Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

He pushed the consent form for emergency PCI surgery to the middle-aged woman.

The voice was a little harsh: "Because when the traffic police communicated with you, you could arrive within 10 minutes.

And since your husband was admitted to the hospital, we have given him emergency treatment.Now the symptoms have been relieved and the vital signs are stable.

So these two 10 minutes, we need to wait for your signature. "

"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 perform emergency surgery on him to save the patient's life."

"So all the current conditions of the patient are under our control. If you can come to the hospital within the allowed time, of course you need to sign before the operation can be performed.

Now your husband's condition is acute myocardial infarction, which is very critical.You are now questioning the skill of our treatment.It's better to sign the contract quickly and let us perform interventional surgery on him as soon as possible. "

Lin Yi's sharp words left the middle-aged woman speechless.

She read the surgery consent form carefully, and finally signed her name on it.

After signing, she immediately yelled: "I've already signed the paperwork. Hurry up and perform surgery on my husband. If anything happens to him, you and the traffic police outside will be responsible."

Good guy!
This girl is really extraordinary!

Her husband was originally drunk and driving, and the traffic police performed their official duties reasonably and legally, but he didn't expect to be beaten up by this woman.

Her husband had acute myocardial infarction, indicating that he had a heart problem.

It's just that it was induced after drinking, and it has something to do with the traffic police!
But I did not expect this middle -aged woman to take this as an excuse to abduct traffic police and doctors morality.

In fact, when the middle-aged woman came to the hospital, Lin Yi and the serious doctor had already handed over the patient to the cardiology doctor.

Although Lin Yi can do emergency PCI now, it is not good for his health because he is often exposed 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 intensive care doctor pushed the middle-aged man into the catheterization room and completed the handover with the cardiologist.

Lin Yi finally breathed a sigh of relief.

The patient's wife, at first glance, is not a sensible person.

And now, this patient with myocardial infarction happened to be handed over to the Department of Cardiology, which also happened to save a lot of trouble for the Emergency Department.

As for that middle-aged woman, she will pester the traffic police and cardiology doctors in the future.

Lin Yi is also out of sight and out of mind.

Besides, he has no way to deal with such unreasonable people.

After they left, not long after, a young man about seventeen or eighteen years old walked in, with an ugly, sallow complexion.

His hair is messy, he walks wobbly, and his feet are rootless.

Lin Yi saw this young man and quickly asked him to sit in front of him.

"Doctor... I feel uncomfortable all over my body, I have difficulty breathing, I..."

Having said this, the young man coughed violently.

Lin Yi quickly took out the stethoscope, lifted his shirt, checked his chest, and asked.

"Do you often stay up late?"

"Yes."

"Usually I often go to Internet cafes all night, and it is not uncommon to not sleep for days and nights."

Lin Yi looked at him with a bad expression.

"Then what's wrong with you now?"

"I just feel like I can't breathe, and my back hurts!"

"Back pain?"

In the stethoscope, the young man's heartbeat was weak and slow.

Hearing what he said, he put down the stethoscope and began to press on his waist again.

"Does it hurt here?"

"It doesn't hurt..."

"What about here?"

"It doesn't hurt..."

"What about this location?"

"Ouch...it hurts!"

When it was pressed on the waist and eyes, the young man felt very uncomfortable, and his expression became a lot more painful.

Lin Yi checked the young man's pupils again.

Eyeless.

Suddenly, Lin Yi thought of a possibility.

He didn't ask the young man to do the test right away, but said to him:
"Come here and have your eyesight checked."

Lin Yi took out a occluder, blocked one of the young man's eyes, and began to check his eyesight.

"Can you see this clearly?"

The lad shook his head.

"What about here?"

Then shook his head.

"What about 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 has overdrawn his body.

"You go for the test right now." Lin Yi opened the test sheet and asked, "Have you been short-sighted or astigmatized before?"

"No, I used to have good eyesight."

After asking, Lin Yi's laboratory test sheet was ready.

"You go for routine blood tests, urine tests, and stool tests. After the tests are done, come to me with the results."

"Is it an empty stomach?"

"Yes, I didn't eat breakfast this morning."

"Go test it."

"Good doctor."

Seeing that Lin Yi's complexion was not very good, the young man was a little nervous.

He hesitated to speak, but left the reception room.

The young man came back with the test sheet.

Lin Yi looked at the blood test sheet in shock.

The blood sugar 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 has far exceeded the level of normal people.

"Didn't you have a drink when you came in the morning?"

"I didn't drink, I just drank a little water."

Lin Yi then nodded.

"Do you usually like to drink beverages? Your blood sugar level is very high. From the current point of view, it is a symptom of mid-term diabetes, do you know?"

When Lin Yi said this, the young man's face paled a lot in an instant.

"Doctor...Is diabetes serious?"

"It's not very serious. If you control your diet and lifestyle, it's not a serious illness."

As Lin Yi said, he checked the urine and big change tests again.

The situation is not optimistic.

All the organs in this young man's body are in very bad condition.

"From now on, you can't stay up all night anymore."

After checking the young man's vision, blood and urine just now, Lin Yi felt that his physical condition was worse than he thought.

"I suggest you stay in the hospital for observation, because your current condition is very bad..."

After Lin Yi finished speaking, the young man obviously resisted.

"Doctor... I don't have much money, I can't afford to be hospitalized..."

"For the sake of your health, I advise you to contact your family now to see if they can give you money to see a doctor."

Lin Yi continued to persuade.

If conditions permit, Lin Yi also wants to give him a more comprehensive examination.

"my family……"

The boy fell silent.

"Then I'll go through the hospital procedures..."

The young man thought for a long time before opening his mouth.

Lin Yi nodded.

The young man left the reception room.

Soon, an hour passed.

Lin Yi, who was sitting in the consulting room, shook his head helplessly.

It's been an hour, and the kid hasn't come back yet.

Probably because I was short of cash and didn't want to contact my family, so I left...

At this time, in a green belt not far from the hospital, a young man suddenly fainted while walking.

The passing sanitation worker saw it and quickly notified the hospital.

The patient was sent back to the hospital again.

But this young man was twitching all over his body, foaming at the mouth, and turning his eyes upwards.

When he was pushed to the emergency department of the hospital, the situation was already very grim.

"Doctor, doctor, a patient has fainted and needs to be rescued immediately!"

The nurse pushing the stretcher shouted loudly.

Lin Yi immediately ran out of the consulting room.

When he saw the young man on the stretcher, he frowned and said:

"Send it to the emergency room immediately, and I will take care of it."

While talking, Lin Yi followed the stretcher cart, took out a pen light in his hand, and opened the young man's eyelids.

"There are signs of pupil collapse, prepare ventilator and defibrillator."

"understand!"

In the emergency room, the ventilator was put on and the patient was defibrillated.

"Charging 100 joules."

"Get out of the way!"

After a defibrillation, the young man's heart rate was extremely unstable, and the detector issued bursts of alarms.

Lin Yi continued to defibrillate the patient.

Second defibrillation.

"Charging 150 joules."

"Get out of the way!"

The patient's body was undulating, and Lin Yi gave him sitting CPR.

"Adrenaline, IV..."

"Inform the nephrologist to come over and prepare for a consultation. I suspect the patient is uremia!"

After Lin Yi finished speaking, Wu Jiang on the side immediately went to contact the nephrology department.

Lin Yi continued to rescue the patients.

Ten minutes later, the patient's condition was basically stable.

Zhang Jing, the director of the nephrology department, hurried to the emergency room to meet Lin Yi.

"Doctor Lin, this patient..."

Lin Yi walked out of the emergency room, and said to Zhang Jing as he walked:

"Director Zhang, I suspect that this person has uremia. Is it convenient for you to confirm the diagnosis?"

Lin Yi here, just through simple observation and laboratory tests, can't completely confirm that the patient is uremia.

"It's okay to be diagnosed, but who will pay for the patient's side?"

This Lin Yi also made a mistake.

"Director Zhang, when I saw the patient just now, he seemed to have... a little difficulty in contacting his family. When I told him to ask him to issue a hospital receipt, he ran away..."

Lin Yi briefly told Zhang Jing what happened.

"Well, let me try to contact the patient's family. If I can't get in touch, let's talk again?"

"Okay, if you can't get in touch with his family, let's see if the hospital can report the expenses. I'll contact the dean now."

Zhang Jing said.

In the hospital, there is a small fee that the hospital can reimburse for free.

But it needs to be signed by the superintendent.

This is also the above policy, to avoid some green channels specially opened for patients who look down on the doctor and delay their illness.

"Then trouble Director Zhang."

"Why are you being polite to me! I feel a little embarrassed when you are like this."

Zhang Jing smiled, turned his head and left after speaking.

After Lin Yi returned to the consulting room.

Although the patient's condition is very bad, but not life-threatening.

After lunch, Lin Yi took a break and went out to make rounds.

I remembered the young man and asked the nurse on duty.

"Where is the patient who is suspected of having uremia today?"

"In bed No. 8, the person seems to have woken up."

The nurse said to Lin Yi.

Lin Yi then walked towards the hospital bed.

When he got to bed No. 8, the young man who woke up saw Lin Yi and showed an embarrassed smile.

Lin Yi didn't feel anything.

It's normal to look down on illness and run away when you are tight in your pocket.

But the body is your own, if you lose your life for some money, the loss outweighs the gain.

"Your situation is very bad. You need to notify your family immediately. If you delay like this, you..."

Lin Yi shook his head.

The young man didn't realize the seriousness of his condition, so he asked curiously.

"Doctor, my illness..."

"I suspect that you have uremia, but you need to do further examinations. It would be best if you can contact your family, otherwise, you will be blind at your age."

Lin Yi said it euphemistically.

But no matter how stupid people can understand the meaning of this sentence.

If I don't contact my family and don't take money to see a doctor, I'm afraid I'm going to die here. I'll give you a thorough explanation!

"Think about it again, whether to contact your family, or do you have no family at all?"

"Doctor... Actually, I haven't contacted 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 it.

This young man's complexion and dull eyes are too similar to his classmates who spent years in Internet cafes when they were in college.

I usually stay in Internet cafes for a few days and nights, and the smell on my body when I go back to school can make people stumble.

The young man recounted his experience.

His family is not local, but works in Jiangcheng.

Later, because of my addiction to the Internet, I was not in the mood to work, so I spent every day in Internet cafes.

I usually play games for others to earn Internet fees.

Drink when you are thirsty, and eat instant noodles when you are hungry.

Life is irregular.

In addition, the food I usually eat is not good, and my body can't bear it and I get sick.

After Lin Yi heard it, he still asked the young man to contact his family.

Lin Yi took out his cell phone and asked him to make a call.

The young man called his family.

When the family knew that he was sick and hospitalized.

To Lin Yi's surprise, his family did not give up on him.

He also said that today he would take a car 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, telling him not to think too much, and got up to get busy with his own affairs.

Uremia, this disease, has seriously affected a person's kidney function.

In severe cases, the whole body will swell, and finally die from renal failure.

Rescue is very difficult.

But conservative treatment, according to the doctor's advice, taking medicine on time every day, and having a good work and rest time, can prolong life.

The guy nodded quickly, expressing his understanding, and said that he would wait for his family to come and see what to do.

Lin Yi was sitting in the office, and the door was pushed open.

"Director Lin, this patient has a bloody cough. Wang Ning from our department has seen it just now. He is a little worried. Why don't you show him again?"

However, the middle-aged man saw that this doctor was younger than the doctor just now, and immediately became irritable.

"Why are you a young doctor again? The one just now is young. You are looking for this younger, are you no one?"