Chapter 1546: Chapter 626: Hospital Refusal Rules and the Benefits of Medical Knowledge (Part 2)

The doctors at Tuya Hospital are experienced, and their medical skills are also very high. Even the patients they don’t dare to accept must have significant risks.

The current healthcare environment is poor; nobody wants to get involved in trouble.

Thus, to protect themselves, doctors prefer fewer troubles over more.

Rejecting a patient won’t affect their income or promotion, but taking a patient out of kindness might lead to being bitten by a ’viper.’ The young doctors and nurses in the hospital are often pure and kind when they first start working.

After experiencing several farmer and snake stories, they are forced to put away their overflowing kindness.

"Which departments have you asked?"

Zhou Can got up and walked towards the patient, with her following closely behind.

"I’ve asked Neurosurgery, Neurology, the Emergency Department, and the Intensive Care Medicine Department; all four of them said it was difficult to treat, and that’s why I thought of seeking your help."

Difficult to treat implies that we’re powerless here, you’d better seek more skilled help elsewhere.

All four departments gave remarkably consistent responses.

Zhou Can’s heart sank to the bottom.

He might not be able to help this dutiful and poor girl either.

The accompanying doctor and nurse saw Zhou Can coming over and didn’t greet him. They were just the accompanying medical staff on the ambulance, responsible for delivering the patient to the place, which was their task completed.

Now that Tuya Hospital refuses to accept the patient, they can’t just leave the patient and go, feeling quite angry.

Naturally, they couldn’t show Zhou Can any pleasant expression.

"Does the patient still have autonomous breathing?"

"Weak."

The accompanying male doctor replied coldly.

Zhou Can listened to the patient’s heart and lung sounds, then measured the pulse.

Under normal circumstances, heart rate and pulse are consistent.

But this is only limited to the consistency of numbers.

The significance of the two checks is completely different.

Heart rate is the frequency of heartbeats, usually calculated based on 60-second statistics. By checking the heart rate, one can understand the patient’s heart condition.

A cardiothoracic surgeon like Zhou Can, who is experienced and highly skilled, can hear a lot of deeper information during heart rate auscultation.

For example, whether the heart rhythm is normal.

Bradycardia, premature beats, septal defect, tricuspid valve, mitral valve regurgitation, or incompetence, etc., can all be detected.

Pulse can understand the heart’s ejection status and the patient’s body blood circulation.

For example, measuring the pulse at the carotid artery can infer the blood supply situation of the head.

Of course, these checks are only preliminary diagnoses and can only provide doctors with an initial diagnostic direction.

After checking the heart rate and pulse and listening to the heart and lung sounds, Zhou Can opened the patient’s eyelids for observation.

The pupils were not dilated, and the light reflex was poor.

"When did she fall ill?"

Zhou Can asked the sixty-year-old man with a cane.

Cheng Xiaolu had told him that her father had an accident on the construction site, leading to leg disability.

Now it seems that one side of the pants leg is empty.

However, the old man’s amputation should not be a high-level amputation.

It feels like the thigh still exists.

"Dad, this is Director Zhou; he can help mom get admitted to the hospital."

Cheng Xiaolu spoke in dialect to her father.

Meaning to let the father cooperate with the doctor’s inquiry.

"On the night of the 16th, when I got up at midnight to urinate, I found something was wrong with the wife; her mouth was a little crooked. At that time, I didn’t care, thinking it was just a normal condition after falling asleep. Later, around five in the morning, I found her mouth more crooked, eyes wide open, unable to speak, and couldn’t move; I called her, but she didn’t respond..."

The old man recounted the situation at that time.

So, knowing some medical knowledge is indeed useful.

It might save oneself or a family member’s life at a critical moment.

If this old man knew a little medical knowledge and noticed his wife’s crooked mouth, he would immediately be alert to whether it was a stroke.

Usually, acute and severe diseases such as myocardial infarction, cerebral infarction, cerebral hemorrhage, and aortic dissection are more advantageous the earlier they are detected. Immediate medical treatment and rescue can sometimes minimize the loss.

It would not cause irreparable consequences.

For example, myocardial infarction, as long as the ischemia time exceeds three minutes, irreversible damage will occur. A large number of myocardial cells will begin to die due to ischemia and hypoxia.

If medical help is sought in time and a professional doctor immediately performs rescue, using thrombolytic drugs or interventional thrombus extraction and other means to restore blood circulation in the shortest time, the patient’s harm can be minimized.

The prognosis is often very ideal.

However, if delayed for too long, it would be difficult to say.

Even if the life is saved, subsequent treatment is often very troublesome. The massive death of myocardial cells leads to weak cardiac contraction, resulting in symptoms such as heart failure.

Not to mention stroke.

The brain is much more fragile than the heart.

Many doctors teach by saying directly that the brain is like tofu pudding.

This metaphor is not exaggerated.

"I’ve seen the situation; it’s not good. Were any scans taken at the outside hospital?"

Zhou Can asked the girl and the old man.

"Yes, the scans and examination materials are here."

Cheng Xiaolu promptly handed the examination report to Zhou Can.

Before transferring hospitals, always remember to bring all examination materials. If many examinations are still within the valid period, they can avoid being repeated.

This not only saves time but also saves examination costs, and the patient can suffer less.

Additionally, it allows for the fastest diagnosis and treatment.

Of course, there’s a premise, which is that one must encounter a reliable attending physician.

If unfortunate enough to meet an unethical physician who only pursues performance and ignores the patient’s interests, conducting repeated examinations that have clearly already been done, that would be quite tragic.

Zhou Can had once received a patient with a difficult and complex disease, who had a total of 17 MRI and CT scans.

Despite having reasons, the doctors’ lack of ethics was undeniable.

The patient insisted that there was something wrong with their head, yet the doctor’s examination found nothing wrong.

The patient and the family did not believe the doctor’s diagnosis.

Thus, the doctor conducted so many MRI and CT scans to make the patient and family believe.

It must be mentioned that these examinations were not done in one hospital but in a total of seven hospitals.

The cheapest head MRI costs more than six hundred, and the higher the precision, the more expensive it becomes.

The examination costs alone were already tens of thousands.

The most expensive MRI examination at Tuya is five thousand yuan each time. Applying for it is very difficult and requires queuing.

This is specially used to diagnose some extremely challenging complex cases.

Deputy chief physicians below the level cannot issue this type of examination application.

Basically, these are issued by special requirement experts.

If a department’s chief physician needs it, they can also issue it, but it requires queuing and an audit by the Medical Department.

But how many hospitals can reach Tuya’s level?

The management of many hospitals is quite chaotic. Leaders above don’t care whether it’s a black cat or a white cat; catching mice is a good cat.

What does catching mice mean?

It means being able to help the hospital generate revenue and earn a reputation for the hospital.

It’s advised, when encountering difficult and complex cases, to first register a regular doctor’s number, perform the necessary examinations. Then, if this regular doctor can’t find the cause, it’s okay, and there’s no need to scold their medical skills directly.

Keep these examinations and register for a special requirement expert number.

For what type of disease, register for that type of expert.

Be sure to understand which fields of diseases that special requirement expert is good at diagnosing. If it’s a bowel disease and you register for a Neurology Department’s expert number, the outcome will certainly be unsatisfactory.

Let’s talk about the benefits of registering a regular doctor’s number first and then a special requirement expert number.

It saves time and saves registration fees.

Most special requirement experts cost three hundred yuan to even seven or eight hundred yuan per number. If you have done nothing, you directly register for a special requirement expert number.

Experts are also human and will also require you to do the necessary examinations.

Many examination results are not available on the same day.

Then it can only be the next day or even the third day.

After getting the examination results, go to that expert for a follow-up visit, and the number registered for the first time has already lost its validity.

You’ll have to register again, and it’s uncertain if you can get one.

So, register for a few yuan’s worth of regular doctor’s number the first time, perform all necessary examinations. If the regular doctor can’t find the cause, it’s okay, take the examination results to the expert number, and you will generally be diagnosed that day.

Then smoothly admitted to the hospital.

Saves time, saves effort, and saves money.

Zhou Can took the patient’s examination materials from Cheng Xiaolu’s hand to review, to have a comprehensive understanding.