Chapter 285 - Springs arrival with pear blossoms! (1/2)
Spring would always be the most pleasant season in Chasu City. The lazy sunshine shone through pear blossoms outside the window of Wang Yan’s patient room and illuminated her body.
The white pear blossoms seemed to glow with endless spring. A gentle and lazy light went all over Wang Yan’s black hair and gently caressed her face. The red rash on her face seemed almost demonic!
Even though spring sunshine was supposed to help everything come back to life, this light didn’t bring any signs of life to Wang Yan at all. This gentle sunlight on her face only made her red rash even more noticeable.
The rheumatology department director arrived. The vice director and the two other attending physicians in the department also arrived. When rheumatology Director Wu Wanghong saw Zhang Fan’s expression which indicated that the latter was having difficulty telling the patient’s parents about the patient’s medical condition, Director Wu directly accepted the responsibility of informing the parents. “Doctor Zhang, you and Vice Director Li and the others should go check on the patient. I’ll discuss things with the patient’s family.”
“Okay, Director!” Zhang Fan led the other doctors to Wang Yan’s patient room. Although Wang Yan’s life had been saved and the major internal bleeding had been stopped, she was still currently in a really bad condition.
As Zhang Fan performed a checkup on her and also checked her medical information, Wang Yan simply lay there like an expressionless zombie, blankly staring at the beautiful white pear blossoms outside the window.
“The current medication isn’t having any effect at all. Maybe we should try a large amount of hormonal therapy,” rheumatology Vice Director Li commented to Zhang Fan as he furrowed his eyebrows outside the patient room after the simple checkup for Wang Yan was finished.
“But in this situation, won’t too many hormones cause her to bleed again?” Zhang Fan asked because he was uncertain. There were far too many things to consider and balance in internal medicine.
This was even more so for patients who were in severe condition. Using medicine on them was far too difficult. Medicine might cause a reaction in the body which would then lead to the patient’s death. Not using medicine would also mean that things were only a matter of time.
Things were so difficult for doctors. It wouldn’t be a legal problem for the doctors if the patient died from major internal bleeding or natural causes. However, if the patient instead died because of a reaction to medicine that was used, that could cause all sorts of legal problems for the doctors.
Should the doctors use medicine or not? They would have to be extra careful!
“Let’s have an internal meeting to discuss the patient’s condition. We must hurry. Let’s finalize a decision within half an hour,” announced Director Wu as Vice Director Li was frowning while looking at the patient’s medical information. Director Wu had finished talking to the patient’s parents already.
Every single doctor of the rheumatology department arrived in the department’s small conference room. The director, vice director, attending physicians, resident doctors, and rotation doctors were all present.
Zhang Fan checked the time with the clock on the wall. It was necessary to record the time and everyone’s opinions in the final medical report. For these types of major meetings involving the entire department, the doctor who was in charge of the patient would also be in charge of recording everything that was said.
After everyone sat down, Director Wu nodded towards Zhang Fan, and declared, “Let’s begin the meeting. First, Doctor Zhang should give us a brief introduction.”
“Patient #9 was hospitalized on the 3rd of the month due to systemic lupus erythematosus which caused a high fever in her. She’d already tried to take some medication before hospitalization, which was quite ineffective. When she was hospitalized, I asked about her medical history and learned that she had previously sunbathed directly under the sun approximately six months ago. After she was hospitalized, I gave her the standardized treatment for her lupus symptoms. However, the treatment was ineffective. On the afternoon of the 5th, the patient started having large patches of purpura appear on her body. According to the standard blood test, her blood platelets were rapidly decreasing in number. Today, after the patient’s family members went to talk to her, the patient became extremely emotional, which caused a gastric vein under her stomach to rupture, leading to major internal bleeding. Attending physician Hu Jun and myself participated in providing emergency treatment to the patient. Currently, the patient’s medical condition is stable, but there’s still high risk of major internal bleeding or even death,” Zhang Fan summarized the patient’s condition. He then sat down after glancing at the director.
“Alright. That’s basically how things are. Time is of the essence here. Everyone should understand. Let us all directly state our opinion. Doctor Chen, you go first.”
Chen Hong was a rotation doctor. She was the same age as Zhang Fan. For major meetings involving the entire department, usually the doctors would speak in the order from lowest to highest rank. The department director would then make the final decision.