Acting as a substitute

Yuan Jiayi looked down at Sheng Lan's face, waiting for his reaction.

Sheng Lan's whole body suddenly trembled violently, and then quickly opened his eyes, staring fiercely at Yuan Jiayi, his injured right arm wanted to climb the railing of the bed and sit up.

"What did you say?!"

He couldn't believe what he was hearing.

"Your father, Sheng Jianghe, is going to be executed on Wednesday."

When he said this sentence again, Yuan Jiayi's mood was thick and complicated, and he was vaguely happy.

He never knew he could be so bad.

Sheng Lan raised his head with his arms propped up, tears fell down the quilt at the end of his eyes, leaving a large pool of water stains, he hurriedly grabbed the front of Yuan Jiayi's white coat, and tore it hard, "Yuan Jiayi—— You devil!"

He didn't have much strength just after the operation, even if he yelled in a heart-piercing voice, it was just as hoarse as a dying old man.

The smile on the corner of Yuan Jiayi's lips has not disappeared, he leaned down and pinched Sheng Lan's chin, "Am I a devil?"

Sheng Lan kept crying and stared into his eyes.

"If I'm a devil, then your Sheng family..." Yuan Jiayi looked Sheng Lan's face up and down, looking for his own smile in his pupils, "...Then what is your Sheng family? Say, what is your Sheng family...?"

"The devil... Yuan Jiayi...you are...you are the devil...you are the devil..."

Sheng Lan's face was slightly bruised by Yuan Jiayi, because of an old disease, his skin was prone to bruises.

"Healing you is out of my duty, and revenge on you is out of my original intention. The two are not in conflict."

Looking at the person in front of him for a while, Yuan Jiayi seemed to suddenly feel that he had no fun, so he let go of his chin and stood up straight, fiddled with Sheng Lan's handcuffs, pursed his lips and smiled innocently.

"You are existences that are more terrifying than the devil, so I have no obligation to be kind to you. You think that I am such a surprise to you, but you are hindered by your preconceived impression of me."

The way Sheng Lan stared at Yuan Jiayi gradually became unfamiliar, as if he had never known this person before.

He beat on the bed rail desperately and yelled loudly, intending to lure the police in.

This kind of Yuan Jiayi seems to be as terrifying as wanting to kill someone.

No one would have known that Yuan Jiayi, who used to be like a docile sheep, would be so terrifying after peeling off that kind skin.

But Yuan Jiayi had already grasped Sheng Lan's only movable left wrist, and covered his mouth with the other hand, making him unable to make any noise and could only be at his mercy.

Yuan Jiayi frowned slightly, looked at him for a while as if admiring him, then whispered in the ear of the crying man.

"Sodium thiopental, it has many advantages, fast action...short induction period...no excitement, and...respiratory tract complications are very rare, but...it also has disadvantages. A single intravenous injection can only The state of anesthesia was maintained for about 10 minutes to 10 minutes, and... the pain sensation disappeared and the muscle relaxation was not complete enough."

There was confusion in Sheng Lan's eyes, he didn't know what Yuan Jiayi was talking about, and he didn't know why Yuan Jiayi said these things.

Yuan Jiayi smiled patiently, and complained, "I told you to read more books, but now it involves unpopular knowledge...you don't understand it?"

"Uh...uuuu..."

The fear in his heart was magnified infinitely, Sheng Lan's tears soaked the pillow, and it looked very uncomfortable when it was wet.

Wiping away the water stains at the end of Sheng Lan's eyes with a pillow towel, Yuan Jiayi continued to explain the problem to him in a warm voice.

"Sodium thiopental is highly fat-soluble, it will enter the human brain through the blood-brain barrier, and then...distribute to all parts of the body... Ah, by the way, don't you understand what the blood-brain barrier is? "

Yuan Jiayi moved his fingers covering Sheng Lan's mouth, and tapped his auricles lightly, so that the deafening sound through bone conduction completely awakened Sheng Lan's eyes that he wanted to avoid.

"It means... the walls of brain capillaries and glial... Forget it, I'm telling you what to do, but you don't understand."

His deliberate hesitation made Sheng Lan feel extremely horrified. Those nouns that Yuan Jiayi said but he had never heard before combined together, except for the chilling meaning Besides, nothing else.

"There are nearly ten kinds of adverse reactions, ah yes...it's not important to say these...because he can't choose."

Sheng Lan's greed for life and fear of death is reflected here. After hearing the "he" in Yuan Jiayi's words, he was relieved, and even his eyes became brighter.

As long as he didn't die, and didn't beat such a terrible thing into his body, then it didn't matter who died.

Yuan Jiayi understood the emotion in Sheng Lan's eyes and sneered disdainfully.

The child born by Sheng Jianghe is really stupid and ruthless. It's really wasted that he has done all the conscienceless and illegal things for Sheng Lan for many years.

"This is the first kind of medicine, and there is a second kind..." Yuan Jiayi pointed to Sheng Lan's neatly bandaged right arm, and his eyes fell on it for a moment, "The second kind...but the one you used .”

Sheng Lan became nervous again.

"It's called Pavlon, and the maximum effect can be seen within three to four minutes after intravenous injection, and the duration of the drug's effect is similar to that of thiopental sodium, which is twenty to three to ten minutes. It blocks acetylcholine at the junction of neuromuscular terminals. transmission, which causes the contraction of muscle fibers..."

The sky outside the window darkened, it was probably going to rain heavily, Yuan Jiayi glanced at the dark clouds, worried whether Bo Shenyan would come to the hospital to pick him up in the heavy rain, then thought, he shouldn't be so stupid, Then he felt relieved, and continued unhurriedly, "...it needs to be metabolized by the liver, and then excreted from the kidneys. The elderly and those with liver and kidney insufficiency... well, patients, the metabolism time will be twice that of ordinary people. , I know that your kidney function has not been very good, but you don’t have to worry, I guarantee that the usage and dosage given by the anesthesiologist are professional and will definitely not threaten your life and health.”

Yuan Jiayi frowned in disgust from the mouth covered by his hand, and Yuan Jiayi frowned a little. He rubbed his palm against Sheng Lan's face to wipe away the water drops from his palm.

"...the last one is... chloride|potassium chloride."

Sheng Lan still blinked in bewilderment.

His stupid appearance made Yuan Jiayi a little angry, "Where did you read all the books? Are you only thinking about how to harm others?"

Yuan Jiayi's breathing became slightly rapid, and he didn't know what was in his mind, but he soon calmed down again, and smiled lightly.

"These three... are the medicines your father will use the day after tomorrow. As his 'only' son, why should you know the usage and dosage? How can you let me, an outsider, tell you?"

"Mmm! Mmmmmmmmmmmmmmmmmmmmmmmmm

Sheng Lan struggled frantically, the handcuffed wrists pressed by Yuan Jiayi desperately wanted to break free from Yuan Jiayi's control, but was defeated by Yuan Jiayi's strength, unwilling He stared intently into his eyes.

Yuan Jiayi enjoyed this kind of mental torture to Sheng Lan, which made him feel very... a kind of pleasure of watching a soul that has done a lot of evil and being punished indifferently.

"Master Sheng, what's the hurry, I haven't finished yet."

Sheng Lan's tears had already burst, and they couldn't stop gushing out, as if he was a victim who was wronged and pitiful.

"To put it simply, sodium thiopental will cause Sheng Jianghe to lose consciousness, and then... in his fear... he will be injected with Pavlon, which will cause his muscles to paralyze, followed by respiratory failure, and finally... yes Chloride | Potassium, stop his heartbeat... What is the concept of stop? It is a 'swish' - disappear from this world...I can't open my eyes again, with a heart full of regret for him , and the last bit before the injection of thiopentona... lucid consciousness, breathing slower and slower, slower and slower... leaving this world..."

Sheng Lan's back was covered with cold sweat, and he couldn't stop trembling, as if he was about to hit him in the next moment.

"Brother... You said... Dad, will he be very scared?"

Yuan Jiayi had an expression similar to pity on his face, and there was a faint glint of water in his beautiful light-colored pupils.

Sheng Lan was so dumbfounded that she even forgot to shed tears.

He's scary...really scary.

"He's going to see my mother, shouldn't I be happy for my mother? After all...she loves him so much..."

Yuan Jiayi glanced at the rain curtain outside the window, his face was gloomy, and the strength in his hands tightened suddenly.

The expression on Sheng Lan's pale face was extremely painful, but the more he was in pain, the corners of Yuan Jiayi's mouth became more upturned, "But he is not worthy, how can he be worthy of seeing my mother?"

The policeman outside the door probably felt that Yuan Jiayi had stayed in the ward for too long, so he raised his hand and knocked on the door.

Just as Yuan Jiayi was about to reply, the phone rang at the same time. He let go of Sheng Lan's wrist, took out the phone from the pocket of his white coat, and picked it up.

"Hi, I'm Yuan Jiayi."

The voice from the receiver was a little hurried, and Yuan Jiayi frowned while listening, "Okay, I'm in the hospital, I'll be there right away."

After hanging up the phone, the expression between Yuan Jiayi's eyebrows immediately changed from before, but his attitude towards Sheng Lan was still cold and gentle.

"Brother, I still have an operation, so I went out first. It's a pity that I can only stay with you for a while."

Yuan Jiayi was not afraid of Sheng Lan's yelling at all, so he casually let go of his hand covering Sheng Lan's mouth and raised his eyebrows, "Brother...you must take good care of your injuries."

He walked to the door, and just about to hold the doorknob to open the door, he turned around and walked back to the bed, wiped away the tears from the corners of Sheng Lan's eyes, glanced at the mattress under him, and chuckled, "On Wednesday, I will See you again."

Sheng Lan had no time to insult the man who walked out of the ward leisurely, his body was already soaked in yellow liquid, and it quickly made the whole room smelly.

Yuan Jiayi changed into a mask, washed his hands hastily in the restroom on the way, and entered the emergency room with his clothes flapping.

"Teacher Yuan, you came here so fast..."

Everything was ready and only waiting for the patient to arrive, the intern doctor flattered Yuan Jiayi with a slightly courteous smile, but Yuan Jiayi waved his hand and interrupted, "Tell me about the situation."

"The patient was a male. The car accident happened about an hour ago. He injured his left knee. His activities were limited due to the pain in the wound. He had no short-term coma, no nausea and vomiting, no chest and abdomen pain, no incontinence, no chest tightness and shortness of breath... "

The intern's gaze stayed on Yuan Jiayi's face all the time. Although he was reporting the situation, he was mostly observing the teacher's expression.

I don't know which word Yuan Jiayi heard, his face changed slightly, and then he returned to normal, and continued to listen to him carefully.

"Well, I'll go get ready."

Standing under the shadowless lamp, Yuan Jiayi slowly closed his eyes, took a deep breath, and silently calmed down his mood.

Whenever he was in a state of confusion, only Bo Shenyan could calm his confusion.

Yuan Jiayi pursed his lips, letting his brain temporarily put aside everything about the Sheng family, and concentrate on the operation.

Three-dimensional CT of the left knee joint showed that the left patella was fractured.

"After the patient was admitted to the hospital, he was given external fixation of the left lower extremity. The relevant preoperative examinations have been completed. No obvious abnormalities were found in the values, and there were no obvious surgical contraindications."

Yuan Jiayi gave a low "hmm", paused for a long time, and said, "Differential diagnosis."

In the few minutes outside just now, the intern thought that Yuan Jiayi was angry with him, and the awe of Yuan Jiayi in his heart made him dare not say a word since he entered the operating room, and just waited silently for Yuan Jiayi to need him At this moment, when I heard that Yuan Jiayi seemed to be pulling him, he swallowed hurriedly and said hastily, "Pathological fracture, the film showed abnormal shadows in the bone, the patient has an obvious history of trauma, X-ray There was no obvious bone destruction in the film..."

The itinerant nurse wiped Yuan Jiayi's sweat, and quickly stepped aside.

The atmosphere in the entire operating room became a little depressing because of Yuan Jiayi alone. In a state of high mental tension, no one slacked off in the slightest, and they all stared at the patients on the stage wholeheartedly.

"The cause of the illness." Yuan Jiayi's brows slightly relaxed.

This kind of operation is not very difficult for Yuan Jiayi's current level, and he even has spare time to explain the various steps to the young doctor next to him, or ask them questions to check his absorption of knowledge.

He knows that many patients and their families are unwilling to let the chief surgeon not concentrate on treating the patients during the operation. Instead, they talk and laugh with their apprentices, which seems very irresponsible.

But he can responsibly make a guarantee that every surgeon can guarantee that there will be no mistakes in his technique before explaining the process to the younger generation. After all, the experience of doctors is on the operating table. If the experienced seniors don't help the younger ones, how can they improve and when will they be able to stand alone in front of the operating table and make patients trust them.

Hearing Yuan Jiayi's new round of questions, the intern doctor was a little flattered, "Patella...patella bone fracture...causes the disease, most of them are due to strong external force..."

Being cueed by the teacher many times, he was so panicked that he usually memorized the knowledge points fluently, and he also became a few more words in his belly.

He quickly adjusted the rhythm of his language, and spoke out the knowledge in his head in an orderly and calm manner, so as to restore the image of a good student that Yuan Jiayi had lost in his heart.

"After being hit by a strong external force, or the quadriceps muscle contracted violently, the patient suffered a patella fracture, loss of knee extensor function or potential disorder of the patella joint, and this patient injured the left knee joint due to a car accident, Direct violence resulted in a fracture of the left patella, and three-dimensional CT showed that there was obvious separation and displacement of the left patella after the fracture, which indicated surgical indications and required internal fixation surgery."

Yuan Jiayi remained silent for a long time.

The itinerant nurse glanced at the equipment nurse, then at the second assistant, and tiptoed up to wipe the sweatless forehead of the second assistant.

Second assistant: "..."

"Tell me about my steps."

When Yuan Jiayi was serious, he exuded an aura of "don't get close to strangers" all over his body, and he didn't have the smiley look he usually has.

The cold opening made Second Assistant shiver uncontrollably.

Everyone's sympathetic eyes fell on the intern doctor.

Although being taught by Yuan Jiayi will help you understand a lot, the pressure you have to bear at the same time is not something ordinary people can bear.

But the intern doctor is quite happy, and he is afraid, but he still likes Yuan Jiayi very much.

Whether at work or in life.

So he directly and confidently said, "Internal fixation surgery, Mr. Yuan performed internal fixation with a Kirschner wire tension band, and took the knee joint...uh..."

Ka Keer's embarrassment caused the air pressure in the entire operating room to drop again, and everyone around was worried that Yuan Jiayi would get angry with him and affect themselves.

"Take a longitudinal incision in the knee joint, reset the fracture, and temporarily fix it with towel forceps." Yuan Jiayi glanced at him, with no emotion in his eyes, "Then, how many Kirschner wires did I use?"

The intern doctor's eyes lit up, it was time to make up for himself, he remembered this.

"Three?"

Yuan Jiayi put back his movements, turned his head and gave him a look, "Two,"

The intern doctor's breathing stagnated, and he suddenly realized that he was hopeless.

The operation has come to an end, Yuan Jiayi's movements are stable and quick, making people grin their teeth, and I don't know what adjective to use to describe him.

"It can be seen that the fracture is in good alignment and the articular surface is smooth, and it is fixed with a tension band steel wire ring. After 24 hours after the operation, anticoagulant treatment is performed. The patient is not young. Deep vein thrombosis of the lower extremities must be prevented. Do you understand? "

Yuan Jiayi's voice was still full of emotions, but his patience almost made the intern doctor's eyes red.

It's not that he's not strong, but that in this environment, the embarrassment and embarrassment just now are enough to make him lose the confidence he's built up with great difficulty in this line of work.

"Yes, I understand, Teacher Yuan is sorry."

Yuan Jiayi glanced at him, surprise flashed in his eyes.

His attitude seemed to hurt the inexperienced pupil.

After leaving the operating room, Yuan Jiayi saw the little doctor standing at the door of the safe passage with a mournful face and his forehead against the cold wall.

He sighed helplessly.

It's really hard to be a teacher these days. You have to teach and educate people, and you have to take care of children's hearts.

Yuan Jiayi walked towards him with long legs, and stood in front of the intern who heard his footsteps and immediately straightened up to wipe away tears.

"There's nothing to be ashamed of," Yuan Jiayi put his hands into the pockets of his white coat, with broad shoulders and a smile in his eyes, "Everyone came here when you were here, and so did I."

The intern doctor knew that Yuan Jiayi was trying to comfort him. When he was still in medical school, Yuan Jiayi's name had already appeared in the mouths of the tutors. He had always been regarded as the benchmark for all medical students' efforts. Approved hands, smart and wise minds, and... that face that shouldn't be buried in the hospital are all objects that everyone rushes to learn from.

How could such a Yuan Jiayi not understand the teacher's words, and often had questions in his answers?

Yuan Jiayi pulled out his hand from his pocket, clenched it into a fist, and punched the little doctor on the shoulder with a smile, "Really, I didn't lie to you."

Looking at Yuan Jiayi's eyes that became gentle after stepping off the stage, the intern avoided his gaze in a vague way.

During the operation, it rained heavily, and the air was moist and fragrant, as if you could feel the fresh coolness through the window.

Yuan Jiayi opened the window in the corridor, squinted his eyes and poked his head out of the window, sniffing the fresh air vigorously.

From the corner of the eye, a patient with a cane, a hospital gown, and bandages on his knees flashed through the iron gate of the safe passage with a whoosh.

His mobility is extremely inconvenient, and he even has to walk up the stairs.

But any doctor who treats patients as family members will not let injured patients go downstairs in this way.

So Yuan Jiayi couldn't help but wanted to go up to him and ask him if he needed help, but before he could hold the doorknob, he heard a loud bang from the corridor, like the sound of someone falling down.

Yuan Jiayi hastily pushed open the door of the safe passage, stepped into the corridor and shouted loudly, "Sir? What floor are you on, sir?"

It took a while to get used to going from a bright place to a darker place. Yuan Jiayi squinted his eyes with difficulty and looked around for the patient.

"Hear me, please?"

The sound of the cane hitting the metal stairs echoed in the corridor.

Yuan Jiayi was so close that he could easily distinguish the direction of the sound source.

It was the lower layer, probably too painful to speak, so I resorted to external force to ask him for help.

"Don't move, sir, I'm coming down now."

As his eyes adapted to the darkness in the corridor, Yuan Jiayi could gradually see a little bit of light. He wanted to take out his phone to illuminate it, but found nothing.

Oh shit……

I thought about going to the bathroom before I got off work, but felt cumbersome, so I conveniently put the phone on the desk in the office.

His pig brain.

Walking slowly along the handrail to the slow platform between the two floors, Yuan Jiayi squatted down and groped to hold the patient's wrist, but he didn't dare to pull him up easily.

"Mr. Lai, try to see if you can stand up by yourself, if not, I'll call someone over..."

There was no time to think about why this patient kept silent, Yuan Jiayi only thought that it was because of his serious injury that he couldn't care to speak.

Just as he was about to press the man's hand on his wrist, and when he got up and went back to the department to find someone, a strong force came from his waist, dragging him to the ground abruptly.

Yuan Jiayi couldn't help panting heavily from the severe pain in his knee, and hurriedly supported the ground to stand up again, as if the patient was in a hurry and didn't know how to use force to drag him down.

Yuan Jiayi gritted his teeth to endure the pain, covered his knees and asked with some doubts, "Sir, are you alright?"

His state is really not like a patient.

While hesitating, Yuan Jiayi's wrist was tightly grasped.

"Teacher Yuan...I have something to do...I really like you so much..."

The author has something to say: In the article, the relevant pharmacology of thiopental, Pavlon, and □ is quoted from pharmacokinetics. Thank you for reading, bow