Chapter 283: The Guy Who Ran Away!
He pushed the consent form for emergency PCI surgery in front of the middle-aged woman.
The voice was a little stern: "Because when the traffic police communicated with you at that time, you said that you could come in twenty minutes."
And since your husband was admitted to the hospital, we have treated him urgently. Symptoms are now relieved and vital signs are stable.
So for those twenty minutes, we need to wait for you to sign off. ”
"If you are far away from the hospital and it may take an hour or two to get to the hospital, then we will take emergency measures, open a green channel for the patient, and will perform emergency surgery on him to save the patient's life."
"So at present, all the patient's situation is under our control, and within the allowed time, you can come to the hospital, of course, you need to sign before you can operate.
Now your husband's condition is acute myocardial infarction, which is very critical. You are now questioning our healing skills. It's better to sign it quickly, and let's perform interventional surgery on him as soon as possible. ”
Lin Yi's sharp words made the middle-aged woman speechless.
She carefully read the consent form and finally signed her name on it.
After signing her name, she immediately shouted: "I have signed the word, hurry up and operate on my husband, if he has a bad day, you and the traffic police outside are responsible." ”
Boy!
This woman is really unusual!
Her husband was originally drunk driving, and the traffic police performed official duties reasonably and legally, but he didn't expect to be beaten by this woman.
Her husband had an acute myocardial infarction, indicating that he had a heart problem.
It's just that after drinking, it was induced, and it has a hairy relationship with other traffic police!
But I didn't expect this middle-aged woman to use this as an excuse to morally kidnap the traffic police and doctors.
In fact, when the middle-aged woman came to the hospital, Lin Yi and the intensive care doctor had already handed over the patient to the doctor in the cardiology department.
Although Lin Yi will do emergency PCI now, it is not good for his body due to frequent exposure to radiation.
And he also made up his mind not to do interventional surgery in the future.
Therefore, this patient is not admitted to the emergency department!
The intensivist pushed the middle-aged man into the catheterization laboratory and completed the handover with the doctor in the cardiology department.
Lin Yi finally breathed a sigh of relief in his heart.
The patient's wife is not a reasonable person at first glance.
And now this myocardial infarction patient has been handed over to the cardiology department, which also happens to reduce a lot of trouble for the emergency department.
As for the middle-aged woman, how will she entangle the traffic police and the doctor in the cardiology department in the future.
Lin Yi is also out of sight and out of mind.
Besides, he has no way to deal with such a vexatious person.
After they had gone, a young man of seventeen or eighteen years of age walked in, with a very unsightly and sallow face.
His hair was messy, he walked swaying, and he had no roots under his feet.
When Lin Yi saw this young man, he hurriedly asked him to sit in front of him.
"Doctor...... I felt very bad all over my body, I couldn't breathe, I ......"
Saying this, the young man coughed violently.
Lin Yi hurriedly took out the stethoscope, lifted his shirt, and asked while checking the position of his chest.
"Do you often stay up late?"
"Yes."
"I usually go to the Internet café all night, and I don't sleep for a few days and nights."
Lin Yi looked at him with a very bad expression.
"And what do you feel sick about right now?"
"I just feel like I'm having trouble breathing, and my back hurts!"
"Back pain?"
In the stethoscope, the young man's heartbeat was weak and slow.
Hearing him say this, he put down his stethoscope and began to press down on his waist again.
"Does it hurt here?"
"It doesn't hurt ......"
"What about here?"
"It doesn't hurt ......"
"Where's this location?"
"Ouch...... It hurts, it hurts! ”
Pressed to the position of the waist eye, the young man was very uncomfortable, and his expression was a lot more painful.
Lin Yi checked the young man's pupils again.
Eyes are blank.
Suddenly, Lin Yi thought of a possibility.
He did not immediately ask the young man to do a test, but said to him:
"You come here, check your eyesight."
Lin Yi took out a shield, blocked one of the young man's eyes, and began to check his eyesight.
"Can you see this?"
The young man shook his head.
"What about here?"
Then he shook his head.
"Where's this location?"
He still shook his head.
Lin Yi's heart sank.
The young man's situation is not optimistic, he is too young, and his body is overdrawn.
"You should go for a lab test right now." Lin Yi opened the test sheet and asked, "Have you been nearsighted or astigmatism before?" ”
"No, I used to have good eyesight."
Asking, Lin Yi's test sheet was opened.
"You go to the blood test, urine test, and stool, the test is done, and come to me with the results."
"Is it on an empty stomach?"
"Yes, I didn't eat in the morning."
"Let's go for a test."
"Okay doctor."
Seeing that Lin Yi's face was not very good, the young man was a little nervous.
I stopped talking, but I left the reception room.
The young man came back with the test sheet.
Lin Yi looked at the blood test sheet in fright.
The blood glucose level of a normal person on an empty stomach is about 3.9-6.1 mmol.
But this young man's blood sugar level reached 22.9!
This blood sugar level is far beyond the level of normal people.
"Didn't you drink a drink when you came in the morning?"
"I didn't drink it, so I drank a little water."
Lin Yi then nodded.
"Do you usually like to drink drinks? Did you know that your blood sugar level is very high, and at the moment, it is a symptom of mid-stage diabetes? ”
As soon as Lin Yi said this, the young man's face instantly turned a lot pale.
"Doctor...... Is diabetes serious? ”
"It's not very serious, and if you control your diet and daily routine, it's not a serious illness."
Lin Yi said, and checked the urine and the big change of the test again.
The situation is far from rosy.
All the organs in this young man's body are in a bad condition.
"You can't stay up late anymore from now on."
By checking the young man's eyesight, blood and urine just now, Lin Yi felt that his physical condition was even worse than he thought.
"I suggest you stay in the hospital for observation, because your current condition is very ......"
After Lin Yi finished speaking, the young man was obviously a little resistant.
"Doctor... I don't have much money, and I can't afford to be hospitalized......"
"For the sake of your health, I advise you to contact your family now and see if they can pay you for medical treatment."
Lin Yi continued to persuade.
If conditions permit, Lin Yi also wants to give him a more comprehensive examination.
"My family ......"
The young man was silent.
"Then I'll go to the hospital......
The young man thought for a long time before he spoke.
Lin Yi nodded.
The young man left the reception room.
Soon, an hour passed.
Lin Yi, who was sitting in the consultation room, shook his head helplessly.
It's been an hour, and the kid hasn't come back yet.
It is estimated that he was shy and didn't want to contact his family, so he left............
At this time, in a green belt not far from the hospital, a young man suddenly fainted while walking.
The sanitation worker who was passing by saw it and quickly notified the hospital.
The patient was sent back to the hospital again.
And this young man, at this time, his whole body was convulsed, his mouth was foaming, and his eyes were rolled up.
When I was pushed to the emergency department of the hospital, the situation was already very unoptimistic.
"Doctor, doctor, there is a patient who faints and needs to be rescued immediately!"
The nurse pushing the stretcher cart shouted loudly.
Lin Yi immediately ran out of the consultation room.
When he saw the young man on the stretcher, he immediately frowned and said:
"Send it to the rescue room immediately, and I'll take care of it."
Lin Yi said as he ran with the stretcher, and at the same time took out a pen lamp in his hand and opened the young man's eyelids.
"There are signs of pupil collapse, prepare ventilator, defibrillator."
"Understood!"
When they arrived in the emergency room, the ventilator was put on and the patient was defibrillated.
"Charge 100 joules."
"Get out of the way!"
During a defibrillation, the young man's heart rate was extremely unstable, and the detector sounded a burst of alarms.
Lin Yi continued to defibrillate the patient.
Secondary defibrillation.
"Charge 150 joules."
"Get out of the way!"
The patient's body fluctuated, and Lin Yi gave him cardiopulmonary resuscitation.
"Epinephrine, intravenous ......"
"Notify the nephrology department to come over and prepare for a consultation, I suspect that the patient is uremia!"
After Lin Yi finished speaking, Wu Jiang on the side immediately went to contact the people from the nephrology department.
Lin Yi continued to rescue the patient.
After 10 minutes, the patient's condition was largely stable.
Zhang Jing, the director of the nephrology department, hurriedly ran to the rescue room and met Lin Yi.
"Dr. Lim, this patient ......"
Lin Yi walked out of the rescue room, and said to Zhang Jing as he walked:
"Director Zhang, I suspect that this person is uremia, is it so convenient for you to diagnose it?"
Lin Yi here, just through simple observation and laboratory tests, it is not completely certain that the patient is uremia.
"It's okay to get a diagnosis, but who pays for the patient's side?"
This Lin Yi also made a difficulty.
"Director Zhang, when I was treating a patient just now, he seemed to be ...... It was a bit difficult to get in touch with the family, and when I told him to ask him to get a hospital bill, he ran away......"
Lin Yi briefly told Zhang Jing what happened.
"Well, I'll try to contact the patient's family, and if I can't get in touch, let's talk about it?"
"Okay, if you can't contact his family, let's see if the hospital can reimburse the fee, I'll contact the director now."
Zhang Jing said.
In hospitals, there is a small fee that can be reimbursed free of charge.
However, the signature of the dean is required.
This is also the above policy, to avoid some patients who look down on the doctor and delay the disease and deliberately open a green channel.
"That's troublesome Director Zhang."
"Be polite to me! I'm a little embarrassed about you. ”
Zhang Jing smiled, turned around and left.
After Lin Yi returned to the consultation room.
The patient's condition was bad, but his life was not in danger.
After eating at noon, Lin Yi rested for a while and went out to check the room.
I remembered the young man and asked the nurse on duty.
"Where is the patient suspected of uremia today?"
"In bed 8, it seems that people have woken up."
The nurse said to Lin Yi.
Lin Yi walked in the direction of the hospital bed.
When he arrived at bed No. 8, the young man who woke up showed an embarrassed smile when he saw Lin Yi.
Lin Yi didn't feel anything.
It's normal to be short of money and run away from the sick.
But the body is your own, and if you lose your life for some money, the gain outweighs the loss.
"Your situation is very bad, you need to inform your family immediately, and if you delay like this, you will ......"
Lin Yi shook his head.
The young man did not realize the seriousness of his condition, and asked curiously.
"Doctor, my ......"
"I suspect you have uremia, but you have to do further tests, and it is best to be able to contact your family, otherwise you will be blind at your age."
Lin Yi said the grievance.
But no matter how stupid people are, they can hear the meaning of this sentence.
If you don't contact your family and don't take money to see a doctor, I'm afraid you'll die here and give a complete explanation!
"Think about it again, do you want to contact your family, or do you have no family at all?"
"Doctor...... Actually, I haven't been in touch with my family for a long time, and I don't know if they can control me. ”
The young man said with a wry smile.
Lin Yi seemed to have guessed.
This young man's complexion and dull gaze are too similar to his classmates who spent all year round in Internet cafes when he was in college.
I usually stay in the Internet café for a few days and nights, and when I go back to school, the smell can give people a smoke.
The young man recounted his experience.
His family is not local and works in Jiangcheng.
Later, because of my Internet addiction, I was not in the mood to work, so I knew that I was soaking in an Internet café every day.
Usually play game lists for others to earn network fees.
Drink when you're thirsty, and eat instant noodles when you're hungry.
Life and rest are irregular.
In addition, I usually don't eat well, and my body can't bear it and I get sick.
After Lin Yi listened, he still asked the young man to contact his family.
Lin Yi took out his mobile phone and asked him to call.
The young man dialed the family's phone.
When the family found out, he was sick and hospitalized.
To Lin Yi's surprise, his family did not give up on him.
He also said that he would take a car today, rush to Jiangcheng, and come to the hospital.
"You can recuperate in the hospital with peace of mind, and wait for your family to come."
Lin Yi patted the young man and told him not to think too much and get up to get busy with his own affairs.
Uremia, a disease, has seriously affected a person's kidney function.
In severe cases, the whole body will be swollen, and eventually the kidney will fail.
It is very difficult to treat.
However, if you treat conservatively, it is true that you can prolong your life by taking medicine on time every day and having a good rest time according to the doctor's advice.
The guy nodded hurriedly, indicating that he understood, and said that he would wait for the family to come and see what to do.
Lin Yi sat in the office, and the door was pushed open directly.
"Director Lin, this patient has a little bloody cough, Wang Ning from our department has already seen it just now, he is a little worried, why don't you show him again?"
However, when the middle-aged man saw that this doctor was younger than the doctor just now, he immediately became irritable.
"Why is it a young doctor? The one just now is young enough, the one you found me is even younger, is there no one in your department? ”