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墨書 Inktalez
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Early spring is the best season of the year in this city in the northwest. The lazy spring sunlight shines through the blossoming pear blossoms outside the window, sprinkling into the ward and shining on sister Liu. The white pear blossoms are filled with endless spring light, and the soft and lazy light passes through her black hair, gently touching the red marks on her face and body, exuding a sense of charm!
On a spring day, the sunlight that can revive all things did not bring vitality to sister Liu. The gentle light shone on her face, making the red spots even more dazzling. In the hospital room, although sister Liu had been rescued and the massive bleeding had temporarily stopped, she was now extremely weak. The doctor examined her and reviewed her medical records. sister Liu, like a zombie, showed no expression, staring blankly at the white pear blossoms outside the window, which were blooming so beautifully.
"There's no effect at all. If it doesn't work, let's go with a high dose of hormones. These medications are not making any difference." After examining the patient and doing a simple physical examination, the Deputy Director frowned and said to me outside the ward.
"But in this situation, will reducing the high dose of hormones cause bleeding again?" I asked uncertainly. Internal Medicine has to consider too many balances.
Especially for critically ill patients, medication is very difficult. Using medication might cause stress reactions and lead to the patient's death, but not using medication is just a matter of time.
It's too difficult. There's no problem if the patient dies from massive bleeding or natural decline, but once they die from a drug-induced stress reaction, that's when the problem arises. To use or not to use, that is the question. In the small department meeting room, all the doctors are present - the head, deputy director, specialists, resident doctors, and transfer doctors. I glanced up at the clock on the wall.
This must be recorded with the time and reflected in the medical records. In this departmental discussion, the attending physician acts as the secretary, recording the treatment opinions of each doctor, all of which are ultimately reflected in the medical records. One after another, there are two types of opinions: observation and continued observation, and the second is to take the risk of using medication after obtaining the consent of the patient's family. Especially at the level of deputy director, the debate is very intense. This is not a struggle for power, but it is even more intense than a struggle for power. This is a struggle of ideas, or you could say it is a struggle of ideology.
Modern medicine is developing rapidly, yet there are still many diseases for which there are no effective treatments. Some have said that when life reaches its end, in the face of life and death, some choose to persist, some choose to give up, and all of these choices are made out of necessity. Faced with death, there is no right or wrong choice. When death approaches, no one can be certain which path to choose. Doctors are not gods, and no one can predict what will happen next.
This disease is not responsive to low-dose medication, and high-dose medication may potentially cause severe bleeding leading to fatality. After the Deputy Director made this statement, everyone turned their gaze to the head of the rheumatology department.
The head of the department, who rarely smokes, reached out for a cigarette from the Deputy Director, lit it, took a deep breath, and pondered amidst the wisps of blue smoke. Difficult! Extremely difficult. Words like waiting for death, saving lives, and killing people kept cycling through his mind.
Circling, intertwining! "What does Dr. Hu think?" The head of the department noticed that I was acting as the secretary and had not spoken. At this point, he asked a question.
"Using medication, she's too young, not even thirty yet! Although the risk is high, I think we should give it a try!" I said as I recorded.
The head physician remained noncommittal after listening, then suddenly took another puff of smoke, fiercely crushed the cigarette butt, and stood up abruptly, saying, "Dr. Chen, quickly go over the patient's condition and explain it to the family again with Dr. Hu, and obtain the treatment authorization as soon as possible. Dr. Hu, prepare the rescue equipment. Dr. Li, report to the hospital! Medication, administer a high dose of steroids!"
"Yes!" All the doctors stood up, then went to prepare for the tasks assigned by the head physician. This is the importance of the head physician. It may not be apparent in normal times, but the choices made in such critical moments are very important.
This choice is almost irreversible, life or death, there is no third way. The pressure and risk involved can only be savored slowly after retirement. He doesn't have time to reflect on the joys and sorrows of life now, because the patient is still lying in bed, waiting for him to make a decision, waiting for him to treat. Everything is ready, but stuck at the final step. The patient's husband, finally reached, said he would arrive at the hospital in half an hour!
Without his signature, the hospital really doesn't dare to take any measures. At this time, sister Liu really is no better than a widow! Waiting, waiting, time slowly passes by! The doctors collectively wait. Impatient? No. Faced with death, sometimes, doctors really hope to wait, maybe the patient will improve!
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The ice and snow melt, and the valley at the foot of Tianshan gradually turns green, with birds freely flying in the sky. The herders on the grassland have also started a major migration. The children who come out of their winter dens are playing and chasing each other.
A young man hurriedly made his way to the town, where he could find a bus to the city. "Hey, Teacher Wang, where are you going?" A middle-aged herder shouted from a distance when he saw the young teacher, and then rode over on his horse with enthusiasm. "Uncle Battelle, I'm going to the town," the young teacher replied loudly, with a scruffy beard, greasy hair, a faded shirt, and winter cotton shoes. "Come on, I'll give you a ride. If you walk, the bazaar will be over!"
In the hospital, sister Liu's husband finally arrived. He was thin, very thin, wearing a floral shirt and a gold chain. Although he didn't have the fierce look of a socialite, there was still something about him that made people uncomfortable.
He casually strolled into the department, saying, "What's the big idea, calling one after another? Isn't it ever going to end?" When he saw the nurse, especially the young nurse, he went over to strike up a conversation.
"Are you Liu Yan's husband?" I went over to greet him with a frown, while the doctors were waiting together. But this guy was leisurely chatting with the young nurse.
"Yes, and no!" Looking at my sturdy figure, the person squinted and answered in a nonchalant manner.
"Make it clear, stop beating around the bush." I was already in a bad mood, and my face grew even darker. With my sturdy physique, serious expression, and stern tone, I seemed ready to draw a sword at the slightest disagreement.
The person was intimidated, "Yes, but I'm here to have Liu Yan sign the divorce agreement. Let me tell you, don't try to act tough with me. Be careful of how you behave, or I'll report you!"
"Dr. Hu! Go prepare things!" When I heard this, I got really angry and couldn't hold it back. I was about to go and give him a punch, but then the director stopped me with a shout. I looked at him with resentment, unwillingly left, and before leaving, I said to this man, "Are you still a man?" I looked so fierce that the man was really scared and didn't say a word in response.
"Come on, sign it. Whether you divorce or not, you are still her husband now. People are watching, don't be too ruthless." The director said with a frown, then took the person to the ward.
"Damn! How did you become like this, is this still a human being!" The man saw sister Liu's appearance and started rambling at the door.
"If you continue like this, I will call the police!" The director couldn't help it either. Even if the person lying in the bed was a stranger, he shouldn't speak like that.
"Okay, okay, okay! You guys are impressive, there are so many of you, fine. Come on, sign here. But just so you know, I'm not paying for any medical expenses. We're already preparing for a divorce!"
"Sign!" The head of the department didn't want to say another word to him. What a scumbag, this is it! Today, I really learned something new.
"Fine, I'll sign. Anyway, I have something for her to sign too." He signed the paper grumbling, then took out another sheet. "Liu Yan, this is the divorce agreement. Come and sign it! Alright, I've brought the seal too, come on! Just press your fingerprint." As he spoke, he took sister Liu's finger and pressed it down.
"Beast, you are truly a beast. I was blind back then and caused harm to my Yan'er. You are truly a beast, I will confront you." sister Liu's mother was in tears, and she shouted, "Get out! I haven't settled the score with you yet. Your son owes me money. Don't push your luck. I'll slap you! You better tell him to bring the money soon, or I'll find someone to chop him up!" The man turned his head, cursed, and continued to press his fingerprints.
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