I Can See Health
Chapter 447 A rational choice
Remember [new] in one second! For Lu Chen, this was just an episode in his clinical career.
But for Wang Defa, this may be a turning point in his clinical career.
Every doctor slowly grows up from the choice of life and death.
…
After eating, the two of them went back to their dormitories.
Lu Chen temporarily put down the task of national natural bidding documents and picked up the guidance book for the medical practitioner skills examination.
Obtaining a medical license is the first step to becoming a real doctor.
Although Lu Chen was confident, he still had to be fully prepared.
A night of silence.
…
The next day.
Early in the morning, as soon as Lu Chen arrived at the first ward of the Department of Respiratory Medicine, he saw the patient's daughter-in-law.
She stood in the corner of the corridor, leaning against the wall.
Standing in front of her was a dusty middle-aged man with red eyes and fluffy hair.
Lu Chen passed by the two of them and heard the sound of the two arguing.
"My mother was hospitalized before, and the doctor recommended a check-up. Why didn't you take her for a check-up?" The man's voice was extremely angry.
The woman was not to be outdone. She stared closely at her husband and said, "Why do you mean I won't take her? She refused and said she was cured, so she decided not to go!"
"What does she, an old man, know? Didn't the doctor communicate with you?" The man suppressed his anger. "I looked at the medical records of my previous hospitalization. The doctor clearly wrote a recommendation for endoscopic surgery! Can't you see it? ah?!"
The woman suddenly became speechless. After her eyes averted, she stopped talking.
"Speak!" The man blushed and stared at his wife.
At this time, the woman finally moved her mouth, "I remember, I told you about your mother's illness. You didn't go for a review, and you didn't say anything..."
"I never knew it was such a serious disease!" The veins on the man's forehead were exposed, "If I read this medical record..."
Before he could finish his words, the woman interrupted him.
"Don't talk about whether these are useful or not, let's talk about what to do next. Your mother lives in the ICU, and she needs at least seven or eight thousand, or even tens of thousands, every day... In addition to the mortgage payment, our two children also have to go to school. "
When the woman said this, the man was silent. He lowered his head, his face full of pain and sadness.
…
"Oh." Lu Chen sighed and walked past the two of them quietly.
Often, a sudden illness may destroy a family.
As a doctor, Lu Chen has seen many such scenes.
There was nothing he could do about it but to do his best to treat every patient.
When we arrived at the doctor's office, Fan Yujing had already arrived.
"The patient was transferred to the ICU yesterday."
Lu Chen nodded: "I understand."
"However, I may be transferred back to the ward today." Fan Yujing added.
Lu Chen was stunned and asked in confusion: "So fast?"
"The patient's family just came to see me, saying that the ICU cost was too expensive and they couldn't continue." Fan Yujing shook her head slightly.
"But transferring back to the general ward, isn't this just..."
Lu Chen didn't finish the last two words, which was to wait for death.
In other words, the patient may be gone as long as the ventilator is removed before being transferred back to the general ward.
"We can't control this matter," Fan Yujing said, "but as long as the patient is breathing, we have to treat him."
Lu Chen nodded slightly, but he knew that this was basically a death sentence.
Wang Defa soon came to the department.
His condition is obviously much better than last night.
"Morning, let's go to the ward rounds together." Lu Chen said to Wang De.
"OK."
It's time for ward rounds.
Lu Chen and Wang Defa followed behind Fan Yujing.
After the ward rounds yesterday morning, Lu Chen came to the department in advance today to familiarize himself with the auxiliary examination information of all patients.
"What are the results of this patient's chest CT?"
"Double pneumonia."
"Where are the white blood cell results?"
"Fifteen thousand."
"What medications were used for treatment?"
"The antibiotic piperacillin and sulbactam sodium, as well as phlegm-reducing mucosolvan, and the asthma-relieving doxofylline."
…
No matter what he asked, Lu Chen could answer it fluently.
Fan Yujing raised her eyebrows, this student is really interesting!
He is indeed the cardiology monster everyone calls him.
Lu Chen could also clearly feel that Fan Yujing's attitude towards him had softened slightly.
After checking the room.
Lu Chen said to Fan Yujing: "Teacher Fan, I may have to take a day off tomorrow."
"Asking for leave on the second day after coming to the department?" Fan Yujing frowned.
"It's the cardiology department, there's an interventional surgery..."
"Interventional surgery, why are you joining in the fun?" Fan Yujing said, "Isn't there a patient who will undergo bronchoscopy tomorrow? Follow me and learn."
Lu Chen smiled helplessly. To be honest, he still wanted to learn bronchoscopy.
But tomorrow he has to complete the ICD surgery on the cardiology patient.
"Teacher, tomorrow... I will be the first assistant in cardiac surgery."
As soon as she finished speaking, Fan Yujing was shocked.
"What, you're the first assistant?"
"Yeah." Lu Chen smiled and nodded.
Seeing Lu Chen's answer, Fan Yujing was still surprised and confused.
She also knows a lot about cardiology surgery. A student becomes the first assistant?
Was it Lu Chen who lied? Or is the cardiology department too hasty?
She knew Lu Chen's identity, but she had never heard that Lu Chen would intervene in the operation.
However, Fan Yujing did not object. "You can tell the secretary of respiratory science about asking for leave. If she agrees, I have no objection."
"Okay, thank you, Teacher Fan."
After work at noon, Lu Chen found the respiratory department teaching secretary.
She and instructor Li Yao knew each other. After Lu Chen explained his reasons, he successfully applied for leave.
…
afternoon.
Lu Chen has been waiting for the ICU patient to be transferred back to the ward.
But after waiting for most of the day, there was still no news and no patient was seen.
"Lu Chen, there's no need to wait."
At some point, Fan Yujing came to the doctor's office.
"The doctor in the ICU has called me, and the patient has been taken home by his family."
Being pulled back means giving up treatment.
Lu Chen nodded slightly and remained silent.
For a patient with advanced tumor and metastasis, even if he is rescued, his survival period is not long.
This choice may be the wisest choice.
However, it also contains extreme helplessness and despair.
Wang Defa also learned the news immediately.
He looked a little lonely. Seeing this, Lu Chen patted his shoulder comfortingly.
"Junior brother, cheer up, there are several patients waiting for us to see them," Lu Chen said.
"Yes." Wang Defa responded softly, showing a very forced smile, and then followed Lu Chen to the ward to treat patients.
…
The third day of returning to clinical practice.
Lu Chen did not go to the Department of Respiratory Medicine, but came to the interventional room of the Department of Cardiology.
Today, he will complete his first ICD implantation surgery at Jinghua Second Hospital.
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