Auto chess in the operating room

Chapter 141 Doctor, How Long Can He Live?
"I will do the work at Qingping, but ERAT still needs to be developed. I will let Ma En and others learn quickly, and then Tang Lou will go there for rotation when he has time. However, for now, the tasks of the Qingping group are still Lord."

Cheng Jian took a sip of coffee and finally agreed to Yan Ruoyun's plan.

"Okay. Don't worry, Director Cheng. It's important to build provincial disciplines, and it's equally important to train young people. These days, Tang Lou is going smoothly. After all, they are still exposed to first-level spells and various basic operations. The patients are all minor ailments, so I went to my group and faced those patients, I hope he can have a strong heart."

Yan Ruoyun's subordinates have treated a lot of patients with liver cancer, gallbladder cancer, etc., which are extremely difficult to cure.

Compared with the ease of facing appendicitis patients, doctors need a stronger heart to face more frequent deaths and more incurable despair in the field of liver and gallbladder.

In the following time, due to Cheng Jian, Yan Ruoyun, and Qingping's intentional guidance, Tang Lou's time on ERAT gradually decreased, and Qingping also arranged for another resident doctor under his staff to work with Ma En.

Under Tang Lou's talented academic leader, Ma En gradually became competent as the chief surgeon of ERAT. As for the suspension method, it was just an optimization of the method, and Ma En and another resident were naturally able to do it solidly.

There are no worries in the field of appendicitis, and Tang Lou's achievements have also stabilized.

Another month later, Tang Lou formally joined Yan Ruoyun's medical team in the name of rotation, learning the art of liver and gallbladder.

There are eight residents under Yan Ruoyun, and the one who leads the tenement building is Lin Dong, who is very handsome and enthusiastic.

To enter a new medical team, it is natural to start from the beginning again, starting from the ward rounds with Lin Dong.

I don’t know whether it was intentional or unintentional, but the person in charge of Lin Dong’s tenement building was a “nail house” of the ward. He has lived in this bed for more than five months, and will most likely stay in the ward until the end of his life. .

The patient was a man in his 60s with primary liver cancer, portal hypertension, and ascites.

For the first round of ward rounds, it was naturally Lin Dong who brought the tenement building.

While preparing in the office, Lin Dong reminded Tang Lou, "Tang Lou, the patient has reached the final stage of life."

Tanglou frowned. This was completely different from the previous Qingping group. During the Qingping group, they went to the ward rounds with full expectations, effective treatment plans, and a lot of words to comfort the patients.

Seeing Tang Lou's expression, Lin Dong patted him on the shoulder: "Just get used to it."

After sorting out the case, I handed it to Tang Lou: "This patient is not so much a ward round, but actually a routine. The patient has reached the final stage of life. There is no miracle, and there will be no turning point."

Lin Dong continued to instruct: "This patient's ward rounds basically give the same doctor's order every day, and he will give the same instructions every day. Of course, you will also receive the same questions from family members."

Tanglou was slightly stunned, a little confused.

Lin Dong smiled bitterly, and led Tang Lou to the ward.

Soon Tang Lou saw the patient and his wife.

The patient's wife took care of him in the hospital every day, but to Tang Lou's surprise, the old lady was not as dusty as he imagined, but tidy and tidy.

Lin Dong naturally talked with the old lady according to the usual practice, his tone was very flat and indifferent.

The old lady is also used to it, just like ordinary home chatting.

After finishing speaking, Lin Dong walked out of the ward and closed the door.

Then, in Tang Lou's perplexity, he stopped at the door and waited for 3 minutes.

Only then did I see that the old lady came out.

During the past six months, Dr. Lin and the old lady had a silent understanding.

And Tang Lou also waited for it, a question that Tang Lou had never understood before.

The old lady glanced at the old man with his eyes closed on the hospital bed, and gently closed the door. The previous ease was gone from her face, and she asked softly:

"Doctor, how long can he live?"

Tang Lou's eyes widened. It turned out that what the old lady asked every day was this sentence:

How long can he live?

After Lin Dong's official answer without emotion, he led Tang Lou out of the inpatient department.

"Is it very sad?"

Lin Dong said as he walked.

Tang Lou didn't speak, in fact, he really didn't know what to say.

Today's experience is different from all previous internships.

"Are you wondering why the old lady looks so clean and tidy, she doesn't look like an old man who has been in bed for half a year."

Lin Dong didn't wait for Tang Lou to answer, and sighed.

"She is an amazing old lady. She takes care of the old man here every day, not to mention the routine nursing, washing and washing. What impressed me the most was that one night, He Xiaozhuang and I made a ward round. It was after nine o'clock in the evening, Mrs. The wife is holding the old man's hand and humming a little song, "Night in the Suburbs of Moscow."

Lin Dong raised his head slightly, his eyes were a little red, and after a while, he said in a low voice: "The reason why the old lady is so energetic every day is that she spends an hour every day walking home from the first hospital in the city, changing her clothes, and putting on clothes again. Cleaned up by myself, and then came back and looked at the old man with a smile: 'Look at your current state, you are not good enough for me.'"

Lin Dong sighed again helplessly:

"Every time I waited outside the ward for a few seconds and heard the familiar pattering footsteps, I knew she was coming to ask that question again."

"But I can only give the same official answer: from the current situation of the uncle."

"It's pretty fucked up, isn't it?"

Lin Dong smiled wryly, then patted Tang Lou on the shoulder, as if comforting Tang Lou, and also said to himself:

"Just get used to it."

Lin Dong returned to his usual expression: "From then on, you will be in charge of rounds on this patient."

Tang Lou hummed lightly.

Day two.

Tang Lou went to check the old man's ward alone, and recalled in his mind, Lin Dong's explanation, Tang Lou pushed open the door of the ward.

When the old lady saw that Tang Lou was the only one doing rounds for her old man, a trace of uneasiness flashed in her eyes, but she immediately returned to normal.

Seeing Tang Lou, the old lady smiled slightly: "Doctor, I'm here for rounds."

Tang Lou nodded. Although he knew that Dr. Yan had already sentenced the patient to death, he was still a little unwilling and used diagnostic techniques:

[Patient: Zhang Atong, male, 63 years old

Symptoms: primary liver cancer, portal hypertension, ascites
Renal function urea and creatinine were normal, transaminase and bilirubin far exceeded the normal range, albumin was 23g/L, and prothrombin activity was 40%.

Chronic liver failure, large amounts of ascites, and obvious abdominal distension
Diagnosis: With the current level of medical care in Jiangxia Province, the patient has no chance of treatment.It can only be maintained through nutritional support, albumin supplementation, liver protection, and jaundice reduction.

Special reminder: The patient has the last 48 hours of life. 】

Tang Lou froze on the spot.

He had already thought about the question that the old lady was about to ask after he walked out of the ward.

(End of this chapter)