Medical road

The tea market in early spring is the best season of the year in this city.The lazy spring sun shines through the pear flowers blooming outside the window, scattered in the ward, shining on Sister Li.

The white pear blossoms were glowing with infinite spring light, and the soft and lazy light passed through her black hair, gently stroking the red spots on her face and body, revealing a coquettish look!

In spring, the sunshine that can revive everything did not bring life to Sister Li. The soft light shone on her face, making the red spots dazzling.

The director, deputy director, and attending officer of the rheumatology department are here. After seeing Zhang Fan’s embarrassed expression, the director directly passed the conversation with the patient’s family, “Dr. Zhang, you and Director Li and they will go to see the patient’s number. Family talk."

"Okay, Director!" Zhang Fan got up and took several other doctors to Sister Li's ward.Although Sister Li in the ward was rescued, her bleeding has been temporarily stopped, but she is very weak now.

Physical examination and medical records.Sister Li is like a zombie, without any expression, staring at the pear blossoms outside the window. The white pear blossoms are so beautiful.

"There is no effect at all. If it doesn't work, just use a large dose of hormones. Now these drugs have not changed." After seeing the patient, after a simple physical examination, standing outside the ward door, the deputy director frowned to Zhang Fan Said.

"But in this situation, will the high dose of hormones continue to cause bleeding again?" Zhang Fan asked uncertainly. There are too many issues to consider in internal medicine.

Especially for this critically ill patient, medication is too difficult.Medication may cause a stress response and lead to death of the patient, and it is a matter of time without medication.

too difficult.There is nothing wrong with the death of the patient due to hemorrhage or natural exhaustion, but once the drug is used, the stress response causes the death of the patient, the problem will come.

use!Still no need!trade off!

"Let's hold an internal discussion meeting, hurry up, and settle this matter in half an hour." Just as the deputy director frowned while looking at the medical records, the director had finished talking and walked over to greet everyone.

In the small conference room of the department, all the doctors came, including the director, deputy director, attending doctor, resident doctor, and transfer doctor.Zhang Fan looked up at the clock on the wall.

This must record the time, and it must be reflected in the medical record. This kind of department discussion, the doctor in charge acts as the clerk, and records the treatment opinions of each doctor, and finally it is reflected in the medical record.

After everyone was seated, the director nodded to Zhang Fan and said, "Starting, let Dr. Zhang give a brief introduction."

“Bed Nine and No. 3 were admitted to the hospital due to facial erythema with multiple high fevers. They had taken the medication by themselves outside the hospital, but the effect was not good. After this admission, the patient's medical history was investigated and it was found that the patient had been exposed to strong sunlight six months ago. After admission, he was given regular symptomatic treatment. But the effect is not obvious. On the afternoon of the 5th, the patient developed a large area of ​​purple epilepsy, and the blood test was repeated, and the platelet decreased sharply. Today, after the patient's family visited, the patient became emotional, which caused the fundic vein to rupture and hemorrhage occurred. At the attending doctor Hu With the participation of the military doctor, the patient was rescued. The patient is currently in a fair condition, but there is still a possibility of hemorrhage or even death." Zhang Fan briefly introduced, looked at the director, and then sat down.

"Okay, the situation is such a situation. Let's make a long story short. Everyone should be clear about the specific situation. Let's speak directly now. Dr. Chen, you will speak first."

Chen Hong, who was transferred to the department, and Dr. Zhang Fan were considered doctors of the same year. At this level of meetings, doctors with a lower seniority would usually speak, then a senior with a higher seniority, and finally the director would decide!

"The patient is currently in a fair condition. Although there is a high risk of bleeding, he can continue to observe. My speech is over!" Chen Hong is not planning to engage in rheumatism, so he doesn't care much.

One by one said, there are two kinds of opinions, observation and continuous observation. The second is to take the drug after obtaining the consent of the patient’s family.Especially when it comes to the level of deputy high school and deputy director, the debate is fierce.

This is not a dispute over rights, it can be more intense than a dispute over rights. It is a dispute over ideas or ideology.

With the rapid development of modern medicine, there are still a lot of helpless diseases.

Someone once said that when life comes to an end, in the face of life and death, some people choose to persist, some people choose to give up, and some choices are made as a last resort.

In the face of death, these choices are right or wrong.Death is approaching, no one is sure about choosing that path.The doctor is not God, and no one can say or predict what will happen next.

In this disease, small doses of drugs are ineffective, and large doses of drugs may cause severe bleeding and lead to fatalities.The doctor at the deputy director level finished speaking, and everyone turned to the director, the director of the rheumatism department.

The director who rarely smokes stretched out his hand and asked the deputy director next to him for a cigarette, lit it, and took a deep breath. In the smoke, the director thought.difficult!It was very difficult, waiting for death, saving lives, killing people, a series of words kept circulating in his mind.

Circling, staggering!"What does Doctor Zhang mean." The director found that Zhang Fan was working as a clerk and did not speak.At this time he asked.

"Take medicine, she is too young, not even thirty years old! Although the risk is very high, but I think I should try it!" Zhang Fan said while recording.

The director did not comment after listening, and then suddenly took another puff of cigarette and squeezed out the cigarette butt fiercely, then stood up abruptly and said, "Director Chen, you and Dr. Zhang quickly explained the condition and family members again. Obtain a treatment authorization letter as soon as possible. Doctor Hu, prepare rescue equipment. Doctor Li, report to the hospital! Take medicine and use large doses of hormones!"

"Yes!" All the doctors stood up, and then each went to prepare what the director explained. This is the importance of the director.It is not usually reflected, this kind of critical moment choice is very important.

Almost all this choice cannot be made again. Life or death. There is no third way. There is pressure and risk in it. Only when he retires will he have time to taste it slowly.

Now he has no time to mourn the spring and autumn, and it is not his turn to feel life, because the patient is still lying on the bed, waiting for him to make a decision, waiting for him to be treated.

Everything is well prepared, the owner is stuck in the last procedure, and the patient's husband finally got in touch and said he will arrive at the hospital in half an hour!

Without his signature, the hospital really dare not take any measures. Sister Li at this time is really not as good as a widow!

Wait, wait, time is slowly passing away!The doctors waited collectively.impatient?No.In the face of death, sometimes, the doctor really hopes to wait, maybe the patient will get better!