Chapter 8 Deferred Delivery
Wu Hao slowed down his tone and said: "You don't have to be too anxious about the medicine fee first, you can delay the payment, it is important to save people, the first article of our hospital motto is people-oriented, treatment and saving people are the first, and you will not stop medicine and stop treatment because you can't pay the money, don't worry about this." No problem. Let's talk about it later, shall we? ”
The old man on the bed and her daughter were very grateful when they heard the director say this, and nodded frequently.
Li Yanling added: "Deferring payment does not mean not paying, and it is impossible for the state to give money to patients for treatment." So you're going to have to figure it out eventually. ”
The patient and his daughter became anxious again and looked at Wu Hao for help. Wu Hao pointed at Dai Yunyang and said: "He is your attending doctor, do you have any specific requirements to find him to react after coming down, that is the sentence, people-oriented, the hospital motto is explained like this, no problem, rest assured!" ”
As he spoke, he continued his rounds.
When I found a room, I heard a painful ** inside the door, and when I went in, I saw that the other beds in the room were closed with curtains, ** came out of a bed in the middle, Wu Hao and others came to the bed, and saw an old man in his seventies on the bed, lying sideways, in pain**, and his quilt was placed again, and his pants were pulled down to the ankles, revealing his thin buttocks and thighs, almost skinny. It's scary to watch.
A young man with a pair of rubber gloves in his hand and an unhappy face arguing with another man.
"What's going on? Who is in charge of this patient? Wu Hao asked.
The little fat man Zhu Shan hurriedly squeezed over: "It's me, director, this patient just came two days ago, waiting for a bed in the hematology department," and leaned into Wu Hao's ear and whispered: "Advanced leukemia." ”
Wu Hao nodded, pointing to the thin patient's bare cheeks: "Is this any treatment?" ”
Zhu Shan hurriedly said: "The patient has constipation and unbearable abdominal pain, so I gave him an enema, but it still has no effect." I had to ask the family members to wear rubber gloves and pick out the stool for the patient. ”
Wu Hao knew that there was no way out, and looked at the two young people, and Zhu Shan said that he didn't know each other. After asking, I learned that these two young people were employees who were invited by the patient's original unit to take care of them, and of course they were unwilling to do such a thing. The old man had no children, and his wife was also sick and bedridden at home, so the original unit sent someone to take care of him. These two people are unwilling to do this kind of thing to help the old man poop.
As he was talking, the head nurse Xiong Shengnan stepped forward silently, took the rubber gloves from a young man's hand and put them on, squatted down, smeared them with petroleum jelly, and picked them up very skillfully and quickly, and soon, the tray was full of dark and dry stool, and the smell was so bad that all the patients in a room hid in the quilt, and the patients' families all hid outside.
Of course, apart from the most frowning of the doctors and nurses, none of them flinched.
Seeing the head nurse personally helping to pick up the stool, the old man who was in pain was embarrassed and grateful, and apologized and thanked him one after another.
Wu Hao began to check the patients in several other beds, and when he finished this ward, Xiong Shengnan was also busy, went out to take off his gloves and wash his hands, and continued to do his rounds as if nothing happened. Dai Yunyang gave him a thumbs up, and she smiled modestly.
I found the bed of Uncle Pang in the grocery store. Boss Pang was accompanying him, saying that his father was still coughing uncomfortably and out of breath.
Wu Hao looked at his blood oxygen saturation detector and showed an oxygen saturation of 91, barely passing, which was still the result of oxygen inhalation through a nasal cannula. Wu Hao frowned and told Dai Yunyang to be careful.
After checking the first floor, then check the second floor. On the second floor is the emergency ICU intensive care unit, with a total of eleven beds, but only three patients, and the rest of the beds are empty.
They came to the bedside of a young woman, and the attending doctor was Fu Quan.
Fu Quan said: "The patient's female, named Cai Liya, 20 years old, committed suicide by taking a large amount of amitriptyline tablets a week ago because of emotional problems. - The woman had previously suffered from depression and had amitriptyline at home. She was unconscious after taking the medication, and her father found out and immediately rushed to our hospital for first aid. At that time, he was in a coma, the pupils on both sides were dull to light reflex, and the breath sounds of both lungs were slightly rough, and he was given vital signs monitoring after admission, oxygen inhalation, gastric lavage, urinary catheterization, dehydration to reduce intracranial pressure, promote awakening, anti-infection and maintain water, electrolytes and acid-base balance. ”
"After four hours of treatment, the patient breathed weakly, his face was cyanotic, his blood pressure could not be measured, he was given ECG monitoring and ventricular fibrillation, and he was given cardiac compression, tracheal intubation, adrenaline and other treatments, continuous cardiac compression, and began to recover after half an hour."
Wu Hao nodded, and said to a circle of doctors and nurses: "Amitriptyline poisoning, will gather in high concentrations in brain tissue, inhibition of the respiratory regulation center, circulatory center and myocardial toxicity, there is no specific antidote, the case fatality rate is extremely high, this patient is young, the body is relatively good, the rescue is timely, the method is correct, although I dare not say that I am out of danger, but it has stabilized, and it is also her fate." But don't take it lightly and keep a close eye on vital signs. Appropriate treatment should be taken at any time. ”
Speaking of this, he looked at the patient's condition and continued: "The intubation time is too long, change to tracheotomy." ”
He turned his head to Ma Feng, the deputy director in charge of intensive care in the ICU and anesthesiologist, and said, "Director Ma, you will be responsible for doing a tracheostomy later." ”
Ma Feng nodded in agreement, hesitated for a moment, and said to Wu Hao: "Can you let Xiao Dai be my assistant?" ”
Wu Hao glanced at Dai Yunyang.
Dai Yunyang is an expert in intubation, and he is also very good at tube cutting. It's just that Dai Yunyang is not an ICU doctor, and Ma Feng asked him to be an assistant, obviously relying on Dai Yunyang, a master.
Wu Hao smiled, nodded and said, "Okay." ”
Ma Feng breathed a sigh of relief and said to Dai Yunyang, "I'm ready to call you." ”
Dai Yunyang nodded in agreement.
Wu Hao checked the remaining two beds and led a group of people out of the ward.
Cai Liya's father, who was sitting on a chair in the family escort area outside, quickly stood up and walked over.
The ICU ward is not accompanied by family members, and patients can only be visited at 4 p.m. every day, and only for half an hour. The rest of the time, he can only stay in the escort area outside the ward.
Cai's father said with a crying voice: "Yesterday afternoon, my daughter said that she was very uncomfortable with the tube, what should I do?" ”
Wu Hao shook his head and said warmly: "Your daughter must continue to receive oxygen in this situation, this is for her good." We were sedative, and she was able to tolerate intubation, no problem. Of course, this will be very uncomfortable, how can you be comfortable when you are sick. Of course, if you don't say it, I also want to tell you that the continued use of sedatives is not conducive to the observation of your daughter's recovery. Today we are going to change her to a tracheotomy, so that she does not need to continue to use sedatives, which is convenient for treatment, and she will feel better. It's all right. ”
"Okay, then I'm sorry for you, doctor."
As he spoke, Cai's father coughed a series of times.
Wu Hao said with concern: "What? Got a cold? Pay attention to your body, you can't get sick at this time. ”
Father Cai nodded gratefully.
After checking the room, Wu Hao let everyone disperse and go to work. Dai Yunyang received a call from Ma Feng saying that he could go up, so he came to the ICU ward on the second floor again.