I really don't want to be a doctor
Chapter 206 Family Hesitation
Chapter 206 Family Hesitation
"I remember it was about 30ml..." the middle-aged woman hesitated for a moment and said.
"30ml?"
Jing Xiaoran repeated a sentence, a trace of anxiety flashed in his eyes.
You must know that ingesting 10ml of "paraquat" can be fatal, but now it is 30ml!
Although it seems that there is nothing wrong with this girl at present, danger may occur at any time.
Then, Jing Xiaoran asked several other related questions, and he had a preliminary understanding of the girl's situation.
Because of a little conflict with her boyfriend, the girl drank the pesticide in a hurry.
Fortunately, the boy found out in time and notified the girl's family members, who sent the girl to the emergency department of a local hospital for gastric lavage.
However, after the local hospital learned that the girl was drinking "paraquat", they advised her to go directly to the higher-level hospital.
"Doctor, I want to ask, how much will it cost for dialysis?"
The middle-aged woman asked suddenly.
"Ordinary hemodialysis is very cheap, only four to five thousand." Jing Xiaoran said, "But your child may have to use CRRT (Continuous Renal Replacement Therapy), which may cost four to five thousand."
"It's so expensive!" The middle-aged woman took a deep breath, "After dialysis, my daughter will have no problems?"
Jing Xiaoran shook his head and said, "Dialysis can only reduce the toxicity as much as possible. If it takes too long, dialysis is useless."
"Doctor, let us think about it again."
"The doctor on duty will talk to your family about this later, and he will talk to you in detail." Jing Xiaoran said.
Although he was impatient, it was impossible for him to make decisions for the patient's family.
"Oh." The middle-aged woman saw the intern words on Jing Xiaoran's badge, "That's fine, thank you."
Jing Xiaoran and the middle-aged woman returned to the emergency room, when the emergency department teacher who was preparing for the shift hurried over.
"Are you a classmate on duty?" Chao Jing Xiaoran, the emergency department teacher who was preparing for the shift, asked.
Jing Xiaoran knew this teacher.
He is Hong Sheng and his group's tutoring exam, surnamed Sun, a short and fat male doctor.
Jing Xiaoran was quite impressed with Mr. Sun, he is already the deputy chief physician with a high professional level.But he has a bad point, that is, he is usually not willing to accept patients, and there are usually only one or two patients in the group.
To put it bluntly, Mr. Sun has a lazy personality and muddled through.
"Yes, Teacher Sun." Jing Xiaoran nodded, "Ms. Wu in the main class is in the observation room for rescue, so I'll come over to see this patient first."
"What's the patient's condition?" Mr. Sun was quick to do things, and asked while examining the girl,
Jing Xiaoran recounted all the existing examination results and medical history.
"Paraquat poisoning?"
Teacher Sun frowned deeply. "Paraquat" is notorious. Although the country has already controlled this drug, it is an excellent drug, but it is sold in many places.
"Well, the patient does not feel any discomfort at present." Jing Xiaoran added, "I have explained the risks to the patient's family, such as respiratory failure."
"You did a good job." Teacher Sun raised his eyebrows, and the student reacted very quickly and handled it well.
He rarely shows up in the ward, but there are many students in the emergency ward, so he doesn't know Jing Xiaoran at all.
"What's the opinion of the patient's family?" Mr. Sun looked at the middle-aged woman beside him, "Do you agree to use a higher level of treatment?"
"The director, can I think about it again?" The middle-aged woman said, "I have a relative who is also a doctor. I want to ask his opinion."
"Hey, let's hurry up." Teacher Sun said, "Although everything looks normal now, there are still great risks."
In the clinic, I am most afraid of this situation, and I am afraid that there will be a doctor in the patient's family.
In this way, the family members of the patients do not trust their doctors in charge, but instead ask relatives of the doctors who are out of reach.
Ordinary people always subconsciously think that their relatives will not lie to them, and they have to ask about anything they encounter in the hospital; this will not only delay the treatment of the disease, but also increase the sense of distrust between the doctor and the patient.
But more often than not, the doctor who is face to face with you is the person who knows the situation best, while the relative on the other end of the phone is just an outsider.
In the current situation, what Teacher Sun and Jing Xiaoran can do is to fully explain the risks of the disease, and the rest can only be decided by the family members of the patients.
The girl in the emergency room still had a ruddy complexion, and she couldn't see any problems. She was chatting and laughing with her boyfriend at the side. The small emergency room was very lively.
The middle-aged woman was outside the rescue room, frequently answering and calling, and sometimes came to the duty room to find Jing Xiaoran to take some test results with her mobile phone.
"Auntie, have you considered it?" Jing Xiaoran printed out a copy of all the current test reports for the middle-aged woman.
"I'll get back to you right away." The middle-aged woman smiled awkwardly, "I'll show my relative the test report."
"Auntie, hurry up." Jing Xiaoran sighed.
"En." The middle-aged woman responded, and walked out of the office with the test sheet.
……
half an hour.
Hong Sheng came back from the observation room with a tired face.
"What's the situation over there?" Jing Xiaoran asked.
"The old man on bed 3 in the observation room suddenly dropped his blood pressure and heart rate." Hong Sheng said with lingering fear, "Mr. Wu thinks it might be cardiogenic shock, and he was sent to the ICU just now."
"Is there 3 beds in the observation room?" Jing Xiaoran thought for a while, this patient should have been admitted to the hospital in the morning, and he didn't know much about the situation yet.
Hong Sheng said: "Well, it happened to be the patient admitted by Mr. Wu, so the treatment was relatively timely. Squad leader, how is the little girl who was poisoned by pesticide?"
"The family members are still hesitating whether or not to have dialysis." Jing Xiaoran said, "If you still don't decide, maybe dialysis won't solve any problems."
Once paraquat enters the blood circulation and exerts toxicity in it, dialysis will have no effect.
"Squad leader, is the death rate of paraquat poisoning really that high? I think that girl is in good condition, and there doesn't seem to be any problem at all." Hong Sheng was puzzled.
The reason why Hong Sheng asked this question is because there are very few patients who are poisoned by "paraquat" nowadays, and they are rarely encountered, and there are very few things mentioned in the books, so he doesn't know how terrible the poisoning of this pesticide is.
Jing Xiaoran also worked in the clinic for a period of time and personally managed several patients before he had a deep understanding of "paraquat" poisoning.
"Now the country has very strict control over paraquat." Jing Xiaoran explained, "It is rare to encounter it clinically, but if you go back and check the relevant information, you will know that this pesticide is terrible. In some provinces, the death rate is as high as 100. %; it has been discontinued in many parts of the world, and our country plans to stop production in the next few years."
Hong Sheng nodded with a half understanding: "Then why are the family members of the patient still hesitating? The most important thing is to get treatment quickly!"
(End of this chapter)
"I remember it was about 30ml..." the middle-aged woman hesitated for a moment and said.
"30ml?"
Jing Xiaoran repeated a sentence, a trace of anxiety flashed in his eyes.
You must know that ingesting 10ml of "paraquat" can be fatal, but now it is 30ml!
Although it seems that there is nothing wrong with this girl at present, danger may occur at any time.
Then, Jing Xiaoran asked several other related questions, and he had a preliminary understanding of the girl's situation.
Because of a little conflict with her boyfriend, the girl drank the pesticide in a hurry.
Fortunately, the boy found out in time and notified the girl's family members, who sent the girl to the emergency department of a local hospital for gastric lavage.
However, after the local hospital learned that the girl was drinking "paraquat", they advised her to go directly to the higher-level hospital.
"Doctor, I want to ask, how much will it cost for dialysis?"
The middle-aged woman asked suddenly.
"Ordinary hemodialysis is very cheap, only four to five thousand." Jing Xiaoran said, "But your child may have to use CRRT (Continuous Renal Replacement Therapy), which may cost four to five thousand."
"It's so expensive!" The middle-aged woman took a deep breath, "After dialysis, my daughter will have no problems?"
Jing Xiaoran shook his head and said, "Dialysis can only reduce the toxicity as much as possible. If it takes too long, dialysis is useless."
"Doctor, let us think about it again."
"The doctor on duty will talk to your family about this later, and he will talk to you in detail." Jing Xiaoran said.
Although he was impatient, it was impossible for him to make decisions for the patient's family.
"Oh." The middle-aged woman saw the intern words on Jing Xiaoran's badge, "That's fine, thank you."
Jing Xiaoran and the middle-aged woman returned to the emergency room, when the emergency department teacher who was preparing for the shift hurried over.
"Are you a classmate on duty?" Chao Jing Xiaoran, the emergency department teacher who was preparing for the shift, asked.
Jing Xiaoran knew this teacher.
He is Hong Sheng and his group's tutoring exam, surnamed Sun, a short and fat male doctor.
Jing Xiaoran was quite impressed with Mr. Sun, he is already the deputy chief physician with a high professional level.But he has a bad point, that is, he is usually not willing to accept patients, and there are usually only one or two patients in the group.
To put it bluntly, Mr. Sun has a lazy personality and muddled through.
"Yes, Teacher Sun." Jing Xiaoran nodded, "Ms. Wu in the main class is in the observation room for rescue, so I'll come over to see this patient first."
"What's the patient's condition?" Mr. Sun was quick to do things, and asked while examining the girl,
Jing Xiaoran recounted all the existing examination results and medical history.
"Paraquat poisoning?"
Teacher Sun frowned deeply. "Paraquat" is notorious. Although the country has already controlled this drug, it is an excellent drug, but it is sold in many places.
"Well, the patient does not feel any discomfort at present." Jing Xiaoran added, "I have explained the risks to the patient's family, such as respiratory failure."
"You did a good job." Teacher Sun raised his eyebrows, and the student reacted very quickly and handled it well.
He rarely shows up in the ward, but there are many students in the emergency ward, so he doesn't know Jing Xiaoran at all.
"What's the opinion of the patient's family?" Mr. Sun looked at the middle-aged woman beside him, "Do you agree to use a higher level of treatment?"
"The director, can I think about it again?" The middle-aged woman said, "I have a relative who is also a doctor. I want to ask his opinion."
"Hey, let's hurry up." Teacher Sun said, "Although everything looks normal now, there are still great risks."
In the clinic, I am most afraid of this situation, and I am afraid that there will be a doctor in the patient's family.
In this way, the family members of the patients do not trust their doctors in charge, but instead ask relatives of the doctors who are out of reach.
Ordinary people always subconsciously think that their relatives will not lie to them, and they have to ask about anything they encounter in the hospital; this will not only delay the treatment of the disease, but also increase the sense of distrust between the doctor and the patient.
But more often than not, the doctor who is face to face with you is the person who knows the situation best, while the relative on the other end of the phone is just an outsider.
In the current situation, what Teacher Sun and Jing Xiaoran can do is to fully explain the risks of the disease, and the rest can only be decided by the family members of the patients.
The girl in the emergency room still had a ruddy complexion, and she couldn't see any problems. She was chatting and laughing with her boyfriend at the side. The small emergency room was very lively.
The middle-aged woman was outside the rescue room, frequently answering and calling, and sometimes came to the duty room to find Jing Xiaoran to take some test results with her mobile phone.
"Auntie, have you considered it?" Jing Xiaoran printed out a copy of all the current test reports for the middle-aged woman.
"I'll get back to you right away." The middle-aged woman smiled awkwardly, "I'll show my relative the test report."
"Auntie, hurry up." Jing Xiaoran sighed.
"En." The middle-aged woman responded, and walked out of the office with the test sheet.
……
half an hour.
Hong Sheng came back from the observation room with a tired face.
"What's the situation over there?" Jing Xiaoran asked.
"The old man on bed 3 in the observation room suddenly dropped his blood pressure and heart rate." Hong Sheng said with lingering fear, "Mr. Wu thinks it might be cardiogenic shock, and he was sent to the ICU just now."
"Is there 3 beds in the observation room?" Jing Xiaoran thought for a while, this patient should have been admitted to the hospital in the morning, and he didn't know much about the situation yet.
Hong Sheng said: "Well, it happened to be the patient admitted by Mr. Wu, so the treatment was relatively timely. Squad leader, how is the little girl who was poisoned by pesticide?"
"The family members are still hesitating whether or not to have dialysis." Jing Xiaoran said, "If you still don't decide, maybe dialysis won't solve any problems."
Once paraquat enters the blood circulation and exerts toxicity in it, dialysis will have no effect.
"Squad leader, is the death rate of paraquat poisoning really that high? I think that girl is in good condition, and there doesn't seem to be any problem at all." Hong Sheng was puzzled.
The reason why Hong Sheng asked this question is because there are very few patients who are poisoned by "paraquat" nowadays, and they are rarely encountered, and there are very few things mentioned in the books, so he doesn't know how terrible the poisoning of this pesticide is.
Jing Xiaoran also worked in the clinic for a period of time and personally managed several patients before he had a deep understanding of "paraquat" poisoning.
"Now the country has very strict control over paraquat." Jing Xiaoran explained, "It is rare to encounter it clinically, but if you go back and check the relevant information, you will know that this pesticide is terrible. In some provinces, the death rate is as high as 100. %; it has been discontinued in many parts of the world, and our country plans to stop production in the next few years."
Hong Sheng nodded with a half understanding: "Then why are the family members of the patient still hesitating? The most important thing is to get treatment quickly!"
(End of this chapter)
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