Chapter 10 Pulmonary Embolism
Dai Yunyang groaned slightly, turned out the cases he had recently participated in, checked them one by one, and finally stopped at the girl who committed suicide.
He remembered that the patient's name was Cai Liya, and her CT chest X-ray seemed to have many similarities with this old man.
Dai Yunyang opened Cai Liya's bear film, compared it with the old man, and then was silent for a long time.
At this time, someone at the door called weakly: "Doctor Dai! ”
Dai Yunyang turned his head to look, but it was the daughter of Hua Guizhi, an old woman with pulmonary embolism, and the female worker who couldn't pay the medical bills.
Dai Yunyang knew that this was a tricky matter, it was difficult for a good woman to cook without rice, money was not everything, but no money was impossible. This sentence could not be more suitable for hospital medical expenses, a heavy task.
He quickly changed his smiling face and beckoned, "Come in, please take a seat." ”
The female worker cowered and sat on the folding chair next to Dai Yunyang and said, "My mother's illness, do I need to do a lot of tests?" ”
"Yes, the cause of her pulmonary embolism has not yet been investigated, even if we have temporarily cured the embolism by thrombolysis, if the cause is not found out, she will soon have a new pulmonary embolism, you know, this disease is quite dangerous, and it is likely to be fatal. Therefore, it is the key to find out the cause, and only by solving the cause of embolism can it be solved once and for all. ”
The female worker nodded: "I heard what you said when you were doing the ward rounds just now, but I really don't have any money, not crying poor." I really can't take it out, I've already borrowed tens of thousands of yuan, and all my relatives and friends who can borrow it have borrowed it. You know, I'm just a female worker, my mother is from the countryside, we don't have any rich relatives and friends in our family, everyone's economic conditions are similar, and everyone who can help has done their best, and they really can't lend us any more money, and it's already very good if there is no collection. ”
Dai Yunyang nodded: "I understand, the suggestion made by the director of the ward rounds earlier is to check the ultrasound of the blood vessels of the lower limbs, and check the upper respiratory tract and digestive tract, which are expected to cost hundreds of yuan, and I will try to give you the most economical examination......"
"I can't take out a few hundred dollars now." The female worker was about to cry, "I'm not afraid of your jokes, my son eats dried steamed buns and pickles vegetables every day at school, and he says that he wants to save every penny to treat his grandmother." ”
"Well, the child is very sensible. Otherwise, I'll apply for a postponement of the account for you, check first, this can't be delayed, only by finding out the real cause, you can know how to treat it later. This inspection fee can be put on the account first, and our department can set a few hundred yuan. But I would like to ask the Director. Do you think it's okay? ”
The female worker nodded gratefully: "It's okay to postpone the payment, I'll find a way, as long as I can get the money, I will definitely pay, and we are not the ones who pay the bills." ”
Dai Yunyang asked her to wait for a while, and came to the director's office to find Wu Hao.
After hearing this, Wu Hao immediately nodded in agreement, and sighed: "Let's delay the payment first, there is no way to pay it in the future, it looks really pitiful, we can only be good people first, and we will admit it if we are scolded to death in the future." ”
Of course, Dai Yunyang knows what this means, but if the patient does not pay the medical bills, the money will be spread on the heads of the medical staff of the department in the future, and it will be deducted from the bonus benefits, which is actually equivalent to the medical staff of the department paying for the patient. Everyone was already tired as dogs, and they paid money out of their pockets, and they could drown people by spitting stars.
………………
The results of the examination are in.
When Dai Yunyang got the results of the upper gastrointestinal imaging, he was stupid - the esophageal cancer was in an advanced stage, and multiple organ metastases had been found!
Dai Yunyang couldn't help but admire the judgment of director Wu Hao, few people can think of checking the digestive tract from pulmonary embolism, which was proposed by Wu Hao during his ward rounds, because the patient has symptoms of dyspnea, and it is not simply attributed to pulmonary embolism, but suspects that the respiratory tract or adjacent digestive tract is examined, because if there is a tumor in the digestive tract, it will compress the respiratory tract and cause dyspnea, this logic is not only the accumulation of experience, but sometimes it also requires strong intuition.
This check turned out to be a real problem.
Esophageal cancer is the culprit of the patient's two pulmonary embolisms, malignant tumors are a common cause of pulmonary embolism, and at the same time, the tumor compresses the respiratory tract and exacerbates the patient's dyspnea. And it is from this point that the cause of pulmonary embolism and dyspnea is reversely found, esophageal cancer.
However, no one cheered for this, and cancer treatment often cost hundreds of thousands of yuan, which is tantamount to astronomical amounts for this poor family. The fatality rate of esophageal cancer is very high, and even if you can borrow money for treatment, you may end up with both people and money.
Dai Yunyang told Wu Hao about the result.
Wu Hao was silent for a long time and said, "Tell the patient's family and help them apply for medical assistance." ”
Medical assistance is a kind of medical assistance system for the families of extremely poor patients with designated serious diseases, and the purpose of assistance is to save the emergency not the poor, so it is generally only used for the most urgent medical expenses to save lives, and the amount is not much, and the maximum assistance limit is only 30,000 yuan. And this money is a drop in the bucket for cancer treatment, and the patient's breathing difficulties will soon worsen to the point of critical life, and then he will inevitably have to go to the ICU to save his life, and the ICU is a gold-swallowing monster, with a daily cost of almost 10,000 yuan.
But having this money is better than nothing, although intellectually it will lead to useless conclusions.
When Dai Yunyang told the female worker about the results of esophageal cancer, she collapsed, lying on the table, neither crying nor moving, and she couldn't even see any signs of her breathing, which made Dai Yunyang wonder if she had fainted from excessive grief.
It took a long time for her to slowly sit up straight, take the test sheet, and her eyes were red in a daze.
Dai Yunyang explained to her about applying for medical assistance, and asked her to write an application and fill out the form, and do it herself. The female worker shook her head slightly: "Don't worry, I'll discuss this matter with my mother before deciding." ”
Dai Yunyang nodded and said with relief: "There must be a road before the car reaches the mountain, don't worry too much, we can mobilize social forces to help, and there will definitely be well-wishers who will lend a helping hand." ”
The female worker nodded gratefully.
…………
When he got home from work, the rare Ai Fenfei came home earlier than him and was video chatting with people. As soon as Dai Yunyang was about to speak, he saw Ai Fenfei raise his head to avoid the camera and give him a hint, "Your mother."
Okay, Dai Yunyang immediately cheered up, changed his shoes and sat next to Ai Fenfei, and greeted the person in the camera energetically, "Mom!" ”
If Ai's father is his wife's death hole, then Dai's mother is Dai Yunyang's pain point.
Dai Yunyang is a native of Beijing and the only son in the family, and after college, he came to Wuhan for his girlfriend to study and work, and he has been rooted for more than ten years. Dai's father and mother complained about this, and persuaded him to go back to Beijing to work several times, for fear that after a long time, his son would become someone else's "door-to-door son-in-law".