I Can See Health

   Chapter 167 Dedicated to death?

  After Fan Zhiping sent the message, a doctor in the group responded immediately.

   "50 tablets of propafenone and 1 bottle of atenolol! Director Fan, you are such a cruel patient!"

   "Sorry, I have never seen such a poisoned patient."

   "The patient has very low blood pressure and may not be suitable for hemoperfusion or plasma exchange."

"I encountered a case when I went to Jinghua University Hospital. The drug propafenone has a high protein binding rate. Although it can be cleared by hemoperfusion, CVVH or direct plasma exchange, it takes time, and the fastest plasma exchange is 3 hours. But the patient currently has arrhythmia and needs to be dealt with immediately! But how to deal with this arrhythmia, I don't know..."

   "Don't forget that the patient also took atenolol!"

Everyone in the    group talked a lot, but no one could come up with a solution.

   There is a doctor who has encountered such a case, but he can only give a general idea. He does not know how to treat the arrhythmia specifically.

   "Has no one else encountered this kind of poisoning?" Fan Zhiping asked again.

Someone in the    group replied: "I have encountered it, but the patient's vital signs are stable, and we have transferred it to a higher-level hospital."

  Fan Zhiping calmed down.

   At present, he has nothing to do with this poisoned patient.

   is really not feasible, and we can only recommend transferring to the ICU ward, or transferring to a higher-level hospital at risk.

   However, medical insurance stipulates that patients who are poisoned by taking medicine are not reimbursed for hospitalization.

   All treatment costs are at their own expense, which is not something that ordinary families can afford!

   "Beep...beep..."

   Someone in the group sent a message again.

  Fan Zhiping picked up the phone and took a look.

   The speaker was a doctor from the Cardiology Department of Fengmei County Hospital of Traditional Chinese Medicine.

   "Why don't you let Professor Lu have a look? Maybe he has a solution."

   As soon as the doctor finished speaking, someone immediately agreed.

   "Yes, Lao Fan, go to Professor Lu, he may have a solution."

   "Professor Lu usually doesn't reply to messages at this point, you may have to find him alone."

   "This should be @Professor Lu Chen."

  …

   Ask him to find Professor Lu...?

   Fan Zhiping saw everyone talking, a wry smile appeared on his face.

   If it was placed before, he would have taken the initiative to go to @Professor Luchen.

   But now, asking him to go to a graduate student to see a doctor, he really can't keep his face.

   "Wait and see if anyone else has a good idea." Fan Zhiping muttered in his heart, "Or maybe he appeared by himself, and I don't need to look for it."

  Although Lu Chen is no longer a professor, Fan Zhiping never doubted his level.

   At this moment, Lu Chen is training his internal medicine skills in the virtual space of the system.

  If Lu Chen wanted to find out the news himself, he was destined to disappoint Fan Zhiping.

  …

   "Director Fan, do you mean to let us transfer to the ICU ward?"

   The patient's mother was a middle-aged woman, about forty years old.

   "Yeah." Fan Zhiping nodded indifferently, "There is no good way here."

   He is helpless now, and if he drags on like this, once there is a problem with the patient's vital signs, there is a risk of sudden death at any time.

   "Director Fan, I heard from the doctor in the emergency department that our disease doesn't seem to be reimbursed?" the woman asked tentatively.

   "Yes." Fan Zhiping nodded, "Drinking medicine, drinking alcohol, committing suicide, these are not reimbursed."

   "Then...then how can I afford to live here!" At this moment, the woman's face showed despair.

   "You can't think about money now! If you drag it on, your life will be lost!" Fan Zhiping said solemnly.

  The woman shook her head in despair, and tears began to accumulate in her eyes.

   "Her father is gone, I'm pulling her and his brother up by myself, how can there be any money left!"

   If you are transferred to the ICU for treatment, the daily cost starts at 10,000 yuan, which does not include the cost of blood perfusion or plasma exchange.

   "If you can't, you can borrow some from relatives and friends, and then pay it back slowly!" Fan Zhiping said.

   "I'll borrow everything I can!"

   The woman's cry was not loud, but in the small doctor's office, it looked extremely desolate.

  According to the current situation, Fan Zhiping knows that it is impossible to transfer patients to higher-level hospitals or ICUs.

   "Director Fan, can't we treat conservatively with drugs?" The woman burst into tears.

   "Maybe useful, but our hospital has no experience. The most important thing is that the patient's current condition is unstable and may deteriorate at any time."

   "That means, maybe you don't need to go to ICU?" The woman seemed to catch a glimpse of life.

  Fan Zhiping shook his head: "According to the current situation, we recommend that you be transferred to the ICU. If you refuse, then you need to sign, indicating that you refuse to be transferred to the ICU and hospital, and bear all the consequences."

  The woman gritted her teeth and wiped away the tears from the corners of her eyes.

   "Director Fan, then wait a while, and I'll ask again to see if I can borrow money."

   "Then you have to do it as soon as possible." Fan Zhiping nodded.

   At present, the patient is already in arrears.

  If you continue to owe it, the pharmacy will not issue the medicine back at all.

   This is the age of seventeen or eighteen, it is the time of the flower girl!

  Fan Zhiping really couldn't bear to see his family give up like this!

  The woman left and started to call.

   Ask one by one and borrow money.

  Fan Zhiping looked down at the phone beside the table and sighed slightly.

   He hesitated for a long time, and finally picked up the phone.

   Open the WeChat contact list.

  …

   Jinghua Second Hospital, the dormitory of Jipei Building.

  Lu Chen is training in the virtual space.

   There are too many skill operations in internal medicine, and it is also the top priority of the skill test.

  Many operations are usually not encountered in clinical practice. Lu Chen can only perform targeted training in the virtual space.

   There is half an hour left in the universal card.

  Lu Chen saw the skill proficiency prompt on the system panel.

  "After using this card, I should be able to complete 1/3 of the internal technology operation project."

   "Beep...beep...beep..."

   Just then, the phone vibrated, and the WeChat alert sounded four or five times in a row.

   Usually, Lu Chen blocks group news.

   Then someone should be looking for him, and the other party sent several messages in a row.

  Is there something urgent?

  Lu Chen quickly withdrew from the virtual space.

   Pick up your phone, open WeChat, and take a closer look.

   It was actually a WeChat sent to him by Fan Zhiping!

   "Professor Lu, take a look at this electrocardiogram."

   "The patient is a 17-year-old female who took 50 tablets of propafenone and 1 bottle of atenolol!"

   "Current blood pressure is unstable, about 90/50mmHg."

   "The family members temporarily refused to be transferred to the ICU and higher-level hospitals."

  …

  Lu Chen had some doubts in his heart, Fan Zhiping definitely knew that he was not a professor, but a newly admitted graduate student.

   This point, Lu Chen also confirmed from Yuan Hang.

   Yuan Hang had already informed Fan Zhiping of his information.

   However, now he actually took the initiative to pull down his face to find himself.

   After all, Fan Zhiping is the deputy chief physician who has been in clinical practice for many years, and he is only a graduate student.

   However, when he saw the patient's condition information sent by Fan Zhiping, Lu Chen's expression also changed.

  Propafenone 50 tablets, Atenolol 1 bottle!

  My dear, this is eating medicine like jelly beans!

   It's all about death!

   Thank you Ye Ye Yuan Yuan, lce-TW, cathyo for all the rewards.

   In addition to the ten thousand rewards from the roaring boss, I successfully owe 4 more updates.

   There are currently 10 updates, and there are 2 more updates today.

   (end of this chapter)