How does it feel as a doctor to see a patient who’s been drinking paraquat for a while?
Over the past year, our hospital has treated nearly 100 cases of paraquat poisoning. The only thing that can be done is to leave them alone, so that there are few more scenes left.
One.
I work in the emergency section of a Sanctuary hospital in Sian. Many of the patients who came to us were sentenced to death by other hospitals to find their last hope.
August day, I’m on night shift. The first patient was a 19-year-old girl. She’s red, she’s funny, she doesn’t have any rescue signs. The medical term is “generally good” and she lies in a rescue room.
I thought she was in the wrong place. I was going to get her out of the hospital right away. In the middle of the night, there will be a lot of serious patients coming from all over the country, and the beds will be tight. At that point, my colleague told me that the girl and her boyfriend were having an affair and drank pesticides.
“How much did you drink? We’re going to have to figure out how much you drink. I asked her.
She answered with her mobile phone: “I heard that herbicides were not toxic to people, so I took a few sips, and half a bottle. I didn’t want to die. I wanted to be angry with my boyfriend. I’m sorry.
Her herbicide was paraquat, which was still unsolved, and could kill less than 10 ml.
“Doc, when can I get out? Your hospital fees are too expensive. My parents are farmers. They don’t want to waste money. I had my stomach washed before I came to our county hospital. I’m sorry.
A girl who looks like a child and doesn’t care, looks at her cell phone and laughs sometimes, should be playing with her boyfriend.
I don’t know what to do with her mother. The only thing that can be done is to leave them alone, so that there are few more scenes left.
After giving her medical advice, I came to the bed of the second patient.
He’s in his thirties because of a sudden brain hemorrhage, and it’s good to be dressed. The wife stood by the bed and touched his forehead with her hand, and when she came to ask me about the latest results and the use of medication.
“A sudden headache last night and fainted. How could a brain bleed be so young? Doctor, you have to save him, my two children, one six, one only four, you have to save him. I’m sorry.
I told her about the common causes of cerebral haemorrhage and kept her patiently waiting for the results.
At that time, the mother of the poisoned girl came and said she wanted to leave the hospital and go home. “You’ve washed your stomach, and you’re going to give her some expensive tests, and it’ll cost her 3,000 a night. I’m sorry.
I don’t know how to communicate with her, but I’m in a hurry. She had no idea.
Paraquat’s target organ is the lung, with no major symptoms occurring in the short term, mainly as a result of stomach pain caused by gastric mucous burns, which can lead to poorer functioning, gradual fibrosis and final respiratory failure. There are still no good antidotes. All that can be done is to alleviate suffering, slow the pathology, buy time from the Shinigami, and the patient tends to lose money.
After explaining to her, I asked her to raise money as soon as possible and buy her a little more time.
She’s sad. I think she’s got it. She’s turning around to take another serious patient for an examination. She suddenly grabbed my white coat. “Doctor, where do you want me to raise money? My husband works in the field. He’s too hard to make money. I’m sorry.
“Aunt, don’t you understand me? The child’s in bad shape. We can buy her some time if there’s a guarantee. “I’m a little anxious for her, and I’m in some trouble. The doctor can’t go on.
“Is she seriously ill? Hasn’t she washed her stomach? A herbicide can be that good? Can’t you take it easy?”
Two.
The C.T. of the brain hemorrhaging patient came out, and the bleeding was extremely dangerous, in the brain stem, and the pore was scattered. We put him on a respirator with dopamine to keep his blood pressure.
His wife was lying on the bed, holding his hands and calling him to wake up. She stares at the readings on the monitor as if they give her hope.
I was busy with other patients, and she came over, “Doctor, he just moved, didn’t he? I’m sorry.
I’m going through the arrows. He’s like just now, the pore is always scattered and blood pressure is starting to drop. Just a twitch.
His chances of survival are extremely remote. I asked her to bring the two children and inform both parents. She realized that the situation was bad and she cried out of her voice.
“You must be strong and prepare for the worst. His haemorrhage is a low-level centre of life, now sustained by a respirator, and blood pressure by a drug ” I feel like I can’t talk about it anymore, with a bit of suffocation, which has been used to life and death for years, but remains so unprofessional.
She lost her last line of defence, and she was paralyzed, lying next to her husband, crying. I feel like I’m in trouble, but I have to do it again.
“Doctor, he really moved. He really moved his leg. I feel like he remembers, talks to me, I can’t just give him up. I’m sorry.
I don’t know what to say. I can’t just walk away. She seemed to remember something and suddenly ran out of the rescue room.
At that time, there were young men in uniform and in haste, “Build a bed, and our old man suddenly had chest pains. I’m sorry.
I asked the patient where, and a childish soldier told me that I was still in the back, so I called the nurse. “We old man is a deputy military officer, formerly the Minister of Health of the Military Region. I’m sorry.
Several small soldiers pushed a patient in, an old cadre of a working place. He was followed by a female military doctor, “Doctor, I’ve given him medication, but it’s not working well. “I asked him about his medical history, looked at his body, judged him to be an acute coronary syndrome, and prepared for myocardial damage.
The old man’s daughter came over and politely greeted me, “Doctor, you’re on duty at this hour. I’m sorry.
I gave her a brief introduction. She seems to have something to say and stopped again. Before I went back to the computer, the old man’s test results were out and the indicators were good. I’ve just introduced a few trophical myocardial coronary.
III
At about 10:00, an old lady put a stack of fees in front of me and said, “You’re too bad for the hospital, you’ve charged me $200 for my rescue, the doctor hasn’t even listened to my old companion’s heart, you haven’t touched my stomach, you’ve saved your ass.” There are so many tests, they can’t move four or five thousand, and other hospitals can’t spend that much in a week. I’m sorry.
I’m used to it. I’m tired and I don’t want to argue with her. She went to other people’s theories, and in a little while, she got a violent argument.
At that time, one patient stopped breathing and me and the nurse immediately put him on the air. The patient’s son ran over and asked the security guards to forcibly take the old lady. ” Aunt, my father is in a serious condition and can’t stand the noise. Your old man saved his life. I’m sorry.
After the old lady ran away, the wife of a brain bleeder returned with two children, who were silently guarding the man whose life was at stake.
After a while, she came to me and said, “Doctor, I want to take him home and let him walk in comfort, without putting in so many pipes, without pressing on the chest. I think the patient’s ribs were broken. I don’t want him to suffer that. I’m sorry.
I don’t know how good. Do you suggest she give up her treatment? It’s a small chance to wake up, but what if a miracle happens?
When she went back to the room and said a few words to her husband, she returned to me with two children, as she had gone to war. “Doctor, I’m asking for an automatic discharge, the consequences of which are our own. I don’t study medicine, but I still know what it means to be human. I’m sorry.
“Our parents are well educated and agree to let him go in peace. While alive, he knew only how to earn money, paid every day and went to drink with a few friends yesterday afternoon. He’s been under high blood pressure, but he’s never been involved. We’re not concerned. Doctor, you have to get the custody and respirator removed. Let’s call an ambulance. I’m sorry.
“Call a car with a breather so he can get home safely. I added: She nodded her head, erased tears from her face and walked out of the emergency room.
Four.
Around midnight, I’ll check on the old man. He opened his eyes and laughed at me, saying, “I was the Minister of Health of the Military Region, and I made the land of your hospitals and your universities.” Your head of school came two days ago to pay our respects. It’s the 70th anniversary of the victory, and I still have the scars of that year’s bayonets. I’m sorry.
He showed me his shirt. Only the right-season rib has a long, neat scar along its rib, and the marks of the stitches are still present, as if they were a cut from the cholesterol.
“You must have suffered so much. I’m sorry.
He was a little excited, “I crawled out of a pile of dead people. Young people now don’t know how hard it was. I’m sorry.
The old man’s daughter said that the environment was too noisy to have a separate room for her father. “You look at your family messing around, you rescue the patient, it’s terrible. My heart can’t stand it. I’m sorry.
I explained to her that the situation of the elderly was stable and that it might be a cardiovascular problem that required some further examination. Dr. Guo of the cardiologist is also invited to an urgent consultation.
Dr. Kwok will be here soon. He’s a cardiologist. He’s just back from America. I invited him this late, and I apologized for putting my hands together and telling him it was a VIP patient.
When he was finished, I asked him if he could be admitted to the hospital. He thought for a while, “His condition is not very serious at the moment, usually not in the hospital, bed stress is high, and there are too many cases of myocardial infarction in the window. I’m sorry.
The old man’s daughter ran over and desperately wanted Dr. Guo to be admitted to the hospital. “Doctor, my dad is of particular importance to our family. I’m sorry.
Dr. Kwok said it was difficult, but she did. While he was in a bad mood, the head of the section called and demanded that he be admitted immediately.
Since the leader had spoken, Dr. Guo had to coordinate the bed, and only the intensive care unit had a bed, and family members could not enter it. The old man’s daughter was a little upset, “How can our family not be around? I said there were doctors and nurses on duty 24 hours, and they were all professional. She hesitated for half a day to decide not to remain in the intensive care unit.
The old man’s sister is here. When they arrived, they complained loudly about why military cadres were not able to get to the special ward in time. “A 97-year-old revolution, is that what you do? He’s had a cystectomy before, and he’s in bad health. It is also a military hospital, and it is the policy of the country’s older cadres, who have a prominent contribution. I’m sorry.
“We know that the old man is in a special situation and we’ve reported to the leader.” The cardiologists also visited and made arrangements for hospitalization. Your family has no formalities because they can’t go in there. I’ve been calling the staff ward, and they’ll be here in a minute. We’re dealing with it as fast as we can. I’m sorry.
Five.
At 2 or 3 a.m., the poisoned girl’s mother stopped me in the house and asked her what happened to her daughter.
I’m a little surprised because I’ve explained it to her many times. The poor mother still does not realize how dangerous her daughter is. “Aunt, she drank too much of the pesticide, well above the lethal dose. I’m sorry.
She finally understood, crying. The crying was in the emergency building, but no one turned back.
“You mean she’s not gonna make it. She’s 19 years old. She just got into the provincial college. You have to save her. His father’s making money out there. He won’t owe you any medicine. I’m sorry.
Girls cry in bed, probably hearing our conversation.
“Mom, I don’t want to die. Didn’t I say the herbicide is not dead? I don’t want to die…”
I went back to the doctor’s station like I was making a mistake.
At dawn, the girl herself came to me and asked, “Doctor, will this pesticide poison people? I’ve had my stomach washed. The doctor at the county hospital said it’s okay. I’m sorry.
“It’s okay, it’s better than a county hospital, you’ve taken a lot of medicine, and it’ll be okay.” Call your dad and let him come back to stay with you. I’m sorry.
Her father, who is far from the south, may have risen to the site at that time and is doing her utmost to earn tuition for her daughter, who has just entered university.
When the girl went back, I checked the records, and for almost a year we had nearly 100 cases of paraquat poisoning in our hospital. Most of these people are angry after fighting with their families, trying to scare each other, and they don’t really want to be rude.
I sent a message to my superior: did the girl who went to the custody room and drank paraquat last time?
No reply was received and it became clear that it was just after 5:00 and that the teacher should still be asleep. I feel a little dizzy.
At dawn, the head of the hospital came to see the old man. I rushed to report. The leader was satisfied with the treatment, and then explained to the old man: “We have a lot of patients in the hospital, we have a tight bed and apologize to the old chief. But the first-aid conditions in EMS are the best, and it must be the best for your treatment. I’m sorry.
“We understood that when we hit the ghost, we needed even a gauze, not to mention penicillin. Many people died of infection. The doctors and nurses here haven’t slept at night. I’m so sorry that my little girl brought you here so early. I’m sorry.
Subsequently, the head nurse was informed that he had been transferred to the cadre ward.
I’ve finally got a breath and I’m ready to write the papers, especially with a view to compiling the old man’s medical records. I’ve worked it out, from the old man to the hospital, less than six hours, really fast. We have people in the emergency room who have been lying in bed for over a week.
The replacement doctor is here. This night, I feel so long, like I’ve spent my whole life. I realized it was summer when I pushed the emergency door and the heat came. At that time, the cell phone struck, and I received a tweet.
“The girl spent hundreds of thousands of dollars at her house, dragged for three months and died. Finally, the respirator was stuck and life was very poor. This paraquat, which does not currently have a good drug treatment, has little to drink, has a good stomach to wash, and there is hope. Of course, the family economy allows for lung transplants. I’m sorry.
At the intersection outside the hospital, the traffic police were able to control the traffic in their cars. Everything is normal on the street, as if life and death had never happened in any corner.
How does it feel as a doctor to see a patient who’s been drinking paraquat for a while? – The response recommended by the salt selection.
I don’t know.
Keep your eyes open!
