After breakfast, we arrived at the No. 1 Municipal Hospital. On the way, Zheng Ren transferred a thousand yuan to Feng Xuhui and asked him to accept it before explaining his intention.
I went to a nearby Sinopec gas station to apply for a fuel card, which I planned to give to Sister Zhao. Su Yun is right, he always troubles Sister Zhao, and he feels embarrassed. Although I don't want to socialize with these relationships, I still have to maintain them.
When he came to the department, Zheng Ren still went around the wards before Director Pan did his rounds.
Professor Rudolf Wagner was lying naked in the ward and had been recording various numerical values, indicators and other professional data. When you are tired, take a rest on the bed next to you.
When Zheng Ren entered, the professor was sleeping, snoring loudly.
The patient clicked his eyes and looked at Zheng Ren innocently and pitifully.
If the professor hadn't been there, the patient's recovery would probably have been faster, Zheng Ren thought to himself.
Coming out of the ward and preparing to hand over the shift, Zheng Ren saw a couple in the corridor and looked around cautiously.
"Who are you two looking for?" Zheng Ren walked over and asked with a gentle attitude and a smile.
"Excuse me, Teacher Zheng, who is it?" the man asked.
The man is short, about 1.65 meters tall, stocky, with a sinewy face, and a slight black air covering his face.
Zheng Ren's first feeling was that he had liver disease.
Looking at the system panel on the upper right side of the field of view, the diagnosis given above is hepatitis B cirrhosis, liver malignant tumor after resection, and liver malignant tumor.
"That's me." Zheng Ren continued to smile.
"You?" The man was a little surprised. He looked at Zheng Ren up and down.
"Well, who asked you to come to me?"
"Director Wang from the Second Hospital." The man finally chose to believe Zheng Ren's words, with an apologetic smile on his face, and said: "Teacher Zheng, I discovered a growth on the left lobe of my liver during a physical examination half a year ago. I later went to the Second Hospital to have it removed. .”
"Then what?"
"I thought I was cured. It's almost the Chinese New Year, so I went for a check-up. Now there is another tumor on the right lobe of the liver. The director of the Hepatobiliary Surgery Department of the Second Hospital said there is no way to cure it." The man said: "Let me find it. Director Wang of the Interventional Department. Director Wang looked at it and shook his head, saying that if it was possible to cure it, he could only come to see you, Teacher Zheng."
This is... This is the patient who was sentenced to death.
Zheng Ren knew that with hepatitis B cirrhosis, there are many small nodules on the liver, and each small nodule may become cancerous.
After surgical removal of one liver lobe, if tumors develop in other livers, surgery cannot be continued. The probability of this happening is almost over 50%.
This is true for the patient in front of me and Zheng Yunxia.
"Let me take a look at your film." Zheng Ren said.
The patient hurriedly handed the film in his hand to Zheng Ren.
Entering the office, there were still ten minutes left before the shift was over. Zheng Ren inserted the patient's film into the reader and started to read the film.
After resection of the left lobe of the liver, a huge 15cm tumor grew on the right lobe of the liver!
In other words, the patient now basically has no normal liver.
No wonder the Department of Surgery and Interventional Surgery of the Second City Hospital refused treatment. Under conventional treatment measures, there was no point in continuing the treatment for the patient in front of him.
This is the kind of situation played in TV dramas, where the doctor says, go back and eat whatever you should and whatever you want.
Zheng Ren held his chin in thought.
The patient's expression is uncertain, with anxiety, fear, hope, and all kinds of thoughts coming together. However, Zheng Ren did not directly say that there was no cure after seeing the MRI enhanced film, which gave the patient some hope.
A few minutes later, Zheng Ren said: "What kind of medical insurance do you have?"
"Urban workers!" The patients' hopes increased greatly.
"Well, you can give it a try." Zheng Ren said, "But it's hard to say whether it will succeed."
"Okay, okay!" The patient became excited all of a sudden, his face trembling slightly.
"Let's go through the admission procedures first," Zheng Ren said, "and then do the preoperative examination. If there are no surgical contraindications, we should have surgery as soon as possible."
The patient grabbed Zheng Ren's hand and held it tightly, like a handshake or like a drowning man grabbing a piece of wood.
"Teacher Zheng, what medicine is good for me? As long as it can be reimbursed!" the patient said.
Zheng Ren nodded and asked Chang Yue to admit the patient to the hospital.
After the shift, Zheng Ren took the patients who had just completed hospitalization procedures to the ward to communicate with the patients.
Zheng Ren was a little worried about this patient. His communication is different from Chang Yue's. It mainly focuses on things that the patient can do according to the patient's condition, which will be of great help to the condition.
The patient's name is Li Chen, 52 years old, a local employee in Haicheng.
Arriving at the ward, Zheng Ren got straight to the point and said, "Old Li, there are a few requirements that you must fulfill. Otherwise, no matter how hard I try, the chance of success in the end is not high."
"Yeah." Li Chen nodded hurriedly and listened carefully.
"First, control your temper. Don't be impatient or angry. This is very important. You must remember it. If you want to survive, you must control it." Zheng Ren said seriously.
Li Chen hesitated, but still nodded.
"Old Li, to be blunt, patients with liver disease are all irritable." Zheng Ren said: "In the past, you could be anxious, but now you must not be anxious! No matter what you do, you must slow down, understand?"
"I know, I know." Li Chen responded quickly.
"Second, don't drink alcohol, and be careful when eating food that's warm and soft."
Zheng Ren "naggled" for nearly ten minutes before walking out of the ward.
This patient's condition was more serious than Zheng Yunxia's. Apart from his dark complexion, his movements and consciousness were normal. He was just like ordinary people and showed no signs of illness at all.
This is also the reason why many liver cancer patients are unable to be treated once they are discovered.
If it doesn’t hurt or itch, who would go to the hospital and spend thousands of dollars for examination
Isn't that a disease
Many hepatitis B patients are not examined and treated carefully.
Zheng Ren left the ward and began to think deeply instead of rushing to the office.
He feels that his attitude towards patients has changed recently, and he has become more positive? Or are you more soft-hearted
Like Li Chen, before he only needed surgery. Doing the 64-slice CT three-dimensional reconstruction in person is already your best effort.
But this morning, I actually explained my condition to him and talked for more than ten minutes.
what is going on
Zheng Ren thought for a long time and couldn't figure it out.
While I was thinking about it, the professor's voice came from behind, "Boss, morning... ah."
While talking, the professor let out a big sigh of relief.
"Morning, rich man."
"Boss, I want to remove the patient's urinary catheter today, do you think it's okay?" Professor Rudolf Wagner asked.
In fact, the professor can completely make the decision on this matter.
But out of respect for Zheng Ren, the professor reported to Zheng Ren again and again and asked him to make up his mind.
…
…
One of my patients once joked that if I wrote a book, I would include you in it. He smiled and said, OK. The names are all real, it has been three years now and nothing has happened. Let's go on like this, it's good.