For ordinary people, the most feared thing is cancer.

Because cancer represents death and terminal illness in many people's minds.

"It's a chronic inflammatory disease of the gut, not cancer. Although some people call it green cancer, it is nowhere near as scary as cancer. However, with the current level of medicine, this disease requires lifelong medication, and there is no way to completely cure it for the time being. ”

Director Jia explained to her.

After listening to this, the girl's face turned a little pale, and her expression was a little sad.

The result was slightly better than she expected, but the words 'green cancer' still brought her a lot of psychological pressure.

Especially hearing that this disease cannot be cured, and lifelong medication is a bolt from the blue for anyone.

"Jia Lao, you can prescribe medicine for me! I thought it was cancer, but the diagnosis was much better than I expected. No matter how you look at it, I think she's forcing a smile.

Master Jia did not rush to prescribe medicine to her, but continued to analyze her condition.

"Your disease is now in an acute phase, and there is a disorder of water, electrolytes, and acid-base balance. However, there is no intestinal perforation for the time being, which is a good thing. Special caution should be exercised for transmural inflammatory lesions. It penetrates the entire thickness of the intestinal wall to extraintestinal tissues or organs, forming a fistula. If you are seriously unwell, you must come to the hospital for a follow-up examination in time. ”

When an internal fistula is formed, it leads to other intestinal segments, mesentery, bladder, ureters, and peritoneum in a certain area.

If an external fistula develops, it leads to the abdominal wall or the skin around the anus.

As the disease progresses to this point, the cost of treatment and the patient's pain will increase dramatically.

Therefore, any disease, after it is discovered, it is necessary to overcome the fear and receive the right treatment in time.

There can be no delay.

Each delay is tantamount to making the disease worse.

For example, in chronic kidney disease, when there is an abnormal increase in urine protein, the treatment effect will be ideal.

If it is delayed in the late stage, the kidneys will directly atrophy, and there will be no second way except kidney replacement and dialysis at that time. Kidney damage is usually irreversible.

Some people's uremia is completely dragged out alive.

"Let's talk about the treatment plan for you. At present, you have not been found to have intestinal perforation, abscess, intestinal obstruction, intestinal fistula, these serious phenomena. Therefore, there is no need for surgery for the time being, and you can just take the medicine directly. The drugs for the treatment of this disease, at present, we also have some domestic drugs, but the foreign research level of Western medicine, the production process is much better than that of our country, at present, our country is generic, if the conditions are allowed, it is better to take imported drugs. ”

When Director Jia said these words, he basically said them after careful consideration.

Maybe it's also a little girl who looks at her, so young, if she is delayed because of the bad effect of the medicine she takes, wouldn't it be a pity?

"Of course, if your economic conditions are not very good, you can also try domestic generic drugs first."

Director Jia also knew that this girl was helpless, and she was so young, and her economic conditions were probably very limited.

It's just the heart of the healer's parents.

Doctors always want to recommend the best treatment for their patients.

Many people only know that India's generic drugs are very famous, but in fact, the level of pharmaceutical in our country is not bad.

It's just that some drugs, because of the protection of intellectual property rights and patent rights, are not imitated.

However, it must be admitted that whether it is medical equipment, consumables, or Western medicine, there is still a big gap between our country and developed countries.

Take the consumable material example, artificial blood vessels, after the domestic ones are loaded into the human body, the calcification and degradation phenomena are more serious, and the patency rate is not as good as that of foreign countries. There are many differences in service life and some subtle aspects.

So, the gap is still quite large.

Even many surgeons will give priority to the use of imported key consumables and drugs during surgery, especially some critically ill patients.

"I came from other provinces to see you, and I trust you. Since you highly recommend me to use imported medicines, I will definitely give preference to using imported medicines. If it's beyond my financial means, there's no way around it. ”

She's straightforward enough.

"Imported drugs can last for about two months if they are used once, and the cost is 15,000 yuan per time. Do you think it's acceptable? ”

Seven thousand five hundred yuan a month, which is quite a heavy financial burden.

After Director Jia finished speaking, he quietly waited for the girl to make her own decision.

"What about domestic drug treatment? How much does it cost to go once? ”

When the girl heard about the high cost of treatment, it was obviously much higher than her psychological price.

"It's about 5,000 yuan per time, and the price of this treatment will fluctuate, not necessarily fixed. If you use domestic medicine, you are afraid that there will be some complications, or if the development of the disease is not controlled, then it will be troublesome. ”

Director Jia gave guidance.

The doctor cannot directly decide which treatment the patient chooses.

The pros and cons are usually stated and the patient is left to choose.

It is not uncommon to encounter patients who come to see a patient who will be hospitalized for surgery, or have a fistula on their body, or that the treatment drugs can only control or delay the effect of the disease, and they will voluntarily choose to give up the treatment.

Or after leaving, find a Chinese medicine practitioner and find a home remedy for self-treatment.

"I'd better use imported medicine! As long as my body doesn't collapse and the salary at work is really not enough, I can go out after work to set up a stall or work part-time. I hope that the level of medicine can be more advanced, and when the drug can be developed to completely cure this disease. ”

She eventually chose to use imported medicines.

Director Jia gave her prescriptions and relevant medical advice.

She took the bill and left.

There are too many patients with the same expectations as this girl. It is hoped that a drug that can be completely cured will be developed as soon as possible.

After sending her away, Director Jia went on to see another patient.

"Director Jia, please help me take a look. This is the gastroscopy I did at the local county people's hospital. ”

The patient was a woman in her 40s, accompanied by her husband.

Both of them have tanned skin, and their clothes are very ordinary, their hands are rough, and thick calluses can be faintly seen.

This is a peasant couple.

After observing secretly from the side, Zhou Can made a judgment on the identities of the two.

"Ouch, there's a dent in this stomach!"

As soon as Director Jia looked at the gastroscopy, he sighed.

It's like someone taking a knife and cutting him and screaming in pain.

The heart of the healer's parents.

Sometimes, when some patients are seriously ill, doctors usually let out this kind of sigh.

"Doctor, is my wife's illness serious? She just felt a little heartburn and bloated stomach recently, and there was nothing else wrong with her! Moreover, both of us and I are farm workers, and our bodies are very healthy, and we usually don't even have a cold. ”

The man asked nervously.

"The results of this gastroscopy are not good, and the problem may be big."

Director Jia shook his head and sighed.

"When did heartburn and bloating begin?"

"About two or three months ago! Sometimes I am obviously very hungry, and I feel full after just two bites of food. Occasionally, the stomach feels bloated. The woman described the symptoms.

……

After some inquiries and physical examinations, Director Jia looked up at Zhou Can next to him.

"Zhou Can, can you see anything?"

"From the results of the gastroscopy, and the description of her symptoms, it is very similar to the early stage of stomach cancer. If the pathological test is confirmed, timely surgery should be too late. ”

Zhou Can found that digestive surgery and general surgery actually overlap a lot.

With the continuous expansion of Tuya Hospital, the departments are also more and more detailed.

Previously, there was no specialized digestive surgery.

Almost the vast majority of surgical conditions are seen in general surgery.

In recent years, the Department of Digestive Surgery has been established to diagnose surgical diseases of the gastrointestinal tract.

With the construction needs of the department, it may be subdivided again to build a hepatobiliary surgery.

To put it bluntly, if a hospital wants to build a department, in addition to applying to the higher health bureau and applying for approval, the most important thing is that there must be famous doctors in this field to resist the flag.

Take Director Jia as an example, they have all retired, but they were hired back by the hospital like a baby.

If nothing else, just because he can hold up half the sky of digestive surgery.

Tuya Hospital does not lack general doctors, but there is a very scarce shortage of powerful doctors in the professional field.

This is also after Zhou Can showed a high talent, even if he only has a bachelor's degree, the hospital's training for him has far exceeded that of ordinary masters and doctors.

Those people are cultivated and hopefully become the backbone of various departments.

A super genius like Zhou Can has been cultivated, but it is possible to become the hegemon of the department.

Since ancient times, there has been a saying that thousands of troops are easy to obtain, but one general is hard to find.

Zhou Can belongs to the general, can the hospital not vigorously cultivate it?

"Do you also say it's stomach cancer? After seeing the results of the examination, the doctor from the local people's hospital also said that it might be a malignant stomach disease, and asked us to do a pathological biopsy. ”

A woman's mouth just can't hold it.

Everything leaks out.

"I also recommend that you do a biopsy, and if the diagnosis is confirmed, then immediately go to the hospital for surgery. This disease cannot be delayed, and it will be difficult to treat if it metastasizes. ”

When Director Jia said these words, he was very serious.

He has been practicing medicine for so many years, and he may have seen many patients end up losing the opportunity to operate because of delay.

"How much does it cost to cure this disease? If it's too expensive, I'll die. My son is not married yet, and I am so old anyway, there is no need to drag down the family. ”

The female patient looks to be in her forties, and in this modern society, where the average life expectancy is more than 80 years, her 40s are in the prime of life.

It's hard to imagine that she would have such thoughts.

After a woman marries into her husband's family, in addition to doing laundry, cooking, cleaning, and doing all kinds of housework, she also has to follow the man to do farm work. Then I have to give birth to my husband's family.

Now that she is seriously ill, her first thought is that she is worried that she will run out of money and her son will not be able to marry a daughter-in-law.

Zhou Can really feels that women are not easy.

His eyes looked at the female patient's husband, and the man hesitated for a moment before he said to his wife, "Ah Fen, let's listen to what the doctor has to say first." ”

Good fellow, this guy is heartless and selfish.

The meaning couldn't be more obvious, if the treatment cost is not too high, he chooses to treat his wife. If the treatment is expensive, he is afraid that he will directly prepare for the aftermath of the woman.

This is true human nature.

"It's hard to say how much the treatment costs are now, but if it's less, maybe more than 20,000 yuan is enough. Even if it is more, because it was discovered early, it should not exceed 100,000. ”

Director Jia is old and sophisticated, how could he not hear the hidden meaning of the man's words.

So, he said as little as he could.

When the time comes, the operation will be performed, and no matter how unhappy the man is, he can only pinch his nose and pay for it.

In fact, doctors will try their best to maintain fairness and justice in the way they can.

"We can take out 20,000 yuan!"

When the woman heard that it was only 20,000 yuan, she suddenly showed a joyful expression like a new life.

"Husband, do you think it's okay?"

The financial power of the family may be in the hands of the man.

She asks her husband for his opinion.

"20,000 is not a lot, it's almost worth the money of two cows! Doctor, can't you do it any less? ”

The man even used this place as a vegetable market and bargained with the doctor.

Director Jia and the others couldn't laugh or cry.

"How much is the specific cost of treatment, and there is a fee standard for each item, which is not set by us. It is the charging standard approved by the competent authority at a higher level. And if you buy NCMS, you should be able to reimburse a lot. ”

Qiu Hong is a woman in the end, and in this case, she directly stood on the side of the female patient, and tried her best to get the man to agree to treat his wife.

"Husband, when my illness is cured, I will definitely help the family work hard and strive to earn back the money I have used."

The woman said nice things to the man.

As long as there is a glimmer of opportunity, who is willing to give up life easily?

Zhou Can was very sympathetic to this woman.

Married to a man who didn't have a lot of personal touches.

"Okay, okay, then I'll treat you! I don't know how to do it, other people's wives are all good, why did you get this disease! ”

There was a whining in the man's tone.

This also directly subverted the beautiful image of an honest old farmer in Zhou Can's mind.

Seeing the man's promise, the woman smiled happily.

As for being buried by men, she doesn't care.

Maybe I've long gotten used to it.

In many remote rural areas, the status of women is particularly low. That stubborn patriarchal feudal mentality is still prevalent.

Even in some rural areas, if a woman marries a boy, she will be abandoned by the man if she fails to give birth to a boy.

Director Jia opened an application for pathological examination for the woman, and the couple left.

"How can there be such a man, I'm angry when I look at it."

Qiu Hong waited until the couple left, and couldn't help but scold.

"That's already good, I've seen even more heartless! There was a woman who also had cancer, and after hearing about it, the man left without looking back. "Director Jia is well-informed, and he has seen all kinds of people.

"As long as they come to me after the pathological examination, this woman will be saved. Otherwise, the female patient would be hanging. So, you lesbians, you must be financially independent, and don't think about who to rely on. ”

Director Jia's latter sentence is to persuade Qiuhong to learn a lesson.

"I have long known that men are unreliable, so when I was studying, I tried my best to get into college. Later, when I got to work, my family called me to go back and get married, but I didn't agree. ”

She must be approaching thirty years old.

Pretty is beautiful, but it is easy to grow old, and at this age, it is time to talk about marriage.

Thank you for the reward, thank you very much!

(End of chapter)