When the Doctor Uses A Hack

The matter should start from a few days ago!

An elderly male suddenly vomited blood and was sent to the emergency department six for resuscitation.

Admission diagnosis: gastrointestinal bleeding; hypovolemic shock; abdominal pain: chronic pancreatitis? Pulmonary infection?

After admission, Li Yue personally took the patient for a gastroscopy, discovering multiple ulcers at the post-bulbar region of the duodenum, one deep and large ulcer on the anterior wall of the bulb with white moss and blood clots covering the center.

The patient's condition was quite severe, and as an elderly male, the deep post-bulbar ulcer revealed visible vascular breakage.

So, a titanium clip was applied to stop the bleeding.

After all, sudden bleeding in the elderly is most feared to cause a sudden drop in hemoglobin, leading to a critical condition.

Fortunately, the surgery was very successful, and the patient returned safely to the ward post-operation and was kept under observation in the emergency department.

Although the patient's condition was stable, there were many accompanying symptoms.

Li Yue repeatedly admonished that the patient might have pancreatitis, the condition was still unstable, and it was best to send him to the ICU.

However, given the patient's condition, one day in the ICU would cost tens of thousands.

The family refused outright, so the patient was placed in a general ward.

As the attending physician, Li Yue was very concerned for the patient, but illnesses do not yield to one's will.

Li Yue also couldn't monitor the patient 24/7.

Yet, on the third day post-operation, the patient suddenly suffered a transient loss of consciousness, head retracted, with both eyes gazing to the left, accompanied by urinary incontinence!

Li Yue quickly checked the patient's blood pressure: 70/110 mmHg.

Seeing this, Li Yue rushed him to the resuscitation room to prepare for rescue, but en route, the patient's consciousness suddenly cleared, responsive to calls, with symptoms lasting 1-2 minutes.

At this point, Li Yue spoke with the family again, advising them to send the patient to the ICU.

However, the patient's family still thought it was just a transient episode and did not take it seriously.

The patients' family showed no concern!

Li Yue was anxiously at wit's end.

Faced with such circumstances, everyone was somewhat worried.

Yet at that moment, the family couldn't even ensure a caregiver's presence.

Then, on the third day at noon after.

The patient suffered a sudden loss of consciousness. The family, who was coincidentally there for lunch with the elder, witnessed the symptom!

The family said the elder experienced transient stiffness in the neck and limbs, lasting no more than 1 minute before the rigidity disappeared, accompanied by urinary incontinence.

Upon hearing this news, Li Yue was shocked.

Immediately considering the possibility of another significant hemorrhage, rapidly transferring the patient to the emergency rescue room for further rehydration, acid suppression, and aggressive anti-shock treatment.

The blood pressure at that time was only 55/42 mmHg!

However, in such a situation... two sons and two daughters were busy with their own affairs.

Occasionally coming for a visit under the pretense of having a meal with their father, when in fact, they used the meal card their father got upon hospital admission to eat at the hospital.

It must be said, the coffee at the hospital cafeteria was really good; otherwise, they wouldn't each come every day for a cup.

On that very night, the patient's children all went home to sleep.

No caregiving!

Nor were they willing to send him to the ICU.

Furthermore, late at night, the elder suddenly lost consciousness and passed away.

After this incident, the other party began quietly collecting evidence!

Soon after, they sued the hospital and Li Yue together in court.

And Li Yue hadn't had a good rest for a week because of this elder.

When the other party took Li Yue to court, wearing an elite, haughty expression!

"We don't lack money. This time we will definitely seek justice for our father!"

"The law will undoubtedly stand on the side of justice!"

On this issue, Li Yue always wanted to ask one question.

Why didn't you send the elder to the ICU?

Why didn't you even hire a caregiver?

You might indeed have a lot of money, but you truly weren't willing to spend it on your father.

The same illness actually has many treatment options.

But, let's put it this way, different prices will have different recommendations. For those wealthy ones who really aren't short of money, they might consider more self-funded drugs and purchase those outside.

These drugs are not covered by insurance and need to be bought independently, costing hundreds to thousands a day.

Yet, when met with such a situation, the family's attitude was very consistent.

"We choose medications within the insurance coverage."

All of this is fine!

But then why did you accuse us of inadequate technical skill?

Li Yue was extremely anxious.

Caught up in this situation, who can devote themselves wholly to work.

Although which doctor hasn't experienced a complaint.

But rarely has a doctor stood in court for such dialogue.

Moreover, Chen Cang had an illusion.

He noticed that after the elder passed away, the impatience and complaints on the family members' faces were even less than when he was alive...

It even gave a sense of having shed a huge burden and burden.

The court took this matter very seriously!

At the same time, during the trial of the case, the court commissioned the Judicial Evaluation Center to appraise this case.

Moreover, invited experts from the Chinese Medical Association Gastroenterology Branch to serve as an expert group to evaluate the course of treatment.

Likewise, the hospital invited Chen Cang as an expert auxiliary to testify in court!

In response, what Chen Cang does now is gather the patient's treatment information.

These days, Li Yue was anxious and uneasy.

Though he believes he has done all he could for this patient.

Going home once every two days, all the while not daring to return home when the elder's state was unstable.

But this time, he was taken to court, and… has to pay compensation of 2 million!

Although he only needs to pay a small portion, under 20%, the rest to be settled by the hospital and department.

But that's still hundreds of thousands!

For Li Yue, who carries the mortgage of the capital, it's truly torturous!

After all…

In medical dispute cases.

In such cases, the hospital losing is more common!

There are many vivid examples, some doctors even fell into depression for losing a case, while others outrightly committed suicide by jumping off a building.

An obstetrician delivering a baby on a train saved the mother and son, yet got sued for minor issues with the newborn, leading to a fine of over a hundred thousand, compensating afterward, choosing to commit suicide!

Because she felt:

The world is not worth lingering.

The trial process of such lawsuits absolutely destroys not just a doctor's economy!

More so, their beliefs.

Once the trial is concluded, and the judgment found in favor of the patient's family, and the hospital failed.

This is just compensation for the hospital.

But for Li Yue, it's a heavy blow.

A double blow to both mind and body!

In just a few days, Li Yue lost seven to eight pounds in weight.

Chen Cang was invited to act as the expert, defending the hospital and Li Yue.

This time, the emergency department staff were very angry!

Old Yu and Old Ma looked at Chen Cang and couldn't help but say, "Chen Cang, go all out!"

He looked at Li Yue, smiled, and said firmly:

"Trust me, I can save you!"

…

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ps: Written late, hehe.