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Chapter 495 Difficult (Second update!)

The rescue has to continue, but Qian Aiwu has no chance of waking up.Her son refused to use ECMO, and the doctors in the ICU could only pin their hopes on thrombolytic therapy in addition to continuing to maintain vital signs.Of course, everyone knows in their hearts that it is not very meaningful to use thrombolysis now.In the case of inhaling pure oxygen, the patient still has such severe hypoxemia, it is definitely not any artery that is blocked—it should be the pulmonary artery that is blocked.For thrombus that can block the pulmonary artery, the effect of thrombolytic therapy will not be very good. There is some conflict between the treatment of DIC and the treatment of pulmonary embolism. In this case, the safest thing is ECMO.

But it is useless for doctors to choose whether the rescue measures are safe or not for patients.

"He not only refused ECMO, but also refused other rescues." Sun Lien was watching the doctors in the ICU inject heparin and thrombolytic drugs for Qian Aiwu, when Dr. Cao sent another bad news. "All rescue efforts must be stopped."

"What are you doing, this man?" Before Sun Lien could speak, the ICU doctors on the side became dissatisfied, "Half of the heparin has been pushed, let's stop it?"

Sun Li'en was also a little annoyed, "What does he mean?" He looked at the helpless Dr. Cao Yanhua, "He won't allow this, how could he agree to the patient's surgery before?"

Cao Yanhua looked helpless, "How do I know what happened before? You should ask the doctor before."

Sun Lien hid in the doctor's office in the ICU, and called Feng Chujie with a trace of inexplicable anger, "Doctor Feng, which family member signed for Qian Aiwu's previous surgery?"

"It's her daughter." Feng Chujie seemed to suddenly understand something, "She authorized her daughter before being admitted to the hospital. She is very firm in her willingness to treat her, and she has repeatedly assured us that there is no problem with her ability to pay."

"Call her right away, I want to give Qian Aiwu ECMO." Sun Lien threw down a sentence, turned around and rushed out of the office.

Something happened, and it was a big deal.The sweat on Sun Lien's head couldn't stop falling, he ran to Qian Aiwu with all his strength, and shouted to the medical staff on the side, "Push the ECMO over immediately, and prepare to let her take over!"

"Ah?" The doctors in the ICU vividly performed their "confused face".But thanks to the nature of ICU work, they, like emergency doctors, are always used to acting first.A face of question marks did not prevent them from pushing the ECMO machine and pre-packaged tubing as quickly as possible.Arriving at Qian Aiwu's bedside with ECMO, there is also a B-ultrasound machine for guiding femoral vein and femoral artery puncture and catheterization.

During the 2 minutes waiting for the arrival of the ECMO machine and the professional team, Sun Lien received a WeChat message from Feng Chujie.In WeChat, Feng Chujie wrote in WeChat that the patient's daughter agreed to support Qian Aiwu's vital signs with ECMO, and had recorded and saved the phone call.The other party also cooperated and said that they would immediately go to the Fourth Court to make up the corresponding authorization signature.

"So what's the situation? Can this tube be inserted?" Before the tube was torn apart, the ICU doctors confirmed to Sun Li'en for the last time, "If the tube is torn apart, it will cost thousands of dollars to go out!"

"The patient's family members have different opinions. The daughter is determined to be saved, but the son is determined to disagree—he plans to sue us for medical negligence." Sun Li'en explained the process in the simplest language, "But it was her daughter who signed the patient's admission at the beginning. ——so don’t worry about intubating, there will be no problem!”

The doctors in the ICU looked at each other, "Well, let's start preparing now. It will take about 5 minutes before the tube is connected to the blood vessel. Dr. Sun, you'd better ask your superiors."

The doctor of the ECMO team also chimed in, "Yes, Dr. Sun, the family members disagree, and there will be great troubles later. You should ask the hospital office or the director for their opinion?"

"There was a hospital that did this before, and the family members had different opinions." The doctor on duty in the ICU carefully reminded, "Then the hospital was sued, and the court ruled that the hospital should bear 40% of the responsibility. The ICU treatment fee and the start-up of ECMO The cost is not a small amount, Dr. Sun, you'd better ask about it."

The opinion of the ICU is very simple. Of course, the cost of thousands of blood tubes is expensive, but if it is not used, it is just deducted from the salary.However, if ECMO is used for rescue when the opinions of the family members are not unified, Sun Lien will bear the 40% responsibility.

As a standardized resident training program student who has not yet obtained a medical license, Sun Li'en himself certainly cannot bear this responsibility.Either the Fourth Hospital and him become defendants for illegal medical practice, or find a superior doctor to bear the medical malpractice with Sun Lien - the superior doctor's responsibility is a little heavier than Sun Lien's, because he failed to supervise Sun Lien.

ECMO is an invasive rescue, and the risk of intubation without the consent of all family members is too great.

"This..." Sun Lien was dumbfounded, he never thought that he could face this type of predicament.As an emergency doctor who often faces such decisions, Sun Lien has always claimed to be well-informed.After all, in daily work, the emergency department encounters a lot of compliance and legal issues.

But people's imagination and personal experience are always limited, but life is like the worst bear child, he can always jump out quickly in places you don't expect, and then smear a big pile of shit on your face.And before you can react, it floats away with a smell of shit and a lot of "you hit me".

All in all, the blow to the spirit of this experience is really too great.Before angrily grabbing this little bastard and beating his ass until it blooms, everyone has to be stunned for a while, and silently say a few words of "fuck" in their hearts before making any moves.

Sun Lien sighed and muttered a few words "Fuck" to himself, and ran to the office to call Liu Pingchuan as soon as possible. During the ten seconds waiting for the call to connect, Sun Lien suddenly felt powerless for some reason.

Being a doctor is really hard.

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"We take on this legal risk. The lawyers Dean Song spent so much money to hire are not worthless." Liu Pingchuan's decision seemed to be as precious as a faucet that Sun Lien saw after being wiped with shit.He said seriously on the other end of the phone, "Zhou Jun was your superior before, and then Lao Liu became your superior. Now you are going to the diagnostic center, so I can only be your superior. I have confidence in you."

Liu Pingchuan is the vice president in charge of the diagnostic center appointed by Song Wen, and it is absolutely impossible for this kind of thing to bypass his supervision.What's more, it has become a glorious tradition of the Fourth Hospital for the boss to mention the subordinates to take care of things, and it has gradually become a part of the life of the doctors working here, just like picking up the grass.What's more, Sun Li'en is not messing around this time. Under the condition of family members' conflicting opinions, doctors should save lives and heal the wounded according to their own professional requirements, rather than being restrained by a certain previous precedent.

Liu Pingchuan is just a doctor with some academic achievements, but he always believes that in front of life, everything else is not so important.At least within the scope of his power, Liu Pingchuan would never allow his doctors to give up the chance to save lives because of an obviously inappropriate case.

This is also the main reason why he and Song Wen have always cooperated well.

"Got it, I'll let them intubate." Sun Lien breathed a sigh of relief.At first, he was really worried that Liu Pingchuan would oppose the placement of a tube for rescue.After all, this kind of behavior does bring risks to the hospital.Even if Liu Pingchuan stopped him from continuing to rescue him, it was totally understandable.

"I asked the lawyers and security guards to stand by the entrance of the ICU as soon as possible. If they want to make trouble, they should stay away quickly. Don't have any physical or verbal conflicts with them." Dean Liu thought for a while and continued, "Also, you Tell Xiao Cao to let him come home for dinner at night."

　WORD cheated me... part of this chapter is repeated, I will change it immediately, everyone is really sorry, refresh it around one o'clock and you should be able to see the normal content
　　PS The chapter has been updated, and there should be no repeated deduction.I am really sorry to let everyone's reading experience be discounted.

　　
　
(End of this chapter)