Inspirational Story: Life in the Emergency Room

Inspirational Story: Life in the Emergency Room

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I worked as a teacher in medical college for five years, so I applied for graduate school because I wanted to be a doctor.

Why do you want to be a doctor? In the 1980s, I went to the hospital as an intern and saw that many people were suffering from diseases. Doctors could relieve patients' pain. I think the profession of doctor is sacred.

A few years later, I graduated from graduate school and became a hematologist in a 3A hospital in Hangzhou. In order to lay a solid foundation as a doctor, I went to study for a doctor, majoring in hematology. Later, the hospital transferred me to the emergency department as the department director.

I worked hard in the emergency department, but I got a lot of affirmation. I got it? Hangzhou Top Ten Medical and Health Youth Hangzhou May 4th Youth Medal Zhejiang Excellent Youth Guardian? I'm sorry to say this, but I'm simple. I just want to be a good doctor.

It can save lives, but not the soul.

The emergency room is only a few hundred square meters. Here, the reversal of life and death is sometimes just a moment. Here, "Where are you going" is staged, and everything that happens is strange. Great sorrow or great joy face human nature and reflect the epitome of big society.

One day, an old man came in a taxi. He had a cardiovascular accident and stopped breathing and heartbeat. Accompanying the old man is his wife. Our side is busy getting through the airway, chest compressions, opening infusion tubes, and nervous rescue. My wife is asking us to save lives while ensuring that patients can work as usual. At that time, we thought, we have never seen anyone make such a request at such a critical time.

The old couple are senior engineers. This man has been working since he retired. He is over 70 years old and hasn't had a day off. On the morning of the incident, he went out as usual. As soon as he arrived at the gate, he felt chest tightness and shortness of breath, and fell down before he walked home.

After the rescue, the vital signs of the elderly were basically stable, but their consciousness was unclear. The next day, their daughter was called back from Shanghai. She told us that she had to go to work and could not take care of her father. The old lady also told us that I couldn't take care of him. ?

We didn't know what they meant, so we told them that the old man was in stable condition for the time being, but needed to be hospitalized. The old lady suggested that all kinds of rescue intubation should be unplugged. It is rare for a family member to give up an old man in his seventies decisively like this. This may have something to do with ideas, and I am beyond reproach.

But what the old lady said next surprised me. ? He lives like this, he suffers, and I suffer. Besides, he can't work, isn't that useless?

In the eyes of relatives, the value of his life is only for work, and I feel sorry for the patient.

People are really different. There is an old lady who comes to the emergency room with her wife every year. My wife is over 80 years old now. /kloc-She had a stroke 0/6 years ago. Since then, she has been paralyzed in bed for a long time. The whole person is bent into a ball, unable to speak, unconscious, incontinent and unable to eat. She must grind the food into a paste and stir it in with a stomach tube.

The old lady served 16 years, and was afraid that he would be infected by long-term catheterization, so she sewed a urine bag for him herself. The cloth belt is so soft that it won't hurt him or stain him. In her eyes, the old man just can't talk and knows everything in his heart.

There is delicious food at home, and she wants him to taste it every time. The old woman said that a person experiences the ups and downs of three meals a day. When she feeds him, she always says, eat, eat! ? She thinks that when the world is cold, the old man can always suck up a taste. However, most elderly people can't swallow, and their lungs choke and cough, ranging from mild to severe aspiration pneumonia, and they are sent to the hospital for rescue.

Every time we tell the old woman not to feed her from her mouth in the future, the old woman always says: When he was young, he was very bitter. His children have just made a fortune, and our life is just getting better. He has this disease. ?

The story of the old woman and her wife continues. I'm afraid people nowadays can't learn such feelings.

People are different, and the weight of life in different people's hearts is different. Being a doctor can save lives, but not hearts.

The ease of life

There is no turning back in life. No matter how advanced medicine is, there are natural laws of birth, illness, death and illness, which cannot be saved by a doctor with good medical skills. Some patients have only seen a doctor once in their lives, and the medical record is only one page, but this page is the death record. If you can save your life, what can you be more proud of?

On a hot day three years ago, when the ambulance arrived, the patient had no breathing or heartbeat. The doctor on board said that they had no vital signs when they arrived. For such patients, we usually have to rescue them, not for anything else, for one percent or less of the hope of survival, but also for morality.

This Anhui young man, after 40 minutes of cardiopulmonary resuscitation, recovered his heartbeat and breathed weakly. What is CPR? This is continuous chest compressions and advanced life support and mechanical ventilation. Especially chest compressions, a young and strong doctor, 15 minutes later will be sweating like a pig. The pressure should not be too heavy or too light. If it is too heavy, it will break the ribs, if it is too light, the heart will not jump.

In the evening, we three doctors and three nurses stayed up all night. In the middle of the night, the young man breathed twice again, and his heart suddenly stopped beating, which was saved by us in time. He is still young, and we have great hopes. All night, we didn't dare to be careless, because the breathing curve on the monitor has been unstable and sometimes it is not practical.

At 9 o'clock the next morning, 15 hours has passed. Just when it seemed stable, the young man's breathing and heartbeat suddenly stopped. This time, no matter how we rescued him, his heart failed to beat again.

Looking at the screaming family members and our exhausted doctors and nurses, I only feel sad and tears are about to fall. This kind of situation rarely happens to me, and it is a bit unfair, because all our fatigue and efforts have not been rewarded at all, and life has gone so gently.

Although these lives are only one page in the medical record, they have left a deep imprint on my heart.

Remember what a scientist said? Medicine is a science without truth? . I will think about lingering cases, hoping to find more personalized and appropriate methods, such as rescue plan, dosage and other details. If I were bolder, could I save their lives?

Doctors must be calm and rational.

Some people say that doctors have a heart of stone, but they don't know that being emotional is a taboo for doctors. In the face of the sudden typhoon 12, doctors are generals in the eyes of the wind and must be calm and rational.

Ambulances are mostly patients whose lives are hanging by a thread, and life and death are in an instant. Patients usually have difficulty speaking. What we see with the naked eye is only superficial symptoms. We must try to get rid of the cocoon through appearances. Sometimes only 10 seconds and 20 seconds are left for the doctor to think about, and the doctor should make a relatively accurate preliminary diagnosis and make emergency treatment in a very short time.

At this time, we are usually expressionless, but our hearts are surging.

The patient is only 36 years old. He came out from Guizhou to work. He knew he was dying. He called home the day before and told him to set up a mourning hall and wait for him to return.

The next morning, before buying tickets, people here were out of breath. The ambulance arrived, and we had a little inspection. The patient was diagnosed with respiratory failure caused by severe tuberculosis. We performed tracheotomy, intubation, establishment of venous access, stabilization of vital signs, stabilization of blood pressure and rapid rehydration on the spot, and immediately invited doctors from relevant departments to consult, quickly worked out a treatment plan and conducted 24-hour monitoring.

His wife has been kneeling there since we started the rescue.

They have two sons, the eldest son 10 years old, and the younger son was pushed into the pond and drowned while playing. Because of their sadness, the couple left their hometown to work. Most of the work is manual labor. This man is ill, so it is quite difficult to find a job. He went to many cities and finally arrived in Hangzhou. He has never found a job in Hangzhou, but his illness is getting worse and worse, leaving only 40 yuan money on him.

In the face of such patients, each of us has a heavy heart, and the medical expenses and critical illness have overwhelmed this family. I told my colleagues that we must find a way to save him, at least let him go home alive.

On the third day, let alone the cost of treatment, they even became a problem to eat. First of all, our head nurse brought them food from her own home, but this is not a long-term solution. After discussion, we decided to launch a donation in the department. Donations like this are commonplace for us, and no one will think it inappropriate. Later, the scope of donations was extended to the whole hospital, and then through the media, some people in the society also donated money.

After the patient's family got the money, they gave it to the hospital as a treatment fee. I was moved by their simplicity, because we have also encountered such a thing. Some people immediately put donations into their pockets, and medical expenses can be delayed.

12 days later, the patient's tracheal intubation was successfully removed, and he was able to eat, and his spirit improved obviously. By the time of discharge settlement, more than RMB 1 0,000 will be left to take home, excluding medical expenses. This made me feel a little relieved.

15 that day, I asked my colleagues to help me buy a ticket back to Guizhou, and bought snacks on the way to the train.

But I know that this patient's future is not good. If there is no money for follow-up treatment, going back is waiting for death.

How many lives can you save in this life?

One day the year before last, I had just had dinner at home when my cell phone rang, telling me to go to the hospital at once, saying that the situation was difficult. By the way, the doctors and nurses in our emergency room are all the same. The mobile phone was turned on all day, a phone call, and there was nothing to say. They immediately rushed to the hospital to participate in first aid. No matter before midnight or after midnight, they have to go to work as usual the next day. It has always been like this. I leave everything at home to my wife, who is an ophthalmologist and understands me.

I rushed to Corey and found that there were no patients on the rescue bed. The patient sat well when asked. An old man in his seventies is in good spirits. There's nothing uncomfortable about asking.

I saw that his lips were purple, not ordinary purple. It should be severe hypoxia, and the oxygen saturation test is lower than 90%. If this hypoxemia continues, it will cause systemic hypoxia, multiple organ failure and death.

The doctor has been giving him oxygen, but the oxygen saturation has not improved at all. This is no joke. When we left with a beautiful life, we had seen a lot.

For some unknown reason, doctors are afraid to use drugs. There are symptomatic drugs, but the drugs themselves are toxic. If used improperly, it will not only be ineffective for patients, but will make things worse.

The doctor asked again and again, but couldn't find the reason. According to experience, the elderly should be poisoned by nitrite. Poisons generally come from food. For example, salty and moldy things may cause food poisoning. But both the old man and his wife denied eating this kind of food.

In vain, I began to look through the old man's medical records page by page, and found that the old man had an operation for cholecystitis in the first half of the year. Medical records show that the old man refused surgery and took Chinese medicine instead. My heart moved and I asked the old man if there was any Chinese medicine in the prescription that needed to be taken separately. The old man thought about it and said, yes, there is a pack of white powder that needs to be washed separately. ? What is this? Nitrate. That's it! ? I shouted.

I told the doctors and nurses on one side that all monitoring was withdrawn and methylene blue vein was injected. /kloc-After 0/5 minutes, the old man can go home.

As I expected, the blood oxygen saturation rose rapidly to 100% after injection of drugs, and the lip color of the elderly also returned to normal. Our young doctors and nurses said: director, you are great! ? As a matter of fact, I came from Chinese medicine. I heard that old people eat Chinese medicine, so I thought of saltpetre, which is a commonly used medicine for treating cholecystitis in Chinese medicine. The composition of saltpeter is mirabilite, and the content of nitrite is extremely high, which may completely cause poisoning.

I stood at the door of the department that day and watched the old couple walk out of the hospital. I feel a sense of calm satisfaction. The idea came back to me: How many lives can I save in this life?

Still want to be a good doctor?

Doctors in our emergency department have to deal with cardiovascular and cerebrovascular diseases, falls, knife wounds, injuries, drowning and people who commit suicide by taking poison every day. Although we are used to things that are extremely sensitive in the eyes of ordinary people, these things will still have a negative impact on our hearts.

Most of us can't sleep well, but we even have to look at the time of taking sleeping pills. We can't just eat them For example, you should be on duty after midnight and dare to eat before midnight. I dare not.

As we all know, the current medical environment is tense between doctors and patients, and there are too many social factors, which are not caused by doctors unilaterally, but have their social roots. In particular, the crisis of trust between doctors and patients has hindered doctors' innovation in patient treatment. Be sure to communicate with your family at any time and ask for advice repeatedly. To some extent, we have lost the initiative to save patients.

We once saved a patient, coronary heart disease, massive myocardial infarction. The tone was gone when it was delivered, but it was saved. Next, stent implantation must be done as soon as possible, but the patient's family just didn't trust us and asked to be transferred.

Later, I went to the provincial hospital. After the operation was successful, the patient sent a banner to the doctor. The doctor told them that the success of our operation was due to the first aid in the hospital before, and their cardiopulmonary resuscitation was quite successful, so we had the opportunity to have the operation. You'd better thank the doctors in that hospital. Later, when the patient sent the banner, he did come and said this sentence.

Sometimes I really want to tell patients' families that no matter what society thinks about doctors and what rumors there are, good doctors must be the majority of the whole doctor group. Which doctor doesn't want to cure the patient? Curing diseases is almost every doctor's ultimate wish. I know no one may want to hear this at the moment, but it's true. Especially when rescuing patients, patients and their families should stand with doctors and trust them, which is good for both patients and doctors.

Everyone knows the hard work and busyness of doctors. Let's not talk about it for the time being. I don't like complaining, because as a doctor, I must be able to bear certain things.

It is difficult to be a doctor, and it is even more difficult to be a good doctor. But as long as I can pull patients back from death every day, that sense of accomplishment is enough to support me to continue to be a doctor and be a good doctor.

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