Doctor Good and Evil City Tour
Chapter 82 The Coma Old Man
Chapter 82 The Coma Old Man
Chapter 89 The Coma Old Man
After returning to the consulting room, Li Fan took over the next few patients, while Wen Lu watched from the side, and she did not intervene.
From consultation to physical examination to diagnosis to treatment, Li Fan did it all by himself. Looking at Li Fan's skillful appearance, this doesn't look like a doctor who has been working for less than a week!
This is exactly a resident doctor who has been working on the front line for a long time!
"Okay, auntie, you have essential hypertension. I'll prescribe some medicine for you to take home. Remember to monitor your blood pressure. If you don't have it at home, you can come to our hospital to measure it!"
After sending away the patients, Li Fan was ready to take the next one. He didn't want to rest for a moment. You must know that these patients are not just patients in his eyes, they are all kindness values!
In just half an hour, Li Fan had seen five patients and gained fifty points of kindness!
Seeing the kindness value of 310 points, Li Fan's mouth was crooked!
"With more, with more kindness, I won't be afraid of that fellow Pit King randomly releasing missions!"
Just as Li Fan was fantasizing wildly, a nurse suddenly ran over.
"Doctor Li, there is a visit!"
The nurse's voice interrupted Li Fan's fantasy. He saw that there were five or six patients at the door. Li Fan really didn't want to go to this clinic, but he couldn't help it. Who made that bastard Wei Qiang the department director?
Seeing Li Fan's indecision, Wen Lu waved her hand angrily and said, "Be careful when you go to the clinic, you go, leave this to me!"
Li Fan stood up reluctantly. He really wanted to tell Wen Lu that he would see these patients when he came back, but he knew that this was not realistic. Even if Wen Lu agreed, the patients would not agree!So Li Fan nodded and hurriedly ran out the door.
Zhang Hunian parked the ambulance at the entrance of the emergency room early, and grinned when he saw Li Fan coming.
"Xiaofan, get in the car!"
Li Fan greeted Zhang Hunian, opened the co-pilot's door and found a nurse sitting there.
This nurse is none other than Lu Qi who he helped last time!
"Doctor Li, I'm on duty today, it's my first cooperation, please give me your advice!"
Lu Qi is not very beautiful, but because she is young, she looks more lively.
"Hehe, help each other!"
In the car, Lu Qi introduced the situation of this visit. She said that she found all the old people unconscious near the bus station in the town. The specific situation was not disclosed, but a kind person called 120.
Seeing that Lu Qi was hesitant to speak, Li Fan smiled and said, "Nurse Lu, if you have something to say, just say it, it's all right!"
Lu Qi nodded and said, "Doctor Li, it will be very troublesome if such a patient without family members is brought back and has no money to pay for the medical expenses!"
Li Fan nodded when he heard the words. This is indeed a fact. If the old man has medical insurance, it’s okay. If he doesn’t have any medical insurance, it’s all at his own expense, and then he doesn’t have any source. This kind of patient is a burden for the hospital!
At that time, they might have to argue with the civil affairs department!
"Okay, thank you Nurse Lu, I know about this!"
Looking at Li Fan's appearance, Zhang Hunian on the side also sighed and said, "Xiao Fan, it's not that Uncle Hu has a dark heart. You must find out the situation when the time comes. If it's really a homeless person, I suggest you send it directly to the higher-level hospital." After all, the town hospital is small, so it can't afford the risk! It won't be good if the hospital leaders blame you!"
"Well, Uncle Tiger, I understand!"
Li Fan knew that Zhang Hunian was doing it for his own good, and he was afraid that he would make a decision that he would regret when he was young.
Seeing that Li Fan stopped talking, Zhang Hunian and Lu Qi didn't speak either. For a while, everyone could only hear the siren of the ambulance.
...
Near Shuiqiao Town Bus Station
At this time, many "enthusiastic" audiences were already surrounding, and everyone was pointing and talking about an old man who fell on the ground.
"What happened to this old man? How long has he been lying on the ground?"
"I have been here for 10 minutes, and I saw it when I came!"
"Did you hit 120?"
"How can you not fight? Although I dare not help, I can still afford a few cents!"
"Oh, there is no way, the current situation really cannot help, dare not help!
"Yes! Isn't it?"
Regarding this issue, the news is broadcast every day, and there is a great debate on whether to help or not. Anyway, no conclusion has been drawn yet.
Soon, everyone heard the sound of the ambulance siren. Fortunately, this is near the station, and there are already police officers maintaining order.
After seeing the ambulance coming, everyone also cooperated to get out of the way.
"Come on, the doctor is here, don't block the doctor's rescue!"
"That's right! Everyone, go back quickly, don't delay other people's illness!"
After getting out of the car, Li Fan walked over immediately with the first aid kit in full view of everyone, without any sign of timidity.
I saw an elderly man lying on the ground, probably about 60 years old from his appearance, and he was unconscious.
Li Fan immediately reached out and touched his carotid artery. Although it was a little weak, it meant that the old man was still alive.
After a preliminary inspection, no wounds were found on the old man's body. After laying him flat on his back, Lu Qi immediately came up to measure the old man's blood pressure.
"Doctor Li, the patient's blood pressure is very low, only 80/40mmhg, and the heart rate is 120 beats/min!"
Li Fan listened to Lu Qi's report, but he was thinking about the patient's condition in his heart. The patient's lips were cyanotic, unconsciousness, shallow breathing, temperature drop of limbs, low heart sounds, rapid and weak pulse, and progressive drop in blood pressure...
Li Fan immediately thought that the patient was suffering from shock symptoms!There are many cases of shock, but they can be roughly divided into three categories!
Hypovolemia, including hemorrhagic shock, burn shock, traumatic shock.
Vasodilatory, including septic shock, anaphylactic shock, and neurogenic shock.
The last one is cardiogenic shock!
The driver who came back to Su Yu from the car accident last time was a typical hemorrhagic shock!
Since it has been considered that the patient was in a coma due to shock, as for the specific reason, he had to take it back for further examination.
"Put on a stretcher, inhale oxygen, establish an intravenous line, the patient's blood pressure is too low, prepare dopamine, and use it when necessary!"
Since Li Fan didn't know if the patient was in hypovolemic shock, he still didn't use dopamine for the time being!
"Yes!"
Lu Qi glanced at Li Fan, saw that she didn't notice her wink, sighed slightly, and went back to follow Li Fan's instructions.
"Who knows this old man?"
Li Fan checked the patient's pocket by the way, but unfortunately he didn't find anything that could prove his identity.
Judging by the old man's appearance, he didn't look like a homeless person, so he wanted to try to see if he could find the patient's family members.
It's a pity that his work is useless. If there are really family members here, will the old man lie on the ground like this?
Hehe...it's hard to say...
(Doctors above the treatment, don’t spray it, it’s just a novel, please don’t be so serious! What you write is half-truth and half-false!)
(End of this chapter)
Chapter 89 The Coma Old Man
After returning to the consulting room, Li Fan took over the next few patients, while Wen Lu watched from the side, and she did not intervene.
From consultation to physical examination to diagnosis to treatment, Li Fan did it all by himself. Looking at Li Fan's skillful appearance, this doesn't look like a doctor who has been working for less than a week!
This is exactly a resident doctor who has been working on the front line for a long time!
"Okay, auntie, you have essential hypertension. I'll prescribe some medicine for you to take home. Remember to monitor your blood pressure. If you don't have it at home, you can come to our hospital to measure it!"
After sending away the patients, Li Fan was ready to take the next one. He didn't want to rest for a moment. You must know that these patients are not just patients in his eyes, they are all kindness values!
In just half an hour, Li Fan had seen five patients and gained fifty points of kindness!
Seeing the kindness value of 310 points, Li Fan's mouth was crooked!
"With more, with more kindness, I won't be afraid of that fellow Pit King randomly releasing missions!"
Just as Li Fan was fantasizing wildly, a nurse suddenly ran over.
"Doctor Li, there is a visit!"
The nurse's voice interrupted Li Fan's fantasy. He saw that there were five or six patients at the door. Li Fan really didn't want to go to this clinic, but he couldn't help it. Who made that bastard Wei Qiang the department director?
Seeing Li Fan's indecision, Wen Lu waved her hand angrily and said, "Be careful when you go to the clinic, you go, leave this to me!"
Li Fan stood up reluctantly. He really wanted to tell Wen Lu that he would see these patients when he came back, but he knew that this was not realistic. Even if Wen Lu agreed, the patients would not agree!So Li Fan nodded and hurriedly ran out the door.
Zhang Hunian parked the ambulance at the entrance of the emergency room early, and grinned when he saw Li Fan coming.
"Xiaofan, get in the car!"
Li Fan greeted Zhang Hunian, opened the co-pilot's door and found a nurse sitting there.
This nurse is none other than Lu Qi who he helped last time!
"Doctor Li, I'm on duty today, it's my first cooperation, please give me your advice!"
Lu Qi is not very beautiful, but because she is young, she looks more lively.
"Hehe, help each other!"
In the car, Lu Qi introduced the situation of this visit. She said that she found all the old people unconscious near the bus station in the town. The specific situation was not disclosed, but a kind person called 120.
Seeing that Lu Qi was hesitant to speak, Li Fan smiled and said, "Nurse Lu, if you have something to say, just say it, it's all right!"
Lu Qi nodded and said, "Doctor Li, it will be very troublesome if such a patient without family members is brought back and has no money to pay for the medical expenses!"
Li Fan nodded when he heard the words. This is indeed a fact. If the old man has medical insurance, it’s okay. If he doesn’t have any medical insurance, it’s all at his own expense, and then he doesn’t have any source. This kind of patient is a burden for the hospital!
At that time, they might have to argue with the civil affairs department!
"Okay, thank you Nurse Lu, I know about this!"
Looking at Li Fan's appearance, Zhang Hunian on the side also sighed and said, "Xiao Fan, it's not that Uncle Hu has a dark heart. You must find out the situation when the time comes. If it's really a homeless person, I suggest you send it directly to the higher-level hospital." After all, the town hospital is small, so it can't afford the risk! It won't be good if the hospital leaders blame you!"
"Well, Uncle Tiger, I understand!"
Li Fan knew that Zhang Hunian was doing it for his own good, and he was afraid that he would make a decision that he would regret when he was young.
Seeing that Li Fan stopped talking, Zhang Hunian and Lu Qi didn't speak either. For a while, everyone could only hear the siren of the ambulance.
...
Near Shuiqiao Town Bus Station
At this time, many "enthusiastic" audiences were already surrounding, and everyone was pointing and talking about an old man who fell on the ground.
"What happened to this old man? How long has he been lying on the ground?"
"I have been here for 10 minutes, and I saw it when I came!"
"Did you hit 120?"
"How can you not fight? Although I dare not help, I can still afford a few cents!"
"Oh, there is no way, the current situation really cannot help, dare not help!
"Yes! Isn't it?"
Regarding this issue, the news is broadcast every day, and there is a great debate on whether to help or not. Anyway, no conclusion has been drawn yet.
Soon, everyone heard the sound of the ambulance siren. Fortunately, this is near the station, and there are already police officers maintaining order.
After seeing the ambulance coming, everyone also cooperated to get out of the way.
"Come on, the doctor is here, don't block the doctor's rescue!"
"That's right! Everyone, go back quickly, don't delay other people's illness!"
After getting out of the car, Li Fan walked over immediately with the first aid kit in full view of everyone, without any sign of timidity.
I saw an elderly man lying on the ground, probably about 60 years old from his appearance, and he was unconscious.
Li Fan immediately reached out and touched his carotid artery. Although it was a little weak, it meant that the old man was still alive.
After a preliminary inspection, no wounds were found on the old man's body. After laying him flat on his back, Lu Qi immediately came up to measure the old man's blood pressure.
"Doctor Li, the patient's blood pressure is very low, only 80/40mmhg, and the heart rate is 120 beats/min!"
Li Fan listened to Lu Qi's report, but he was thinking about the patient's condition in his heart. The patient's lips were cyanotic, unconsciousness, shallow breathing, temperature drop of limbs, low heart sounds, rapid and weak pulse, and progressive drop in blood pressure...
Li Fan immediately thought that the patient was suffering from shock symptoms!There are many cases of shock, but they can be roughly divided into three categories!
Hypovolemia, including hemorrhagic shock, burn shock, traumatic shock.
Vasodilatory, including septic shock, anaphylactic shock, and neurogenic shock.
The last one is cardiogenic shock!
The driver who came back to Su Yu from the car accident last time was a typical hemorrhagic shock!
Since it has been considered that the patient was in a coma due to shock, as for the specific reason, he had to take it back for further examination.
"Put on a stretcher, inhale oxygen, establish an intravenous line, the patient's blood pressure is too low, prepare dopamine, and use it when necessary!"
Since Li Fan didn't know if the patient was in hypovolemic shock, he still didn't use dopamine for the time being!
"Yes!"
Lu Qi glanced at Li Fan, saw that she didn't notice her wink, sighed slightly, and went back to follow Li Fan's instructions.
"Who knows this old man?"
Li Fan checked the patient's pocket by the way, but unfortunately he didn't find anything that could prove his identity.
Judging by the old man's appearance, he didn't look like a homeless person, so he wanted to try to see if he could find the patient's family members.
It's a pity that his work is useless. If there are really family members here, will the old man lie on the ground like this?
Hehe...it's hard to say...
(Doctors above the treatment, don’t spray it, it’s just a novel, please don’t be so serious! What you write is half-truth and half-false!)
(End of this chapter)
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