Chapter 101
Chapter 100 – Hell (2)
When you are in love, the happy time flies by in the blink of an eye.
In the blink of an eye, it was the beginning of September, and Lu Yinxi was in the room preparing the registration materials for the start of school. While tidying up, he whispered: “I’m at this age, and I still have to go to school…”
She hadn’t had much serious exposure to acting theory. After entering the circle, she took training classes. Later, she worshiped a good master who guided her to get started and taught her acting skills.
Jian Qing stood on the balcony outside, blowing the night breeze, holding an iPad to brush up the test bank.
She has a doctor’s regular exam next week.
After Lu Yinxi cleaned up, he ran out to look for her.
She is cold-tempered, doesn’t like to show her emotions, never speaks sweet words, let alone clinging to others.
After falling in love, except that there are more intimate actions and people become more cheerful, the rest seems to have not changed much.
Lu Yinxi likes to cling to Jian Qing.
She used to cling to her and rely on her when she was sick, and only kept a certain distance when she was sober. Now that she has confirmed her relationship, she clings more and more unscrupulously.
Jian Qing works in the study, and she wants to go with her. Jian Qing blows the wind on the balcony, and she also has to accompany her. On the rest day, she clamors to go out to play together, swimming, picnic, mountain climbing, bungee jumping, skydiving… Take her and take all kinds of things with you. Play all kinds of games.
Now, when Lu Yinxi sees that Jian Qing is still brushing up questions at an old age, his heart is much more balanced.
She went out, sat on the hanging chair, looked at Jian Qing, and smiled.
Jian Qing looked up at her and asked, “What are you laughing at?”
Lu Yinxi shook the hanging chair and said with a smile: “I’m laughing at you, you will have gray hair in the future, and you still have to do the exams.”
As long as a doctor is in clinical practice, he has to participate in a regular physician examination every two years.
In the hospital, there are many experts who have been rehired after retirement. They have white hair and can’t use smartphones. They have to be blocked in the classroom by the young officers of the medical education department and the medical department. Otherwise, you cannot sit for a consultation.
“Just get used to it.” Jian Qing buried her head and continued to brush up the questions.
If you want to go up in this industry, you have to live and learn.
Especially in the field of tumors, we must always pay attention to cutting-edge research and understand the latest treatment options.
Even if you don’t take the initiative to pay attention, every week, medical representatives come to the department with the latest literature and data to recommend new drugs.
Lu Yinxi asked: “I will go to school to report tomorrow, do you have time to send me off?”
“Can’t deliver, there is a class.”
Lu Yinxi snorted, expressing his dissatisfaction.
Jian Qing raised her eyes and looked at her: “I’m going to the university town to attend classes every week, and I’ll come to you after class.”
Lu Yinxi asked: “Mr. Jian, can I not go to school?”
A certain teacher couldn’t see the students giving up their studies, so he said while brushing the questions: “You are at this age, what do you want to do if you don’t go to school? Even if your performance industry doesn’t care about academic qualifications, having professional knowledge to lay the foundation will help you in the future.”
“Okay, okay, I’ll just go, don’t be so serious.” Lu Yinxi smiled, and asked again, “Do you still think I have a split personality?”
In the past eight months, she has only had this stable personality.
Jian Qing looked at her, reached out and pinched her earlobe, and asked, “Where are you from?”
“From heaven.”
“Sister Lin who fell from the sky?” Jian Qing raised her eyebrows and mocked with a slight smile, “You really like to cry.”
Lu Yinxi took off her slippers and stepped on her bare feet.
“I’m lame, and I have to lose money.” Jian Qing lowered his head and continued to write questions.
“It’s okay to be lame, I will support you.”
“Sing a song and listen.”
“What do you want to hear?”
“It’s all right.”
“Then sing you an English song.”
“Is your spoken English good? No, no.”
“Hmph, pick and choose, even if it’s good, I won’t sing for you.”
Jian Qing closed the question bank, didn’t look at Lu Yinxi, looked at the screen, clicked on the screen with her fingertips, and said softly: “Then I will sing for you.”
After speaking, he hummed softly.
No lyrics were sung, just a cool voice humming the tune.
A well-known love song.
“the moon represents my heart”.
Lu Yinxi looked at her, listening to her humming softly, his eyes were as gentle as water.
She is expressing her love implicitly and tactfully.
Only hummed for a short period, more than ten seconds.
After humming, Jian Qing looked away from the screen and looked at Lu Yinxi.
Lu Yinxi jumped up from the hanging chair, put his arms around her neck, and kissed her cheek hard.
“Doctor Jane, the family members of the patients in bed 21 sent you some fruit baskets at noon.”
After work in the afternoon, Jian Qing arrived at the department, and the nurse came out with a few fruit baskets from the pantry.
“Take it apart and share it with everyone.”
The patient in bed 21 is the young female patient surnamed Li.
After taking the new medicine, her health improved a lot, and her pain and cough lessened.
Her husband stuffed Jian Qing with a red envelope, but Jian Qing confiscated it, and he said he would send a pennant over.
The pennant is not worth much, but the doctor will be happy for a while if he receives it.
Jian Qing went to the 21st bed to thank them for the fruit, and reminded by the way: “It’s been a month, and the next time I go back to the hospital, I will have an evaluation. In addition, the new medicine is not guaranteed to be effective all the time, and there may be drug-resistant reactions in the future. You must be mentally prepared. .”
It’s not that she wants to pour cold water, but the tumor has reached stage IV, and the hope of cure is really slim. All means are almost just to prolong life and relieve pain.
Ms. Li’s husband said: “Doctor, we understand that this is not a cure. You have tried your best, thank you.”
Jian Qing nodded and responded: “You’re welcome, you should.”
Back in the office, before the official working hours, it was a rare moment of relaxation. Everyone gathered together, eating fruit, chatting about patients, students, family, scientific research, and the matching methods of various combined treatments…
Compared with other disciplines, there are too many challenges and unknowns in the field of tumors. The causes, mechanisms, and treatment options are like a blank sheet of paper. Humans have only explored a few corners, and there are still large blanks waiting to be explored.
Zhang Yue said with emotion: “If I have money, I will conduct a clinical trial by myself, and try to see whether it is feasible to use this medicine or that medicine.”
It’s a pity that young doctors don’t have a lot of money in their pockets. Starting a clinical research often requires tens of millions or even hundreds of millions of funds. They can only cooperate with pharmaceutical companies, or wait until they climb to a high position and have a reputation. Independent thoughts.
A doctor next to him poked him on the shoulder: “You can try it when you become Director Zhang and Director Zhang.”
“Ah Qing, how is the condition of your patient who received the new drug?” asked the director of the digestion group next door.
At the beginning, Ms. Li refused postoperative chemotherapy and insisted on giving birth to a child, so she had a certain reputation in their hospital.
Jian Qing said: “The condition has stabilized a bit, the pain is not so severe, and the markers have also come down. I will evaluate her next week. In fact, it has already metastasized in many places all over the body. It may just take a while.”
Wei Mingming interjected, “Oh, how good it was to get treatment earlier, the child can be regenerated when it’s gone, but now it’s all over, people are almost gone.”
“Everyone has their own fate.” The director of the digestive department sighed, “A patient with gastric cancer was accepted today, and he was also very young, in his early thirties. He asked me why I got this disease at a young age. He usually doesn’t smoke, drink or stay up late. Diet rules, I said you have a family history, you were born with these genes. Isn’t it fate, there is no way!”
“Doctor Jian, what are the indications for tibolol? If the effect is good, there is a bladder cancer patient in my group, and there are basically no drugs available on the market. Let’s see if we can let him try new drugs.”
“The FDA has approved the second-line treatment of lung cancer and thyroid cancer. Domestically, Vice President Hu is doing second-line treatment of lung cancer, which is still in phase II trials. Bladder cancer is not approved at home and abroad, and there is a phase III clinical trial abroad. , haven’t disclosed the data yet, just wait and see.”
Their department took the lead in carrying out many clinical trials. The doctors in the department will pay more or less attention to the latest research developments, and occasionally recommend new drugs that are not on the market in China but approved by the US FDA to some patients who have no cure.
These new drugs will basically enter the Chinese market, but they still need to go through a domestic clinical trial process.
Patients do not have the time and life to wait for the day when the process is over, and the doctor will recommend them to buy it abroad.
Patients also often help each other. They will form groups to encourage each other, consult each other, and help each other buy medicines.
In the oncology department, there are actually many patients from rural, township, and poor families, and they even buy some generic drugs from India.
This is illegal and illegal, but basically everyone turns a blind eye.
Even if the ants steal their lives, the lives of the poor are also their lives. They are also struggling in pain and want to live.
These patients are like poor people hanging on a cliff, on the verge of falling, and doctors can catch one by one.
In the past, they had a hard time living. They had no extra financial resources to do medical examinations or buy insurance. They were used to enduring pain. If they had any problems, they just gritted their teeth and got over it. They rarely went to the hospital. Suffering and suffering, minor illnesses become serious illnesses, the early stage drags on to the late stage, and the medicine stone is difficult to cure.
A week later, Jian Qing measured the lesion for Ms. Li and evaluated the treatment effect.
“SD, stable disease, no progression, but not eligible for remission.”
After hearing this, Ms. Li showed a trace of joy on her haggard face.
“You’ve lost a lot of weight, have you lost your appetite recently?” Jian Qing asked about her diet.
She nodded: “I can’t eat it. My father-in-law and mother-in-law often quarrel over my illness. My mother-in-law said that she would take me back to the countryside to see a Chinese medicine doctor. I don’t want to go, but I still want to be treated in the province.”
Her parents-in-law did not support her to continue treatment here, thinking it was a waste of money.
In the end, he ended up with nothing but money.
“For Chinese medicine, it is recommended to go to a regular Chinese medicine hospital for treatment.” Jian Qing handed her the medical card back, “It’s better to call and ask your parents to come and accompany you.”
She answered vaguely.
Her parents were teachers in a small town, and she was the only child all her life, so they saved her money and sent her to a key university.
After graduating from university, she joined a large Internet company. She was very busy at work, but her income was high.
She wanted to buy a new house for her parents with money, but her parents bought her a house for herself first, saying that her daughter’s family should have her own house before she got married, and she would be bullied by her husband’s family in the future, and she would also have a place to live.
Back then, she refused to receive treatment in order to give birth to a child. Her parents did not support this decision. They were so angry that they wept and stamped their feet, but they still gave her a large sum of money.
Her parents didn’t touch a cent of the money she sent home before, and saved it for her. They even sold the house to pool money for her medical treatment.
Just like that, people from her husband’s family were still gossiping behind her back, saying that she hid her secrets and moved her husband’s money to her parents’ house.
When she came out of the delivery room that year, her husband’s family, including her husband, rushed over to see the child immediately, and only the parents came to see her at the first time.
She feels that she is worthy of many people, but she is the only one who is sorry for her parents. She has failed their upbringing and caused them to send a white-haired person to a black-haired person.
Lu Yinxi went to school to take a professional class, and became more and more passionate about acting. The specific manifestation was that when he came home from vacation and had nothing to do, he wore a bath towel and played the role of Guanyin Bodhisattva.
Jian Qing grabbed her finger, wrapped it in his hand, and looked at her with disgust.
She changed her style.
When Jian Qing entered the study, she leaned against the door of the bedroom, lifted her red skirt, revealing her slender and straight long legs, like a lady standing on the street in a red-light district, beckoning to her: “Beauty, come in and play.”
Jian Qing casually put away the documents in her hand, looked at her, and commented solemnly: “It doesn’t look like it, I didn’t let go.”
Lu Yinxi was at a loss for a while, pulled down her skirt, exposed her fair shoulders, and asked seriously: “How about this? Is it enough?”
Jian Qing shook her head: “Not enough.”
Lu Yinxi pulled it down again, exposing most of her chest: “Then what about this?”
Jian Qing stared at her and said lightly, “It’s still not enough.”
Lu Yinxi suddenly realized, her cheeks flushed slightly, she pulled up her skirt to cover her chest and shoulders: “You are prudish, you tricked me again, I won’t play with you anymore.”
Jian Qing smiled but said nothing, bent down to pick up the documents, and went into the study to write a thesis.
At night, Jian Qing took a black blindfold to cover Lu Yinxi’s eyes: “If you like to play, play hide and seek with me.”
Lu Yinxi stood up obediently: “Then you hide well, I will catch you, if you are caught by me, you will be eaten by me.”
After counting silently for ten seconds, she turned around and said, “I’m here to catch you!”
She stretched out her hand and groped forward, but within two steps, she bumped into a soft, uncluttered embrace.
Hands stroked cheeks, neck, shoulders, arms, waist…
wearing nothing…
The heat spread to the limbs and bones in an instant, and Lu Yinxi muttered for a moment, before the words could be uttered, they were blocked by soft lips.
Kissing, pushing and shoving, she fell on the soft quilt and was pressed under her body.
“One thing to pay special attention to is that in the process of communication between doctors and patients, do not make guarantees with patients, no matter how small the operation is, any medical behavior has certain risks. You must be cautious in what you say and do. In clinical work, caution comes first. You must protect yourself, and the operation must be legal and compliant. You don’t know when the patient will bite you back, and the patient who knelt with you today can sue you in court tomorrow. I have seen this too much.”
The medical department organized training on the prevention of doctor-patient disputes, and Section Chief Jiang of the medical department came to the stage to teach the doctors in person.
The directors in the front row listened intently, while the doctors in the back row secretly played with their mobile phones.
This kind of training is not comparable to the serious listening of business technology training, and everyone is here to get credits.
Only when talking about dispute cases, I will listen a little more seriously, just like students like to listen to stories in class.
The risk of doctor-patient disputes in the surgical system is significantly higher than that in the internal medicine system, especially the emergency department, obstetrics and gynecology, and orthopedics.
So the people in those departments listened more seriously.
Jian Qing didn’t play with her mobile phone, but she didn’t listen carefully either. She folded her arms and closed her eyes to rest.
In the medical oncology department of their hospital, there have been almost no doctor-patient disputes. At most, some doctors-patient frictions, complaints to the medical department, complaints to the Health and Health Commission, etc.; occasionally there will be troubles, wanting to take revenge on the society after getting cancer, I want to die with the doctor; but most of the time, the doctor-patient relationship is still harmonious.
Because one patient here may be treated for several years. Even kittens and puppies will develop feelings after getting along for two or three years, let alone between people.
After a few years, those old sick patients will gradually disappear. Some of them died at home, some died in the hospital, and some had no money and could not be cured anymore.
Halfway through the training, Jian Qing received a call from the department.
She went outside to answer the phone, and then sent a message to the director of the medical department, explaining that there was rescue in the ward, and hurried back to the department.
It is Ms. Li in bed 21, with respiratory failure.
She organized the rescue work, and the rescue work lasted until midnight, when the vital signs recovered and the family members rushed to the hospital with tired faces.
Jian Qing looked at the image examination reported by the imaging department, and said to Ms. Li’s husband: “The medicine needs to be stopped, and drug resistance may have developed, and it will be useless to take it any longer.”
He couldn’t believe it: “Doctor, she’s only been taking it for two months!”
Jian Qing explained: “This is uncertain. Some people can take it all the time, and some people may develop drug resistance even if they take it for only a month.”
“Then… is there any other way?”
“Radiation therapy, chemotherapy, targeted therapy, immunotherapy… What is recommended in the treatment guidelines, basically tried everything that can be tried. To be honest, it has been transferred to many places, and it is basically in a state of inability to recover. You can see if you want to transfer To our hospice? Or take him home.”
In fact, two months ago, it was already in an irreversible state. The new drug only prolongs life a little and improves the quality of life a little. Existing drugs and technologies simply cannot stop the progression of the disease.
“Then I will take her abroad for treatment. There is an Anderson Cancer Center abroad, which is very famous. I want to take her to see it.”
“You have to consider first, whether her current body can withstand long-distance travel? I don’t recommend it.”
“Is there really nothing we can do?”
“What I can tell you clearly is that her condition will get worse and worse. You can also consult the Chinese medicine doctor again. Do you think I will invite you a Chinese medicine doctor for consultation, or will you take her to the Chinese medicine hospital?”
These words are tantamount to declaring a death sentence. The man lowered his head, remained silent, and began to wipe his tears.
Jian Qing said: “You go to accompany her first, she kept calling your name in the afternoon.”
The man said: “My child is also sick. I just took him to the hospital to see the doctor, and rushed over as soon as I sent him home.”
Jian Qing didn’t say anything more, watched him leave the office, and then showed a tired look, lay on the desk, took a rest for a while, then picked up his bag, and walked off work under the moonlight.
The man was lying on the head of the bed, holding his wife’s hand, tears streaming down his face.
When his parents heard about the situation, they also rushed to the hospital, looked at the daughter-in-law on the sick bed, and said angrily: “I told you not to come here, don’t come here! I went to see my fellow villager, but she refused Now lying here, the money is gone, and the people are gone too! Do you know? Many patients either died of tumors or were melted to death by doctors’ chemotherapy!”
The man cried and persuaded: “Dad, stop talking! My daughter-in-law can still hear me!”
His father leaned on crutches and sat down on a chair. When he saw the medicine on the bedside table, he grabbed it and looked left and right: “What kind of medicine is this, why haven’t I heard of it?”
The man said: “It is a new foreign drug recommended by the doctor. I have been taking it for two months. When I took it in the first month, the effect was very good. I bought another bottle. In the second month, the effect was not so good. The doctor Said it was drug resistant.”
“I don’t understand what is drug resistant or not. I’ll take it to someone tomorrow to see if it’s the real drug? Don’t let the doctor take money from drug dealers and lie to you with fake drugs!”