"No." The patient refused.
What is the intention of the patient who insists that he cannot do it?
“I’m not having surgery.”
The moment these words landed in the ward, it was undoubtedly a heavy blow, like a bang.
Director Fang wanted to sit on the ground on the spot.
The patient's children all looked pale, as if they were almost dying together.
No surgery? The patient must have surgery in this situation. Is this the patient who chose death himself?
The doctors had serious expressions and frowned.
Boss Zhang, who is known for his sharp tongue, is silent.
...
...
This situation is actually not uncommon in clinical practice.
Not every patient will choose surgery. Sometimes it is not because of the medical expenses, but because of other concerns. Problems that can be solved with money are never big problems. The most difficult problems are those that cannot be solved with money. Rich people should not think that money can solve all problems.
Why do patients refuse to undergo surgery? Do they really want to commit suicide?
Definitely not. Who doesn’t want to live if they can? There must be something that forces you to not want to live anymore.
Like the patient in front of me, he is lying on the hospital bed, breathing with difficulty and speaking with wheezing, his face is thin, he has been malnourished for a long time, he has been suffering from the disease for many years, he is almost destroyed mentally by the disease, and his eyes have long been dim.
It is conceivable that the patient thought that it would be better to die than to undergo another major surgery.
"You don't have to be too pessimistic." Director Fang cheered himself up and comforted his old friend, "Small incision surgery is also minimally invasive surgery."
"You don't have to lie to me," the patient said.
This patient is knowledgeable and educated. He has sought medical advice many times and obtained sufficient medical information from various channels. He not only heard from doctors but also from fellow patients and witnessed clinical cases. It is really not something that doctors can fool with just a few words. No wonder Director Fang said from the beginning that this old friend was "stubborn" and needed a specialist to do the work himself.
The so-called small incision surgery requires at least a six-centimeter incision on the left chest. Small incision surgery for four lesions also requires splitting the lower part of the sternum, otherwise the doctor's hand cannot reach the right coronary artery to perform surgery on the right coronary artery.
"He usually has pain in his ribs and sternum from coughing for a long time, so he has concerns about this." Xie Wanying said.
One of the characteristics of COPD patients is long-term coughing, which causes the ribs and sternum to be affected and suffer from aseptic inflammation. As long as the cause of COPD is not eliminated, such inflammation is difficult to cure. If the sternum is operated on again, the patient can imagine that the pain after the operation is likely to be so severe that it is worse than death.
Some patients can tolerate it. Some patients can no longer tolerate it. Each patient has a different threshold for pain.
"Is that so, Dad?" the patient's children asked their father.
The patient, Mr. Li, had his eyes fixed on the face of the female doctor in front of him. For a moment, a faint light flashed in the patient's eyes, as if he was about to cry.
It is not easy for patients to find a doctor who can understand their pain.
If he just said he didn't want the surgery, many doctors and ordinary people would think that he was a pretentious and willful patient.
Seeing this, a bunch of bigwigs exchanged glances: Dr. Xie, who was stubborn, saw what was in the patient's heart and said it directly. It must be said that doctors should use technology to solve such problems, rather than blindly accusing patients of having personality problems.
The essence of medical treatment is not only to cure the patient's disease but also to meet the patient's physical and mental health needs and to relieve the patient's pain.
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