Chapter 314 The ending of the hero

The longer Su Jie stayed in clinical practice, the more he felt the huge gap between clinical practice and textbooks.

For example, pink foamy sputum caused by left heart failure. Su Jie has seen many left heart failure patients in the emergency department, but he has never seen this most typical symptom marked in the book.

Unexpectedly, I saw it in the Nephrology Department.

There was very conspicuous pink frothy phlegm hanging from the corner of He Rong's mouth, which is a prominent symptom of left heart failure and pulmonary congestion.

He Rong's diagnosis was immediately clear. Su Jie looked around and soon saw the saline being infused on the back of He Rong's hand. At this time, most of the 500 ml of saline was gone. The medicine in the Maufield dropper was

The water dripped down as fast as a broken bead.

"The infusion speed was too fast, and the heart function was already problematic, so did acute left heart failure occur?"

Su Jie quickly speculated in his mind, and without any hesitation in his hand, he immediately stopped infusing the medicine. At the same time, he reached out and rang the bedside bell, and the nurse's voice came from the phone:

"Hey, what's wrong with the fourth bed? The water is finished? Didn't your water just be replaced?"

Su Jie replied in a deep voice: "The left heart of the fourth bed has failed. Please notify your doctor on duty and bring a diuretic and oxygen."

"Heart failure?! I know, I know."

At this time, Hu Sen was standing at the door and had not yet completely recovered. He Rong's performance just now was too terrifying. He coughed violently like the consumptive ghost described in his novel.

But before he could escape from the panic, the Doctor Su in front of him seemed to have taken control of the situation.

"Dr. Su, what's going on with He Rong?" Hu Sen hurriedly walked to the hospital bed and saw that He Rong, who had been happily chatting with him about creation in the park a few days ago, suddenly became like this,

Hu Sen couldn't help feeling nervous.

People's joys and sorrows are not the same, but Hu Sen and He Rong have too many similarities. Both of them have been uremia patients for five years and are now receiving dialysis treatment. Seeing He Rong suddenly become like this

, Hu Sen couldn't help but feel sad about the death of a rabbit and a fox, wondering if he would end up in this way in the future if the transplant failed...

Su Jie held He Rong's shoulders and stroked his back slowly and forcefully, trying to make his breathing smoother: "He Rong's capacity control has been too poor in the past few years, and his heart function is not good to begin with.

The infusion rate was too fast, causing volume overload and acute left heart failure."

"But it seems that the attack happened not long ago, and it should be better after taking medicine."

While the two were talking, the nurse hurriedly walked into the ward with a diuretic. Seeing this, Hu Sen quickly took Su Jie's place, held He Rong's shoulders, and slowly stroked his back.

Feeling the stiffness and trembling of He Rong's body, Writer Hu, who was already good at association, suddenly had a more complicated expression on his face.

Su Jie took the medicine from the nurse, checked and confirmed that it was the diuretic he wanted, and said, "Is the doctor on duty here? Give the medicine to the patient quickly. Diuretics excrete sodium and water, and can quickly reduce blood pressure."

Volume loading, reducing symptoms of left heart failure.”

The nurse quickly recognized Su Jie, who had outstanding appearance. Su Jie's brilliant achievements in Southeast Hospital in the past year or so have invisibly allowed his status in the hospital to rise rapidly.

Like when MDT was first established, Su Jie was ignored when he went to other departments. This has not happened for a long time now.

In addition, the Department of Nephrology has many patients with acute left heart failure caused by excessive volume overload. When the nurse looked at He Rong's performance, she could basically determine that what Su Jie said was basically correct, so she almost didn't hesitate, picked up the liquid and drank it.

It was inserted into the indwelling needle on the back of He Rong's hand.

After a few minutes, it may be that the medicinal solution began to take effect, or it may be that stopping the infusion in time reduced the volume load and further increased it. Anyway, He Rong's symptoms gradually calmed down, and his breathing returned to a normal rhythm.

"Dr. Su, fortunately you found it in time." The nurse said with lingering fear.

Su Jie frowned and looked at the large bottle of saline hanging on the infusion pole, and said: "The nephrology department should have a lot of patients with a large volume load like this. It stands to reason that they wouldn't make the simple mistake of infusing the fluid too fast."

The nurse also looked at the half bottle of saline solution that was gone, then looked at He Rong and said, "It should be adjusted by the patient himself. He feels that the infusion is too slow every day and prevents him from playing with his mobile phone."

"play cell phone?"

Su Jie glanced at the mobile phone left beside the bed, and he probably knew what was going on.

Last time I heard Du Annan say that He Rong had an accident during dialysis that night because he had been coding and refused to cooperate with treatment. Today, he suddenly suffered from acute left heart failure. It seemed to be the same reason.

"This patient really doesn't take his life seriously. He has been told so many times that the infusion speed cannot be adjusted casually. He is different from ordinary people. He has been on dialysis for five years. How come he still doesn't understand this kind of thing!"

The nurse couldn't help but scolded in a low voice.

Hu Sen couldn't help but speak for He Rong at this time: "He is an Internet writer, and his daily creative tasks are very heavy. This is his dream and the job he relies on to survive..."

In the small park that day, He Rong chatted with Hu Sen. His biggest dream was to earn enough money for the transplant. He hoped that he would not encounter the previous situation where he clearly had a suitable kidney source, but because of the cost, he had to end up with the new one.

Life is a miss.

He Rong, who lacked family support since childhood, did not have a good academic degree or any social connections. The only thing he could rely on was coding. Although five years of dialysis taught him that he must live a healthy life and follow the doctor's advice.

, but many times life does not give He Rong much choice.

If He Rong was really an ordinary person... Hu Sen couldn't help but think that maybe he would be more motivated and positive than many of his peers.

When Su Jie heard Hu Sen talking to He Rong like this, he couldn't help but look at him a few more times.

Seeing that He Rong's symptoms were getting better, the nurse and the doctor on duty who had just arrived immediately felt relieved and went back to the work at hand.

Su Jie handed the USB disk to another intern who had just gotten off work and asked her to bring it to Du Annan when she returned to the dormitory. She stayed and continued to look at He Rong in the ward at the end of the corridor.

Hu Sen stayed behind for some unknown reason. He sat on the nursing chair next to He Rong's hospital bed, clutching the manuscript he was going to share with He Rong. His eyes were a little distracted and he didn't know what he was thinking.

.

"Teacher Hu, please drink some hot water."

At this time, Su Jie put a cup of hot water in front of Hu Sen and said softly.

Hu Sen was stunned for a moment, and after he came to his senses, he politely said thank you, and at the same time looked up at Su Jie, who was standing beside the bed.

He Rong's condition continued to improve, but breathing was still a little difficult. Su Jie was communicating with He Rong softly at this time, wanting to adjust the medication according to He Rong's current condition.

The old dim lights in the internal medicine building shone on the outline of Su Jie's face, and combined with his soft-spoken micro-expressions, this scene made Hu Sen feel the warmth and beauty that only existed in novels.

When Su Jie finished communicating with the nurse on the pager about medication and got up and walked to the bedside, Hu Sen's strong desire to talk could no longer be suppressed. He looked at Su Jie and asked a question that he had discussed with He Rong.

:
Chapter completed!