It seems that because everyone is now accustomed to the process of consuming and obtaining goods, in "medical services", patients' families often subtly distinguish themselves from doctors as "consumers" and "merchants". If you pay for it, you deserve to be satisfied. In a medical setting, the process is replaced by "we pay the doctor, and the patient should be cured." ”

This thought process seems to be a matter of course, but reality doesn't change with the mindset. No matter how much treatment is paid, there is always a limit to the ability of modern medical care and doctors in the face of disease.

Only by telling the ugly story ahead of time can the families of the patients have a clearer idea of how dangerous the situation they are facing. Let them have a chance to prepare mentally in advance, in case there are serious complications during the actual operation later, and the person does not get off the stage, at least it will not hit too hard.

On the other hand, this is also a measure that doctors have to do to protect themselves. When a patient's family is too sad, they tend to be in a less "irrational" state. Manifestations can be varied, such as crying, sluggishness, or yelling at the doctor, complaining that the other person did not save their family, and even attacking the doctor.

The group that deliberately makes trouble cannot be counted as "irrational", so it is left alone.

Although admission security is now widely implemented in the four hospitals, all patients and their families entering the hospital will need to pass a metal scanner. But after all, fists can hurt people.

Sun Lien still said everything that should be said first, "Of course, we doctors want to save patients' lives, after all, this is the main meaning of our work. But manpower is sometimes exhausted, and we are not immortals, so it is impossible to predict all the situations that will happen. Maybe on the operating table, with a knife down, the aorta happened to break. It may be that after the sutures are completed, the patient's myocardial condition is too poor to be successfully cardioverted. It is even possible that someone comes off the stage and ends up losing too much blood during the procedure, triggering disseminated intravascular clotting – these are real risks. And once such a risk arises, it is really difficult to save people back. ”

Sun Lien's words are very realistic, "I can see that your family conditions may not be very good. Suddenly, I had to take out more than 100,000 or 200,000 yuan to do this operation, which was very difficult. But even if this money is spent, people may not be able to save it. How to decide, this depends on the wishes of your family. ”

Sun Lienxi doesn't want the patient to come back to life? Of course he does. At the age of 61, in the eyes of modern people, there is no longer the heavy twilight of the previous "year of sixties". The average expected age of the average person has risen to 76 years old, and now 61 years old is really not too big. Patients with aortic dissection can continue to live a much longer life if they are able to replace the broken aorta, then take regular medication and improve their lifestyle habits.

If he can fight, Sun Lien still hopes to let Li Jianguo go to the operating table. But objective reality does not change because of subjective consciousness. Not every family can come up with so much money in one go, and not every family can afford this level of "both people and money". Although under the green channel system, the four hospitals can start the operation directly without the patient's family paying the fee, Sun Lien still hopes to let the patient's family understand the difficulties involved.

The surgery can be performed without paying a fee, but this fee will have to be paid later. What's more, after leaving the operating room, the patient needs to stay in the ICU for several days. It all costs money.

"I can't afford that much money right now. Li Jianguo's son hesitated, "Can you pay a part first, and then I will raise the money tomorrow?"

"Absolutely. Sun Lien nodded, "You've decided?"

"Hmm. Li Jianguo took a deep breath, "Governance, it must be cured!"

"Okay. Sun Lien nodded, since the family's willingness to treat is very positive, then things are much easier, "Here is the consent form and risk notice, please sign it." ”

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"The willingness of the patient's family to be treated is very positive. Sun Lien took the signed consent form and found Zhou Jun directly, "This is the consent form...... Oh yes, he seems to have said that the patient himself is a veteran. ”

"Veteran?" Zhou Jun frowned and thought for a while, "I remember that the current regulations are that the process of joining the army is regarded as paying for insurance, so there should be medical insurance? While talking to Sun Lien, he grabbed his mobile phone and shouted, "It's okay, right? Then I'll send someone over right now!" He looked up and saw Sun Lien, "Okay, I'll take over this patient later, you go and deal with those dengue fevers." ”

Sun Lien nodded, it seemed that Zhou Jun planned to personally send the patient to the imaging department for examination, and then send the person directly to the operating room. With Zhou Jun watching from the sidelines, the risk of this patient's transportation on the road will undoubtedly be reduced a lot, "Okay, I'll go to the isolation room now." ”

Sun Lien has been to this place of isolation several times, but the previous few times he was either the object of quarantine, or the patient was a patient with a strong infectious disease - fear is the basic mood, occasionally supplemented by worry, bravery, determination and helplessness.

But this time the dengue patients were far less severe. Dengue fever cannot be transmitted directly from person to person. It must rely on insect vectors to spread. In other words, as long as you don't get bitten by mosquitoes that contain the dengue virus, the disease will not spread. What's more, dengue fever itself has a self-limiting trend, as long as there are no very serious complications, it will naturally recover in about ten days.

The patients who were brought to the emergency department were certainly not the ones who did not have serious complications, and one of them developed an increase in intracranial pressure. He was given a 25% mannitol infusion in the emergency department and a positive pressure ventilator on his face — to prevent the patient's central nervous system from being forced to stop breathing after the increase in intracranial pressure.

The other two are not in good condition, one has a high fever of 40 degrees, and is now wrapped in an ice blanket to receive physical cooling. The other had a slight tendency to bleed spontaneously, and the Fourth Hospital gave him vitamin K and carbaroque injections. If the condition worsens, then you have to prepare for a blood transfusion.

Three patients, three different symptoms. Sun Lien looked at the case and was a little worried, but this worry quickly dissipated a lot. He's just here tonight to take over. I don't know why Dr. Cao Yanhua took a leave of absence today, could it be President Liu's birthday or something?