I really don't want to be a doctor

Chapter 188 Don't Be Too Kind to Patients

"How is she doing now?"

Although Jing Xiaoran had already learned about Beibei's condition from Lin Yitian, the information he got from the family members was not necessarily accurate, and often had a distinctly personal color.

"For patients with acute lymphoblastic leukemia, the cure rate is generally quite high for such a young patient, but her type is relatively poor. Our director suggested that hematopoietic stem cell transplantation be done directly, so that it can be done once and for all."

Zhang Hang directly told Jing Xiaoran about Lin Beibei's condition. He subconsciously felt that Jing Xiaoran should know about it, so he didn't hide anything.

Jing Xiaoran nodded, hematopoietic stem cell transplantation is indeed a radical cure.

Although there are many advanced drugs to treat leukemia patients at the genetic level, allogeneic hematopoietic stem cell transplantation is still the only cure for this disease.

Stem cells, translated from the English word "Stem cells".

"Stem", English for "dry", has the meaning of "trunk" and "origin". Just like a tree trunk can grow branches, leaves, flowering and fruiting, etc., stem cells also have strong long-term self-renewal and Multiple differentiation potentials.

Hematopoietic stem cell transplantation is a process in which patients first receive ultra-high doses of radiotherapy or chemotherapy (usually lethal doses of radiotherapy and chemotherapy), sometimes combined with other immunosuppressive drugs, to eliminate tumor cells and abnormal clone cells in the body, and then reinfuse them from themselves or others Hematopoietic stem cells, a therapeutic means to rebuild normal hematopoietic and immune function.

"Is your department's technology for hematopoietic stem cell transplantation mature?"

Jing Xiaoran thought for a while and asked.

Hematopoietic stem cell transplantation, this is a technical item that determines the upper limit of a hematology department.

Although it is not very good to ask directly like this, but it is related to Lin Beibei's subsequent treatment, Jing Xiaoran still thinks it is better to ask in person.

Zhang Hang pondered: "Well, you can rest assured. Although our department is not the most famous hematology department in China, it is still ranked among the best in the country. We do many hematopoietic stem cell transplants every year, and the success rate is very high."

The Hematology Department of Fancheng Central Hospital, under the leadership of director Sun Chenghai, ranks among the top ten specialized hospitals in China every year.After all, Fancheng is not a first-tier city, and it is already extremely difficult to rank among the top ten hospitals in China.

The hematology department of Fancheng Central Hospital has also become one of the best departments in the entire hospital.

Although Jing Xiaoran worked in the emergency department of Fancheng Central Hospital in his previous life, that was seven or eight years later, and he is not very familiar with the current city hospital.

"How much is the cost of the whole hematopoietic stem cell transplant?"

Jing Xiaoran continued to ask.

Zhang Hang pouted angrily at the billboard opposite the nurse's station, and said, "Then there was an introduction earlier, the cost of allogeneic transplantation and autologous transplantation is different, you can go and have a look."

During autologous hematopoietic stem cell transplantation, the hematopoietic stem cells are derived from itself, so graft rejection and graft-versus-host disease will not occur, there are few transplant complications, and there is no restriction on the source of donors, but because of the lack of graft-versus-tumor effect and the possibility of Mixed with residual tumor cells, so the recurrence rate is high.

During allogeneic hematopoietic stem cell transplantation, the hematopoietic stem cells come from normal donors without tumor cell contamination, and the graft has immune anti-tumor effects, so the recurrence rate is low, and the long-term disease-free survival rate (also known as the cure rate) is high. The syndrome is extensive, but the source of donors is limited, graft-versus-host disease is prone to occur, and there are many complications of transplantation.

"At present, we still recommend the use of allogeneic hematopoietic stem cell transplantation, because the recurrence rate is relatively low, but some immunosuppressants need to be used for a long time." Zhang Hangdao.

"Well, I see." Jing Xiaoran almost learned all about Lin Beibei's condition from Zhang Hang, "I'm really sorry, please accompany me to talk for so long."

Zhang Hang shook his head and said with a smile, "It's okay, I've already checked the ward, so there's nothing else to do next."

The two were chatting in the corner at the end of the corridor, like a pair of good friends who hadn't seen each other for a long time.

"Oh, that's right." Zhang Hang said suddenly, "Then when will you come to rotate the hematology department?"

Jing Xiaoran took out his mobile phone, punched in the folder, and glanced at the debate list.

"What a coincidence, I will be discharged from the emergency department next month, and the next department will be the hematology department."

"That's great!" Zhang Hang's face was a little excited, "You must come to our group when the time comes!"

If there is a student like Jing Xiaoran in a group, it will definitely be more effective if you do something!
"Well, but when the time comes, Hai has to see how the tutor will arrange it." Jing Xiaoran smiled, "How are you doing in the blood department?"

Most of the hematology departments are female doctors, and most of the boys who choose to study internal medicine may be concentrated in the two departments of cardiology and neurology.

Few boys choose hematology directly.

"Oh, it's really hard to describe."

Zhang Hang spoke suddenly.

"What's wrong with you?" Jing Xiaoran asked with some doubts, "Is Corey busy? I see something wrong with your expression..."

Zhang Hang shook his head: "It's not a matter of workload, the workload of the hematology department is not heavy, but the working environment makes me a little tired."

"Working environment?" Jing Xiaoran looked at Zhang Hang in surprise.

This kid hasn't been in the hospital for two years, how could he wipe out his original "passion" so quickly.

"You also know that most of the diseases in our hematology department have a poor prognosis." Zhang Hangdao, "Facing this environment every year, seeing so many patients become cold corpses, I feel very complicated. I don't know How should it be described."

"And there are still many patients who are obviously getting better or even cured, but some family members give up!"

"There are also some patients who know that they have leukemia, and even commit suicide, jump off a building, cut their wrists..."

When Jing Xiaoran heard this, he chuckled lightly, and the corner of his mouth curled up in a small arc.

"Dr. Zhang, didn't the teacher say a word to you when you were in the clinic?"

Zhang Hang didn't know why, looked at Jing Xiaoran and shook his head slightly.

"I remember an old doctor once said to me, don't be too nice to the patient, don't be too much to the patient."

Jing Xiaoran spoke very slowly, but every word fell into Zhang Hang's heart.

"Don't be too nice to patients?" Zhang Hang frowned, "But as a doctor, if we don't treat patients well, is there any point in our existence?"

Jing Xiaoran smiled: "You have misunderstood what I mean, what I mean is not to say that it is not good for the patient, but that you should not invest too much emotion in the patient."

Zhang Hang thought about this sentence, and fell silent for a while.

(End of this chapter)