In addition to staying in the inpatient department every day, the surgeon also has a job of visiting the outpatient department. Liang Bo's supervisor, Director Fan, goes to the clinic every Tuesday morning, once a week, and Director Fan takes a student with him every time. Since Liang Bo was a graduate student, he has been following Director Fan to the outpatient clinic without moving.

Although the outpatient flow is very large, there are a variety of outpatient patients, most of them are minor diseases, and the probability of admission is not high. The main channels for the admission of inpatients are directly introduced from the following hospitals, and there is also a kind of patients who have been diagnosed with diseases and come to them with their popularity.

Today happens to be the day when Liang Bo went to the outpatient clinic with Director Fan. The outpatient office is very simple, a room of about 10 square meters, a 1.5-meter-wide table, a 16-inch LCD computer is placed on the table, a dot matrix printer is placed against the wall next to the computer, a round stool in front of the table, this stool is for the patient to sit, and there is a large chair on the other side of the table, which is for the doctor.

Director Fan was sitting on a large chair, and there was a young doctor standing next to him, and that person was Liang Bo. Under normal circumstances, Liang Bo stood silently beside him, listening, watching, and learning how Director Fan diagnosed patients.

"Ding-please ask No. 18 Wei Changgen to go to the No. 3 clinic for treatment. "The consultation room where Liang Bo and Director Fan are is is the No. 3 consultation room.

The voice of the machine was broadcast twice in a row, and I saw a middle-aged man holding a thin and sallow old man in, and he was still carrying a CT bag with "Qingchuan People's Hospital" written on it.

"Please take a seat!" Director Fan hurriedly said when he saw the very painful expression on the old man's face.

After the man helped the old man sit down, he said politely, "Hello, Director Fan." ”

Liang Bo looked at the middle-aged man, who was 40-50 years old, dressed plainly, with dark skin, and a little hideous between his eyebrows.

"Hello. Director Fan looked at the old man sitting on the round stool and asked with concern, "Sir, what's uncomfortable?"

"My dad has been having a lot of stomach pain recently, and he had a little fever a few days ago, and he has no strength and can't lift his spirits. The middle-aged man replied for the old man.

"Oh, where does my stomach hurt? upper abdomen or lower abdomen?" Director Fan said, then stood up and pressed the old man's stomach.

The old man pointed to his upper abdomen and said, "Yes, here." ”

Immediately, Director Fan did abdominal compressions, and the old man shouted, "Ahhh

"How long has it hurt like this?" Director Fan sat back in his chair.

"What I don't remember is that I have been in a lot of pain lately. The old man replied weakly with a foreign accent.

"How's your appetite lately?" asked Director Fan.

"No appetite, nausea, want to throw up. The old man replied.

"My dad has lost a lot of weight in this time. The middle-aged man added.

"What about defecation?" asked Director Fan.

The old man hesitated, not seeming to understand too much. "Oh, my dad has had diarrhea lately, nothing else special. The middle-aged man replied.

"Oh, did you have any previous medical history?" Director Fan continued.

"There's nothing sick about it. The middle-aged man said, "My dad used to be in good health, but this time he came to the hospital for a check-up when he suddenly had a fever." ”

"In the past, I used to have stomach aches occasionally, but I just hung a hanging bottle. The old man made a trembling voice.

According to the current situation and his own experience, Director Fan considered that it might be a problem with the gallbladder and pancreas, but the doctor could not make an unfounded diagnosis, so he said: "You are like this, first do an abdominal CT, B ultrasound to see the situation, okay?" After speaking, Director Fan was about to open a checklist.

"Director Fan, we just checked the CT yesterday, so we don't need to open it. When the middle-aged man heard that he was going to take a film, he quickly took out the CT bag in his hand and put it on the table, saying, "Our hospital said that my dad had pancreatic cancer. ”

"Oh, it's been checked, isn't it?" Director Fan took the film.

Director Fan opened it and saw that there were more than a dozen large and small lists, and the checks that should be done were basically done. Many patients will find several hospitals to diagnose unacceptable conditions, which is very common, and Director Fan didn't say much.

Director Fan carefully checked all the checklists, looked at the MRI and CT films, and handed them to Liang Bo to check them one by one.

"Judging from this diagnosis, it is indeed pancreatic cancer, which is already in the second stage. Director Fan said heavily.

"Director Fan, what should I do then?" the middle-aged man seemed a little frightened.

"I see that your father's case was opened by Director Wu of Qingchuan People's Hospital, Director Wu, I know, since he is confirmed, I think he must have given you treatment suggestions. Director Fan asked.

"His suggestion is not to treat it, it is simply irresponsible!" the middle-aged man looked very angry, and said anxiously, "So we came to you by train overnight yesterday, and I heard that you are an expert in this area." The first is to see if his diagnosis is correct, and the second is that if the diagnosis is, then I will find you for treatment and will not return to Qingchuan. ”

"I looked at the examination report, all the tests that should be done were done, and the film was very clear, it was indeed pancreatic cancer. Director Fan looked at the middle-aged man seriously and said, "However, your father is over 70 years old, and I recommend conservative treatment." ”

"Director Fan, we want to have surgery. Can it be surgically treated?" asked the middle-aged man eagerly.

"Your father is quite old and may not be quite up to the mark. Director Fan looked a little helpless.

"Why don't you meet the surgical indicators?" asked the middle-aged man, puzzled.

"That's right, your father, he is already in the middle and advanced stages of cancer, and he is over 70 years old, I am afraid that the surgery will not be unbearable under such circumstances, and the prognosis will not be very good, so I recommend not to have surgery. Director Fan explained.

"Director Fan, we have gone so far because we believe in the technology of your hospital, and you have to help us. The man began to plead, "Don't worry about the operation, my dad is a farmer, and he used to do hard work, which is nothing, he can definitely bear it, please help, we really can't help it." ”

"Really, your father's situation is really not suitable for surgery, can you hang up to the oncology department and try chemotherapy, or I will directly help you transfer to the inpatient department of the oncology department?"

"Director Fan, I know that you are also from Qingchuan, we are considered fellow villagers, and the hospitals there said that you have high medical skills before we came, so we came here and specially asked you to operate on my father. The man looked at Director Fan with helpless eyes and continued to plead, "Director Fan, help." ”

"This is not to say that you can't have surgery, considering your father's age, the risk is too great, I'm afraid I won't be able to get out of the operating table! And gallbladder cancer itself has many unpredictable complications, so surgery is really not recommended." Director Fan carefully explained.

"I know, Director Fan, in fact, I am also a doctor, I am a doctor in the countryside, not as professional as you, but I still understand the general knowledge, and I can foresee some bad possibilities after surgery. My mom died early, and my dad brought me up with a lot of pain, and now life is a little better, but that's it. As long as there is a glimmer of hope, I don't want to miss it!" The man still did not give up, and pleaded sincerely, "You can rest assured that I will have surgery on my father, and if we can't do it well, we will admit it." ”

When Director Fan saw such a filial son, he thought that he was not only a person from his hometown, but also a family member of the patient and a medical worker, and he also had some considerations about the risks of surgery, and it was not so unreasonable. If the family insists on having surgery, they can't bear to refuse categorically. Indeed, the possibilities of surgery are endless, and if it is successful, it will be possible to live a little longer.

"Oh well. However, in the case of your father, we want to make it clear, and we think that your father really does not need to have surgery, but you insist on doing it. And what happens on the operating table is unpredictable, and I suggest you think about it. ”

"Well, we've thought it through, Director Fan, let's do the surgery. The man replied in the affirmative.

"Okay, now that it's confirmed, let's go through the admission today. Your dad's situation is sooner rather than later. After Director Fan finished speaking, he turned to Liang Bo and said, "Liang Bo, you can call and ask the nurse station to see if there are any beds now?"

"Okay, teacher. Liang Bo then picked up the phone.

"Thank you, Director Fan. The expression on the man's face softened a little, and he hurriedly thanked him.

"Thank you. The old man also said in a weak voice.

After a while, Liang Bo hung up the phone and said to Director Fan: "Teacher, there happened to be patients discharged from the hospital this afternoon, and I told the nurse station to give them priority." ”

"Okay, that's right, that's it, you can go through the admission today. After speaking, he operated on the computer and typed out a list.

Director Fan handed it to the man casually and said, "You can take this list and go through the admission procedures." ”

"Thank you, Director Fan. The man said with a smile.

"It's okay, go ahead and do it. So saying, the man helped the old man out.

After the patient walked out, Liang Bo asked suspiciously, "Teacher, his father's condition doesn't seem to be very suitable for surgery, why did you accept it?"

"Hey... Yes, but the patient's family seems to be very filial, and he is a doctor, so he should know the patient's condition very well. Since they have a hope, I don't want to break it. Director Fan said earnestly.

"He reminded me of my father, and when my father was sick, I just thought about his age, and he didn't need surgery from a medical point of view, so he passed away. Director Fan sighed, "Now I regret it a little, if I can be as brave as the one just now, and operate on him, maybe I can live for a while longer." ”

"Oh. Liang Bo replied softly, as if he understood what the teacher meant by the patient.

Liang Bo thinks that as doctors, when we encounter our loved ones who are sick, we will always consider the problem rationally from the perspective of doctors, rather than from the perspective of our family members and make decisions with emotion...... Yes, patients, especially seriously ill patients, need their families to fight hard out of feelings, and maybe if they succeed, who can say who is right and who is wrong!

Out of concern for his fellow villagers, sympathy for the patient, compassion for the family, and reflection on his past behavior, Director Fan accepted the patient, and the patient will give Director Fan a "vivid and vivid" lesson in the coming days.