"I will do the work over at Qingping, but ERAT still needs to continue. I will let Ma En and others learn quickly, and then Tanglou will go there for rotation when they have time. However, for now, the tasks of the Qingping group are still

Lord."

Cheng Jian took a sip of coffee and finally agreed to Yan Ruoyun's plan.

"Okay. Don't worry, Director Cheng. It's important to build provincial disciplines, but it's equally important to train young people. These days, Tanglou is going smoothly. After all, all they are exposed to are first-level spells and various basic operations. What we are facing

The patients all have minor ailments and went to my group. When facing those patients, I hope they can have a strong heart."

Yan Ruoyun has treated many patients with liver cancer, gallbladder cancer, etc., which are extremely difficult to cure.

Compared with facing appendicitis patients with ease, in the field of hepatobiliary disease, doctors need a stronger heart to face more frequent deaths and more despair that cannot be cured.

In the following time, due to the deliberate guidance of Cheng Jian, Yan Ruoyun, and Qingping, Tanglou's time on ERAT gradually decreased. Qingping also arranged for another resident doctor of his to come over and partner with Ma En.

Under the leadership of the gifted subject in Tanglou, Ma En gradually became competent as the chief surgeon of ERAT. As for the suspension method, it was only an optimization of the method. Ma En and another resident doctor were naturally able to do it solidly.

There are no worries in the field of appendicitis, and the achievements of Tanglou have been stabilized.

Another month later, Tanglou officially entered Yan Ruoyun's medical team in the name of rotation to learn surgeries in the field of liver and gallbladder.

Yan Ruoyun has eight resident doctors under his command, and the one who leads the tenement building is Lin Dong, who is very handsome and enthusiastic.

When you join a new medical team, you naturally have to start from scratch, starting with ward rounds with Lin Dong.

I don't know whether it was intentional or unintentional. The person in charge of Lin Dong's tenement building was a "nail house" of the ward. He has lived in this bed for more than five months and will most likely stay in the ward until the end of his life.

.

The patient is an old man in his sixties, suffering from primary liver cancer, portal hypertension and ascites.

During the first ward round, naturally it was Lin Dong who took Tanglou.

While he was still getting ready in the office, Lin Dong reminded Tanglou: "Tanglou, the patient has reached the final stage of his life."

Tanglou frowned. This was completely different from the previous Qingping group. During the Qingping group, they went to the ward rounds with full expectations, effective treatment plans, and a lot of words to comfort the patients.

Lin Dong saw Tang Lou's expression and patted him on the shoulder: "Just get used to it."

After sorting out the case, he handed it to Tang Lou: "This patient is not so much a ward round, but it is actually a routine matter. The patient has reached the last stage of his life. There will be no miracles and no improvement."

Lin Dong continued to give instructions: "This patient's ward rounds basically give the same medical orders every day, and the same words are given every day. Of course, you will also receive the same questions from his family members."

Tanglou was slightly stunned, a little confused.

Lin Dong smiled bitterly and led Tanglou towards the ward.

Soon Tanglou saw the patient and his wife.

The patient's wife takes care of him in the hospital every day, but to Tang Lou's surprise, the old lady is not as dusty as he imagined, but is kept very clean and tidy.

Lin Dong naturally had a conversation with the old lady as usual, and his tone was very calm and indifferent.

The old lady is also used to it, just like ordinary household chatter.

After finishing speaking, Lin Dong walked out of the ward and closed the door.

Then, in confusion, Tanglou stopped at the door and waited for three minutes.

Only then did I see the old lady come out.

During these six months, Dr. Lin and the old lady had a silent understanding.

And Tanglou also waited for a problem that Tanglou had never understood before.

The old lady glanced at the old man on the hospital bed, who had his eyes closed and was concentrating. She closed the door gently, her face no longer relaxed as before, and asked softly:

"Doctor, how long can he live?"

Tanglou's eyes widened. It turned out that the old lady asked this question every day:

How long can he live?

After Lin Dong gave an emotionless official answer, he led Tanglou out of the inpatient department.

"Are you feeling uncomfortable?"

Lin Dong said as he walked.

Tanglou didn't speak. In fact, he really didn't know what to say.

Today's experience is different from all previous internships.

"Are you wondering why the old lady looks very clean and tidy, and she doesn't look like an old man who has been sleeping with her for half a year?"

Lin Dong didn't wait for Tanglou to answer and sighed.

"She is an amazing old lady. She takes care of the old man here every day, not to mention the routine care, body scrubbing and laundry. The most impressive thing for me was one night when He Xiaozhuang and I were doing ward rounds. It was around nine o'clock in the evening.

The wife was holding the old man’s hand and humming a ditty, and the song she hummed was “Evening in the Suburbs of Moscow.”

Lin Dong raised his head slightly, his eyes were a little red. He calmed down for a while and then whispered: "The old lady is so energetic every day because she spends an hour every day walking home from the first city hospital, changing her clothes, and then putting on her clothes."

I cleaned up everything by myself, and then came back and looked at the old man with a smile: 'Look at how frustrated you are now, you are not even good enough for me.'"

Lin Dong sighed helplessly again:

"Every time I waited for a few seconds outside the ward and heard those familiar footsteps, I knew she was coming to ask that question again."

"But I can only give the same official response: Judging from your current situation..."

"Fucked, isn't it?"

Lin Dong smiled bitterly, and patted Tang Lou on the shoulder again, as if to comfort Tang Lou, but also to say to himself:

"Just get used to it."

Lin Dong returned to his usual expression: "From now on, you will be the one doing the ward rounds on this patient."

Tanglou hummed softly.

The second day.

Tang Lou went to check the old man's ward alone. After recalling Lin Dong's explanation in his mind, Tang Lou opened the door of the ward.

When the old lady saw that only the old man in Tanglou was checking the ward, a trace of uneasiness flashed in her eyes, but she soon returned to normal.

Seeing the tenement building, the old lady smiled slightly and said, "Doctor, we're here for a ward check."

Tang Lou nodded. Although he knew that Dr. Yan had sentenced the patient to death, he was still a little unwilling and used the diagnostic technique:

[Patient: Zhang Atong, male, 63 years old

Symptoms: Primary liver cancer, portal hypertension, ascites

Renal function urea and creatinine were normal, transaminase and bilirubin were far above the normal range, albumin was 23g/L, and prothrombin activity was 40%.

Chronic liver failure, large amounts of ascites, and obvious abdominal distension...

Diagnosis: With the current medical level in Jiangxia Province, the patient has no chance of treatment. The only option is nutritional support, albumin supplementation, liver protection, symptomatic and maintenance treatment.

Special reminder: The patient still has the last 48 hours of life.】

Tanglou was stunned on the spot.
Chapter completed!