Facts have proved that no matter whether you want to step on a thing like thunder or not, it will never leave you there. Maybe you can’t step on it today or tomorrow, but as long as it still exists, sooner or later you will meet it one day.

Sun Lien was very sure that he really stepped on a huge landmine.

Qian Aiwu's condition took a sharp turn. From the time when Lao Bu sent a WeChat report to Sun Lien arrived at the hospital, Qian Aiwu experienced attacks including respiratory failure and heart stopping. When Sun Lien arrived in the ICU, her heartbeat still showed no sign of recovery.

"Talk to your family and push ECMO over immediately!" Sun Lien didn't care that this was the territory of the critical care medicine department and was ready to use the last resort. Qian Aiwu's electrocardiogram prompted the inverted T wave in the chest lead and complete right bundle branch block, which are all electrocardiogram changes that often occur in pulmonary embolism. Although the ECG changes in pulmonary embolism lack specificity, the inverted T wave in the chest can indicate right ventricular insufficiency, which is also a major prompt for pulmonary embolism.

Her V1, V2, V3, and V4 leads all have T-wave inversion. If Sun Lien suspects anything else, it is an unprofessional manifestation - not to mention that the status column clearly states "Diffuse intravascular hemolysis (00.15.27), acute pulmonary embolism (00.13.33), acute right heart failure (00.12.45)"

Although the embolite is now unknown, judging from experience, the possibility of thrombosis is greater. Under severe infection, DIC appeared in Qian Aiwu's body, and a large number of thrombosis blocked her capillaries, resulting in pulmonary hypertension and acute right heart failure. Although the possibility of bacterial thrombosis cannot be completely ruled out, it is not very meaningful to confuse the nature of the embolism now. Just judge by Qian Aiwu's current blood oxygen saturation is less than 84%. If you do not take firm measures immediately to deal with it, she will definitely die, and she will die in a very short time.

Sun Lien was directing the rescue, but the ECMO's boot permit was delayed. After waiting for about five minutes, Sun Lien couldn't wait any longer. He rushed out of the ICU, "Qian Aiwu, where are Qian Aiwu's family?"

"Where is this?" Cao Yanhua waved to Sun Lien with helplessness. In front of him was a middle-aged man with a calm expression and didn't look panic at all.

"You are Qian Aiwu's family, right?" Sun Lien trotted all the way to the other side, "Who are you?"

"I am her son." The middle-aged man calmly said, "Who are you?"

Sun Lien was so anxious that she was sweating, and there was no time to chat with him slowly. "I am Qian Aiwu's attending doctor. Her condition is very bad now - she now has pulmonary embolism and acute right heart failure. Conservative treatment methods are not enough to reverse the situation as soon as possible. I suggest going to the external membrane pulmonary oxygenation directly and maintaining her vital signs first. This will give us enough time to treat existing pulmonary embolism and heart failure."

The middle-aged man looked at Sun Lien and asked, "Why did she become like this?"

"Because of serious infection..." Sun Lien was anxious, but answering the questions of the patient's family was an important condition for obtaining a treatment permit, so he could only patiently try to explain.

"What I asked was why she had a serious infection." The middle-aged man interrupted Sun Lien's question, "My mother came to your hospital for surgery because of cancer. Why are there problems with her lungs now?"

Sun Lien was speechless for a moment. He looked at the middle-aged man in front of him in shock and said, "Did you figure out the current situation? She is in critical condition now, and this is going to be a death!"

"That cannot be excused for your medical negligence." The middle-aged man insisted on the railway. "Of course I hope she will go home well, but you must also take on the responsibilities you should bear, rather than throwing all the decisions on the families of us patients who don't understand anything!"

Sun Lien glanced at Dr. Cao Yanhua with helpless expressions, "You told him that it would cost 20,000 yuan to start the phone, right?"

Dr. Cao Yanhua nodded helplessly.

"All the efforts we have made now are to save the person first. If you think there is anything wrong with our medical process, you can submit an audit request to the relevant departments later and ask the Health Commission to organize experts to investigate our medical process." Sun Lien tried to make the other party focus on the most important things first. "But that can be handled later, and we need to take measures as soon as possible..."

"It is your responsibility to take the initiative to take the measures, and you must bear the corresponding costs." The middle-aged man seemed to be discussing with Sun Lien about the way to make a piece of pork instead of the safety of his mother's life. "I can't sign it."

"You..." Sun Lien was speechless for a moment. He was stunned for a while when he looked at the middle-aged man for a while. This attitude even made him feel a strong sense of "unreality". Sun Lien had not seen the family members of the patient who was chaotic, nor did he have to see the doctors. But at least the starting point of the nonsense was to save the lives of his relatives. At least the medical fuss had to wait until the patient died before causing trouble. People were still alive and were still rescued, so they had to start discussing the responsibility for the medical accident. This huge contrast made Sun Lien feel as if he was dreaming.

Cao Yanhua took two steps back, holding his mobile phone in his hand to record and collect evidence. Sun Lien swallowed hard and looked at the middle-aged man and said, "I will make it clear to you again that the patient's life is in a very critical state. We believe that ECMO is the only effective and necessary rescue method now. In order to save the patient's life, we need to get your signature and authorization to enable ECMO."

"I won't sign." The middle-aged man refused the signing request without hesitation. "This is your responsibility, and I can't sign it."

"If you don't sign, it means refusing to rescue. You understand what you are saying, right?" Sun Lien was interested in arguing with the other party. He raised the volume a little, "The person is still alive now. If you refuse to rescue, the patient will have no chance of survival. Do you understand what I said?"

The middle-aged man asked, "This is your responsibility, do you understand?"

Sun Lien glanced at Cao Yanhua, and Dr. Cao nodded to Sun Lien - he had saved this video and uploaded it to the cloud for saving. The patient's family clearly refused to continue the rescue, and there was no problem using the video as evidence.

"As a child, even if there is anything wrong with his parents, it will be at least a life." Sun Lien shook his head and said to the middle-aged man, "Holding all the problems on our hospital may make others not gossip, but whether they can be at ease is the only one who knows."
Chapter completed!