Chapter 226: Preliminary Treatment Plan
Now Lu Lanyan's situation should indeed be fasted from water, and her body should be supplied with the nutrients needed through parenteral nutrition, so that there will be no feces in the ostomy and the infection can be controlled as soon as possible.
However, the rehydration in the hospital is nothing more than the infusion of glucose, normal saline, and some potassium is added to the liquid, and these drugs can indeed maintain the life of the patient, but these liquid components are still too single to provide more nutrient support for the patient.
You can also infuse albumin and even plasma, but there is still a single nutrient in these things, as far as Lu Lanyan's physical condition is concerned, you give her fasting water, and she can maintain her life by rehydration alone, but don't forget, even if it is close to water today, there will still be feces in the next two or three days, this morning, yesterday, and the day before yesterday, she ate everything, and it will take a while for the human body to excrete feces.
It takes at least three days to be cleared, which means that her infection is still uncontrollable within three days, and after the feces are cleared, it will take at least three to five days to control the infection, which is a week, a week is not a long time for ordinary people, and it doesn't seem to be so precious, but for Lu Lanyan, this week is too important.
Fasting water for a week, just relying on rehydration, can't control the infection, her body will only get weaker and weaker, it is likely that she will not survive this week, unless she is fasting water now, there is no feces excreted immediately, and the infection can be controlled immediately, but this is possible?
Xie Tianning knew about this situation, so he just sighed and didn't say anything, nodded and acquiesced to Mi Zixuan's opinion.
An Jinbao heard a misunderstanding, and he didn't know what the doctor was talking about, but he still looked at Xie Tianning with anticipation, hoping that he could cure his wife as soon as possible.
Xie Tianning said: "Let's go." ”
Mi Zixuan shook his head, squatted down and gently patted Lu Lanyan's shoulder and said, "Auntie, can you hear me?" ”
Lu Lanyan opened her eyes and glanced at Mi Zixuan, and closed it again in the next second, her body was so weak that it was difficult for her to even open her eyes and look at things now.
Mi Zixuan saw her open her eyes, knowing that she could hear herself, he said softly: "Auntie, from today onwards, you have to eat more, chicken soup, fish soup, pork rib soup, milk, you can eat hard, the more you eat, the better." ”
Lu Lanyan's voice was very weak and said, "I can't eat it, it's uncomfortable." ”
Mi Zixuan looked up at An Jinbao and said, "Uncle, do you have any children?" ”
An Jinbao said: "Yes, there is a girl who is about the same age as you and is still in school." ”
Mi Zixuan nodded and continued to say to Lu Lanyan: "Auntie, your illness is fine, but if you always don't eat, or eat less, to say something you don't like to hear, you won't live long." ”
Death is terrifying for anyone, including Lu Lanyan, she opened her eyes and said with a painful look on her face: "It's better to let me die, it's too uncomfortable." ”
Mi Zixuan shook his head and said, "Auntie, you can't die, what if you die and your daughter?" You just don't want to see her graduate from college? You don't want to see her find a good job for you and your uncle to rest assured? You don't want to see her get married and give you a big fat grandson? ”
Mi Zixuan knows very well that for people of Lu Lanyan's age, in addition to her husband and wife, in this world, she can't let go of her children.
Lu Lanyan nodded lightly and said, "Of course I want to, but I'm sick ......" Speaking of this, she couldn't go on, and tears fell.
Mi Zixuan said in an affirmative tone: "Auntie, you believe me, your illness will definitely be cured, I also know that you are uncomfortable and don't want to eat, but if people don't eat, even if you don't do it for yourself, you have to think about it for your uncle and your daughter, right?" You don't want to see them feel bad, do you?
If you don't eat, then we can only give you an infusion, I will give you a calculation, a bottle of albumin will cost more than 600, you have at least two bottles a day, this is 1,002, and plasma, a bag is more than 500, nothing else, just these two drugs are 1,070 a day, you said that now pork ribs, fish, chicken, how much is a pound, you know? How much of these things can a thousand seven buy to eat? If you eat 100 a day, you can eat 17 days for 1,007, but if you don't eat, it will cost 1,070 a day, and if you count everything else, it will be more than 2,000 a day, are you willing to spend this money? ”
Xie Tianning immediately secretly gave Mi Zixuan a thumbs up, this kid understands the patient's heart too well, first playing the emotional card, then playing the economic card, the two cards are played, the patient has to eat when she is uncomfortable, she is reluctant to her husband, daughter, and so much money.
Sure enough, as Xie Tianning thought, Lu Lanyan was a little excited: "To spend so much money? That...... Then I'll eat, I'll eat, don't give me those medicines, I'll eat, I'll listen to your doctor, I'll take as much as you tell me to eat. ”
Mi Zixuan patted her hand and said, "Auntie, then we can make up our minds, you are not allowed to regret it." ”
Lu Lanyan said: "It's decided, it's decided, but don't give me those medicines, my family doesn't have so much money." ”
Mi Zixuan nodded, then called An Jinbao out, and when he got outside, he said: "Uncle and aunt are very weak now, and they can't just eat those things, we have to take a two-pronged approach, give him the medicines I said, at least one albumin a day, the plasma is taken first, don't use it in a hurry, with the nutritional support of the liquid, plus the aunt can eat, her body will recover quickly, and her body will be healed, and her illness can be cured as soon as possible." ”
An Jinbao doesn't care if he has any money or not, as long as he can cure his wife and let him smash the pot and sell iron, he will do it, and immediately said: "Doctor, we listen to you, you can use whatever you say, as long as you can cure my wife's illness." ”
Mi Zixuan nodded and said, "We will definitely do our best, but you have to be tired these days, so you must give her more nutritious food." ”
An Jinbao said: "Don't worry, you can't lose him." ”
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Mi Zixuan and Xie Tianning were smoking cigarettes in the duty room, the room was full of smoke, Mi Zixuan smiled bitterly: "Old Mr. Xie has been tired since today, once the patient eats too much, the number of flushes will increase." ”
The more you eat, the more you pull, and the more you pull, the more times you rinse naturally.
Xie Tianning said: "It's nothing to be tired, but what can you do, you can say it quickly, I'm in a hurry." ”
Mi Zixuan thought about it and said, "You let me think about this, you also know that the patient's illness is very tricky, and I need time to think about it." ”
Xie Tianning sighed and said, "Okay, you must come up with a way, otherwise we won't want to stay outside." ”
Mi Zixuan said: "Don't worry, I will figure out a way." ”
Now Mi Zixuan really can't do anything, because Lu Lanyan's situation is relatively special, what he thought at the beginning is useless now, first he has to solve the problem that her physique is too weak, then the ostomy, and then the intestinal tube with cancer cells.
Mi Zixuan pondered that he would have to go back to the laboratory and ask Luo Luo to calculate more detailed data on her physical condition according to Lu Lanyan's various auxiliary examinations, and then Mi Zixuan would have to do an experiment to see if he could think of a way to improve it and apply Lu Lanyan's situation.
The work arrangement of the first department is also the main night off, but there are one, two, three, and four officers, to put it simply, the doctor on the main shift is on the whole day, and the first pair is not used at noon, but it comes in the afternoon, and the other copies are not used in the afternoon, and the department will call them if they have surgery or something.
Although Xie Tianning is the deputy director, he also has to be on the night shift, today he is the second deputy, it stands to reason that he will not be used in the afternoon, but there is such a patient as Lu Lanyan, he must come, he has to rinse the patient, this is so alive that he can let the person on duty come, but Xie Tianning is really not at ease, he can only come by himself, and he has to come once or twice at night, if he still needs to rinse in the middle of the night, then he can only let the night shift come, he can't come back in the middle of the night, two days a day, and the man who fights the iron can't stand it after a long time.
But fortunately, there is Mi Zixuan here, and the two of them can share the work, Xie Tianning took the initiative to contract the night, after all, such a tricky patient fell on Mi Zixuan's head because of him, he was embarrassed to be the shopkeeper himself, and it was all up to Mi Zixuan to wash this dirty work, right?
So Mi Zixuan came in the afternoon, Xie Tianning came in the evening, and tomorrow is Mi Zixuan coming in the evening, and Xie Tianning was responsible for the afternoon flushing.
What Mi Zixuan said worked, and Lu Lanyan, who was reluctant to spend so much money on her husband, children, and money, began to grit her teeth and eat more, she ate too much, and Mi Zixuan rushed six times in just one afternoon.
This work is dirty and tiring, Mi Zixuan is not only tired enough, but also smells, the doctors and nurses outside the general world hide far away when they see him, it is really too smelly on his body, it is no exaggeration to say that he is as if he has just been fished out of the dung pit.
Mi Zixuan couldn't stand the smell, but there was no way, the hospital couldn't take a bath, so he could only go home and quickly take something to the bathhouse to wash it.
Seeing that it was time to get off work, Mi Zixuan went to Lu Lanyan's ward again to see that she was fine, and then changed her clothes and prepared to go home.
As soon as Mi Zixuan took off his white coat, the door of the duty room opened, and Bai Jiayi covered his nose and said with a disgusted expression: "Mi Zixuan, did you fall into the manure pit?" Why does it stink so much? ”
Mi Zixuan rolled his eyes and said, "I'm in the dung pit, I don't think it's smelly away from me, no one invited you to come to me." ”
Bai Jiayi took a step back and sneered, "The beauty you think." Speaking of this, he gestured down the thing in his hand and said, "Look what this is?" ”
Mi Zixuan looked sideways and found that Bai Jiayi was carrying a bunch of gifts in his hand, and without waiting for him to speak, Bai Jiayi said: "I called my uncle and aunt, I am going to visit your house in the evening, let's go, Dr. Mi." ”
Mi Zixuan immediately frowned and said, "Bai Jiayi, what do you want to do?" ”
Bai Jiayi rolled her eyes and said: "Don't do anything, I just want to know something, I want to know something, I know something, I think it's annoying, so I quickly say it." ”