I really don't want to be a doctor
Chapter 480
Chapter 480
Zhou Baolin was a little embarrassed for a moment, he turned his head and glanced at Ji Ying.
Ji Ying shook her head slightly at him.
Zhou Baolin understood.
"Well, uncle, the final result of this pathology report hasn't come out yet." Zhou Baolin paused and said, "When Dr. Cheng comes back from the outpatient clinic, the result should be out. I'll let him tell you."
"Thank you." Ke Zunyu didn't think much, just nodded in disappointment, and then left the doctor's office.
"Ji Ying, what should I do?"
After Ke Zunyu left, Zhou Baolin looked at Ji Ying.
"Let's wait for Teacher Cheng to come back. We won't tell the patient himself for the time being." Ji Ying thought for a while and said, "After all, we are just interns. If there is any entanglement, I'm afraid it won't be good."
"En." Zhou Baolin nodded, then looked down at the pathology report in his hand.
Melanoma, this is a malignant tumor.
For an ordinary Chinese family, their ability to bear the risk of disease is very poor, especially when encountering this kind of malignant tumor, it can almost bankrupt most families.
"Hey." Zhou Baolin sighed slightly in his heart. Even after staying in the clinic for a long time, it is difficult for him to treat illness and life and death with a normal heart.
Sometimes the hospital is like a ruthless judge, especially in the oncology department. When the word tumor is written in the pathology report, it will sentence a person for most of his life.
Fortunately, Dr. Cheng's visiting time today was relatively short. In less than an hour, Dr. Cheng returned from the outpatient clinic to the hospital ward.
"Mr. Cheng, the pathological results of the 25-bed patient are out."
As soon as Dr. Cheng returned to the ward, Zhou Baolin took out the pathology report.
"Melanoma?" Dr. Cheng frowned and pressed his glasses on his nose. "This is troublesome. Does the patient know the result?"
"Not yet." Zhou Baolin said, "I haven't told him yet."
"That's fine, I'll talk to him later." Dr. Cheng said, "This patient came to the hospital by himself, so I can only explain his illness to him."
……
"Tumor?" Ke Zunyu looked at the pathology report in front of him with trembling hands, "Isn't this just a mole? Why..."
Often the first signs and symptoms of melanoma are changes in the shape, size, color, or feel of existing moles; new pigmented spots or unusual growths on the skin.
"Doctor Cheng, is the disease serious?" Ke Zunyu looked up at Dr. Cheng with a hoarse voice.
"This is a malignant tumor, do you think it's serious?" Dr. Cheng said patiently.
"I..." Ke Zunyu was caught off guard by the sudden words.
Dr. Cheng continued: "Besides, it is currently considered to be stage IV. There is no chance of surgery, so we can only consider chemotherapy and radiotherapy."
Ke Zunyu didn't speak, just lowered his head, staring at the pathology report in front of him motionlessly.
"You have to think carefully about it yourself. The cost of the whole treatment should not be less than 20 yuan." Dr. Cheng said, "You'd better tell the family as soon as possible."
"Then...how long can you live without treatment?" Ke Zunyu whispered.
"This... we doctors don't estimate the survival time, but what I can tell you is that the 5-year relative survival rate of melanoma patients with localized non-metastasis (stage I~II) is about 98%, and regional metastases (stage III) About 64% of patients, about 23% of patients with distant metastases (stage IV)."
"That means my five-year survival rate is 23%?"
Dr. Cheng shook his head, "This is under the premise of treatment."
Ke Zunyu closed her eyes and said, "Thank you, Dr. Cheng. As for the treatment method, I will think about it."
"it is good."
After speaking, Dr. Cheng left the ward, followed by Zhou Baolin.
"Xiao Zhou, bed 25 is about to be discharged from the hospital. Let's run through his discharge medical records tomorrow."
Walking to the doctor's office, Doctor Cheng ordered.
"Ah? Mr. Cheng, didn't he say he needs to think about it?" Zhou Baolin asked puzzled.
"Hey, you still stayed in the clinic for too short a time." Dr. Cheng smiled, "He came to the hospital alone, and he was hesitant, and he almost gave up in the end. In fact, the most important point Yes, this patient is not financially well off."
Zhou Baolin was a little silent, he had indeed seen too little.
He still remembered the first time he saw a patient die in front of his eyes. A few minutes ago, he was still alive, and then he fell ill and died in a blink of an eye.
I have also seen patients who were declared cancer, or gave up treatment due to economic reasons, and were directly dragged home by their families.
But the patient in front of him, Ke Zunyu, is less than 40 years old, and there are still many possibilities in the future!
Reality is often so cruel.
However, amidst the cruel despair, there might be a turning point!
"Mr. Cheng, I remember that there are many clinical experiments in the department. Can't we recruit this patient as an experimental patient?" Zhou Baolin suddenly thought of Jing Xiaoran's recent clinical experiment.
"This...clinical experiment?" Dr. Cheng shook his head, "I know there are many clinical experiment project teams in the department, but I really haven't paid much attention to the specific experimental projects."
Zhou Baolin immediately said: "Mr. Cheng, I know that there is an ongoing clinical trial of immune checkpoint inhibitors. One of the indications for this drug is melanoma."
"Immune checkpoint inhibitors?"
Dr. Cheng asked suspiciously, "Hey, I know about this drug. Isn't AstraZeneca doing clinical trials? Why, they made it to Huaxia?"
"No, this domestically produced immune checkpoint inhibitor in our department." Zhou Baolin said.
Dr. Cheng was a little surprised: "Made in China? When did domestic pharmaceutical companies have such research and development capabilities? I really don't know!"
Regardless of the ordinary Chinese people, even these medical professionals have subconsciously acquiesced that foreign medicine far surpasses domestic medicine in China.
"It's called Shenzhou Biopharmaceutical Laboratory, and they produce immune checkpoint inhibitors." Zhou Baolin added.
"Oh, it's this pharmaceutical company. I have some impressions." Dr. Cheng nodded, "However, these clinical trials have very strict entry criteria. Whether he can pass or not is another matter."
"Don't worry, Teacher Cheng." Zhou Baolin said, "I know the person in charge of this project, and I can contact him directly."
"Okay, let's try." Dr. Cheng nodded, "But you need to seek the patient's opinion first."
"Ah."
……
Department of Oncology, Fancheng Central Hospital.
"Clinical experiment?" Ke Zunyu originally planned to give up. Instead of going bankrupt and failing to be cured in the end, it is better to just give up.
"Yes!" Zhou Baolin nodded, "Look at this..."
Zhou Baolin handed Ke Zunyu the "Immune Checkpoint Inhibitor" clinical trial brochure in the department.
(End of this chapter)
Zhou Baolin was a little embarrassed for a moment, he turned his head and glanced at Ji Ying.
Ji Ying shook her head slightly at him.
Zhou Baolin understood.
"Well, uncle, the final result of this pathology report hasn't come out yet." Zhou Baolin paused and said, "When Dr. Cheng comes back from the outpatient clinic, the result should be out. I'll let him tell you."
"Thank you." Ke Zunyu didn't think much, just nodded in disappointment, and then left the doctor's office.
"Ji Ying, what should I do?"
After Ke Zunyu left, Zhou Baolin looked at Ji Ying.
"Let's wait for Teacher Cheng to come back. We won't tell the patient himself for the time being." Ji Ying thought for a while and said, "After all, we are just interns. If there is any entanglement, I'm afraid it won't be good."
"En." Zhou Baolin nodded, then looked down at the pathology report in his hand.
Melanoma, this is a malignant tumor.
For an ordinary Chinese family, their ability to bear the risk of disease is very poor, especially when encountering this kind of malignant tumor, it can almost bankrupt most families.
"Hey." Zhou Baolin sighed slightly in his heart. Even after staying in the clinic for a long time, it is difficult for him to treat illness and life and death with a normal heart.
Sometimes the hospital is like a ruthless judge, especially in the oncology department. When the word tumor is written in the pathology report, it will sentence a person for most of his life.
Fortunately, Dr. Cheng's visiting time today was relatively short. In less than an hour, Dr. Cheng returned from the outpatient clinic to the hospital ward.
"Mr. Cheng, the pathological results of the 25-bed patient are out."
As soon as Dr. Cheng returned to the ward, Zhou Baolin took out the pathology report.
"Melanoma?" Dr. Cheng frowned and pressed his glasses on his nose. "This is troublesome. Does the patient know the result?"
"Not yet." Zhou Baolin said, "I haven't told him yet."
"That's fine, I'll talk to him later." Dr. Cheng said, "This patient came to the hospital by himself, so I can only explain his illness to him."
……
"Tumor?" Ke Zunyu looked at the pathology report in front of him with trembling hands, "Isn't this just a mole? Why..."
Often the first signs and symptoms of melanoma are changes in the shape, size, color, or feel of existing moles; new pigmented spots or unusual growths on the skin.
"Doctor Cheng, is the disease serious?" Ke Zunyu looked up at Dr. Cheng with a hoarse voice.
"This is a malignant tumor, do you think it's serious?" Dr. Cheng said patiently.
"I..." Ke Zunyu was caught off guard by the sudden words.
Dr. Cheng continued: "Besides, it is currently considered to be stage IV. There is no chance of surgery, so we can only consider chemotherapy and radiotherapy."
Ke Zunyu didn't speak, just lowered his head, staring at the pathology report in front of him motionlessly.
"You have to think carefully about it yourself. The cost of the whole treatment should not be less than 20 yuan." Dr. Cheng said, "You'd better tell the family as soon as possible."
"Then...how long can you live without treatment?" Ke Zunyu whispered.
"This... we doctors don't estimate the survival time, but what I can tell you is that the 5-year relative survival rate of melanoma patients with localized non-metastasis (stage I~II) is about 98%, and regional metastases (stage III) About 64% of patients, about 23% of patients with distant metastases (stage IV)."
"That means my five-year survival rate is 23%?"
Dr. Cheng shook his head, "This is under the premise of treatment."
Ke Zunyu closed her eyes and said, "Thank you, Dr. Cheng. As for the treatment method, I will think about it."
"it is good."
After speaking, Dr. Cheng left the ward, followed by Zhou Baolin.
"Xiao Zhou, bed 25 is about to be discharged from the hospital. Let's run through his discharge medical records tomorrow."
Walking to the doctor's office, Doctor Cheng ordered.
"Ah? Mr. Cheng, didn't he say he needs to think about it?" Zhou Baolin asked puzzled.
"Hey, you still stayed in the clinic for too short a time." Dr. Cheng smiled, "He came to the hospital alone, and he was hesitant, and he almost gave up in the end. In fact, the most important point Yes, this patient is not financially well off."
Zhou Baolin was a little silent, he had indeed seen too little.
He still remembered the first time he saw a patient die in front of his eyes. A few minutes ago, he was still alive, and then he fell ill and died in a blink of an eye.
I have also seen patients who were declared cancer, or gave up treatment due to economic reasons, and were directly dragged home by their families.
But the patient in front of him, Ke Zunyu, is less than 40 years old, and there are still many possibilities in the future!
Reality is often so cruel.
However, amidst the cruel despair, there might be a turning point!
"Mr. Cheng, I remember that there are many clinical experiments in the department. Can't we recruit this patient as an experimental patient?" Zhou Baolin suddenly thought of Jing Xiaoran's recent clinical experiment.
"This...clinical experiment?" Dr. Cheng shook his head, "I know there are many clinical experiment project teams in the department, but I really haven't paid much attention to the specific experimental projects."
Zhou Baolin immediately said: "Mr. Cheng, I know that there is an ongoing clinical trial of immune checkpoint inhibitors. One of the indications for this drug is melanoma."
"Immune checkpoint inhibitors?"
Dr. Cheng asked suspiciously, "Hey, I know about this drug. Isn't AstraZeneca doing clinical trials? Why, they made it to Huaxia?"
"No, this domestically produced immune checkpoint inhibitor in our department." Zhou Baolin said.
Dr. Cheng was a little surprised: "Made in China? When did domestic pharmaceutical companies have such research and development capabilities? I really don't know!"
Regardless of the ordinary Chinese people, even these medical professionals have subconsciously acquiesced that foreign medicine far surpasses domestic medicine in China.
"It's called Shenzhou Biopharmaceutical Laboratory, and they produce immune checkpoint inhibitors." Zhou Baolin added.
"Oh, it's this pharmaceutical company. I have some impressions." Dr. Cheng nodded, "However, these clinical trials have very strict entry criteria. Whether he can pass or not is another matter."
"Don't worry, Teacher Cheng." Zhou Baolin said, "I know the person in charge of this project, and I can contact him directly."
"Okay, let's try." Dr. Cheng nodded, "But you need to seek the patient's opinion first."
"Ah."
……
Department of Oncology, Fancheng Central Hospital.
"Clinical experiment?" Ke Zunyu originally planned to give up. Instead of going bankrupt and failing to be cured in the end, it is better to just give up.
"Yes!" Zhou Baolin nodded, "Look at this..."
Zhou Baolin handed Ke Zunyu the "Immune Checkpoint Inhibitor" clinical trial brochure in the department.
(End of this chapter)
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