Chapter 2976 Sunny

Zheng Ren couldn't believe that this number was real.

The 100% completion rate of the operation was over, and now it has jumped by 17.2 percentage points in one go on the basis of 110%!

He hesitated for a moment, and immediately realized that it might be the effect of organ transplant specialization.

Every point of organ transplant specialization may increase the completion rate of the operation by 10%, then the original operation completion rate is 96%, after adding 10%, it is 106%, plus the 20% specialization bonus, it is this appalling figure .

Zheng Ren felt that he was already invincible, and the medical team worked together to pile up the completion of the original surgery crazily. In the end, he could only express his satisfaction with the result, very satisfied.

"Boss, why do I feel that ECMO can be turned off? Is it an illusion?" Su Yun turned and stepped off the stage, looking at the latest blood gas analysis value and asked suspiciously.

"Su, if it were my patient, he would definitely not go down with ECMO." Dr. Charles glanced at the test sheet and expressed his point of view.

Zheng Ren hesitated for a while, and finally said, "It's better to take it down. I'll see the situation and stop it a little bit."

Su Yun looked at the various machines with some anxiety.

Ventilators, monitors, 5 micropumps connected to the carotid and radial arteries, and infusion fluids connected by three links, and then there are two chest bottles, ECMO and liver dialysis equipment.

This point was ignored before, and Zheng Ren had never practiced it in the operating room of the system. After all, the operating room of the system is just pure training, and success is success. It doesn't seem like reality, and there are so many troublesome things.

After the operation is successful, with so much equipment, how to send the small stone back?

An elevator room definitely couldn't hold so many things, and Zheng Ren couldn't do anything about it. I was thinking about how to complete the operation smoothly before, but I didn't expect that there would be difficulties after the operation.

"Wait a minute, the plasma exchange device can be withdrawn first." Zheng Ren hesitated for a while, and began to give the doctor's order.

Xiao Shi passed through the acute liver failure period, and his bilirubin has dropped to an acceptable value. One time of adsorption of bilirubin plus plasma exchange, weaning is also reasonable. If it doesn't work after you go down, you can get on the plane again. This is the best choice.

Zheng Ren glanced at it, trying to find a small round stool to sit down and watch.

Through the leaded glass, he was surprised to see that the operating room was already overcrowded, with 20 people standing densely, like canned sardines.

The airtight lead door opened, Zheng Ren walked out, and a wave of heat came oncoming.

"Boss Zheng, congratulations!" Vice President Yuan said with a smile.

"Dean, why are you here?"

"For such a major operation, Ringer will definitely report to me. Let me take a look and coordinate. You really prepared well, there is no accident." Vice President Yuan smiled.

"It's okay, it's okay, luck is better, the operation went well." Zheng Ren took off his mask and took a breath.

"When will the patient be sent back?"

"We have to wait a bit, it may take up to 2 hours in the operating room." Zheng Ren said, "There are too many pipes and machines on his body, and he has to be withdrawn before he can be sent to the ICU."

"It's okay, I only arranged this operation. If you don't feel tired, Boss Zheng, you can wait here for a few more hours and observe more. No one will compete with you for the operation room." Director Xu said with a smile.

Zheng Ren's heart moved, and he smiled slightly, "Director Xu, then I won't be polite."

"Boss Zheng, why are you so polite about such a major operation?" Director Xu said with a smile, "The most important thing is that the patient can step down safely and recover smoothly."

With Director Xu's words, Zheng Ren was even more supportive, said a few words politely, and turned back to the operating room.

"Boss, are you going to shut down the ECMO before going down?"

"Well, I was in the operating room for 6 hours of observation. If possible, I would withdraw ECMO before going down." Zheng Ren said with certainty, "There should be no need for a second operation. The aseptic conditions here are sufficient and the resources are abundant. observe."

Everyone knows that the operating table in the operating room is the most suitable for observation, but there must be a condition that it is not. During the operation of 912, these are all resources. In order to ensure the smooth progress of this operation, many people worked silently.

Not to mention the needs of other departments, generally speaking, after the operation, there are at least 10 doctors and nurses around and an operating room is occupied. This kind of thing is only dared to think about it after the dean and the director of the anesthesiology department gave the green light. Before that, Zheng Ren didn't have this concept at all.

After he finished speaking, he found a small round stool and sat in the corner, watching the Shays wipe the surgical instruments.

"Yi Ren, I am going to observe for 6 hours."

"Understood, I won't go down, I'll clean up and disinfect the operation box first." Xie Yi said crisply.

"Boss, when will the ventilator be removed after going back?"

"Don't worry, let's take it for 24 hours first." Zheng Ren said, "ECMO can be offline, which has exceeded expectations."

"Today's operation is really good." Su Yun said happily, he can also feel that the degree of completion of today's operation is quite high, but there is no specific value given by the system panel.

"Well, it's done well, and the situation is better than expected. The 3D printed organs have no rejection, and there is no need for oral anti-rejection drugs after surgery. This is also a very important point."

"Zheng, are you really refusing to go to Mayo?" Dr. Charles looked around at the values ​​of each device, and had his own judgment in his heart, the operation must be successful. But the more so, the more regrets he felt, the doctor came to Zheng Ren to persuade him one last time.

Zheng Ren quickly stood up and said apologetically, "Doctor, if you want to see me undergo surgery, I can fly directly to Mayo when I have time."

He refused very simply, and Dr. Charles sighed slightly.

Zheng Ren sent the doctor out of the operating room with a smile, but instead of sending the doctor out of the gate, he asked Su Yun to send him, and told Wen Xiaonuan the news of the successful operation.

The operation went smoothly and the degree of completion was extremely high, but the small stone was still lying on the operating table, so you must not be careless.

If something happened, but he was not there, the rescue would be delayed, and there would be nowhere to cry.

Sitting on the small round stool, Zheng Ren looked at various values. With the replacement of bags of blood plasma, Lao He was still monitoring blood gas, liver and kidney function.

Soon, Su Yun came back.

"Boss, Sister Wen sat down on the floor after hearing the news of the successful operation." Su Yun said.

"Oh, she was too nervous." Zheng Ren didn't focus on this. He was calculating the value in his mind, and suddenly asked, "What do you and the doctor mean?"

"Which sentence? Is the population aging?"

"yes."

"There is a game called Plague Inc., have you played it?"

"Such an anti-human name?" Zheng Ren frowned.

"It's a strategy game with the theme of infectious diseases developed by Ndemic Creations, an independent game studio in London, England." Su Yundao, "I don't think it's that simple. This game is interesting. If you have time, you can find it and play it."

Zheng Ren stared at the various values, and casually chatted with Su Yun, saying that games are better than driving in the operating room.

"Why isn't it simple?"

"As you said, anti-humanity. I think those capitalists have long thought of using the plague to change the aging society, and let everyone get used to it. The game setting is a bit interesting, like Ebo Viruses are not strong, and there is no way to infect all humans. Boss, if you design a virus, what are you going to do?"

"It's definitely a long incubation period. Whether the outbreak is severe or not is secondary. It's better to slow down the onset so that everyone will slack off. But when it reaches a certain level and it erupts directly, the words will spread the most." Zheng Ren was very casual. Said.

"Yes, this is the only way to conquer Greenland. I have contact with a friend in the P4 laboratory in the United States, who studies various viruses, but I always feel that the flu every year is related to research."

"Don't talk nonsense, it's impossible," Zheng Ren reprimanded.

"Hey." It's rare for Su Yun not to raise an argument. If he did, it would be too anti-human. It would be a criminal, not a bully.

Let's change the subject, Su Yun is just guessing, not sure. And this idea is really too anti-human, even Su Yun can't draw such a picture with the most unconstrained and darkest ideas.

"Little Shishi has picked up another life?" Su Yun looked at the various values, and spoke briskly and joyfully.

"Almost. According to the current indicators, ECMO can be withdrawn after more than 5 hours."

"That's good." Su Yun wandered around, feeling bored in the room, and ran out to find someone to chat with.

The blood gas, liver and kidney function are measured every half an hour, and the values ​​are continuously improving.

After 4 hours, the liver dialysis equipment was removed.

After 6 hours, ECMO was withdrawn.

With a ventilator, monitor and a bed of micropumps, the medical team escorted him back to the ICU.

Sitting in the intensive care unit, Zheng Ren stared at the values ​​of the ventilator and monitor. Monitoring tests have been reduced from every 30 minutes to every hour.

The values ​​of the small stones were stable, the scary high total bilirubin during the operation also returned to the pre-operation level, and the values ​​of the kidney function were all OK, so there was no need for dialysis or other equipment.

After the ECMO was withdrawn, the replaced lung started to work with the assistance of the ventilator, the blood oxygen exchange was good, and the blood oxygen saturation was maintained between 98-100%.

"Boss, are you no longer worried about smoking?" Su Yun asked with a smile.

"Can you have a lung transplant at any time? Are you talking nonsense?" Zheng Ren said, "Don't think about surgery, take good care of yourself. What about smoking? You should smoke less if you can."

"Maybe the whole body will be replaced in a few decades, but looking at the research progress of neurology, if the memory can be replaced, human beings will be immortal." Su Yun said.

"No, before conquering tuberculosis, everyone thought that there would be no such serious diseases in the future, but look at cancer. After conquering cancer, there will be other diseases in the future. This is a never-ending battle."

"Don't think too much, shouldn't we celebrate this?" Su Yun smiled.

"Little Shitou doesn't need a ventilator to assist his breathing. After leaving the ICU, we should go back to Haicheng." Zheng Ren said, "I miss Director Pan."

"It's the Chinese New Year, so you plan to have surgery around the clock this year?" Su Yun asked.

"It's a normal holiday, whoever has nothing to do will come to the hospital during the Chinese New Year."

"This year's Chinese New Year, do you want to spend it with Uncle Ning?"

This bastard Su Yun is really annoying, if he is nice, he won't say it well! The operation was successful, a very happy thing, why did he have to mention Uncle Ning.

But now when I think of Uncle Ning, my first thought is not the majestic image of the Pengxi Township Hospital controlling the situation calmly and without anger, but the appearance of the little old man who couldn't seek medical treatment in Sweden.

It seemed that there was nothing to be afraid of, Zheng Ren smiled.

Thinking about it, Zheng Ren was a little dazed. Uncle Ning, this year we celebrate the new year together with Uncle Ning, we have a reunion dinner and set off firecrackers... This feeling is really strange.

Strangeness is strangeness, but it is still very warm when you think about it carefully. Zheng Ren smiled, he subconsciously wanted to accept the concept of family.

"I'm going to lie down for a while, call me if there is anything to do." Su Yun made a gesture of calling, "If you are tired, tell me, we will change shifts."

"Yes." Zheng Ren nodded.

After Su Yun left, Zheng Ren looked at the little stone lying on the hospital bed with a smile on his lips. The icu of 912 is still relatively backward. It is said that it is a transformation, and it is estimated that the construction will not start until the spring is warm.

Will I be able to use the new icu by this time next year? Zheng Ren looked at the little stone, thinking about the appearance of a brand new laminar flow ICU in a ward for a critically ill patient.

If it is that kind of ward, it can reduce the amount of antibiotics used by patients after surgery and reduce cross-infection. It is estimated that one day of antibiotics for severe patients after surgery is considered very serious, and generally they will not be used.

When I went to Mayo, I could have first-class diagnosis and treatment machines, and I didn’t have to piece together an intraoperative liver dialysis machine before the operation.

But can that be the same.

Zheng Ren never considered this matter at all. The main body of medical treatment is the patient, not the machine.

If his words were all about doctrine and his heart was all about business, Zheng Ren would have gone to Hopkins a long time ago, and the conditions there are no worse than Mayo's.

But Zheng Ren really doesn't like the medical treatment in the United States, even Sweden, which claims to have universal medical insurance and free medical treatment.

Logically, the number of doctors determines everything. With their doctor's working hours, can they do all that they imagined? joke.

The matter of Uncle Ning pulling out the fishbone and Wu Hui's perforated appendix were not done, and the matter of conservative treatment and waiting for the second-stage operation was something that Zheng Ren could touch.

The level of medical treatment there is high, but that's... In Su Yun's words, it's for the capital. The door of Mayo is always open, rich people go for medical examinations in an endless stream, and there are many domestic capital tycoons.

Indeed, that is a top resource.

But all of this has nothing to do with ordinary people. People like Wu Hui are misdiagnosed and mistreated...

Just as he was thinking, his shoulder shook and there was a snap.

"Boss, what are you thinking about?" Su Yun asked.

"Looking at the little rock."

"I asked what was going on in your head."

"Emmm, I'm thinking about rejecting Dr. Charles." Zheng Ren said with a smile.

"Boss, have you thought about it before? The doctor has never communicated with you. You refused too simply, and there is no room for maneuver."

"I never thought about it." Zheng Ren said flatly, "Maybe it's an instinct."

"I guessed that you would definitely refuse based on your sexuality, but I didn't expect you to refuse so simply." Su Yundao, "What does instinct mean?"

"Do you still remember the day when the emperor felt the earthquake?"

"Well, I remember Fugui'er standing under the car and asking us what to do if we don't come back." Su Yun said with a smile, "What to do, what else to do."

"That's right." Zheng Ren said, "All kinds of voices on the Internet usually feel like they are finished. Whenever something happens, they will naturally gather together. Maybe it's this kind of sex."

"Ha." Su Yun suppressed his voice and laughed, "What did you think at that time?"

"I didn't think about anything, I just thought that even if I die, I will die in Rongcheng." Zheng Ren smiled, "But it's good to come back alive. I hope the weather will be good and the country will be safe and peaceful. But if it happens again, I won't be able to go to the front line if I am not in China."

"I thought you were going to say the same old thing again, saying that the domestic medical conditions of the same level are the best, and you are telling the truth. Let me tell you, you can easily be beaten to death if you say that."

"Medical resources are scarce resources. If we want to be fair, we must advance in science and technology. There are too many reasons to think about it." Zheng Ren shook his head slightly, "And doctors are always blamed, no matter how much wronged they suffer. , you see, if there is a next time, there will definitely be countless doctors and nurses rushing up."

"I remember what a netizen named Xianyun Yehezhihe said was very reasonable. Every time there is a catastrophe, there are medical staff. This is a group of people who can sing and cry. But this group has no sense of existence like a painting fan. Like a stray dog, or like a mouse crossing the street."

"Hey, that's an apt description." Zheng Ren smiled indifferently, "Anxious like a bereaved dog, anxious like a fish slipping through the net."

"Why do you say?"

"I'm taking the blame, and everyone thinks... emm, do you still remember that an old professor at Tsinghua University was cheated out of more than 10 million yuan, what did everyone say?" Zheng Ren asked suddenly.

"Well, the public opinion at that time was why a teacher has so much money!" Su Yun shrugged and said helplessly.

"Yeah, shouldn't it be?"

"Later, an old professor from Tsinghua University went to Maryland, and the trend of public opinion was to improve salaries and retain high-tech talents. I think the two groups are similar, and turning faces is faster than turning books."

"Everyone wants to be the best in life. It's easy to understand. It's like medical treatment. Uncle Ning couldn't get it out after 24 hours of hard work in Sweden. Most of the voices in China are that a fishbone costs dozens Medical fees?"

"Boss, I think you have lost respect for Uncle Ning since the fishbone incident." Su Yun said with a smile.

"Don't talk nonsense." Zheng Ren looked at the various values ​​on the instrument slowly, chatting with Su Yun.

"I really think the US medical system charges very reasonable fees. For example, let's make a ureteral tube gravel, which costs a few hundred dollars. The US costs tens of thousands, which is still US dollars. I don't know. It's a shock. "

"Don't compare, it's meaningless." Zheng Ren said lightly.

"That's what I'm talking about. The survival of our domestic medical system depends on this. When there are more and more private hospitals, use the siphon effect of the economy to attract people to private hospitals, hey!" Su Yun sneered.

"The reason why a university is called a university is not because of the school itself, but because of the masters." Zheng Ren said slowly, "Mr. Mei Yiqi, the former president of Tsinghua University, is right. The reason why a hospital is a hospital is because here."

"Speaking of this, teacher Yan Ning resolutely decided to resign from Tsinghua University and moved to Prince Houston University in the United States, where she was hired as Shirley Tillman's lifelong chair professor in the Department of Molecular Biology. According to this logic It is speculated that it is a matter of course for you to go to Mayo."

"It's nothing logical. It's been a few years since the saying of persuading people to study medicine has been popular?"

"Forgot, it seems to have been popular for a long time."

"There are fewer and fewer children doing clinical work, and the pressure is increasing. There will always be a day when they collapse. Although everyone's ability is limited, I can also relieve some of Zhou's pressure by running to the emergency room."

"Don't make yourself so noble."

"It doesn't involve nobility. When you go to school, you have to recite Hippocrates' oath. The capitalization of medical care is a tear in itself. But facing the torrent of the times, it cannot be reversed by personal power. The tear of the times, the tear of cognition , how do you say that sentence?"

"Which sentence are you talking about? This is the best of times, but also the worst of times; or is despicableness the passport of the despicable, and nobleness the epitaph of the noble?" Su Yun asked.

Zheng Ren smiled, Su Yun is really clever, he directly expressed all his thoughts.

"Brother Yun."

The two were chatting when a little nurse came over and whispered.

"Yeah." Su Yun narrowed his eyes and showed a smiling face, "What's the matter?"

"There is a problem on our side, see if there is any way."

Zheng Ren saw several medical staff discussing something around a patient in another ICU bed. Viewing angle is limited and the patient's system panel cannot be seen. 912 is very powerful, and Zheng Ren doesn't want to worry about it.

But taking the initiative to see what's going on and asking others for help are two different concepts.

"The patient is male, 56 years old. He was admitted to the department due to loss of consciousness caused by a car accident. He was diagnosed as a severe craniocerebral injury. Perfect preoperative preparations were given for brain herniation and right frontotemporal subdural hematoma. The emergency department underwent general anesthesia on the right frontotemporal top. Removal of subdural hematoma and intracranial hematoma + decompressive craniectomy." The little nurse began to report the medical history softly, professional and skilled.

"The gastric tube was not inserted before the operation, but we wanted to do it after the operation, but the 1-minute downtime is too short and it is too difficult!"

Uh... Zheng Ren was also a little helpless when he saw the girl who couldn't help talking to Su Yun.

It is normal for the gastric tube to fail to go in. The patient is in a coma, swallowing and coughing reflexes are weakened or disappears, and he cannot cooperate; the indwelling tracheal intubation and balloon compress the esophagus, reducing the diameter of the esophagus and affecting the insertion of the gastric tube; the indwelling tracheal intubation Excessive removal can lead to laryngeal edema, esophageal spasm or esophageal mucosal edema.

These are the reasons why the gastric tube cannot be inserted.

"How much paraffin oil did you touch?" Su Yun asked.

"A lot..." The little nurse blushed after saying a few words.

"Let's take a look." Zheng Ren glanced at Xiaoshi's vital signs, and lowered the pump speed of the dopamine micropump by 1ml.

When he came to the patient after the cerebral hemorrhage operation, Su Yun stopped the ventilator and took a look with the laryngoscope. Sure enough, the esophageal spasm and edema were very serious, much heavier than expected.

Because the gastric tube is soft, no matter how well lubricated it is, it will wrinkle when it encounters a convulsed esophagus, and it cannot go in at all.

Su Yun pondered for a while, Zheng Ren said, "Deep vein puncture..."

"Huh? You think so too?" Su Yun asked.

Icu's hospitalization always made me startled, what is the relationship between the lower gastric tube and deep vein puncture.

"Try it." Zheng Ren didn't intend to reach out, but said flatly.

"Do you keep the guide wire for deep vein puncture?" Su Yun asked.

"It's been thrown away." Icu's hospital manager said.

"Do another one." Su Yun said, "If we use our guide wire, it will be more expensive."

Icu's hospitalization is always a bit unclear, but what Su Yun said is very clear. He is going to use a slightly harder guide wire for deep vein puncture first, and then put the gastric tube in.

This is the thinking of a typical interventional doctor, but I didn't expect it to be used in nursing work.

Seeing that Icu's hospitalization always prepares guide wires, Su Yun said with a smile, "Boss, if we were in Mayo, there would be professional equipment to solve this kind of problem."

"It's okay, in our 912, it can be solved by dealing with it." Zheng Ren smiled, "The principle is the same, but it is a little more troublesome."

Su Yun raised his eyebrows and said nothing.

Soon, the hospital always prepared a gastric tube, a nasal feeding bag, which contained paraffin oil, cotton swabs, gauze, a 20ml syringe, a deep vein catheter guide wire, and a stethoscope.

Su Yun did not explain, but after smearing the gastric tube with paraffin oil, measure the length of the gastric tube, then insert the guide wire into the gastric tube, fold the tip into a small circle, insert it from one nostril, and insert the gastric tube from the nostril Insert to the position of 14-18cm.

When they reached the throat, before Su Yun could speak, Zheng Ren had already lifted the patient's head, brought the lower jaw close to the manubrium, and settled the position.

The assistant was quite proficient, Su Yun cursed in his heart. Subsequent operations, the gastric tube passed through the laryngeal edema smoothly, inserted to a predetermined depth, and then the guide wire was withdrawn.

Fix the gastric tube, withdraw the gastric content or inject air, and listen to the sound of air passing through water, indicating that the tube is successfully inserted.

"Here, it's over." Su Yun said lightly.

Icu's hospitalization always looks dumbfounded.

She and the nursing team removed the patient's gastric tube 6 times, and spent almost a day wandering around the patient and the gastric tube.

But I didn't expect Su Yun to get started and solve the problem immediately.

This time it was really eye-opening. Not only can people do lung transplantation, but they are also very good at such unpopular operations. A guide wire for deep vein puncture solved a difficult problem that troubled me all day, and I couldn't believe it when I was hospitalized.

"I'll leave first if it's okay." Su Yun said calmly.

"Brother Yun, Boss Zheng, you two are busy." The head of the ICU hospital said hastily.

"Boss, if you don't need me, I'll lie down for a while." Su Yun said, "When do you estimate that the tube will be extubated?"

"24 hours." Zheng Ren said seriously, "It may not be 24 hours, depending on the situation."

"It's really fast." Su Yun's tone was a bit erratic, as if he couldn't believe his boss's judgment.

After Su Yun left, Zheng Ren'an sat quietly in front of Xiao Shitou's bed, looking at various values, drainage, and urine volume, and kept calculating in his heart.

He is like a hard and silent hill, standing beside the little stone, sheltering from wind and rain.

This is a war. Fortunately, he doesn't have to be wary of cold shots from behind, Zheng Ren sometimes thinks to himself. It would be great if all the patients could cooperate very well and not have to worry about the cost and the psychology of the patients' families if they could concentrate on treating diseases and saving lives.

Although this is impossible, Zheng Ren still thinks so occasionally.

In the end, all the great truths are nothing compared to the four words of curing diseases and saving people. Zheng Ren didn't bother to think too much. He silently looked at the little stones and the various machines and numbers around him. The whole person was like a computer, importing data tirelessly. , In the central processing unit, the cold and boring data is turned into a disease condition for analysis.

The time passed by one minute and one second, and the five micropumps were removed one by one, about 50ML of clear urine per hour in the urine bag, and the airway pressure value of the ventilator...

It was late at night, and Zheng Ren was still observing all the values ​​vigilantly, without any signs of fatigue.

As one instrument after another stopped, Zheng Ren accurately calculated the amount of intake and output, maintained the balance of body fluids, and tried his best to make the condition of the little stone as good as possible, and even better.

Adjust the parameters of the ventilator and watch the fluctuation of positive end-expiratory pressure. As Xiaoshi's vital signs stabilized a little bit, the sky brightened up a little bit.

Zheng Ren rejected Su Yun's request to change shifts, and he took care of Xiao Shitou gently and attentively.

The sky is getting brighter, and when it's working time, there are more people in the ICU.

Director Cai of Icu changed his clothes and came in. At a glance, he saw that Boss Zheng was still in the posture he left yesterday, looking at the postoperative patient motionlessly.

He walked over in surprise, glanced at the various values ​​first, and then asked in a low voice, "Boss Zheng, have you been up all night?"

"Director Cai, it's time to go to work." Zheng Ren turned his head and said with a smile when he saw that it was him.

"Well, how are you doing?"

"Very good, all the values ​​are normal." Zheng Ren said, "It is estimated that we will be able to go offline at noon and breathe on our own."

noon……

Director Cai was taken aback for a moment, so quickly?

It is very important to use the ventilator for 3 days after lung transplantation. Is Boss Zheng doing this in a hurry?

"Boss Zheng, do you want to stop observing for another day? If you are tired, I will watch here." Director Cai tentatively asked.

"I'm not tired. I'm allowed to go offline due to the evolution of my condition. Try it. If it doesn't work, I'll take medicine to assist my breathing for another two days." Zheng Ren said very gently.

Director Cai still couldn't understand, he winked, called the hospital manager, and asked in a low voice, "How much is the return for the urgent investigation this morning?"

"Director Cai, I have been watching the patient by myself. 15 minutes after the operation yesterday..."

Seeing that Director Cai was worried, Zheng Ren asked about the treatment process, and then began to talk about the postoperative process.

Monitor 24-hour intake and output, record once every 30 minutes; check liver and kidney function, blood gas analysis, blood routine, D2 polymer, etc. urgently every 2 hours; time, reason, and vital signs at that time when various drugs were withdrawn...

It was extremely meticulous, and as the director of the ICU, I felt strange. It would be great if the inpatients under him could always have this level, and report the changes of their conditions clearly and according to the timeline, and down to the minute level.

However, Director Cai sneered afterwards, and he also knew that he was dreaming. Use Boss Zheng as the head of the hospital? Now in 912 who has this qualification.

Zheng Ren talked for twenty minutes, and finally said with a gentle smile, "Director Cai, I don't think there is any problem."

"Okay then." Director Cai said politely, "With you here, we don't care about this patient, and we can talk about anything at any time."

"Please." Zheng Ren bowed slightly to express his thanks.

Zheng Ren saw that the ICU doctor had started a new day of work, he smiled slightly, sat down on a chair, and continued to observe the changes in his condition.

The small stone's chest was rising and falling under the action of the ventilator, the new lungs were working very well, and the exchange of blood and oxygen was perfect. Zheng Ren also thought there was nothing wrong with it. After all, 127% of the operation was completed, and he spent a sleepless night nursing after the operation. If there were any problems, it would be unreasonable.

If Xiao Shitou can wake up and pass another hurdle, I hope the postoperative recovery can be faster.

This child is very sensible, and he doesn't know whether he is "floating" in the boundless darkness in a calm state, whether he is flustered or calm.

Cessation of sedation by himself is equivalent to lifting the seal, and I don't know if he will be violently agitated due to excitement and fear after waking up.

Zheng Ren began to think wildly in his mind, and the closer it was to 24 hours after the operation, the more nervous he became.

This kind of nervousness was completely unreasonable, and Zheng Ren knew it in his heart. All kinds of objective indicators have been clearly placed in front of me, and I have repeated it countless times, but I have not found any problems. But emotions are emotions, even Zheng Ren, who is as immobile as a mountain, can hardly contain objective emotional changes.

As time passed, Zheng Ren slowed down the pumping speed of the sedative drug and began to wake him up.

It was a very simple operation, but Zheng Ren was very nervous.

There are many things to worry about, and no one is 100% sure. Zheng Rensheng was afraid that something unexpected would happen, so he observed the situation of Xiaoshi without blinking his eyes.

Slight agitation, airway pressure instantly increased.

"Little Shitou, don't panic when you wake up, breathe steadily." Zheng Ren whispered in Xiao Shitou's ear.

Zheng Ren wasn't sure that Xiao Shitou heard what he said. He vaguely saw Xiao Shitou's eyelids move slightly, and then Xiao Shitou became quiet without any resistance, and it went smoothly unexpectedly.

What a child with good medical skills, Zheng Ren sighed slightly.

Generally speaking, it will take a while to wake up. After all, most people are not used to using a machine to assist breathing, and subconsciously fight against the machine.

But he only said a word, and the slight agitation of Xiaoshi disappeared without a trace, and the blood oxygen saturation returned from 92% to 99%.

If all patients were so obedient, it would be a doctor's paradise, Zheng Ren revealed a smile.

A few minutes later, Xiao Shi gradually adapted to the ventilator to assist breathing, and gradually gained strength as the sedative drug accumulated in the body was metabolized and the concentration decreased. His whole body was relaxed, only his eyelids kept beating.

"Slow down, don't worry, breathe more steadily." Zheng Ren patted Xiao Shitou's shoulder and whispered in his ear.

I don't know if Xiao Shitou heard it, but Zheng Ren just vaguely felt that his breathing rate became more stable after he finished speaking.

Zheng Ren didn't continue talking to Xiao Shitou, he was looking into Xiao Shitou's eyes. He promised that Xiao Shitou would be able to see himself when he opened his eyes, so he must do it.

After another ten minutes, Xiaoshi slowly opened his eyes, his eyes were clear and agile, completely free of the muddy confusion under the effect of sedative drugs.

Looking at each other, Zheng Ren heaved a sigh of relief and smiled slightly.

"He's recovered very well. Now close your eyes and continue to breathe steadily." Zheng Ren said softly, "In another hour, I'll take off the ventilator, and you can feel the fresh air."

Xiao Shitou blinked his eyes obediently, telling Zheng Ren that he understood. But instead of closing his eyes, he blinked twice more.

"Can it move?" Zheng Ren asked.

Xiao Shitou's fingers moved slightly, and they could move, but writing and communicating definitely couldn't be done.

"You want to go offline now?" Zheng Ren asked tentatively. After finishing speaking, Xiaoshi blinked again.

Zheng Ren hesitated for a few seconds, then said softly, "Okay, but if your breathing function can't keep up, you need to use a ventilator for another 12 hours."

Zheng Ren was the only one who spoke, and Xiao Shitou expressed his thoughts with a simple blink of an eye. But Zheng Ren felt that he could understand what Xiao Shitou was thinking, and the two communicated in this weird way without any obstacles.

His heartbeat accelerated slightly, just like the reaction to his phone ringing when he was sound asleep in the middle of the night, telling him to go for an operation. Zheng Ren took a deep breath first, calmed down, and removed the ventilator connector from the endotracheal tube.

When the ventilator alarm sounded, Zheng Ren ignored it. His attention is all on Xiaoshi's body, and the blood oxygen saturation must not drop.

Contrary to Zheng Ren's expectation, there was no twists and turns. Little Stone closed his eyes and "breathed" attentively.

A breath of fresh air, normal people can't feel its existence at all, but it is the most precious thing for Xiaoshi.

The chest rises and falls, the blood oxygen saturation is 98%, the respiratory rate is 22 times per minute, and the heart rate has not fluctuated violently, and has been maintained at about 110 times per minute.

It's done! Zheng Ren cried out in his heart.

At this time, after Xiaoshi took two or three breaths, a very complicated emotion appeared on his face. The air you breathe is incredibly sweet. After entering the lungs, it immediately participates in blood oxygen exchange, and then follows hemoglobin to provide the body with a steady stream of oxygen.

Unbelievable and relieved, many complex emotions were written on Xiao Shitou's face. However, he didn't get emotional, which caused the recurrence of his illness. Instead, he quickly closed his eyes and began to breathe hard and greedily.

The sound of air hitting the wall with breathing in the endotracheal tube is so pleasant, this is the sound of life. Zheng Ren listened carefully, using his ears to judge whether there was much secretion in the little stone's lungs.

Fortunately, there is not a lot of phlegm, but Xiao Shitou's expression is very interesting.

Zheng Ren knew that the brand new lungs were definitely different from the previous lungs with severe fibrosis. But this is theoretical, and Zheng Ren doesn't know to what extent he can breathe smoothly after the lungs are replaced.

After observing for a few minutes, everything was stable, and Zheng Ren was finally relieved.

It seems that there is no problem in being offline for 24 hours. If everything goes well, the tube can be extubated early tomorrow morning.

The sound of the ventilator alarm was a bit noisy, Zheng Ren saw that the little stone was in a stable state, turned around and hung up the tube, and turned off the ventilator.

The sunlight coming in from outside was a bit dazzling. Zheng Ren squinted his eyes and looked at the azure blue sky in winter, feeling peaceful and joyful in his heart.

After packing up the machine as quickly as possible, Zheng Ren turned around.

Xiao Shitou opened his eyes and tried to raise his left fist. The infusion tube hanging on his arm was like a torn clothes and armor after a big battle. For the rest of his life, the child's life is still pretty good. Zheng Ren remembered the time they met on the mountainside. This was the agreement he made with Xiaoshitou.

Clenching a fist with his left hand, he lightly touched the small stone's thin fist.

In the afternoon, the sun was shining brightly.