Chapter Seventy-Eight: Trust That Cannot Be Built 2
"No, this patient has chronic gastritis, he just has a serious gastroenteritis attack and vomiting, and some are more serious dehydration. Guo Hui said softly. He was a little puzzled, why did Ruan Bin suddenly ask this?
"What if it's reflex vomiting, if it's not just vomiting caused by acute gastroenteritis, what if the patient also suffers from severe cardiovascular and cerebrovascular diseases......?
He knew that this Wu Junhao had serious coronary heart disease and high blood pressure, but he couldn't tell Guo Hui that this patient had this disease. You can only say it to the other party in a warning tone.
"Anti-condition vomiting, cardiovascular and cerebrovascular diseases?" instantly Guo Hui thought of myocardial infarction, heart failure, and cerebral infarction......
Just now he preliminarily diagnosed the patient with acute gastroenteritis, stubborn hiccups, and a large loss of water in the body, so the treatment method is to use penicillin, flavula and other drugs.
In general, there is no problem with this treatment!
However, if the patient has the above diseases that are prone to sudden death at any time, then coupled with the current severe vomiting, and hanging 4 bags of saline into it at once, will overload the patient's fluid + myocardial infarction~ hang up......
Thinking of this, Guo Hui's face instantly changed color, and goosebumps rose.
Because he did not give the patient an electrocardiogram and did not give the patient a cardiothoracic CT examination...... He didn't know if the patient had cardiovascular or cerebrovascular diseases. If so, what if the condition is severe?
Then the end is terrible, the patient hangs a needle, and if he hangs and hangs, he will have a myocardial infarction shock because of the fluid overload! Fortunately, he can continue to save in the hospital, but if he is outside the hospital...... It's very likely that you are waiting to die!
So whose ultimate responsibility is it? Isn't it the responsibility of him, the doctor?
If all the above things have been checked, then Guo Hao will definitely not choose this treatment method of a large amount of rehydration, and will definitely take one or two bags of normal saline, in order to prevent the above situations from occurring. Even make a change in the way you take your medications!
"Ruan Bin, thank you really for reminding me!" Guo Hui glanced at Ruan Bin gratefully.
"It's nothing, I just saw him vomiting so badly outside, and I'm worried that it will cause other diseases. Ruan Bin said with a smile.
"Hey, doctor, what are you two muttering? Okay, okay?" At this time, Wu Junhao couldn't wait, he felt that he was very uncomfortable now, and he wanted to vomit again.
"This gentleman, your condition is more serious, I still suggested that you go for an electrocardiogram and a cardiopulmonary CT!" Guo Hui said. Originally, he wanted the patient to go for this examination, but as soon as he opened his mouth, the patient said, Are you indiscriminately examined, do you want to make money?
Coupled with the other party's wife's appearance of wanting to report you, he didn't insist anymore.
"Doctor, I'm just gastroenteritis and vomiting! What are you doing with an electrocardiogram and cardiopulmonary CT for me? Are you trying to cheat Lao Tzu's money? Didn't Lao Tzu just say that he wouldn't check these!" Wu Junhao suddenly became a little unhappy.
"That's it, you think you don't need money for inspection? Hundreds of dollars, our money is not blown by the wind. Wu Junhao's wife also said coldly.
"This patient, we have to check you comprehensively because of this, otherwise if the treatment is not in place at that time, or if there is any accident in the process of treatment because the examination is not careful enough, we have to be responsible!" Ruan Bin said coldly.
"Hehe~ comprehensive examination? Lao Tzu is not gastroenteritis and vomiting, do you want to make me a skull TC? Take care of the bones, what kind of gastroscopy, what kind of urine test and blood test should be done?
"There are more and more quacks in recent years, so be careful that we report you. The woman said sharply.
Seeing the appearance of these two people, Ruan Bin knew that the two of them didn't believe them and felt that they were cheating. I don't think these tests have anything to do with vomiting. Well, they're not doctors, so they don't know what's going on.
However, he still patiently explained: "If the patient has cardiovascular and cerebrovascular diseases, and you vomit so severely, the situation is very complicated. When the time comes, if there is any problem due to improper treatment, it will be too late to regret it! Therefore, it is necessary to have a comprehensive examination and then adopt the most appropriate treatment!"
"Hey~ You young doctor, my husband just vomited, is it as complicated as you say?"
"Except for gastroenteritis, Lao Tzu is in good health, and I can eat and sleep well!
"Then do you usually experience dizziness and chest tightness?" asked Ruan Bin to this Wu Junhao. The other party has coronary heart disease, and it is quite serious. Since it is not clear to explain these blindness, it can only be explained by facts.
"I have it when I run, isn't this normal? Okay, don't talk nonsense with me, hurry up and get me to pay for the infusion, and then we will report you for fooling us into checking the money!" Wu Junhao rolled his eyes.
Ruan Bin: ......
Well, I can't communicate at all, anyway, the other party's attitude is unusually resolute, thinking that they are cheating! And this patient doesn't know that he has coronary heart disease!
"What should I do?" Seeing this, Guo Hui was also speechless. He is most afraid of this kind of patient! He will not cooperate with you in his treatment! When the time comes, he will have to dump the blame on their doctors!
"What else? Write on the medical record that the patient refuses to do the above two tests, and ask the patient to sign by the way! When the time comes, let the patient bear the consequences of the treatment caused by the unknown disease. By the way, it is enough to open two bags of saline to prevent accidents. Ruan Bin could only say this.
"Okay. Guo Hui also nodded, so he could only do this. Otherwise, if something goes wrong at that time, he will definitely become a backstabber!
"Okay, wait a minute, let the nurse stare at the other party's infusion, and if there is a problem, first aid immediately, I hope there will be no problem, I'll go first." Ruan Bin finished speaking and left.
"Good. Guo Hui also knows that the vomiting is so severe, if there is a very serious cardiovascular and cerebrovascular disease, sometimes there may be an accident if the salt water is not hung too much.
Sure enough, twenty minutes later!
There was an exclamation from the infusion room!
"Quick, save people, someone is in shock!"
"Save my husband, save my husband, I don't know why he suddenly went into shock~~ Woo woo woo ......"