"There was a patient with a fall injury. He jumped from the fourth floor and his family didn't want to be hospitalized," Yuan Li explained vaguely.
Zheng Ren's heart skipped a beat. Jumping from a building and not wanting to be hospitalized. He thought of a few possibilities.
"Is it because of insurance?" Zheng Ren asked in a low voice.
Chief Wang was filled with emotion and admiration.
Medical technology was medical technology, and what Doctor Yuan said just now was a matter of another dimension.
He rarely came into contact with insurance in the Imperial Capital. To stay in the Imperial Capital Hospital, the deposit was 50,000 yuan in advance. In other words, if he did not pay 50,000 yuan, he would not even be able to stay in the hospital.
As for whether the patient could be reimbursed, it was not within Chief Wang's consideration.
However, the situation in Sea City was completely different.
Whether the patient could be reimbursed or not was definitely a major consideration for the patient's family when they chose where to be hospitalized and what kind of treatment they chose.
However, Chief Zheng knew at a glance that it was because of insurance. What the hell was going on? Chief Wang also realized the problem.
Yuan Li was stunned for a moment and nodded.
Zheng Ren smiled. "You guys continue talking."
After saying that, he continued to walk forward with Chief Wang.
"Chief Zheng, what's wrong?" Chief Wang asked.
"Jumping from a building is considered suicide. Insurance won't reimburse it," Zheng Ren said. "Without insurance, many of the orthopedic steel plates can't be used. If we use the cheap domestic steel plates, most of the injuries are in the lower limbs. In the future, they will have to bear weight and the steel plates may break. "
"…"
"This is a medical risk in the future. Therefore, if the emergency department accepts such a patient, it's not very urgent and can't be reimbursed. The orthopedic doctors will be very unhappy. If it's particularly urgent, it won't be.
But didn't Doctor Yuan say that the injury from jumping from the fourth floor is probably not very serious? It might be a calf fracture, an intertrochanteric fracture, or a femoral shaft fracture. "
"As long as it's not open, it's not a big deal. Therefore, if we change to another hospital, we can tell the doctor that it was an accident and fool him. "
"Uh … Is it really okay to do this?" Chief Wang had always been a doctor in the top Class Three Grade A Hospital in the country. He had been in Sea City for a few months and had performed many surgeries. However, he had not mastered such a very obscure idea.
"I don't know if it's okay or not. To be more serious, this is insurance fraud," Zheng Ren said very calmly. "But after all, we're treating people. It's better than those small hospitals in the community that sell condoms every day. It's a small community hospital in Sea City. It doesn't cost money to stay there, and it even pays every day. "
"Pay? So powerful? "
"Yes." Zheng Ren nodded as he walked. "I've heard people talk about it. It's about a hundred yuan a day. Hanging up the bed and prescribing medicine, the hospital took it to sell. This was a form of insurance. There were many other ways that could be done. The huge deficit in medical insurance does not lie in the Class Three Grade A Hospitals, but in the community. "
"Isn't this …" CEO Wang was indignant.
"Calm down. That's how it is. If they were strict, they should restrain themselves a little. If you can relax, you should hurry up and prescribe the medicine. "Zheng Ren smiled." No one will meddle in something that benefits everyone. Actually, it was said that everyone would benefit, but in the end, no one would benefit. But who knows what to do? "
Zheng Ren put on an attitude of a doctor who was only responsible for treating patients and performing surgeries. This kind of matter was not under his jurisdiction and he could not interfere.
CEO Wang sighed. There were so many loopholes down there that he did not know about in the past.
Zheng Ren walked to the door of the resuscitation room and glanced around.
His body stiffened slightly and he quickly walked into the resuscitation room.
A nurse was busy in the resuscitation room. The patient was lying on the rescue bed and the ECG readings were still stable.
Zheng Ren walked in quickly and attracted the nurse's attention.
She turned and said in surprise, "Chief Zheng, you're back."
However, the surprise only lasted for a moment. When the nurse looked behind Zheng Ren, she immediately fell into endless disappointment.
Zheng Ren knew that the person who could really surprise the nurse was Su Yun. He did not know if that guy had finished drinking with Chang Yue.
Zheng Ren nodded and went to the patient's side. He stretched out his hand and said, "Stethoscope."
CEO Wang was a little puzzled. He took out the Fish Leap stethoscope from the pocket of his white coat and handed it to Zheng Ren. The patient's blood pressure was 150/100 mmHg, heart rate 102 beats per minute, breathing 28 beats per minute, and blood oxygen saturation 98%.
The ECG showed sinus rhythm. This was an emergency patient, but not a critical one.
The patient's injury was the same as Zheng Ren's judgment. It was in the calf. CEO Wang estimated that it was a tibia and fibula fracture. However, the fracture was a little serious. The left calf was hyperemia and edema, and the skin was a little shiny.
Osteofascial compartment syndrome was obvious and easy to recognize.
If this patient was handled by CEO Wang, he would not have talked to the patient's family about medical insurance like Yuan Li did, nor would he have listened to the abdominal cavity with a stethoscope like Zheng Ren did …
Why would Chief Zheng listen to the abdominal cavity? Was this not f * cking nonsense?
His vital signs were stable, so the abdominal organs were probably fine. Otherwise, Yuan Li would not have talked to the patient's family about medical insurance.
Even if there was something wrong, he should not have listened to the patient's family.
"Bedside ultrasound, make a call, now!" Zheng Ren said in a low voice. In an instant, he had returned to his role as chief resident of the emergency department of Sea City General Hospital. "Sodium nitroprusside, reduce blood pressure. Maintain high pressure below 120."
The nurse was stunned. Although Zheng Ren had been gone for almost half a year, his authority was still there. Her body instinctively obeyed, not questioned.
She quickly asked someone to make the call while she quickly added medicine.
"Chief Zheng?"
"I suspect there's a tear in the thoracic aorta and abdominal aorta." Zheng Ren gave a direct diagnosis. "Call Yuan Li in."
Zheng Ren had just glanced at the resuscitation room when the bright red background color of the System panel attracted him. The System's diagnosis was so serious that Zheng Ren did not dare to delay.
Auscultation was just a method that was rarely used. Because the patient was relatively thin, the sound of blood flow in the aorta could be heard when the stethoscope was pressed hard. However, there was a lot of murmur. Real diagnosis was not done this way.
This was just Zheng Ren's method of deduction. No one else could learn it.
"…" Chief Wang looked at Zheng Ren in surprise, then at the patient, speechless. What was going on?
However, his experience in treating patients with P-J syndrome told Chief Wang that he had to obey.
He hurriedly walked to the door and called Yuan Li in.
Yuan Li was a little unhappy. He had just vaguely told the patient's family about the matter and did not say it himself, but let the patient's family understand what to do.
The next step was to sign a letter saying that he would be responsible for all the consequences and then be sent to another hospital in the city by ambulance for treatment.
In Yuan Li's opinion, it was just a fracture. Which hospital would not treat it?
Was Zheng Ren back to cause trouble for him?! He was a little angry.
…
…
Note: This was a patient received in ten years. My level was not high. I looked at the chest CT and did not find the dissection. To explain, it was difficult to distinguish the dissection in the beginning. However, I had doubts in my heart. My family wanted to leave, so I forced myself to wait until dawn the next day to contact the emergency department for vascular CT reconstruction.
In the end, the dissection was diagnosed and went directly to the ICU. What happened after that was also true. He was alive, but it cost a lot of money and the family was a mess. When he was discharged, his wife looked at me strangely, the kind that was fierce.
However, let it be. Smile.
Let me say something else. My physique is more attractive to dissection aneurysms. There have been eight patients with rib fractures and aortic dissection in the department in more than ten years, and I was always on duty.
This made me very speechless.
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