Chapter 1624

Surgical protocol.

Extubation protocol.

Lanli's heart trembled a little.

He suddenly remembered that Paul had discussed the topic of life and death with him when they were surfing in Hawaii.

"If the brain died and became a vegetable, how would you choose?" This is Paul's question.

"I would like my family to pull out the tube." Lan Li said without hesitation.

In the United States, patients can choose to sign a variety of agreements, one of which is for special circumstances. When the patient suffers from pain and finally falls into the blue alarm of cardiac arrest, he can choose to sign a "no treatment agreement" and voluntarily give up the right of the hospital to continue the rescue.

This is not euthanasia, but the end of repeated suffering.

Among them, patients with brain death can also sign such an agreement. Brain death, from a social point of view, he is still alive, because the body function is still maintaining life; But from a medical point of view, he is dead. He has no thinking ability, no speaking ability, no reflexive ability, and even no way to breathe autonomously. He just relies on the machine to maintain his life. Once the ventilator is removed, the life of the patient will be directly terminated.

From the perspective of humanitarianism, brain death is still not "death". For his family and friends, there is still no way to send them away easily. As long as he can continue to pay for hospitalization expenses, he can continue to "live" and guard a vegetative person, waiting for a miracle that will never be realized.

From a medical point of view, brain death is still not extubated, which is a kind of comfort to the people who are still alive, that's all.

Different people have different views on the same thing.

Some people want to keep a vegetative state and continue to live; Some people want to let go when their brain dies.

Therefore, there are extubation agreement and no rescue agreement. Patients can independently appoint a person to decide their life and death after brain death. Often, patients always choose their closest family or friends, or choose their family or friends with the same ideas, instead of making their own choice.

It's an important task, not just trust, but wholeheartedly trust - because this family member or friend has to make a decision: the decision to send this friend away by hand. For anyone, this is not an easy thing, or even a heavy burden.

"Why?" Paul was not surprised by the choice, but by the simplicity.

For Lan Li, it was a simple decision.

In his last life, after suffering for ten years in his hospital bed, he always thought that "living" was sometimes a kind of pain“ On the contrary, death is a kind of liberation. If you encounter brain death, or go back and forth on the edge of death, you will be relieved, but you will be rescued, and then you will continue to struggle to death above the death line. At last, you will have to go to the paradise. That kind of suffering is the most terrible.

At that time, Langley showed a bright smile to Paul, "because I want to live, not to survive. Instead of fighting for survival, it's better to take advantage of the fact that you are still alive and enjoy your life, and live up to the blooming season in summer. "

"Lanli, sometimes I really envy you. Not because you are handsome, but because you are open-minded. " Paul showed a bright smile, at that time, a huge wave came, Paul said happily, "how about, look at this wave, who is better? Have a competition? "

Lanli is duty bound. Both of them slide their hands towards the waves, open their chests and embrace the sunshine and the sea.

Close your eyes, lanli can still picture Paul's smile that day in his mind, which makes the sunshine in Hawaii dull, cheerful and wanton, clean without any impurities.

blamed!

So, now those rights are in his hands? If it does, will it be up to him to decide Paul's life and death?

It's really cruel.

If Paul really faces such a situation, then... What should he do? The nightmare memories of the last life surged again, and the ending of Paul's last life appeared again. Langley didn't dare to continue to think about it, but his thoughts split violently and became more and more turbulent.

Lanli's heart began to tremble slightly, but then he noticed meDo who could hardly stand still. They all knew what those agreements meant, but they did not dare to think deeply. Lan Li quickly held Mei duo, and then straightened his waist, and became Mei duo's most solid backing with perseverance. Those confused thoughts were all excluded, and calmly met the doctor's line of sight. The bright eyes still kept a high concentration of attention.

Derek can notice the changes of meDo and Langley, and feel a little relieved in his heart. For doctors, the family members of patients are the most difficult to deal with, especially when they hear the worst critical moment, they are often easy to lose their senses, or even make radical actions. The harm to doctors is small, and the most terrible thing is to delay the best treatment time.

Doctors need the trust of patients' families so that they can complete their work.

Derek can notice Langley's calmness and concentration, which means that Langley's reason still has the upper hand, which immediately alleviates many mistakes for his work, and can put into the treatment work as soon as possible, "patient..."

"Paul." Langley interrupted Derek. "His name is Paul."

Derek pauses for a moment and looks at Langley, but his eyes never waver. They project calmly and tenaciously and clearly express his persistence and will. So Derek goes on to say, "when Paul was just delivered to the emergency room, there was bleeding in his abdomen and a blood vessel rupture in his head, Because multiple complications lead to cardiac arrest

Derek seemed to notice meDo's cold breath and added, "don't worry, we finished the rescue work in the first time." This let meDo's consternation and worry slightly ease a little bit, Derek continued, "but it's still not over. We need to find the bleeding point and finish the repair work. "

"The whole operation will be divided into two parts, one is the head and the other is the abdomen. The two parts will be carried out at the same time by different attending doctors. Now the time is very urgent, if we miss the best treatment time, then it may appear... "Derek tried to explain the importance of surgery.

But lanli knew the importance of surgery, and the doctor always imagined the worst. Those terrible results were really frightening. For meDo, it was almost unbearable. So, he gently opened his mouth and interrupted the doctor's follow-up introduction. "Sorry, you just introduced yourself. Your name is

Derek was slightly stunned and didn't know why, but then he noticed lanli's eyes. The calm eyes were full of looking and exploring, just in a polite way, not making people feel aggressive, but also sticking to the position and refusing to compromise.

He realized that Langley was expressing doubt in such a way that they needed the best, the most outstanding and the best doctors to be in charge of the operation. This is also the hope of every family member, but lanli expressed it in a more tactful and polite way.

"Derek Shepard. I am now the director of Neurology; He is also the deputy director of the whole surgery department In a simple sentence, Derek's qualifications were demonstrated and his strength was confirmed. "In addition, the attending doctor of Paul's abdominal surgery is Miranda Baily, who is the director of inpatient department and the head of general surgery."

After the detailed introduction, Derek took the initiative to welcome Langley's calm and wise eyes. "Mr. hall, we know Paul is a VIP guest. It is our responsibility that the hospital will devote its best resources to treatment and assistance. "

have one 's tongue in one 's cheek.

Obviously, Derek is not the kind of doctor who doesn't hear outside the window. He works and lives in Los Angeles. How can he know nothing about Hollywood? What's more, the riots created by the reporters at the gate of the hospital have spread all over the hospital in a short time, and it is extremely difficult for them to know.

It was a professional attitude to keep a cool and uninformed state during the meeting. But as a matter of fact, just now, the president of the hospital has personally issued an order, which is the highest level VIP and must go all out. Derek, of course, can't be ignored.

Langley gently jaw head to express understanding, from Burbank to the hospital on the way, he immediately called Steven Spielberg and Tom Hanks respectively, also called Andre Hamilton, mobilized all his contacts, to provide Paul with the top team.

Now it seems that those phones are working.

"And the consent to the operation?" Lanli said nothing more and went straight to the theme. Now Paul's life is on the line. Everything must be done against the clock and never be taken lightly.

Derek handed the tablet to lanli: according to the regulations, the family must be informed of the consequences of the operation, which is a legal procedure; But his eyes also noticed meDo's state, and then noticed lanli's little action. After a moment's hesitation, he swallowed the words again.

Lan Li didn't sign immediately. Instead, he quickly browsed the agreement and got a general understanding of the whole situation. He is not ALF hall, and his knowledge of medicine is only superficial; However, he has some understanding of the types of hospital agreements, and different agreements naturally represent different situations. In order to avoid further scaring meDo by Derek's explanation, Langley chose this way to understand Paul's current situation.

Critical.

most urgent.

Langley's heart so curled up, he did not hesitate, quickly completed the signature, the consent to the operation again to Derek, "Dr. Shepard, thank you."

Derek gently picked his eyebrows, as if he could feel the weight of the consent, but he didn't say much. He just nodded politely, and then quickly turned away.