Pinellia has arrived [Rebirth]

On Monday, the outpatient clinic for the day ends, and before get off work, the oncology department organizes a meeting.

At a quarter past six, the small conference room was full of medical staff.Jiang Baizhi was in the second row to the left, and there were meeting materials on the small table next to her.

The meeting was chaired by Director Liu. He briefly described the situation of the patients admitted to the hospital last week, and proposed several cases where the treatment plan was controversial, including the patient of Jiang Baizhi.

"Little Jiang, are you sure you want to use targeted therapy?"

"The patient has advanced lung cancer. After three times of radiotherapy and chemotherapy in Huaya Hospital, there are still metastases in both lungs, bones, and brain. The coefficients of platelets and white blood cells are very low. Radiotherapy and chemotherapy are no longer suitable."

"What Lao Zhang means is that letting the patients go home and drink the medicine will keep them safe for one day."

Jiang Baizhi gently closed the cap of the pen, and retorted: "But I have never tried targeted therapy. The patient is only 62 years old and has just retired. He should be at an age to enjoy his old age."

In Director Liu's words, Lao Zhang said: "The patient's son wants to take her back, but he is unwilling to treat her."

Guessing the family's intentions, Jiang Baizhi turned her head and asked, "The old man usually lives with his daughter, and his son hardly cares about him. What are you doing now?"

"It's nothing more than money. The patient retired from the post bank management position, and hundreds of thousands of provident funds were withdrawn at one time."

"I'll call her daughter." Jiang Baizhi opened the patient's information.

"Don't get into this muddy water, let the family take the patient back." Lao Zhang continued to persuade him. He had suffered a lot and was pestered by annoying family members, so he couldn't be at peace for a long time.

Jiang Baizhi still insisted on her own opinion: "Can the patient be hospitalized first, and then wait for the situation to stabilize. Now some targeted drugs are included in the medical insurance, and I will try my best to communicate with the family."

"Okay, that's it. If Xiao Jiang needs any help, let us know." Director Liu is the master of Jiang Baizhi's beginners. He knows her temper well, and she usually looks easy to talk to. .

They continued to discuss the conditions of other patients. Before the meeting ended, Lao Zhang, the deputy director, suddenly said: "Xiao Jiang, the medical department received complaints, and the family members of outpatients said that you have a bad attitude and do not accept reasonable suggestions. "

"Let's talk about this after the meeting. Xiao Jiang will follow me to the office." Director Liu said twice, suppressing the chattering voices, and left his seat first after the meeting was over.

Jiang Baizhi packed up the materials and walked straight towards the office.

Director Liu has maintained his health for many years, and the medicine in the teacup varies from time to time according to his physical condition.He took two sips, opened his narrowed eyes, and said kindly: "The family members are a little unreasonable, and they must receive your apology letter."

Jiang Baizhi frowned slightly, but her tone was very calm: "Teacher, what is his so-called suggestion? After reading two or three introductions about medicine, he questioned the doctor's professionalism."

Director Liu waved his hand: "There's no need to reason with him, I won't listen."

The young people were neither humble nor overbearing: "Teacher, I am just stating the facts. If every family member needs to apologize, we will be too busy."

"Working for two years, how many family members have you apologized to?" Director Liu smiled, "No."

Jiang Baizhi also bent her lips: "Teacher, I just think that apologizing may be useless, and those who are sloppy will still sloppy, and even go further."

"No apology, it's very troublesome to make a fuss with the Health Bureau. It's better to have one more thing than one less thing. When you get home, write it and send it to me. That's the deal."

Jiang Baizhi listened to the other party's decision, so she didn't argue any more, and nodded in agreement.

Before leaving, Director Liu raised his mouth: "Tomorrow Yanda will come to a few interns, and we will take them separately." The three chief physicians of the oncology department are divided into three treatment groups, and the two deputy chief physicians under Director Liu .

"I like taking girls."

Director Liu was amused: "Should students be divided into men and women?"

"Girls, be obedient."

"It seems that there is a girl named Zhao Ruoruo."

"That's her, thank you teacher." Jiang Baizhi had already got up and stood at the door.

"Just be skinny in front of me, other colleagues say you are an ice cave. Go, go, aren't you married? When will you show me your other half?"

"She's shy." After Jiang Baizhi finished speaking, she disappeared at the end of the corridor in a few tens of seconds.

***

Jiang Baizhi lives in the Ronghuitingyuan townhouse area [-] kilometers away from the hospital. Jiang Luhua and Sun Mingfen bought her and Qi Banxia a new house.Jiang Luhua has been busy with business all year round, the father and daughter get together less often and stay away more often, they can be regarded as playing their own way, Jiang Baizhi is used to living alone.

In the study on the second floor, she turned on the computer after taking a shower. The words "Apology Letter" appeared on the screen, but I didn't know how to write it down.Half an hour passed before it was barely finished.

Dear (deleted) family members:

Hello there.

I am Dr. Jiang Baizhi Jiang from the Oncology Department of Yanyang Hospital of Traditional Chinese Medicine. Thank you very much for your valuable suggestions. I will think carefully and sincerely apologize to you according to my attitude at that time.

Ginger Angelica

xxxx x month x day

She sent it to Director Liu's mailbox, and then sent another one to the medical department, and then turned off the computer after sorting out today's work.

The villa area is extremely quiet, only the sound of the wind picking up the ears can be heard.Jiang Baizhi held the water glass, and she kept the habit of drinking a small amount of water at night, so she only took a couple of sips before putting down the glass.

The rain outside the balcony was a little hasty, and so was the wind.Sitting on the hanging basket on the balcony, her loose white shirt sticks to her skin as if wet, and her slender arms are clearly visible.

Hold the phone in the right hand, put it down and pick it up back and forth, put it down and pick it up, finally hold it in your hand, and type a line of words under the dialog box "Good night".

"Going home on Thursday? I'll pick you up."

The message sank into the sea like a stone, and I got up the next day and still didn't receive a reply.Jiang Baizhi pressed the center of her eyebrows and scolded herself for being reckless that night, would it scare the other party?

***

There is no outpatient clinic for Jiang Baizhi on Tuesday, and she stays in the inpatient department.Medical oncologist's office, several interns report.Lao Zhang and Director Liu went out to the clinic, and Jiang Baizhi held a small meeting according to the prior arrangement.As for the intern doctor, first go round with him.

Inpatients in the hospital will undergo three-level ward rounds, namely, ward rounds by resident physicians, attending physician ward rounds, and chief or deputy chief physician ward rounds to ensure the quality of medical care in the hospital.And Director Liu is very detailed. In addition to organizing a large round of wards every week, the two deputy directors also need to lead the free attending physicians and residents to make ward rounds.

The internal medicine rounds are slow, and Jiang Baizhi is more careful, so I didn't arrive at the last room until after [-]:[-] in the morning. It was the meeting to discuss the patient yesterday.

The old man's daughter was feeding her banana juice, and the nurse recorded poor appetite.

The family member of the patient said: "Doctor, my mother didn't eat anything last night and this morning, but she kept saying that her stomach was bloated."

Jiang Baizhi flipped through the record sheet and asked, "Did you take your temperature half an hour ago?"

"Measured, 37.2 degrees, normal, but it will turn hot again in the afternoon, and it was 38.1 yesterday."

"The inflammatory reaction is normal. It's only been two days since I took the medicine, so there's no rush."

The family member said again: "Doctor, there is something hard in my mother's stomach, can you show it?"

"How's the poop?"

"I haven't been up for two days, only one o'clock this morning."

Jiang Baizhi slightly rolled up her sleeves, and carefully lifted the hem of the patient's clothes to the upper abdomen. "Old man, take a breath." Press down lightly, put your right fingers together, and slide to palpate.

The rest of the doctors watched from the sidelines.

Jiang Baizhi stood up straight, and replied in a calm manner: "No big problem, just a little flatulence, just eat some easy-to-digest food. I asked the patient's bed doctor to add another medicine. After taking the medicine for the first two days, Then go to the place where the medicine is boiled to get it."

"Thank you, Dr. Jiang, thank you very much, thank you very much." The family members were a little emotional.

Jiang Baizhi glanced at the clock on the wall and asked, "Family, do you have time at ten o'clock? Find me in the doctor's office and discuss the patient's follow-up treatment plan."

"I can't make all the decisions. I still need to discuss it with my brother. He means that I will go home after my mother's fever subsides."

"Then call him and come together, before twelve o'clock, and after 01:30 in the afternoon." Jiang Baizhi ordered a few more words before leading the doctor out of the ward.

"Director Jiang, is the patient suffering from intestinal heat or intestinal dryness?" the girl standing at the end of the line asked her.

"Zhao Ruoruo?"

"Yes."

"Did I mention the mass was palpable on the patient's left abdomen?"

"No." Zhao Ruoruo tapped the notebook in his hand with a pen, and suddenly realized, "So it's because the internal organs are full, dry and hot, and constipation occurs when the internal energy is blocked."

"Yes." Jiang Baizhi took two steps, the corners of her lips raised in relief, she turned her head and said, "It's good to know how to differentiate syndromes and ask questions."

***

The family members of the lung cancer patient did not come in the morning. Jiang Baizhi was eating and received a call from Sun Mingfen.It is said that Qi Banxia's mobile phone fell into the toilet last night and was taken to be repaired. It was only obtained 10 minutes ago.

"Mom, what else did Ban Xia say?"

"I didn't say anything, I came over for dinner on Wednesday night, and Ban Xia is here."

Jiang Baizhi quickly asked: "Can she go home on Wednesday?"

"The plane at 03:30 in the afternoon should arrive at six o'clock."

"I'll pick her up."

After Sun Mingfen achieved his goal, he said a few words of concern to Jiang Baizhi, and hung up the phone.

The person holding the phone was not in a good mood at first, but because of the few words in the dialog box, he jumped up instantly.

"Wednesday at 5:58 p.m."