Chapter 89: The Old Man in a Coma
Chapter 89: The Old Man in a Coma
After returning to the consultation room, Li Fan took over the next few patient numbers, but Wen Lu watched from the sidelines, and she did not interfere.
From consultation to physical examination to diagnosis to treatment, Li Fan is doing it alone, looking at Li Fan's skillful appearance, this looks like a doctor who has worked for less than a week!
This is exactly a resident doctor who has been working on the front line for a long time!
"Okay Auntie, you are essential hypertension, I will prescribe some medicine for you to take home, remember to monitor your blood pressure, if you don't have it at home, you can come to our hospital outpatient clinic to measure!"
After sending away the sick number, Li Fan was ready to take the next one, he didn't want to rest for a moment, you must know that these patients are not just patients in his eyes, these are all kindness values!
In just half an hour, Li Fan has already seen five patients and obtained fifty points of kindness!
Looking at the three hundred and one ten points of kindness, Li Fan's mouth smiled crookedly!
"In more, in more kindness, I'm not afraid that guy from the pit king will release tasks randomly!"
Just when Li Fan was fantasizing, suddenly a nurse ran over.
"Dr. Li, there is a house call!"
The nurse's voice interrupted Li Fan's fantasy, and looked at the door There were still five or six patients, Li Fan really didn't want to go out of this consultation, but there was no way, who let Wei Qiang's bastard be the department director?
Wen Lu looked at Li Fan's hesitant appearance, waved his hand angrily, and said, "Be careful when you go to the clinic, you can go, leave it to me here!" ”
Li Fan stood up a little reluctantly, he really wanted to say to Wen Lu that he would see these patients when he came back, but he knew that this was not realistic, even if Wen Lu agreed, the patients would not agree! So Li Fan nodded and hurriedly ran towards the door.
Zhang Hunian parked the ambulance at the emergency door early and grinned when he saw Li Fan coming.
"Xiaofan, get in the car!"
Li Fan said hello to Zhang Hunian, opened the co-pilot's door and found that there was already a nurse sitting there.
This nurse is none other than Lu Qi, who he helped last time!
"Doctor Li, I'm on duty today, it's the first time to cooperate, please give me a lot of advice!"
Lu Qi is not very beautiful, but because she is young, she looks more lively.
"Hehe, help each other!"
Lu Qi in the car introduced the situation of this visit, saying that an elderly man who was in a coma was found near the town bus station, and the specific situation was not said, it was a 120 call made by a well-wisher.
Seeing that Lu Qi looked a little speechless, Li Fan smiled and said, "Nurse Lu, if you have something, just say it, it's okay!" ”
Lu Qi nodded and said, "Doctor Li, a patient like this who has no family members, if he brings it back and has no money to pay for the medical expenses, it will be a very troublesome matter!" ”
Li Fan nodded when he heard this, this is indeed a fact, if the old man has medical insurance, it is good to say, if he does not have any medical insurance, it is completely self-paying, and then there is no source, this kind of patient is a burden for the hospital!
Maybe you'll have to fight with the civil affairs department at that time!
"Okay, thank you Nurse Lu, I know about this!"
Looking at Li Fan's appearance, Zhang Hunian on the side also sighed and said, "Xiao Fan, it's not Uncle Tiger who is black-hearted, you must figure out the situation when the time comes, if it is really a wanderer, I will send you directly to the higher-level hospital, after all, the town hospital is small, and you can't afford this risk!" When the time comes, it will not be good for the hospital leaders to blame you! ”
"Well, Uncle Tiger, I understand!"
Li Fan knew that Zhang Hunian was for his good, but he was afraid that he would make a decision that he would regret when he was young.
Seeing that Li Fan was no longer talking, Zhang Hunian and Lu Qi were not speaking, and for a while, everyone only heard the siren of the ambulance.
…
Near the bus station in Shuiqiao Town
At this time, there were already many 'enthusiastic' spectators, and everyone was pointing and talking about an old man who had fallen to the ground.
"What's wrong with this old man? How long has it been since you fell to the ground? ”
"I've been here for ten minutes, and I saw it when I came!"
"Did you call 120?"
"How can you not fight? Although I don't dare to help, I can still afford a few cents! ”
"Alas, there is no way, the current situation is really unsupportable, dare not help!
"That's right! Isn't it? ”
On this issue, the news is broadcast every day, and there is a great debate about whether to support or not, and no conclusion has been reached anyway.
Soon, everyone heard the sound of the ambulance siren, but fortunately, this was near the station, and there were already police officers maintaining order.
After seeing the ambulance coming, everyone also cooperated to get out of the way.
"Hurry up, the doctor is here, don't stop the doctor from saving people!"
"Yes, yes! Everyone, retreat quickly, don't delay other people's illnesses! ”
After getting out of the car, Li Fan immediately walked over with a first-aid kit in front of everyone, without the slightest hint of timidity.
I saw that the person who fell to the ground was an elderly man, judging from his appearance, he was about sixty years old, and he was unconscious.
Li Fan immediately reached out and probed his carotid artery, although it was a little weak, but it meant that the old man was still alive.
After a preliminary examination, he did not find any wounds on the old man's body, and after laying him flat on his back, Lu Qi immediately came up to measure the old man's blood pressure.
"Dr. Li, the patient's blood pressure is very low, only 80/40mmHg, and his heart rate is 120 beats per minute!"
Li Fan listened to Lu Qi's report, but he was thinking about the patient's situation, the patient's lips were cyanotic, unconscious, his breathing was shallow, the temperature of his limbs dropped, his heart sounds were low and dull, his pulse was thin and weak, and his blood pressure was progressively reduced...
Li Fan immediately thought that the patient was suffering from shock symptoms! There are many cases of shock, but they can be broadly divided into three categories!
Hypovolemia, including hemorrhagic shock, burn shock, traumatic shock.
Vasodilatory, including septic shock, anaphylactic shock, nervous shock.
The last one is cardiogenic shock!
The driver who came back from Su Yu from the last car accident was a typical hemorrhagic shock!
Since it has been considered that the patient is in a coma due to shock, as for the specific cause, we can only bring it back for re-examination.
"Carry on a stretcher, inhale oxygen, establish intravenous access, the patient's blood pressure is too low, prepare dopamine, use it when necessary!"
Since Li Fan didn't know if the patient was in hypovolemic shock, he still didn't need dopamine for the time being!
"Yes!"
Lu Qi glanced at Li Fan, saw that she didn't notice the look in her eyes, sighed slightly, and went back to do what Li Fan told him.
"Who knows this old man?"
Li Fan rummaged through his pockets while checking the patient, but unfortunately he didn't find anything that could prove his identity.
Looking at the old man's dress, he didn't look like a homeless person, so he wanted to try to see if he could find the patient's family.
It's a pity that he is useless, if there is really a family here, will there be an old man lying on the ground like this?
Hey... It's hard to say...
(Don't spray the doctors above, it's just a novel, don't take it so seriously!) It's enough to write something half-true! )