Chapter 2970 Sunshine, and Me
Early the next morning, Zheng Ren came to the hospital with full energy.
For this day, he had been preparing for a long time, and Zheng Ren felt that at least a year had passed.
If you count the training time in the operating room of the system, it really makes people feel like a world away. The complications that can be expected during the operation have been touched countless times, and Zheng Ren has a feeling that he can complete the operation with his eyes closed.
Coming to the special needs ward, Zheng Ren saw a man with a haggard face. He was tall and thin, with dark circles around his eyes.
"Doctor Zheng." Seeing Zheng Ren appearing, the man greeted him enthusiastically, and asked with a smile, "I am..."
"Are you Xiao Shitou's father?" Zheng Ren was actually very surprised that Xiao Shitou's father hadn't appeared all this time. But seeing him now, he could feel some strange feelings from the man.
"Doctor Zheng, you have been taking care of this little stone during this time, thank you for your hard work." Little stone's father said, "I am doing business during this period, and I will go to Africa, where the money is easier to earn."
"Africa?"
In Zheng Ren's impression, Africa is a barren land. Is it very profitable there?
"Yes." Xiao Shitou's father nodded, "Doctor Zheng, I really don't know how to thank you."
"No, is the little stone ready?"
"Ready, the red rope you braided for him is also wrapped around his wrist. You are so skillful, there are 9 buckles on the red rope. Is it the custom of your hometown?"
Zheng Ren was not very interested in this topic, he nodded casually and walked in.
Xiao Shitou's father probably came back in a hurry. The operation is risky, and he wanted to see the child for the last time.
Entering the ward, Zheng Ren saw Xiao Shitou sitting on the bed, struggling to breathe.
Because the fibrosis of both lungs is relatively serious and progressing rapidly, his blood oxygen saturation has not been very satisfactory recently.
The operation can no longer be postponed. I have been training day and night these days, and I have to hurry up for the operation. The main reason is the illness.
Xiao Shitou's condition didn't give Zheng Ren enough time at all. If he followed the usual speed, Xiao Shitou might not be able to make it through that time.
"Brother, you're here." Xiao Shitou said with a smile when he saw Zheng Ren coming in. After only saying a few words, he took a few breaths.
"Yes." Zheng Ren nodded, "Everything is ready."
"Ready." Little Shitou raised his right hand. There was a patient's wristband and a red string on his wrist.
"Then let's go." Su Yun said behind Zheng Ren. He was pushing the wheelchair but asked with a smile, "Can you walk?"
"Go in a wheelchair." Zheng Ren was not interested in Su Yun's joke at all, he said directly.
It is quite important to protect the cardiopulmonary function before surgery and minimize the consumption of some heart energy reserves.
Xiao Shitou wanted to jump off the bed, but he only moved a little bit, and he was out of breath for more than ten seconds before he got better.
"Slow down, don't worry." Zheng Ren wanted to help the little stone.
"No, I'll do it by myself." Xiao Shitou supported the bed, walked to the wheelchair step by step and sat down.
Zheng Ren took the armrest of the wheelchair from Su Yun, and pushed the small stone out of the ward.
"Brother, you seem to be in good spirits. You said that your pre-operative training is just cramming?" Xiao Shitou asked.
"Not counting." Zheng Ren said seriously, "Many details have been perfected, and the possibility of problems after surgery has been reduced to about 10% in terms of probability."
"A patient next door died yesterday." Xiao Shitou said suddenly.
"Oh? What disease?"
"Heart disease." Xiao Shitou said, "It is said that the heart stopped beating when he came here, and he was rescued by ECMO. I heard from the nurse sister that it seems to be fulminant myocarditis."
"Oh? I have an impression of that patient." Su Yun said suddenly.
"What patient?"
"Mr. Zhou said that it was a patient with fulminant myocarditis. After being sent to the emergency department, he was no longer breathing. Several rounds of CPR were ineffective. Later, at the strong request of the patient's family, he was put on ECMO. Mr. Zhou also said that it was meaningless, but he still sent it to the emergency department. EICU."
"Oh, what happened next?"
"It is said that after he was put on ECMO, his ECG monitoring is still in a straight line, but his consciousness has recovered." Su Yundao, "The family thinks that there is still hope, but the doctor has repeatedly explained and various critical illness notifications, but the family thinks nothing is wrong. In order to prevent conflicts, Ye Chu went in the end."
The heart stops beating, but the consciousness is clear. This kind of thing that used to be similar to "miracles" in the past is not a problem in front of ECMO. However, ECMO is an artifact that can bring the dead back to life, but it also depends on the patient's condition.
Some patients are too seriously ill. Even on ECMO, there is a straight line on the ECG monitoring but they are conscious and able to speak, which is nonsense. The underlying disease cannot be cured, so ECMO can only be used to maintain vital signs. You can't evacuate the machine, and it won't work if you evacuate people.
Zheng Ren understood what Xiao Shitou meant when he said this.
"Don't worry." Zheng Ren patted Xiao Shitou's head.
"I heard from the nurse sister that both lower limbs of the patient were black later, and if he didn't give up, he had to amputate. At this time, the uncles discussed it, and the family members cried outside for a long time, and the tube was removed last night." Xiao Shitou was panting. Said.
"Well, according to ELSO data, the in-hospital survival rate of ECMO in the treatment of severe cardiopulmonary failure is 41.4%. The median duration of treatment is 4 days. If the machine is withdrawn at 4 days, the possibility of recovery is relatively high."
Little Stone didn't speak, but tried to turn around and glanced at Zheng Ren.
"Don't worry, I think you'll be able to wake up one day after the operation. But at that time, you need to be calm so that you don't get restless. At this time, you should feel like you're floating in the void." Zheng Ren said calmly, "Then In another 24 hours, if the situation is ideal, ECMO will be withdrawn."
"So fast?" Little Stone was a little surprised.
"Have you already said it? It's always useful to sharpen your gun before the battle." Su Yun said with a smile.
"Well, it's that fast." Zheng Ren said, "The ventilator can't be removed for the time being, and the load on your heart and lungs should be reduced as much as possible."
"So, if you find yourself in that kind of space, you must calm down, don't rush, don't panic, try to breathe calmly. I will wake you up from this state as soon as possible, as soon as possible!"
"I will." Xiao Shitou smiled, "After you said it three days ago, I found some information about meditation, learned it, and thought I could do it."
"As long as you work hard to cooperate, we will leave the rest to us."
"Brother, I can see you when I wake up, right?" Xiao Shitou asked seriously.
"Don't worry, you must be in the ICU at that time, and I'll be watching. When you wake up and open your eyes, you can see the sun and me."