We often say " cure person benevolence heart " , but the hour that faces bode ill rather than well sometimes, the doctor also has a lot of but.
When abandoning even the family member almost, choose venture after all one wrestle? Be still submit to the will of Heaven?
Beijing University Doctor Gao Wei of division of emergency call of hospital of close cloud of the first hospital, wrote down the one act when oneself just became a doctor 10 years ago.
01
Rescue room come across the patient 10 years ago
In rescue room, I encountered " acquaintance " -- he is a patient I am 10 years ago. Our eyes is handed in those who collect that momently, he identified me, he raises a hand hard to pointing to me, in the mouth " ah, ah " the ground is crying, sound is very faint.
I remember him -- this is a patient I am 10 years ago.
10 years ago, I what just had a job, in a 2 class (community) the hospital works. This hospital periphery is the common people of villages and towns, it is very the farmer of guileless. That day, 30 years old of patient family members of the left and right sides found me.
"My father wants to turn from city return our hospital be in hospital, can be you received? Can be you received??
"What is ill? Why should turn come back be in hospital? " I what Hou Gang works in those days encounter such thing for the first time, some are surprised.
"The burn of large area, we are treated did not rise, think our hospital be in hospital, I do not have too big demand, treat what kind of I can be accepted. " he looks at me, suppliance was full of in the eye.
"I just work, how you don't look for those tall year endowment doctor ah. How you don't look for those tall year endowment doctor ah..
"They do not close. I feel you are pretty good, just went to work to be opposite certainly the patient is very good. " he is answering me.
Although I at that time want to close very much,treat, but I still did not agree, because I am wet behind the ears, experience is scant, angry without the bottom.
After a few days, I from senior fellow apprentice people the understanding in the mouth arrives, that family member still is taking a patient to search, be in outpatient service, but everybody does not want to close, also dare not close.
I what await in those days am be stupefied the head is blue -- just had a job, had not eaten to have a deficit, audacious. I find a director to say to him: "Director, I consider the patient of that burn close. I consider the patient of that burn close..
The director looks at me, hesitated very long, "Close, this patient can see you completely alive. This patient can see you completely alive..
Although pressure is very great, but also be very good study opportunity, my quickstep moved toward outpatient service. Ground of family member loiter stood, there is the gratitude of beyond expression in the eyes.
Awaiting me to feel me decide this in those days is how great, but after the patient that sees when me this family member is brought, how cannot also think of however, it is this patient full " torment " 3 my months. . . . . .
Family member: It is unripe be to die to admit
The patient is an old man of many years old 50, go up to be wrapped so that resemble a mummy by bandage personally. Woman's head-ornaments ministry, limb, truncal, burn area of the patient was achieved 70% , achieve a face to have many oozy, skin-grafting place has necrotic and fall off.
He is a dummy, give out in the mouth after seeing me " ah, ah " sound, have below thick gauze oozy, very smelly. . . . . .
The hospital is surgical in those days inpatient is not very much, three pieces of bed lived half, because burn is gotten very serious, I let a nurse arrange an empty ward to live alone to him, also be segregation.
But very fast nurse is dragging me went treating room: "You became mad, you also dare receive this kind of patient, I take the door with respect to within an inch of by so smelly that fume come out, this patient burn is gotten too heavy, I go to work 20 old we never have had received so heavy burn patient, what do you show can? What do you show can??
It is good that I know she is for me, be afraid that I carry responsibility.
I call the patient's son to cure to do room, had not waited for me to ask, he started to talk first: "I thank the doctor you can close treat my father, although you are young but I believe you, I do not beg my pa to be able to cure, but it is too painful that I also do not want to let him.
Having an accident this is to be before a month, the sheep pen in the home caught fire, my pa feels distressed sheep, these sheep are the main income source in the home, he develops sheep pen, was carried by neighbour later come out, spend burn again, next the hospital that we are sent the burn of a cure in city.
A month was spent 30 much, the doctor says to return need 200 thousand continue cure and again skin-grafting, but also dare not assure the result. But also dare not assure the result..
I just should talk, he adds: "Do not have a thing, I did not cherish too big hope, I know my pa pits this may be to be impassable, it is unripe it is dead I admitted, won't blame you. Won't blame you..
Change medicine for the first time: Full 4 hours
Change medicine for the first time, I was used actually full 4 hours. Cut is given out blast blast effluvial, I am knitting brows to wearing 4 guaze mask cleaning slowly, disinfection, on medicine. I let a nurse call up a director later, we two operations.
Did not use any auxiliary data, did not keep the goods that does not submit an expense account with any cure, this is the requirement of patient family member, also be conscience changes medicine.
The patient is very thin, the eye is empty of the hole, resemble ring of Wang Li " murmur " now and then give out in the mouth " ah, ah " sound, the ache that changes medicine causes the likelihood.
Return cure to do room, senior fellow apprentice people speaking I, my joke sees in preparation outside the word in the word, leave cure to do I subdue the ground to cry after the room, but this is more sturdy I cure his determination.
It is the company that 21 days of my 21 night did not leave a hospital next.
High fever is not retreated, buy drug silently at one's own expenses
The patient is admitted to hospital that day: In the evening, I learn burn knowledge hard further, call ask a director, ask a teacher. . . . . .
After the patient is admitted to hospital the first day: I become an operation in the morning, issued an operation to change medicine to him, change arrived afternoon, meal not feel like eating, too too tired, smelly.
After two days, I began to regret to my decision. The patient does not deserve to be treated with mine, in the mouth " ah, ah " voice is bigger and bigger. And vital issue happened, he begins to have a fever, high fever is not retreated.
If be not controlled, the patient can die because of infection sex shock.
I am confused, called up director and my teacher. Our division gathered in the room that change medicine all doctors, open the maize pus juice with much gauze to flush, necrotic skin is being sent effluvial.
Qing Dynasty is achieved change medicine 3 hours, some doctors left silently during, remain me only finally, my teacher and director.
When changing medicine, the director mentioned tall ooze brine to restore to have profit to affecting those who achieve a face, but our hospital is done not have.
I am written down so that I held a friend in the palm to spent 360 money to be bought from other hospital that day afternoon full the tall ooze brine of one box, I give money, await my month to make 1100 money in those days.
3 days later, I am defended all the time beside him. When I remember changing medicine, I take out tall ooze brine that momently, the eyes that the director sees me is different, what didn't he say, but after I feel wherefrom, he begins to often come in and go out the ward of this patient, begin to ask a family member, comfort, encourage, company. . . . . .
02Everything improves slowly, however. . . . . .
The 5th day begins, the patient is burned retreated. He begins to be able to have a thing, when seeing me, also breathe out breathe out the ground to grin.
His son is very happy also, do not have a thing to chat a little with me, make me much rest notice the body!
The sense at that time is really good, be like us is a family, we are defying with Azrael together, fight side-by-side together, be in hard together.
The patient is admitted to hospital a week: I see he can sit up slowly, there is some of effort on the body.
The director reported this thing, the dean finds me, tell me, the problem hospital of charge will coordinate, hospital of occurrence what consequence will assume.
After 3 days, patient again high fever: Gauze viridescent is oozy. Green pus bacili?
This bacterium is infectious, the patient of bacili of a green pus is OK whole ward other the patient that has cut is affected entirely. After taking secretion to foster fortunately, the heart that lets me be being hanged as a result fell down, not be green pus infection.
I realize this moment two problems: Environment and nutrition.
The period of patient be in hospital is in summer, arrive every time his ward is fitful effluvial, and the fly that can see flitter.
I went out to buy a flyswatter and a lot of fly are stuck, everyday I much a thing -- hit fly.
Old man looks at me to taking flyswatter to chasing after fly, grinning, laugh so that follow a child like.
The thing that I discover to he eats is steamed bread, noodle is mixed a few Lenten, nutrition of basic that's all right. A few dish and flesh are dialed to give him before I have a meal every time then, I remember my that meeting returning him to had bought milk to drink, buy a fruit to eat, the snacks that steals a nurse eats to him.
The 21st day when the patient is admitted to hospital
Patient patient's condition is stable, achieve oozy drop off, the effluvial little of ward drops off, fly also is hit by me it seems that absolutely.
Patient son back will pare the sheep of good skin sends me only, that is I accept a gift for the first time, I close. Next the hospitalization expenses that I went to place of be in hospital buying 1000 fund to the patient, I was carrying a sheep on the back to come home that day. . . . . .
The patient is admitted to hospital the 22nd day
I come home rested one in the evening, return a hospital to prepare to change medicine to him again afternoon the following day, but cannot find him in ward however. I am confused, think give what job.
The nurse tells me, because change medical room to have,that is other doctor is changing medicine to him. I am a little amazed at that time, because of this patient, the senior fellow apprentice in I and division has some of fall out with sb, did not think of to push the door of the room that change medicine, I see two senior fellow apprentice are changing medicine to him.
"Think you are absent really we without giving thought to? Never mention it, you this many days 20 change medicine to return really effective fruit, when achieving a face to come than him now much stronger, when changing medicine again next time, you want to notice. . . . . . " there am me by the side of the operation side senior fellow apprentice.
I know the effort of my these days got them approbate, I feel I am not an isolated force fought bravely at that time!
03Again with Azrael race
The patient is admitted to hospital the 40th day
The nurse called to me that day say old man has an accident: Spontaneity is arachnoid next antrum bleed (the quantity is little) .
I am hated at that time, why is old day so inequitable to him? Be one disaster after another really.
Need head decides the operation treats plan treats this disease after angiography, but the charge of high specified number adds old man present body circumstance, last family member decides: Guard cure. Wherefrom day begins, my heart was hanged again rise.
Next two weeks:
Every other changes medicine 3 days, because oozy decreasing, the moment that change medicine my movement is smaller, be afraid that stimulation produces the haemorrhage inside aching and aggravating skull, I am expecting the haemorrhage inside patient skull not to increase again, absorb quickly.
70 days after the patient is admitted to hospital
The haemorrhage inside skull did not increase further, the bit by bit was absorbed, we won. The small shop in hospital doorway drank I and his son blotto that day.
He left hospital eventually, charge is less than 30 thousand
After the patient leaves hospital a few days. The son carried a sheep on the back again, I put 1000 money stealthily to be in cash pledge of be in hospital again, I discover be in hospital of 90 days at that time, cost a patient to be less than 30 thousand money.
I looked for a restaurant to take the sheep that day, person of whole in the evening family has a meal together, I cried, my master cried, the nurse also cried a big, I drank blotto again.
I came home to lie 2 days fully, not any disturb, dependable after-thought is worn the thing of these 3 month happening. . . . . .
The meet again after 10 years: Part forever
Today, I saw him again, that old man 10 years ago.
He is thinner, identified me, he is facial of scald achieve a face I still remember dimly, he lies on the bed of rescue room, the son also was owning me aside.
"10 years, you make my father much vividder 10 years, this my pa may be washed-up really, the doctor says the immortal also cannot save him. " say the edge is shedding a tear by the side of him.
"Arterial interlining, defeated. Estimation is very fast. . . . . . ..
By the bed that I return old man, I so beside sit in him, I am playing his hand, his son is playing another hand. I touch the face that he is scar completely for the first time with the hand that does not wear a glove, my tear is flowing all the time, the son cried, the old person also cried.
He " ah, ah " voice is smaller and smaller, hematic oxygen was dropped, blood pressure was dropped, electrocardiogram shows finally for linear. . . . . .
Doctor Gao Wei writes finally: Old man, make me final please again such appellation you are one. 10 years ago, you had not said a word, besides " ah, ah " laugh namely. But do you know?
My experience 10 years ago is scant, what save you truly is not my technology, however I the portion is then enthusiastic at that time, then the portion holds to, that is persistent, the son that is you and you makes me clear how become a good doctor to my accredit.
The persistence that is young doctor is touched, also be the real situation between doctors and patients to touch.
Life has a miracle, accredit is all the first pace.
