Chapter 280: Su Tiehang's Dilemma

Fang Han looked at the patient on the hospital bed, who was thirty-five or sixteen years old and pale.

Su Tiehang politely introduced Fang Han: "This is my lover." ”

Fang Han nodded to Su Tiehang's lover, then sat down on the edge of the hospital bed and stretched out his hand to check Su Tiehang's lover's pulse.

As soon as his finger was on Su Tiehang's lover's wrist, Fang Han was stunned for a moment, then listened carefully, looked up and asked Su Tiehang: "Director Su, is your lover pregnant?"

Su Tiehang nodded: "Doctor Fang is really skilled, my lover is indeed pregnant, and it has been more than three months." ”

Fang Han nodded, changed his hand and continued to diagnose the pulse, after the pulse diagnosis, Fang Han checked the tongue coating and eyes of Su Tiehang's lover again, his brows furrowed slightly, but he didn't say anything.

Su Tiehang said with a smile: "Doctor Fang doesn't need to be taboo, what to say, don't be afraid of your jokes, Doctor Fang, this is my lover's third pregnancy, the first two times the child was not saved, I am forty-two years old this year, but I still have no children." ”

"Director Su, can you tell me about the situation?" Fang Han said.

"Naturally, no problem. ”

Su Tiehang nodded and said slowly.

Because he is a doctor, Su Tiehang got married relatively late, six years older than his wife, he was thirty-two years old when he got married, and his wife was twenty-six years old.

Because he is not young and has not been married for a long time, Su Tiehang and his wife plan to have a child.

After less than a year of marriage, Su Tiehang's wife also became pregnant, and Su Tiehang's family, including the old people in the family, were also very happy.

But the good times didn't last long, when Su Tiehang's lover was about four months pregnant, Su Tiehang's lover began to cough, and then began to have blood in the stool, which was now treated in the county hospital at that time, and later went to the city hospital.

After various examinations, Su Tiehang's wife was diagnosed with severe ulcerative colitis in the acute phase.

This situation made Su Tiehang and his wife very depressed, severe ulcerative colitis is not easy to treat, not to mention that Su Tiehang's wife was still pregnant, under the circumstances at that time, Su Tiehang and his wife had only one choice, that is, to abort the child and concentrate on treating his lover first.

Fortunately, the two have not been married for a long time, and it was the first time that his wife was pregnant, and the mentality of the two was relatively positive.

So the two made a decision to abort the child and concentrate on treating the adult.

After losing the child, Su Tiehang concentrated on treating and recuperating his wife, which was five years, seeing that his wife was over thirty years old and her body was almost recovered, the two had a child again.

However, the good times did not last long, and when his wife was more than three months pregnant, his wife's ulcerative colitis recurred again.

This time, the husband and wife tossed for more than two months, tried all kinds of methods, and finally chose Bao Daren again.

This is now, Su Tiehang is now forty-two years old, and his lover is also thirty-six years old, which is already an advanced maternal age.

Su Tiehang's wife has been very guilty for so many years, this time she was pregnant, and her wife was unwilling to give up anything, and she was conservatively treated in the county hospital for a period of time, and then went to Jiangzhong Hospital for treatment.

Su Tiehang was very calm when he spoke, as a doctor, he had seen too many human tragedies, although the two of them were indeed unlucky, but for Su Tiehang, who was used to seeing life and death, he could still maintain a calm mind.

However, his wife, who was lying on the hospital bed, had already burst into tears at this time.

The two have been married for eleven years, but she has never given birth to a son and a half daughter to her husband, and now her husband is over forty years old, this time may also be the last chance for the two.

After hearing this, Fang Han turned around and asked Chen Yuan, "How did Director Li arrange it?"

"When the patient first arrived, Director Li contacted the Department of Internal Medicine and the Department of Pediatrics for consultation...... Chen Yuandao.

"How many days has it been treated?" Fang Han asked again.

"The patient was admitted yesterday and today is the next day. Chen Yuan understood what Fang Han meant by asking, and hurriedly said, "I have already taken two doses of medicine!"

Took two doses of medicine."

Fang Han groaned slightly, according to the examination he had just done, the patient's current situation was still not optimistic, which meant that the effect of the medicine the patient was taking was not good.

"Director Xue, Director Bai and Director Qin, have you seen it?" Fang Han asked.

Director Xue naturally refers to Xue Zilin, director of pediatrics, Director Qin is Qin Weihua, director of your internal medicine department, and Director Bai is Bai Jinhong, director of the Department of Obstetrics and Gynecology of Jiangzhong Hospital.

"Director Xue has come to see that Director Qin and Director Bai have not been in the hospital for the past two days, and they went to Sichuan Province to attend a medical seminar the day before yesterday. Chen Yuandao.

Fang Han nodded, and said to Su Tiehang: "Director Su, I'll check the room first, and then come back after the inspection." ”

"Doctor Fang, you're busy, you're welcome. Su Tiehang smiled and nodded.

As a senior doctor, although Su Tiehang is not a Western doctor, he has a lot of knowledge, and his heart is the same as Spiegel, his wife's disease is not easy to treat.

Ulcerative colitis is an inflammation of the intestinal mucosa caused by repeated ulcers, and this condition has always been recognized as a difficult problem in the medical community.

Ulcers spread throughout the colon and are already a dangerous condition.

For such diseases, the anti-inflammatory and bactericidal drugs used by Western medicine are the most common and effective methods for this disease, but such methods are not suitable for pregnant women.

Such treatment will not only have a great impact on the liver and kidney function of the pregnant woman and the fetus, but also lead to fetal malformations or miscarriage.

In fact, Su Tiehang's wife has also been taking sulfasalazine enteric-coated tablets for treatment all these years.

But sulfasalazine enteric-coated tablets have a very clear contraindication - pregnant women are prohibited!

As a doctor, Su Tiehang knew in his heart that with his wife's situation, it would be almost difficult to get pregnant in this life, and he was also mentally prepared.

However, this time his wife was resolute, and Su Tiehang could only cooperate now, if it was really time to make a choice, he would not hesitate to choose his wife.

What Su Tiehang is doing now is just to reassure his wife as much as possible and try as many as possible.

.....

Fang Han checked the room all the way, and the time reached eight o'clock before he knew it.

After checking the last bed of patients, Fang Han beckoned Chen Yuan and the others: "Let's go, let's go and see the sixth bed again!"

Bed No. 6 is the hospital bed where Su Tiehang's wife is located, and the attending doctor is Chen Yuan, in other words, it also belongs to Fang Han, and he does not arbitrarily interfere with the treatment of other doctors.

Chen Yuan said in a low voice as he walked behind Fang Han: "Doctor Fang, Director Su's lover's situation is very complicated and not easy to treat. ”

Chen Yuan used to be the attending doctor of the county-level hospital below, and he also had a double degree in Chinese and Western medicine, because he knew a lot about ulcerative colitis.

Fang Han looked back at Chen Yuan, and Chen Yuan continued to whisper: "Doctor Fang, at present, the most effective treatment for ulcerative colitis is hormones and sulfonamides, but both drugs are forbidden for pregnant women. ”

"What ulcerative colitis?" Fang Han said slowly.

Chen Yuan was stunned for a moment, a little puzzled.

Fang Han continued: "In the treatment of traditional Chinese medicine, there is no such thing as ulcerative colitis, let alone cancer hepatitis. ”

Chen Yuan understood that he was a little preconceived.

He also understands Chinese medicine, so he also knows that the concepts of Chinese medicine and Western medicine are different, and some of the names of diseases in Western medicine are not suitable for Chinese medicine, and some concepts of Chinese medicine are not suitable for Western medicine.

Ye Kai and Jiang Feng also followed Fang Han at this time, they knew that Fang Han was going to treat Su Tiehang's wife, and they all wanted to watch it.

Hearing what Fang Han said, Jiang Feng subconsciously asked, "Doctor Fang, isn't the department going to carry out some kind of integration of traditional Chinese and Western medicine now, according to what you say, how to combine it?"

Fang Han asked Jiang Feng, "How do you think it should be combined?"

Jiang Feng shook his head, if only he knew.

Ye Kai hesitated for a moment and said, "Is this combination based on traditional Chinese medicine first, supplemented by Western medicine, and then slowly looking for the combination of the two?"

Fang Han glanced at Ye Kai appreciatively, nodded and said: "The combination of Chinese and Western medicine, although fundamentally speaking, both Chinese medicine and Western medicine are in the same position, but in fact this is not the case, this combination is a long process, the two need to be constantly running-in, at the beginning of the combination, whether it is the proportion of Chinese medicine or Western medicine, it depends on which aspect the guide of this combination prefers." ”

Jiang Feng suddenly said: "In other words, the guide is Western medicine, so naturally the initial emphasis is on Western medicine, if the guide is Chinese medicine, then it is biased towards Chinese medicine?"

"Let's just say that, everyone has their own strengths, it is unrealistic to expect fairness from the beginning, we still have to ensure that we have the concept of traditional Chinese medicine, and appropriately borrow some Western medicine treatment methods and treatment methods, such as orthopedic CT and MRI, in the case of touching can not be completely judged, borrowing modern instruments of Western medicine is a manifestation of the combination. ”

Several people nodded one after another, and as soon as Fang Han said this, they also understood, otherwise they didn't know whether they should study Chinese medicine or Western medicine.

In fact, there is something Fang Han did not say, the real integration of traditional Chinese and Western medicine is not an invasion, but a constant common sense, from the initial Chinese medicine to the gradual real combination, rather than the combination of many hospitals now, and now the integration of traditional Chinese and Western medicine in many hospitals is actually an invasion.

For example, the original traditional Chinese medicine hospital, with the development of the integration of traditional Chinese and Western medicine, traditional Chinese medicine was gradually abandoned, and then replaced by Western medicine.

Regardless of the form of union, the two are always on an equal footing, and it must be based on such a foundation that a true union can be achieved, rather than one replacing the other.

Fang Han is not opposed to the integration of traditional Chinese medicine and Western medicine, but this combination is a gradual increase in the proportion of Western medicine without concessions from traditional Chinese medicine, rather than the gradual cannibalization of traditional Chinese medicine.

"Director Li, Director Fang!"

When Fang Han, Chen Yuan, Ye Kai and others came to bed No. 6 again, there were already two more people next to the bed, it was Li Wenjun and Fang Haoyang.

PS: The second watch arrives, continue to ask for recommendation votes, the addition of the daughter has been very timely, never in arrears, everyone can rest assured to vote!