medical road high rise

Chapter 282

Chapter 282 I Can't Save It

"This is the second time. The last time was a few months ago. At that time, we thought it was tuberculosis, so we ordered some medicine with my dad." The eldest son continued.

"It's all your fault. Dad had a sign once. Why didn't you bring Dad to see a doctor?" The second son suddenly became angry and pushed the eldest son.

The eldest son was furious and said, "You still have the face to criticize me? How many times have you seen Dad in a year?"

"Aren't I busy? I..."

"Okay, this is a hospital, we are going to rescue patients, please be quiet, please?" Qin Feng said sharply.

As soon as Qin Feng said this, the two brothers fell silent, and the doctor's majesty was still there.

Looking back at the patient, Qin Feng frowned.

According to the patient's family, the patient's condition should be upper gastrointestinal bleeding.

The upper gastrointestinal tract is divided into the esophagus, trachea, stomach, and duodenum, with the suspensory ligament of the duodenum as the dividing point, and the lower gastrointestinal tract is below.

The difference between the two is also easy to distinguish, one is vomiting blood, and the other is blood in the stool.

At the same time, there are two reasons for upper gastrointestinal bleeding, one is the rupture and bleeding of esophageal and gastric varices caused by liver cirrhosis.

One is the massive bleeding caused by peptic ulcer, the most obvious one is gastric ulcer.

Patients with liver cirrhosis generally have a dark and dull complexion, which can be clearly distinguished.

But the patient in front of him has a pale complexion, not a face of liver disease, but a high probability of peptic ulcer.

"Give the patient a CT scan of the stomach and a routine blood test." After getting a general understanding of the patient's condition, Qin Feng directly issued a checklist.

Under the leadership of the nurse, the patient's son pushed the patient forward for examination.

Because it was an urgent inspection, the inspection results were soon on Qin Feng's computer, and Qin Feng was silent after seeing the results.

"There is a tumor in the patient's body, did you already know it?" Qin Feng said.

The patient's elder son and younger son looked at each other and nodded.

The youngest son also fell silent and didn't say anything.

"Oh!" Qin Feng sighed in his heart.

The patient's CT showed gastric lymphoma, which was the cause of upper gastrointestinal bleeding.

However, gastric lymphoma is different from gastric cancer. It can be cured, but the treatment is very difficult and expensive.

"Gastric lymphoma was detected before, has the patient undergone chemotherapy?" Qin Feng asked.

The eldest son of the patient said: "I have undergone chemotherapy several times, but the effect is not good. The doctor said that my father's white blood cells and platelets are too low, and we will not have any treatment later."

Qin Feng understood that the family had given up treatment.

"Now there are two options, do you choose to remove the tumor surgically, or simply stop the bleeding?" Qin Feng asked.

"I hope my dad can live longer so that we can be filial, but we have no money for tumors," said the eldest son.

Qin Feng understood the meaning, and explained the situation of the hemostasis operation. After the explanation, Qin Feng arranged the operation directly.

The youngest son ran to pay the fee. Compared with tumor surgery, the cost of hemostasis surgery was much cheaper, within their tolerance.

As soon as he entered the emergency room and was about to have someone push the patient into the operating room, the unconscious patient suddenly trembled, opened his eyes and began to vomit blood towards the side.

"not good!"

Looking at the amount of vomiting blood, Qin Feng had a bad thought in his heart.

"Wang Xiong, push out the suction device." Qin Feng shouted.

At this time, negative pressure suction must be performed on the patient to draw out the blood to avoid blocking the trachea.

Once blood enters the airway and lungs, it will be serious if it causes pulmonary embolism.

The patient's two sons stood not far away and watched, both of them had distressed expressions.

If they had money, they wouldn't let their father suffer like this.

It's not that they can't treat their fathers, but that they can easily go bankrupt. They all have families and children.

Even if he saved his father, he would still die in a few years, but the family would be ruined.

Wang Xiong quickly pushed the suction device over, Qin Feng performed the intubation, and the patient showed a painful expression.

Qin Feng can't care about the patient's feelings now. He turns on the suction device, the blood is sucked out of the mouth, and enters the collection container through the hose, and soon reaches the 100ml mark.

Qin Feng was also worried about this amount of bleeding. If the amount of blood is too large, it means that the patient's airway is likely to have blood clots.

Waiting for the volume of sucked blood to decrease, Qin Feng handed the aspirator to Wang Xiong, and then performed the gastroscopy operation.

It is too late to go to the operating room now, Qin Feng can only rescue in the emergency room.

The gastroscope is inserted to see what is bleeding in the patient's body.

arterial bleeding?

Venous bleeding?

still is……

However, since the patient's mouth was full of blood, it was very difficult for the endoscope to enter clearly. Even Qin Feng had to try four times before successfully inserting the gastroscope into the stomach.

When the reason was about to be found out, the patient's son spoke up.

"Doctor Qin, don't save me."

Qin Feng's movements paused, and he turned his head to find that it was the youngest son who spoke, while the eldest son clenched his fists at the side. It was obvious that the two had just had a round of conversation.

"Why?" Qin Feng frowned.

This is the critical time for rescue, and the family members suddenly changed their minds and said that it was impossible to save, and completely declared the death of the patient.

Not only Qin Feng was afraid, but other doctors were also afraid.

However, there is no way to do this. If the patient is awake, then the patient has the right to choose for himself, but now the patient is in a coma, and the decision of life and death rests with the family members.

The youngest son shook his head and said, "It can be saved for a while, but it cannot be saved forever."

Regarding this choice, the two brothers did not quarrel, and the eldest son also acquiesced.

Qin Feng also let go of the instrument in his hand, only the sound of the suction device continuously sucking.

It is also understandable to these two brothers that if you do not choose to remove the tumor for the disease of gastric lymphoma, gastrointestinal bleeding will happen again.

Treatment again and again is also a burden for them.

Rather than procrastinating, it is better to cut the mess quickly.

Qin Feng's mood also gradually stabilized. He is just a doctor, not a family member.

"Then I'll get you the "Consent to Abandon Treatment." Qin Feng left to get the consent.

The two brothers also signed directly, and Qin Feng asked all the medical staff to evacuate the equipment, leaving only the ventilator.

"Then you can accompany the old man for the last journey." Qin Feng stood aside after speaking.

I don't know if it was a flashback or something, but after the equipment was withdrawn, the patient woke up instead.

The two sons leaned over and listened to the old man. The old man said a few words and coughed, which lasted for half an hour, and finally closed his eyes with a smile.

The two sons knelt in front of the hospital bed and wept bitterly for a long time. The eldest son stood up and bowed to Qin Feng.

"Thank you, doctor."

(End of this chapter)