[Wake up early in the morning for a chapter!] Rob the monthly pass! 】

After the meeting of middle-level cadres was held in the hospital, the discussion in the hospital about the introduction of talents and the training plan of hospital doctors has not stopped. / Discussion papers have been sent to all departments. Of course, what everyone is most concerned about is the change in treatment in the future.

"Qin Chuan, have you heard of it? After the transformation of hospitals, the distribution of income will change dramatically. In the future, the distribution of income does not depend on whether you can cure the disease, but on what kind of diploma you have. In the future, a doctor's income will kill us every minute. He Xiaokang's understanding of this plan is like this.

"I've seen it, and it's really the same. The point is that there are no plans for wage increases. Now they are all vying for that list. Qin Chuan is still very conflicted about further study.

If you can get a place for further study and go to a higher hospital to study and work for a while, it will be very helpful to improve your ability. In higher hospitals, more and more complex cases can be encountered. Not to mention anything else, that is, in Nanya Hospital, the cases I have seen are the ones that are difficult to encounter in Tanshan Central Hospital. After all, Nanya Hospital is the best hospital in Sanxiang Province, and many difficult diseases are sent to Nanya after hospitals around Sanxiang Province cannot solve them.

Qin Chuan is not worried about no one to teach now, but it is difficult to meet various types of patients. Although simulations can be performed in space, they are always very different from the actual situation. Although the system is all-encompassing, it is impossible to include all cases, and each patient is a special individual. The list of cases is almost endless. Therefore, real ability is not something that can be trained in the space, but needs to be gradually accumulated in practice.

"Ogawa, the director told you to go to his office." Gao Zhanting walked in from the outside.

"Hey. Sister Zhan Ting, congratulations on the haze that has cleared and seen the light of day again. Qin Chuan said.

"That's it. Tonight. Jinyu Restaurant, I'm in for a treat! If you don't get drunk, you can't go home! Gao Zhanting is in a very good mood.

Qin Chuan entered Cheng Guanhua's office.

"Qin Chuan, sit. You've been in the emergency department for half a year, but you've already passed all the old doctors. This opportunity for further study, I really want to give you. But you've only been half a year after all. The rest of the department has been working in the emergency department for many years. There is no merit and hard work, so this is the chance. I thought about it for a long time, and finally decided to let He Xuedong participate in the further study. First, He Xuedong has been here for the most years, and it is time to go out and see new things. Second, He Xuedong's table in this paragraph is also very good. Gao Zhanting and He Xiaokang all took the initiative to give up. Therefore, I also hope that you can improve your style and don't fight for this opportunity. Cheng Guanhua said.

"Director, don't worry, I have no opinion. I've only been working for less than half a year. The most important thing now is to put yourself in your position. I'll talk about it later when I have a chance. "Qin Chuan was still hesitating, but now it's better, don't hesitate anymore.

Qin Chuan returned to the department, and Gao Zhanting immediately asked, "Xiaochuan, I didn't succeed in my further study this time, and it will be your turn next time." Now I just want to be a good doctor, and I don't think about these things. ”

He Xiaokang also smiled: "Unless I let Fang Ping go with me, I won't go out." ”

This guy was worried that Fang Ping would change his mind.

"Huh. You guy, you actually have such an idea. He Xuedong walked in with a smile. I still feel guilty. Ogawa, supposedly, your conditions are the best. This kind of training opportunity should get a motivated doctor like you out. But I also really want to have a qualitative improvement in my medical skills. ”

He Xuedong didn't say that he actually wanted to change majors. After being in the emergency department for many years, I lost all my major, and now I suddenly want to be a good doctor, so I want to pick up my specialty back.

"Dr. Ho. Don't say that. This kind of thing is originally a hospital welfare, of course, to focus on old qualifications like yours. If you give me a spot, then I'll rob you. Qin Chuan said with a smile.

While several people were talking, the emergency center called and asked for a discharge from the emergency department.

"Who's going?" He Xiaokang asked habitually.

"I'll go." He Xuedong has just been given a place for further study. Naturally, it is difficult to dodge, so he volunteered to sign up, Wu Xiaoming generally pretends to be deaf and dumb. Recently, although he has been better, no one wants to be discharged with him.

"I'll go too." Qin Chuan said.

Qin Chuan lifted the universal first aid kit so that He Xuedong could go out.

Gao Zhanting also wanted to go, but it happened that the eldest aunt came, and she didn't do it before being discharged from the hospital. He Xiaokang just doesn't like to be discharged from the hospital. I'd rather die of exhaustion in the emergency department than go to the front of the hospital.

After getting into the car, He Xuedong stared at Qin Chuan's universal first aid kit and said, "Qin Chuan, your first aid kit is very special." ”

Qin Chuan said with a smile: "I made it up myself, and it cost me a lot of money." But this stuff is quite applicable. ”

"I don't think you should be a doctor at all, you should be a scientist." He Xuedong said.

"I'm not a scientist, I'd better be an emergency doctor honestly." Qin Chuan said with a smile.

"Qin Chuan, are you really not going to do a college in the future?" He Xuedong asked seriously.

"Who can say what will happen in the future? When things are at the worst they will mend. More on that later. Qin Chuan said.

"As a person who has come over, I still want to give you some advice. This emergency doctor can't do it for a long time. There are only a few cases that come and go in the emergency department, and if you stay in the emergency department for a long time, you only know about intubation. After this training, I was ready to go to a junior college. It's not okay if you don't go, I'm old, not like you who are young, and I can't afford to toss slowly. You must also pay attention in the future, you must not lose the specialty, otherwise you will not be able to do the emergency department in the future, and the specialist will not be able to do it, and it will be embarrassing at that time. He Xuedong also had a very good impression of Qin Chuan, so he said what he wanted to Qin Chuan.

As he spoke, he arrived.

The patient's name is Li Tihuo, male, 7o years old. Have a history of diabetes mellitus for many years, as well as a history of liver metastases. I stayed in the hospital for a while and was unable to determine the location of the original tumor. Because the patient is very old, the family does not want to do aggressive treatment. After staying for a period of time and feeling better, the patient was discharged from the hospital. In the last two days, there has been a disorder of consciousness, and the patient's eldest son, Li Guocheng, is 12o.

As soon as the ambulance stopped, Li Tihuo's eldest son, Li Guocheng, hurriedly greeted him.

"Doctor. Doctor, please hurry up, my dad is dying. Li Guocheng said.

Qin Chuan hurriedly picked up the first aid kit and got out of the car with He Xuedong, and immediately followed Li Guocheng upstairs.

Li Tihuo lived with the boss Li Guocheng, who lived on the top floor of a six-story building. Qin Chuan, who was carrying a first-aid kit of dozens of pounds, was nothing. He Xuedong was already out of breath. When he arrived at Li Guocheng's door, he kept panting.

Seeing that Qin Chuan had nothing to do, He Xuedong sighed: "It's good to be young! ”

At the door, Qin Chuan and He Xuedong were already there, and they heard Li Tihuo's family wailing incessantly.

"Dad, Dad, wake up. I'm Meiyun, I'm back. Talk to me. Li Tihuo's youngest daughter, Li Meiyun, cried and shouted. Raise children to prevent old age, and raise children to die. On his deathbed. It is a pity that the flesh and blood of the relatives can no longer be sent off, which is a very regrettable thing in Chinese customs.

"My little sister has just returned from the East China Sea. When I came back, my dad couldn't talk anymore. Li Guocheng said in a low voice.

Entering Li Dingguo's home, Li Tihuo was lying on the bed and had fallen into a shallow coma. I was sweating profusely, and my clothes were soaked with sweat. There is a lot of fluid in the abdomen, and it is very distended. It's bulging, like a big ball.

He Xuedong measured the old man's blood pressure: "The blood pressure is normal." ”

Qin Chuan used his fingers to break the old man's eyelids. Shining a strong flashlight at Li Tihuo's eyes, the old man's pupils were already a little sluggish in responding to the light.

"Have you eaten anything in the past two days?" Qin Chuan asked.

"Eat nothing. He said his stomach was so swollen that he didn't want to eat. Li Jinping, the eldest daughter of Li Tihuo, said.

Qin Chuan felt a little like low blood sugar. Immediately tested the old man's blood sugar...... It's normal, and hypoglycemia is ruled out.

"Doctor, what's going on with my dad?" Li Jinping asked.

Li Guocheng also came over: "What kind of disease is it?" If it is cancer committed. We are going to give up, and we really don't want the old man to toss anymore. My dad himself said that if he gets sick again, don't bother him anymore. Anyway, he won't live long, so don't let him suffer anymore. ”

"Brother, how can you say such a thing? My dad raised us so hard. Coming, we don't try at all, just give up? Li Tihuo's youngest daughter, Li Meiyun, stared at her eldest brother as if she were looking at a stranger.

"Little sister, if you are like me, you have been by your father's side to take care of him. Watching him suffer from illness for several years in a row, you wouldn't say such a thing. If Dad's illness had been saved, would I, would I? Li Guocheng felt a little aggrieved, and the man in his fifties actually cried bitterly.

"Little sister, how can you say that about big brother? Over the years, Dad has been taking care of his eldest brother, how many times have you taken care of it? Which time did you come back to see our dad, and which time did you not shirk your work and be too busy? Now you're filial, aren't you? Fortunately, my sister-in-law is not here. The second child, Li Jinping, immediately cheered for his brother.

The third child, Li Diqing, was very annoyed when he saw that his father was dying, and the family was still arguing here: "You all have to say a few words." Our dad is dying, so let him be clean for a while. Doctor, what's going on with my dad? You have also seen the situation in my family. Give us the right words, and we can make a decision. ”

Li Diqing's wife Wei Xiaojia hurriedly grabbed Li Diqing: "You don't have to say a word." ”

Li Meiyun's husband Zhang Senpeng apologized to Li Guocheng again and again: "Big brother, don't be like Meiyun. Meiyun is actually in a hurry. We haven't done much over the years, and we all rely on the eldest brother, second brother, and sister to take care of us. We feel guilty too. ”

Qin Chuan and He Xuedong couldn't make a decision on their side. On the surface, the old man has been suffering from illness for a long time, and his body is relatively weak. But now it looks more like low blood sugar. However, the test results showed that the blood sugar was normal.

"Xiao Qin, since it is not hypoglycemia, combined with the medical history of the elderly, cachexia should be considered. The elderly have been suffering from illness for so long, and their body functions are slowly declining, so they are more vulnerable than ordinary people. He Xuedong said.

"Then don't go to the hospital. Tossing and turning, in the end it still can't be cured. Why should my dad suffer any more? The third child, Li Diqing, also resolutely disagreed to be sent to the hospital.

"Qin Chuan. You see? He Xuedong meant to do it according to the family's methods and give up the rescue of the elderly.

Qin Chuan was about to agree with He Xuedong's opinion, but after thinking about it for a while, he still said: "Although the old man is cacheckey, this is certain, but I still think that I should be sent to the hospital for examination." Maybe it's some small problem? Here we lack instruments, and it is not accurate to see with our eyes alone. For the sake of prudence, I still go to the hospital. Although you don't want the old man to suffer, you can't watch him die like this, right? At least give him a chance to say goodbye to you. ”

"Qin Chuan." Seeing Qin Chuan say this, He Xuedong hesitated for a moment, but finally didn't say anything.

The youngest daughter Li Meiyun wiped away a handful of tears and said, "Brother, sister, let's send my dad to the hospital." I haven't been able to talk to my dad yet. ”

"What to send? What if you send it over and rescue it? Isn't it for him to suffer for a few more days? Now it's not a matter of spending money. It is not necessary at all. You're doing it to soothe the guilt in your heart. For our father, it is equivalent to suffering in vain. In the past few days of my father's illness, I watched him suffer, and I felt the same pain in my heart. Li Diqing resolutely opposed being sent to the hospital.

"But, just watching Dad struggle on the brink of death, we don't do anything, can you bear it?" Li Jinping asked.

Li Jinping's husband Zhang Dong held his wife and said, "Diqing, since the doctors are here, what should we do, let's listen to the doctors, okay?" ”

Li Meiyun also hurriedly said: "Big brother, second brother." It used to be that I didn't do it well. But let me finally be able to give us a filial piety, okay? This time, I came back from a long vacation. I just want to come back and accompany my dad to the last journey of his life. ”

Li Diqing was grabbed by his wife Wei Xiaojia, so he didn't speak.

Wei Xiaojia said: "Usually the eldest brother takes care of the most, and he is also the eldest son in the family. It's up to the big brother to decide. ”

All eyes were on Li Guocheng.

Li Guocheng is the eldest in the family, and after thinking about it for a long time, he still made up his mind: "Send it to the hospital!" ”

After making the decision, Li Guocheng finally breathed a sigh of relief.

"Hurry up, send an ambulance!" Zhang Senpeng said excitedly.

Zhang Senpeng directly picked up the old man on his back and walked downstairs quickly.

"Be careful, be careful." Li Tihuo's children followed closely one by one.

At first, Qin Chuan thought that this family was reluctant to send the elderly to the hospital because of medical expenses. I didn't expect it to be because of this. At one point, the patient's family is faced with such a difficult choice. Whether it's treatment or abandonment. Knowing that there is no cure, there is no need to prolong the life of the patient. If you choose to prolong, you may have to suffer for both the patient and the patient's family. If you choose to give up, the patient's family will have to accept the torture of their conscience in their hearts for a long time. There is no right or wrong in this. There is also no standard answer. (To be continued!)

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