Path of Medicine With a System

Two hundred and ninety-two

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After a while, Jia Suyue was called back by Wang Yanan. Jia Suyue didn't run far, but actually stood at the door of the office. After all, she was Shao Hua's best friend, so Zhang Fan had no choice but to say hello.

"What's the matter, are you uncomfortable?" Zhang Fan asked Jia Suyue, but still turned his head to Wang Yanan. Although Jia Suyue doesn't hate him very much now, Zhang Fan is still a little uncomfortable facing Jia Suyue without Shao Hua. The girl's lethality is too powerful, and Zhang Fan's memory is too deep.

"She's big~~!" Wang Yanan was about to open his mouth to say, but the blushing Jia Suyue covered his mouth.

"I can't say it!" Jia Suyue was really anxious. That is to say, young unmarried girls are like this. If it is a young woman with children, it is estimated that this thing will have been said three times.

"Okay, okay, I just want to go out for a while, haha!" Tian Dadi Da, Shao Hua has the most face, this face has to be given, Zhang Fan is not stupid, how can he not know why Jia Suyue is embarrassed.

Jia Suyue came to the hematology department, and he was alone with Wang Yanan again, suffering from anemia that could not escape. Look at Jia Suyue's fair skin and pale lips. He usually stays at home, so he must lack exercise, and he probably doesn't eat much. , so Zhang Fan greeted Dr. Ruan and went out.

He really had nothing to do, so he went to look for Li Hui. It's been a long time since he met this guy. Since he got married, this kid seemed like a different person. He stopped going to bars, and he didn't even harass Zhang Fan anymore. A whole family of good women and men.

Li Liang mentioned this change once. After Li Liang came to the city, his relationship with Li Hui became much closer. This Li Hui's wife is really a professional teacher. Although she is three years older than Li Hui, her emotional intelligence is quite high. The atmosphere at home is particularly good. Although she is pregnant, she seldom loses her temper and will act like a spoiled child, "Honey, I'm tired, my feet are swollen!"

"My husband, you are the best. I am so happy." Li Hui was set off as a big man! It is said that Li Hui and Li Liang said this once after drinking. After Zhang Fan heard it, he almost burst out laughing, this person is really one of a kind!

Li Hui is currently assigned to the Department of Respiratory Medicine, which is in the same building as the Department of Hematology, and Zhang Fan wanders off to the Department of Respiratory Medicine.

Here, Wang Yanan watched Zhang Fan go out, and said to Jia Suyue: "What are you embarrassed about, look at you. You're still shy!"

"Yanan!" Jia Suyue blushed even more. How can we not be shy, it doesn't matter if we don't know each other, Zhang Fan and her can be regarded as acquaintances, how can we not be shy.

"Okay, okay, I won't talk anymore. Dr. Ruan is good, I'll take you there." This Jia Suyue is really anemic. How should I put it, it's because of lack of exercise. In order to keep fit, he usually eats too much Less, this year's menstrual holidays are slightly more, and as a result, dizziness and fatigue appear.

When I came in the morning, I first asked Wang Yanan to take her to the gynecology department. The director of the gynecology department looked at it and told Jia Suyue directly to go to the hematology department. The little girl doesn’t eat well and doesn’t exercise. How old are you.

There were many people in the outpatient clinic, and Wang Yanan was embarrassed to jump in the line, so he brought Jia Su to the hematology department, and Zhang Fan, who was so lucky to die, was also there. I don’t know if it’s because of getting older or because of familiarity. Compared with before, he is much less arrogant.

After reading the checklist, Dr. Ruan prescribed some iron-replenishing medicines, and told Jia Suyue to take the medicines on time and have regular checkups. After seeing the illness, Wang Yanan and Jia Suyue left the hematology department together.

"You still have to exercise, otherwise taking medicine will not have a good effect!"

"Okay, Yanan, thank you." Jia Suyue took Wang Yanan's arm and said affectionately. Jia Suyue with fluttering long hair and Wang Yanan with short hair stand together, really showing the different splendor of women. People who came and went, whether they were doctors or patients, could not help but look over.

Especially Wang Yanan,

Dressed in a white coat, with her hands in her pockets, and flat soft shoes, the girl who has been exercising in surgery for more than a year has a particularly calm feeling.

"Okay, I won't send you off, I have to go back to change the medicine. Take care to take the medicine on time!" Wang Yanan said after sending Jia Suyue downstairs.

"Well, go get busy, I'm going to work too." Jia Suyue is not seriously ill, it's because he doesn't like sports very much and stays at home all day.

If you don't exercise, your appetite will be small, and after you have a little too much menstruation, this anemia symptom will appear, which is still iron deficiency anemia.

Anemia is caused by insufficient red blood cells, and iron is one of the raw materials that make up red blood cells. Briefly talk about the growth process of red blood cells.

In adults, red blood cells are grown in the bone marrow. Long and long, when it finally grows into a body shape similar to the Arabic numeral 8, it means that it has grown up, and then it jumps out of the bone marrow and starts to work in the blood vessel. It is a driver and has been doing the work of transportation. After working for more than a hundred days, the red blood cells become old and can't work anymore. When they pass through the spleen, they are swallowed up by the macrophages of the spleen. Just like that, its tiresome life is over.

Born in the bone marrow, worked in the blood vessels, buried in the spleen. These components that make up red blood cells are then used again. Form new red blood cells. Therefore, people who generally do not have major bleeding or long-term chronic blood loss generally do not suffer from iron deficiency anemia.

The iron element is not only ingested in food, but also very difficult to absorb. Once it is missing, dizziness and nausea will not be replenished for a while!

When Zhang Fan arrived at the respiratory department, Li Hui had just given the doctor's order. Li Hui was also very happy to see Zhang Fan appearing in the respiratory department. Very happy.

When Zhang Fan saw Li Hui, he was a little surprised. Even though he didn't have a few cents in his pocket, the guy who wore socks with big toes showing through, but his hairstyle was always kept neat and tidy. together.

Now it's even straightened into a straight inch, with faint blue eye circles, and suddenly seems to be ten years older.

"What's wrong?" Zhang Fan asked in surprise.

"It's nothing, it's fine!" Li Hui still held the medical records in his hand, and dragged Zhang Fan to the stairwell of the building, and hurriedly took out a cigarette. Zhang Fan glanced at it, and it was a three-yuan Honghe.

"Lack of money?"

"Hi! My wife is pregnant, and my parents in my hometown have something wrong with their health. It's a little bit less expensive."

"If you don't get the money, just say it."

"It's okay, it's over after the first resistance. It's just drowsiness!" Li Hui squinted his eyes and said after taking a sharp puff of cigarette.

"Is your wife not sleeping well at night?"

"No, there are too many patients in charge, and I'm a little tired."

"How many patients have you managed? Is your director Laoju so cruel?"

"I asked for it myself. I am in charge of more than 20 patients by myself, and I work overtime every day until two o'clock in the evening. I can't work hard, and I need money everywhere. Hey! How free I used to be!"

"Then take it easy!"

"It's okay, I used to be too sloppy, so I can pay off the debt! How are you? When will you get married?"

"Hurry up!" Suddenly both of them fell silent, as if the pressure of life was slowly shrinking like a rope, making it difficult for people to breathe freely.

"It's okay, what can I do if I don't work hard. If you don't have an umbrella, you can run hard. Don't talk, you have to write the medical records. If you finish writing early, you can go home early. When you have time, come out and have a sit." After a while, Li Hui threw away the cigarette butt and said to Zhang Fan.

"Okay, pay attention to your body." Looking at Li Hui who seemed a bit hunched, Zhang Fan seemed to miss that extremely slippery and jumpy young man, grown up? Mature? Maybe it's the price of maturity.

Zhang Fan returned to the department feeling a little depressed, and he seemed to be able to see Li Hui's appearance from his back. I haven't felt much gratitude yet, so a sick number came in, a sick number admitted by the director.

Male, sixty-eight years old, decreased trilineage without any cause. The patient was hospitalized in a local hospital due to sudden gum bleeding, edema of both lower extremities, and dizziness that worsened for half a month. After no obvious improvement, he was transferred to our hospital for treatment.

Today, Dr. Ruan admitted the patient. When the elderly patient was admitted to the hospital, Zhang Fan looked at the admission list in the outpatient clinic, and felt a sense of helplessness in his heart, a feeling of helplessness.

Before entering the department, Zhang Fangan studied the hematology department for several nights. He was not proficient, but he was still an introduction. Compared with rheumatism and endocrinology, this department is more troublesome. It is almost a replica of the whole body disease.

Often the disease is in the blood, and the organ in which symptoms may be expressed is indeterminate. For this old man, the current treatment measures in the city hospital and the county hospital are not much different. All are symptomatic treatments, because no definite diagnosis can be made. Only symptomatic treatment.

Take it in, have a physical examination, and prescribe various inspections. The old man pouted all the time, muttering non-stop, accompanied by an old lady, who slowly rubbed the old man's calf, and kept persuading the old man. Zhang Fan listened, and it turned out that the old man was unwilling to be treated. But the old man's children didn't want to.

In the afternoon, Director Li Qing went to the outpatient clinic, and the patient's checklist had been reported. Because it was a special patient, everyone in the department gathered to discuss it. Discussed for a long time without a conclusion.

"Idiopathic malignant cell histological disease with bone marrow metastasis!" At this moment, Zhang Fan looked at the checklist and said.

"It's a bit similar, but this disease is too rare, and I haven't seen it before. Are you sure?" Li Qing said.

"Do a bone marrow aspiration! Qualify the disease?"

"Okay, that's it. Make a decision as soon as possible." Li Qing nodded. In fact, Zhang Fan has already been diagnosed with this disease. In the past few days, Zhang Fan has read countless journals on blood diseases, and he is very impressed with this disease.

Even if it is diagnosed now, there is no good way. Because this is a disgusting cancer that cannot be operated on, cannot be treated with chemotherapy or radiotherapy, and has no treatment.

"Don't torment the old man anymore, I will be seventy soon, hey!" When the bone marrow was punctured, the old man sighed.

A few days later, the results came back, consistent with the diagnosis. what to do? The old man's three children also came. The old man has been a farmer all his life, and he pulled a few children to grow up, and the children are all up to the challenge. The eldest is a small boss who is in the home appliance business, the second is a teacher, and the third works in a state-owned enterprise. Generally speaking, the family background is not bad.

"Doctor, is there any cure for this disease? Go to the capital, go to Shanghai, is there any hope." Among the three, the boss has always made up his mind.

"Hey, there is no good way to go anywhere." Li Qing said sympathetically.

"Hey, how can we delay the disease? The old man has suffered all his life and has not enjoyed a few days of happiness! The doctor thinks of a way!" The boss said and his eyes turned red.

"I can only keep blood transfusions, intravenous albumin, and hormones. The time is really hard to tell. And it costs a lot."

"It's okay, doctor, it can make my dad live a few more days! Is there anything else I should pay attention to?"

"The old man wants to eat what he wants to eat, what he wants to drink, what to drink, nothing to pay attention to. If, if he is critically ill, will he be rescued? If the organ needs to be cut, should it be done?"

"Let's discuss it!" The three children left disappointed.

"Let's take medicine! Hey!"

The fee is like a slot machine, devouring RMB in big gulps. Albumin, blood plasma, imported drugs to prevent bleeding, the amount in tens of thousands!

treat? Or not to treat? Many times in Huaguo, to put it vulgarly, the hospital does not interfere or has no right to interfere with the treatment of patients, and a large part of it is unnecessary treatment to death.

There was once a very contrasting story. In Canada, an old man of Chinese origin, a millionaire with a billionaire, terminal cancer. Cache physique, edema, in the hospital, the doctor refused to give plasma or even albumin.

The old man's last wish is to return to the country, and the fallen leaves return to their roots. The hospital sent three doctors and two nurses to escort the patients back to China by plane. They believe that this is the last humanistic care for the elderly on their deathbed, and it is necessary. But for ineffective treatment, they consider it a waste.

One week, 70,000 to 80,000 hospitalization fees. The elderly are also aging day by day, and the fluid input is getting more and more day by day. In the afternoon, the sun shone in the ward, and the old man's pale face was particularly conspicuous.

The old lady went to urinate on the old man, Zhang Fan did a simple examination on the old man, the plastic pipes covered his body, it was painful! excruciating pain.

Just as Zhang Fan finished his examination and was about to go out, the old man grabbed Zhang Fan's white coat with his thin hands.

Zhang Fan looked at the old man in surprise, "Let me go! Please!" Zhang Fan stood by the bed and was stunned. He understood, he understood what the old man meant, but could he do anything? No. Looking at Zhang Fan's tangled and helpless expression.

Disappointed, the old man slowly let go of Zhang Fan's white coat, and slowly turned his head to the window. Zhang Fan walked out of the ward in embarrassment, does he have the right? No!

Is it filial piety to deal with death? Can't you give up now? Looking at the old man in pain, Zhang Fan suddenly realized that he had done something wrong.

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