Chapter XVII: Bargaining
Although he felt that things might be troublesome, Sun Lien could not refuse to provide medical services to this patient - whether it was an emergency or outpatient clinic, the hospital did not have a so-called "blacklist" list. After all, this is not in line with the "humanitarian" position of the hospital. Regardless of whether it is clear that patients have had a bad experience of medical trouble, doctors need to treat them in the same way as they would other patients. In this way, it is really the most cost-effective thing in the world to get a doctor. If you can't close it for a few days, you don't have to lose money, and maybe the hospital will have to pay a sum of money. If you really need to see a doctor, you can go to the doctor again, and people can't "forgive you". There are no consequences, no unit price, and there may be little benefit. This kind of thing seems to be okay to do.
"I see. After a moment of silence, Sun Lien sighed. The patients who should be seen still have to be seen, who makes himself a doctor?" "Please contact the security office, Sister Feng, and let them come over with Lao Wu." โ
Feng Chujie nodded. A little helplessly, he patted Sun Lien's shoulder, "Be careful yourself." After speaking, she walked towards Brother Liang, the security guard who was on duty.
"Doctor, what should I do about my girlfriend's illness?" the honest cuckold man walked out of the consultation room and asked with a worried face, "It's not a way for her to go down like this!"
"You'd better find a way to solve her refusal to draw blood first. Sun Lien sighed, it was also a headache for him to meet such a master in one of his consultations. "She still refuses?"
The cuckold man shook his head, and then asked, "Now that technology is so advanced, there is no painless examination method?"
Sun Lien was about to refuse, but suddenly reacted, you can do a B-ultrasound to see the situation of the ascites effusion! But as soon as he thought of this, Feng Chujie's warning seemed to sound in his ears again, "Be careful yourself." โ
"There are ...... non-invasive examination methods," Sun Lien paused and replied with some hesitation, "B-ultrasound examination is fine." But this is for an additional fee......"
"It doesn't matter if the charge is charged, I'll just pay it. The cuckold man immediately agreed, he seemed very happy that his girlfriend could see a doctor without getting a needle, "Or go to the registration window just now?"
Sun Lien nodded in the affirmative to his question. Then he said, "You wait first. I'll give you a checklist. โ
The check slip was opened, and Sun Lien re-entangled the prompt problem in the status bar. This level of bleeding shouldn't be a problem that can be ignored, is it because the status bar thinks it...... Is this symptom not dangerous?
Sun Lien returned to the consultation room, and there was an extra line of small white words in the status bar on Zhao Mengli's head, "Intraperitoneal bleeding 670 ml." โ
Blood loss of more than 500 ml is considered hemorrhage. And now Zhao Mengli's internal bleeding value has exceeded 600 ml, which is a proper patient with excessive blood loss in clinical practice. If signs fluctuate, symptomatic treatment with blood transfusions is indicated...... Wait. Sun Lien suddenly came to his senses, although Zhao Mengli's face was pale, it was true that his vital signs had not changed much. Is this why the status bar ignores this item? And because it was diagnosed by itself, it is marked in small white letters?
"Doctor?" Zhao Mengli was still emphasizing that he would never give injections, but he didn't expect that the young doctor in front of him seemed to be out of focus, and his eyes were out of focus, and he didn't seem to hear his request at all.
Zhao Mengli suddenly felt that he had been greatly insulted. In her opinion, the work of a doctor is no different from that of other service personnel, and she is a customer. The customer's request must be listened to and respected by the service staff. And ignoring oneself is disrespectful to oneself! She slammed the table and took out the majesty of the time when she made a big fuss in the consultation room, "I'll talk to you!"
Sun Lien was startled by the sudden loud noise in front of him. Only then did he find that Zhao Mengli was looking at him angrily. He suddenly felt a little tired in his heart, as if he had eaten a fly. Nurse Zhong Yu, who was waiting for blood to be drawn in the consultation room, had long given up the attempt and returned to the triage table to wait for a call. And now there are only two people in the entire consultation room, Sun Lien and Zhao Mengli.
"The surveillance footage you tossed around here two years ago is still there. Sun Lien tried his best to make his voice appear kinder, but the warning in it was still very strong, "I don't know if your current boyfriend knows what happened to you before, but if he asks, as a family member of the patient, the doctors still have to answer truthfully." โ
Actually, there is no such thing at all. In practice, the patient's right to know is much higher than the family's right to know. If the patient does not agree, it is impossible for the doctor to pass on the records and contents of the patient's previous visits to the family - fortunately, Zhao Mengli did not know about this at all.
After Zhao Mengli heard Sun Lien's words, he first raised his eyebrows in disbelief, and then his anger turned into panic and uneasiness. In the end, the panic simply turned into a deep fear. She lowered her voice and gritted her teeth, "What do you want to do?"
"I want to save your life. Sun Lien spread his hands and pretended to be innocent. Then the positive color channel. "But your attitude is very uncooperative, which makes it difficult for me to do it. โ
Zhao Mengli looked left and right, and after confirming that there were only himself and the young doctor in front of him in the room, he gritted his teeth and said, "What do you want?"
"Cooperate with the treatment and don't make it difficult for me. When Sun Lien saw that his threat seemed to be effective, he immediately felt a lot more relieved. He imitated the appearance of the villain on TV, frowned and thought for a while, and then chuckled, "I'm a person, I'm afraid of trouble." Once I encounter something very troublesome, I will not be able to control my mouth and reveal some content intentionally or unintentionally. He looked at Zhao Mengli in front of him, "For example, more than 70% of patients with corpus luteum rupture have had intercourse experience before the onset of the disease, for example, you had a big fuss in the hospital two years ago." For example, records at the time show that you had four abortions before you had that surgery in the hospital. โ
Zhao Mengli was silent.
Sun Lien sighed and knocked on the table in front of him, "I don't know what you think. But if you want to come to our Fourth Central Hospital to make trouble, you are in the wrong place. Sun Lien remembered Dean Song's resolute and resolute methods to deal with Xiao Yanran's parents. "Even if I don't have a good way to talk softly, our dean is a ruthless character who can't rub sand in his eyes. Therefore, it is okay to cooperate with the treatment honestly or simply be discharged from the hospital. As long as you don't bother me now, and promise not to come to me to borrow money after the treatment, I can pretend I don't know anything. โ
Zhao Mengli glanced at Sun Lien again, and after confirming that the young doctor was serious, he nodded.
"Very well, let's draw blood first. Sun Lien opened his mouth and smiled, laughing very relieved. He planned to talk to Nurse Zhong and deliberately miss one or two times, so that Zhao Mengli would suffer a little first.
ยท
ยท
ยท
The results of Zhao Mengli's ultrasound examination came out quickly. The error with the white letter displayed in the status bar is not too large - about 600 ml of internal bleeding, and no active bleeding points are found.
Hearing that more than a pound of blood had flowed in his stomach, Zhao Mengli himself was scared stupid. And the honest cuckold man was even more anxious like an ant on a fire, walking around the consultation room, asking all questions such as "do you want to have surgery immediately".
Sun Lien smiled bitterly and once again rejected the honest man's proposal. The absence of active bleeding points in the abdominal cavity means that the patient is no longer bleeding. If the surgery is performed rashly at this time, the change in intra-abdominal pressure is likely to cause the wound that has just stopped bleeding to reappear. And in the case of rupture of the corpus luteum alone, aggressive surgery is not the preferred strategy.
Ten years ago, the medical community's treatment of luteal rupture was still mainly surgical intervention. In particular, the popularization and application of laparoscopic techniques allows patients to minimize other collateral injuries while stopping bleeding during surgery. But after all, surgery is traumatic to the body, and even laparoscopy cannot be completely avoided. The corpus luteum belongs to the reproductive organs, and the cells in this area are more active, and the hormone levels are higher than those in other areas. As a result, whether laparoscopic ligation or laser cautery is used to stop bleeding, patients may suffer from a variety of sequelae in the long term.
With the advancement of the medical community, the rupture of the corpus luteum began to be treated more and more conservatively. Under measures such as hemostasis, anti-inflammatory, and blood replenishment, the main treatment concept is to allow the human body to absorb blood stasis and repair the ruptured corpus luteum. So far, about 97% of patients with ruptured luteum will end up with conservative treatment โ unless the bleeding cannot stop on its own, it is true that conservative treatment is better for the patient's quality of life in the future.
Sun Lien's research on this issue is not very deep, and Feng Chujie told him these contents. Although Dr. Feng hates Zhao Mengli, his moral qualities as a doctor are still there, not to mention that it is Sun Lien who is treating her now. Doctor Feng is not going to let Sun Lien out in order to vent the evil anger in his heart.
"Then hospitalization?" The cuckold man was obviously a little uneasy about Sun Lien's plan, and he repeatedly asked, "Is there really no need for surgery?"
"She's not there yet. Sun Lien sighed and tried to explain, "One less knife, there will be less damage to her body, and there will be fewer sequelae in the future." If you have to have surgery, we can do it too. But...... There's no need for that. โ
The cuckold man sighed after thinking about it for a long time and agreed to Sun Lien's suggestion. "Then get hospitalized. โ
Unexpectedly, this suggestion attracted a new wave of resistance from Zhao Mengli, "No, I'm going to my best friend's wedding tomorrow!
Sun Lien had a headache and was about to explode, he didn't figure out why Zhao Mengli had so many moths here. "How can being a bridesmaid be as important as your own health?" and he didn't say half a sentence - isn't it unlucky for you to go to someone else's wedding like this?
"Is it okay to be hospitalized again tomorrow afternoon?" Zhao Mengli also knew that he had a handle in the hands of the other party, and his attitude did not dare to go too far. But she seems to be trying to make sure she still has some control over things, and still tries to bargain, "The wedding is tomorrow morning!"