Since 1981 Health School
Chapter 656 Intervention of a Psychiatrist
In the middle of the night, Fu Zhenzhen wanted to speak, but with a tube in her mouth, she could only whine.
Lan Lijuan was sitting in front of the artificial liver machine studying the instructions, while Chen Qi and Zhu Huoyan were carefully debridement.
The gunpowder powder is embedded deep in the muscle, and it is impossible to dig out the muscle with a single knife, so it must be cleaned out slowly with a camera to lay a good foundation for the next step of skin grafting.
This is slow work and requires the doctor's 120,000 patience, otherwise the wound will not heal if a few grains of gunpowder are left behind.
While debridement, Chen Qi was still introducing the principles of the artificial liver and artificial kidney machines to Zhu Huoyan.
So the ward is actually very quiet, except for the occasional beeping of the alarm from the machine.
At this moment, the three of them heard a humming sound at the same time. As doctors are professionally sensitive, they all realized that the little patient Fu Zhenzhen was completely awake now.
Originally, she woke up, but she was in a daze, from a coma to a drowsiness. At this time, the patient's thinking was still very slow, and she responded to shouts, but she couldn't follow your instructions.
Now the patient is actively making whining noises, which are very common in intensive care patients.
It is often the sound of conscious patients who are uncomfortable with the tubes inserted all over their body and fear of death. If you take the ventilator tube out of your mouth, you can understand it as crying.
At the same time, the ECG monitor also issued a continuous warning sound, showing that the patient's heartbeat and blood pressure continued to rise.
Lan Lijuan got closer to the bed, immediately dropped the manual in her hand, and said in the most gentle words:
"Fu Zhenzhen, hello, I am a doctor, don't be afraid, we are treating you now, so you are safe, don't be afraid, don't be afraid..."
Zhu Huoyan and Chen Qi looked at each other, knowing that for the little patient Fu Zhenzhen, the most difficult time had come.
Of the three relatives in the family, one was killed by bombing and two were shot. A seemingly happy family was instantly shattered. This is a very cruel thing for a 15-year-old girl.
Being cruel enough to make her life worse than death in her heart, it would be better to remain in a coma and know nothing.
Lan Lijuan's comfort did not calm Fu Zhenzhen down, but made her more irritable. Obviously, what did she want to express?
At this time, Zhu Huoyan took off his gloves and came to the bedside, and said to the little patient gently:
"Fu Zhenzhen, I'm your attending doctor. Don't worry. Now your oxygenation is not very good and your blood flow is unstable, so the ventilator cannot be removed. Do you want to see someone?"
Fu Zhenzhen stared at Director Zhu with eyes full of tears, and then nodded slightly.
Zhu Huoyan ordered: "Chen Qi, you continue to debride and bandage the wound, Lijuan, you go get a pen and paper and let her write down what she wants to say."
There are pens and paper in the ward. Lan Lijuan carefully put the pen into Fu Zhenzhen's hand, and then fixed the notebook for her:
"Come on, write what you want to say."
At this time, Fu Zhenzhen's limbs were in a state of muscle weakness, and she couldn't raise her hands at all. Lan Lijuan had to let her hands lie flat on the side of the bed, and then asked her to write blindly.
The tip of the pen was moving slowly and crookedly, Zhu Huoyan and Lan Lijuan were staring at the notebook.
The first word that appeared was "Dad". Although it was written very irregularly, it was still recognizable. Zhu Huoyan and Lan Lijuan felt their hearts skipping at the same time, knowing they were in trouble.
Sure enough, the second word is still "Dad", and the complete four characters are "Where is Dad".
There are three doctors in the ward, you look at me, and I look at you.
Chen Qi held a sterile plate in one hand and a camera in the other, and his eyes meant: "Tell the child the truth?"
Zhu Huoyan shook his head lightly, while Lan Lijuan gave her husband a hard look, meaning: "You idiot, can you tell the truth now?"
Chen Qi shrugged and shook his eyebrows, meaning: "What should we do now?"
Fu Zhenzhen is not stupid, she actually had a premonition in her heart that something must happen at home, especially her father might be more dangerous than her.
But when people are in despair, they subconsciously think in a good direction. She just wanted to get an answer and let the doctor tell her, "Your father is fine."
But now the three doctors in the ward can neither say that your father is dead, nor that your father is fine.
Because if your doctor says that your father is fine and gives her hope, the greater the disappointment will be in the future, the stimulation to the little girl will be very strong, and she is prone to mental problems.
Right in front of her eyes, if her father was fine, Fu Zhenzhen would definitely add: "Can my father come and see me?"
Wouldn't the lies of the three doctors be exposed immediately?
This doesn't work, that doesn't work either, the three doctors are in a hurry.
Fu Zhenzhen, who hadn't received a response for a long time, became emotional again, and asked how she knew it, and she knew it by looking at the heart rate and blood pressure on the ECG monitor, and the heart rate reached more than 130 times.
what to do? At critical moments, a professional doctor must be called in.
Zhu Huoyan ran to the office in person and called Lao Guo overnight for help, and Lao Guo called Dean Xu of the Seventh Hospital. Dean Xu thought it was too late to call the staff in the middle of the night, so the little old man personally Went to Yuezhong Hospital.
Lao Guo also came to the hospital.
After Dean Xu arrived at the hospital, Zhu Huoyan and Chen Qi hurriedly gave a preliminary introduction to what happened in Fu Zhenzhen's family and the current physical condition of the patient.
Dean Xu actually knows about the Yangshan incident. Nonsense, the newspapers can't wait for a series of such overwhelming reports. Now there is no literate person in China who doesn't know about it.
Faced with the sudden death of a loved one, and the betrayal of a loved one, how can the little girl accept it?
It is also necessary to ensure the mental health of the little girl and continue to receive clinical treatment.
General doctors can't do this kind of work, but psychologists can. They specialize in "playing with people's hearts", so professional things should be left to professional people.
Dean Xu was about to enter the ward after disinfection, but Lao Guo gently called him:
"Old Xu, are you okay?"
Dean Xu took a deep breath: "It's difficult, but she has to pass this level. Don't worry, I will come to give her psychological counseling every day."
Old Guo's eyes were full of worry, and he sighed softly: "Ah, you're a sinner~~~"
Outside the ward, Guo Yuanhang, Zhu Huoyan, Chen Qi, Lan Lijuan, Yang Xiuxiu, and Chen Li all looked into the ward through the glass, holding their breath, fearing that something might happen to the patient so they could rush in for rescue.
In the ward, Dean Xu was sitting on the head of the bed, talking softly to Fu Zhenzhen.
About half an hour later, it may be that Dean Xu had prepared the patient psychologically. Suddenly, everyone saw that Fu Zhenzhen was shaking violently, and the beeping warning sound of the ECG monitor was tightened outside the ward. All hearts.
Just as Chen Qi was about to rush into the ward, he was grabbed by Lao Guo.
In the ward, Dean Xu swayed his palms outward, signaling people outside the ward not to enter.
Dean Xu waited for a while, after the peak of the crying of the little patient passed, he stroked her hair lightly again, and then whispered something again.
Waited for another hour.
One hour later, Dean Xu came out, and the people outside the ward quickly surrounded him. Comrade Guo was extremely nervous:
"Old Xu, how is the little girl? Will she look for life and death in the future?"
Dean Xu breathed a sigh of relief:
"I told her the truth, don't worry, this is the reality she has to accept, but after my comfort, her emotions have gradually stabilized, and the next thing is for her to figure it out slowly, so I I will come for psychological counseling every day.
And I found out that this little girl is stronger than we believed. Do you know what the last words she said to me before falling asleep? She said that for her father, she would definitely live a good life and not let her sacrifice in vain. "
As soon as these words came out, everyone was in tears.
Comrade Lao Guo wiped the tears from the corners of his eyes, and Lao Huai said comfortingly:
"Okay, okay, it's good that she has this awareness, it seems to be saved."
Chen Qi glanced at Old Comrade Guo in a strange way, feeling that he was a little more emotional. Isn't the old man usually quite ruthless, and when he slapped someone, it made a crackling sound.
In the next few days, Director Xu of the Seventh Hospital came to give psychological counseling every day, and Chen Qi insisted on cleaning Fu Zhenzhen's blood toxins every day.
Finally, a week later, the arsenic in the little girl's body was basically gone, and her liver and kidney functions were slowly recovering. Even the ventilator was withdrawn, and her spontaneous breathing fully recovered.
Chen Qi followed Dean Xu's advice and asked Chen Yixin and Chen Yiyi twins to go to the hospital every evening after school to play with Fu Zhenzhen.
Although Fu Zhenzhen is 15 years old, she is still a big kid after all.
Accompanied by children and counseled by a professional psychologist, she almost walked out of the shadow of family rebellion and showed a smiling face again.
Of course, it is also possible that she is too young to know what the death of her family means to her life, and how difficult the road ahead will become.
After the doctors of Yangshan Hospital learned that Fu Zhenzhen was awake, they quickly came with a large bus tour group.
From the dean of Yangshan Hospital, to all the directors of internal medicine and pediatrics, there are also many nurses who have taken care of small patients.
They were so amazed at how the Yuezhong Hospital could completely remove the toxins from Fu Zhenzhen's body within a week and let her regain consciousness.
As professional doctors, they knew how incredible this process was, so they were even more surprised.
On the contrary, Director Zhou Siqi, who had watched the rescue at Yuezhong Hospital for a few days, was much calmer.
Because Yuezhong Hospital has all the advanced equipment that Yangshan Hospital does not have; Yuezhong Hospital also has medicines that Yangshan Hospital could not even dream of getting.
With such conditions, arsenic toxin removal is simply a piece of cake for Yuezhong Hospital.
In order to expand the influence of Yuezhong Hospital, and at the same time let the people of the whole country share the joy of Fu Zhenzhen's recovery, Chen Qi also specially invited more than ten reporters to the outside of the ward to see the recovery of the little patient with his own eyes.
Of course, in order to reduce cross-infection, they are not allowed to enter the ward, but they are allowed to take a few photos outside the ward through the glass.
Because Chen Qi had obtained Fu Zhenzhen's consent in advance, let Fu Zhenzhen know that everyone cared about her, and cooperated with the interview.
So when the reporters picked up the video cameras and cameras to shoot, Fu Zhenzhen raised her head slightly, smiled and waved to the reporters.
The next day, this photo was published on the headlines of the second page of major mainstream media.
Under Chen Qi's red envelope offensive, winning the title is an exaggeration:
"The Miracle of Life Created by Vietnam Hospital"
"The Miserable Girl Lives Tenaciously, Yuezhong Hospital Rescues with All Its Efforts"
"Good news, Fu Zhenzhen woke up, Yuezhong Hospital is amazing"
These newspapers not only reported the news of Fu Zhenzhen's improvement, but also made extended reports, reporting that the Department of Gastroenterology and Plastic Surgery of Yuezhong Hospital are world-class, how many state-of-the-art equipments there are in Yuezhong Hospital, and so on.
Even the renderings of the Gemini Tower under construction were published in the newspapers. In order to brag, Chen Qi had already hidden his face in his pocket.
For a while, because of forcing Fu Zhenzhen's traffic, Yuezhong Hospital once again showed its face in front of the people of the whole country.
Not only has Yue Tsung Hospital won the praise of the people across the country, but the number of patients who come to see the hospital has increased a little. This is definitely a double harvest of social and economic benefits.
In addition, Yuezhong Hospital has ensured that all donations are operated in an open and transparent manner, so that donation slips from all over the country are flying like snowflakes, and the total amount in the account has reached an astonishing 60,000 yuan.
But Chen Qi knew that removing the toxin and successfully resuscitating is only the first step.
In the ward, the doctors of Yuezhong Hospital conducted another consultation. The little patient was in a coma for two weeks after the injury. After waking up, the physical examination found that the limbs were weak, and the muscle strength of both lower limbs was only grade 2.
This means that Fu Zhenzhen may face the possibility of paralysis.
Xia Hua, the director of neurology, is reporting the progress of the disease to everyone:
"The current situation is that the lower limbs of the little patient can move in parallel with difficulty on the bed, but they cannot be lifted up and cannot resist gravity. Now we have used some nerve nourishing drugs, but the effect is not good. We still need to implement it as soon as possible. Rehabilitation."
Everyone present understands that the premise of rehabilitation training is that both lower extremities can be recovered from the blast, but it has become a stumbling block in front of them.
The burns on Fu Zhenzhen's upper body were relatively simple. After treatment, Fu Zhenzhen has recovered to a good extent. The lower body, especially the lower limbs, was more seriously infected and the wound was deeper due to gunpowder injuries.
The patient's lower limbs have undergone debridement to remove necrotic skin and muscle tissue. The current situation is that the skin from the front of the calf to the instep of the foot is gone, exposing white tendons and gray bones.
To use an idiom to describe it, it is "deep to the bone".
Director Zhu Huoyan introduced:
"After our debridement, the gunpowder powder has been cleaned up, and the broken muscle bonds have also been re-sutured, but the long-term exposure of the wound is very unfavorable to the prognosis, and we will perform skin grafting surgery next."
This debridement is really not easy.
When Fu Zhenzhen was in a coma, because there were too many arsenic toxins in her body and multiple organs failed, she did not support large-scale debridement. She was afraid that if she accidentally got a systemic infection, she would die.
After arriving at the Yuezhong Hospital, after the toxins were finally removed, a lot of fresh "meat" grew out because of the interval of two weeks, which caused troubles for deep cleansing.
Zhu Huoyan and Chen Qi cleaned up the wound centimeter by centimeter with their eyes wide open like copper bells.
Often after a debridement, the waist can hardly stand up straight.
Presbyopia like Lao Guo can't do this delicate work at all, which is more delicate than embroidery.
Later, because Fu Zhenzhen started to wake up, every debridement would cause her severe pain, but she just bit the bed sheet and didn't say a word.
Every time the debridement was completed, Fu Zhenzhen's whole body was covered with sweat, which made Head Nurse Liu very distressed, and she was really tearful.
When Director Xia heard that the skin graft was going to be done, he nodded slightly: "Okay, then I'll leave it to your burn surgery department!"
Chen Qi rubbed his chin and thought, "I'm afraid skin grafting is not acceptable."
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