292 Death to death

After a while, Jia Suyue was called back by Wang Yanan, and Jia Suyue didn't run far, but actually stood at the door of the office. After all, it was Shao Hua's best friend, and Zhang Fan had to say hello.

"What's wrong, are you uncomfortable?" Zhang Fan asked Jia Suyue, but still turned his head to Wang Yanan on the side. Now although Jia Suyue doesn't scold him much, but Shao Hua is not there, Zhang Fan is still a little uncomfortable with Jia Suyue, the girl's lethality is too strong, and the memory of Zhang Fan is too deep.

"She's big~~!" Wang Yanan was about to open his mouth to say, but was covered by the red-faced Jia Suyue.

"I can't say!" Jia Suyue was really a little anxious. That is, only unmarried young girls are like this, if it were a young woman with children, it is estimated that she would have told the matter three times a long time ago.

"Okay, okay, I just have to go out for a while, hehe!" The world is big, Shao Hua's face is the biggest, this face has to be given, Zhang Fan is not stupid, how can he not know why Jia Suyue is embarrassed.

Jia Su came to the hematology department, and he was alone with Wang Yanan, who couldn't run away, and then looked at Jia Suyue's fair skin, a little white lips, usually staying at home, he must lack exercise, and it is estimated that the amount of food is not large, so Zhang Fan said hello to Dr. Ruan and went out.

He actually really didn't have anything to do, so he simply went to find Li Hui, I haven't met this guy for a long time, since he got married, this kid is like a different person, and he doesn't go clubbing, he doesn't even harass Zhang Fan anymore, the whole family is a good woman and man.

Li Liang said this change once. After Li Liang came to the city, he and Li Hui became much closer. This Li Hui's wife is really a professional teacher, although she is three years older than Li Hui, her emotional intelligence is quite high. The atmosphere at home is very good, although she is pregnant, she rarely loses her temper and is coquettish, "Husband, I'm tired, you see your feet are swollen!"

"Husband, you're the best. I'm so blessed. It is said that Li Hui once said it after drinking with Li Liang. After listening to this, Zhang Fan almost didn't laugh and burst out, this person, it's really a thing to a thing!

Li Hui is now in the respiratory department, and the hematology department is in the same building, and Zhang Fan went to the respiratory department.

Here, after Wang Yanan watched Zhang Fan go out, he said to Jia Suyue: "What's so embarrassing, look at you." I'm still shy!"

"Yanan!" Jia Suyue's face turned even redder. How can you not be shy, even if you don't know her, Zhang Fan and her are acquaintances, how can you not be shy.

"Okay, okay, I'm not going to say that. Dr. Ruan is at a good level, I'll take you there. "This Jia Suyue is really anemic, how to say it, because of the lack of exercise, usually in order to maintain his figure, he eats less, and this year's menstrual period is a little more, and as a result, he has dizziness and fatigue.

When I came in the morning, I first asked Wang Yanan to take me to the gynecology department, and the director of the gynecology department took a look at it, and directly said to Jia Suyue, go to the blood department, the little girl doesn't eat well and don't exercise, so it's not good, how old are you.

There are many people in the outpatient clinic, and Wang Yanan is embarrassed to cut in line, so he took Jia Su to the hematology department, and Zhang Fan, who is so immortal, is also there, I don't know if it's because of getting older, or because of familiarity, anyway, Jia Suyue is a lot less arrogant than before.

After Dr. Ruan read the checklist, he prescribed some iron supplements and told Jia Suyue to go back and take the medicine on time and have regular check-ups. After seeing the doctor, Wang Yanan and Jia Suyue went out of the hematology department together.

"You still have to exercise, otherwise there will be no good effect on taking medicine!"

"Okay. Thank you. Jia Suyue took Wang Yanan's arm and said affectionately. Jia Suyue, who has long hair, and Wang Yanan, who has short hair, stand together, really showing the different wonders of women. People who come and go, whether they are doctors or patients, can't help but look at each other.

Especially Wang Yanan, dressed in a white coat, with his hands in his pockets, and soft shoes on the ground, the girl who has been exercising in surgical life for more than a year has a particularly calm feeling.

"Okay, I won't send you anymore, I'll go back to change the dressing. Pay attention to your own medicine on time!" Wang Yanan said after sending Jia Suyue under the building.

"Well, you go get busy, I'm going to work too. "Jia Suyue is not a serious illness, just because he usually doesn't like to exercise much, and he stays at home all day.

If you don't exercise, the amount of food will be small, and then because of the menstrual holiday, you will have this anemia symptom, or iron deficiency anemia.

Anemia is caused by the lack of red blood cells in the human body, and iron is one of the raw materials that make up red blood cells. Let's briefly talk about the growth process of this red blood cell.

In adults, red blood cells grow in the bone marrow. When it finally grows into a body similar to the Arabic numeral 8, it means that it has grown up, and then it jumps out of the bone marrow, and it starts working in the blood vessels, and it is a driver, and it has been doing the work of transportation, and after working for a hundred days, this red blood cell becomes old, and it can't do it anymore, and when it passes through the spleen, it is swallowed by the macrophages of the spleen. And just like that, its tiring life ended.

Born in the bone marrow, working in the blood vessels, buried in the spleen. These components that make up red blood cells are then used again. Formation of new red blood cells. Therefore, people who do not have heavy bleeding or long-term chronic blood loss generally do not develop iron deficiency anemia.

Iron, not only is not much ingested in food, but it is also very difficult to absorb, once it is missing, dizziness, nausea and a while can not be replenished!

When Zhang Fan arrived at the respiratory department, Li Hui had just finished giving medical advice, and Li Hui was also very happy when he saw Zhang Fan appear in the respiratory department.

When Zhang Fan saw Li Hui, he was a little surprised, although he didn't have a few cents in his pocket, the socks he wore showed his big thumb, but his hairstyle was always unmessy, and he was always neatly combed.

Now it turned out to be a board inch, with a faint cyan under his eyes, and suddenly he seemed to be ten years older.

"What's wrong?" Zhang Fan asked in surprise.

"It's not much, it's good!" Li Hui still had the medical records in his hand, pulled Zhang Fan to the stairwell of the building, and hurriedly took out a cigarette, Zhang Fan glanced at the three yuan of Honghe.

"Short of money?"

"Hey, my wife is pregnant and protects the fetus, and something has happened to my parents in my hometown. ”

"If you don't have money, just say it. ”

"It's okay, the anti-first antibody is over. It's drowsy!" After taking a sharp puff of his cigarette, Li Hui squinted his eyes and said.

"Does your daughter-in-law not sleep well at night?"

"No, there are too many sick numbers, and I'm a little tired. ”

"How many sick numbers have you managed, are you director Lao Ju so cruel? ”

"At my own request, I am in charge of more than 20 sick numbers by myself, working overtime until 2 o'clock in the evening every day. If you don't fight, you can't do it, you have to use money everywhere. Hey, how free you used to be!"

"Then you take it easy!"

"It's okay, I used to wave too much, so let's pay off the debt! How are you, when will you get married? ”

"Come on!" suddenly both of them fell silent, as if the pressure of life was like a rope, slowly contracting, making it impossible to breathe freely.

"It's okay, what can I do if I don't refuel. Children who don't have umbrellas can run away. Don't talk about it, you still have to write medical records, you can go home early when you finish writing early, and when you have time, come out and sit. After a while, Li Hui threw away the cigarette butt and said to Zhang Fan.

"Okay, pay attention to your body. Looking at Li Hui, who seemed to be a little rickety, Zhang Fan seemed to miss the incomparably slippery and incomparably jumping young man, who grew up?

Zhang Fan returned to the department, his mood was a little low, and he seemed to see his appearance from Li Hui's back. Before I could feel much nostalgia, I came to a sick number, a sick number that the director received.

Male, sixty-eight years of age, has unprovoked trilineage cell reduction. The patient was hospitalized in a local hospital for treatment due to sudden bleeding gums, edema of both lower limbs, and dizziness for half a month.

Today, Dr. Ruan accepted the patient, and when the elderly patient was admitted to the hospital, Zhang Fan looked at the outpatient hospitalization list, and felt a kind of helplessness in his heart, a helplessness that he had no choice.

Before entering the department, Zhang Fan worked in the hematology department for several nights, which was not proficient, but it was also an entry, and this department was more troublesome than rheumatism and endocrine. It's almost a copy of a systemic disease.

Often the disease is in the blood, and the symptoms can be expressed in the organs that are uncertain. This elderly, the current treatment measures city hospital and county hospital, there is not much difference. All are symptomatic because the diagnosis is not definitive. Treatment should only be symptomatic.

I put it away, and I have a physical examination and a various examination. The old man kept pouting, muttering constantly, accompanied by an old lady, while slowly rubbing the old man's calves, and kept persuading the old man. Zhang Fan listened to it, and it turned out that the old man was unwilling to be treated. But the old man's children were unwilling.

In the afternoon, Director Li Qing went to the outpatient clinic, and the patient examination list had been reported, because it was a special patient, and the people in the department got together to discuss. After discussing it for a long time, there was no conclusion.

"Idiopathic malignant cell tissue disease and bone marrow metastasis!" At this moment, Zhang Fan looked at the checklist and said.

"It's kind of like it, but it's so rare that I haven't seen it. Are you sure?" Li Qing said.

"Do a bone marrow aspirate! characterize the disease?"

"Okay, that's all. Qualitative as soon as possible. Li Qing nodded. In fact, Zhang Fan has been diagnosed with this disease, and in the past few days, Zhang Fan has looked through countless journals on blood diseases and has a very impressive impression of this disease.

Even if it is diagnosed now, there is nothing to be done. Because it's a disgusting cancer, inoperable, no chemotherapy, no radiotherapy, no action.

"Don't toss the old man and me anymore, I'm about to be seventy, hey!" the old man sighed when the bone marrow was punctured.

After a few days, the results are reported and the diagnosis is in line with the diagnosis. What should I do? The three children of the old man also came, and the old man, who had been farmers all his life, pulled several children to become adults, and the children were all angry. The eldest is a small boss, who is in the household appliance business, the second is a teacher, and the third is working in a state-owned enterprise.

"Doctor, is there no way to do this disease? Go to the capital, go to Shanghai, is there any hope? "Of the three, the eldest has always been the one who has made up his mind.

"Well, there's no good way to get anywhere. Li Qing said sympathetically.

"Why, how can I delay the disease, the old man has endured hardships all his life, and he has not enjoyed a few days of happiness! The doctor has to think of a way!" said the boss, his eyes turned red.

"I have to keep blood transfusions, keep intravenous albumin, and keep using hormones. Time is really hard to say. And the cost is quite a bit. ”

"It's okay, doctor, can I let my dad live a few more days!

"The old man eats what he wants, drinks what he wants, and he doesn't pay much attention to it. If, if you are critically ill, if you need to cut the organ, do you cut it?"

"Let's discuss!" the three children left in disappointment.

"Let's take medicine!"

The cost is like a slot machine, devouring the RMB. Albumin, plasma, imported drugs to prevent bleeding, money in tens of thousands!

To treat, or not to treat? In many cases, to put it vulgarly, hospitals do not interfere or have no right to interfere in the treatment of patients, and a large part of them are useless treatment to death.

There used to be a very contrasting story. Canada, an elderly Chinese man, a billionaire with terminal cancer. Cachexia, edema, in the hospital, the doctor refused to give transfusion of plasma or even albumin.

The old man's last wish is to return to his hometown and return to his roots. The hospital sent three doctors and two nurses to escort the patients back to China on planes. They believe that this is the last humanistic care for the elderly at the end of their lives, and it is necessary. But for ineffective treatments, they consider it wasteful.

A week, seventy or eighty thousand hospitalization fees. The elderly are also aging day by day, and the fluid input is getting more and more day by day. In the afternoon, the sun shone on the ward, and the old man's gray face was particularly conspicuous.

The old lady went to pour urine for the old man, and Zhang Fan gave the old man a simple examination, covered with plastic pipes, painful!

Just when Zhang Fan was about to go out after the examination, the old man's thin hand grabbed Zhang Fan's white coat.

Zhang Fan looked at the old man in surprise, "Let me go! Please!" Zhang Fan stood on the edge of the bed and was stunned, he understood, he understood what the old man meant, but did he have a way? No. looked at Zhang Fan's tangled and helpless expression.

The old man slowly let go of Zhang Fan's white coat in disappointment, and slowly turned his head to the window. Zhang Fan walked out of the ward in embarrassment, does he have the right? No!

Is it filial piety to cure death? Isn't it okay to give up at this time? Zhang Fan looked at the painful old man, and for a moment realized that he had done something wrong?