American drama life begins with Dr. House

This familiar scene immediately reminded Du Wei of who this guy was.

A musician who plays the trumpet is considered a celebrity in the music industry.

After he was paralyzed in an accident, he was mistakenly diagnosed as suffering from amyotrophic lateral sclerosis, or a.l.s.

Now the symptoms of paralysis are getting worse, and now he can't even play his favorite musical instrument.

Therefore, he always had the intention to die when he went to the hospital.

He even signed a d.n.r agreement (agreement to give up resuscitation) later, which meant that when his condition worsened, he refused any first aid measures and directly chose to die with dignity.

In short, this guy named Giles is an extremely troublesome patient, because a doctor cannot save a patient who wants to die.

At this moment, the quarrel between House and Dean Cady came from behind.

The general meaning is that House wanted to take over this case, but Dean Cady told him that this case was solely responsible for the case by neurologist Pete.

After preliminary diagnosis, Giles went to the emergency room for simple lobar pneumonia.

This disease is not difficult for most doctors to treat.

The reason why Peter was chosen as the doctor in charge was because he was a good friend of Martin Hamilton, the outstanding neurologist at the outer hospital who diagnosed Giles with A.L.S. and Giles's attending physician.

So Martin named Peter to take over his case.

But it is obvious that Peter did not intend to cure Giles's paralysis symptoms, but wanted to comply with his wishes and sign a D.N.R. agreement for him.

So after Giles signed the agreement, Peter walked out feeling relaxed.

When he saw Duwei, House and Dean Cady, he immediately frowned.

He now hates Duwei and House so much that he feels disgust from the bottom of his heart when he sees their figures.

In his original plan, he would wait until his friends successfully entered the hospital before dealing with these two people.

But now, it seems that there is a plan to disgust the two of them.

I saw a false smile on his face and said to Dean Cady:

"Dean Cady, I just came here and I am not very familiar with the members of the department.

But you also saw that my hand was accidentally injured yesterday.

So I need someone to be my assistant to assist, but I don’t know who to ask for help now.”

Although Cady was very dissatisfied with the doctor who came by air, looking at the face of the medical committee, he could only smile and say:

"Really? As long as the doctors are free, I have no objection to them coming to help you."

This was what Pete was waiting for, and he looked at Du Wei:

"Well, I know most of the other doctors have business to do, so I won't waste their time.

Let this intern doctor help me.

I want to take care of patients and other simple tasks, this intern doctor can't do it wrong, right?"

Cady glanced at Du Wei, who was an intern, and nodded in agreement:

"Of course, Du Wei, you will be transferred from the diagnostic department to work under Dr. Pitt today.

Dr. Peter is a professional neurologist, so you should be more serious and learn more knowledge, which will be very beneficial to you in getting your medical license in the future."

When he heard that Cady had transferred his people without his consent, House suddenly said with dissatisfaction:

"Wait a minute, when can the doctors under me be seconded to others at will?

What should I do when I need a consultation?

What should I do if my condition is delayed?

If you want me to say, you can just assign this patient to me for treatment, so that you can legitimately mobilize my people to participate in the treatment."

Seeing House complaining, Cady turned around helplessly and said:

"House, I told you, the doctor in charge of this guy is Pete.

Besides, Du Wei is just an intern, wouldn’t you be able to diagnose without him?

Or can his diagnosis directly affect your diagnosis?

If that's the case, then I have to consider whether hiring you is the right choice."

Seeing that House still wanted to speak, Peter, who had already had an idea, immediately answered the question:

"House, this is my patient, I don't need you to interfere, please stay away.

Otherwise I will ask the patient to apply to the court for an injunction against you!"

House swallowed back what he just wanted to say, turned around, looked at Peter with his extremely oppressive eyes and sneered:

"Your patient? Have you ever thought about finding the real cause of his paralysis?

Instead of helping him solve the problem, you signed a D.N.R. agreement for him.

Is there a doctor like you?"

Pete was very dissatisfied with this.

The patient has given up treatment, and the doctor still advises him to accept treatment? Isn't this just looking for trouble and making himself unhappy?

"That is his own choice. As a doctor, you should respect the patient's choice!"

House banged his cane hard:

"But he doesn't have to die at all! Have you ever considered that he might have multifocal motor neuropathy?

You can definitely give him intravenous immunoglobulin for treatment."

Peter replied coldly:

"You don't have to worry about how I should treat him. You don't need me to repeat it again. This is my patient, not yours!

Du Wei, start intravenous infusion of steroids and thyroxine on the patient now, immediately!"

Du Wei raised his eyebrows, the fate of interns was so bleak.

Not even the right to freedom of work.

After all, the hospital's director, Kadi, has the final say for the time being.

Facing Pete's legitimate request, Duweike could not raise any objection.

And it was obvious that Pete was here for him.

It seemed like he wanted to add some intensity to Du Wei's work today.

If nothing else, Du Wei won't get any rest today.

Sure enough, just after the intravenous drip was completed, Peter once again ordered Duwei to come.

But he seemed to really consider House's opinion and asked Duwei to get Giles an intravenous injection of immune globulin at a dose of one thousandth of his body weight.

After all, if House's suggestion really works, the credit will fall on Peter.

Thinking about House's annoyed expression after he took House's idea and successfully treated the patient, Peter felt like he wanted to go out and smoke a cigarette to celebrate.

While Peter went out to smoke, Duwei looked at Giles who looked lifeless on the bed and whispered:

"I don't think you have A.L.S."

Giles' expression moved slightly, turned his head and asked:

"Who are you?"

"I'm Du Wei, an intern in the diagnostic department."

After hearing that Duwei was just an intern, Giles laughed to himself, knowing that he shouldn't have his hopes up.

"Really? Is this part of your course? Learning to comfort a dying patient?

Let him rekindle the hope of life and then undergo various uncomfortable examinations?

That’s not necessary, I’ve already signed the D.N.R agreement, you can just sit and play with your phone and wait for me to die.”

Du Wei knew that he would not be able to convince him because of his currently unknown status in the medical community.

So Du Wei said the next sentence and pulled out House's tiger skin:

"Dr. House has the same opinion as me."

Seeing that Duwei mentioned House, Giles's face showed an expression of interest.

He had never heard of Duwei, but he had heard of House, the outstanding internal medicine expert.

"Oh, I've heard about this guy. They say he's an obsessive asshole."

Du Wei smiled:

"I don't deny that he is a bastard, but he does have a unique perspective on diagnosing the disease.

Since he said there are other possibilities, your disease must not be A.L.S.

I suggest that the MRI be repeated to see the specific situation."

Hearing Du Wei say this directly in an affirmative tone, even Giles, who had already made up his mind to die, felt a little shaken in his heart.

It is true that if Duwei had just used the word "possible, not necessarily", then Giles would have scorned it.

But Du Wei actually said it with such certainty, which made Giles feel lucky again.

What if...it was really a misdiagnosis?

Suddenly a voice came from outside the door:

"Hey, Du Wei, what are you doing?! Chatting? Have you finished your work?

Take these changed sheets away immediately.

What are you still doing? Why don't you go to work quickly?"

Du Wei stood up helplessly and was about to leave with the dirty sheets he had changed.

Giles, who had been having a normal conversation with him just now, suddenly gasped for air and made a coughing sound.

Then he tilted his head and passed out.

The blood oxygen concentration on the monitor was dropping rapidly, and Giles actually appeared to be about to suffocate!

Peter roared in confusion:

"Duwei, what did you do?!"

Facing Pete's blame-shifting, Duwei spread his hands and dropped the sheets on the ground:

"I have always been injecting medicines into patients as requested by 'you'.

So, do we need to give him first aid now?"

The expression on Peter's face was uncertain, but he finally said:

"No, he has signed a D.N.R. agreement, and we have no right to perform any rescue operations on him.

But after his death, I will find out whose mistake caused the accident."

Duwei understood Peter's words quite clearly.

The subtext is that Pete is preparing to put the responsibility for this incident on Duwei.

Then it was announced that the patient died because of improper operation by the intern.

Du Wei smiled nonchalantly. With Pete watching, he, an intern, really couldn't perform rescue operations beyond the D.N.R. protocol.

But just because he can't, doesn't mean House can't.

General Du Wei

Reached into his pocket and sent House a text message.

Soon, House, limping on crutches, appeared at the door of the ward.

Peter frowned immediately when he saw the uninvited House:

"What are you doing here?"

House ignored Pete and asked Duwei solemnly:

"How long?"

"It's been ten minutes. It should be symptoms of respiratory failure caused by immune globulin."

After hearing Duwei's judgment, House turned to look at Pete:

"Did you add immunoglobulin treatment to him?"

Pete looked at House who bit back in disbelief, and said in surprise:

"Isn't this the treatment plan you told me? You are primarily responsible for his death from immunoglobulin."

House directly blocked it with a cold sentence:

"This is your patient, and you messed everything up.

Besides, he’s not dead yet, Du Wei, intubate his throat! Create an artificial airway!”

Peter immediately stopped and said:

"You can't do this, he signed a d.n.r agreement!"

Only then did House understand why Duwei called him.

He put the crutch in his hand into Du Wei's arms, opened the cabinet and took out the disposable tube, ready to take action.

Seeing that Peter was still trying to stop him, Duwei quietly put the crutch under his feet.

Pete, who only wanted to stop House's operation, didn't notice the situation under his feet and stumbled over!

More importantly, his right hand was propped on the ground due to the subconscious movement of the human body.

He could even clearly hear that the palm fixed by the plaster cracked again and cracked!

The severe pain caused Peter, who fell to the ground, to gasp for cold air, making an indelible contribution to the warming of the air.

Of course, he could no longer stop House from performing first aid.

It didn't take long for Giles' condition to return to stability, and after he was connected to a ventilator, his life was no longer in danger.

At this time, Pete got up from the ground and pointed at House with his trembling fingers:

"You're screwed. Not only will you receive a court injunction, but your medical license will also be revoked!"

House appears indifferent to Pete's empty threats:

"Really? Then you can come, the hospital has kept $50,000 for me to find a lawyer.

This money is wasted if it is not used.”

Hearing House's answer, Pete's chest heaved violently with anger.

Are all people today so brave?

Why is this House like Du Wei, not afraid of his threat at all?

Could it be that these people eat leopard bile every day?

What's even more annoying is that Du Wei pretends to be concerned and says:

"Dr. Pitt, the gauze wrapped around your palm seems to be bleeding. Are you okay?

How about you lie on the hospital bed and let me check you?"

Seeing Duwei making sarcastic remarks behind him, Peter was really anxious and angry. He opened his mouth for a long time, but couldn't say a complete sentence.

Then his eyesight went dark, and he fainted from the rage.

Neither Duwei nor House had any intention of first aid to Peter who was lying on the ground.

House glanced at Duwei:

"Hey, Du Wei, you're not going to let me, a lame guy, squat down and give him first aid, are you?"

Du Wei shrugged and said he was helpless:

"I'm just an intern, what do I know about first aid? Otherwise, I'd better call a nurse."

The two looked at each other and smiled, and tacitly agreed to let Peter lie on the ground for a while.

Fainting when angry proves that Pete may have cerebrovascular disease.

But this was not a big problem. Peter would recover after a while even without first aid. They took advantage of this time to give Giles some treatment that he didn't want to do.

As for Giles' wishes?

What wishes can a comatose patient have?

Moreover, House has already violated the D.N.R agreement. Compared with that, taking the patient for examination against his will is a trivial matter.

After the two of them took Giles for an angiogram, Peter, who woke up again, could not stop what had happened.

Furious, he immediately called Giles' relatives.

House then immediately received a court injunction prohibiting House from being within fifty feet of Giles and the plaintiff appealed against House.

This means that House may go to jail.

But House didn't care about this. He just asked Duwei to take the angiography film to Chase and Cameron to analyze together to find out the problem as soon as possible.

With the joint efforts of the three of them, it didn't take long to find something unusual in the angiography film.

Cameron suddenly exclaimed:

"It's really a blood clot. House is right. The paralysis of his arm has nothing to do with A.L.S."

House also appeared at the door of the laboratory at the right moment:

"What was the diagnosis?"

"It's a blood clot in the brain, and the paralysis of the arm is due to the blood clot."

"So as long as we administer tissue plasminogen activator or heparin, there is great hope that the blood clot can be cured."

"No, it cannot be treated with heparin."

Suddenly Du Wei raised an objection, and everyone looked at Du Wei.

Chase, who had just proposed treatment with heparin, also looked at Du Wei with confusion.

It is normal to use this drug to treat blood clots, why not?

Du Wei, who was under everyone's questioning gaze, organized his words and then said:

"Because he was a trumpet player, his lungs were severely damaged due to paralysis.

Therefore, if treated with heparin, it may cause pulmonary bleeding, and then he will not be able to play his favorite trumpet in the future.

I suggest that it would be better for the patient to use surgery and embolectomy to remove the thrombus.

This can prevent damage to the lungs, but surgery is risky.

So by doing this, we would either cure the paralysis of his arm, or the patient would die.

But based on my contacts, I believe he will choose the latter."

House thought about it carefully and realized that what Duwei said was indeed very reasonable.

However, the risks of surgery are indeed very high, and this choice still has to be left to Giles himself.

"Is the patient awake? Duwei, please inform Giles of the risk."

…

When Giles woke up from a coma and saw Du Wei coming in again, he reluctantly showed a pale smile:

"I heard that House violated the d.n.r agreement and forcibly rescued me? Then he might be in big trouble."

Du Wei smiled, nodded and said:

"Yes, he has received a court summons to appear in court.

But that's not the point. The point is that Dr. House performed several tests on you while you were unconscious.

The test results show that your arm paralysis is not related to A.L.S. Your arm is paralyzed because a blood clot in your brain blocks blood flow to the area of ​​your brain that controls your arm.

So we just have to dissolve it or remove it and you'll regain feeling in your arm."

Giles did not show any excitement, he just asked calmly:

"What are the side effects?"

"If you use the dissolution method, your lungs may bleed, and you may have no luck in the future.

With surgery, there are no side effects and only one risk, which is either cure or... death."

(Thanks to Chris Webber, Sauce Sipid, and Book Friends 20211103133517523 for their monthly votes, thank you!)