Chapter 34 Equal Treatment
Zuo Li saw the patient's medical records on the table, so he picked them up and quickly glanced at all the medical records.
All of a sudden, his heart became heavy.
The patient, a salesman at a state-run department store, had a liver transplant at the No. 3 hospital four years ago due to liver cancer. Two years ago, the re-examination found that the tumor markers were significantly increased, and the chest CT confirmed the pleural metastases between the middle and lower lobes of the right lung, the upper lobe of the left lung, and the right lobe.
The patient was then readmitted to the Third Hospital and admitted to the hepatobiliary department. After a year and a half of treatment, the disease was not able to be controlled and continued to develop.
A few days ago, I did abdominal CT, and it was found that splenic metastases had appeared, and the metastases of the left lower lobe and right rib bone had progressed compared to before, and there was a large pleural effusion on the right side and splenic infarction.
Chemotherapy was performed, but the patient reacted very well and the drug was discontinued.
After reading it, Zuo Li was in a heavy mood.
The patient underwent liver transplantation due to liver cancer, but there were still multiple metastases in the lungs, spleen and bones, etc., which could not be operated at all, and the chemotherapy response was too great to continue, that is, Western medicine has been unable to recover.
However, the patient's family obviously has a tendency to make trouble, and because there is no suitable treatment for this disease, there is no way to use good and expensive medicines, but instead occupies empty beds and medical insurance quotas, so the hepatobiliary department does not hesitate to use the relationship of the hospital leaders to throw the black pot into the traditional Chinese medicine department, and it is called the opportunity to let the motherland's medicine create miracles.
Chang Jianguo saw him finish reading the medical records and asked, "What do you think?" ”
Zuo Li said: "If he has a liver transplant, Chinese medicine will intervene in the treatment, there may be a little chance, but it is difficult to say, but now the patient's cancer cells have metastasized throughout the body, lung insufficiency, spleen infarction, cachexia constitution, it can be said that he is terminally ill, in addition to improving his quality of life, so that he can calmly walk the last part of his life without pain, there is no other way, and there is no ability to turn the tide." This black cauldron, I guess we have set it. ”
Chang Jianguo nodded: "When the patient comes, let's take a look together and think of a way." Although I am responsible for this patient, you have to make up your mind about the treatment. ”
"Okay Daddy."
The patient was quickly delivered, and because the wards were already full, only the aisle was still vacant, so they were arranged in the aisle.
The patient has been humming loudly in pain, his forehead is full of cold sweat, the patient's cancer pain is the highest level, unbearable, morphine pain relief is basically ineffective, he has been unable to sleep for many days, and the whole person is very haggard.
Chang Jianguo took Zuo Li, Chuanxiong and Shou Tao to the patient's bedside, and the patient's son Qiang Niu immediately crossed in front of them, looking at Chang Jianguo with his hands on his shoulders: "What do you mean?" My dad is sick like this, let him live in the aisle? Do you still have humanity? ”
Chang Jianguo said with a smiling face: "It's not that there are no wards, you can also see that all the wards are crowded, and only a few vacant seats are left in the aisle." ”
"I don't care, my dad lives in a double room in the hepatobiliary department, you make a double room for me. Otherwise, I'll carry my dad to your doctor's office, isn't that empty? ”
Shou Tao was very angry: "Are you unreasonable? The double room is full of patients, everyone is a patient, why should someone else let the ward give you? Do you have privileges? ”
The bull pointed at Shou Tao: "You dare to be fierce with Lao Tzu?" I'll rub, come on, let's practice twice, and within three punches, you won't lie down with your surname! ”
The bull is tall and strong, with flexible skills, and at first glance it is a practitioner, Shou Tao was so frightened that he quickly shrank behind his back: "Which one fights with you?" You baby can't be unreasonable! ”
The patient's daughter, Lawyer Lu, said to Director Chang: "Be reasonable? Okay, let's be reasonable. The reason is very simple - my dad lived in a double room in the hepatobiliary department, why did he transfer to your TCM department and only live in the aisle? It's your decision to change departments, so you have to arrange it! It's not arranged, why turn my dad around? ”
"My dad has spent a million on this disease in your three hospitals. He walked in when he entered the hospital, and now he is lying in the aisle, which is the result of the treatment of your three hospitals! Do you have any responsibilities in the three hospitals, and how much responsibility they have, I will slowly sort them out with you later. Now, I just want to tell one truth - what ward my dad used to live in the hepatobiliary department, now you can arrange a ward for him, it can only be better, not worse, and not live in the aisle! ”
Chang Jianguo smiled and said: "What you said makes sense, it's just that it is difficult for a good woman to cook without rice, and there is no empty bed." You can't kick other patients out and let your dad live in, right? It's all human. ”
The bull said, "We don't take other patients, we take your doctors, that's okay, right?" Free up your doctor's office for my dad to live in, and you work in the hallway. - You didn't take care of this matter, you did it yourself. Hurry up, make room! I'm here to help, for free! ”
The bull said, and walked to the doctor's office with his arms rolled.
Zuo Li stopped him and pointed at the patient in pain on his hospital bed: "Your father is in a lot of pain, why don't you give the patient pain first?" Something else later? ”
This immediately diverted the siblings' attention to his father. The bull immediately returned to the bedside and asked the old man with concern how he felt.
Lawyer Lu looked at Zuo Li: "Do you have a way to relieve my father's pain?" ”
"I can try, but everyone's sensitivity to pain is different, so I can't pack a ticket, please understand, just like please understand that our TCM department does not have a room bed for your father for the time being."
Lawyer Lu was extremely smart, and immediately guessed the intention of Zuo Li's two sentences together, and squinted at Danfeng's eyes: "You negotiate conditions with me?" Let me tell you, it is your doctor's duty to relieve the pain of your patients, and you will use it to negotiate terms with me? ”
Zuo Li said coldly: "It is the duty of the doctor to treat the disease, and it is also the obligation of the patient to obey the doctor's arrangement. Just disobey the doctor's arrangement! ”
"You're ......!"
Lawyer Lu still wanted to say, but the old man was in pain, and said intermittently: "Just ...... Live in ...... Don't ...... here...... Bewilderment...... Doctor ......"
Lawyer Lu was very filial, and immediately nodded in agreement, staring at Chang Jianguo with hatred: "Okay, as soon as there is a vacant bed, I will give priority to arranging for my dad to live in!" ”
Chang Jianguo immediately said: "No problem! I'll arrange for you to change your bed as soon as it's available. ”
Lawyer Lu nodded, turned his head to look at Zuo Li: "You said you can help my dad relieve the pain?" ”
"It is very difficult to completely stop the cancer pain of patients with advanced tumors, but it is still possible to reduce the pain to a tolerable level, so I will try."
Lawyer Lu said: "Remind you that you can no longer use morphine for pain. Because my dad used this stuff in the hepatobiliary department at a very large dose, not only did it have no effect, but the stool was blocked, it was very painful, and morphine had no effect on my dad's pain at all, so I had to think of other ways. ”