Chapter 192: Imported Drugs and Domestic Imitation Drugs, Ruthless Husband
For ordinary people, the most feared thing is cancer.
Because cancer represents death and terminal illness in many people's minds.
"This is a chronic intestinal inflammatory disease, not cancer. Although some people call it green cancer, it is far less terrible than cancer. However, with the current medical level, this disease requires lifelong medication and there is no way to completely cure it for the time being."
Director Jia explained to her.
After hearing this, the girl turned pale and looked a little sad.
This result was slightly better than she expected, but the words "green cancer" still brought her considerable psychological pressure.
Especially hearing that this disease cannot be cured and requires lifelong medication is a bolt from the blue for anyone.
"Mr. Jia, please prescribe some medicine for me! I thought it was cancer. This diagnosis result is much better than I expected." No matter how you look at it, it seems that she is forcing a smile.
Master Jia did not rush to prescribe medicine for her, but continued to analyze her condition.
"Your disease is now in the acute stage, with water, electrolyte, and acid-base imbalances. But there is no intestinal perforation for the time being, which is something to be thankful for. Be especially careful about transmural inflammatory lesions. It can penetrate the entire layer of the intestinal wall to the extraintestinal tissue or organs, forming a fistula. If you feel seriously unwell, be sure to come to the hospital for a follow-up examination in time."
After the disease forms an internal fistula, it will lead to other intestinal segments, mesentery, bladder, ureter, peritoneum in a certain part, etc.
If an external fistula is formed, it will lead to the abdominal wall or the skin around the anus.
When the disease progresses to this stage, the cost of treatment and the patient's suffering will increase greatly.
Therefore, once you discover any disease, you must overcome your fear and receive correct treatment in a timely manner.
Can't delay.
Every time you delay, you make the disease worse.
For example, in chronic kidney disease, if urine protein increases abnormally, it is best to treat it immediately. The treatment effect will be more ideal at this time.
If the disease is delayed until the late stage, the kidneys will atrophy and there will be no other options except kidney transplantation or dialysis. Kidney damage is usually irreversible.
Some people's uremia is completely caused by being dragged out.
"Let me tell you about the treatment plan. We haven't found any serious symptoms such as intestinal perforation, abscess, intestinal obstruction, or intestinal fistula. So you don't need surgery for the time being, just take the medicine directly. We have some domestically produced drugs to treat this disease, but the research level and production technology of Western medicine abroad are much better than those in our country. At present, our country only produces generic drugs. If conditions permit, it is recommended that you take imported drugs."
When Director Jia said these words, he basically thought over them again and again.
Maybe it’s because she is a little girl, so young. If she gets delayed because the medicine she takes is not effective, wouldn’t that be a pity?
"Of course, if your financial situation is not very good, you can also try domestic generic drugs first."
Director Jia also knew that the girl was helpless and so young, and her financial conditions were probably very limited.
It’s just that a doctor is like a loving parent.
Doctors always want to recommend the best treatment options to patients.
Many people only know that India’s generic drugs are very famous, but in fact our country’s pharmaceutical level is not bad.
It’s just that some medicines are not copied because they are protected by intellectual property rights and patents.
However, it must be admitted that there is still a big gap between our country and developed countries in terms of medical equipment, consumables, and Western medicine.
Take consumable materials, for example, artificial blood vessels. After being inserted into the human body, domestic ones have serious calcification and degradation phenomena, and the patency rate is not as good as that of foreign ones. There are also significant differences in service life and some subtle aspects.
So, the gap is still quite large.
Even many surgeons will give priority to using imported key consumables and drugs during operations, especially for critically ill patients.
"I came all the way from another province to see you because I trust you. Since you strongly recommend that I use imported drugs, I will definitely give priority to using imported drugs. If it is beyond my financial ability, then there is nothing I can do."
She is quite straightforward.
"Imported drugs can last for about two months after one use, and the cost is 15,000 yuan per use. Do you think you can afford it?"
Seven thousand five hundred yuan a month is a pretty heavy financial burden.
After Director Jia finished speaking, he waited quietly for the girl to make her own decision.
"What about domestic medicine treatment? How much does it cost per session?"
When the girl heard the high cost of treatment, it was obviously much higher than her psychological price.
"It's about 5,000 yuan per treatment. The price of this treatment will fluctuate and is not necessarily fixed. If you use domestic drugs, you may worry about complications or the progression of the disease being out of control, which would be troublesome."
Director Jia gave some guidance.
Doctors cannot directly decide which treatment method the patient chooses.
Usually the pros and cons are clearly stated, allowing the patient to make their own choice.
We often encounter patients who come to seek medical treatment. When they hear that they need to be hospitalized for surgery, or have a fistula created in their body, or that the treatment drugs can only control or delay the disease, they will actively choose to give up treatment.
Or after leaving, you can seek out a Chinese medicine practitioner or use some folk remedies to treat yourself.
"I'd rather use imported medicine! As long as my health doesn't break down, if the salary at work is really not enough, I can go out to set up a stall after get off work, or do a part-time job. I just hope that the medical level can be more advanced, and that a drug that can completely cure this disease can be developed."
She finally chose to use imported medicine.
Director Jia gave her a prescription and related medical instructions.
She took the bill and left.
There are many patients who have the same hope as this girl, hoping that a drug that can completely cure the disease can be developed as soon as possible.
After sending her away, Director Jia went on to see another patient.
"Director Jia, please help me take a look. This is a gastroscopy I did at the local county people's hospital."
The patient was a woman in her forties, accompanied by her husband.
Both of them had tanned skin, were dressed in ordinary clothes, and had rough hands with thick calluses vaguely visible.
This is a peasant couple.
After secretly observing from the side, Zhou Can made a judgment on the identities of the two people.
"Ouch, there's a depression in the stomach!"
As soon as Director Jia saw the gastroscopy film, he sighed.
It was like someone cut him with a knife and he cried out in pain.
A doctor is like a parent.
Sometimes, when doctors see that some patients are suffering from serious diseases, they usually sigh like this.
"Doctor, is my wife's illness serious? She just has some heartburn and bloating recently, nothing else! Besides, my husband and I are both farmers, we are very healthy, and we have never even caught a cold."
the man asked nervously.
"The results of this gastroscopy are not good. The problem may be serious."
Director Jia shook his head and sighed.
“When did the heartburn and bloating start?”
"About two or three months ago! Sometimes I was very hungry, but I felt full after just two bites of food. Occasionally, I would feel bloated and painful in my stomach." The woman described the symptoms.
…
After some questioning and physical examination, Director Jia looked up at Zhou Can next to him.
"Zhou Can, can you see anything? "
"Based on the gastroscopy results and her description of symptoms, it looks like early-stage gastric cancer. If the pathology test confirms it, it should still be in time for surgery."
Zhou Can discovered that there is actually a lot of overlap between gastrointestinal surgery and general surgery.
As Tuya Hospital continues to expand, its departments are becoming more and more specialized.
In the past, there was no specialized digestive surgery.
Almost all surgical diseases are treated by general surgery.
The Department of Digestive Surgery was established only in recent years and is mainly responsible for diagnosing surgical diseases of the gastrointestinal tract.
As the department needs to be built, it may be subdivided again to build a hepatobiliary surgery department.
To put it bluntly, if a hospital wants to build a department, in addition to applying to and obtaining approval from the higher-level health and family planning bureau, the most important thing is to have a famous doctor in this field to take the lead.
Take Director Jia for example. He had already retired, but the hospital rehired him like a treasure.
If for no other reason, it is because he can hold up half of the field of gastroenterology.
Tuya Hospital is not short of general doctors, but competent doctors in professional fields are very scarce.
This is also the case after Zhou Can showed his high talent. Even though he only has a bachelor's degree, the hospital's training efforts for him have far exceeded those of ordinary masters and doctors.
Once those people are trained, there is hope that they will become the backbone of each department.
A super genius like Zhou Can may become the boss of the department.
Since ancient times, there has been a saying that it is easy to get thousands of soldiers but difficult to get a good general.
Zhou Can is a talented general. How can the hospital not make great efforts to train him?
"You also said it was stomach cancer? After looking at the test results, the doctor at the local People's Hospital also said it might be a malignant stomach disease and asked us to do a pathological biopsy. We were afraid that the small hospital's technology was not good enough, so we rushed to Tuya Hospital."
A woman's mouth can never keep secrets.
Everything leaks out.
"I also suggest that you do a biopsy. If confirmed, you should be hospitalized for surgery immediately. This disease cannot be delayed. If it metastasizes, it will be difficult to treat."
Director Jia was very serious when he said these words.
In his many years of practicing medicine, he may have seen many patients lose the opportunity for surgery due to delays.
"How much does it cost to treat this disease? If it's too expensive, I won't treat it. My son hasn't gotten married yet, and I'm old enough anyway. There's no need for me to be a burden to my family."
The female patient looked to be in her forties. In this modern society where the average life expectancy is over eighty, people in their forties are in the prime of life.
It's hard to imagine that she would have such thoughts.
After a woman marries into her husband's family, she not only has to do laundry, cooking, cleaning, and all kinds of housework, but also has to work in the fields with her husband. She also has to give birth to children for her husband's family.
Now that she is seriously ill, the first thing she thinks of is that she will spend all her money and her son will not be able to find a wife.
Zhou Can sincerely feels that being a woman has a very difficult life.
He looked at the female patient's husband, only to see that man hesitate for a moment before saying to his wife, "Afen, let's hear what the doctor has to say first."
My goodness, this man is so heartless and selfish.
The meaning is obvious. If the medical expenses are not too high, he will choose to treat his wife. If the medical expenses are expensive, he will probably just prepare for her funeral.
This is true human nature.
"It's hard to say what the cost of treatment is right now. If it's low, maybe more than 20,000 yuan will be enough. Even if it's more, because it was discovered early, it shouldn't exceed 100,000 yuan."
Director Jia is an experienced man, so how could he not hear the hidden meaning in the man's words?
So, he said as little as possible.
When the time comes for the surgery, no matter how unwilling the man is, he has no choice but to pay for it.
In fact, doctors often try their best to uphold fairness and justice in ways that are within their capabilities.
"We can come up with 20,000 yuan!"
When the woman heard that it only cost 20,000 yuan, she immediately showed a joyful expression as if she had been reborn.
"Honey, do you think it's okay?"
The financial power of the family may be in the hands of the man.
She sought her husband's advice.
"Twenty thousand is not a small amount, it's almost the price of two cows! Doctor, can't it be less?"
The man actually treated this place as a vegetable market and bargained with the doctor.
Director Jia and others were at a loss whether to laugh or cry.
"The specific cost of treatment is what it is. Each item has a charging standard, which is not set by us. Instead, it is determined by the higher-level competent department. And since you have purchased the New Rural Cooperative Medical Scheme, it should be reimbursed for a lot of money."
Qiuhong is a woman after all, so in this situation, she stood on the side of the female patient and tried her best to make the man agree to treat his wife.
"Hubby, when I recover from my illness, I will definitely help with housework and try to earn back the money I spent."
The woman said nice things to the man.
As long as there is a glimmer of hope, who would be willing to give up their life easily?
Zhou Can felt very sympathetic towards this woman.
Married a man with no human touch.
"Okay, okay, I'll treat you! I don't know what happened to you, other people's wives are all fine, why did you get this disease!"
There was a complaint in the man's tone.
This also directly overturned the beautiful image of an honest old farmer in Zhou Can's mind.
Seeing that the man agreed, the woman smiled happily.
As for being slandered by men, she doesn't care.
Maybe I've gotten used to it.
In many remote rural areas, women have a very low status, and the stubborn feudal ideology of favoring boys over girls is still prevalent.
Even in some rural areas, if a woman fails to give birth to a boy after marriage, she will be abandoned by the man.
Director Jia wrote an application for a pathology examination for the woman, and the couple left.
"How can there be such a man? I get angry just watching him."
Qiuhong couldn't help cursing after the couple left.
"This is already considered good. I have seen even more heartless cases! There was a woman who also had cancer, and after the man heard about it, he just left without even looking back." Director Jia is knowledgeable and has seen all kinds of people.
"As long as they come back to me after the pathological examination , this woman will be saved. Otherwise, this female patient is in danger. So, you female comrades must be financially independent and never rely on anyone."
Director Jia's next words were to advise Qiuhong to learn from the lesson.
"I knew men were unreliable, so when I was studying, I tried my best to get into college. Later, when I started working, my family called and asked me to go back and get married, but I refused."
She must be almost thirty years old.
She is beautiful, but beauty fades with age. At this age, it is time to talk about marriage.
