I can see the status bar
Chapter 537 Talking Chapters
Chapter 537 Conversation
It seems that now everyone is used to the process of consuming and obtaining goods. Therefore, in "medical services", the family members of patients often subtly distinguish themselves from doctors as "consumers" and "merchant" .If you pay money, you should get satisfactory products.In the medical environment, this process is replaced by "we paid the doctor, so the patient should be saved and cured."
This kind of thinking process seems to be taken for granted, but the reality does not change with the thinking pattern.No matter how much the treatment fee is paid, in the face of the disease, the ability of modern medical care and doctors is always limited.
Only by putting the ugly words up front can the family members of the patients understand more clearly how dangerous the situation they are facing is.Let them have a chance to prepare mentally in advance, in case there are serious complications during the operation and they fail to get off the stage, at least they will not be hit too hard.
From another perspective, this is what doctors have to do to protect themselves.When the patient's family members are too sad, they are often in a state that is not very "rational".There may be various manifestations, such as crying bitterly, sluggishness, or yelling at the doctor-blaming the other party for not saving his family, or even attacking the doctor.
Those who deliberately made troubles cannot be counted in the "irrational" state, so let's ignore it for the time being.
Although the fourth hospital has now generally implemented admission security checks, all patients and family members who enter the hospital need to pass through the metal scanner once.But after all, fists can hurt people.
Sun Lien still said what should be said first, "Of course we doctors want to save the lives of patients. After all, this is the main meaning of our work. But manpower is sometimes exhausted, and we are not gods. It is impossible to predict all the situations that will happen. .Maybe on the operating table, the aorta just broke when the knife went down. Maybe after the suture was finished, because the patient’s myocardial condition was too poor, he couldn’t be successfully cardioverted. Excessive blood loss in the blood vessel, causing disseminated blood coagulation in blood vessels-these are real risks. And once such risks occur, it is really difficult to save people back."
Sun Li'en said very truthfully, "I can see that your family's conditions may not be very good. Suddenly, it is very difficult to spend more than 20 yuan for this operation. But even if it costs Money and people may not necessarily be saved. How to make a decision depends on the wishes of your family members."
Sun Lienxi doesn't want the patient to come back to life?Of course I hope. At the age of 61, in the eyes of modern people, he no longer has the heaviness of the "sixties" in the past.Now that the average expected age has been raised to 76 years old, 61 years old is really not too old.If patients with aortic dissection can replace the damaged aorta, then take medicine regularly and improve their living habits, their life expectancy can continue to be extended a lot.
If he could give it a go, Sun Li'en still hoped that Li Jianguo could be put on the operating table.But objective reality will not change because of subjective consciousness.Not every family can afford so much money in one go, and not every family can afford this level of "empty people and money".Although under the green channel system, the fourth hospital can directly start the operation without the patient's family members paying the fee, Sun Li'en still hopes to let the patient's family members understand the difficulties involved.
Surgery can be performed without payment, but the cost will still have to be made up later.What's more, after leaving the operating room, the patient still needs to live in the ICU for several days.These all cost money.
"I can't afford so much money now." Li Jianguo's son hesitated, "Can I pay part of it first, and then I will raise the money tomorrow?"
"Of course." Sun Li'en nodded, "Have you decided?"
"Yeah." Li Jianguo's son took a deep breath, "It must be cured!"
"Okay." Sun Li'en nodded. Since the family members are very willing to treat, things will be much easier. "Here is the consent form and risk notification form. Please sign it."
·
·
·
"The patient's family members are very willing to be treated." Sun Li'en directly approached Zhou Jun with the signed consent form. "This is the consent form... Oh yes, he seems to have said that the patient himself is a veteran."
"Veteran?" Zhou Jun frowned and thought for a while, "I remember that the current regulation is that the process of joining the army is regarded as payment for insurance, so there should be medical insurance? This is a good thing-the surgical expenses can be reimbursed a lot. While talking to Sun Lien, he grabbed his mobile phone and shouted, "It's all right? Then I'll send the person over right now!" He looked up and saw Sun Lien, "Okay, I'll take over this patient later, You go and deal with those few dengues."
Sun Li'en nodded. It seemed that Zhou Jun planned to send the patient to the imaging department for examination in person, and then sent the patient directly to the operating room.With Zhou Jun watching from the side, the risk of this patient being transported on the road will undoubtedly be reduced a lot, "Okay, I'll go to the isolation room now."
Sun Lien has been to the isolation room a few times, but the previous few times he was either the subject of isolation, or the patient was a patient with a severe infectious disease - fear is the basic mood, occasionally assisted by worry, bravery, determination and helplessness.
But this dengue patient was far less severe.Dengue cannot be transmitted from human to human directly through human-to-human transmission.It must rely on insect vectors to spread.That is, as long as you don't get bitten by mosquitoes that contain the dengue virus, the disease won't spread.What's more, dengue fever itself has a self-limiting tendency. As long as there are no serious complications, it will recover naturally in about ten days.
The patients who were brought to the emergency department were certainly not the type who had no serious complications, and one of them had raised intracranial pressure.The emergency department infused him with 25% mannitol, and buckled a positive pressure ventilator on his face-this is to prevent the central nervous system from being forced to stop breathing after the patient's intracranial pressure rises.
The condition of the other two is not too good. One has a high fever of [-] degrees and is currently being wrapped in an ice blanket to receive physical cooling.The other had a slight tendency to spontaneous bleeding, and the Fourth Hospital gave him vitamin K and Caballoc injections.If the situation worsens, you have to prepare for a blood transfusion.
Three patients with three different symptoms.Sun Li'en was a little worried looking at the case, but this worry soon dissipated a lot.He just came here as a temporary substitute tonight.I don't know why Dr. Cao Yanhua asked for leave today, could it be Dean Liu's birthday or something?
(End of this chapter)
It seems that now everyone is used to the process of consuming and obtaining goods. Therefore, in "medical services", the family members of patients often subtly distinguish themselves from doctors as "consumers" and "merchant" .If you pay money, you should get satisfactory products.In the medical environment, this process is replaced by "we paid the doctor, so the patient should be saved and cured."
This kind of thinking process seems to be taken for granted, but the reality does not change with the thinking pattern.No matter how much the treatment fee is paid, in the face of the disease, the ability of modern medical care and doctors is always limited.
Only by putting the ugly words up front can the family members of the patients understand more clearly how dangerous the situation they are facing is.Let them have a chance to prepare mentally in advance, in case there are serious complications during the operation and they fail to get off the stage, at least they will not be hit too hard.
From another perspective, this is what doctors have to do to protect themselves.When the patient's family members are too sad, they are often in a state that is not very "rational".There may be various manifestations, such as crying bitterly, sluggishness, or yelling at the doctor-blaming the other party for not saving his family, or even attacking the doctor.
Those who deliberately made troubles cannot be counted in the "irrational" state, so let's ignore it for the time being.
Although the fourth hospital has now generally implemented admission security checks, all patients and family members who enter the hospital need to pass through the metal scanner once.But after all, fists can hurt people.
Sun Lien still said what should be said first, "Of course we doctors want to save the lives of patients. After all, this is the main meaning of our work. But manpower is sometimes exhausted, and we are not gods. It is impossible to predict all the situations that will happen. .Maybe on the operating table, the aorta just broke when the knife went down. Maybe after the suture was finished, because the patient’s myocardial condition was too poor, he couldn’t be successfully cardioverted. Excessive blood loss in the blood vessel, causing disseminated blood coagulation in blood vessels-these are real risks. And once such risks occur, it is really difficult to save people back."
Sun Li'en said very truthfully, "I can see that your family's conditions may not be very good. Suddenly, it is very difficult to spend more than 20 yuan for this operation. But even if it costs Money and people may not necessarily be saved. How to make a decision depends on the wishes of your family members."
Sun Lienxi doesn't want the patient to come back to life?Of course I hope. At the age of 61, in the eyes of modern people, he no longer has the heaviness of the "sixties" in the past.Now that the average expected age has been raised to 76 years old, 61 years old is really not too old.If patients with aortic dissection can replace the damaged aorta, then take medicine regularly and improve their living habits, their life expectancy can continue to be extended a lot.
If he could give it a go, Sun Li'en still hoped that Li Jianguo could be put on the operating table.But objective reality will not change because of subjective consciousness.Not every family can afford so much money in one go, and not every family can afford this level of "empty people and money".Although under the green channel system, the fourth hospital can directly start the operation without the patient's family members paying the fee, Sun Li'en still hopes to let the patient's family members understand the difficulties involved.
Surgery can be performed without payment, but the cost will still have to be made up later.What's more, after leaving the operating room, the patient still needs to live in the ICU for several days.These all cost money.
"I can't afford so much money now." Li Jianguo's son hesitated, "Can I pay part of it first, and then I will raise the money tomorrow?"
"Of course." Sun Li'en nodded, "Have you decided?"
"Yeah." Li Jianguo's son took a deep breath, "It must be cured!"
"Okay." Sun Li'en nodded. Since the family members are very willing to treat, things will be much easier. "Here is the consent form and risk notification form. Please sign it."
·
·
·
"The patient's family members are very willing to be treated." Sun Li'en directly approached Zhou Jun with the signed consent form. "This is the consent form... Oh yes, he seems to have said that the patient himself is a veteran."
"Veteran?" Zhou Jun frowned and thought for a while, "I remember that the current regulation is that the process of joining the army is regarded as payment for insurance, so there should be medical insurance? This is a good thing-the surgical expenses can be reimbursed a lot. While talking to Sun Lien, he grabbed his mobile phone and shouted, "It's all right? Then I'll send the person over right now!" He looked up and saw Sun Lien, "Okay, I'll take over this patient later, You go and deal with those few dengues."
Sun Li'en nodded. It seemed that Zhou Jun planned to send the patient to the imaging department for examination in person, and then sent the patient directly to the operating room.With Zhou Jun watching from the side, the risk of this patient being transported on the road will undoubtedly be reduced a lot, "Okay, I'll go to the isolation room now."
Sun Lien has been to the isolation room a few times, but the previous few times he was either the subject of isolation, or the patient was a patient with a severe infectious disease - fear is the basic mood, occasionally assisted by worry, bravery, determination and helplessness.
But this dengue patient was far less severe.Dengue cannot be transmitted from human to human directly through human-to-human transmission.It must rely on insect vectors to spread.That is, as long as you don't get bitten by mosquitoes that contain the dengue virus, the disease won't spread.What's more, dengue fever itself has a self-limiting tendency. As long as there are no serious complications, it will recover naturally in about ten days.
The patients who were brought to the emergency department were certainly not the type who had no serious complications, and one of them had raised intracranial pressure.The emergency department infused him with 25% mannitol, and buckled a positive pressure ventilator on his face-this is to prevent the central nervous system from being forced to stop breathing after the patient's intracranial pressure rises.
The condition of the other two is not too good. One has a high fever of [-] degrees and is currently being wrapped in an ice blanket to receive physical cooling.The other had a slight tendency to spontaneous bleeding, and the Fourth Hospital gave him vitamin K and Caballoc injections.If the situation worsens, you have to prepare for a blood transfusion.
Three patients with three different symptoms.Sun Li'en was a little worried looking at the case, but this worry soon dissipated a lot.He just came here as a temporary substitute tonight.I don't know why Dr. Cao Yanhua asked for leave today, could it be Dean Liu's birthday or something?
(End of this chapter)
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