This doctor is very stable

Chapter 491 Anti-cancer Obstetrics and Gynecology [Add more, ask for subscription, monthly pass. 】

Lin Ran patiently finished percussion and palpation, followed by auscultation, heart and lung, and stomach.

After completing the physical examination and adding the system's assistant prompts, Lin Ran already had a clear understanding of the patient's condition.

He didn't say much, took out a water-based pen from his breast pocket, turned around and took the medical record card from Fang Junhui.

The condition of the patient is still not optimistic. At present, the cancer lesion has metastasized to the spleen.

The spleen is the main organ for storing, filtering and blood in the human body, and it is also the largest immune organ in the human body.

Spleen cancer can occur, which will further damage the patient's body immunity, and accelerate the spread of cancer cells through the blood.

Therefore, treatment is imminent, and interventional embolization surgery will not be arranged immediately, so it can only be treated and controlled with drugs.

Anticancer drugs generally include chemotherapy drugs, targeted drugs, biological drugs, traditional Chinese medicine, etc., which are used to treat cancer or cancer-related symptoms.

Chemotherapy drugs include cytotoxic drugs, anti-metabolite drugs, antibiotics, alkaloids, hormones, platinum, anthracyclines, etc...

Targeted drugs are also classified: epidermal growth factor receptor tyrosinase inhibitors, such as gefitinib, erlotinib, osimertinib...

The characteristic of targeted drugs is that they can accurately reach the tumor site, precisely kill tumor cells, cause less damage to normal tissues, and have lower drug resistance.

Other anticancer drugs also have their own characteristics.

Biological agents can regulate the body's defense mechanism, thereby enhancing the body's inhibitory and killing effect on tumor cells, to achieve the purpose of inhibiting the growth of tumor cells, such as immune drugs PD-1 inhibitors.

like antivascular drugs.

Cells need energy and oxygen in the process of growth and reproduction, and tumor cells are no exception. During the growth process, tumor cells will produce vascular epidermal growth factor, thereby establishing new blood vessels and providing nutrients for tumor cells. Therefore, anti-vascular drugs can inhibit vascular endothelial Starting from the aspect of factors, it plays an anti-tumor effect, such as bevacizumab, anlotinib hydrochloride, apatinib...

like antimetabolites.

Anti-metabolite drugs mainly affect the normal biochemical reaction efficiency between enzymes and metabolites, or block the delivery channel of a certain substance, such as pemetrexed, aprilite, methotrexate, etc...

like antibiotics,
It mainly inhibits the proliferation or metabolism of cancer cells, thus playing an anti-tumor effect, such as actinomycin D.

Chemical drugs are generally used after surgery, or when they are useless.

As an attending doctor, you need to consider the patient's physical condition, how far the disease has progressed, what medicine can be used, how much medicine should be used, how often it should be used, what kind of effect it needs to play...etc. considering.

So there is no real material and no level, even if you go up to be the attending doctor of the patient, you dare not go up!

The matter of medication cannot be sloppy at all, and more use may cause adverse reactions in patients.

If the wrong medicine is used, let alone, in severe cases, the patient will die on the spot after using the medicine.

Targeted drugs combined with vascular drugs and antibiotic drugs...

There are also certain guidelines for anticancer drugs used by cancer patients.

Generally, the maximum dose that the body can tolerate is used, and it is used intermittently, especially for those with an earlier stage of disease and better health.

While ensuring that the drug can kill enough tumor cells, intermittent drug use is also conducive to the repair of normal tissues such as the hematopoietic system, and is also conducive to improving the body's anti-tumor ability and reducing drug resistance.

Considering the patient's physical tolerance and the interventional surgery plan, Lin Ran used the dosage carefully, trying not to seriously damage the patient's immune system, but at the same time strive to kill enough cancer cells to inhibit the spread of the cancer. Target.

The characters written by Lin Ran on the medical record card are in the doctor's unique flying cursive script.

It is necessary to ensure that patients cannot understand, but also that doctors and nurses can understand!
Looking at Lin Ran's writing, the patient lying on the hospital bed still didn't forget to ask, "Doctor Lin, remember to take more painkillers!"

Lin Ran nodded with a smile. In fact, the process of using anti-cancer drugs would be more painful, so Lin Ran naturally added the painkillers used together.

Walking out of the ward, Lin Ran seemed to have something on his mind.

"Doctor Li, remember to enter the medicine I prescribed into the nurse's medication system later, and remember to ask the doctor in charge of the bed to pay special attention to this patient's drug reaction, and report to me as soon as possible..."

……

After checking the extrahepatic wards, Lin Ran led the team to the Pediatrics Department.

They also have a young patient in the pediatrics department!

Neonates, especially small patients.

Surgery at noon today, check the room in the morning and feel at ease!
Come to the pediatric neonatal intensive care unit area.

Lin Ran and the others met the baby's parents, as well as a few elderly people, probably the baby's grandparents.

Lin Ran and the others came to the neonatal intensive care unit area of ​​the Pediatric Department, and the parents of the child hurriedly introduced the patient to the grandparents of the patient!
"This young doctor is our baby's attending doctor, Lin Ran! The rest are all students led by Dr. Lin!"

"Oh, Dr. Lin Ranlin, young and promising!"

The grandfather of the patient looked at Lin Ran's appearance and said.

Isn't it young and promising!

Lin Ran was able to lead so many students in the hospital at such a young age, and his students were older than Lin Ran.

They came from the countryside. Although they don't understand the things in the hospital, they also understand the principle that there is no priority in learning, and the master is the teacher.

The patient's grandma and grandma nodded towards Lin Ran and the others, and said earnestly, "Doctor Lin, I will leave my child to you. This child is also suffering. From our point of view, this child... well, forget it." , Dr. Lin, please."

Lin Ran nodded. In fact, no one can deprive a child of his life!

But the truth is often harsher.

Abandoned...

Perhaps this is one of the reasons why the country advocates eugenics and postnatal care.

Children like those diagnosed with congenital heart disease are more pitiful than children with congenital biliary atresia.

Fortunately, there are more and more complete examinations for the babies in the womb of expectant mothers in hospitals.

I hope there will be fewer and fewer children in the future...

Lin Ran led Wang Yihu to wash and disinfect his hands in the disinfection room next to the neonatal intensive care unit, put on clean clothes, and walked into the neonatal intensive care unit.

……

On the other side, the obstetrics and gynecology surgery area.

"Have the director and emergency personnel come yet?"

In the caesarean section operating room, He Yuejia, the deputy head of the obstetrics and gynecology department, looked at the patient's life monitor in front of the operating table, and shouted anxiously at the rapidly falling blood pressure index.

As soon as her words fell, the department director of the obstetrics and gynecology department and director Qin Da of the emergency department stepped on the door of the operating room and walked in quickly, "What's the situation?"

"Heavy bleeding during the operation!"

Ps: Subscription and monthly pass are the motivation for updating!Brother, give me some strength, I can't do it, I guess everyone who can see here is a true fan!If you don’t give me the monthly pass, who else can you give it to?

(End of this chapter)