1623 Operation time
surgical protocol.
extubation protocol.
Renly's heart couldn't help but tremble slightly..
He suddenly remembered that when the two of them were surfing in Hawaii, Paul had discussed the topic of life and death with him..
“If your brain died and you became a vegetative state, what would you choose? "This is Paul's question.
“I would want my family extubated." Renly said without hesitation..
In the United States, patients can choose to sign a variety of agreements, one of which is for special circumstances. When a patient suffers from pain and finally falls into a blue alert of cardiac arrest again, he can choose to sign a " "No Treatment Agreement", voluntarily giving up the right of the hospital to continue to provide treatment.
This is not euthanasia, but the end of repeated pain..
Among them, brain-dead patients can also sign such an agreement. From a social perspective, a brain-dead patient is still alive because his body functions are still maintaining life; but from a medical perspective, he is dead and has no ability to think or speak. , has no reflexes, and cannot even breathe on its own. It just relies on machines to maintain life. Once the ventilator is unplugged, the life symptoms of the body will be terminated directly..
From a humanitarian perspective, brain death is still not considered "death". For his family and friends, there is still no way to send him away easily. As long as he can continue to pay the hospitalization expenses, he can continue to "live". Guarding a vegetative person, waiting for a miracle that can never be realized.
From a medical point of view, brain death but still not extubating is a kind of comfort to those who are still alive, nothing more..
Different people have different views on the same thing.
Some people hope that they can remain in a vegetative state and continue to live; some people hope that when they are brain dead, their family and friends can choose to let them go..
Therefore, there are extubation agreements and no-resuscitation agreements. Patients can designate a person independently, and they will decide the direction of life and death after brain death. Often, patients always choose their closest family members or friends, or others. Choose family members or friends who have the most similar thoughts and ideas to you and make the choices you want on your behalf..
This is a heavy responsibility, not just trust, but wholehearted trust - because the family member or friend must make a decision: to send this friend away in person. This is not a decision for anyone. an easy thing, even a heavy burden.
“Why? "Paul was not surprised by Renly's choice, but he was surprised by Renly's straightforwardness..
For Renly, it was an easy decision..
In his last life, he had been suffering on the hospital bed for ten years. He always thought that "living" was sometimes a kind of pain; "death" was a kind of relief. If he suffered brain death, or the reverse Repeatedly going back and forth on the edge of death, looking at relief, but being rescued, and then continuing to struggle on the edge of death. After suffering so much pain, in the end, I still have to go to the paradise world, that kind of suffering is the most terrifying.
At that time, Renly showed a bright smile to Paul, "Because I want to live, not to survive. Instead of fighting for survival, it is better to live now and enjoy life, and don't let down the life that was only in the summer." blooming flowering period.”
“Renly, sometimes I really envy you. Not because of your handsomeness, but because of your open-mindedness." Paul showed a bright smile. At that time, a huge wave came, and Paul said cheerfully, " How about, let’s see who can ride the wave better? Contest, Contest？”
Renly naturally obliged. The two of them moved their hands towards the waves, opening their chests to embrace the sunshine and sea..
Closing his eyes, Renly could still picture Paul's smile that day in his mind, so carefree and wanton that it made the Hawaiian sun eclipse, so clean that there was no trace of impurities..
damn！
So, are those powers now in his hands? If it really comes to that point, will he decide whether Paul lives or dies?？
This is really cruel.
If Paul really faced such a situation, then...then what should he do? Those nightmare memories from the previous life came flooding back again, and Paul's ending from the previous life surfaced again. Renly didn't dare to continue thinking about it, but his thoughts fissured violently, becoming more and more turbulent..
Renly's heart couldn't help but start to tremble slightly, but then he noticed Mei Duo who could hardly stand still. They all knew what those agreements meant, but they didn't dare to think deeply about it. Renly quickly supported Mei Duo, Then he straightened his back and became the most solid backing of Mei Duo with perseverance. He dismissed all the complicated thoughts and faced the doctor's gaze calmly and calmly. His eyes that regained their brightness remained unchanged. intense concentration.
Derek could notice the changes in Meadow and Renly, and he felt a little relieved in his heart. For doctors, the families of patients are the most difficult to deal with, especially when they hear about the worst critical moments, they often lose their minds easily. Even if you take extreme actions, the harm to the doctor is not a big deal. The most terrible thing is that it delays the best treatment time..
Doctors need the trust of patients' families so that they can do their jobs.
Derek could notice Renly's calmness and concentration, which meant that Renly's reason still prevailed. This immediately alleviated many misunderstandings in his work, and he could get into treatment as soon as possible, "Patient……”
“Paul." Renly interrupted Derek, "His name is Paul..”
Derek paused for a moment and stared at Renly, but his eyes never wavered. They were projected calmly and tenaciously, clearly expressing his persistence and willingness. So Derek continued, "Paul has just been sent to the emergency room. At that time, there was bleeding in the abdomen and a ruptured blood vessel in the head. Multiple complications caused cardiac arrest..”
Derek seemed to notice Meadow's gasp and added, "Don't worry, we completed the rescue work as soon as possible." This relieved Meadow's shock and worry a little, and Derek continued. "But we still haven't overcome the difficulty now. We need to find the bleeding point and then complete the repair work.".”
“The entire operation will be divided into two parts, one for the head and one for the abdomen. The two parts will be performed at the same time and are responsible for different attending doctors. The time is very urgent now. If we miss the best time for treatment, the next step may be Showing up..." Derek tried to explain the importance of the surgery.
But Renly knew the importance of surgery, and doctors always imagined all the worst-case scenarios. Those terrible results were really frightening. For Meadow, it was almost unbearable, so he gently opened his mouth After the first words, he interrupted the doctor's follow-up introduction, "Sorry, you just introduced yourself. Your name is……？”
Derek was stunned for a moment, not knowing why, but then he noticed Renly's eyes. Those calm eyes were full of scrutiny and inquiry, but in a polite way that would not make people feel aggressive, but He also stood his ground and refused to compromise..
He realized that Renly was expressing his doubts in this way - they needed the best, most outstanding and top doctors to be responsible for the surgery. This was also the hope of every family member, but Renly was using it more tactfully and politely. expressed in a way.
“Derek Shepherd. I am currently the director of the Department of Neurology; I am also the deputy director of the entire surgical department." A simple sentence showed Derek's qualifications and confirmed his strength, "In addition, I am responsible for Paul's abdominal surgery. The attending physician is Miranda-Baily, who is the director of the inpatient department and the head of the general surgery department..”
After the detailed introduction, Derek took the initiative to meet Renly's steady and wise eyes, "Mr. Hall, we know that Paul is a distinguished guest. The hospital will devote all its best resources to treatment and rescue. This is our responsibility.”
There is something in the words.
Obviously, Derek is not the kind of doctor who is deaf to what is happening outside the window. He works and lives in Los Angeles, so how could he not know anything about Hollywood? What's more, the commotion caused by the reporters at the entrance of the hospital has spread throughout the hospital in a short time. It is extremely difficult for them not to know about it..
They maintained an uninformed calm state during the meeting, which was a professional attitude. But in fact, the director of the hospital had just given the order personally. This is the highest-level VIP, and he must go all out. Derek naturally cannot neglect it..
Renly nodded slightly to show his understanding. On the way to the hospital from Burbank, he immediately dialed the numbers of Steven Spielberg and Tom Hanks. He took a call from Andre Hamilton and mobilized all his contacts to provide Paul with the top team..
Now it seems those calls are working.
“Where is the consent form for surgery? "Renly didn't say anything more and went straight to the topic. Now Paul is in danger and his life hangs by a thread. Everything must be done against time and we must not take it lightly..
Derek handed the writing pad in his hand to Renly: According to regulations, family members must be informed of the consequences of the operation. This is a legal procedure; but his eyes also noticed Meadow's state, and then noticed Renly's small movements, and he hesitated. After a moment, I swallowed the words again..
Renly did not sign immediately, but lowered his head and quickly browsed the agreement to get a general understanding of the overall situation. He was not Elf Hall, and his understanding of medicine was only superficial; but he had a superficial understanding of the types of hospital agreements. But he understood that different agreements represented different situations. In order to prevent Derek's explanation from further frightening Meadow, Renly chose this method to understand Paul's current situation..
critical.
Extremely urgent.
Renly's heart curled up like this. He didn't hesitate, quickly completed the signature, and handed the surgery consent form to Derek again, "Dr. Shepherd, thank you..”
Derek raised his eyebrows slightly, as if he could feel the critical importance of this consent form for surgery, but he didn't say anything more, just nodded politely, and then quickly turned around and left..
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