307 Simple and complex truth
(Thanks to my friend Flying Away, I love to read, and the channel is a monthly ticket encouragement)
"Doctor, I'm fine, and I don't have allergies. Then I won't check it anymore, I'll leave now. How much does it cost?" the patient jumped out of bed.
"Dawei, you listen to the doctor, how dangerous it is if there are really other diseases. Xiaofeng was a little anxious.
"If you want to leave, you can do so, and we will issue a document proving that we have fulfilled our obligation to inform. At the same time, we also need to contact the hospital where you are undergoing chemotherapy and the renovation company where you work, and we also need to fulfill the obligation to inform. Liu Banxia said.
"Are you bothered? What does it have to do with you? My life is my own. The patient roared angrily.
"Your life is your own, but I don't want to wait for your life to be in danger when you leave and your family comes and sues us. Liu Banxia said calmly, and after finishing speaking, he looked at Xiaofeng again.
"It's a good idea to check the food and supplies at home when you go back, some of the food is still poisonous. For example, fresh daylily, if you consume too much, it can also cause poisoning reactions. ”
"His body was already a little weak after chemotherapy, and the dose that a normal person could resist might be fatal for him, and it would be very dangerous. ”
Liu Banxia's words startled Xiaofeng, and he also didn't expect the problem to become so serious all of a sudden.
"Dawei, be obedient, check it, how dangerous it is. Are you drinking again? All those cheap drinks are blended. And the doctor also said that you can't drink. Xiaofeng said.
"Dr. Liang, prepare a document, the patient refuses to be examined, and all the consequences after leaving the hospital will be dealt with by himself. Liu Banxia spoke again, and after finishing speaking, he stood directly to the side.
In fact, when he came to ask, the patient's first answer had already confirmed him, and the patient had not told a word of truth since he received the consultation.
But he can't say it in person, he can only remind him vaguely from the side. As for how much Xiaofeng can comprehend, that's her business.
After all, there are many ways to cause the current situation of the patient, such as going to the barber shop to do more hair, too many chemicals can also cause hair loss.
It is the patient's personal right to be tested or not. Whether or not you can persuade the patient, that is Xiaofeng's ability.
Anyway, to be able to have such a "fearless" spirit, and who is not even afraid of possible poisoning, Liu Banxia is the first time to see it. If it's a normal person, you have to test it anyway.
This is not a relationship between money and money, this is a matter of life, can it be child's play?
The notice is very well prepared, it is all in a fixed style, just according to the individual situation of each patient, plus a supplementary description and the end of the matter.
Liang Xiaoyun was writing on the side, and the patient and his girlfriend quarreled about whether to be examined, and the voice was still a little loud.
If you are really anxious about quarrelling, you may be able to say something. The two are arguing very much now, and they have deviated from the topic and brought out some of the previous contradictions.
Then Liu Banxia and the people who eat melons understood that the gap between the rich and the poor between the two was indeed a bit big.
The girl went to a prestigious university and got a good job after graduation. What about the patient? It's an ordinary rural person who went to a few friends with the girl and felt insulted, and then he was diagnosed with cancer.
Others may have heard the excitement, but under Liu Banxia's judgment, his guess was further confirmed. The guy was probably worried that the girl would abandon him, so he pondered some crooked ways.
At this time, Liang Xiaolin also prepared the materials and sent them directly.
Her approach is even simpler, directly ranking the possibility of ingestion or exposure to toxic substances in the first place.
Let's just say, sometimes it's just a matter of urgency. After the patient signed the letter, he wanted to leave this place of right and wrong quickly, carrying the backpack on the bedside as if walking.
What about his girlfriend, who had a fight with him, was still worried about his health. So I had to stop it, and I just grabbed his bag.
As soon as I walked and pulled, the backpack, which was often loaded with tools, went straight to the end of my life. All of a sudden, all the small objects inside fell out, including the gadgets he used to work, cigarettes, keys, and so on.
What Liu Banxia paid special attention to was a small plastic bag, and some powdery and granular mixtures leaked out.
The patient also saw it and hurriedly grabbed the plastic bag, but how could he catch all the ones that fell out at once?
"Dr. Liang, add one more item, the patient is suspected of having suicidal tendencies, and ask the patient to sign again. Liu Banxia said.
"Ahh......h Good. Liang Xiaolin hurriedly responded.
"Why do you still want to commit suicide, why do you still want to kill yourself after spending so much money to cure cancer. Xiaofeng was frightened and anxious.
"I ...... I ...... "The patient is in a hurry, but now he doesn't know how to explain it."
Xiaofeng was stunned for a moment, and only now did she have some recollection.
"Did you lie to me all along? Xiao Feng looked at him and asked.
The patient did not speak, did not admit, and did not deny.
Xiao Feng glanced at him, turned around and walked out.
After being silent for a while, the patient glanced at Liu Banxia with resentment and wanted to leave.
"I also need you to sign it again. Liu Banxia spoke again.
He didn't want to make trouble at this time, but he couldn't help it, he didn't let the patient sign, and if the patient really committed suicide after leaving, he was responsible.
"After all, you have taken a toxic substance, and the standard medical treatment requires gastric lavage and injection of drugs. No matter what reason you eat rat poison and how much you eat, it will have a great impact on your body. Liu Banxia continued.
"You don't have to worry about it. After the patient finished speaking, he also signed the second document directly.
Ding! The task of receiving the consultation is completed
Gain 100 XP, 100 Diagnostics Skill Proficiency, and 2 Glory
Liu Banxia was stunned, just such a case gave 100 points of skill proficiency?2 points of glory points?What is the system doing?
After thinking about it carefully, he figured out some clues, whether he would give so much or something to do with the case itself.
The problem is not serious, but it is difficult to find out the real cause. If you hadn't thought about it a little more and considered it completely according to the patient's statement, I'm afraid there wouldn't have been so many rewards.
"He's really ruthless, he even dares to eat poisonous rats. By the way, how do you know that it is a poisonous rat?" Liang Xiaolin asked curiously.
"I've seen it, when I was a child, I put this thing in the house when there were rats. Liu Banxia said with a smile.
"However, although there are still people secretly producing and selling the poisonous rats, the content should have been reduced, otherwise he would not expect to be in any good state. ”
"He must have eaten very little, and he was worried that it would not work, so he didn't lose the rest. You can't just leave it around, you can only put it in your backpack. ”
"Now it seems that any cancer is. It's just to tie up your girlfriend, and now it's a real chicken and egg fight. ”
The big guy didn't know what to say, and he thought he was a true love CP, but he didn't expect it to be such a result. But I really can't say who is right and who is wrong, the difference between the two sides is too great.
Who can say clearly about feelings?
"Mr. Liu, that rectal cancer patient, please come over. At this time, nurse Zhou Qian ran over.
Liu Banxia frowned, and sighed in his heart, it seems that Li Xue is going to choose to take risks.
When I came to the upstairs ward, the room was full of gloom.
"Dr. Liu, I've thought about it, let's take a chance. Li Xue said.
"As it stands, I'm afraid it won't be long before I get worse, and then I'll suffer from cancer like all other cancer patients, and I may die of death in the end. ”
"Even if it was a few more months, it wouldn't mean much to me. That's all my family has been suffering with me for so long. ”
"It seems that you have really thought about it, this is a major operation, and the chance of success is very low. Even if the surgery is successful, the chance of complications breaking out is very high. Liu Banxia said.
Li Xue nodded, "Think about it, leave it to God." Maybe it's a good thing, I've seen patients with terminal cancer, and they're living in too much pain. ”
"Okay, now that you've made a decision, let's prepare. I went to the operating room to make arrangements for the surgery. Liu Banxia nodded.
Even if he is not very sure in his heart, and even wants to persuade the patient to give up, but what should be said and what can be said has been said, this is the patient's own choice, and it must be respected.
"Boss, come with me on stage, this time it's a delicate job. After returning to the emergency department, Liu Banxia said.
"Okay, you contact the operating room first. Intraoperative ultrasound will be used, but I don't know if it can be arranged. Shi Lei said.
"I would like to take this opportunity to add that this is a major operation and you have to be prepared to fight continuously. How many of them? Who are they going to take with them?"
Hearing Shi Lei's words, even Liang Xiaolin looked over.
"Take it all with you and feel it live. Liu Banxia said.
"This kind of operation may be the only one in this life. Whether you succeed or fail, you can accumulate a lot of experience. Let's hope it succeeds, and I hope that the patients can survive. ”
This is true, patients have a good chance of dying on stage. If you are transferred to the ICU after surgery, there is also a high chance of death. As it stands, the technical considerations of the practitioner are no longer very important, but the patient himself.
The first half of this operation is actually debridement and needs to be cleaned cleanly, but this cleaning is definitely not as difficult as the carnivorous cleaning process.
In the second half, it is natural to remove the tumor and dig the tank. Relatively speaking, this one is a little more relaxed. However, the damage to the patient is also very large, and the patient has to rely on himself to support it.
Patients, naturally, become the key to success.