The early spring season of the year is the best season of the year in the city. The lazy spring sun shines through the pear blossoms blooming outside the window, sprinkled in the ward, and shines on Sister Li.

The white pear blossoms glow with infinite spring light, and the soft and lazy light passes through her black hair, gently caressing the red spots on her face and body, revealing a bewitching glow!

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

The director, deputy director, and attending of the rheumatology department all came, and when they saw Zhang Fan's embarrassed expression, the director directly talked to the patient's family, "Doctor Zhang, you and Director Li are going to see the patient, and I will talk to the family." ”

"Okay, director!" Zhang Fan got up and took a few other doctors to Sister Li's ward. Sister Li in the ward, although she was rescued, has temporarily stopped the heavy bleeding, but now she is very weak.

Physical examination, medical records. Sister Li was like a zombie, without any expression, she looked at the pear blossoms outside the window in a daze, and the white pear blossoms were so delicate.

"It doesn't have any effect at all, so let's take a large dose of hormones. Now these drugs have not changed directly. After seeing the patient and doing a simple physical examination, standing outside the door of the ward, the deputy director frowned and said to Zhang Fan.

"But in this situation, will a large dose of hormone go down or will it cause bleeding again?" Zhang Fan asked uncertainly, there are too many problems to be balanced in internal medicine.

Especially for such critically ill patients, it is too difficult to take medication. Medication may cause a stress response and lead to the death of the patient, and it is a matter of time before the drug is not used.

It's too hard. There is nothing wrong with the patient dying of hemorrhage or natural exhaustion, but once the patient dies due to a stress response after taking the drug, the problem comes.

To use! or not!

"Let's have an internal discussion meeting, hurry up, and settle this matter in half an hour. Just when the deputy director looked at the medical records and frowned, the director had finished talking and came over to greet everyone.

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

This must be time-keeping, and it must be reflected in the medical record, this kind of departmental discussion, the doctor in charge is the clerk, recording the treatment opinions of each doctor, and finally reflected in the medical record.

After everyone was seated, the director nodded to Zhang Fan and said, "Let's start, let Dr. Zhang give a brief introduction." ”

"Nine beds, No. 3 was admitted to the hospital due to facial erythema with multiple high fevers, and he had self-medicated outside the hospital, but the effect was not good. After being admitted to the hospital, a medical history was followed and it was found that the patient had been exposed to strong sunlight six months ago. After admission, routine symptomatic treatment is given. But the effect is not obvious. On the afternoon of the 5th, the patient developed a large area of purpura, and the blood routine was rechecked, and the platelets decreased sharply. Today, after a visit by the patient's family, the patient became agitated, causing the gastric vein to rupture and causing massive bleeding. With the participation of the attending doctor, Dr. Hu Jun, the patient was rescued, and the patient's condition is still acceptable, but there is still the possibility of heavy bleeding or even death. After Zhang Fan made a brief introduction, he glanced at the director and sat down.

"Okay, this is the case, let's make a long story short, everyone should be clear about the specific situation, and now we will speak directly. Dr. Chan, you start with that. ”

Chen Hong, who transferred to another department, and Zhang Fan are considered to be Dr. Chen in the same year, and at this level of meeting, doctors with low seniority generally speak, and then with high seniority, and finally the director makes a decision!

"At present, the patient's condition is acceptable, and although there is a large risk of bleeding, he can continue to be observed. "Chen Hong is not going to do rheumatology, so he doesn't pay much attention to it.

One after another, there are two opinions, observation, continuous observation, and the second is to take the risk of medication after obtaining the consent of the patient's family. Especially at the level of deputy senior and deputy director, the debate is very fierce.

This is not a struggle for rights, but it is more intense than a struggle for rights, it is a struggle of ideas, or rather, it is a struggle of ideologies.

Modern medicine is developing rapidly, but there are still a large number of diseases that cannot be helped.

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

There is no right or wrong choice in the face of death. Death is approaching, and no one is sure which path to choose. The doctor is not God, and no one can say what will happen next, nor can they predict it.

In this disease, small doses of drugs are ineffective, and large doses of drugs may cause heavy bleeding and lead to fatality. At the end of the speech of the deputy director-level doctor, everyone looked at the director, the director of the rheumatology department.

The director, who rarely smokes, stretched out his hand and asked the deputy director next to him for a cigarette, lit it, inhaled deeply, and in the green smoke, the director pondered. It's very difficult, waiting for death, help, killing, a series of words keep circulating in his mind.

Hovering, staggering!" Dr. Zhang meant. The director found that Zhang Fan was working as a clerk and did not speak. At this time, he asked.

"With medicine, she is too young, not even thirty years old! Although the risk is very high, I think I should give it a go!" Zhang Fan said as he recorded.

The director didn't say anything about it, then suddenly took another puff of cigarette, squeezed out the cigarette butt fiercely, and then stood up violently and said, "Director Chen, you and Dr. Zhang quickly explained the condition to the family again, and got the treatment authorization letter as soon as possible." Dr. Hu, prepare rescue equipment. Dr. Li, report to the hospital!

"Yes!" all the doctors stood up, and then went about preparing what the director had to say, which was the importance of the director. It is not usually reflected, and the choice of this critical moment is very important.

This choice almost can't be repeated, life or death, there is no third way, the pressure and risk in it, only when he retires will he have time to savor it slowly.

Now he doesn't have time to grieve, it's not his turn to feel about life, because the patient is still lying in bed, waiting for him to make a decision, waiting for him to go to treatment.

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

Without his signature, the hospital really didn't dare to take any measures, and Sister Li at this time was really not as good as a widow!

Wait, wait, time slowly wears away! Impatient? No. In the face of death, sometimes, doctors really want to wait and maybe the patient will get better!

。 m.