Chapter 321 It’s Too Late to Regret
Latest website: The end of inflammation is cancer.
When Zhang Fan was in college, his physiology and pathology teacher said this. But when I heard this, there was not a single ripple in my mind.
Actually, it was because I didn't understand, but when I was an undergraduate, not only Zhang Fan, but also most of the classmates in the class felt that they were already doctors.
If someone coughs in the dormitory, take the auscultation area provided by the school when you are a freshman and listen to the person to see if you hear wet or dry rales. Anyway, most of them will say solemnly: You may have cancer.
At that time, they were not trying to scare people, but they really thought it was cancer, just like many people today, who can detect cancer with just a quick check-up for any disease.
Not only do you scare others, but you sometimes scare yourself.
The medical student woke up the next morning feeling depressed. It was not because he was working with his hands last night, but maybe he felt uncomfortable somewhere, and he diagnosed himself with cancer!
It wasn’t until four or five years after I started working that I gradually understood what the teacher said back then.
Many cancers are caused by minor illnesses.
For example, some people catch colds frequently.
This is not a good thing, and don't think there is anything scary about it.
Actually no, frequent colds destroy your own immunity.
At that time, Laojia Que persuaded Lao Cai, but now the more Zhang Fan thinks about it, the more he feels that Laojia Que is awesome. If this thing is not made up, Laojia Que is too awesome.
However, Zhang Fan met him once in the office of the Anorectal Department today.
Because of this disease, Zhang Fan had seen various sexually transmitted diseases, but never one that caused cancer at such a young age.
In fact, patients are cautious at first.
She will still pick people, but this thing, the earthen jar will never leave the well mouth. When she became addicted to drugs, maybe once a month would become three times a day.
I no longer care about various gynecological inflammations, condoms, or birds leaking pus.
Then various inflammations finally broke out in the intestines.
The intestinal flora is very complex, but it is also very balanced here. E. coli exists like a killer in other places.
But in the intestine, it will be suppressed by other beneficial bacteria.
Many people suffer from frequent diarrhea. Eating something inappropriate will cause diarrhea, but most people don't care much about it.
In fact, this is already a disorder of intestinal flora.
In this situation, there are two ways: try not to be greedy as much as possible, and secondly, find a way to restore the balance of intestinal flora.
Because of this chronic inflammation for a long time, if you don’t pay attention to it, it will either lead to intestinal polyps or intestinal tumors.
If you find blood in your stool, you must pay attention after ruling out the cause of hemorrhoids!
Therefore, after many people defecate, looking back, this is not some abnormal behavior, but a kind of review of their own health brought about by genes.
The patient's parents have collapsed. Why did their child become so good all of a sudden?
Zhang Fan looked at the other party and felt powerless in his heart.
"The tumor has metastasized in many places..." Seeing that the other party didn't understand very well, Zhang Fan said more generally: "The cancer has metastasized in many organs, including the liver, omentum, bladder, and uterus.
Even if it is surgery, it is palliative surgery. There is no guarantee how long the patient will live after the operation. "
After Zhang Fan finished speaking, He Xinyi glanced at Zhang Fan before the family members could speak.
He said directly: "The director is not clear. Let me explain it to you more clearly. Without surgery, the patient may die within half a year or a year."
If surgery is performed, the patient may die within a month or two years. This is palliative surgery, and you may even die directly on the operating table.
Too many transfers! "
After saying this, the patient's parents suddenly seemed to have aged more than ten years, with trembling lips and helpless eyes.
But they were silent for about two or three minutes, and then looked at each other.
"Maybe there will be a miracle, doctor, we need to do surgery. No matter what the situation is, even if there is only a glimmer of hope, we still want to do surgery.
If the child is gone, what’s the point of living? "
"In this situation, with so many organs, it is not certain whether they can be put on the operating table. In the end, it is a matter of losing both manpower and money. I think you should think about it again.
During this time, it is better to take the children with them and eat whatever they want and drink whatever they want. "
Lu Shuyan also said it directly.
In fact, to be honest, the last thing doctors want is to encounter this situation. Especially Zhang Fan, he was unwilling to let himself say such cruel words.
However, Lu Shuyan and He Xinyi were the correct way to explain their condition.
Nowadays, many doctors explain their condition in a vague and confusing way, using professional vocabulary and even English.
It’s as if they are deeply afraid that patients and their families will understand.
Moreover, patients and their families have not yet been given a clear answer.
For example, if the patient asks whether the appendix will be cured after being removed, the patient does not answer whether it is good or not, but starts to talk about complications, such as intestinal obstruction and post-operative electrolyte imbalance.
Their starting point is different from Zhang Fan. Zhang Fan is deeply afraid of being cruel to others, but they are deeply afraid of being cruel to themselves.
Unfortunately, no matter what the doctors say, the patient's parents still need surgery.
In the office, staff from several departments gathered together for a meeting.
"The family members strongly demand surgery. In the patient's current situation, there are indications for surgery, but this is a palliative surgery. Please discuss it."
Zhao Zipeng from the Juju Brigade presided over the disease discussion.
Although it is not a general consultation in the hospital, this situation occurs in almost all surgical departments and some internal medicine departments.
People in many departments do not recommend surgery. The main reasons are that firstly, this kind of surgery is meaningless, and secondly, if the patient dies on the operating table, there may be disputes.
Finally, everyone turned their attention to Zhang Fan.
"Do it!" Zhang Fan didn't explain too much.
Sometimes, time is too priceless, but sometimes, time is too precious.
They would rather sell their house or property and want their children to live for half a year or half a year.
In fact, at the beginning, this girl also gave some money to the family, saying that she had made money by running a small business.
But gradually, after I became addicted to drugs, I not only gave away all the money I earned before, but also repaid a lot of it.
But their parents have always believed in their children, thinking that there will be profits and losses in business, and everything will get better.
They don’t even think about what kind of business a child who has just left home and entered college can do!
This kind of surgery can be done or not in hospitals. If it were placed in a hospital in the European and American systems, this kind of surgery would not be done because it would be a waste of medical resources.
In China, the decision-making power does not lie with the hospital, but with the patient and the patient’s family.
There is no way to say who is good and who is bad.
Now that Zhang Fan has spoken, preparations for the operation begin.
This surgery is difficult.
First of all, we must ensure that the patient cannot die on the operating table. Because of the metastasis of multiple organs, it can almost be said that palliative surgery may not allow the patient to live for a few more days. Sometimes, if the surgery is not done carefully, it can even accelerate the patient's death.
Second, multiple-organ tumors cannot be operated on multiple times, and the surgery must be completed as much as possible the first time. Because the patient has no chance, the doctor actually has no chance either.
After three days of preparation, the Juju team thought of ways to increase the patient's hemoglobin and protein levels.
The patient and his wife were reluctant to eat or drink. In the past few days, money was spent like water.
Not only does protein cost money, but blood transfusions are also not cheap.
In fact, to be honest, this kind of surgery is really unnecessary.
But, people are different...
On Wednesday, heavy snow fell all night. When Zhang Fan went out, he saw that half of his car was buried in the snow, and many cars were only covered by snow.
On the border, when it snows, it sounds like the rally call.
All major units must arrive at the unit half an hour in advance. The snow clearing army gathers at their own unit with shovels and brooms to push snow, and each cleans the snow in the unit.
The snow at the door of whose unit is the responsibility of that family.
In the past, Chasu Hospital was not big and there were not many doors. But later, Chasu Hospital not only had many branches, but also had many gates.
Doctors at the hospital simply can't clean it up.
There are some people on the border who farm in the spring, sell fruit on a cart in the summer, pick cotton in the fall, and clear snow in the winter.
For example, the snow at the entrance of Chasu Hospital was contracted out.
No matter how much snow it snows this winter, there is still not a single snowfall, eight thousand a year.
Originally, Zhang Fan thought that instead of spending this money, he could save a lot by organizing students and hospital doctors to work together.
Unfortunately, he was stopped by Ouyang.
Sometimes, the pace of life is too fast, which is actually not a good thing.
For example, after the Wendai people entered the frontier, they were beaten so hard that they could no longer hold their heads up after having made frontier boat boots for several generations.
Zhang Fan entered the hospital at a trot, not daring to run too fast as it would be too slippery.
I drank a bowl of milk tea and ate two fried dough sticks at the door. The emergency center of the hospital was already overcrowded.
Sometimes, Zhang Fan really doesn't understand some old people.
With such heavy snow, many old people got up early in the morning, dressed neatly and went to the bazaar, because the vegetables at the bazaar were one or two cents cheaper.
Then, by accident, I fell down. I saved several years of 20 cents and gave it all to the hospital at once.
Zhang Fan went in and took a look. Although the emergency center was crowded, it was not chaotic.
Xue Fei is still very good at this.
Don't look at this dishonest guy, but he still has a good way of managing the department.
Not only was the personnel deployed appropriately, but the cooperation with the emergency specialist Zhang Fan hired from Zhongyong was extremely harmonious.
When Zhang Fan recruited the expert in emergency medicine from Zhongyong, Zhang Fan was worried that Xue Fei wouldn't get along with this expert.
At that time, Zhang Fan had already made a mental note. If he really couldn't urinate into a pot, he would definitely make adjustments.
But what Zhang Fan didn't expect was that Xue Fei was not only harmonious with Qin Se, who cooperated with the experts, but the experts also supported Xue Fei's work as director.
There are many directors and deputy directors of other departments who are top-notch.
But the two of them, one is in surgery and the other is in internal medicine, and they are in the same department, they have never criticized each other because of their development direction.
This made Zhang Fan extremely satisfied with Xue Fei.
For example, Wang Yanan and Xu Xian, do they just start arguing over nothing?
In fact, they are also fighting for the right to speak and resources.
This thing is inevitable in the development of hospitals.
Only when everyone lies flat can you and I be well and everyone can be well.
After walking around, there was nothing going on in each department. Only then did Zhang Fan call Wang Hong and tell him that he was going to the operating room.
In the operating room, Bayin and the others had just returned from pushing Xue.
Chattering, a group of young women and a group of older girls. If there is any person in the department who likes to push snow the most, it is probably the group of people in the surgery department.
Because since the establishment of Chasu Hospital, there have been more and more surgeries.
This group of girls can really be said to have seen the sun more times than they can count.
Under the fluorescent lamp in the operating room all year round, many girls have a sickly white complexion.
"Hurry up and pack up. We'll send you to the hospital later. Today's surgery is a bit troublesome."
"Well, it's all arranged. Boss, have you eaten? If not, I brought milk. It was delivered from the pasture. Milk in winter is better than milk in summer."
"Well, drink it yourself!"
Zhang Fan was also helpless. In summer, because cows eat a lot of green grass, the milk is relatively clear, so Zhang Fan could barely drink it.
In winter, Zhang Fan really didn't dare to drink milk from the pastoral areas, because the cows in winter were fortified with grains.
Then the milk became much thicker. One sip of this milk was so effective that Zhang Fan definitely had to go to the toilet three or four times a day.
After chatting for a while, the nursing team, Lu Shuyan, He Xinyi and the others entered the operating room accompanied by the anesthesiologist and the operating room's trolley for picking up patients.
The girl who is 1.7 meters tall is as thin as a wooden stick.
Not even a few people were needed, Zhao Zipeng lifted the girl from the flat car to the operating table alone.
The girl who had been silent since entering the hospital was behind the operating bed.
Looking at the doctors, I don't know whether it was fear or why, but the tears slowly fell from the corners of my eyes.
"Doctor, can I still be saved?"
silence!
The doctors in the operating room were silent.
How do you say this?
Zhang Fan coughed, smiled and said to the girl: "Don't worry too much, we will try our best, and don't think too much, we will try our best, and you will try our best to cooperate with us, okay?"
"Haha!" The tears were like pearls with threads pulled apart, but there was no trace of crying expression on the girl's face.
"If I die, I want to donate my body to the hospital. Please let more college students know what happened to me. Some things are really too late to regret.
I hate it so much, I regret it so much! "
Zhang Fan nodded and then gave the anesthetist a wink.
The anesthesiologist placed the mask directly on the patient's face.
The white medicine was absorbed into the body, one second, two seconds, ten seconds!
The patient fell asleep.
"The dose of medicine is very large, and the drug resistance is very strong. Hey! Zhang Yuan, please move faster!"
"good!"
The operation begins. Although today's operation is a palliative operation.
However, the staffing is quite good.
The anesthesiologist is the deputy director of the anesthesiology department. He was the one who used three or four kinds of medicine to protect the one-day-old child.
The head nurse, Bayin, is the equipment nurse.
Three old nurses were on duty.
The surgeons were Zhang Fan as the surgeon, Lu Shuyan as the surgeon, He Xinyi as the surgeon, and Zhao Zipeng as the surgeon.
There are even more assistants.
Zhang Fan mainly suffers from liver tumors and omentum tumors.
Lu Shuyan is the chief surgeon for uterine tumors.
He Xinyi is the chief surgeon for bladder tumors.
Zhao Zipeng is the chief surgeon for rectal tumors!
To be honest, for an operation of this scale, if nothing else, just the blood loss issue is a headache.
But there is no way, there is only one chance.
Although it was transferred, no one can say to what circumstances it was transferred.
This is also the so-called surgical exploration, and in this era of such advanced examination technology.
Surgical exploration is still unavoidable.