I Can See Health: Chapter 110 Giving up is also a better choice!
Chapter 110 Giving up is also a better choice!
Just when Min Ling wanted to call Lu Chen, she received his WeChat.
"Mr. Min, the patient stopped breathing as soon as he finished DWI. I went straight to the emergency department for rescue!"
Seeing Lu Chen's WeChat, Min Ling's head hummed.
If something happens to the patient during the referral, then she will be miserable as the doctor on duty!
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.
And she herself was wearing a white coat and rushed to the emergency department directly.
…
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 has stabilized, and it did not continue to fall." Lu Chen said.
At this time, after Dai Bin was intubated, he also walked out of the emergency room.
Wang Xiaodong took over other rescues, including the use of some breathing stimulants.
"Who are the family members of the patient?" Dai Bin asked.
"We are all!" The middle-aged man stood up.
"Come in with a family member who can call the shots." Dai Bin frowned, "The others are waiting outside the rescue room."
The middle-aged man followed Dai Bin into the emergency room.
…
came to the rescue table.
The old man was lying in front of the bed. After tracheal intubation, he was already on a ventilator.
"Dad..." The middle-aged man hurriedly walked to the hospital bed and shouted softly.
"Your father has now been diagnosed with acute large-area cerebral infarction. We suspect that he has cerebral edema, or even brain herniation, which compresses the respiratory center, so he just stopped breathing." Dai Bin explained on the side.
The middle-aged man sighed slightly: "Just talk about how to treat it next."
"We have invited neurosurgery, neurology and ICU emergency consultation." Dai Bin said, "In your father's situation, emergency surgery may be needed to relieve intracranial hypertension."
"Surgery?" The middle-aged man immediately shook his head, "I definitely won't have surgery, so we'll treat it conservatively."
Dai Bin frowned upon hearing this.
"With conservative treatment, it is very likely that the patient will never wake up, and even if he does, he will be paralyzed in bed."
"I definitely won't do surgery, you just do your best, we won't blame your hospital." The middle-aged man reiterated it again.
Lu Chen reminded: "Mr. Dai, the patient does not have any medical insurance."
"There is no cooperative medical care in the ordinary government?" Dai Bin was taken aback.
"No, the medical insurance did not pay this year."
These days, there are still very few people without medical insurance.
At least there will be an urban-rural cooperative medical insurance.
"Then, then you..."
Dai Bin also stopped persuading patients to undergo surgery.
Patients who do not have medical insurance and are completely self-paying.
You expect him to be fine if he doesn’t evade money, and you also expect to pay for the patient’s surgical treatment at his own expense, or such a large-scale craniotomy.
It is absolutely impossible for family members to agree.
At this time, the doctors in the emergency consultation came.
Min Ling also rushed over.
"Mr. Min, I'm here!" Seeing Min Ling at the door of the emergency room, Lu Chen waved to her.
Min Ling ran forward panting.
"Lu Chen, how is the patient now?"
"After tracheal intubation, blood oxygen was maintained."
"Yeah." Min Ling nodded, and the heart that she had been holding was also a little relaxed.
Fortunately, the patient did not have an accident, otherwise the trouble would be big.
"Xiao Ling, is this your patient?" Dai Bin also saw Min Ling, who was communicating with the consulting doctor about her condition.
"Mr. Dai, I was also a patient when I first took over." Min Ling shrugged helplessly, "I was admitted by the emergency department considering hypoglycemia and coma. I thought it might be an acute cerebral infarction, so I asked my classmates to push it over to do it. DWI."
Dai Bin nodded: "Xiaoling, I invited a few departments for consultation just now. The neurosurgery recommends immediate surgery to relieve intracranial hypertension."
"But the patient doesn't have medical insurance..." Min Ling frowned.
"We just learned about this situation." Dai Bin said, "The family refused the operation and wanted conservative treatment."
"Then let me communicate with the family..."
This patient was originally in the second endocrine area, 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 teacher in the downstairs area to help take care of our ward. If any patient in the ward changes in condition, assist him to deal with it."
"OK."
Lu Chen was useless in the emergency ward, so he returned to the department ahead of schedule.
Stayed in Minling to communicate with the patient's family in the emergency department.
…
Min Ling spent half an hour in the emergency department.
in the emergency department ward.
"If you decide to give up the treatment, please sign here."
Min Ling printed out a communication record of abandoning treatment in the emergency department.
She put the communication record in front of the middle-aged man.
This time, several other daughters of the patient were also present.
"Doctor, I, I want to ask, with conservative treatment, what are the chances of my dad waking up?"
The middle-aged man did not sign immediately, and looked up at Min Ling.
"The chance is very small." Min Ling said softly, "The neurosurgery and ICU doctors also told you just now that the patient cannot be released from the ventilator in this condition. If you want conservative treatment, you should also go to the ICU. . The cost of ICU, presumably you are also aware of it."
The middle-aged man nodded, and the other family members on the side were silent.
"So I'll be honest, conservative treatment doesn't make much sense without surgery."
The middle-aged man raised his head and saw that his three younger sisters' eyes were all red.
"Hey, Doctor Min, let's drag my dad home."
As soon as the voice fell, the surrounding atmosphere became somewhat quiet.
The middle-aged man lifted the pen and signed his name on the communication record.
"Doctor Min, let me ask one more question, if the oxygen is removed, how long can my dad last?"
"Soon." Min Ling replied, "If the ventilator hadn't been used just now, the person might be gone right away."
"Well, thank you Dr. Min." The middle-aged man turned his head away, making it difficult to see his expression.
ten minutes later.
Several doctors and nurses carried the patient into the ambulance on a stretcher.
…
"Xiao Ling, there's a good graduate student in your department." Dai Bin said to Min Ling with a smile, "If he hadn't been clever, he had discovered the abnormality of the patient in advance and brought him directly to the emergency department. If something happens, then we will be in trouble."
"It's pretty good." Min Ling nodded with a smile, "Unfortunately, he's not a graduate student in our department, he's helping his friend to replace the day shift."
This time, thanks to Lu Chen.
If the patient's blood oxygen drop is not detected in time, or the hospital bed is pushed to the second endocrine area stupidly, it will not only delay the patient's condition, but also let the patient's family get the handle.
A lawsuit is indispensable.
"Mr. Dai, if you are not sure about a comatose patient like this next time, you should ask the doctors below to ask for more consultations from our internal medicine department." Min Ling smiled bitterly, "Otherwise, after being admitted to the hospital, you will have to push it forward. Going to the outpatient clinic for examination is not only troublesome, but also delays the patient's condition.
"Hey, there are a lot of emergency patients, and the family members of the patients are also anxious, so sometimes we are not careful about triage." Dai Bin shook his head, "And the doctor who went to work today has not been here for a long time, and may not have enough experience. I will pay attention to it next time. ."
"Thank you, Mr. Dai."
Min Ling chatted with Dai Bin a few words, and then returned to the ward.
…
"Teacher, his family gave up?"
Lu Chen, who heard the news, was not in a good mood.
After all, this patient, he accompanied him all the way to the examination, and then pushed him to the emergency department.
Lu Chen's heart is 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's expression was somewhat regretful.
"Xiao Lu, in fact, many times in clinical practice, it's not that the treatment method is good, and the patient or family member must be asked to choose this kind of treatment."
"We also need to take into account the patient's family situation. Like this patient, the cost of surgery, including post-operative rehabilitation, cannot be afforded without 50,000 to 600,000 yuan."
"Even if his family collects the cost of the operation and the operation is successful, the patient may not be able to take care of himself and needs someone else to take care of him for a long time."
"Take a ten thousand steps back and say that the patient has undergone surgery, how will their family live in the future?"
Lu Chen was silent, thinking about Min Ling's words slowly in his heart.
Perhaps, sometimes giving up is a better choice.
(end of this chapter)