply.

After using diazepam, the eldest brother's condition stabilized quickly.After all, he is still in his prime, and his tolerance is still much stronger than those patients who are six or seventy years old.Sun Lien breathed a sigh of relief, took a step back, and began to observe the status bar of this 70-year-old middle-aged man named Qian Guojian.

Of course, there is a new type of coronavirus infection, and the writing is very clear at present, and there is no sign of fading or disappearing.

But what makes Sun Lien more concerned is the new project "Phlegm Suppository" with the shortest duration so far.The project currently lasts five minutes and 27 seconds.

If you count the time when Sun Li'en just came in to communicate with the big brother about the treatment program, and the time when the intravenous injection of diazepam took effect...it should be just right.In other words, when the eldest brother slapped himself, this unknown phlegm plug formed and blocked part of his bronchi.

"Give him positive pressure first." Sun Li'en thought about it, and decided to ask the chief physician of the Department of Respiratory Medicine to come over to have a look.The items prompted in the status bar are generally of the more important kind, and the position and size of this phlegm plug may not be small.Taking out the sputum plug through a bronchoscope may allow the elder brother's blood oxygen saturation to climb up again.

"Did this patient just yell to refuse treatment?" The nurse on the side asked worriedly, "He refused treatment, is it inappropriate for us to use positive pressure..."

"What's inappropriate?" Sun Li'en turned around and glanced at the young nurse, then smiled, "You haven't seen hypoxic encephalopathy, have you? His blood oxygen saturation was so low just now, and his consciousness is impaired—— Just listen to what he has to say."

That's what I said... But Sun Lien didn't have time to observe the status bar above Qian Guojian's head just now.And after correcting the high oxygen consumption state, even if there is hypoxic encephalopathy, the status bar may not be displayed.

But now Sun Li'en can only say this, there is no way, public or private, he can't accept Qian Guojian to give up treatment on his own.Yu Gong, for these patients with severe infectious diseases, even if they ask to be discharged from the hospital, the Law on the Prevention and Control of Infectious Diseases and the guidelines for the diagnosis and treatment of new coronaviruses will not allow them until they are cured.

And in private... every bed is a scarce resource now.One day of treatment in the North Fifth District will have hundreds of medical staff working hard for it.The result of so many people's painstaking efforts, now you say that it can't be cured if it can't be cured?

After vetoing the patient's personal request, Sun Li'en turned around and left the ward, and then found the contact information of the family members of the 11th bed.There are no parents, but there are always wives and children, right?The same goes for making a phone call to ask for authorization.

Thinking of this, Sun Li'en became even more angry.Of course, it is a tragedy in the world that your parents are gone, but aren't you also the father of your child and the husband of your wife?This is going to kill them, so what should they do?
The more Sun Lien thought about it, the more he felt that Brother Qian probably really suffered from hypoxic encephalopathy, otherwise he really couldn't understand what this man was thinking.

"It's Qian Guojian's family, right?" After dialing the number saved on the record, Sun Lien said into the phone, "I'm Sun Lien, and I'm Qian Guojian's doctor in charge. He's doing well now. I'll call I have something else to tell you."

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(End of this chapter)