Eva, Kline's agent and wife, is not a simple woman. Qin Chuan and others quickly understood her toughness. Kline is a star player in the American NBA, otherwise there is no need for a special agent. There is
A star-level husband, Eva is naturally beautiful and has developed the habit of bossing around. Wherever she goes, her aura is quite strong. In addition, she is familiar with legal provisions, and she always sends out "letters" at every turn.
If you don’t believe it, I’ll sue you.”
There is a Chinese saying that good fortune never comes in pairs and misfortune never comes alone.
Spacey didn't know what kind of bad luck he had encountered. Before one trouble was over, another trouble had already come to his door.
Collins was still half-dead and relying on instruments to survive, but Eva had already rushed over in a hurry. As soon as she saw Collins lingering under the intubation, she immediately had a seizure.
"Who did it? What right do you have to do this? You are finished! Let me tell you, just wait for the court summons!" Eva is already in her thirties, several years older than Collins. With all
Like many Western women, when she is a little older, she completely relies on thick foundation to show her beauty. From a distance, it looks so-so, but up close, it is really terrible. Frequent smoking has made her teeth yellow and even black. Her glasses.
When he was buckled in, he looked a little cautious when he got angry.
Spacey's eyes darkened and he almost fell over. This brother was really hit hard that day.
"Is there a problem?" Qin Chuan asked.
"Who are you?" Eva was slightly stunned when she saw the Chinese in front of her.
"I am the doctor here. Your husband has just been in trouble. We are trying to find ways to treat him." Qin Chuan naturally tried to mix the water as much as possible.
Eva is not a very understanding woman. Generally, women who are keen on dressing up and obsessed with luxurious clothes are full of confusion. Being so confused by Qin Chuan, she has forgotten to ask about Qin Chuan's identity.
Okay. Anyway, Qin Chuan is wearing a white coat.
"My husband's medical record clearly states that DNR, do you know what it means? That is, when his breathing and heartbeat stop, resuscitation is not allowed. My husband is a substance abuse consultant. He is very opposed to disregarding the dignity of the patient.
The body of the meaning of life is kept alive by machines. I am his executor. If you want to rescue him, you must seek my opinion." Eva said in an instructive manner.
"You also forgot one thing. Dnr can not be applied at any time. Dnr is meaningful only when it is medically meaningless. We believe that Collins, who is only in his early thirties, is far from the time when he has no meaning in life. He
Although the situation is serious, it is not impossible to reverse it," Qin Chuan said.
Eva was dumbfounded now.
Qin Chuan did not give her a chance to come to her senses and said first: "In addition, since you are the direct beneficiary of Collins' estate, even if you exercise your will, we can insist on putting the patient's life first.
Rescue Mr. Collins. Because your behavior may be affected by selfishness due to certain circumstances."
Qin Chuan's words made Eva react greatly.
"What are you talking about? Collins and I have always been in love with each other. How could I wish for him to die? But his physical condition is indeed very bad. Aren't your doctors also at a loss what to do? Otherwise, why would you want to carry out resuscitation?"
In her eagerness, Eva grasped the key.
"We have been working hard. Collins' situation is indeed very bad. But we have found an effective method. I believe we can stabilize Collins' situation and even reverse his condition." Qin Chuan arrived.
At this point, we can only continue.
Linus wanted to interrupt several times, but Qin Chuan got the better of him and blocked his words. This made Linus very distressed. He is the attending doctor in the ICU. If something goes wrong with Collins, he
The attending doctor cannot escape responsibility. He originally wanted to put all the blame on the trainee doctor who performed the rescue. Linus has actually given up on Collins' treatment. He has no hope that Linus will recover.
But before Linus could speak, Eva had already put down her harsh words: "You'd better make Collins get better, otherwise you have to wait for the court to transfer the order. I have recorded everything I just said.
And you, the doctor, I remember you!"
Eva clicked her cell phone to take a photo of Qin Chuan, then turned around and twisted her graceful body towards the door of the ward. The only sound left was the crisp clicking sound of her high heels on the ground.
"It's over. I may never be a famous American doctor in my life. Collins has become like this. Can he recover?" Spacey said with a sad face.
Emerson and others quickly comforted Spacey.
"What are you talking about? The pressure is all on me now. Hey, do you really have experience in treating Collins' disease?" Linus asked nervously.
Qin Chuan shook his head: "Honestly, no."
"Then why did you say you had treated this disease before? Aren't you harming me?" Linus glared at Qin Chuan angrily.
"There will definitely be a treatment for any disease. Isn't it a good opportunity for our doctors to encounter such a case? Why not work hard? Maybe we can cure this patient. I just saw Gram
Lin Si's medical record shows that he is only 31 years old. If it were not for injuries, he might still be active on the NBA court. For such a patient, do we have to give up on saving him because of a DNR rule?" Qin Chuan asked.
"No, this is not China. This is the United States. All treatments must comply with the law. Otherwise, you will be severely punished by the law." Linus lost his tone towards Qin Chuan.
"No. You are wrong. I have a very thorough understanding of the law in this area. DNR should not be applied to Collins' situation at all. And Eva is even less suitable to be his executor," Qin Chuan said.
"Then tell me! What should we do now?" Linus had no patience.
"I have reviewed Collins' condition. I think the most important thing at the moment is to stabilize Collins' condition first, so as to buy us time. If Collins can wake up, maybe we will face a difficult problem.
Everything will be solved easily," Qin Chuan said.
"He's like this? How can you save him? I really don't know why you want to hurt me like this." Linus said angrily.
"Okay. You should continue to trust me and inject sodium bicarbonate into Collins." Qin Chuan said.
Sodium bicarbonate is the main component of the blood buffer system, but intravenous injection of sodium bicarbonate in emergency medicine is a highly controversial issue. Sodium bicarbonate can effectively buffer strong acids in test tubes and increase the pH value of the solution. However,
It is not a simple chemical test when used in the human body. First of all, hydrogen ions cannot pass through the cell membrane freely, but the carbon dioxide produced by the neutralization reaction of sodium bicarbonate can diffuse freely. Intravenous injection of sodium bicarbonate will produce a large amount of carbon dioxide all at once, and it cannot be exhaled in time.
The feces will enter the cells. The potential danger is that the blood pH improves and the intracellular acidosis worsens. Secondly, sodium bicarbonate contains a high amount of sodium. Sodium is the main ion that maintains blood volume through osmosis. Intravenous injection of sodium bicarbonate
This will inevitably cause a sudden increase in circulating blood volume. Collins has stopped urinating, and his heart function is not good. The expansion of blood volume will almost certainly worsen the pulmonary edema.
"You are committing murder! If you do this, it will hasten Collins' death. No, I decided not to do this." Linus shook his head repeatedly.
"Is there anything worse than the current situation? At this point, it's impossible to cover everything. If you still look forward and backward at this point, you can only make mistakes. You are the attending physician. Don't think that Spacey performed the rescue and violated the rules.
But you have to know that when Spacey came here to intubate the patient, you were not here at all. You were the attending physician and the doctor on duty. However, our trainee ran from the fifth floor to the tenth floor, and you, the doctor on duty
But he hasn't arrived yet. Spacey didn't see the medical records at the time, so he had no fault." Qin Chuan also got angry.
After hearing Qin Chuan's words, Spacey's spirits were lifted.
"Dr. Linus, although Qin is only an intern, he has already been the attending doctor in China, and his clinical experience is richer than you. Why can't you listen to Qin's opinion?" Deborah asked.
.
"Dr. Linus, now the patient's life is in your hands. We don't have much time. Collins' situation is almost desperate. If the vicious cycle cannot be broken, it will only get worse. His time
There is not much left, we cannot sit still and wait for death," Qin Chuan said.
Linus closed his eyes, opened them after a while, and said decisively: "Notify the renal department to prepare for emergency dialysis, and inject 150ml of sodium bicarbonate followed by continuous drip."
After saying such a simple sentence, Linus's forehead was already covered with beads of sweat. This was the most difficult decision he had ever made since he started practicing medicine. He had been pushed to the edge of the cliff by Qin Chuan and could only make a desperate move.
Qin Chuan also breathed a sigh of relief. He has never handled this case, but he has seen it. In the [Genius Doctor] system, all kinds of strange cases will appear. Qin Chuan has personally treated this kind of case in the virtual treatment room
Case. Although this treatment method is very risky, it is the most effective method at this time.
"The patient's blood pressure is increasing." Alyssa told everyone the good news. As the pH value of the arterial blood was corrected, Collins' blood pressure began to improve significantly.
Immediately afterwards, six hours of dialysis improved Collins' bacteremia and fluid retention. (To be continued)
