It should have started a few days ago!
An elderly man suddenly vomited blood and was sent to the sixth emergency department for rescue.
Admission diagnosis: gastrointestinal bleeding; Hemorrhagic shock; Abdominal pain: chronic pancreatitis? Lung infection?
After admission, Li Yue personally took the patient for gastroscopy and found multiple ulcers behind the duodenal bulb, including a deep ulcer on the anterior wall of the bulb, white moss in the center and covered by blood clots.
The patient's condition is more serious, and he is an elderly male. He has a deep ulcer behind the ball and can see the broken end of the blood vessel.
Therefore, titanium clamp was used to stop bleeding.
After all, the old man's fear of sudden bleeding is that the sudden decrease of hemoglobin will lead to critical illness.
Fortunately, the operation went smoothly, returned to the ward safely after the operation, and stayed in the emergency department for observation.
Although the patient's condition is stable, there are many accompanying symptoms.
Li Yue has repeatedly told patients that they may have pancreatitis and their condition is not stable. It is best to send them to the intensive care unit.
But the old man had to pay tens of thousands of yuan a day to be sent to the intensive care unit.
The family did not agree at all, so they had to be placed in the ordinary ward.
As a doctor in charge, Li Yue is very worried about patients, but the disease will not be transferred because of your will.
Li Yue can't stare at the patient 24 hours a day.
However, the patient suddenly had a sudden loss of consciousness on the third day after operation, his head tilted back, his eyes stared to the left, accompanied by urinary incontinence!
Li Yue quickly asked the patient to measure blood pressure 70110mmhg.
Seeing this, Li Yue rushed to the rescue room to start the rescue. However, on the way, he suddenly became clear and could respond. The symptoms lasted for 1-2min.
Li Yue talked to his family again at this time and told the patient's family to send it to the intensive care unit.
However, the patient's family still thought it was just a paroxysmal attack and didn't care.
The patient's family members do not pay attention at all!
Li Yue is in a hurry and has no way.
In this case, everyone is a little worried.
But at this time, the family can't even guarantee a caregiver.
At noon on the third day after that.
The patient suddenly lost consciousness. The other party's family came to dinner with the old man at noon and saw this symptom!
The family said that the old man's neck and limbs were stiff for a short time. It didn't last long. After about 1 minute, the stiffness disappeared, accompanied by urinary incontinence.
After hearing the news, Li Yue was shocked.
At that time, we considered the possibility of massive bleeding again and quickly transferred to the emergency room for further fluid replacement, acid suppression and active anti shock treatment.
At that time, the blood pressure was only 5542mmhg!
However, in this case... Two children and two women are busy.
Occasionally, I came to eat with my father. In fact, I came to the hospital with my father's meal card when he was hospitalized.
I have to say that the coffee in the hospital canteen is really good, otherwise they wouldn't have everyone drinking a cup every day.
On that night, all the children of the patient went home to bed.
No escort!
I don't want to send it to the ICU.
And at night, the old man suddenly lost consciousness and died.
After this happened, the other party began to collect evidence silently!
Then he took the hospital and Li Yue to court.
Li Yue has not had a good rest for a week because of the old man.
Moreover, when the other party took Li Yue to court, he looked like an elite!
"We are not short of money. This time we must get justice for our father!"
"The law will definitely stand on the side of justice!"
Li Yue has always wanted to ask a question about this question.
Then why don't you send the old man to the ICU?
Why don't you even invite a nurse?
You may have a lot of money, but you really don't want to spend it on your father. It's true.
There are many treatment options for the same disease.
But let's put it this way, there will be different recommendations at different prices. For some local tyrants, they really don't lack money. They may think more about drugs at their own expense. They can go out and buy them.
These drugs are not reimbursed by medical insurance and need to be purchased by themselves. The price is hundreds of thousands of days.
However, in such a situation, the other party's family members have a very consistent attitude.
"We choose drugs within the scope of medical insurance."
These are OK!
But why did you accuse us of unqualified technology?
Li Yue is also irritable.
Entangled in this matter, no one can devote himself to his work.
Although no doctor has experienced complaints.
However, few doctors stand in court for such a dialogue.
Even, Chen Cang has an illusion.
He found that after the old man died, their families even had less irritability and complaints on their faces than when they were alive
There is even an appearance of abandoning a big burden and burden.
The court attaches great importance to this matter!
At the same time, during the trial of the case, the court entrusted the Judicial Expertise Center to identify the case.
At the same time, experts from the digestive branch of the Chinese Medical Association were invited as an expert group to identify the treatment period.
Similarly, the hospital invited Chen Cang as an expert assistant to testify in court!
In this regard, what Chen Cang is doing now is to collect the treatment of patients.
These two days, Li became more and more nervous.
Although he thought he had done his best for the patient.
I went home once every two days. The old man didn't dare to go home when he was unstable.
But this time, the defendant went to court and... Had to pay $2 million!
Although he only needs a small part, less than 20%, other hospitals and departments solve it.
But this is also hundreds of thousands!
This is really a torture for Li Yue, who carries the capital mortgage!
After all
In medical dispute cases.
Most of these cases are lost by hospitals!
There are many fresh examples. Some doctors even refuse to accept the losing lawsuit and get depression, and some simply jump out of a building to commit suicide.
After an obstetrician delivered the baby by train and saved the mother and child, the defendant went to court because of some small problems in the delivery, and finally fined more than 1 million. After compensation, the other Party chose to commit suicide!
Because she felt:
The world is not worth remembering.
In the process of hearing such cases, what is destroyed is definitely not a doctor's economy!
More faith.
Once the trial is over, the patient's family will win and the hospital will fail.
This is only compensation for the hospital.
For Li Yue, it was a heavy blow.
The double blow of spirit and body!
In just a few days, Li Yue lost seven or eight kilograms.
Chen Cang was invited to be the expert to defend the hospital and Li Yue.
This time, everyone in the emergency department was very angry!
Lao Yu and Ma looked at Chen Cang and couldn't help saying, "Chen Cang, come on!"
He looked at Li Yue, smiled and said firmly:
"Trust me, I can protect you!"
……
……
PS: it's too late. Hey, hey.