Chapter I: Critically Ill Patients
The civilian hospital in Shanghai is a well-known hospital in China, with a wide range of facilities from pediatrics to otolaryngology, surgery, internal medicine, oncology, obstetrics and gynecology, etc. Zhen Fei, an intern at the Medical University, was fortunate to be admitted as an intern doctor in a civilian hospital, and was assigned to the emergency department with the most contradictions and the most comprehensive medical skills.
At the regular meeting in the morning, Fang Kangyong, chief physician of the emergency department, presided over the meeting with a solemn expression and said: "The family of Ma Dafu, the 31-bed patient who was sent yesterday, made it clear that he could not pay for the operation, and now his condition can no longer be delayed, what should I do?" ”
The four attending doctors in the office, including the head nurse Wen Xiaoge, looked at each other, and their hearts were as heavy as Fang Kangyong's. Lack of money for treatment is a very serious problem, does the hospital treat the patient?
Without treatment, the hospital is obviously impersonal, ignoring the life and death and suffering of the patient, and who will pay for the medical expenses and miscellaneous expenses for hospitalization for continued treatment? Hospitals also have difficulties.
"Then let's treat it at a lower cost." A discordant voice rang out.
Everyone looked up and saw that it was the new intern doctor Zhen Fei, a twenty-one-year-old intern doctor with deep eye sockets and a pair of big eyes.
Zhen Fei's appearance has fascinated many girls, and they have said that he has the charm of a mixed-race child. Although Zhen Fei explained that he was an authentic Han Chinese every time, the more he explained, the more those girls felt that he was "funny".
"You're talking about cheap treatment, right?" Hu Tiankai, the attending doctor of the patient Ma Dafu, said mockingly: "However, Ma Dafu is in the advanced stage of intestinal cancer, even the cheapest medicine, his family is not willing to bear it, sometimes, we must respect the opinions of the patient's family, so that the patient can get through the last journey of life safely." ”
With an unbearable expression, Zhen Fei said angrily: "You mean to let the patient wait for death, how can the patient come down safely?" Do we expect patients to have the courage to talk and laugh in the face of death? ”
"So what do you say?" The attending doctor Hu Tiankai sneered and said: "Otherwise, you can pay the medical expenses for the patient, my annual salary is only more than 40,000 yuan, and I have to face buying a house and coaxing a girlfriend, I really can't come up with such a large sum of money to treat the patient." ”
Zhen Fei ignored Hu Tiankai's words and said to Fang Kangyong, director of the emergency department: "Director Fang, I think you can give acupuncture a try." ”
"Acupuncture?" Fang Kangyong looked at Zhen Fei like an idiot and said, "I've never heard that acupuncture can cure cancer, Zhen Fei, can you confirm that your brain is still awake?" ”
"Of course, I've never been so sober." Zhen Fei said very dryly.
Wen Xiaoge, the sharp-tongued head nurse, couldn't help but speak and said, "Zhen Fei, how convincing are your words?" ”
"The results are the most convincing." Zhen Fei's most attractive eyes sparkled, and at this moment, his cheek muscles were tense, and he looked as hard as if he was carved out of stone.
The attending doctor, Hu Tiankai, clapped his hands and said: "That's fine, at least let the patient's family see that our doctor is not a very thorough cold-blooded animal, and has been doing his best to save his relatives." ”
Hu Tiankai's meaning is understood by everyone, that is, it is agreed to let Zhen Fei give Ma Dafu acupuncture, delay the time, and let the patient's family raise money as much as possible.
Wen Xiaoge reacted immediately and said, "Doctor Hu, you are roasting Zhen Fei on the fire, if the patient's family knows the truth, won't you tear Zhen Fei to pieces?" ”
Hu Tiankai shrugged his shoulders and grinned: "Then there is no better way, no money is a taboo for medical treatment, and hospitals are not charities, they can give patients free treatment." ”
After thinking about it, Fang Kangyong, director of the emergency department, came to a conclusion and said: "In this way, let Zhen Fei give it a try, Head Nurse Wen, you apply for the green treatment channel of the hospital and see if you can reduce some treatment fees for Ma Dafu." ”
Wen Xiaoge said helplessly: "Director Fang, you have applied for the green channel for the second time in a week, and the dean will scold you." ”
"Scold, scold." Fang Kangyong said helplessly: "Who made our department special?" Every patient sent in is an emergency, and there is no energy to investigate the patient's financial situation, if this investigation is clear, by the time the rescue fee is paid, the patient will be dead. ”
The regular meeting in the morning ended unhappily, this is the daily reality of the emergency department, saving people is important, money is also very important, when you take care of both, maybe you will lose sight of one or the other.
After getting Fang Kangyong's approval, Zhen Fei came to the side of Ma Dafu in the thirty-one bed, and Ma Dafu was lying on the bed alone, not even a person to accompany the bed.
Zhen Fei asked in surprise, "What about your family?" ”
Intestinal cancer is a very painful disease, Ma Dafu endured the pain, his face was distorted, and he gritted his teeth and said: "I went to raise money, but there is no hope, my relatives have borrowed it all, and I spent more than 300,000 yuan before and after, but this disease is still not cured, doctor, you can give me a knife quickly, let me die." ”
"Yo, in that case, I'll be a murderer." Zhen Fei said in a relaxed mood, and even joked with Ma Dafu.
A patient next to him said: "Since it is a terminal illness, it is still so painful, and it is a sin to live, alas! It's better to live than to die, it's better to live than to die......"
His words made several patients next to him nod in agreement: "Yes, life is better than death, I hope that the country will pass the legislative bill of 'euthanasia' as soon as possible, so that I can be relieved as soon as possible." ”
Zhen Fei didn't want to listen to these unambitious words, he was a doctor, since he chose this job, it was to relieve the pain of patients, not to kill patients, and even because his medical skills were not high, he could not save all patients, which would make him feel very uncomfortable and uncomfortable.
Zhen Fei said to Ma Dafu: "Uncle Ma, come with me." ”
"What?" Ma Dafu's hands pressed his stomach hard, eager to pull out the intestines inside, so that the severe pain could be kept away from his body, or he would die as soon as possible.
"I'll treat you." Zhen Fei turned around and left.
After hesitating, Ma Dafu reluctantly got up and followed.
The rescue room was chaotic, and a patient who had just been in a car accident was screaming in pain, and the doctor Hu Tiankai frowned and said: "Bear with it, it won't hurt after the anesthetic comes up." ”
"Grass and mud horses, this is not your leg, of course you don't hurt." The injured patient couldn't help but curse.
Shaking his head, Zhen Fei sighed, treating diseases and saving people was still scolded by patients, is this the job of a doctor? With a glance of his eyes, he quickly dodged away, and Wen Xiaoge, the head nurse holding the infusion tube, hurried over and almost hit Zhen Fei's body.
Zhen Fei beckoned Ma Dafu to lie on the hospital bed inside, closed the curtain, and the people outside couldn't see it, so Zhen Fei took out a shiny metal box from his pocket and disinfected it with alcohol slowly.
"Are you going to give me acupuncture?" Ma Dafu has always been watching Zhen Fei's every move.
"Well, don't you want to try a new treatment?" Zhen Fei blinked his eyes, stretched his fingers, like colorful butterflies flying, and disinfected the milli needle very quickly.
"Cut, don't try to lie to me, I know what you think, it's not that you see that I have no money, so you think of a way to fool me." Ma Dafu has spent most of his time in the hospital in the past year, and he has guessed some truths in his heart.
"It may seem like this to others, but my acupuncture skills are unparalleled in the world, and ordinary people can't imagine the wonder of the curative effect."
"I don't expect to be cured by acupuncture, it's best if you stab me to death, and I can get a medical malpractice compensation at home, come on." Ma Dafu wants to open it very much, anyway, there is no life or death, and he can get out.
Zhen Fei smiled and said, "Lift your clothes, your patient is on the stomach, I have to see the skin to find the exact acupuncture points." ”
"Little doctor, have you memorized the 720 acupuncture points?"
"You're wrong, it's not 720 acupuncture points, but 1191 acupuncture points, and there are thirty-six acupuncture points that are hidden, don't you know?" While Zhen Fei was talking, his subordinates were not slow, and pierced a milli needle into more than ten acupuncture points such as Ma Dafu's Tianshu acupoint, abdominal knot acupoint, and Zhihai acupoint.
After the milli needle went down, Ma Dafu breathed a long sigh of relief, stretched his eyebrows and said: "Little doctor, your acupuncture is not bad, my stomach is not very painful, can you leave the milli needle in my stomach like this?" ”
"No, how do you feel?" Zhen Fei gently twisted the milli needle, and according to the method mentioned in the book "Yin and Yang Needle", he lifted the milli needle one by one, the action was like lightning, and his fingers flew over, like a fair lady embroidering, and then gently injected the mana in the dantian Zhihai along the milli needle.
This is where he is different from ordinary people, since he practiced the Yin and Yang Technique, a large amount of mana has been accumulated in the dantian Zhihai, and the use of mana is very wide, which can not only heal people, but also change his physique, making his body stronger.
Ma Dafu on the hospital bed has not felt so comfortable for a long time, since he had intestinal cancer, he seems to have been taken into hell all of a sudden, rolling in pain every day, tearing the sheets one by one, hitting the wall with his head, and not reducing the pain.
Knowing that Zhen Fei's acupuncture is useless for cancer, but it can relieve the pain in the stomach, it finally has a little effect, Ma Dafu said happily: "Little doctor, your methods are really clever, my stomach doesn't hurt anymore, well, there is a feeling of wanting to fart, if I can't help but really fart, don't blame me for not respecting you enough." ”
"You're a patient, what's a fart? Fart, which is the gas in the stomach, means that your digestive system is unimpeded, if you can't even fart, it means that there is a problem with the intestines and there is a blockage. ”
"I don't know this medical knowledge, so I know it's rude to fart." Ma Dafu chatted with him, acupuncture alleviated the pain, and his mouth was idle.
"That's a misunderstanding of farting, and the smell of farting is not very good, which makes people taboo to mention, but, in the doctor's opinion, this is normal, if anyone farts very fragrant, it must be a patient." Zhen Fei usually likes to talk, small talk can relax his mind, and the more nervous he is, the more he wants to talk.
After half an hour of acupuncture, Zhen Fei pulled out the milli needle, and Ma Dafu hurriedly said: "Don't pull out the needle, let's insert it." ”
"That's really dangerous, a needle can pierce your intestines, and you really can't fart then."
"I pulled out the needle and my stomach started hurting again." Ma Dafu said with a frown.
"Uncle Ma, this is the psychological effect, I just pulled out the needle, how can it hurt so quickly? Don't worry, the effect of my acupuncture can make you last for an hour without feeling pain. ”
"Yo, little doctor, your acupuncture is so magical, then you can give me another needle in an hour." Ma Dafu said expectantly.
"Okay, when you feel pain, feel free to come to me." Zhen Fei didn't care, and Shi Shiran walked out.
The car accident patient in the outer bed has been sent to the operating room, replaced by a woman who committed suicide by diving, her long black hair is very messy, hanging down from the hospital bed, the patient's mouth is inserted with an oxygen mask, and the director Fang Kangyong is doing cardiac resuscitation for her.
Zhen Fei watched Director Fang rescue the patient blankly, and the little nurse next to him shook her head helplessly and said, "It's been three minutes, Director Fang, there is no rescue value, people are bent on death, we have to work hard." ”
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