5 Hesitation Li Min looked at the father and son in front of him, and the hesitation on his face involuntarily appeared.The father, after more than a year of his son's illness, has obviously weakened, and his son is not yet 24 years old.Every time he accompanied his son to dialysis, he saw his son's increasingly pale face, and the long thick needle was inserted into his son's thin arm that had not yet grown, and he hated to replace him.Finally, I waited for a relatively suitable match, and I heard that the operation was still successful, but I thought that less than two months after the operation, there was rejection."
Doctor Li, I know that this is embarrassing for you, so please save my son, he is not yet 24 years old."
When the father speaks, he will kneel.Li Min hurriedly stopped him and didn't let him kneel.What are you kidding, this is on the street, what do passers-by think?
Li Min has a very strange rule, no matter who it is, no patient or his family is allowed to come to the house.In the nurses' station, patients and family members who inquired about Dr.
Li's family were admonished for this.So today, there was a situation where Li Min was stopped as soon as he got off the bus.Li Min knows the situation of this boy.Drenched in rain, cold, acute nephritis, then kidney failure, dialysis for more than a year, irretrievably walking into the transplant queue.As soon as the child graduated from college, he was admitted to the customs, and some units reported the medical expenses in full.His parents, both elementary school teachers, were born before the founding of the People's Republic of China, catching up with the harsh early stage of family planning when men were 28 years old and women were 25 years old before they could have children.The mother is over 50 years old and has no possibility of having another child.Parents have made a match with their children, but they are not worthy.The only son was waiting for a kidney for a year, his health deteriorated, and the physician said that if he did not have a transplant, he would not be able to last long on dialysis, and the parents quickly became emaciated.I don't know who this pair of parents operated, and they were added to the top of the transplant rankings.Li Min stopped his father, but his son knelt down, "Doctor Li, save me, I don't want to go to dialysis anymore, I have to wait in line for my kidneys, and many people in the unit have said that I take everyone's medical expenses." ”Li Min hurriedly dragged him up, although the young man had been sick for a long time, it was still not Li Min who could pull him."
Dr.
Li, my mother is already sick, please save me, save my parents.Our family has asked, and your patient has never been rejected. ”Although Li Min was not responsible for this child, Li Min participated in his transplant operation, and the HLA loci were matched with 4 and the blood type was the same, so it should be said that it was still okay.After the operation, he was rejected so soon and was admitted to the hospital again, Li Min also carefully flipped through the child's various examination lists, read the treatment plan of the doctor in charge of him, and did not agree with it very much, thinking that he had a personal treatment method, and let it go.Now he still adheres to the principle that peers can't tear down the stage and can't say bad things about people behind their backs."
You get up first, like this, we can't talk."
Seeing that Li Min's face was wrong, the boy still got up by himself.The father and son begged each other, and Li Min also felt sorry for the family, if the boy's kidney was irreparable, the family would be, alas, the family would inevitably be ruined.In desperation, she said to the boy's father, "Well, you go to the director of the transplant center tonight."
He is also a responsible person, you can only tell him that you want to transfer the child to the management of a female doctor, be careful, and don't say anything else.As long as you ask the director to change to my bed tonight, I will adjust the anti-rejection plan for your son tomorrow.It's just that you should remember one thing, I still have to work in the transplant center, I don't want to have a bad relationship with my colleagues, and your son's situation is also long-term, so you don't want to do anything bad. ”When the father saw that Li Min agreed, he was overjoyed and thanked him and left with his son.The next day at work, the night nurse at the nurses' station secretly told Li Min, "Dr.
Xie is angry at the director, and tells the director where there are patients after transplantation, and he will not change with the doctor in charge." ”Li Min also quietly asked, "What did the director say?"
”The director said that the family asked for a female doctor, saying that you should be careful.Later, Dr.
Xie snorted and left.Let's go?
Is this the morning meeting is not attended, and the patients are not handed over?
Li Min looked through the night shift records and whispered to the nurse about the results."
What did you do with that boy, and now you're moving me there?"
The nurse hated her, "Sister Li, you are not yet forty years old, how do you look at everyone as a child."
I moved to the intensive care unit. ”"It's Aunt Li.Ten years of ditches, we are almost two big ditches, otherwise I won't introduce the young man from my husband's company to you. ”A few little nurses giggled and called Aunt Li.There was no transplant this week, and the admission to the intensive care unit indicated that the patient's condition was not very good."
How much urine did he have last night?
What about urine output in the last 24 hours?
”THE NURSE PULLED OUT THE RECORD BOOK, "IT WAS LESS THAN 500ML LAST NIGHT, AND THE TOTAL AMOUNT IN 24 HOURS WAS LESS THAN 1000ML." ”"No wonder."
After the morning shift, Li Min went to the intensive care room first, looked at the young man's condition, did a simple examination, went to the nurse's station to open a few emergency laboratory tests, and said to the nurse in charge of the morning shift: "Xiaofang, you tell the head nurse, what I said, you want to let go of other things first, and draw blood for him first, you tell the laboratory that I am in a hurry to get the results."
Then tell the dialysis room to leave me a dialysis machine, and I will take the patient down for emergency dialysis in a while. ”The relationship between Li Min and the nurses was very good, Xiaofang immediately took Li Min's emergency laboratory test sheet to the disposal room to arrange, and Li Min himself went to push the bedside B ultrasound of the department.When I entered the transplant center, I realized how little I had learned before, and how little I had learned to do in the clinic in the north.In the transplant center, most of the clinical examination equipment is equipped here.Electrocardiogram, you can do it yourself for the patient to see the results; The bedside X-machine can be pushed to the ward by itself to do fluoroscopy and spot film for the patient; B-ultrasound does it by itself and makes its own report.Of course, these tests can also be ordered and waited for the specialist to do it, but the results will be available the next day.Even if it's urgent, it takes two hours to four hours.Once a transplantable patient has acute rejection, where can there be two hours left?
After seeing the acute rejection after the transplant, Li Min forced himself to work hard and finally played with these devices.I even went to the dialysis center and stayed for half a year.Now when she takes a patient to dialysis, she doesn't need a dialysis nurse, and she can do it all by herself.In fact, for half a year, she waited for the opportunity of jugular venous puncture, and finally used assisted stoma to master jugular venous puncture.
※※※※※※※※※※※※※※※※※※※※Because there is a message.,Please take a look at it as a small outside ()It's a little far away.