Xu Qiu did not notice these details and continued: "What should I do for subsequent treatment?"

There are two common methods for this type of nearly terminally ill patient.

1. Palliative care.

Also known as hospice care.

That is, in the last stage of life, improve the quality of life of patients as much as possible, so that they can leave with dignity, comfort and peace.

This is a common plan in cadre wards.

After all, the patient lying in the ICU can receive free medical treatment as long as he is still breathing and has not died of medical treatment, and his family can also receive an extra pension.

The second type is more common in ordinary families.

To put it simply, it is to prescribe some medicine and take the patient home to raise it. Whether it is dead or alive, good or bad, it depends on those few tablets of medicine.

If Fanfu's country is not good, then you can only choose the second method.

However, judging from the children outside the conference room before, each of them was dressed very expensively, and the ones wearing watches were still Rolex, so there should be no big problems with money.

The key is that except for the youngest daughter, no one else seems to be willing to spend more money.

However, this is a problem left to the family.

As a doctor, Xu Qiu has done everything he can to be kind and righteous. As for the decision-making power after diagnosis, it is time to return it to his family.

"After the treatment effect fades in a few days, the measles virus test will be positive, and the final diagnosis will be made."

Although subacute sclerosis whole encephalitis is about to emerge, Xu Qiu still needs to use absolute evidence to speak.

...

A few days later, serum and cerebrospinal fluid were examined, and a very high titer of measles virus igg antibody was found.

At this point, Fan Fuguo's diagnosis has been settled.

The moment the result came out, the doctors in Linhai First Hospital felt sorry.

It took so long and such a turbulent course of illness, but it still couldn't be saved in the end...

However, it is more shocking.

Fan Fuguo did have measles, and he was twelve years old, just two years before the popularization of the measles vaccine. Now he is seventy-two years old.

Who would have thought that the measles virus had been hidden in his body for sixty years and it was not until today.

No doctor can trace the past medical history of this span.

If it weren't for Xu Qiu, he would not have reminded that the measles virus had been temporarily covered up by previous treatment measures, and perhaps the culprit would not be found until the patient died.

At Linhai International Friendship Hospital, Director Huo did not scold Xiao Liu this time.

Anyone who comes with this kind of case will be confused!

"I said at that time that this doesn't look like Ke Ya's disease. Later, I reminded Dr. Xu about the time and gave a red pen to mark the key points, and then I found the clue!"

In the early handover class of the Department of the Seminary of Guoyou Hospital, Director Huo narrated it casually.

The little doctors and nurses on the field were full of stars.

He is worthy of being Director Huo!

No wonder Dr. Xu invited me to have a consultation!

Xiao Liu sat silently in the corner.

The red pen is indeed given, and the key point is indeed marked.

But, it was Dr. Xu who told everyone the key points of diagnosis, why did it sound like you reminded Dr. Xu and helped Dr. Xu mark the key points?

Is this the director? That's how it is used to tell the truth?

On this day, Xiao Liu realized the first core skill of becoming a leader.

...

After Xu Qiu explained the diagnosis and subacute sclerosis pneumatic encephalitis to the patient and his family, the family members were silent.

They were mentally prepared and knew that it was very likely that this incurable disease, but when they heard it with their own ears, they felt completely different.

"Can heal his eyes?" asked the eldest son.

Invisible or hearing is a great torture for a terminally ill patient.

Not to mention how to deal with it later, at least, he hopes that his father can see the younger generations under his knees before his death, so that he will not die in a fearless and fearless world.

"Visual impairment is mainly progressive choroidal retinitis, which can be used for drug intervention and should be able to restore some of the vision.

However, the cause of the disease cannot be solved, and as the disease progresses in the later stage, the vision abnormality cannot be cured."

Xu Qiu shook his head.

Choroidal retinitis is actually a common eye disease. It can basically recover as normal by combining corticosteroids, immunosuppressants, and non-hormonal anti-inflammatory drugs.

However, Fan Fuguo's situation is more complicated, and the cause is not cured, and the visual impairment will only become worse and worse.

"Is there any other way... I can't imagine how my dad survived these days. He can't see or hear, except that he can move, what's the difference between it and a vegetative person!" The youngest daughter shouted in a crying voice.

Xu Qiu: "If you have the conditions, buy a hearing aid."

The family members remained silent again.

"You decide whether to be discharged from the hospital, whether to take it to the hospice or take it home."

Xu Qiu didn't want to get involved in family matters, so he didn't stay much after explaining his illness, so he turned around and went into the operating room.

The next day, he did not wait for his family to check in for discharge certificate.

When I asked, I found out that my family actually chose to stay in Linhai First Hospital!

This surprised Xu Qiu a little.

So Fan Fuguo conducted a detailed physical examination and formulated a symptomatic treatment plan based on his personal situation.

For terminal illnesses, even the Union Hospital and West China are actually not much different from county hospitals and community hospitals.

The treatment plan in the clinical guidelines is clearly written and the doctor just needs to use it accordingly, and there is no big difference.

It is nothing more than that doctors in good hospitals can more accurately grasp the severity of the disease, treatment timing, personal constitution, etc., and make more detailed and personalized treatments.

However, this advantage actually cannot help patients live much more time.

In contrast, hospitals that specialize in hospice care are better choices.

For terminally ill patients, the psychological healing and comfort of hospice hospitals is more important than the comprehensive tertiary and specialized hospitals for the treatment of the condition.

...

During the rounds a few days later, Xu Qiu focused on several patients.

Luo Siling in the ward and bed No. 31 in the general ward.

The two performed similar operations. The former used mature Maikewei artificial blood vessels, while the latter was Linhai small blood vessels.

After four or five days, Luo Siling was still lying on the bed, looking in pain and feeling uncomfortable.

Bed 31 has already started walking down the ground, holding the railings beside the wall for basic rehabilitation training.

All indicators are also better at 31 beds.

The other is Fan Guofu.

Not seen for a few days, a pair of hearing aids were added to the patient's ears.

After oral antiepileptic drug valproic acid, intraventricular injection of α-interferon, and antiviral treatment with isopropyl inosine and triazole nucleoside, Fan Fuguo's face has improved a lot with his naked eyes and his mental state is also in progress.

recover.

But this does not mean that the condition will improve.

It was just because he could finally sense everything around him through his ears and sensed that he was still alive clearly, thus bursting out stronger vitality.

This treatment can only maintain the third phase of the disease course.

When the whole brain is involved, the drug treatment is no longer effective, so I can only watch him enter the vegetative stage.

Of course, based on the current situation, it is estimated that Fan Fuguo will be conservatively still about one year before he becomes a vegetative person.

If there are new research progress internationally or special drugs can be developed during this period, there may be some help.

After another three or four days, Fan Fuguo's condition gradually stabilized, he finally completed the discharge procedures and was sent to the hospice hospital by his family.

However, the family eventually followed the treatment plan given by Xu Qiu. After each course of treatment, they would take the patient to ask Xu Qiu to start the next stage of the plan.

This trust moved Joseph, Director Shen and others.

Although the patient was unable to recover, the respect of the family was the best reward for Xu Qiu's diagnosis.
Chapter completed!