1

As soon as Liang Bo sat down, the doctor who was studying walked towards Liang Bo: "Doctor Liang, we have two surgeries tomorrow, we have to talk about it today, or you can talk about this, so that you can get acquainted with it, and I will be transferred to the Department of Urology tomorrow." ”

"Why are you transferring in the middle of the month?" Liang Bo wondered.

"No, in fact, I'm going to the Department of Urology this month, isn't there a shortage of doctors in our group? Director Fan is very good to me, so I promised him to help, just when you come, I'll leave it to you." I've only been in urology for two months, and if I don't go, I can't really learn anything. The doctor replied.

Liang Bo knows that the doctors who study are not responsible for managing the bed in the first place, and in the past, they were all done by the teacher's intern students, and he also understands that the doctors who are studying want to push things on themselves as soon as possible. Liang Bo has no other way, after all, he is Director Fan's student, and now he is a regular training doctor, and it is his own business to manage the bed, so he naturally has to agree.

"Okay. "I've been standing for a day, pulling the hook for a day, and now my hands and feet are still sore, and Liang Bo has no choice but to respond.

The doctor briefly explained to Liang Bo the basic situation of the patient in the tube bed, especially the situation of the two patients who needed to be talked to immediately, and left the case after the explanation.

Liang Bo quickly smoothed out the patient's situation, picked up the case that needed to talk to the patient before the operation, and went to the patient and his family, because he didn't hurry up to talk, he could not go home until late in the evening.

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The content of the conversation includes the patient's condition, the necessity of surgery, the surgical method and the basis for selection, the possible adverse reactions, complications and accidents during and after the operation, and answers the questions raised by the patient and his family in a timely manner, so as to obtain the understanding and consent of the patient and his family, and finally sign the informed consent form for surgery.

For Liang Bo, preoperative conversations are no strangers, and he has experienced hundreds of preoperative conversations, large and small, but Liang Bo's heart is still heavy every time he talks, especially when he encounters cancer patients. As a doctor, Liang Bo is very eager to cure the patient and recover as soon as possible, but with the current level of medical development, cancer cannot be completely treated. Even if the surgery is very successful, there is a possibility of deterioration or recurrence. In other words, all modern medicine can do for diseases is to "alleviate symptoms", which is a matter of medical common sense in the eyes of medical scholars, and it is difficult for the public to understand.

The two patients who are going to talk before surgery today, one is ordinary gallstone surgery, which is a minor operation in hepatobiliary surgery, the surgical risk is low, the success rate is high, and the recovery is fast, so the conversation will be very easy. Another will be more troublesome, is a gallbladder cancer patient, the case shows that the patient is 53 years old, female, admitted to the hospital with severe pain in the right abdomen, and was found to have a gallbladder tumor during the examination, and was diagnosed with stage II gallbladder cancer.

The first patient's conversation ended quickly. Liang Bo stubbornly started talking about the gallbladder cancer patient, and the patient's husband and son came, but the patient did not come. Liang Bo looked at the two sitting in front of him, the patient's husband wore a pair of glasses, and looked very gentle and elegant, like a math teacher in his elementary school, and the patient's son looked to be in his 20s, and he estimated that he had not been graduating from college for a long time. Liang Bo asked, "Do you want the patient to come and listen together?"

"Dr. Liang, no need. We haven't told her the real situation, which is that the gallstones have recurred, and they need to have a lithotripsy surgery. So just tell us. The patient's husband, with a slightly hoarse voice, sounded like he had cried, but tried his best to hide his emotions.

"Oh, that's fine. Of course, at this time, all Liang Bo needs to do is to cooperate with the patient's family, "Dr. Liu told you about the condition before, judging from the film, there is a tumor here in the gallbladder, according to the current situation, the deterioration rate will be relatively fast, and surgery needs to be done as soon as possible......

According to the routine preoperative conversation process, Liang Bo first introduced the surgical plan, briefly explained how to remove the tumor and the alternative plan to choose in case of abnormality. He also informed and explained the risks of the operation, such as infection, anesthesia, bleeding, etc. Because the stapler is a good help for incision recovery and operation time, the hospital basically uses the stapler in surgery by default, so Liang Bo did not specifically mention this.

While Liang Bo spoke, the patient's husband kept nodding in response, and his son kept his head down.

"That's the basic situation, what else do you don't understand?" Liang Bo finished talking about various matters.

"We are all born in the 60s and living in the 80s, and when we were laid off and suffered a lot, we made a small business to support our son after college, and we found out this kind of thing. In the past, when I found gallstones, I said that I would treat them, but she always said that it was okay, it was fine, and it was not very painful, and she endured it, but she didn't expect it to be so serious when she dragged it on!" The patient's husband was in a heavy mood, very regretful and helpless, "Doctor, you said that my wife would not have this disease if she had cured the gallstones before, right?"

"Not necessarily, there are many causes of cancer, and this is just one of them. Liang Bo explained, "However, it is true that gallstones are not painful, which will make patients pay less attention and easily cause cancer." ”

"It must be, I know, it must be because of this! She usually has no diseases, I have long said that I want to come to the hospital for treatment, she has to come, saying that the hospital is expensive, now it is fine. The patient's husband was a little emotional. ”

There are always all kinds of questions in the preoperative conversation, most of which the doctor can't answer, and Liang Bo can only respond embarrassedly: "The situation you said may be one of the triggers." ”

The patient's son, who had been silent before, asked, "Doctor, I have read about what you said on the Internet, and we all know the approximate meaning." I want to know, what is the success rate of my mother's surgery?"

Liang Bo is most afraid of being asked this question, because there is really no way to answer it. The success rate is only a medical statistical concept that appears on paper, and cannot be used as a reference for surgery in actual surgery, but this problem is the most common.

Liang Bo can only answer according to his own experience: "The success rate of surgery is not easy to measure by numbers. Patients have different constitutions and are very different. Our plan is based on your mother's situation, and Director Fan, who operated on her, is the most experienced doctor in our hospital and the most powerful doctor in the hepatobiliary surgery department in the province, which you can understand. So don't worry, we'll do our best. ”

The patient's son seemed to understand and asked, "Doctor, can my mother be fine after surgery?"

Liang Bo listened to another helpless question: "I just mentioned in the risk of surgery, cancer surgery, the patient is in the middle and advanced stages, and there may be a risk of recurrence after surgery, but it also depends on the patient's own resistance." After the successful operation, you should pay more attention to rest, eat lightly, and come to the hospital for regular re-examination. ”

During the conversation, Liang Bo noticed that the patient's husband kept his head down, as if he was not listening. Just when Liang Bo was wondering, he raised his head, looked at Liang Bo with a resentful look and said, "Doctor, what you said is the same as what you didn't say, my son also checked this disease on the Internet, I actually want to know how long my wife can live after the operation?"

When the family learns that the patient has been diagnosed with cancer, they will realize that the patient has been given a death notice. In just a few days, they don't have time to digest it, they find it difficult to accept the facts, and they develop a fear that will make them anxious to know the final outcome. In their opinion, it is better to be mentally prepared than to consume without end. Liang Bo has met many cancer patients, and he can now understand the feelings of his family members.

Still, Liang Bo was a little surprised by the patient's husband asking this question so bluntly, and Liang Bo really couldn't answer. No one can estimate how long a patient will live, and even if he can estimate the time, saying it is an invisible pressure on the patient and his family, and the postoperative life period is also related to the patient's mentality and diet. Perhaps this is because doctors and patients are in different situations, and they look at this matter from different angles.

Professional habits and the experience of old doctors tell Liang Bo that when he encounters this question, he generally answers like this: "Everyone's physique and postoperative effect are different, some people relapse after one year, and some people are fine for five years, we can't say for sure, now we mainly use medical means to control her condition." ”

The patient's husband didn't say anything when he heard the doctor's answer, and the patient's son said, "Ah... Well, we only have surgery, so when will we be able to schedule it?"

"The surgery is scheduled for tomorrow, and the specific time is waiting for our notice. We'll let you know tomorrow. Liang Bo replied.

"Well, okay then. ”

"If there's anything you don't understand, you can ask me again? If there's no problem, sign the informed consent for the operation. Liang Bo said as he handed over the informed consent form for the operation.

The son took the informed consent form for surgery, took a cursory look at the contents of it, and asked, "I see so many risks here! Is it that if I sign it, you will not be held responsible?"

"No, because the surgery is not completely 100% safe, many of them have sequelae or complications, these are all things that you need to be aware of, and the meaning of our preoperative conversation and signing the notice of operation is itself to give you the right to know your own situation. Liang Bo explained.

"Oh. All right. The son turned to his father for advice, "Dad, do you think there is any more problem?"

"That's what comes and goes, no. He saw his father shake his head.

"No more. The patient's son turned to Liang Bo and pointed to the family column and asked, "Is it here?"

"Hmm. Liang Bo nodded. After saying that, the patient's son signed.

After signing, Liang Bo breathed a sigh of relief, and the first day's training work was over. Liang Bo looked up at the clock hanging on the wall, it was already more than 9 o'clock, and he had eaten lunch at 4 o'clock in the afternoon, and he hadn't eaten dinner yet, so he felt a little hungry. The canteen has long been out of food, so I can only eat outside. This kind of life has just begun, and Liang Bo can't help but sigh.

There will be no food in the restaurant, Liang Bo ate a fried rice noodles at the night snack stall to pass the stomach, and when he returned to the rental house, it was already half past ten, Meng Lianghua was surfing the Internet, and he wanted to gossip with him about the daughter of Dean Li's family and Director Fan's son today, but he didn't have the strength to speak, so he simply said hello and lay on the bed. Liang Bo wanted to lie down and look at his mobile phone and go to the shower to sleep, but he was so tired that he fell asleep before he finished reading a piece of news.