I Can See Health

   Chapter 451 Rational Choice

   For Lu Chen, this is just a small episode of his clinical career.

   But for Wang Defa, this may be a turning point in his clinical career.

   Every doctor grows up slowly from the choice between life and death.

  …

   After eating, the two of them went back to their bedrooms.

  Lu Chen temporarily put down the task of bidding for the national nature and picked up the tutoring book for the practicing physician skills examination.

   Obtaining a medical license is the first step to becoming a real doctor.

   Although Lu Chen is full of confidence, he still needs to be fully prepared.

   was speechless all night.

  …

   The next day.

   Early in the morning, Lu Chen arrived at the patient's daughter-in-law as soon as he arrived at the first ward of the Department of Respiratory Medicine.

   She was standing in the corner of the corridor, leaning against the wall.

   In front of her stood a dusty middle-aged man with red eyes and fluffy hair.

  Lu Chen passed by the two of them and heard the quarrel between them.

   "My mother was hospitalized before, and the doctor suggested a checkup, why didn't you bring it to do it!" The man's voice was extremely angry.

The woman was not to be outdone. She stared at her husband and said, "Why don't I take her there? She refused to go, saying she was cured and determined not to go!"

"What does she know as an old man, haven't the doctor communicated with you?" The man suppressed his anger, "I read the medical records of the previous hospitalization, and the doctor clearly wrote a recommendation for endoscopic surgery! Can't you see it? what?!"

  The woman was suddenly at a loss for words, and after averting her eyes, she stopped talking.

   "You talk!" The man blushed and stared at his wife.

   At this time, the woman finally moved her mouth, "I remember, I told you about your mother's illness. You didn't go for a re-examination, and you didn't say anything..."

   "How did I know it was such a serious illness!" The blue veins on the man's forehead were exposed, "If I read this medical record..."

   Before he could finish speaking, the woman interrupted him.

"Don't talk about whether these are useful or not, let's talk about what to do next. Your mother lives in the ICU, and she needs at least seven or eight thousand, or even tens of thousands a day... In our family, in addition to the mortgage, our two children have to go to school. "

   Hearing the woman say this, the man has no voice. He lowered his head, his face full of pain and sadness.

  …

   "Alas." Lu Chen sighed and quietly walked past the two of them.

   Often, a sudden illness can destroy a family.

   As a doctor, Lu Chen sees such scenes a lot.

  There is nothing he can do about this, he can only do his best to treat every patient.

   Came to the doctor's office, Fan Yujing had already arrived.

   "The patient was transferred to the ICU yesterday."

  Lu Chen nodded: "I see."

   "However, it may be transferred back to the ward today." Fan Yujing said again.

  Lu Chen was stunned for a moment, and asked, "So soon?"

   "The patient's family just came to find me, saying that the ICU fee is too expensive and they can't hold on anymore." Fan Yujing shook her head slightly.

   "But transferred back to the general ward, isn't this..."

   Lu Chen didn't finish the next two words, that is waiting to die.

   In other words, it may not be possible to wait for the transfer back to the general ward. As long as the ventilator is removed, the person may be gone.

   "We can't control this." Fan Yujing said, "But as long as the patient breathes, we have to cure it."

  Lu Chen nodded slightly, but he knew that this was basically a sentence of death.

  Wang Defa soon came to the department.

   His condition is obviously much better than last night.

   "Morning, let's go to the room together." Lu Chen said to Wang De.

"OK."

   Time for ward rounds.

  Lu Chen and Wang Defa followed behind Fan Yujing.

  After the ward round yesterday morning, Lu Chen came to the department ahead of schedule today to familiarize himself with the auxiliary examination materials of all the patients.

   "How is the chest CT result of this patient?"

   "Double pneumonia."

   "What about the white blood cell results?"

"Fifteen thousand."

   "What medicines were used in front of you?"

   "Antibiotic piperacillin and sulbactam sodium, as well as mucosolvan, an expectorant, and doxofylline for asthma."

  …

   No matter what you ask, Lu Chen can answer them fluently.

   Fan Yujing raised her brows, this student is really interesting!

   worthy of being the cardiologist evildoer in everyone's mouth.

  Lu Chen could also clearly feel that Fan Yujing's attitude towards him was slightly softened.

  Find the room.

  Lu Chen said to Fan Yujing, "Mr. Fan, I may have to take a leave tomorrow."

   "About the day after coming to the department?" Fan Yujing frowned.

   "It's the Cardiology Department, there's an interventional surgery..."

   "Interventional surgery, why are you going to join in the fun?" Fan Yujing said, "Isn't there a patient for bronchoscopy tomorrow? Follow me and learn."

  Lu Chen smiled helplessly. To be honest, he still really wanted to learn bronchoscopy.

   However, tomorrow he has to complete the ICD operation for that cardiology patient.

   "Teacher, tomorrow... I will be the first assistant in cardiac surgery."

   As soon as the voice fell, Fan Yujing was stunned.

   "What, are you the first assistant?"

   "Yeah." Lu Chen smiled and nodded.

   Seeing Lu Chen's answer, Fan Yujing was still in shock.

   She is also very familiar with the operation of the Cardiology Department. Is a student to be the first assistant?

   Is Lu Chen lying?

   Or is Cardiology too hasty?

   She knew Lu Chen's identity, but she had never heard of Lu Chen's intervention in the operation.

   However, Fan Yujing had no objection. "You should tell the secretary of respiratory science and education about asking for leave. If she agrees, I have no objection."

   "Okay, thank you Teacher Fan."

   After work at noon, Lu Chen found the teaching secretary of the Department of Respiratory Medicine.

   She and Li Yao knew each other. After Lu Chen explained his reasons, he passed the leave without a hitch.

  …

afternoon.

  Lu Chen has been waiting for the ICU patient to be transferred back to the ward.

   But after waiting for a long time, there was no news and no patient was seen.

   "Lu Chen, don't wait."

  I don't know when, Fan Yujing came to the doctor's office.

   "The ICU doctor has called me, and the patient was taken home by his family."

   was pulled home, which meant giving up treatment.

  Lu Chen nodded slightly and remained silent.

   For a patient with advanced tumor and metastases, even if they are rescued, the survival period is not long.

   This choice may be the most rational choice.

   However, it also contains extreme helplessness and despair.

  Wang Defa also knew the news at the first time.

   His expression was a little lonely. Seeing this, Lu Chen patted his shoulder comfortingly.

   "Junior brother, cheer up, there are several patients waiting for us to see." Lu Chen said.

   "Yes." Wang Defa replied softly, showing a very reluctant smile, and then went to the ward with Lu Chen to treat the patient.

  …

   The third day of returning to the clinic.

  Lu Chen did not go to the department of respiratory medicine, but came to the intervention room of the department of cardiology.

   Today, he is going to complete his first ICD implantation operation at the Second Hospital of Jinghua.

   The monthly pass owes three shifts, and the reward owes ten shifts.

   13 more owed.

   (end of this chapter)