36-year-old Stanford genius doctor suffering from lung cancer: leaving a legacy to reflect on American medical care
Paul Kalanithi, a well-known American neurosurgeon, winner of the American Academy of Neurosurgeons' highest award. After graduating from Yale University School of Medicine, Paul Karanish received a post of professor of surgery at Stanford Medical School and chaired his own research lab.
In 2013, he was diagnosed with stage 4 lung cancer at the age of 36. According to statistics, only 0.0012% of people worldwide suffer from lung cancer at the age of 36. Paul is one of them. After nearly two years of fighting the disease, in March 2015, Paul passed away.
As a doctor and a literary degree, Paul recorded his entire struggle against cancer before his death, and reflected on human nature, life and death, and American medical care . After his death, in 2016, "When Respiratory to Air" was published, became one of the most popular bestsellers of the year. Immediately on the top of the list of Amazon, the New York Times non-fiction bestseller list The first one, the English version sells 1 million copies. Recently, the grinding iron book launched the Chinese version of "When Breathing into the Air", and the news was authorized to sort out some of the chapters.
Paul Karanish.
I need an intravenous injection to prevent dehydration. So Lucy drove me to the emergency center and started the rehydration process. Vomiting turned into diarrhea. The resident doctor at the emergency department, Brand, and I had a friendly exchange for a while. I detailed my medical history and counted all the medications. Finally, we discussed the advances in molecular therapy, especially the Tarceva I am using. The immediate medical plan is simple: I have been intravenously kept to keep me from dehydrating until I am in a state of recovery and can drink water normally. That night, I was admitted to the hospital ward. But when the nurse was looking at my medication list, I noticed that there was no Tarceva above. I asked her to call the resident to correct the negligence. This kind of thing is also common. After all, I am eating more than a dozen drugs at the same time. It is very difficult to drip water at any time and anywhere.
After a long time at midnight, Brand appeared.
“I heard that you have questions about the medicine you use?†he asked.
"Yeah," I said. "I didn't open Tarceva. Do you mind, don't you mind?"
"I decided not to let you serve Tarceva again."
"Why?"
"Your liver enzymes are too high to eat any more."
I am a little confused. My liver enzymes have been high for months. If this is a problem, why didn't you discuss it before? Anyway, this is definitely a mistake.
"Emma, ​​my oncologist, your boss, I have seen these indicators. She wants me to continue eating."
If routine, the resident's decision to make treatment is not guided by the attending doctor. But now I have told him about Emma, ​​and he will definitely give in.
"But this may be the cause of your gastrointestinal problems."
I am even more confused. In general, if you repeat the orders of the attending doctor, you will not discuss it anymore. "I have been eating for a year, and there is no problem," I said. "Do you think the problem is caused by Tarceva suddenly, not chemotherapy?"
"possible."
My confusion has escalated into anger. This child, only graduated from medical school for two years, and my assistant resident is generally older, actually called me? Well, if he is right, it is another matter, but what he said now is unreasonable. "Hey, I didn't mention this afternoon. If I don't take the medicine, my bone metastasis will be very active, causing severe pain? I don't want to make a fuss. I used to have a broken bone before practicing boxing, but now I am hurt. It’s much more powerful than that. From one to ten, it’s very painful now. I’m very likely to be so painful that I can’t help but scream.â€
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