I can see health

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 just after the DWI, and I sent him directly to the emergency department for rescue!"

Seeing Lu Chen's WeChat message, Min Ling's head suddenly buzzed.

If something happened to the patient during the examination, it would be a disaster for her, the doctor on duty!

Min Ling hurriedly called the on-duty doctor in the first endocrine area downstairs and asked him to take care of the patients in the ward.

And she herself was wearing a white coat and rushed directly to the emergency department.

……

The rescue room of the emergency department.

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

"Doctor Lu, how is my father'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 hasn't continued 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 rescues, including the use of some respiratory stimulants and so on.

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

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

"Come in a family member who can make the decision." Dai Bin frowned, "The others are waiting outside the emergency room."

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

……

Come to the rescue station.

The old man was lying in front of the bed. After the endotracheal intubation, he had already used a ventilator.

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

"Your father has now been diagnosed with acute massive cerebral infarction. We suspect that there is cerebral edema, or even cerebral herniation, which has compressed the respiratory center, so he just stopped breathing." Dai Bin explained from the side.

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

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

"Surgery?" The middle-aged man shook his head immediately, "Surely we won't have surgery, so we'll treat it conservatively."

Dai Bin frowned upon hearing this.

"With conservative treatment, there is a high probability that patients will never wake up, and if they do wake up, they will be paralyzed in bed."

"Of course there won't be an operation. Just do your best. We won't blame your hospital." The middle-aged man reiterated again.

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

"There's no cooperative medical care like that of the ordinary government?" Dai Bin was taken aback.

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

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

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

"Then, then you..."

Dai Bin no longer persuades patients to undergo surgery.

Patients without health insurance and completely self-paid.

You expect it to be fine if he doesn’t evade fees, and you also expect surgical treatment of patients at their own expense, or this kind of large-scale craniotomy, and the cost of the operation is at least hundreds of thousands.

It is absolutely impossible for family members to agree.

At this time, the emergency doctors came.

Min Ling also rushed over.

"Ms. 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 endotracheal intubation, blood oxygen was maintained."

"Yeah." Min Ling nodded, and she relaxed a little bit from the heart she had been worrying about.

Fortunately, the patient did not have an accident, otherwise the trouble would be big.

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

"Ms. Dai, I was also a patient when I first took over." Min Ling shrugged helplessly, "I was admitted from the emergency department considering hypoglycemia coma. I thought it might be an acute cerebral infarction, so I asked my classmates to push me to do it." DWI."

Dai Bin nodded: "Xiaoling, just now I invited several departments for consultation, and the Department of Neurosurgery suggested immediate surgery to relieve intracranial hypertension."

"But patients don't have medical insurance..." Min Ling frowned.

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

"Then I'll go talk to my family again..."

This patient is originally from the second endocrine area, and Min Ling is mainly responsible for communication.

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

"Ok."

It was useless for Lu Chen to stay in the emergency ward, so he returned to the department early.

Stay in Min Ling in the emergency department to communicate with the patient's family.

……

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

In the emergency room.

"If you are sure to give up the treatment, please sign here."

Min Ling printed a communication record of giving up 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 immediately write and sign, but looked up at Min Ling.

"The chance is very small." Min Ling said softly, "The neurosurgery and ICU doctors have told you just now that the patient cannot be released from the ventilator in this condition. If you want conservative treatment, you must go to the ICU." .ICU expenses, I think 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, if you don't do surgery, conservative treatment doesn't make much sense."

The middle-aged man raised his head and saw that the eye circles of his three younger sisters were all red.

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

As soon as the voice fell, the surrounding atmosphere became somewhat quiet.

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

"Doctor Min, let me ask again, 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 have passed away immediately."

"Well, thank you Dr. Min." The middle-aged man turned his head so that people couldn't see his expression clearly.

10 minute later.

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

……

"Xiao Ling, you have a good graduate student in your department." Dai Bin smiled and said to Min Ling beside him, "If it wasn't for his cleverness, he discovered the abnormality of the patient in advance and pushed him directly to the emergency department. If it's over, we'll be in trouble."

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

This time it was really 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 foolishly, it will not only delay the patient's condition, but also make the patient's family members catch the handle.

A lawsuit is indispensable.

"Ms. Dai, next time, if you are not sure about this kind of comatose patient, you should ask the doctor below to ask us for a few more internal consultations." Min Ling said with a wry smile, "Otherwise, after being admitted to the hospital, you will have to postpone it." Going to the outpatient clinic for examination is not only troublesome, but also delays the condition. If we come again a few times like today, we will not be so lucky."

"Hey, there are a lot of patients in the emergency department, and the family members of the patients are also in a hurry, so sometimes we are not careful in the triage." Dai Bin shook his head, "And the doctor who went to work today has not been here for a long time, and 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 went back to the ward.

……

"Teacher, his family has given up?"

Lu Chen, who heard the news, felt bad.

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

In Lu Chen's heart, he was 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 somewhat regretful.

"Xiao Lu, in fact, in many cases in clinical practice, it's not that the treatment method is good, but the patient or family member must be required to choose this method."

"We also need to consider the patient's family situation. Like this patient, the operation includes the cost of postoperative rehabilitation. Without five or six million yuan, it is impossible to afford it."

"Even if his family has collected the cost of the operation and the operation is successful, the patient may not be able to take care of himself and needs to be taken care of by others for a long time."

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

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

Perhaps, sometimes giving up is a better choice.

(End of this chapter)