After a while, Jia Suyue was called back by Wang Yanan. Jia Suyue didn't run far and was actually standing 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 wrong? Are you feeling uncomfortable?" Zhang Fan asked Jia Suyue, but still turned his head to Wang Yanan aside. Although Jia Suyue doesn't antagonize him much anymore, Zhang Fan is still a little uncomfortable facing Jia Suyue because Shao Hua is not around. The girl's lethality is too powerful and the memory for Zhang Fan is too deep.
"She's big~~!" Wang Yanan was about to open his mouth to say, but was covered by a blushing Jia Suyue.
"Can't say!" Jia Suyue was really worried. That is, only unmarried young girls are like this. If it were a young woman with children, she would probably have told the matter three times by now.
"Okay, okay, it just so happens that I have to go out for a while, haha!" Shao Hua has the most face in the world, and he has to give it to him. Zhang Fan is not stupid, so how could he not know why Jia Suyue was embarrassed.
Jia Suyue came to the hematology department. He was alone and Wang Yanan was suffering from anemia. Looking at Jiasu Yue's fair skin and slightly white lips, he usually stayed at home and must have lacked exercise. He probably didn't eat much. , so Zhang Fan said hello to Dr. Ruan and went out.
In fact, he really had nothing to do, so he simply went to look for Li Hui. He hadn't met this guy for a long time. Since getting married, this guy seemed to have become a different person. He stopped going to bars and even harassed Zhang Fan. The whole family is made up 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 rarely loses her temper and will act coquettishly, "Honey, I'm tired. Look, my feet are swollen!"
"Husband, you are the best. I am so happy." It made Li Hui a grown man! It is said that Li Hui and Li Liang said this once after drinking. After Zhang Fan heard this, he almost laughed out loud. This man is really a man who brings down one thing after another!
Li Hui was now admitted to the Respiratory Department, which was in the same building as the Hematology Department. Zhang Fan strolled to the Respiratory Department.
Here, Wang Yanan watched Zhang Fan go out and said to Jia Suyue: "Why are you so embarrassed? Look at you. You are so shy!"
"Ya Nan!" Jia Suyue blushed even more. How can I not be shy? It doesn't matter if I don't know her. Zhang Fan and she are considered acquaintances, so how can I not be shy?
"Okay, okay, I won't talk anymore. Dr. Ruan is very 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 in shape, he eats too much. Less, this year I had a little more menstruation, and as a result, I felt dizzy and fatigued.
When I came in the morning, I first asked Wang Yanan to take him to the gynecology department. The director of the gynecology department took a look and directly told Jia Suyue to go to the hematology department. It is not okay for the little girl not to eat well and not exercise. How old are you.
There were many people in the outpatient clinic, and Wang Yanan was too embarrassed to jump in line, so he brought Jia Su Yue to the hematology department. Zhang Fan, who was so stubborn, was also there. I don’t know if it was because he was getting older or because he was familiar with it. Anyway, Jia Su is now Yue is much less arrogant than before.
After reading the examination list, Dr. Ruan prescribed some iron supplements and asked Jia Suyue to go back and take the medicine on time and have regular check-ups. After seeing the doctor, Wang Yanan and Jia Suyue left the hematology department together.
"You still have to exercise, otherwise taking medicine will not have any good effect!"
"Okay. Yanan, thank you." Jia Suyue took Wang Yanan's arm and said affectionately. The long-haired Jia Suyue and the short-haired Wang Yanan stand together, really showing the different splendors of women. People coming and going, whether they were doctors or patients, couldn't help but look over.
Especially Wang Yanan, who is dressed in a pure white lab coat, with her hands in her pockets, and flat soft shoes. She has a particularly calm feeling as she has been trained in surgical life for more than a year.
"Okay, I won't send you off anymore. I have to go back to change the medicine. Make sure you take the medicine on time!" Wang Yanan said after sending Jia Suyue to the building.
"Well, go and get busy. I'm going to work too." Jia Suyue didn't have a serious illness, it was just because he didn't like to exercise very much and stayed at home all day.
If I don’t exercise, my food intake will be small, and after I have a lot of menstrual periods, I will develop this anemia symptom, which is iron deficiency anemia.
Anemia is caused by insufficient red blood cells in the human body, and iron is one of the raw materials that make up red blood cells. Let’s briefly talk about the growth process of red blood cells.
In adults, red blood cells are grown in the bone marrow. It grows and grows, and when it finally grows into a body similar to the Arabic numeral 8, it means that it has grown up, then jumped out of the bone marrow, and started working in the blood vessels. It is a driver, and has been doing the work of transportation. After working for about a hundred days, the red blood cells become old and can no longer work. When they pass through the spleen, they are devoured by the spleen's macrophages. Just like that, its tiring life was over.
Born in the bone marrow, worked in the blood vessels, and buried in the spleen. These components that make up red blood cells are then used again. Form new red blood cells. Therefore, generally people who do not have major bleeding or long-term chronic blood loss will not develop iron deficiency anemia.
Iron is not only not taken in much in food, but is also very difficult to absorb. Once it is missing, you will suffer from dizziness and nausea, and it will not be replenished for a while!
When Zhang Fan arrived at the respiratory department, Li Hui had just finished giving the medical orders. Li Hui was also very happy when he saw Zhang Fan appearing in the respiratory department. Although he and Zhang Fan rarely met after getting married, seeing Zhang Fan all of a sudden made him happy. Very happy.
When Zhang Fan saw Li Hui, he was a little surprised. Although he used to have a few cents in his pocket and his big toes were visible from the socks he wore, his hair style was always neat and neat. together.
Now he has straightened his hair, and his eye circles are faintly green, and he suddenly seems to have aged ten years.
"What's wrong?" Zhang Fan asked in surprise.
"It's nothing, it's good!" Li Hui still held the medical record in his hand, and pulled Zhang Fan to the stairwell of the building. He quickly took out a cigarette. Zhang Fan glanced at it, and it was three yuan for the red river.
"Lack of money?"
"Hi! My wife is pregnant and having a baby, and my parents have some health problems back home. It's better to save a little."
"If you don't have enough money, just say something."
"It's okay, I'll be over after just a little resistance. I'm just dozing off!" Li Hui said, squinting his eyes after taking a long puff of cigarette.
"Is your wife not having a good sleep at night?"
"No, there are too many patients to take care of, so I'm a little tired."
"How many patients have you managed? Is your director, Lao Ju, so cruel?"
"I asked for it myself. I am in charge of more than 20 patients by myself and work overtime until two o'clock in the evening every day. I can't do it unless I work hard, and I have to spend money everywhere. Hey! How free I used to be!"
"Then take it easy!"
"It's okay. I was too promiscuous in the past, so let's pay off the debt! How are you doing? When will you get married?"
"Come on!" Suddenly both of them fell silent, as if the pressure of life was like a rope, slowly shrinking, making it difficult to breathe freely.
"It's okay. What can I do if I don't refuel? Children who don't have an umbrella can just refuel and run. No more chatting, I have to write the medical record. If I finish it earlier, I can go home earlier. When I have time, come out and sit." After a while, Li Hui threw away the cigarette butt and said to Zhang Fan.
"Okay, pay attention to your health." Looking at Li Hui, who seemed a little rickety, Zhang Fan seemed to miss that extremely slippery and out-of-the-box young man. Growing up? Mature? Maybe it's the price of maturity.
Zhang Fan returned to the department, feeling a little depressed. He seemed to see Li Hui's appearance from his back. Before I had much time to express my feelings, a patient came in. A patient admitted by the director.
Male, 68 years old, with a decrease in three-lineage cells without any inducement. The patient suddenly developed bleeding gums, edema of both lower limbs, and worsened dizziness for half a month. He was hospitalized in a local hospital. After no obvious improvement, he was transferred to our hospital for treatment.
Dr. Ruan admitted the patient today. When the elderly patient was admitted to the hospital, Zhang Fan looked at the outpatient admission list and felt helpless in his heart. There was no way around it.
Before joining the department, Zhang Fan spent several nights in the hematology department. He was not proficient, but he was still getting started. Compared with rheumatism and endocrinology, this department was more troublesome. It’s almost a replica of a systemic disease.
The disease is often in the blood, but the organ where the symptoms are expressed is uncertain. For this elderly person, there is not much difference between the current treatment measures in city hospitals and county hospitals. All treatments are symptomatic because a clear diagnosis cannot be made. Only symptomatic treatment is possible.
He was admitted, had a physical examination, and various tests were performed. The old man kept pouting and mumbling. The old lady who was accompanying him slowly rubbed the old man's calves and kept persuading him. Zhang Fan listened and realized that the old man was unwilling to receive treatment. But the old man's children were unwilling.
In the afternoon, Director Li Qing went to the outpatient clinic. The patient's checklist had been reported. Because it was a special patient, everyone in the department gathered together to discuss it. After discussing it for a long time, there was no conclusion.
"Idiopathic malignant cell 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! Define the disease?"
"Okay, that's it. Determine it as soon as possible." Li Qing nodded. In fact, Zhang Fan has been diagnosed with this disease. In the past few days, Zhang Fan has read countless journals on blood diseases and is very impressed with this disease.
Even if the diagnosis is confirmed now, there is no good solution. Because this is a disgusting cancer that cannot be operated on, cannot be treated with chemotherapy or radiotherapy, and there is no way to treat it.
"Don't bother me anymore, old man. I'm going to be seventy soon. Hey!" The old man sighed during the bone marrow puncture.
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 helped several children become adults, and the children were very happy. The eldest is a small business owner 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 pretty good.
"Doctor, is there no cure for this disease? Go to the capital, go to Shanghai, is there still hope?" Among the three, the eldest one has always made up his mind.
"Hey, there's no good solution anywhere." Li Qing said sympathetically.
"Well, how can we delay the disease? The old man has been suffering all his life and has only been blessed for a few days! The doctor wants to think of a way!" The boss's eyes turned red as he spoke.
"I can only continue to have blood transfusions, intravenous infusion of albumin, and constant use of hormones. It's really hard to say how long it will take. And the cost is also quite high."
"It's okay, doctor. You can keep my dad alive for a few more days! Is there anything else I should pay attention to?"
"The old man can eat whatever he wants and drink whatever he wants. It doesn't matter. What if he is critically ill? Can he be rescued? If he needs to cut open his organs, should he cut them?"
"Let's discuss it!" The three children walked away disappointed.
"Take medicine! Hey!"
The fees are like a slot machine, swallowing RMB in big mouthfuls. Albumin, plasma, imported drugs to prevent bleeding, the amount is in tens of thousands!
treat? Or no treatment? Many times in China, to put it crudely, hospitals do not interfere or have no right to interfere with the treatment of patients, and most of them are treated until death needlessly.
There once was a very contrasting story. In Canada, a Chinese elderly man, a billionaire, has terminal cancer. Cache constitution, edema, in the hospital, the doctor refused to give plasma or even albumin transfusion.
The old man's last wish is to return to his country and return to his roots. The hospital sent three doctors and two nurses to fly the patient back home. They believe that this is the last humanistic care for the elderly and is necessary. But for ineffective treatments, they consider them a waste.
One week, hospitalization expenses of 70,000 to 80,000 yuan. The elderly are also aging day by day, and the amount of fluids they need to inject is increasing day by day. In the afternoon, the sun shone in the ward, and the old man's gray face was particularly conspicuous.
The old lady went to pour urine for the old man. Zhang Fan gave the old man a simple examination. He was covered in plastic tubes. It was painful! excruciating pain.
Just when Zhang Fan was about to go out after the examination, the old man's skinny hands grabbed Zhang Fan's white coat.
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 about it? 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 towards the window. Zhang Fan walked out of the ward in embarrassment. Does he have the right? No!
Is it filial piety to treat someone to death? Isn’t it okay to give up now? Zhang Fan looked at the painful old man and realized for a moment that he had done something wrong.
