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Chapter 256 Refusal of Treatment (Part [-])
Liu Pingchuan took his students and the doctors from Shenwai, and filled the CT room to the brim.In addition to Chen Tianyang, the two second-level professors frowned together, making the atmosphere in the monitoring room so severe that the residents felt a little breathless.

"Hemorrhage at the base of the skull, about 20 milliliters." Director Zhao Hua sighed, "There is nothing worthy of further research, and the performance is obviously affected."

Chen Tianyang remained silent for a long time. Although he was not a neurosurgery doctor, any doctor knew how dangerous skull base hemorrhage was.What is worse than skull base hemorrhage may be brainstem hemorrhage-skull base hemorrhage, at least there is a chance to go to the operating table, and brainstem hemorrhage basically does not have doctors agreeing to surgery.Even if the patient survives the operation, the chance of waking up after the operation is no higher than the probability of tossing a coin a hundred times in a row and standing on the ground every time.

"There's nothing to say, let's prepare for the operation." Liu Pingchuan stretched his legs and said to Zhou Jun, "Have you notified the family?"

"I haven't been in touch yet." Zhou Jun sighed, and the trouble is here. "The plane made an emergency landing in Ningyuan. The patient's family members are now in the capital. Even if they catch the fastest flight, it may take more than three hours."

"Do you need authorization from the medical office?" There are not a few cases where the emergency center needs to perform surgery immediately, but the family members are not around.Everyone knew what to do, Liu Pingchuan immediately asked, "Do I still have to contact the airline?"

"Authorization... This is very troublesome." Zhou Jun sighed, "The airline just called and said that the patient's family members disagreed with our craniotomy and asked for conservative treatment."

"Conservative treatment?" Liu Pingchuan frowned several times, "This won't work, there might be brain herniation, and someone will die."

Zhou Jun shook his head, "Even if there is no cerebral herniation and the cerebral hemorrhage is not resolved, the acute pulmonary edema caused by the nervous system will kill him."

The patient's condition was exactly in line with what Zhou Jun was most worried about. This was a case of NPE (neurogenic pulmonary edema).The patient had no underlying diseases such as heart, lung and kidney, but spontaneous acute pulmonary edema occurred when the nervous system was affected.

Although the specific mechanism of NPE is still not fully understood, in this case, emergency craniotomy, removal of hematoma, and removal of bone flap for decompression are the most effective treatment methods.

"The patient's family expressed clear objection, there is no way." Zhou Jun sighed again, "Go to the ICU, since surgery is not possible, we can only hope that dehydration treatment can lower his intracranial pressure first."

The vast majority of family members of patients will choose to rescue their loved ones at all costs when their loved ones suffer from accidents.For example, the wife of Yang Jianqiang, Yang Jianqiang has lived in the ICU for more than 20 days, and Mrs. Yang still spends a whole day in the family rest area outside the ICU.Except for about half an hour every day to go home to wash and change clothes, Mrs. Yang almost always guards the door of the ICU, never leaving.Many nurses and doctors in the intensive care medicine department are advising her, at least not to drag her body down.But she still insisted on guarding the door every day, as if this would make Yang Jianqiang recover faster.

However, some families will choose a very different direction.

Economic reasons are the main reason for the vast majority of family members to refuse medical treatment.Even with health insurance coverage, even if the cost of treatment is acceptable for extremely poor families, the family still cannot afford a member who may be severely disabled.

If a person dies, the family will suffer for some days, and there will be no additional expenses after the aftermath is done.Family members with severe disabilities not only have to continue to spend money, but also have to be taken care of by other family members.For these families, when a member is unable to work, it takes away a very important source of income.Under the ebb and flow, the already tight life may not be able to continue at all.The phenomenon of returning to poverty due to illness does exist objectively.

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Chen Tianyang frowned, always feeling that something was wrong.He has also seen family members who gave up treatment because of poverty, which is not surprising.But this injured person was a passenger in business class.A business class ticket costs at least a few thousand dollars.The family members of passengers who can choose business class during the journey do not look like they are in financial difficulties.What's more, under such conditions, the airline must first pay for the medical treatment of passengers.Then let the underwriting insurance company intervene, and the airline turns to claim the advance payment from the insurance company.

In this case, family members should not refuse treatment because of cost.

Are there other reasons?
"Are you Professor Chen?" When Chen Tianyang was still thinking about the joints, Liu Pingchuan leaned over and stretched out his right hand towards him, "I'm Liu Pingchuan, the director of Shenwai of the Fourth Hospital. I'll listen to Liu Tangchun about your matter." I said it."

"Professor Liu." Chen Tianyang shook hands with Liu Pingchuan, and then said with a wry smile, "I hope he didn't say anything bad about me." Chen Tianyang paused, and said in a low voice, "The patient's family refused to be treated. I think there may be something wrong."

Liu Pingchuan didn't take it very seriously, he just sighed and said, "Happy families are always alike, and every unfortunate family has its own misfortune." Having practiced medicine for decades, Liu Pingchuan has seen all kinds of human relationships. "Perhaps there is something unavoidable?"

Chen Tianyang expressed his doubts and emphasized, "In the absence of financial pressure, the family members directly refused the treatment. This is unreasonable."

Liu Pingchuan pondered for a while, and was a little confused, "Maybe it's because of other reasons?"

"I think it's still necessary to talk to the police." Chen Tianyang frowned, "Business class passengers usually buy an accident insurance. Could it be that the family members deliberately did this in order to cheat the insurance?"

Zhou Jun rushed back to the rescue room with other emergency doctors. Although the number of injured people this time was less than 50, it still exceeded the handling capacity of the airport hospital.About [-] seriously injured patients were sent to the Fourth Central Hospital by ambulance.As the director of the emergency department, Zhou Jun must return to his post to coordinate and direct other doctors to carry out treatment activities for patients.As for the anonymous man, he was handed over to the Department of Critical Care Medicine to take over.

"The right shoulder is dislocated. I'll take this to the orthopedic department. It should be solved by manual reset." Zhou Jun kept his feet on the ground. Under his command, the emergency room, which seemed a little flustered at first, gradually stabilized.Patients in serious condition received immediate treatment, while patients with no immediate danger were placed in the observation area, and three attending physicians and two nurses were responsible for debridement and dressing for them.

When Zhou Jun was busy, Chen Tianyang and Liu Pingchuan, who felt that something might be wrong after discussing for a long time, came over.

"It's useless to tell me about this kind of thing." Zhou Jun took off his gloves, washed his hands under the watchful eyes of the big man, took out two paper towels from the table and wiped his forehead. "Dean Liu, why don't you talk to Yuan Song?"

"Then I have to take you with me." Liu Pingchuan said with a smile, "After all, you brought back the patient. You know better than me how urgent the patient's condition is."

(End of this chapter)