Healing Doctor
Chapter 774 A Miraculous Hand, Zhang Chun
Chapter 774 Miraculous Healing
"The double plasma exchange has just finished, wait a moment, don't rush," Zhou Tianbo advised with a wry smile.
"It was switched to A/C mode a few hours ago. I don't know who gave him that confidence."
"..."
"What kind of mess is this? A provincial-level top-tier hospital, and an affiliated hospital of a medical school, should have a very strong intensive care unit. Is this all you've got?"
Wei Fusi said disdainfully, his face full of contempt.
That's it?
That's it!!
The last two words felt like two bullets hitting Zhou Tianbo in the chest, making it difficult for him to breathe.
Zhou Tianbo felt like lightning was about to strike Wei Fusi on the head any second, and he needed to stay away from him.
Looking closely at the ventilator panel, Zhou Tianbo was slightly disappointed.
Despite attempting double plasma exchange, the patient still failed to breathe spontaneously, which undoubtedly made Zhou Tianbo feel somewhat uncomfortable.
How wonderful it would be if the waveform could move a little.
At this point, as a doctor, it would be one thing not to express regret, but rather, like Wei Fusi, there's no reason for him to question the Second Affiliated Hospital's medical standards.
Normally speaking... never mind, Zhou Tianbo sighed.
Instinctively, he moved a little in the opposite direction of Wei Fusi to avoid the thunder that could fall from the sky at any moment.
Old Wei has gone completely mad. The selection of outstanding young scientists has become an unbearable burden on his mind. Now, his mind is filled with the number of surgeries he performs, and he can't listen to any advice from others.
Given this, who else would be struck by lightning if not him?
"When are you going to finish?" Wei Fusi turned his head to look at the critical care doctor waiting on the side.
"Let me ask." The intensive care doctor was in a dilemma. With Director Bai already here, this matter was no longer something that his own department head could decide.
"Ask him, humph!" Wei Fusi made no attempt to hide his hostility and disdain. In his opinion, it must have been the old doctor who had just changed the ventilation mode who had done something wrong.
Most likely, it's because his rival in the selection of outstanding young scientists is trying to cause him trouble!
Otherwise, given the obvious brain death and vegetative state, and the patient's family being so understanding and agreeing to organ donation long ago, why have they been obstructing me?
Wei Fusi even suspected that Zhou Tianbo wanted to see him make a fool of himself!
There isn't a single good person in the entire Second Affiliated Hospital!!
"Teacher, don't worry. If there are no accidents, the patient's breathing rate will change in about five minutes, and you will see the patient's spontaneous breathing begin to recover."
Ji Xiang walked over and spoke gently.
Zhou Tianbo's mind went blank for a moment.
It would have been better if Ji Xiang hadn't said anything; we could have just waited. In a few hours, we might even have to try a second double plasma exchange.
But Ji Xiang actually gave a 5-minute confirmation time.
That kid is always causing trouble.
The Lei he imagined wasn't like this; Ji Xiang's actions were tantamount to courting death.
Zhou Tianbo tried to give Ji Xiang a wink, signaling him to keep quiet.
But Ji Xiang didn't even look at his own eyes, his mind was completely focused on the ventilator's panel.
"5 minutes? Are you sure? No, what right do you have to stand here and talk!" Wei Fusi turned his head and saw that it was Ji Xiang. There was no "old doctor" behind him who was confidently changing the ventilator mode. He was full of confidence and started to confront him directly.
A young doctor who ranks first in the national medical licensing exam is impressive, but he has absolutely no right to point fingers or make pronouncements.
"Huh?" Ji Xiang paused for a moment, then smiled. "This is very simple medical common sense."
Zhou Tianbo covered his forehead.
Is Ji Xiang courting death?
Wei Fusi was so angry he laughed. He looked at Ji Xiang as if he were an idiot.
In less than a second, the corners of his mouth turned up, forming an arc.
"Such basic medical knowledge, and I don't even know it? I'm really pathetic," Wei Fusi said sarcastically.
Hearing him use the word "damn," Zhou Tianbo tugged at Ji Xiang's white coat.
Unexpectedly, Ji Xiang raised his hand, revealing an old digital watch.
"There are 4 minutes and 22 seconds left."
Hearing Ji Xiang speak with such certainty, Zhou Tianbo almost believed him.
After all, he had seen Ji Xiang perform surgery and even "encountered" the gaze of a senior doctor, so he harbored a deep-seated fear of Ji Xiang.
If it were anyone else, even if it were his own boss, Mr. Gu, saying that the patient would have spontaneous breathing in 4 minutes and 22 seconds, Zhou Tianbo would scoff.
Even if they don't question it to your face, they'll still have complaints in their hearts.
But these words were spoken by Ji Xiang.
If it weren't so outrageous, he would definitely believe it.
No one could have predicted it so accurately.
Even if the patient undergoes double plasma exchange to help accelerate drug metabolism and awaken her from a deep coma where she had no spontaneous breathing, time is absolutely uncontrollable.
Many factors are variables, and doctors absolutely cannot make accurate predictions.
Being able to "predict" that a patient will regain spontaneous breathing is already a sign of great confidence.
"Then I'd like to ask you for your opinion." Wei Fusi sneered, looking at Ji Xiang's watch. "A digital watch? I didn't expect you to be so retro."
Ji Xiang did not lower his raised arm; he smiled as he looked at the time on his watch.
His arms were as hard as rock.
"Please advise? No, that won't do. I'm just a resident physician; I don't know that much. If the teacher says I'll wake up, then I definitely will. Oh, no, it's that I'm breathing on my own. I misspoke, Professor Wei, please don't mind."
Wei Fusi was determined to take this opportunity to vent all his dissatisfaction and grievances.
He looked coldly at the old digital watch on Ji Xiang's wrist. "Your Second Affiliated Hospital is really top-notch. If patients can wake up on time, I definitely want to come and learn from you."
"No need for studying," Ji Xiang said calmly, staring at his watch. "This is basic common sense. If you want to learn it, Professor Wei, you'd be better off going back to university to learn it again."
"!!!"
Zhou Tianbo was stunned.
In his understanding, Ji Xiang was a mild-tempered person, except for the things that happened when he was glared at by Ji Xiang on the operating table and the things that made him have nightmares.
Normally, Zhou Tianbo had never seen Ji Xiang talk back like this.
It turns out that the rumors circulating in Shanghai that Qin Chu, the boss, had been rendered unable to take care of himself and had already entered retirement were true.
When faced with injustice, I and most other people would remain silent, as long as it doesn't concern me.
But Ji Xiang is different; he truly dares to stand up and speak out.
From Qin Chu to Wei Fusi before us...
The key point is that Ji Xiang's words were so insidious that Zhou Tianbo suspected he would have exploded if he were in Wei Fusi's position and heard such words.
But he slightly raised his head and glanced at Ji Xiang.
Although he is handsome, his robust physique is no joke.
If we can't beat them, let's just give up.
It's estimated that Wei Fusi wouldn't dare to make a move.
If I were to throw a knife and get beaten up by the local students, I wouldn't have the face to tell anyone back in the capital.
And there's no way to make a scene.
Zhou Tianbo quickly recalled Ji Xiang's words and mentally gave Ji Xiang a thumbs up.
When Dr. Ji gets angry, he can be really awful.
It felt like he had dug up all the bamboo shoots on the mountain.
"There are still 3 minutes and 45 seconds left. I want to see what explanation you have for not breathing on your own." Wei Fusi was so angry that his face turned red.
But his thoughts were the same as Zhou Tianbo's.
I can't beat them in a fight, and I can't win an argument either.
After all, he's a professor; it would be unbecoming of him to start swearing.
Losing his composure wasn't the problem; what Wei Fusi feared was tearing off his own face only to be scolded mercilessly in the end.
Let's wait a few minutes, then we'll let the facts speak for themselves!
When the time comes, I will use facts as evidence and attack from both sides to beat this arrogant young man to a pulp.
He should also teach a lesson to the backer who supported him and caused him trouble.
"Oh? The patient will be able to resume breathing on their own in a few more minutes."
Director Bai and Director Liu came in. Director Bai was chatting and laughing with Director Liu when he heard Wei Fusi's words and chimed in.
"Are you a professor of neurosurgery?" Wei Fusi asked.
"I am the director of the medical affairs department, with a background in neurosurgery," Director Bai replied calmly.
"Is this how you train resident physicians?" Wei Fusi almost pointed at Director Bai's nose and questioned him.
Director Bai smiled faintly, "I'll tell you the answer in a few minutes, don't worry."
One was tough and the other was weak and powerless. Wei Fusi was annoyed by the two rebukes from Ji Xiang and Director Bai.
"Your Second Affiliated Hospital is fucking crazy!" Wei Fusi had unknowingly burst out.
"Xiao Ji, how much longer?" Director Bai asked.
"3 minute and 14 second".
"Oh, you'll need to do another double plasma exchange, won't you?"
"It would be best to do it again."
"Let's start now, don't wait any longer." Director Bai waved his hand, and the critical care doctor, Gou Gou, didn't dare to respond and began to restart the double plasma exchange procedure.
"You!" Wei Fusi looked at Director Bai with disdain. "How much benefit has the manufacturer given you, doing this time and time again!"
"Don't talk nonsense," Director Bai said with a smile. "You're a renowned expert in the capital; how could you talk about such trivial matters?"
"..."
"Our hospital does an excellent job in maintaining integrity. Does this mean that similar incidents are still frequently occurring in your hospital?"
Faced with Director Bai's question, Wei Fusi almost spat out a mouthful of blood.
Oh shit!
The old man and the child are both utterly rotten.
Wei Fusi was even certain that the manufacturer had promised some benefits, which was why the medical department had to find a "suitable" patient to repeatedly perform double plasma exchange.
3 minutes
2 minutes 45 seconds
2 minutes 02 seconds
1 minutes 19 seconds
59 seconds left
10 seconds left
Time passed slowly, and the time Ji Xiang had mentioned was fast approaching.
Wei Fusi's gaze kept shifting between the ventilator's control panel and the digital watch on Ji Xiang's wrist.
00:00:01!
When the time comes, we'll definitely give them a good beating!
Wei Fusi had been holding back a great deal of anger, just waiting for the right moment to unleash it.
With one second left, Wei Fusi raised his head and stared at the ventilator panel.
The breathing rhythm was very slow and regular.
This is the rhythm of a machine breathing in sync with a human's breathing. When a machine breathes independently, the pattern would never be this regular.
"Time's up, breathe..."
Upon seeing the neatly arranged diagram, Wei Fusi had only uttered half a sentence before preparing to launch into a sarcastic remark.
He was determined not to stop until he had thoroughly humiliated the Second Affiliated Hospital.
But after saying just a few words, the graphic on the ventilator's panel suddenly flickered.
The air in the entire intensive care unit felt stagnant.
Not only Wei Fusi, but also Zhou Tianbo, Director Bai, Director Liu, and the head of the intensive care unit were stunned.
The previously steady breathing pattern suddenly became slightly discordant.
The orderly pattern was broken by a force, and the pattern no longer looks beautiful.
however!
Everyone present understood what this force meant—it was due to the emergence of spontaneous breathing, caused by the ventilator adjusting the breathing pattern.
Really!
It turned out to be true!
"Impossible," Wei Fusi muttered, then clenched his fists, almost shouting instinctively, "It must be interference!"
No one refuted Wei Fusi's point of view.
A few seconds later, this "interference" became more and more intense and frequent, and the graphics on the ventilator panel began to become irregular.
The patient resumed spontaneous breathing as expected!
Director Bai smiled after carefully observing the 12th waveform that showed a "problem".
Every time I trust Dr. Xiao Ji, I never let myself down.
If he can make a prediction even within 5 minutes, what else can't he do?
"Let's do another plasma exchange." Director Bai smiled. "It seems this stuff is a bit expensive, but it's quite effective."
"We still need to use new technologies and equipment," Director Liu said with a smile, no longer worried. "Otherwise, many patients will die in a daze."
This statement directly targets Wei Fusi.
Wei Fusi clenched his fists, his face flushed red and then turned pale, and he made gurgling sounds in his throat.
The facts are right before our eyes.
Wei Fu originally intended to use facts to slap the Second Affiliated Hospital in the face.
But now the Second Affiliated Hospital has contradicted itself with facts.
An invisible hand repeatedly slapped Wei Fusi's face, and every change in his breathing rate and the shape of his face made him feel increasingly embarrassed.
"Xiao Ji, what's going on?" Zhou Tianbo murmured.
"I learned it when I was in school," Ji Xiang replied with a smile. "If Teacher Wei wants to learn it, he can go back to his school and ask his teachers."
Oh shit!
If Wei Fusi hadn't been unable to defeat Ji Xiang, he would have already made a move.
The school's teachers would never talk about double plasma exchange, let alone such a complicated case.
That young man is really nasty!
Faced with the facts, Wei Fusi couldn't utter a single word in rebuttal.
He turned and left.
What's the point of staying?
Besides constantly slapping that junior resident trainee in the face with his words.
Wei Fusi was filled with sorrow and frustration. He had no idea what the logic was, nor did he know why Ji Xiang could accurately predict that the patient would start breathing on his own in 5 minutes.
"Teacher Wei, are you a student? If it's inconvenient for you to go back to school, and you're afraid the teacher will scold you, I can teach you," Ji Xiang asked softly.
Wei Fusi felt a tightness in his chest and nearly coughed up a mouthful of blood.
Being scolded by a resident trainee is an extremely unpleasant feeling.
"Areca catechu~"
Wei Fusi tripped and fell headfirst, managing to brace himself against the ambulance, almost tipping it over.
"Old Wei." Zhou Tianbo immediately stepped forward to help Wei Fusi up.
"Let's go." Wei Fusi lowered his head, not daring to look at Zhou Tianbo, and limped away from the intensive care unit.
Director Bai watched this scene unfold with a smile.
After Wei Fusi and Zhou Tianbo left, he asked, "Xiao Ji, how did you determine that the patient would definitely wake up at this time?"
"I've always been lucky, as you know, Director Bai," Ji Xiang replied dismissively.
Although he had a good relationship with Director Bai, he couldn't very well say that he had been resuscitated more than twenty times in the system's operating room before finally being able to use a cheat to determine the time.
"Luck, huh?" Director Bai didn't delve into it further, simply nodding. "You're really lucky."
"What's next?" Director Liu asked.
"After 1-2 more double plasma exchanges, the drug concentration will decrease, and the patient will get better and better. Just be careful to avoid venous thrombosis; there's nothing else special."
"How long will it take to recover?"
"About 24 hours, that should be about right."
Upon hearing Ji Xiang's answer, Director Liu breathed a sigh of relief.
His thoughts were the same as Director Bai's: every bit of trust he placed in Ji Xiang would not be in vain.
To everyone's surprise, the patient, who was considered brain dead, had an extremely low neurological score, and was practically in a vegetative state, regained weak spontaneous breathing after undergoing a double plasma exchange.
This is absolutely amazing!
In particular, Ji Xiang's ability to accurately judge time is something that even Director Liu doesn't understand how Ji Xiang manages to do.
Although he didn't understand, Ji Xiang had already given him a perfunctory answer, so there was no point in asking any further questions.
Ji Xiang picked up his phone and dialed Deng Chaohong's number.
"His watch is quite retro," Director Liu whispered to Section Chief Bai.
"I guess it was a gift from some relative," Director Bai said. "I occasionally see Xiao Ji wearing it, but not all the time."
"Have you noticed?"
"Of course, my observation skills are much sharper than yours." Director Bai glanced at Director Liu with disdain.
"Teacher Deng, the patient has woken up."
"It's the daughter of the nurse you know. She just had a double plasma exchange and is now breathing on her own. She should be able to be extubated in about 24 hours."
"Yes, yes, I estimate there's nothing seriously wrong, and he'll be transferred out of the intensive care unit soon."
Ji Xiang said this with a big smile on his face.
Indeed, as a doctor, seeing a successful rescue is a moment filled with confidence and joy.
It's not an exaggeration to say that I feel a sense of accomplishment.
Ji Xiang was still young, and at this moment he revealed his true feelings.
Not long after, Deng Chaohong rushed over.
He was somewhat flustered, seemingly afraid that Ji Xiang was playing a joke on him.
Deng Chaohong didn't even greet Director Bai before running to the ventilator.
The patient looks almost exactly the same as before; the only difference is in the breathing pattern.
"Holy crap, it's true!" Deng Chaohong exclaimed excitedly.
"Okay, Professor Deng, please tell the patient's family." Ji Xiang said.
"Shouldn't we wait any longer?"
Ji Xiang was overjoyed. Although he was certain that the patient would wake up, he hesitated for a moment.
"Then let's wait a bit." Director Bai took over Deng Chaohong's question. "Professor Deng, let's hint for now that you'll do another double plasma exchange, and then we'll talk about it."
"good!"
Deng Chaohong beamed with joy.
He still didn't have time to talk to Director Bai, and walked out while touching his phone.
"Xiao Ji, you should try to control your temper in the future," Director Liu said with a smile.
"Why should I?" Director Bai curled his lip. "If young people don't have any energy, can they even be called young people?"
Director Liu looked at Section Chief Bai as if he were a monster.
Old Bai isn't usually like this.
"Why are you looking at me like that?" Director Bai said. "Professor Wei has too many problems, all of which are due to being spoiled. Saying a few words to him is for his own good."
"Yes, for his own good," Director Liu said jokingly.
"Xiao Ji wants to stay at our Second Affiliated Hospital. As long as he's in the right, he can argue with anyone." Director Bai said.
"Oh, I see," Director Liu laughed.
"Director Bai, Chief, I don't really like that Professor Wei. I ran into him in Yuanliao a while ago and told you both about it," Ji Xiang said frankly. "He's been too hasty this time."
Ji Xiang didn't say too many bad things about Professor Wei. Gossiping behind someone's back wasn't Ji Xiang's style; he preferred to speak to their face.
The breathing pattern on the ventilator panel began to fluctuate frequently, and Ji Xiang did not participate in the remaining treatment.
The details, such as how to administer medication, whether to increase breathing or allow the patient to rest more, are rather trivial. In addition, the Second Affiliated Hospital has a very strong intensive care unit, and too much commentary would only cause dissatisfaction.
Ji Xiang glanced at it a few times, then left with Director Bai and Director Liu.
"Xiao Ji, you're really starting to impress me more and more," Director Liu said with admiration. "I was pretty sure about the patient before, just like Professor Wei."
"Director Bai must be very professional," Ji Xiang said with a smile.
"Our country has issued two versions of technical guidelines for brain death determination, and the process was very complicated."
First, there are prerequisites for determining brain death. That is, before brain death can be determined, certain conditions must be met. These conditions are numerous, one of which is: ruling out the influence of drugs or poisons that caused the coma.
Director Bai said leisurely.
"However, let's leave it at that. It's not something that can be resolved in a short time."
"There are two versions of criteria for determining brain death!" Director Liu exclaimed in surprise.
"You wouldn't understand even if I told you, just keep examining your prostate."
Director Liu was speechless.
In the natural hierarchy of surgery, neurosurgery and cardiac surgery are at the very top. Urology is only slightly better than colorectal surgery.
"Director Liu, I've been thinking about the ghost bed you mentioned last time for a long time. Are there any other cases?" Ji Xiang suddenly asked.
"Oh, you still remember that?" Director Liu laughed. "It was all a joke."
"I don't think so. You seemed very serious when you talked about this with Director Bai."
"It's something science can't explain, or it's due to the doctor's lack of experience. For example, what happened today—do you think Professor Wei Fusi did it on purpose?" Director Bai asked.
"No," Ji Xiang said frankly, "He was just too impatient, and our hospital has already declared him brain dead."
"Is that so?" Director Bai said. "Enough with the chit-chat, I'd better get back to work. There have been several medical disputes this morning, so it's nice to be out here and have some peace and quiet. I'll go back and see what's going on over there."
Ji Xiang had a fleeting thought, but he forcefully suppressed it.
I absolutely cannot be like Shen Lang, who loves excitement. If I go to the medical affairs office to watch the excitement, it would be bad if Director Bai wanted to transfer me there to handle medical disputes.
Although the possibility was extremely low, Ji Xiang still managed to nip the idea in the bud.
As Ji Xiang walked out of the intensive care unit, he saw Deng Chaohong talking to a patient's family.
Before he could finish speaking, the patient's family member's body, just like in a novel, collapsed limply like a noodle, as if all the bones had been removed.
"!!!"
……
Note: This is about an incident at Wuhan University People's Hospital.
(End of this chapter)
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