Chapter 647: The Living Dead, Consultation
After waiting for about seven or eight minutes, a middle-aged man wearing gray work clothes and black cloth shoes with white soles walked over quickly.
This man was strolling leisurely in the garden, his eyes as sharp as an eagle.
"Young man, do you want to see Mr. Song?"
His eyes were fixed directly on Zhou Can in the car.
"Yes, I want to meet Mr. Song. Here are my IDs."
Zhou Can got out of the car and politely handed his ID to the other party for inspection.
After taking the ID, he looked at it carefully, and compared it with Zhou Can himself, then the uncle returned the ID to Zhou Can.
"Get in the car, I'll show you the way."
After the uncle finished speaking, he walked directly to the other side, opened the car door and got into the passenger seat.
The two sentries stood like two javelins, saluted Zhou Can's car, and let it pass.
This made Zhou Can deeply experience the aura of power and wealth for the first time.
Even in the villas on Jiangxin Island, security is also tight and the villas are sold for over 100 million yuan, but compared with here, it is completely different feeling.
It’s hard to explain, but when I drove up to this place, I felt awe and awe in my heart. It was so awe-inspiring.
The greening in this nursing home is better than that in a park, the floor area ratio is very low, and there are only a few buildings hidden among them.
In addition to this main lane, you can see some small paths paved with pebbles, red carp and spotted carp swimming in the fish pond, and it feels like the water under the arch bridge is flowing.
I don’t know where the water comes from?
It is difficult for ordinary river water to be so clear. After all, the various sewage discharges these days are very serious.
In order to reduce the cost of treating sewage, some unscrupulous companies usually dig and repair hidden pipes and discharge sewage secretly.
Through the open car window, he could feel that the air in the community was particularly fresh.
There is a sense of comfort as being in nature, and my mood becomes relaxed as well.
"May I ask your name?"
Zhou Can himself has a high status and a decent fortune, so he was able to remain calm and composed when facing this middle-aged man.
"My surname is Bian, and I am the housekeeper of Mr. Song's family."
"Uncle Bian, may I ask if you are the one taking care of Mr. Song Dingxian?"
The other person seemed to be in his fifties, so it was appropriate for Zhou Can to call him uncle.
"I am mainly responsible for this, and there are many people who usually take care of Mr. Song."
"How is Mr. Song's physical condition? I mean, have your body functions deteriorated seriously after being paralyzed?"
"It's the house in front. You can just park your car outside. If it's not our family's car, you can't drive in."
Uncle Bian did not answer Zhou Can's question.
Instead, he pointed to a Chinese-style building in front.
It is only two stories high, with flying eaves and pointed corners. On the roof you can even see ridge beasts that are used to ward off evil and symbolize good luck.
They stopped the car on the side of the road and got out.
After entering the door, a strong middle-aged man took out a metal detector.
"According to the rules, the door to this house must be checked, and no dangerous items such as knives and guns are allowed. Please understand."
"Can."
Zhou Can opened his hands and allowed the other party to examine him.
After scanning with the instrument, the middle-aged man conducted a simple body search on Zhou Can from head to toe with very professional movements .
After searching him, the middle-aged man looked at Zhou Can deeply.
"I didn't expect that little brother is a martial artist. You can go in now."
He made a gesture of invitation.
There was also a slight change in the attitude towards Zhou Can, with a little more respect.
Have you ever practiced this? You will know it as soon as you touch the other person’s body.
The muscles of martial artists are not only stronger than those of ordinary people, but also form a natural muscle reflex. When attacked, they will naturally rebound or tighten. This is because when practicing professional fighting and free fighting, self-defense and counterattack have been integrated into every muscle.
There are powerful masters who even have it integrated deep into their bones.
When Uncle Bian heard what the middle-aged man said, he couldn't help but look at Zhou Can with a little surprise.
But he didn't say much.
"plz follow me!"
Uncle Bian took Zhou Can into the yard, where the environment was quiet and the layout was very ingenious.
Every blade of grass and tree, the pavilion, rockery, the screen wall at the entrance, and even the garage are all carefully designed.
After entering the main hall, Zhou Can found that there were several servants in the house.
The young maids in their twenties, the maids in their fifties, and the male maids were all wearing black cloth clothes, trousers, and cloth shoes.
These powerful and wealthy families have so many things to pay attention to!
Zhou Can couldn't help but sigh.
Butler Bian took Zhou Can to a room.
"Please wait outside. I'll go in and talk to Mr. Song."
When you open the door, you can vaguely see that the gatehouse is very large, at least 60 square meters, which is as big as the living room of a large apartment.
There was a bed in the middle of the room, with various instruments on both sides.
On the west side of the room, we even saw the amazing ECMO, critical ultrasound, and blood purification equipment...
This is simply a small intensive care unit with all the necessary facilities.
If that wasn't enough, two middle-aged men and women in white cloth were guarding the ward.
These two people are definitely professional medical staff.
At this moment, apart from being shocked, the only words Zhou Can could think of were: awesome.
This is really awesome.
The cost of purchasing those instruments is already terrifying, and daily maintenance is also a considerable expense. Then at least two professional medical staff must be hired to guard the bedside.
This kind of expense is really not something that ordinary people can afford.
Butler Bian came out soon.
"You may come in now."
Zhou Can walked into the room. The two medical staff were not young, the man was probably around 47 or 48 years old. The woman was obviously a nurse, and she looked to be at least in her early 40s.
The medical profession requires a lot of experience, especially for patients with severe paralysis, who are even more difficult to care for.
The two of them just glanced at Zhou Can indifferently, each doing their own work, appearing to be very dedicated.
The man stared at the ventilator, while the woman stared at the infusion bottle, checking the patient's condition from time to time.
Perhaps due to the patient's special condition, the IV is not given through the common vein access of the arm or back of the hand, but rather through deep vein catheterization in the neck.
The risks involved are obvious.
Some drugs used for critically ill patients are irritating and require long-term infusion, and phlebitis may occur when infused into small peripheral veins.
If the drug accidentally leaks out of the blood vessels, serious consequences such as local tissue necrosis may even occur in severe cases.
But there is no need to panic. Deep vein catheterization is performed by experienced nurses, and trainee nurses don't have the courage to do it. If there is any abnormality, the nurses will rush to the ward to deal with it in time.
Just think of it as a more advanced form of infusion.
Zhou Can looked at the patient lying on the bed, wearing a ventilator. Fortunately, it was non-invasive ventilation.
According to Zhou Can's clinical critical care experience, invasive ventilation not only requires a strict sterile environment, but also various complications will arise over time.
The most common is pneumonia.
This is almost inevitable.
The longer the invasive ventilator is used, the more likely it is to develop various complications, of which inflammation is the most common.
No matter how advanced the hormones or antibiotics you use, you cannot completely prevent this.
The patient on the bed was a haggard man whose real age could not be determined.
I guess it should be around the age of 60.
Despite being bedridden due to illness for a long time, he still looks quite kind.
It's not the kind of face that looks ferocious and evil.
Patients with severe paralysis are most likely to suffer from bedsores and muscle atrophy, and over time, some organ failure. However, this male patient is in good condition.
It has been about ten years since Dr. Xu’s accident.
When Zhou Can first arrived at Tuya Hospital as a resident intern, Dr. Xu had already had an accident for several years.
Now Zhou Can has been promoted to attending physician and has become a new famous doctor in Tuya Hospital.
So it can be inferred that the patient has been paralyzed in bed for at least ten years.
It is not easy to keep the muscles from atrophying and the skin looking plump while being paralyzed and bedridden for such a long time.
It is necessary to ensure that the patient's body is massaged and stretched every day, usually every two to three hours.
This all has to be done manually, and requires a professional caregiver.
It is impossible for a caregiver to persist in doing this for ten years. The workload is so heavy that it is impossible for a caregiver to complete it.
Also, it is not enough to simply ensure that patients are massaged on time every day.
Nutrition also needs to keep up.
The patient now needs to wear a ventilator even to breathe, and eating on his own is simply impossible for him.
Not to mention the cost of the nutrient solution, just the combination of the nutrient solution is a test of the level of doctors and nurses.
At least one has to be at the level of deputy chief nurse and have studied nutrition to be barely competent.
Muscle massage, stretching exercises for blood vessels and ligaments, muscles, skin, and nutrition were all solved. The patient's vital signs remained stable, which was also an extremely difficult task.
Over the past ten years, countless manpower, material resources and financial resources have been consumed to save this patient's life.
Zhou Can originally thought that Dr. Xu would only keep a small portion of his salary every month and donate the rest to the victim's family. He did this every year, and the victim's family accepted it all without ever saying a word of thanks.
This is too much.
Now I understand that the salary donated by Dr. Xu is just a drop in the bucket.
It may only be enough for the victim's family to pay for a caregiver.
According to conservative estimates, at least four caregivers are needed to take turns massaging and stretching the patients 24 hours a day.
A caregiver earns 6,000 yuan a month, so if there are four of them, that would be 24,000 yuan.
The salary of a professional caregiver would be higher, and with the expenses of buying social security for them and providing them with food and accommodation, the salary could easily double.
To put it in a cruel way.
The patient is already in this condition. Is it really necessary to spend so much financial, material and human resources to keep the patient on life support?
Even if the victim's family can afford it, living is painful and tormenting for the patient.
And every minute and every second is a painful torture that feels like a year.
"Mr. Song, my name is Zhou Can, I'm a doctor at Tuya Hospital, and I came to see you today."
Zhou Can spoke to the patient in a very gentle voice.
“Mmm…”
The patient makes inarticulate sounds.
This surprised Zhou Can a little.
The ability to make sounds indicates that the nerve damage is much better than expected.
Before coming, he thought the patient was in a vegetative state.
The patient was able to understand what Zhou Can said and made vague sounds to express his thoughts, indicating that he was conscious and had no problems with hearing or language.
The patient's speech was unclear, partly because he was wearing a ventilator, and partly because he had not spoken for a long time, causing his language ability to deteriorate.
If a person is thrown on a desert island for ten years, even if he survives, he will lose his ability to express himself in language.
Only some simple syllables can be uttered.
"After the accident, many medical staff in our hospital have been concerned about you and have been working hard to find a solution. Ten years have passed, and medical technology and techniques, as well as treatment experience in the neurological field, have made great progress. Can I examine your body?"
Zhou Can asked the patient.
“Mmm…”
The patient tried to nod his head in agreement, but could not move.
It can only be expressed by blinking.
"Uncle Bian, I will examine Mr. Song then."
Zhou Can sought the advice of Butler Bian.
"Okay, but you have to ensure Mr. Song's safety." Butler Bian agreed.
"Please be careful when checking and do not affect Mr. Song's vital signs."
The male doctor said indifferently.
Zhou Can got permission and then began to examine the patient. The patient was only wearing a pair of underwear, probably to protect the patient's privacy and dignity.
Try to pick up the patient's left hand.
Zhou Can was quietly checking the weight, skin elasticity, body temperature, muscle and fat thickness, and pulse.
"Mr. Song, if you can feel me touching your fingertips, just blink."
Zhou Can said to him.
The patient blinked to show that he understood.
Zhou Can tried to touch the patient's index finger, but there was no significant reaction. He squeezed it a little harder, and the patient responded this time, blinking at him.
It seems that the sensory nerve function in the hand is still there.
The two arms were tested separately, and then other parts of the body were tested.
The patient's nerve function gradually weakens from the junction of the neck and the back of the head, and by the time it reaches the lower limbs, there is almost no sensory function.
Because the patient's status was too noble, Zhou Can did not dare to request an acupuncture test.
Zhou Can has treated many cases where the nerve function gradually weakens as the disease progresses.
There are all kinds of reasons .
Before coming, Zhou Can specially checked the files and learned the detailed surgical records of this patient from that year.
Caused by removal of a brain tumor.
According to Dr. Xu, his hands were faster than his brain and he accidentally cut the brain nerves when he was cutting.
The patient's eyes can move, he can see, he can hear, and although his hands cannot move, his sensory nerves should be normal...
According to neurosurgical anatomy, the cranial nerves are the central hub that sends nerve signals from top to bottom, from head to toe, throughout the body.
The core center of the cranial nerves is the brainstem, which extends all the way down through the pons, medulla oblongata, and cervical enlargement.
The spinal cord can be thought of as the main transmission artery.
The brachial plexus is responsible for sensation in the hand.
The patient has feeling in his hands, which means that at least the section from the brainstem to the brachial plexus is open.
Then the patient's thoracic nerve test was also fine.
Only when it comes to the lumbar plexus, cauda equina, and sacral plexus, the problem becomes unsatisfactory.
Zhou Can began to fall into deep thought.
According to clinical experience, blood vessels will shrink and become thinner after bleeding. This is why it is often difficult to find blood vessels when rescuing patients with severe bleeding.
Nerves also atrophy.
Moreover, its atrophy is more complicated, and is affected by many factors such as nutrition, exercise, and neural electrical signals.
