I Can See Health

Just when Min Ling wanted to call Lu Chen, she received his WeChat message.

"Teacher Min, the patient stopped breathing just after the DWI. I sent him directly to the emergency department for rescue!"

Min Ling's head suddenly buzzed when she saw Lu Chen's WeChat message.

If something happens to the patient while being sent for examination, then she, the doctor on duty, will be in dire straits!

Min Ling quickly called the doctor on duty in the endocrinology area downstairs and asked him to help take care of the patients in the ward.

She herself wore a white coat and rushed directly to the emergency department.

…

Outside the emergency room of the emergency department.

Several family members of the patient looked nervously into the emergency room.

"Doctor Lu, how is my dad's condition?"

After the patient's blood oxygen stabilized, Lu Chen came out to communicate with the patient's family.

"The blood oxygen is stable and does not continue to drop." Lu Chen said.

At this time, after Dai Bin finished intubating, he also walked out of the emergency room.

Wang Xiaodong took over other rescue operations, including using some respiratory stimulants.

"Which of you is the patient's family member?" Dai Bin asked.

"We all are!" The middle-aged man stood up.

"Come in and let a family member make the decision." Dai Bin frowned and said, "The others are waiting outside the rescue room."

The middle-aged man followed Dai Bin into the emergency room.

…

Come to the rescue desk.

The old man was lying in front of the bed. After tracheal intubation, he was already on a ventilator.

"Dad..." The middle-aged man walked quickly to the hospital bed and shouted softly.

"Your dad has now been diagnosed with acute large-scale cerebral infarction. We suspect cerebral edema or even cerebral herniation, which compressed the respiratory center, so he just suffered a respiratory arrest." Dai Bin explained at the side.

The middle-aged man sighed slightly: "Just tell me how to treat it next."

"We have invited neurosurgery, neurology and ICU emergency consultation." Dai Bin said, "Your dad's situation may require emergency surgery to relieve intracranial hypertension."

"Surgery?" The middle-aged man immediately shook his head, "I definitely won't do surgery. We will treat it conservatively."

Dai Bin frowned when he heard this.

"With conservative treatment, the patient will most likely never wake up, and even if he does, he will be paralyzed in bed."

"I definitely won't do surgery. Just do your best. We won't blame your hospital." The middle-aged man reiterated again.

Lu Chen stood aside and reminded: "Teacher Dai, the patient does not have any medical insurance."

"There's no such thing as the ordinary government's cooperative medical service?" Dai Bin was stunned.

"No, I didn't pay for medical insurance this year."

These days, there are still very few people without medical insurance.

At least there will be an urban and rural cooperative medical insurance.

"Then, then you..."

Dai Bin no longer persuades patients to undergo surgery.

Patients who have no medical insurance and pay entirely out of pocket.

It's good if you expect him not to evade the fee, and you also expect the patient to pay for the surgical treatment at his own expense. This is a large-scale craniotomy, and the cost of the operation is at least hundreds of thousands.

It is absolutely impossible for the family to agree.

At this time, the emergency doctors came.

Min Ling also rushed over.

"Teacher Min, I'm here!" Lu Chen saw Min Ling at the door of the emergency room and waved to her.

Min Ling ran forward panting.

"Lu Chen, how is the patient doing now?"

"After tracheal intubation, blood oxygen was maintained."

"Yes." Min Ling nodded, and her heart, which had been worried, relaxed a little.

Fortunately nothing happened to the patient, otherwise he would have been in big trouble.

"Xiao Ling, is this your patient?" Dai Bin also saw Min Ling, who was communicating with the consulting doctor about her condition.

"Teacher Dai, I also admitted the patient when I first took over." Min Ling shrugged helplessly, "The emergency department admitted the patient because he was considering hypoglycemia and coma. I thought it might be acute cerebral infarction, so I asked my classmates to push him over for treatment. "DWI."

Dai Bin nodded: "Xiao Ling, I just invited several departments for consultation. The Department of Neurosurgery recommended immediate surgery to relieve intracranial hypertension."

"But the patient does not have medical insurance..." Min Ling frowned.

"We just learned about this situation," Dai Bin said. "The family members refused surgery and wanted conservative treatment."

"Then I'll go communicate with the family again..."

This patient was originally from the endocrinology area 2, and Min Ling was mainly responsible for communication.

"Lu Chen, you go back to the ward first, and I will take care of the rest." Min Ling said to Lu Chen, "I will ask the teachers in the area downstairs to help take care of our ward. If there is a change in the condition of a patient in the ward, help him deal with it."

"OK."

Lu Chen had no use staying in the emergency ward, so he returned to the department early.

Min Ling stayed in the emergency department to communicate with the patient's family about the condition.

…

Min Ling stayed in the emergency department for half an hour.

In the emergency department ward.

"If you are sure you want to give up treatment, just sign here."

Min Ling printed a communication record of giving up treatment in the emergency department.

She placed the communication record in front of the middle-aged man.

This time, the patient's other daughters were also present.

"Doctor, I, I want to ask, what are the chances of my dad waking up with conservative treatment?"

The middle-aged man did not sign immediately, but looked up at Min Ling.

"The chance is very small." Min Ling said softly, "The doctors from the neurosurgery department and the ICU have just told you that the patient cannot be weaned off the ventilator in this condition. If you want conservative treatment, you have to go to the ICU. . You must also know the cost of ICU.”

The middle-aged man nodded, and the other family members beside him were silent.

"So to be honest, if you don't do surgery, conservative treatment doesn't make much sense."

The middle-aged man raised his head and saw that his three sisters' eyes were all red.

"Hey, Doctor Min, let's drag my dad home."

As soon as he finished speaking, the surrounding atmosphere became somewhat quiet.

The middle-aged man picked up the pen and signed his name on the communication record.

"Dr. Min, let me ask one more question, if the oxygen is removed, how long can my dad last?"

"Soon." Min Ling replied, "If I hadn't used a ventilator just now, I might have died right away."

"Well, thank you Dr. Min." The middle-aged man turned his head, making his expression unclear.

ten minutes later.

Several doctors and nurses carried the patient on a stretcher into an ambulance.

…

"Xiao Ling, your department has a good graduate student." Dai Bin smiled and said to Min Ling beside him, "If he hadn't been smart enough to discover the patient's abnormality in advance and send him directly to the emergency department. If this patient had died on the way, If something goes wrong, we’ll be in trouble.”

"It's pretty good." Min Ling smiled and nodded, "It's a pity that he is not a graduate student in our department. He is helping his friend to replace the day shift."

This time it was all thanks to Lu Chen.

If the patient's blood oxygen drop is not detected in time, or the hospital bed is foolishly pushed to the second endocrine area, it will not only delay the patient's condition, but also allow the patient's family to find out.

A lawsuit is inevitable.

"Teacher Dai, if you are not sure about a comatose patient next time, please ask the doctor below to invite us for internal medicine consultation." Min Ling smiled bitterly and said, "Otherwise After being admitted to the hospital, he has to be sent to the outpatient department for examination, which is not only troublesome but also delays his condition. If he comes back like today, we won't be so lucky. "

"Hey, there are many emergency patients, and the patients' families are also anxious, so sometimes we don't triage carefully." Dai Bin shook his head, "And the doctor who came to work today has not been here for a long time, so he may not have enough experience. I will pay attention next time." ”

"Thank you, Teacher Dai."

Min Ling chatted with Dai Bin for a few words and then returned to the ward.

…

"Teacher, his family has given up?"

Lu Chen felt bad when he heard the news.

After all, he accompanied this patient all the way for examination and then pushed him to the emergency department.

Lu Chen's heart was very much looking forward to the patient's continued treatment.

"Well, his family's family conditions don't allow it." Min Ling sighed.

She could see that Lu Chen looked a little regretful.

"Xiao Lu, in fact, in clinical practice, many times, it does not mean that a treatment method is good, but patients or family members must choose this method."

"We also need to consider the patient's family situation. For a patient like this, the cost of surgery, including postoperative recovery, is unaffordable without five to six million yuan."

"Even if his family raises the money for the operation and the operation is successful, the patient may not be able to take care of himself and will need to be taken care of by others for a long time."

"Taking a step back, if the patient has undergone surgery, how will their family live in the future?"

Lu Chen fell silent, slowly pondering Min Ling's words in his mind.

Perhaps, sometimes giving up is a better choice.