Chapter 471: Money or Death
When the group got out of the car, they were fully armed, and it was difficult to enter the emergency department with a general cold and fever, and it was difficult for the disease of pneumonia bronchitis to enter the emergency department, and the patient's chest pain had no way for him to go to the hospital by himself, which proved that the situation was very serious.
In case it is a contagious disease, the three people in the car will not be able to eat and walk, so it is better to be cautious, and the medical staff should still consider their own safety in the process of first aid.
It is very rare for the king pigeon to wear a mask and rubber gloves, which is a relatively rudimentary means of protection, but it is still somewhat effective.
Hongnishan community is a relatively old community, the buildings here are basically under the sixth floor, and there is no elevator, so Wang Ge did not take out the cart, but directly took out the stretcher on the cart.
He only hoped that the patient's weight was not too heavy, otherwise the patient's location was on the fifth floor, and he couldn't stand it.
The community is relatively old, and there are no decent walls or security personnel, and the ambulance came to the downstairs of the location unimpeded, this building is also very old, the outside wall has peeled off, and it was originally included in the scope of demolition, but the price of the demolition has not been negotiated, which has been temporarily shelved.
However, if this place is demolished, it will be sooner or later, the road next to it has been repaired, the demolition has also been demolished, the new real estate project has begun to be developed, and the residents here will get a large amount of demolition money after the demolition.
In fact, Wang Ge is very envious, there is a suite at home, if it is demolished, not only can you buy a new house, but also leave a lot of money, do a business, make an investment as a start-up capital, no need to go to work, it is not beautiful.
It's better to work than to dismantle it!
A group of three people quickly ran to the fifth floor and came to the door, Wang Ge originally planned to call the police to find a lock company, but he didn't expect the door to be open, and the patient was so painful that he couldn't move, and he could still get up and open the door. When I came to the bedroom, I found that the patient was lying alone on the bed, and there was no one at home.
The patient forced the door open and returned to bed on his own.
Obviously, the sofa is a little closer......
"You called the police, is it uncomfortable in your chest?" Liu Ya cautiously leaned over and said.
As soon as the patient spoke, before he could say anything, he coughed for a long time, and he could not speak at all, so he could only nod his head, and then raised his hand and pointed to his chest, his expression was very painful.
"Is there a lot of phlegm, will it hurt to breathe?" Liu Ya asked again.
The patient nodded, swallowed a mouthful of saliva, and then felt more comfortable, and now he didn't dare to speak.
"It's such a big person, and I only called an ambulance when I was sick like this, so I didn't know how to buy some cold medicine and anti-inflammatory drugs, and go to the community clinic as soon as possible. Liu Ya glanced at Banlangen on the bedside table.
If it is a viral cold, or a fever caused by an upper respiratory tract infection, it must be based on the treatment of the lesion, and it is useless to take medicine only for the symptoms of the cold. As it drags on for a long time, it will surely get worse and worse.
"Blood pressure, body temperature. Liu Ya said to Shen Hui, still checked the patient's carotid artery, looked at the patient's pupils, and then listened to the patient's heartbeat and breathing with a stethoscope, and it could be seen from his expression that there should be no big problem.
"One hundred and fourteen, one hundred and ten millimeters of mercury. The temperature of the ear canal is 39.3 degrees Celsius. Shen Hui looked at Liu Ya and said.
"Rapid pulse, tachycardia, tachypnea, rales in both lungs, consistent with a lung infection. Liu Ya nodded, "Let's go back to the hospital first, you can't use medicine casually for the time being." After getting into the car, give oxygen, ECG monitoring, and pay attention to the blood oxygen concentration. ”
"Do you want to go to the hospital, prescribe some medicine!" the patient seemed to be relieved, and actually spoke, but it seemed that the process of speaking was very painful, and he kept frowning.
"If you have a common cold and fever, I might prescribe some medicine for you. However, there may be a lung infection that does not allow for simple antipyretic treatment. Lung infection is what we call pneumonia, at least go back to take a chest X-ray, take blood tests to determine the lesion, before you can prescribe the right medicine, you must be treated with infusion, and you have to stay in the hospital for a few days. Liu Ya patiently explained that sometimes patients are like this, unable to understand the doctors' decisions at all, nor do they realize the seriousness of the matter.
"Your current symptoms mean that the lung infection is already very serious. If it drags on any longer, pulmonary edema and tracheal edema may occur, and if it is serious, it will kill people, so let's pay a little attention to it. Shen Hui said.
Wang Ge didn't say a word, he wanted to carry the patient to the stretcher with Liu Ya, the patient had no family, although the patient was relatively thin, but it looked a little big, it couldn't be light, the weather was so hot, it was estimated that he would sweat profusely.
The hand had not yet touched anyone, and he did not know where the weak patient had the strength, so he pushed the hand of the king pigeon away.
"I already know that it's a lung infection, so can't I prescribe some antibiotics? It's okay to hang up the infusion, I'll find someone to go to the hospital to prescribe medicine, and I'll go to the clinic downstairs for the infusion myself." It's just a cold and fever, and you have to take a film, and you have to draw blood? It's thousands of dollars back and forth, and it's so troublesome to reimburse, and finally you find out a little bit of illness. Aren't you a doctor? You don't have any subjective judgment at all, isn't it irresponsible!" Although the patient was weak, he spoke in a way that seemed to be in the hospital many times, as if he had been tricked many times.
The king pigeon was about to laugh, but there was nothing to refute.
Although Liu Ya was holding back his breath, the patient was not in good health now, and as a medical worker, he would not quarrel with others! If he can't fight back or scold, he is talking about Liu Ya himself.
Of course, it is impossible to leave it alone now, let alone do what the patient says, that is really irresponsible. In the future, if this person really suffocates at home due to pulmonary edema, netizens will hear the news, no matter what the patient said at the time, they will only say that your doctor careless of human life, and the online media will definitely explode.
Liu Ya is still good-tempered, or maybe he has more patience in the morning, and continued to explain. "That's the case...... My eyes are not X-rays and do not function as a microscope. This lung infection is just my preliminary judgment, and other diseases may also have the current symptoms, I just make a guess. A chest X-ray can tell where your lesions are. Even if it is really a lung infection, there are many kinds of infections, it may be bacterial and fungal infections, it may be viral or infectious diseases, it may also be atypical pneumonia, mycoplasma pneumonia. If you've recently been exposed to radioactive objects, or if you've had vomit inhaled into your trachea, you may also have chemical pneumonia, but it's not as simple as you think. Blood tests can be done to determine the cause of your illness as accurately as possible, and different treatments and medications are used for different causes, which can help you recover quickly. ”
In fact, the doctor is not a fairy, although he has studied medicine for many years, for some symptoms, what is the specific disease can be guessed at a glance, and this guess is accurate, but it is not possible to determine the cause by subjective judgment.
The consequences of misdiagnosis are very serious, the whole treatment direction is wrong, the disease will definitely not be cured, not to mention, and even will have the opposite effect, making the patient's symptoms more serious, and even causing death, which can be said to be medical malpractice.
Some patients who have registered their outpatient numbers always feel that after describing their symptoms, the doctor did not listen well, so they issued an order for them to go for blood tests and take films for examination, which is irresponsible and money-making, but in fact, it is not. Doctors understand the situation and will prescribe corresponding examinations. Some symptoms are not severe, but CT is still required to rule out malignant diseases that cannot be identified by the naked eye or ordinary diagnosis.
Liu Ya even met his own relatives who asked for help in seeing a doctor! The relatives did not believe the doctors in the hospital, but believed in Liu Ya as a relative, so after the hospital issued the examination documents, they would even ask Liu Ya whether he wanted to do the examination, and after the examination, he would also ask Liu Ya whether the results of the examination were normal and whether the doctor's diagnosis and treatment were correct.
Where does Liu Ya know!
He is just an emergency doctor, and he does not understand all the data of laboratory tests, and sometimes he has to consult the doctors in the department and ask for a consultation. And how can the laboratory test data be seen based on symptoms alone, in that case, the hospital will not have to open at all.
The doctors in the hospital must have their reasons for asking for laboratory tests, and the results of the tests will inevitably lead to a diagnosis and treatment, which has nothing to do with whether or not they are paying for it.
There is no one else in the world who wants patients to get better than doctors.
If Liu Ya said that he didn't know, he would be said by others to be perfunctory, he didn't want to take responsibility, or he was not good at academics, he really wanted to cry without tears at this time, and he didn't even want to see those relatives.
It's a matter of probability.
In the above cases, patients may have doubts and even be unacceptable, but in fact, in other words, everyone understands.
Take this patient as an example, if you spend three to five hundred yuan for a blood test and take a film, you can be completely sure that he is just ordinary pneumonia, not inflammation caused by diseases such as malignant tumors in the lungs. In other words, if there is such a disease, early detection and early treatment will have a better chance of cure and survival. Spending a few hundred dollars can buy a safe life, and even avoid the risk of death, who wouldn't spend this money?
Most people think that hospitals check the pit money at every turn, but they just don't understand this truth.
"Money or death, although you can choose for yourself...... But we have to take you to the hospital now, and we have to contact the family and let your family make the decision with you, and we can only recommend options for you. The king pigeon also said patiently. "Leaving you here is truly irresponsible. I may need your ID, social security card, health insurance card, bank card or something. It's inconvenient for you to get up, I'll find it for you, bring your mobile phone, and I'll look for your family later. Your disease is within the scope of medical insurance, and it won't cost you much money to reimburse it, so cooperate with the treatment. ”
The patient had no choice but to point to his pants on the sofa beside the bed.
Wang Ge found all his documents in this, which were relatively complete, and took advantage of the patient's temporary consent, and quickly glanced at Liu Ya, and the two carried the patient to the stretcher, and quickly went downstairs to the ambulance.
As soon as the back door of the ambulance was closed, the king pigeon was cold when he returned to the driver's seat, and lightning and thunder appeared in the sky at the same time, and raindrops the size of beans fell sparsely.
The morning rush hour is not over yet, but fortunately, there is no need to cross the Orange Island Bridge to transport patients to the hospital, and it only takes a few minutes to drive to the emergency department of the Armed Police Hospital. Wang Ge just picked up the intercom and said a few words, the car turned around a few times, and the car immediately drove to the gate of the emergency department of the armed police hospital, and the doctors and nurses didn't even have time to prepare to receive patients.
The patient's condition was fine, and there was no need for Liu Ya to continue to stay at the scene to help with the operation, and he hurriedly got into the car after the handover of the three was completed.
"It's useless to go back in a hurry, the bridge is blocked to death right now. Wang Ge held the steering wheel, stopped at the traffic light at the T-junction, and after the soul power was released, the congestion at the intersection ahead was very serious, and it was estimated that it would take two or three traffic lights to get on the bridge.
"Is it contagious?" asked Shen Hui. Since Shen Hui was bitten by an AIDS patient last time, and took blocking drugs for a long time, and stayed in the logistics department of the hospital for more than half a year, she has been very concerned about her own protection.
And she and Tao Mi are already engaged, and the wedding is scheduled for the end of the year.
"The probability is relatively small, it is an ordinary upper respiratory tract infection, and I made it myself. Liu Ya shook his head, took off his mask, and threw it into the trash. "Basically, it's fine, don't worry. ”
Outside the car, the rain was pouring heavily, the raindrops were dense, the falling speed was fast, and there was no wind, so Wang Ge drove the front wiper of the ambulance to the fastest, so that he could barely see the situation ahead.
However, he was no longer the same as before, even if he couldn't see clearly with his eyes, he could accurately judge the surrounding situation using the detection of soul power, and this feedback was much faster and more accurate than the sensory observation of the body itself.
Liu Ya took advantage of this time to take out his mobile phone and began to look through the Internet again, Shen Hui also took out his mobile phone, as if he was talking to Tao Mi about something. In addition to being a little angry and a little tongue-in-cheek, this trip was relatively relaxed.
However, this relief does not seem to last long, after all, the king pigeon has already received the news from the command center through the communication equipment.