Ngoại khoa phong vân - Tập 29

chanchanphimxua
chanchanphimxua
  • 3 months ago
Transcript
00:00Tran, are you busy now?
00:15No, I'm not. What's the matter?
00:17Leave your business aside. Come with me to see this patient. It's urgent.
00:21What's the situation? Is it serious?
00:23Numbness, difficulty in breathing, lung pressure, blood clotting, as well as inflammation of digestive tract.
00:29More importantly, it's HIV positive.
00:43Take it easy.
00:48Director.
00:49Director, the patient's condition is not good.
00:52Dr. Tran, let me examine him.
00:59How many times has he vomited blood?
01:00Twice. He vomited 15 minutes ago.
01:12Is this the infectious disease hospital? I'm from the emergency department.
01:15We have a patient who needs to be transferred.
01:17The patient vomited blood once. He vomited blood twice.
01:19Now we just need to stop the bleeding temporarily.
01:22But...
01:23But I know that he needs to undergo surgery within 24 hours.
01:26That's right.
01:27There's nothing to discuss about this.
01:29The problem is that when he's normal, there's nothing to discuss.
01:32We already have a surgery room to isolate the infection.
01:35Now we have to fight for another HIV-positive surgery.
01:40Director, the infectious disease hospital has responded.
01:43They have more than 20 patients with liver infection and one HIV-positive patient.
01:47They can't have more beds.
01:49Moreover, they don't have the ability to do surgery for these types of patients.
01:52Even on weekdays, they have to invite specialists for surgery.
01:56I can guess.
01:59Let's go to the operating room and talk.
02:04We have to stop the surgery quickly.
02:05The tumor is so big, it can always come out.
02:10Moreover, the tumor may be the cause of the infection.
02:13It's very dangerous.
02:15According to the procedure,
02:16we should immediately send the HIV-positive blood sample to the disease control center for diagnosis.
02:21We'll wait until they're done with the test.
02:24The blood sample has already been sent there.
02:26But most of the people in the control center are in the disaster area.
02:28They're only in the emergency room, so they don't have enough manpower.
02:32I know.
02:34How about this?
02:35Take him to the isolation room of the infectious disease department.
02:38Then ask the medical experts to monitor him.
02:40Then wait for the people in the disease control center to handle him.
02:43Many times, the isolation room of the infectious disease department has been full.
02:46Basically, we can't send him in.
02:48So what should we do?
02:49Huh?
02:50Should we let him stay in the normal room outside our chest?
02:53He has HIV.
02:55Go ask them.
02:57Okay, I'll discuss it with them again.
03:01Director Duong,
03:02I don't think it's the same as 20 years ago.
03:05From the surgery to the emergency room, we have the safest standard.
03:09We can't avoid HIV patients.
03:13I isolate HIV patients, not doctors, but patients.
03:17Now there are too many victims after the disaster.
03:20If we continue to accept victims like this,
03:22at the same time as normal patients,
03:24it will cause confusion, even infection.
03:27The consequences will be...
03:32But this patient's condition can't last long.
03:35He can't wait for the disease control center.
03:37We have to do the surgery right away.
03:39Of course,
03:41if the patient is in the normal room,
03:43it's really dangerous and stressful.
03:45He may be scolded.
03:47It's not possible, but it's certain.
03:50If it's normal, it's okay.
03:52Now the patient's level is too high.
03:54Just thinking about keeping it a secret is impossible.
03:57If the patient and the family know
03:59that we let the patient stay close to them,
04:01they will definitely lose their heart immediately.
04:03What if the doctor treats the patient?
04:05Is it the decision of the heart?
04:08Let's see.
04:09Now there's one person listening.
04:11Medicine is science.
04:12It's not up to democracy to decide.
04:14If not, what do we need scientists for?
04:16That's right.
04:17Science.
04:18Bruno is very persistent in doing science.
04:20Then what?
04:22He was burned to death.
04:24It's good to have both ambition and difficulty in science.
04:27But what we're talking about right now
04:29has nothing to do with your ambition.
04:30Dad, what do you mean?
04:31I don't have time to listen to you.
04:33I mean you should do well in statistics,
04:35analysis and modeling.
04:36Clean up the house first.
04:38Don't make a mess all over again, okay?
04:41In the process of rescuing,
04:43how to deal with patient S
04:45is basically a very important question.
04:47Can't you hear me?
04:48What else do you say?
04:50Huh?
04:51What time is it now?
04:52Don't bother me anymore, okay?
04:54Director, don't be angry.
04:58Tu Hien, can you help me with one thing?
05:02Okay.
05:03If you don't listen, you go.
05:05Tu Hien.
05:08You are a volunteer.
05:09Now the patient's family, Duong Phuong,
05:11needs to go for a blood test for HIV antibodies.
05:14But her condition is not stable.
05:17Can you convince her to sign the surgery for the patient?
05:21Can she go for a checkup after that?
05:26Okay.
05:28I will try.
05:33Thank you.
05:42Sign the surgery.
05:45Is it suitable?
05:52Try to rest, it's not serious.
05:54It will be better after the surgery.
05:55Thank you, doctor.
05:59Dad.
06:01Why are you sweating so much?
06:02Let me find a doctor for you.
06:08Okay.
06:09Don't worry.
06:11You should have asked your mom to stay here.
06:14You have to go home and rest.
06:16I'm okay.
06:17I'm not tired.
06:23How long have you not played the piano?
06:26Why didn't your team call you back?
06:28Why?
06:29It's a big deal.
06:30What else can we do?
06:32I've been thinking about it for a long time.
06:35Do you want to hear me play?
06:38No, no.
06:40Take a break.
06:43You always say you will play for me.
06:45But I don't want to.
06:46Why did you take me to school from the beginning?
06:50I just like the spirit of a musician.
06:54Girls who play the piano are very gentle.
06:57It's easy to find a job.
07:00That's what you said, not what I said.
07:09Girl.
07:10Yes.
07:12Let your hands play the piano.
07:15Bring me some water.
07:18Pour it for me.
07:20Pour water for me.
07:23I'm really sorry.
07:25You have to make it clear.
07:27You are my daughter, not my daughter-in-law.
07:31You say that like I'm not your own child.
07:36You have to be happy.
07:38If you have a son, you can work hard.
07:41But you don't have to take care of him like me.
07:44If not, before you have a daughter-in-law,
07:47you and mom have to bear it.
07:53I understand.
07:56You are lucky.
07:59Very lucky.
08:06I have finished the examination.
08:08This patient will be operated on immediately.
08:11It will be combined with the management of S.D.
08:15We just need to follow the strict rules.
08:18Protect the good news.
08:20This is just what the hospital should do.
08:27This patient needs to be treated in a special way.
08:30Others will definitely ask.
08:32What should I say?
08:34I can't lie.
08:37Director.
08:39Do you think this private matter can be protected?
08:44Come in.
08:47Doctor Trang.
08:53Director.
08:54I have called the operating room.
08:56Director Chu has agreed to prepare a special operating room.
09:00Doctor Trang.
09:02Is it too early to arrange it now?
09:06The chest surgery for HIV patients.
09:09In the center, I did it last year.
09:12I will handle it.
09:14I have experience in this field.
09:19I agree with Doctor Trang.
09:23If you are still worried,
09:26I can be your assistant.
09:29The situation of the patient after surgery will be our responsibility.
09:38Okay.
09:39With the director's assistance,
09:41I will be more assured.
09:43Let the director be my assistant.
09:45This is not appropriate.
09:49I am a gynecologist.
09:52Being a surgeon or an assistant is my job.
09:56I am talking about the health of the director.
10:02The hospital has agreed to let me work.
10:05This proves that I have recovered very well.
10:12Director Duong.
10:14Please inform Dr. Truong Mac Ham.
10:16Ask him to prepare this surgery.
10:18He has been operating for 36 hours.
10:20His mental state is definitely not good like me.
10:23Other doctors,
10:24ELA also does not make the surgery so difficult.
10:29Okay.
10:30Okay.
10:33If the director has such an opinion,
10:36I think it is appropriate.
10:38Just decide like that.
10:40The hospital has agreed to let me work.
10:58The hospital has agreed to let me work.
11:10The hospital has agreed to let me work.
11:33Don't worry.
11:34The hospital has agreed to let me work.
11:40The hospital has agreed to let me work.
11:44Three years ago,
11:47only once,
11:50when I was on a business trip,
11:54I could not keep it.
12:00What happened before?
12:03Before I gave birth,
12:06did you keep it?
12:07No.
12:08Didn't I tell you many times?
12:10I really don't have it.
12:11It's just that.
12:18If you are infected,
12:21I will kill you.
12:22Sister, don't touch.
12:25Okay.
12:26Don't cry.
12:30Hey,
12:31aren't you afraid?
12:34I am his wife.
12:36I may also be infected.
12:38HIV virus
12:40cannot be infected,
12:41nor can it be contacted.
12:43Moreover, in the hospital,
12:44the hospital is the same.
12:45Doctors and nurses
12:47only try to treat the patient well.
12:49As for other things,
12:50we don't discuss here.
12:56Dr. Trang.
12:57Dr. Trang.
13:04In half an hour,
13:05I will do an operation on you.
13:06I have seen your result.
13:08The car accident may be
13:10because of the recurrent old disease.
13:12The rate of recovery is also quite high.
13:13You don't have to worry.
13:17This time, I was sick.
13:19I can only die.
13:22I don't need surgery this time.
13:25Your HIV situation,
13:27the rate of CD3 and CD4 is not bad.
13:30Later, use medicine to control the virus.
13:33Long-term control
13:34is still possible.
13:37Am I not sick to die?
13:40That was 10 years ago.
13:43Now, the survival time of HIV patients
13:45has increased very high.
13:49Doctor,
13:51don't comfort me.
13:54I don't want to die.
14:01How old is your child?
14:0311 years old.
14:06You just need to use medicine to control it properly.
14:08Before your child goes to college,
14:10the possibility of not getting sick is very high.
14:13You live in this world.
14:15If there is a mistake, you have to fix it.
14:17If there is a responsibility, you have to complete it.
14:19I hope you can cooperate with me.
14:25If you don't get sick,
14:29I will keep you for your child.
14:37Doctor,
14:39I signed it.
14:49Doctor,
14:51you did surgery for me.
14:54Aren't you afraid that
14:57I will infect you?
15:01There will be accidents.
15:03Maybe not only accidents.
15:05But if you are afraid of accidents,
15:08when the disaster happens,
15:10no one will wear a white shirt here.
15:14But I can see that
15:15all doctors are here.
15:18There are people who are in more dangerous places.
15:25If during the surgery, you can't stand it,
15:27you have to tell me.
15:29Don't try too hard.
15:31Don't worry.
15:33I can take care of myself.
15:38In fact, Duong Pham's concern is very reasonable.
15:41This patient was admitted
15:43when he was still in the hospital.
15:45He was in a very bad condition.
15:47He was in a very bad condition.
15:49He was in a very bad condition.
15:51It is very reasonable.
15:52This patient was admitted
15:54when he was in a very bad condition.
15:56He was in a very bad condition.
15:58But you said that
16:00this danger was caused by you.
16:04I know.
16:05But I was the only one who said
16:07this patient could be hospitalized.
16:11I thank you on behalf of the patient.
16:15I also thank you
16:17for agreeing to let me participate in the surgery.
16:21I also thank you
16:23for agreeing to let me participate in the surgery.
16:52Duong Pham,
16:53Duong Pham,
16:54Duong Pham,
16:55Duong Pham,
16:56Duong Pham,
16:57Duong Pham,
16:58Duong Pham,
16:59Duong Pham,
17:00Duong Pham,
17:01Duong Pham,
17:02Duong Pham,
17:03Duong Pham,
17:04Duong Pham,
17:05Duong Pham,
17:06Duong Pham,
17:07Duong Pham,
17:08Duong Pham,
17:09Duong Pham,
17:10Duong Pham,
17:11Duong Pham,
17:12Duong Pham,
17:13Duong Pham,
17:14Duong Pham,
17:15Duong Pham,
17:16Duong Pham,
17:17Duong Pham,
17:18Duong Pham,
17:19Duong Pham,
17:20Duong Pham,
17:21Duong Pham,
17:22Duong Pham,
17:23Duong Pham,
17:24Duong Pham,
17:25Duong Pham,
17:26Duong Pham,
17:27Duong Pham,
17:28Duong Pham,
17:29Duong Pham,
17:30Duong Pham,
17:31Duong Pham,
17:32Duong Pham,
17:33Duong Pham,
17:34Duong Pham,
17:35Duong Pham,
17:36Duong Pham,
17:37Duong Pham,
17:38Duong Pham,
17:39Duong Pham,
17:40Duong Pham,
17:41Duong Pham,
17:42Duong Pham,
17:43Duong Pham,
17:44Duong Pham,
17:45Duong Pham,
17:46Duong Pham,
17:47Duong Pham,
17:48Duong Pham,
17:49Duong Pham,
17:50Duong Pham,
17:51Duong Pham,
17:52Duong Pham,
17:53Duong Pham,
17:54Duong Pham,
17:55Duong Pham,
17:56Duong Pham,
17:57Duong Pham,
17:58Duong Pham,
17:59Duong Pham,
18:00Duong Pham,
18:01Duong Pham,
18:02Duong Pham,
18:03Duong Pham,
18:04Duong Pham,
18:05Duong Pham,
18:06Duong Pham,
18:07Duong Pham,
18:08Duong Pham,
18:09Duong Pham,
18:10Duong Pham,
18:11Duong Pham,
18:12Duong Pham,
18:13Duong Pham,
18:14Duong Pham,
18:15Duong Pham,
18:16Duong Pham,
18:17Duong Pham,
18:18Duong Pham,
18:19Duong Pham,
18:20Duong Pham,
18:21Duong Pham,
18:22Duong Pham,
18:23Duong Pham,
18:24Duong Pham,
18:25Duong Pham,
18:26Duong Pham,
18:27Duong Pham,
18:28Duong Pham,
18:29Duong Pham,
18:30Duong Pham,
18:31Duong Pham,
18:32Duong Pham,
18:33Duong Pham,
18:34Duong Pham,
18:35Duong Pham,
18:36Duong Pham,
18:37Duong Pham,
18:38Duong Pham,
18:39Duong Pham,
18:40Duong Pham,
18:41Duong Pham,
18:42Duong Pham,
18:43Duong Pham,
18:44Duong Pham,
18:45Duong Pham,
18:46Duong Pham,
18:47Duong Pham,
18:48Duong Pham,
18:49Duong Pham,
18:50Duong Pham,
18:51Duong Pham,
18:52Duong Pham,
18:53Duong Pham,
18:54Duong Pham,
18:55Duong Pham,
18:56Duong Pham,
18:57Duong Pham,
18:58Duong Pham,
18:59Duong Pham,
19:00Duong Pham,
19:01Duong Pham,
19:02Duong Pham,
19:03Duong Pham,
19:04Duong Pham,
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19:06Duong Pham,
19:07Duong Pham,
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19:12Duong Pham,
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19:14Duong Pham,
19:15Duong Pham,
19:16Duong Pham,
19:17Duong Pham,
19:18Duong Pham,
19:19Duong Pham,
19:20Duong Pham,
19:21Duong Pham,
19:22Duong Pham,
19:23Duong Pham,
19:24Duong Pham,
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19:26Duong Pham,
19:27Duong Pham,
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19:30Duong Pham,
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19:35Duong Pham,
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19:43Duong Pham,
19:44Duong Pham,
19:46Duong Pham,
19:49Duong Pham,
19:52Duong Pham,
19:54Duong Pham,
19:58Duong Pham,
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