Chapter 287

The tea vegetable city in early spring is the best season of the year in the city. The lazy spring sun shines on Sister Li through the pear blossoms blooming outside the window.

The white pear blossoms are suffused with infinite spring light. The soft and lazy light passes through her black hair and gently touches the red spots on her face and body, showing a charm!

In spring, the sunshine that can revive everything does not bring vitality to Sister Li. The soft light shines on her face, which makes the erythema more dazzling.

The director, deputy director and attending physician of rheumatology department came. When they saw Zhang Fan's embarrassed expression, the director directly talked to the patient's family, "Dr. Zhang, you and director Li, they go to see the patient, and I'll talk to the family."

"OK, director!" Zhang Fan got up and took several other doctors to Sister Li's ward. Sister Li in the ward, although rescued, has temporarily stopped the massive bleeding, but now she is very weak.

Physical examination and medical records. Sister Li was like a zombie without any expression. She looked at the pear flowers outside the window. The white pear flowers were so beautiful.

"There's no effect at all. If you can't, just flush it with a large dose of hormone. Now these drugs have not changed directly. " After seeing the patient and doing a simple physical examination, he stood outside the ward. The deputy director frowned and said to Zhang Fan.

"But in this case, a large dose of hormone may not cause bleeding again?" Zhang Fan asked unsurprisingly that there are too many problems to be balanced in internal medicine.

Especially for such critical patients, it is too difficult to take drugs. Medication may cause stress reaction and lead to the death of patients. It is a matter of time to use drugs.

it's too hard. There is no problem that the patient dies of massive bleeding or natural failure, but once the stress reaction occurs after medication, resulting in the death of the patient, the problem comes.

Use it! No! balance!

"Let's hold an internal discussion meeting to hurry up and finalize the matter in half an hour." When the deputy director looked at the medical record and frowned, the director had finished talking and came to greet everyone.

In the small meeting room of the Department, all the doctors, including the director, deputy director, attending, resident and transferred doctors, came. Zhang Fan looked up at the clock on the wall.

The time must be recorded and reflected in the medical record. This kind of department discussion, the competent doctor as the clerk, records the treatment opinions of each doctor, and finally reflected in the medical record.

After everyone was seated, the director nodded to Zhang Fan and said, "let's start. Let Dr. Zhang make a brief introduction first."

"Nine beds, No. 3 was admitted to the hospital because of facial erythema with multiple high fever. He used to take medicine outside the hospital, and the effect was not good. After the admission, the patient was asked about the medical history and found that the patient had strong sunlight six months ago. After admission, routine symptomatic treatment was given. But the effect is not obvious. On the afternoon of the 5th, the patient developed a large area of purple epilepsy. Blood routine examination showed that platelets decreased sharply. Today, after the visit of the patient's family members, the patient was emotional, resulting in rupture of gastric fundus vein and massive bleeding. With the participation of the attending doctor, Dr. Hu Jun, the patient was rescued. At present, the patient's condition is OK, but there is still the possibility of massive bleeding or even death. " After a brief introduction, Zhang Fan took a look at the director and sat down.

"Well, the situation is such a situation. Let's make a long story short. We should also be clear about the specific situation. Now let's speak directly. Dr. Chen, say it first. "

The transferred Chen Hong and Zhang fan are doctors Chen of the same year. Generally, doctors with low seniority speak at this level, then doctors with high seniority, and finally the director makes a decision!

"At present, the patient's condition is OK. Although there is a great risk of bleeding, it can be observed continuously. My speech is over! " Chen Hong is not going to engage in rheumatology, so she doesn't care much.

One after another, there are two opinions: observation and continuous observation. The second is to take risks after obtaining the consent of the patient's family members. Especially at the level of Deputy High Commissioner and deputy director, the debate is very fierce.

This is not a dispute over rights, but it is more intense than the dispute over rights. This is a dispute over ideas, or an ideological dispute.

With the rapid development of modern medicine, there are still a large number of helpless diseases.

Someone once said that when life comes to an end, in the face of life and death, some people choose to stick to it, some choose to give up, and some choose to do it as a last resort.

In the face of death, these choices are right and wrong. Death is near, and no one is sure which way to choose. The doctor is not God. No one can tell and predict what will happen next.

For this disease, small doses of drugs are ineffective, and large doses of drugs may cause massive bleeding and lead to death. At the end of the speech, the doctor at the deputy director level looked at the director, the director of rheumatology department.

The director, who seldom smokes, asked for a cigarette with the deputy director around him, lit it and inhaled deeply. In the Miaomiao green smoke, the director pondered. hard! It was very difficult. Waiting for death, saving lives and killing people, a series of words kept circulating in his mind.

Circling and interlacing“ What does Dr. Zhang mean? " Director found that Zhang Fan was working as a clerk and did not speak. At this time, he asked.

"Medication, she's too young to be thirty! Although the risk is great, I think we should fight! " Zhang Fan said and recorded.

After hearing this, the director did not ask whether he could accept it or not. Then he suddenly took another sip of cigarette, pressed the cigarette end hard, stood up and said, "director Chen, you and Dr. Zhang quickly explain your condition and family members again and get the treatment authorization as soon as possible. Dr. Hu, prepare the rescue equipment. Dr. Li, report to the hospital! Medication, high-dose hormone flush! "

"Yes!" All doctors stand up, and then go to prepare the things assigned by the director. This is the importance of the director. It can't be reflected at ordinary times. The choice of this critical moment is very important.

This choice can hardly be repeated. There is no third way to live or die. The pressure and risks in it can only be tasted slowly when he retires.

Now he has no time to mourn the spring and Autumn period, and it is not his turn to feel life, because the patient is still lying in bed, waiting for him to make a decision and wait for him to treat.

Everything is well prepared. In the last procedure, the card owner, the patient's husband, finally contacted and said to arrive at the hospital in half an hour!

Without his signature, the hospital really dare not take any measures. At this time, Sister Li is really not as good as a widow!

Wait, wait, time is slowly running away! Doctors wait collectively. impatient? No, In the face of death, sometimes doctors really want to wait, maybe the patient will get better!