Chapter 447: Rational Choice

Remember [New] in one second!     For Lu Chen, this is just a small episode in his clinical career.

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

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

…

After dinner, the two returned to their dormitories.

Lu Chen temporarily put aside the task of the national natural standard book and picked up the tutorial book for the practicing physician skills test.

Getting a practicing physician certificate is the first step to becoming a real doctor.

Although Lu Chen is full of confidence, he still needs to make full preparations.

No words all night.

…

The next day.

Early in the morning, Lu Chen just came to the first ward of the respiratory department and saw the patient's daughter-in-law.

She stood 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.

When Lu Chen passed by the two, he heard the sound of their quarrel.

"My mother was hospitalized before, and the doctor suggested that she go for a checkup. Why didn't you take her to go?" The man's voice was extremely angry.

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

"What does she know as an old woman? Didn't the doctor communicate with you?" The man suppressed his anger, "I read the medical records of the previous hospitalization, and the doctor clearly wrote that he recommended endoscopic surgery! Can't you see it? Huh?!"

The woman was speechless for a moment, and after dodging her eyes, she stopped talking.

"Speak!" 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 say anything when she didn't go for a follow-up check..."

"How could I know it was such a serious disease!" The veins on the man's forehead were exposed, "If I had read the medical records..."

Before he finished speaking, the woman interrupted him.

"Don't talk about these useful or useless things. Let's talk about what to do next. Your mother lives in the ICU. It costs at least 7,000 or 8,000 yuan a day, or even tens of thousands... In our family, in addition to the mortgage, the two children have to go to school."

Hearing the woman say this, the man was silent. He lowered his head, his face full of pain and sadness.

...

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

Often, a sudden illness may destroy a family.

As a doctor, Lu Chen has seen many such scenes.

He was powerless to do anything about it, and could only do his best to treat every patient.

When he came to the doctor's office, Fan Yujing had already arrived.

"The patient was transferred to the ICU yesterday."

Lu Chen nodded: "I know."

"But he may be transferred back to the ward today." Fan Yujing said again.

Lu Chen was stunned and asked in confusion: "So soon?"

"The patient's family just came to me and said that the ICU fee was too expensive and they couldn't hold on." Fan Yujing shook his head slightly.

"But if we transfer him back to the general ward, isn't that just..."

Lu Chen didn't finish the last two words, which was waiting to die.

Or, he might not be able to wait to be transferred back to the general ward. As long as the ventilator is removed, he might die.

"We can't control this matter." Fan Yujing said, "But as long as the patient is still breathing, we have to treat him."

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

Wang Defa also came to the department soon.

His condition was obviously much better than last night.

"Come on, let's go to the ward together." Lu Chen said to Wang Defa.

"Okay."

It's time for the ward rounds.

Lu Chen and Wang Defa followed Fan Yujing.

After the ward rounds yesterday morning, Lu Chen came to the department early today and familiarized himself with the auxiliary examination data of all patients.

"What are the results of the chest CT scan of this patient?"

"Bilateral pneumonia."

"What are the results of the white blood cell count?"

"Fifteen thousand."

"What drugs were used to treat the patient?"

"The antibiotic piperacillin sulbactam sodium, as well as the expectorant mucosolvan, and the antiasthmatic doxorubicin."

...

No matter what was asked, Lu Chen could answer fluently.

Fan Yujing raised his eyebrows. This student was really interesting!

He was worthy of being called the demon of cardiology.

Lu Chen could also clearly feel that Fan Yujing's attitude towards him had eased a little.

After the rounds.

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

"Take a leave the second day you come to the department?" Fan Yujing frowned.

"It's the cardiology department. There is an interventional surgery..."

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

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

But tomorrow he has to complete the ICD surgery for the cardiology patient.

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

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

"What, you are the first assistant?"

"Yes." Lu Chen smiled and nodded.

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

She also knew a lot about cardiology surgery. A student was the first assistant?

Is Lu Chen lying? Or is the cardiology department too careless?

She knew Lu Chen's identity, but she had never heard that Lu Chen would intervene in the operation.

However, Fan Yujing did not object, "You can talk to the teaching secretary of the respiratory department about the 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 respiratory department.

She knew Li Yao, the tutor. After Lu Chen explained his reasons, the leave was approved smoothly.

...

In the afternoon.

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

But after waiting for most of the day, there was no news and no patient.

"Lu Chen, don't wait."

At some point, Fan Yujing came to the doctor's office.

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

Being taken back means giving up treatment.

Lu Chen nodded slightly, and then remained silent.

For a patient with advanced tumor and metastasis, even if he is rescued, his survival period is not long.

This choice may be the most rational choice.

However, it also contains extreme helplessness and despair.

Wang Defa also learned the news at the first time.

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

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

"Yeah." Wang Defa responded softly, showing a very reluctant smile, and then followed Lu Chen to the ward to treat patients.

...

The third day back to the clinic.

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

Today, he will complete his first ICD implantation surgery in Jinghua Second Hospital.