The tea market in early spring is the best season of the year in this city. The lazy sunshine in spring shines through the pear blossoms blooming outside the window, shining in the ward and shining on Sister Li.
The white pear blossoms glowed with infinite spring light. The soft and lazy light passed through her black hair and gently touched the red spots on her face and body, exuding a sense of coquettishness!
In spring, the sunshine that can revive everything did not bring life to Sister Li. The soft light shone on her face, making the red spots even more dazzling.
The director, deputy director, and attending physician of the rheumatology department all came. After seeing Zhang Fan's embarrassed expression, the director directly stopped talking to the patient's family members and said, "Doctor Zhang, you and Director Li go to see the patient. I'll talk to him." Let’s talk to the family.”
"Okay, director!" Zhang Fan got up and took several other doctors to Sister Li's ward. Although Sister Li in the ward was rescued and the heavy bleeding was temporarily stopped, she is now very weak.
Check up and read medical records. Sister Li was like a zombie, without any expression, staring blankly at the pear blossoms outside the window. The white pear blossoms were so beautiful.
"It has no effect at all. If it doesn't work, just give me a large dose of hormones. Now there is no change in these drugs." After looking at the patient and doing a simple physical examination, standing outside the ward door, the deputy director frowned and said to Zhang Fan said.
"But in this situation, will high-dose hormones not cause bleeding again?" Zhang Fan asked uncertainly. Internal medicine had to consider too many balanced issues.
Especially for such critically ill patients, it is too difficult to take medicine. Medication may cause a stress reaction and lead to death of the patient. Without medication, it will be a matter of time.
too difficult. There is no problem if the patient dies of massive hemorrhage or natural failure. However, once the drug is taken, a stress reaction occurs and the patient dies, and the problem arises.
use! Still don’t use it! trade off!
"Let's hold an internal discussion meeting. Hurry up and finalize this matter in half an hour." Just as the deputy director frowned while looking at the medical records, the director had already finished talking and came over to greet everyone.
In the small conference room of the department, all the doctors are here, including the director, deputy director, attending doctors, residents, and transfer doctors. Zhang Fan raised his head and glanced at the clock on the wall.
This time must be recorded, and it must be reflected in the medical record. For this kind of department discussion, the doctor in charge serves as a secretary, recording each doctor's treatment opinions, and finally reflected in the medical record.
After everyone was seated, the director nodded to Zhang Fan and said, "Let's get started. Let Dr. Zhang make a brief introduction first."
"Bed 9, No. 3 was admitted to the hospital due to facial erythema and multiple high fevers. He had taken medicine on his own outside the hospital, but the effect was not good. After being admitted to the hospital, he inquired about his medical history and found that the patient had strong sun exposure six months ago. After admission, he was given routine symptomatic treatment. But the effect was not obvious. On the afternoon of the 5th, the patient developed a large area of purpura, and the routine blood test showed a sharp decrease in platelets. Today, after the patient's family visited, the patient became agitated, causing the gastric vein to rupture and cause massive bleeding. Under the supervision of the attending doctor Hu With the participation of military doctors, the patient was rescued. The patient's current condition is fair, but there is still the possibility of severe bleeding or even death." After Zhang Fan gave a brief introduction, he glanced at the director and sat down.
"Okay, this is the situation. Let's make a long story short. Everyone should know the specific situation. Let's speak directly now. Dr. Chen, please speak first."
Chen Hong, who transferred to another department, is considered to be Dr. Chen in the same year as Zhang Fan. In meetings of this level, the junior doctor usually speaks, then the senior doctor makes the final decision!
"The patient's current condition is fair. Although there is a high risk of bleeding, he can continue to be observed. My speech is over!" Chen Hong doesn't plan to engage in rheumatology, so she doesn't care much.
One after another, there are only two opinions: observation and continuous observation. The second is to obtain the consent of the patient's family before taking the drug at risk. Especially at the level of deputy senior officers and deputy directors, the debate is very fierce.
This is not a battle for rights, but it is more intense than a battle for rights. This is a battle of ideas, or in other words, a battle of ideologies.
Modern medicine is developing rapidly, but there are still a large number of diseases for which nothing can be done.
Someone once said that when life comes to an end, facing life and death, some people choose to persist, some choose to give up, and some choices are made as a last resort.
In the face of death, there are no right or wrong choices. When death is approaching, no one is sure which path to choose. Doctors are not God, and no one can say or predict what will happen next.
For this disease, small-dose drugs are ineffective, while large-dose drugs may cause massive bleeding and lead to death. After the deputy director-level doctor finished speaking, everyone turned their attention to the director, the director of the rheumatology department.
The director, who rarely smoked, reached out and asked the deputy director next to him for a cigarette. He lit it and inhaled deeply. In the thin green smoke, the director pondered. Disaster! It was very difficult. Waiting to die, saving lives, killing people, a series of words kept looping in his mind.
Circle, intersect! "What does Doctor Zhang mean?" The director noticed that Zhang Fan was working as a clerk and did not speak. At this time he asked.
"With medication, she is too young, not even thirty years old! Although the risk is very high, I think she should give it a try!" Zhang Fan said while recording.
The director did not comment after listening, and then he took another puff of cigarette, put out the cigarette butt, stood up suddenly and said: "Director Chen, you and Dr. Zhang quickly explain the condition and the family members again. Get the treatment authorization letter as soon as possible. Dr. Hu, prepare rescue equipment. Dr. Li, report to the hospital! Use medicine and high-dose hormone injection!"
"Yes!" All the doctors stood up and went to prepare what the director told them. This is the importance of the director. It may not be reflected at ordinary times, but 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 can only be savored slowly when he retires.
Now he doesn't have time to grieve, it's not his turn to appreciate life, because the patient is still lying in bed, waiting for him to make a decision, waiting for him to receive treatment.
Everything was ready, and the last procedure was stuck. After finally getting in touch with the patient’s husband, he said 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 away! Doctors wait collectively. impatient? No. When facing death, sometimes doctors really hope they can wait, maybe the patient will get better!
. m.
