305 Is there a situation?
(Thanks to my friend for the long journey, the return of the God of Wealth, and the encouragement of the book friend 20171217135953921 the monthly pass)
"Teacher Liu, can't you improve the success rate of the operation with your strength?" asked Huang Bo on the way back.
Liu Banxia shook his head, "It's not like you didn't see the situation in the patient's abdominal cavity just now, if these adhesions are removed, you can't say how many intestines will be amputated." ”
"Today can be regarded as a lesson for you, my boss, that is, Dr. Shi, once said that doctors are people, not gods. The hardest thing a doctor can do is learn to give up. ”
"In the past, I thought that our supernatural Director Xiao was very indifferent, obviously the success rate of the operation was very high, but he also kept his face stiff and very serious when he prompted the risk. ”
"So I ask you, what is the difference between a 95% success rate and a 5% success rate? Do you think that a 95% success rate is basically a surgery with no problems?"
The men nodded.
"So actually, these data are all routine judgments that we make. No matter what the surgery, there are actually two outcomes waiting for the patient, success or failure. Liu Banxia said with a serious face.
"Under the premise that the patient is conscious and able to make his own decisions, what we can do is to tell the patient all the known possible situations, and the final choice is to let the patient make it. ”
"In some specific cases, it is absolutely not possible to induce a patient to undergo surgery because we personally feel that the success rate of the surgery will be high. ”
"We can't predict what the final outcome will be, and we don't give us the right to regret it. The patient's body is the patient's, and we don't have any claim to it. ”
"Of course, if the purulent appendix is inflamed and the patient insists on not doing it, this situation is a non-specific situation, a routine situation. ”
"It may be a pity for you to think about it, after all, if it is really successful, the patient may have a few years to live. But what about failure? What the patient loses is the last few months. ”
"In our medical career, we will face a lot of difficult choices. Whether the choice is right or wrong is anyone's guess. ”
Listening to his words, even Wang Chao fell silent. That's true, it's really hard to choose.
Seeing them appear in the emergency department so quickly, Wang Huan was also shocked.
"There is extensive adhesion in the abdominal cavity, and the chance of success of the operation is not very high, so let's wait for the patient's own decision. Liu Banxia said.
"Hey......" Wang Huan sighed.
He has also been a doctor for many years, so he naturally knows what this situation represents. Even someone as bold as Liu Banxia said that he would wait for the patient's decision, and there was no need to ask.
"In the middle of the summer, an epilepsy patient was being sent over. It was a renovation worker who had epilepsy during construction. At this time, Wang Ying walked over.
Liu Banxia nodded, "Wang Chao presided over the reception." ”
Everyone put away the depressed mood just now, and there are patients who need to be treated, and epilepsy is really big or small.
The last patient with epilepsy is not the cause of cardiogenicity.
"The patient is 27 years old and had a brief seizure. He woke up in an ambulance after a coma and is now in stable vital signs. The first responder said after pushing the gurney down.
"That'...... Let's send it to the clinic first and do some tests. Wang Chao said.
I also saw the patient, lying on the gurney and now very refreshed. Of course, the expression is somewhat sluggish, but it is much better than the rest of the epilepsy patients.
"Doctor, you don't need to check it out. I had colon cancer and it was detected early, which should be a side effect of chemotherapy. The patient spoke.
Wang Chao was stunned, "Colon cancer?
"Sort of. It was said that it was very small, and there was no surgery, but it had to be treated with chemotherapy. The patient said.
"After chemotherapy, I had problems such as not liking to eat, losing my hair, nausea, and dizziness, but the doctor said that the chemotherapy worked very well. Now I just want to come out and make some money while my body is still okay, and let myself exercise. ”
"Even so, we need to scrutinize you as well. Wang Chao said.
"You're not dizzy, you're having epilepsy. During the seizure you have lost consciousness, so you think it is dizziness. ”
"At the very least, we have to do a brain CT and an abdominal CT, one to see if you have epilepsy caused by the brain, and the other to see if your tumor has recurred. ”
"Doctor, you don't have to do it, it will cost a lot of money to do it. I know very well that this problem only came after chemotherapy. The patient said firmly.
"And I also consulted the doctor who managed chemotherapy in our county, and he said that it seems that the effect of the drug is not much, anyway, it is short-lived, and when my body recovers, there will be no such situation. ”
The patient said that he also took off the hat he was wearing, and his hair was very thin, which should be a side effect of chemotherapy.
Wang Chao is a little entangled, and the current indications are indeed obvious. And judging by what the patient says, it is very possible.
"Where's your chemotherapy pump?" Liu Banxia began.
"The doctor at our county hospital said I couldn't use it, and the latest test results were good. They said I'll just recover and do the last treatment. The patient hesitated slightly.
"Doctor, I've had this cancer and it's cost my family a lot of money. I really don't want to waste any more money, and I won't joke with my life. ”
"It would be a remiss on our part not to check on you, but there is a workaround depending on your situation. At the very least, we will give you a blood test, and then write a note to reject the instrument test, and you can sign it. Liu Banxia said.
"Thank you, otherwise you'd have to spend a lot of money. I also checked it several times in our prefecture, and it was actually a side effect of the medicine. The patient said gratefully.
Liu Banxia nodded and walked to Wang Huan's side, "Doctor Wang, why do I always feel that something is wrong with this patient's condition." ”
"What's wrong?" Wang Huan asked.
"You see, I have also been in contact with several chemotherapy patients, and I have had the most contact, and the most impressive ones are Wang Xingxing and Lu Gang. After chemotherapy, their bodies have changed a lot. Liu Banxia said.
"But this patient, just a little bit worse mentally and some hair loss. According to him, he has done at least three stages of chemotherapy, and his physical condition can still be so good?"
Wang Huan glanced at the patient, and also frowned, he really saw that something was wrong when Liu Banxia reminded him like this.
Because when the patient came over, he was wearing the work clothes of the renovation company, although it was a little dirty, it was also long-sleeved. Now when the blood is taken, the arm is revealed, and it really doesn't look like a person who has undergone multiple chemotherapy treatments.
"Under normal circumstances, no one would make up such nonsense in order to avoid inspection, right?" Wang Huan said.
"Hey...... , everyone's reasons will be a little different, and it is estimated that he also has unspeakable hardships. Money may be on the one hand, and on the other hand, it may be that he does have cancer, but for some reason it is not treated, for fear that his family will worry. Liu Banxia said.
"Let's take a look at the blood routine and blood biochemistry in a while, sometimes it's really not possible. Money, it's really a roadblock. ”
"Dawei, Dawei ......"
As soon as Liu Banxia's words fell, a girl in professional clothes ran in from the door, shouting in her mouth.
"Xiaofeng, I'm here. The patient just now beckoned.
Looking at these two people, Liu Banxia looked at them a few more times in surprise. I really need to sigh that the magic of love is really too powerful.
Although the girl who came in was wearing professional attire, she was not the kind of professional attire standing at the counter, and she should be a white-collar worker in the company. What about this patient, who looks a little worse and has a worse family condition, but the two of them are able to get along.
And on the premise of knowing that the patient has cancer, he can still be so unabandoning and caring, isn't this true love?
"I didn't even know they were calling you and delaying your work, right?" the patient said.
"It's okay, I asked the leader for leave. I was supposed to go on a business trip in the afternoon, so I asked other colleagues to go. Xiaofeng said.
"That's not going to work, you have to go. Didn't you say that this time I went to the branch office to investigate, and I might be able to get promoted when I come back. The patient said anxiously.
"There will be a chance for promotion in the future, how can I rest assured that you will be left here alone. Is it serious this time?" Xiao Feng shook his head.
"It's okay, it's just a side effect of chemotherapy. If they hadn't made a fuss, I'd ...... Hey...... "The patient is very guilty.
"You lie down first, and I'll ask the doctor. Xiaofeng helped the patient to lie down, and then walked to Liu Banxia.
"David has had seizures a few times, could it be serious? It can't be that his cancer has recurred? ”
"We actually wanted to do a test on the patient, but he refused and only asked us to do a blood test. Liu Banxia said.
"Let's see the results of the blood test in a moment, and then try to do his work together. Do you remember how long it's been since his last chemotherapy treatment?"
"It's been more than 20 days, right? Xiaofeng thought for a moment and said.
Liu Banxia frowned slightly, did he really conform to his second judgment? The patient did not really receive chemotherapy?
The withdrawal period of more than 20 days is enough to minimize the impact of chemotherapy. Otherwise, how to do the rest of the chemotherapy treatment?
Combined with the patient's physical condition, if the chemotherapy is really done and the recovery is so fast, there should be no drug impact.
But if you want to say that the patient has not undergone chemotherapy, then there is something wrong. Because the patient's hair behaves similarly to the situation after chemotherapy.
"Doctor, is Dawei very serious?" Xiaofeng asked.
"Let's wait for the results of the test to come out, or I won't be able to say anything. You should accompany him first, after all, I also had epilepsy today, and I am still on the construction site, which is quite dangerous. Liu Banxia said.
Xiaofeng nodded and walked back to the bedside.
Wang Huan looked at him in surprise, with his understanding of him, he always felt that he was a little insincere when he said this, is there a situation?