Chapter 242: Medical Autonomy (Part II)

The middle-aged man is three or five points similar to Fang Haoyang in terms of body shape and appearance, but his age is a few years older than Fang Haoyang, and he thinks it should be Fang Haoyang's brother Fang Haoxiang.

On the way to the ward, Li Wanlong also briefly told Fang Han about the situation.

The patient is Fang Haoyang's niece and daughter-in-law, that is, the daughter-in-law of Fang Haoyang's eldest brother Fang Haoxiang.

Fang Haoyang is a native of Changning County, with four brothers and sisters in his family, Fang Haoyang is the only one who was admitted to university, and he is the most promising one in the Fang family.

Fang Haoyang's elder brother Fang Haoxiang is a farmer, who makes a living by farming and working hard, and has an only son, who was also not admitted to university and dropped out of high school.

.....

Fang Haoxiang's face was ugly, and when he saw Fang Han and a few people entering the door, he shouted and asked, "Fang Haoyang didn't come?"

Without waiting for Fang Han and Chen Yuan to speak, Li Wanlong hurriedly said: "Mr. Fang, Director Fang is in Shanghai now, so he can't come, but he asked Doctor Fang to come quickly, although Doctor Fang is young, his level is not low. ”

Li Wanlong's words are not boasting, when Fang Han answered reporters' questions, Li Wanlong also watched the live video, not to mention anything else, the level that Fang Han knew alone made Li Wanlong very admired, which was also one of the reasons why Li Wanlong respected Fang Han.

To say a thousand things and ten thousand, what a person really wants to win is the respect of others, or it depends on strength, not the so-called identity.

Just like Sun Yiyang, although he is a doctor in Yanjing Hospital, his skills are not as good as Fang Han, and he has been in the emergency department of Jiangzhong Hospital for a few days, and no one takes him seriously.

"Fang Haoyang didn't come?" Fang Haoxiang didn't seem to hear Li Wanlong's explanation, his face was still pale, and his eyes looked at Fang Han directly.

"Okay, what else can you do if people don't come, Yan'er's condition is important. A woman in her fifties on the side gently pulled Fang Haoxiang's clothes, and there was no complaint in her tone.

"Dad, don't say a word. A young man in his thirties also gently pulled the middle-aged man, and then looked at Fang Han: "You are a doctor from Jiang Zhongyuan?"

Chen Yuan hurriedly stepped forward: "This is our Doctor Fang Hanfang, although Doctor Fang is young, his level is no worse than some experts. ”

"Hmph. Fang Haoxiang couldn't help but snort, but he didn't get angry with the other party again.

"I'll look at the patients first. Fang Han didn't say much, walked to the side of the bed, and began to look at the patients on the bed.

There was a young woman about 30 years old lying on the hospital bed, the young woman was yellow and emaciated, and she was in a coma on the hospital bed at this time, hanging a hanging bottle on one side, and her body was connected to an electrocardiogram......

"Please pull out the hanging bottle first!" Fang Han said to the nurse next to him.

The nurse temporarily pulled out the hanging bottle, and Fang Han sat down on the edge of the bed, checking the young woman's complexion while checking the young woman's pulse, and then checking the young woman's tongue coating.

After the examination, Fang Han slowly stood up.

"Doctor, how is my wife, must she have surgery?" the young man asked hurriedly.

"I still need to understand the situation before I can decide. Fang Han didn't rush to conclusions, he had seen the patient, but his past medical history was not clear to him.

Li Wanlong hurriedly said, "Doctor Fang, let's go to the consultation room, shall we?"

"Good. Fang Han nodded, and then followed Li Wanlong and the others into the consultation room.

A group of people sat down in the consultation room, and Fang Han said, "Dean Li, please tell me about the patient's medical history first." ”

"Director Gao, you tell Doctor Fang. Li Wanlong said to Gao Yue, director of the Department of Gynecology.

Gao Yue'e was in her fifties, wearing glasses, and stood up when she heard the words and said: "The patient initially had a pregnancy miscarriage due to weight-bearing, and began to bleed in the vagina canal, so he came to our hospital for treatment, we successively used 10% sodium bromide, progesterone and other drugs, and the amount of bleeding did not decrease, and the patient was sent to our county hospital for uterine evacuation surgery a week ago, and the vaginal bleeding was still more than ...... after returning home."

"Because the patient's vagina continued to bleed, and even accompanied by coma shock, according to various signs, the patient's condition has been very critical, so the treatment plan given by our county hospital is hysterectomy ......."

Speaking of this, Gao Yue'e paused, and then continued: "It's just that the patient has never given birth, and once the child is removed, the patient will also completely lose the ability to have children, so the patient's family can't make a decision for a long time......

Li Wanlong took over the conversation: "Doctor Fang, this is the case, the patient's condition has now been delayed, and the treatment plan of our county hospital has been very clear, the resection of the child, but you also know what it means to have a resection of the child." ”

Fang Han was silent, now he had guessed why Fang Haoyang didn't come over in person, but let him come over.

From the perspective of the patient's situation, the treatment plan given by Changning County Hospital can be said to be the final treatment plan, and from the perspective of Western medicine, with the patient's current situation, hysterectomy may be the only way.

But if the child is really removed, the patient will no longer have the opportunity to have children, in a small place like Changning County, people's concept is still very conservative, marrying a wife and having children, passing on the ancestry, once a woman can not have children, her future status and life can be imagined......

In fact, not only in Changning County, but also in the whole country, which woman doesn't care about childbirth?

From the doctor's point of view, life is naturally the first place, and when it comes to the last moment, it is natural to save lives.

If the patient's final treatment plan is ** resection, then whether it is in Changning County Hospital or in the provincial hospital, there is no big difference.

Now Changning County Hospital asked Fang Haoyang to come, it should be planning to try the method of traditional Chinese medicine, if the method of traditional Chinese medicine has no effect, in the end it will have to go through surgery, if you go through surgery, Jiang Zhongyuan really does not have this condition.

Moreover, Fang Han checked the patient's condition just now, and found that the patient's face was pale, his eyes were closed, he couldn't breathe, his limbs were cold, his abdomen could feel a mass, about the size of a baby's fist, the yin and the dark blood flowed, the oral and tongue coating was purple and dark, and the six veins were thin and astringent...... The patient's condition is urgent, and if there is a crisis on the road in such a serious situation, the consequences are unpredictable......"

This is also the reason why the patient did not go to Jiangzhong Hospital, but continued to stay in Changning County Hospital to let Fang Haoyang come.

And Fang Haoyang should have fully understood the patient's situation, so he shirked and did not come, but let Fang Han come.

From the doctor's point of view, Fang Han understands Fang Haoyang.

The patient is Fang Haoyang's niece and daughter-in-law, and the condition involves the question of whether the patient can have children in the future.

Doctors are not autonomous.

Doctors are also human beings, and they also have seven emotions and six desires, once they are involved, doctors will also be out of proportion, sometimes the medicine that should be used is hesitant, and the dose that should be used is deleted, which is a very normal thing.

"Doctor Fang, what do you think, if it really doesn't work, we can only prepare for surgery, and the patient can't afford to delay. Li Wanlong asked Fang Han's opinion.

Fang Han slowly spoke: "Judging from the symptoms shown by the patient, the situation is already very critical, and the patient's life is in danger at any time, it is not an exaggeration to say that we are now in a race against death......

Li Wanlong nodded again and again, long live understanding.

To be honest, now that the patient is living in Changning County Hospital, the pressure on Li Wanlong is very great.

Fang Haoyang, as the deputy director of Jiangzhong Hospital, is also a native of Changning County, with this level of relationship, Changning County Hospital also has a lot of cooperation with Jiangzhong Hospital, if the patient really has an accident in the hospital, it is difficult to guarantee that Fang Haoyang will not have any ideas.

"Doctor Fang, if you have any way, just say it. Jiang Qiuhua, the director of the Department of Internal Medicine, who had not spoken much, was a little breathless.

He is a little disdainful of Shang Han, he is young, how much ability he can have, even if Fang Han is very good at his age, but excellence is only among young people, can it be said that such a young man can be more capable than these old doctors who have been practicing medicine for decades?

Jiang Qiuhua has always been reluctant to speak, offending people in vain, but now he really can't help it, he feels that Fang Han has done something.

In Jiang Qiuhua's view, Fang Haoyang's not coming in person actually means that there is no way for Chinese medicine to do this situation, and the patient will eventually have to go through the road of sub-uterine resection, and Fang Han's coming is just that Fang Haoyang can't get over his face, so he just makes people go through the motions.

Fang Han glanced up at Jiang Qiuhua, did not say a word, but picked up the pen and quickly wrote a prescription on the paper in front of him, and then handed it to Chen Yuan beside him.

Chen Yuan took Fang Zi and glanced at it, quickly signed his name, and handed Fang Zi to Fang Han,

"Dean Li, let's try this recipe first. Fang Han handed the prescription to Li Wanlong.

Li Wanlong took the prescription and glanced at it, but he didn't understand it, and handed the prescription to Jiang Qiuhua.

There is no special Chinese medicine in Changning County, but it has also opened a Chinese medicine department, which is similar to other grassroots hospitals, and the director of the Chinese medicine department is also Jiang Qiuhua.

Jiang Qiuhua barely understands some traditional Chinese medicine.

Jiang Qiuhua took Fang Han's recipe and looked at it for a while, then raised his head and said, "Dushen soup with peach red four-thing soup to add flavor?"

Fang Han was a little surprised: "Director Jiang also understands traditional Chinese medicine. ”

"I know a little bit about the skin, but I'm not very proficient. Jiang Qiuhua is very modest.

"Director Jiang has any doubts?" Fang Han asked with a smile.

Fang Han also knew that treating patients in Renning County Hospital, and it was such a critical illness, it was not possible to explain some things clearly, this is not Jiangzhong Hospital after all.

Don't look at Fang Zi's opening, Fang Han and Chen Yuan have also signed, legally speaking, in Changning County Hospital, Fang Han and Chen Yuan are not qualified to practice medicine.

This is the same as a flying knife, if nothing happens, hello, hello, everyone, once something happens, then everyone in the consultation room will not be able to get out of it.