Aunt Liu worked hard all her life. Her only son died in a car accident in her early years. In her later years, her husband suffered a cerebral thrombosis. Every day, she had to go to the fields to work and take care of her husband. Although the villagers tried their best to help her, she was too stubborn to refuse. However, such a good person finally fell ill one day. After being sent to the hospital by villagers, the doctor was surprised to find a huge tumor in her lung. According to the severity of the disease, she would be out of breath even when walking, let alone working. Perhaps it was because she had a heavy burden on her shoulders that she persisted. The surgeons assessed that removing the tumor would be extremely risky. However, if it was not removed, the tumor, which had severely affected her respiratory function, would keep her on oxygen until the day she died. Aunt Liu was also confused when she heard the news. She couldn't understand the words "respiratory failure" and "living with tumor" mentioned by the doctor. The only thing she wanted was to be discharged from the hospital as soon as possible and go back to take care of the family she always missed. After a full hospital consultation, Aunt Liu's tumor was determined to be neurogenic. Although not malignant, as it continues to grow, it will inevitably further damage lung function and will sooner or later be fatal. Therefore, the best way is surgical resection. However, after evaluation by anesthesiologists and thoracic surgeons, postoperative lung function may make it impossible to remove the tube. This means that there is a high probability that she will die from various complications due to long-term inability to get off the ventilator. If it is not removed, Aunt Liu will have to stay in bed and rely on oxygen every day until the end of her life. After the head nurse's patient explanation, Aunt Liu finally understood what the hospital meant, so she asked to talk to the surgeon again. This time, she asked right away: If I have surgery, will there be no chance at all? The surgeon said, of course not. Our evaluation is based on a large amount of clinical data. In other words, this is a high-probability event. As doctors, we need to tell patients the worst possible outcome of the disease. What are the chances? Aunt Liu continued to ask. The surgeon said: Our chest department estimated that the chance of success is less than 10%. Even for this 10%, the anesthesiology department needs to strive for it. Any problem during the perioperative period may lead to a loss of success or loss of expected results. Among them, the most critical thing is the control of anesthesia during the operation, which will directly affect the 10% possibility. Hearing this, Aunt Liu said firmly: If I cut it off, I can continue to take care of the family and my old man. I want the surgery. The anesthesiologists were also very surprised when they learned that the patient insisted on surgery. In the anesthesiologists' view, even if everyone worked very hard to achieve this success, there were still many hurdles to overcome after surgery. For example, low immunity after surgery could lead to pulmonary infection and inability to remove the tube. In short, this is an operation that all medical staff are willing to try, but they do not want the operation to fail. On the day of the operation, Aunt Liu was very nervous while lying on the operating table. When she saw the anesthesiologist putting the mask on her face, she raised her voice and said, "Wait a minute. Doctor, can you guarantee that I can get off the operating table safely?" At that moment, the patient must not be aroused to any mental tension. So the anesthesiologist said as if swearing: I promise. In fact, everyone knows that this operation itself is a fight. The reason why it cannot be refused is not only that the patient’s right to live cannot be arbitrarily deprived, but more importantly, Aunt Liu’s persistence. However, things did not go as planned. After the operation, Aunt Liu developed a multidrug-resistant bacterial infection in the intensive care unit. Half a month later, she passed away. This kind of departure actually did not violate the "contract" with the anesthesiologist before the operation. At least, the anesthesiologist and all the medical staff involved in the operation tried their best! |
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