Seeing that the little doctors were arguing louder and louder, many of them started to blush, and Chen Qi had to stop him.

"Okay, okay, everyone, stop arguing. To save or not to save, to treat or not to treat. Now none of you can convince the other, so let me ask you a few questions."

"Now that the diagnosis is clear, pancreatic fistula, do you know what pancreatic fistula is? What is the mortality rate? Wang Jiliang, please answer."

Wang Jiliang is not a surgeon, so his answer was a bit hesitant:

"Well, pancreatic fistula is a hole or gap formed after the pancreatic duct ruptures. Pancreatic juice flows out through non-physiological channels, causing the surrounding tissue to melt. The mortality rate, um, should be very high, right?"

Gao Haishi, a surgeon next to him, interrupted: "The mortality rate is over 90%."

"So high?" Wang Jiliang was obviously a little surprised.

"Yes, it is so high, and if you want to treat pancreatic fistula, you need at least 4 surgeries. This is assuming it goes well. During the surgery, you need a lot of medication and a lot of examinations. How much does it cost?"<

/p>

Chen Qi thought for a moment, this kind of pancreatic fistula surgery, plus ICU and surgery fees, etc., does not add up to 100,000 yuan, so you want to leave.

If it were a big dog hospital like Mayo, it could easily cost millions of dollars.

It's 1987 now, labor costs are cheap, but your medicines are expensive.

The drugs are all imported, as well as gaskets to plug intestinal gaps, artificial omentum and other medical equipment. What would you expect if you don’t have $100,000?

Even if you use all domestic drugs and transplant the omentum from yourself, the total cost will be at least tens of thousands of yuan.

In China in 1987, how many families could afford tens of thousands? It had only been a few years since the reform and opening up? We were just full, okay?

When Wang Jiliang heard that it cost at least this much money, he was immediately confused. He is a small attending physician and his monthly income is less than 100 yuan.

"Here, with so much money, everyone can think of something."

Chen Qi chuckled and laughed. Of course, he didn't mean to be sarcastic. Young people are always naive and have more ideals than reality.

"How do you think of a solution? I gave this old black man an operation for free, and I didn't get a penny, but medicines and surgical equipment always cost money, right? Let's not go into details, let's say 50,000 yuan, who will pay for it?

?Okay, let's do a fundraiser. Come on, Wang Jiliang, tell me how much money you are willing to give?"

Wang Jiliang's face turned red and he said firmly:

"I, I am willing to work for a month, and I will donate 82 yuan."

Chen Qi nodded:

"82 yuan is a huge sum of money. Well, even if everyone has the same level of consciousness, if 100 comrades in our Friendship Hospital each donate 82 yuan, that's only 8,200 yuan. The gap is still very huge. What do you think we should do? Don't count on the hospital.

Our hospital has no public accounts or treasury, so we have no money.

Well, even if I, Chen Qi, personally pay for it, fill up all the gaps, and use all the medicines, there is still a problem whether the operation of this old black man can be successful, and whether the infection and nutrition problems can be overcome is also a problem.<

/p>

We used moral kidnapping to force everyone to donate so much money. We gave all the precious medicines to the old man alone, leaving other patients with no cure and finally losing their last hope. Just to grab one

An old man from a primitive tribe.

Is it worth it?"

After Chen Qi finished speaking, he paused and looked at the young doctors with thoughtful expressions on their faces. He wanted to see how they chose?

Doctors are science students. What doctors need is enough reason and calmness. Hospitals do not need doctors who act impulsively in a hot-headed manner.

This is a cruel reality. To save or not to save, how to choose, this tests the wisdom of a doctor.

And the level of cruelty.

A doctor who is cold and heartless is not a good doctor.

But a doctor who spends too much money on cowardly patients, keeps spending money, and treats patients until they go bankrupt will also not be a good doctor.

Wang Jiliang thought for a long time and finally sighed.

I saw him take out two white-faced steamed buns and a bottle of mineral water from his backpack, walk over and put them next to the old black man.

"Old man, eat it. This is delicious food. Maybe this is your last meal in life. You should walk away with dignity."

"Walk decently!"

As soon as these words came out, Chen Qi knew that young Wang Jiliang had figured it out.

Chen Qi walked over and patted Wang Jiliang on the shoulder:

"When you're in love, let it go when it's time to let it go, and you have to break up with dignity. The same goes for treating and rescuing people. You have to consider the patient's prognosis, financial conditions, family wishes, etc. All of these require comprehensive consideration by our doctors.

If you are already terminally ill, then let go when it's time to let go and let the patient live a decent life. This is the best choice. Over-treatment, unrealistic treatment, and treatment that ruins the patient's family and separates them are not

The right choice for our doctors.”

Wang Jiliang was in a very depressed mood and returned with a wry smile:

"I understand, thank you, Dean Chen."

The old black man tremblingly picked up the white-faced steamed bun, took a bite, and then smiled with difficulty, then waved his hand and let his family members carry him away.

In fact, he knew his situation, his internal organs and intestines were exposed, and it was impossible for him to survive.

He was already satisfied that he could have a bite to eat before he died, and it was delicious food that he had never tasted in his life.
Chapter completed!