"Do you know what we're going to do after that?" At this point, Grigory asked.

"Antivenom injections?" The male student tried to ask.

"Is CroFab antivenom okay?" The schoolgirl even directly reported the name of the snake venom.

"CroFab certainly can, in fact I personally recommend you to patients with this latest product because I have a relationship with their manufacturer." Grigory smiled and nodded. "Of course, this treasure hadn't been developed at the time of the story, so we used an older serum, but of course, it was also an anti-pit viper venom multivalent serum, which was very effective against the two most common venomous snakes in the area, the rough-scaled rattlesnake and the copperhead snake."

"But I always feel like this story isn't over yet?" Female students are obviously experienced in listening to lectures. "Serum doesn't solve all his problems?"

"Yes, because despite the presence of a venomous snake there, the expensive antivenom we injected not only did not work, but also triggered an extremely strong allergic reaction in the patient." Gregory shrugged. "Of course, considering that you may not be that experienced, I need to remind you that 200 milligrams is quite a lot of venom for even a venomous snake, and if you had bitten someone just four hours ago, it would have been impossible to regenerate that much in such a short period of time anyway. Of course, this kind of knowledge is too detailed, and I don't encourage you to systematically learn this knowledge for utilitarian purposes, but it is still beneficial to read more often. So, what should we do now? ”

"Let's look for any other snakes?" The male student asked tentatively. "If this one isn't, and the serum doesn't work, is it possible that some kind of uncommon poisonous snake bit him?"

"Reasonable, but not so effective," Gregory reminded. "At normal speed, the autopsy report tells us that before you can find the snake."

"That'...... Can we just blind him with other antivenoms? The schoolgirl asked. If it's really urgent to this extent, I guess risking allergies on other serums should be a ...... A not-so-bad scenario? ”

"Well, that's right." Grigory was satisfied with the girl's answer. "Although, strictly speaking, a mature doctor should avoid letting him die from potentially ineffective treatments, but from pre-existing diseases, so that he is not affected. So from this point of view, although this method is better for the patient, it is not good for us to protect ourselves. ”

"So, what exactly are we supposed to do?" The male students were clearly hesitant about the question. "Let him die?"

"This question involves medical ethics, and it is inconclusive. In fact, the answer to this question does not depend on how medical ethics view the problem, but on what disease the patient actually has. If you don't find the answer you instinctively find because you are afraid of an allergic reaction, then we are wrong, and no matter what kind of medical spirit we have, we are wrong. ”

"But we can't always be blamed for avoiding risks for patients, right?" The male student was confused. "Maybe we didn't save his life, but we shouldn't have miscalculated our conservative approach, especially ...... the other person has developed extremely dangerous allergies."

"I know that the medical philosophy I have taught you is contrary to what you normally learn, but listen to me very carefully," Gregory said to them suddenly and with considerable seriousness. "But remember, if it doesn't turn out the way we expected, it must be something we've done wrong, understand? The law doesn't ask ordinary people to do much because they're just ordinary people. But medicine is far from being so tolerant, and there is only a difference between right and wrong in every action of doctors, and there is no so-called compromise concept of "not wrong", understand? The right and wrong of every practice objectively exists, and if you say a call that the measure is not wrong, it is obviously only because you subjectively do not know what the correct answer is, or there is no way to know which correct answer is, but objectively, what is right is always there and will not become wrong, and what is wrong will not become right either. Medicine does not belong to quantum mechanics, and even if we cannot observe it, it will always exist objectively. ”

"But in fact, the situation we are facing now is much simpler than this harsh reality - we gave him the serum that covered all the poisonous snakes in that area, and he had no other allergies. The problem is that the handsome guy from before, or 'addict', is back because he says his leg is hurting again. ”

"Get him out," the male student reacted quickly. "He's already done that kind of thing, he's obviously here to cheat the drug again - if it were me, I'm sure I'd at least change hospitals, how could he be so stupid?"

"Generally speaking, those who take drugs are often stupid, otherwise who would ignore the risks of taking drugs," said Gregory, pulling a small bottle from his pocket and taking two pills as if nothing had happened. "Of course you can kick him out, which is cool, but most experienced doctors don't allow their careers to take such risks."

"Yes...... He's obviously here to cheat the drug, huh? The male student was stunned. Are we just going to let him ......?"

"You have to remember not to make assumptions about who he is, you know?" Gregory emphasized again. "And at least from my personal point of view, I think drug users get sick too, and they're more likely to get sick than people who don't use drugs — and in a situation like this, we have a great way to test for that, and that's a urine test."

"But we already know that he is a drug addict, there must be drugs in his body, what are we going to test? Or are we going to use this as an excuse to kick him out? The male student wondered.

"It's not that that I'm going to test, it's whether this addict is willing to take on the pain of going to the doctor — you know, we're going to put a rubber tube into his urethra, and it's going to be very, very long, which is very hard for a person who isn't really sick, but just coming to cheat on the medicine, and with this time and we're wasting, it's better for him to change the hospital and change the doctor. And if he can really endure such a source of pain to stay there for half an hour, we must definitely think carefully about whether he is really sick. ”