Instead, a whole heart transplant team is needed.

Not only do doctors need a minimum of three, but also related nurses and anesthesiologists, adding up to almost ten people.

If you want to set up a heart transplant center in the provincial hospital, even if Xiao Chu has world-class heart transplant skills, it may not be so easy.

After all, as far as current medical technology is concerned, heart transplantation is already the most difficult operation.

This kind of difficult operation is not something that Xiao Chu can set up a heart transplant center with just a word of mouth.

For Xiao Chu, since he has obtained world-class heart transplant skills, he must show his abilities.

Only those who can perform the most difficult operations can be famous in the medical circle as soon as possible.

However, this matter requires a long-term plan.

Xiao Chu also needs a chance to show himself.

After the electric shock patient was successfully rescued, he was also placed in the intensive care unit to observe his vital signs.

At this time, it was already seven o'clock in the evening, and it was already past the off-duty time.

The weather in mid-September, at seven o'clock in the evening, the sky was already dark.

When the lights first came on, most of the people on the street were rushing home from get off work.

Xiao Chu also became one of them.

The next day.

After the regular morning meeting was over, Xiao Chu led Wang Panpan and others to check on the patients he admitted.

For all operations performed by Xiao Chu, these patients recover relatively well after the operation.

Seeing Xiao Chu's ward rounds, the patients greeted him one after another.

After checking the ward, Xiao Chu routinely went to the consulting room for consultation.

Because Zhou Ziqiang is on night shift today, he can go home after checking the ward and dealing with the patients.

And Wang Panpan was a trainee doctor following Zhou Ziqiang, but she did not return to her residence.

Instead, he chose to stay with Xiao Chu and continue to learn clinical experience.

At this time, an elderly man in his 60s walked into the consulting room.

Xiao Chu didn't speak, but gestured to Wang Panpan with his eyes.

Obviously, Xiao Chu wants to train Wang Panpan.

Wang Panpan understood, and began to ask a doctor.

"What's wrong with you?"

"Doctor, I've been coughing a lot lately, and I've taken a lot of cough medicine, and it's not good.

When the cough is severe, sometimes the sputum will be a little bloodshot, you can check it for me, what is wrong with me? "

The patient probably told Wang Panpan about his symptoms.

"How long have you been coughing?"

"Almost two months!"

"Aside from coughing, phlegm?"

"I don't cough up much phlegm, it's usually a dry cough, and taking cough medicine doesn't help at all, and the coughing gets worse at night.

In the past half a month, blood streaks appeared in the sputum. "

……

After asking the patient about his medical history in detail, Wang Panpan had a general understanding of the man's condition.

Then he used a stethoscope to auscultate his heart and lungs, and found no obvious problems.

When Wang Panpan was inquiring about the medical history and examining the patient, Xiao Chu watched from the side without saying a word.

Chapter 301 Life and death are bearish

Even if Wang Panpan wrote a checklist for the patient, Xiao Chu would not ask.

The whole process is handled by herself.

Wang Panpan prescribed blood routine, c-reactive protein, tumor markers and lung CT on the computer.

After issuing the checklist, Wang Panpan asked the patient to go out for the checkup.

After the patient left, Xiao Chu began to ask:

"Looking at the examination you prescribed, you are emphatically considering that the patient is suffering from lung cancer, so you are so sure that it is lung cancer?

Could it not be that he had tuberculosis, or bronchiectasis? "

Wang Panpan is not a rookie intern, but has several years of clinical experience.

To Xiao Chu's question, he replied confidently: "I asked in detail about the patient's medical history and family history. There is no tuberculosis patient in his family, and he himself has no history of tuberculosis.

He also did not have obvious low-grade fever in the afternoon, as well as fatigue and night sweats, so tuberculosis is unlikely.

Another bronchiectasis, the patient just had a dry cough without obvious sputum.

The symptoms of bronchiectasis are generally cough, thick sputum, and fixed moist rales in the lungs.

In this patient, there were no dry or wet rales in the lungs.Therefore, bronchiectasis can basically be ruled out.

The reason why it was considered lung cancer was that the patient had an irritating cough, hemoptysis in the past half a month, and severe weight loss in the past half a year. "

Wang Panpan talked eloquently, and presented the basis of diagnosis and differential diagnosis one by one.

Xiao Chu couldn't stop nodding.

"What you said is very good, and you have considered it comprehensively. After the patient's lung CT comes out in a while, you will understand."

In the middle, Wang Panpan saw two more patients with common diseases, and they handled them well.

About half an hour later, the old man came back with all the report cards.

Xiao Chu took the checklist and looked at it, frowning tightly.

Wang Panpan's heart skipped a beat.

Am I diagnosing it wrong?

No way?

I have encountered similar symptoms in the county hospital before, and the diagnosis is correct!

Then why Xiao Chu frowned?

Wang Panpan was thinking wildly, Xiao Chu handed her the checklist.

Wang Panpan took the checklist, looked at it, and seemed to understand why Xiao Chu frowned.

Although the old man did not do the final pathological examination.

However, according to the results of the feedback, the old man's condition has basically been diagnosed.

It's just that without a pathological examination, a definite diagnosis cannot be made 100%.

The old man suffered from central lung cancer with enlarged mediastinal lymph nodes and liver metastasis.

In other words, the old man has advanced lung cancer and doesn't have much time left.

That's why Xiao Chu was helpless and worried.

Xiao Chu thought for a while and said to the patient:

"Old man, where are your family members?"

The old man froze for a moment, with a look of worry on his face.

"I came here by myself. What's wrong, doctor, is my illness serious?"

"Your illness is not too serious, but you need to find out about the situation with your family members. You'd better call your family members over."

Xiao Chu considered it for a while and said.

The old man showed a wry smile.

"Doctor, don't lie to me, I've lived a long time, and you don't have to hide anything from me about my illness.

As soon as your doctor asks your family to call, there will be nothing good. My wife is gone, and I live alone.

My son can't live in a foreign country, so just tell me if you have any illnesses.Even if it's cancer, I can handle it. "

After finishing speaking, the old man had a look of deep loneliness on his face.

It seems that life and death in the world have been taken lightly.

There was sympathy in Xiao Chu's eyes.

He didn't expect that the old man's old age would be so miserable.

After thinking for a while, Xiao Chu decided to tell the old man the truth.

The old man's current condition is beyond the meaning of treatment.

The rest of the time should be left to him to master.

Instead of wasting in the hospital, doing unnecessary treatment.

Sometimes doctors are hard to do.

Knowing what kind of disease the patient is, but can't cure it.

I can only watch him suffer endless pain in the last moments of his life.

For the old man, one good thing is that he did not have obvious symptoms of chest tightness, nor did he experience pain in the liver area.

In this regard, compared with other patients suffering from the same disease, he is very lucky.

Most patients with advanced cancer will suffer endless suffering and pain until the last time.

"Old man, since this is the case, I will tell you the truth.

Your disease is lung cancer with liver metastases.At present, your condition is relatively stable, but there is no effective treatment.

Because there are already liver metastases, surgery is meaningless.

As for radiotherapy and chemotherapy.Also just adds to your pain.The meaning of treatment is not great.

The side effects of radiotherapy and chemotherapy are also likely to accelerate the development of your disease.There may be more harm than good. "

"I say so, do you understand, sir."

Xiao Chu carefully told the old man about his actual condition.

After listening to Xiao Chu's words, the old man remained silent for a long time.

Just fists clenched, eyes staring straight ahead, empty-eyed.

Wang Panpan also sympathized with the old man's experience.

But she couldn't help either.

The old man let out a long breath, and his voice was full of desolation: "Doctor, thank you, I understand everything you said."

The old man leaned forward and stared at Xiao Chu without blinking, his voice was low.

"Doctor, how much time do I have left?"

Xiao Chu really didn't want to face the old man's desolate eyes, but as a doctor, he still opened his mouth.

"About half a year!"

"Grandpa, if you still have questions, you can take all the checklists today, go to another hospital, find a specialist in respiratory medicine, and consult again."

The reason why Xiao Chu said this was to let the old man understand the severity of his illness.

Asking him to find another hospital also means asking the old man to shop around.

In fact, sometimes seeing a doctor is the same as shopping, and you need to shop around.

I won’t talk about common diseases and frequently-occurring minor ailments.

If you encounter any difficult and miscellaneous diseases, it is better to consult two more hospitals.

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