Path of Medicine With a System

Chasu City in early spring is the best season of the year in this city. The lazy spring sun shines through the pear blossoms blooming outside the window, sprinkled in the ward, and shines on Sister Li.

There is infinite spring light on the white pear blossoms, the soft and lazy light passes through her black hair, gently stroking the red spots on her face and body, revealing a coquettish charm!

In spring, the sunshine that can revive everything did not bring vitality to Sister Li. The soft light shone on her face, making the erythema even more dazzling.

The director, deputy director, and attending doctor of the Rheumatology Department all came. Seeing Zhang Fan's embarrassing expression, the director directly passed the conversation with the patient's family members, "Dr. Zhang, you and Director Li are going to see the patient. Talk to the family."

"Okay, Director!" Zhang Fan got up and took the other doctors to Sister Li's ward. Sister Li in the ward, although she was rescued and the bleeding has been temporarily stopped, is very weak now.

Examination, medical records. Sister Li is like a zombie, without any expression, staring blankly at the pear blossoms outside the window, the white pear blossoms are so delicate and beautiful.

"There is no effect at all. If it doesn't work, just take a large dose of hormones. Now these drugs have not changed." After seeing the patient and doing a simple physical examination, standing outside the door of the ward, the deputy director frowned at Zhang Fan. Said.

"But in this situation, will the high dose of hormones not cause further bleeding?" Zhang Fan asked uncertainly, there are too many issues to be considered in the internal medicine department.

Especially for such critically ill patients, medication is too difficult. Medication may cause a stress response and lead to the death of the patient. It is a matter of time not to use the medicine.

too difficult. It is not a problem for the patient to die of massive bleeding or natural failure, but once the drug is used, a stress reaction occurs and the patient dies, and the problem arises.

use! Or not! trade off!

"Let's hold an internal discussion meeting. Hurry up and finalize this matter in half an hour." Just as the deputy director was frowning while looking at the medical records, the director had finished talking and came over to greet everyone.

In the small conference room of the department, all the doctors came, including the director, deputy director, attending doctor, resident doctor, and transfer doctor. Zhang Fan looked up at the clock on the wall.

This must record the time, and it must be reflected in the medical records. This kind of departmental discussion, the doctor in charge acts as a clerk, records each doctor's treatment opinion, and finally reflects it in the medical records.

After everyone sat down, the director nodded to Zhang Fan and said, "Let's get started. Let Dr. Zhang give a brief introduction."

"Nine beds, No. 3 was admitted to the hospital due to facial erythema and multiple high fevers. He used to take medicine outside the hospital, but the effect was not good. After this admission, he asked about the medical history and found that the patient had been exposed to strong sunlight half a year ago. After admission, he was given conventional symptomatic treatment. But the effect was not obvious. On the afternoon of the 5th, the patient developed a large area of ​​purple epilepsy, and the blood test again showed a sharp decrease in platelets. Today, after the visit of the patient's family members, the patient became emotional, which caused the vein in the fundus of the stomach to rupture and hemorrhage. With the participation of military doctors, the patient was rescued, and the patient's condition is still good, but there is still a possibility of bleeding or even death." Zhang Fan gave a brief introduction, glanced at the director, and sat down.

"Okay, the situation is like this. Let's make a long story short. Everyone should know the specific situation. Now let's speak directly. Doctor Chen, you go first."

Chen Hong, who was transferred to another department, was considered to be Dr. Chen in the same year as Zhang Fan. In meetings of this level, doctors with lower seniority usually spoke, then senior doctors, and finally the director made the decision!

"At present, the patient's condition is good. Although there is a serious risk of bleeding, he can continue to observe. My speech is over!" Chen Hong didn't plan to engage in rheumatology, so she didn't pay much attention to it.

One after another, there are two opinions, observation and continuous observation. The second is to take the risky medication after obtaining the consent of the patient's family members. Especially at the level of vice-senior and deputy director, the debate is very fierce.

This is not a power struggle, but it is more intense than a power struggle. This is a battle of ideas, or in other words, a battle of ideology.

The development of modern medicine is changing with each passing day, but there are still a large number of diseases for which there is no cure.

Someone once said that when life comes to an end, facing life and death, some people choose to persevere, some people choose to give up, and some people choose to do it out of necessity.

There is no right or wrong choice in the face of death. With death approaching, no one is sure which path to choose. Doctors are not gods, and no one can say or predict what will happen next.

In this disease, small doses of drugs are ineffective, and large doses of drugs may cause massive bleeding and lead to fatality. The doctor at the deputy director level finished speaking, and everyone turned their attention to the director, the director of the rheumatology department.

The director, who seldom smoked, reached out and asked the deputy director beside him for a cigarette, lit it, took a deep breath, and the director thought deeply in the faint green smoke. Disaster! It was very difficult, waiting for death, saving lives, killing people, a series of words kept circulating in his mind.

Circling, staggering! "What does Doctor Zhang mean?" The director found that Zhang Fan was working as a clerk, and did not speak. At this time he asked a question.

"Medicine, she is too young, not even thirty years old! Although the risk is high, I think I should give it a try!" Zhang Fan said while recording.

The director did not comment after listening, and then took another puff of cigarette suddenly, and after pressing out the cigarette butt, he stood up suddenly and said: "Director Chen, you and Dr. Zhang quickly explained the illness and family members again, Get the authorization letter for treatment as soon as possible. Dr. Hu, prepare rescue equipment. Dr. Li, report to the hospital! Medication, high-dose hormone rush!"

"Yes!" All the doctors stood up, and then went to prepare for the director's instructions. This is the importance of the director. Usually it can't be reflected, the choice at this critical moment is very important.

This choice is almost impossible to repeat, life or death, there is no third way, the pressure and risks involved, only when he retires will he have time to taste it slowly.

Now he doesn't have time to grieve about the age, and it's not his turn to be grateful for life, because the patient is still lying on the bed, waiting for him to make a decision, waiting for him to treat.

Everything was well prepared, and the owner got stuck in the last procedure. After finally contacting the patient's husband, he said that he would arrive at the hospital in half an hour!

Without his signature, the hospital really didn't dare to take any measures. At this time, Sister Li really might as well be a widow!

Wait, wait, time is slowly passing by! The doctors waited collectively. impatient? No. In the face of death, sometimes doctors really hope to wait, maybe the patient will get better!

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