super anesthesiologist

Chapter 63 The Farmer and the Snake (Please recommend, please collect, thank you!!!)

Lin Xiaobei stuck out his tongue. For doctors, the most troublesome thing is encountering unreasonable patients or family members.

This kind of person is not only ungrateful, but also bites you in return.

He simply hated this kind of person, because he once encountered a case in the anesthesiology department where the family member of the patient told him a real version of the story about the farmer and the snake.

At that time, Lin Xiaobei had just started work, and he was inexperienced in the world, inexperienced in dealing with personnel relations. He was too kind, and didn't know that people's hearts were sinister.

One night while on the night shift, a woman was brought in with an emergency ectopic pregnancy.

An ectopic pregnancy means that the place where the embryo implants is not in the uterine cavity, but stays in the fallopian tube, ovary, abdominal cavity, or broad ligament, just like a fish fry jumping to a small stream instead of entering a pond, and there is no room for growth to a certain extent.

If it is not treated in time, as the gestational sac continues to grow, it will rupture due to extrusion and cause massive bleeding.

Now with the continuous advancement of medicine, ectopic pregnancy surgery has been changed from traditional laparotomy to laparoscopic exploration.The latter has the advantages of less trauma and faster postoperative recovery, but the cost of hospitalization will increase a lot, because high-quality medical care is often accompanied by expensive medical consumables.

Just like a family car, it is also a means of transportation. BMW is definitely more comfortable than Santana.

The notice issued by the surgeon that night was a laparotomy, saying that the patient had no money, and the family members requested the simplest and most economical treatment.

If the lower abdomen, especially the pelvic cavity, is not undergoing laparoscopic surgery, epidural anesthesia can generally meet the requirements.

Compared with general anesthesia, the most affordable part of epidural anesthesia is the cost, which can save more than half.

Lin Xiaobei looked at the case and found that the most important contraindication for epidural anesthesia is that the patient's blood coagulation function is normal and the platelet count should not be lower than 100 units.

But that woman was a little embarrassed. Her coagulation function indicators were within the normal range, but her platelets were only 98 units.

The normal range of platelets is 100-400 units, so anyone who knows medicine knows that 98 units is actually no different from the normal range. .

But now there is a clear stipulation in the anesthesiology guidelines that epidural anesthesia platelets must be within the normal range, that is, greater than or equal to 100 units.

This rigid rule is like the gap between 59 points and 60 points in the test scores. A difference of 1 point determines a different fate.

Lin Xiaobei repeatedly communicated with the patient and his family members why general anesthesia is necessary instead of epidural anesthesia.

The female patient didn't say anything, but her husband, that man's performance was completely beyond Lin Xiaobei's imagination.

The man refused to let his wife undergo general anesthesia.

When asked the reason, he said that the family was in a difficult situation, neither the husband nor wife had a regular job, and it was too difficult to earn some money.

Lin Xiaobei said that the anesthesia fee is the normal fee, which is the same everywhere.

That man knelt down in front of Lin Xiaobei like a grandson, kept kowtowing, crying with snot all over his face, "Doctor, I beg you, we really have no money."

"It's not a question of money or not, it's a question of principle."

The man expressed another concern: "I heard from others that people will become stupid after general anesthesia. We are all in such difficulty now. How can I support my wife if she becomes a fool? We still have children. !”

Lin Xiaobei didn't know whether to laugh or cry, "Who told you that after general anesthesia, people will become stupid? There are so many hospitals in the country where millions of people receive general anesthesia every day. How many fools are there?"

"Anyway, I can't let my wife have general anesthesia. Doctor, please do me a favor, I beg you." He cried again as he spoke, knocking his head with a "bang bang".

Lin Xiaobei was shocked at the time. A penny stumped a heroic man, and a man actually abused himself in front of others for more than 1000 yuan in medical expenses.

At this time, the gynecologist added fuel and vinegar to the side, saying that the patient is really poor, so save what you can, and don't use general anesthesia.

After struggling in his heart, Lin Xiaobei fully communicated with the surgeon, the patient, and her husband, and decided to take a sidestep and give the woman an epidural anesthesia.

Although Lin Xiaobei's technique at that time was not as good as it is now, the anesthesia operation was very smooth, the puncture was successful once, and the test after injection of local anesthetic showed that the effect was very accurate.

The operation went well, and the patient returned to the ward safely after the operation.

Follow-up on the second day after the operation showed that the effect of the local anesthetic had completely subsided, the patient could move freely in both lower limbs, and there was no obvious redness, swelling and tenderness at the puncture site on the back.

I thought it was over like this, but I didn't expect that the patient's family would turn upside down in the hospital.

The problem lies in the ward.

Due to the poor physical condition of this woman, the surgical wound became infected after returning to the ward, and she stayed in the hospital for a few days longer than the patients in the adjacent bed.

In fact, she just stayed in the hospital for a few more days, and the doctor in charge of gynecology also reduced a lot of expenses accordingly, so her total hospitalization expenses were lower than others.

Ordinarily, they should be grateful to the hospital and gynecologists.

The story of "The Farmer and the Snake" began, and the man vividly played the role of a poisonous snake.He didn't know where he got the news, maybe it was planned beforehand.

He began to quarrel in the hospital, thinking that the doctor gave his wife wrong treatment, the treatment method was wrong, no one managed after the operation, and the dressing was not changed frequently...

There are endless excuses, but there are always plenty of excuses for wrangling.Later, the anesthesiology department was also involved.

He first said that her wife had a backache and that the anesthesiologist was not good enough and had damaged her nerves.Lin Xiaobei instructed the gynecology department to do an EMG, and it was all right.

He didn't know where he got the information that the platelets were lower than the normal range and he couldn't be given spinal anesthesia, but the anesthesiologist did it for his wife anyway.

This is definite evidence, although Lin Xiaobei had clearly explained the risks in the informed consent form for anesthesia, and his opinion was also sought at that time, and the signatures in black and white were clearly placed there.

But the rogue insisted that he didn't know, and that everything was decided by the anesthesiologist, and he was only responsible for signing.

He firmly grasped one: the anesthesiologist violated the routine operation.

Lin Xiaobei was caught and hammered because of his momentary kindness.

Those years were when the relationship between doctors and patients was particularly tense, and the media liked to add fuel to the flames.No matter how accurate the evidence presented by Lin Xiaobei was, it would appear pale and powerless in front of unreasonable patients.

That man knew this well. He stayed in the hospital, blocking the door of the gynecology ward, and beating at the door of the hospital's administrative office.

Barefoot people are not afraid of those who wear shoes. No matter how much he troubles the hospital, he can't do anything to him. Instead, he attracted reporters and attracted social attention.

Under pressure, the hospital settled the matter and waived the woman's medical expenses.

Unexpectedly, people are not enough to swallow elephants, that man is not satisfied with that little money, Lion opened his mouth and asked for 100 million compensation, including mental damage, physical damage, and the couple's delay in work due to hospitalization...

That arrogant look seemed like he was a superstar, and he was completely different from the coward who knelt in front of Lin Xiaobei that night.

Of course, it was impossible for the hospital to pay that much money. The final result of the negotiation was to waive the medical expenses and pay another 2 yuan, including the mental damage and lost wages he mentioned.The leader of the hospital is not a fool, and will not admit any damage to his wife's body.

The unlucky Lin Xiaobei was settled by Qiu Hou, and was recorded as a medical malpractice once, deducted the year-end bonus, and was exempted from the qualifications for three consecutive years.

Although Director Lin Chaobing knew that he hadn't made a big mistake, this kind of side-kicking operation was very common in all departments, and it was almost a consensus.The leaders of the hospital also turned a blind eye to this, but whoever has an accident will be responsible, and the responsibility falls to the individual.

Unfortunately, Lin Xiaobei hit the muzzle of the gun.

From then on, before he obtained the super system, for a long time he was indifferent to all affairs, almost a cold-blooded animal.

The reason why he gradually became passionate again was because the system was at work, or he himself was changing.Because, he wants to be a super anesthesiologist.

　A new week has begun, I wish you all a happy work!
　　
　
(End of this chapter)