Chapter 1764: 1703 No Compromise
However, despite that, a change still occurred.
Soon, the patient's self-reported intermittent fever had become a persistent high fever, and the markings on the thermometer also showed this was true.
The trainee doctor did not notice the problem, which left him very confused.
So at the time they judged nausea and vomiting to be fake, but persistent high fever... what it meant went without saying.
After hepatic cancer interventional surgery, intermittent fever can last at most about a month, and is commonly seen with large liver tumors. After all, a tumor about 10 cm in size has a prolonged necrotic process, and absorptive heat is quite formidable.
But!
Normal absorptive heat, nothing to worry about.
However, after tumor interventional embolization surgery, what appears is intermittent fever, not persistent fever.
The most common pattern is fever occurring every 8–12 hours.
Faced with the new problem, Professor Yang was a bit bewildered. Should he go ask Zheng Lao Ban?
Later, when discussing this case in the office, a doctor from a township hospital who had come for further training scoffed, saying he knew what was going on.
Afterwards, whenever taking the temperature, as long as he went, it was fine.
Sure enough, his temperature reading returned directly to normal. Professor Yang knew there was a problem inside, but could not explain it.
That trainee doctor said this situation is relatively common in township hospitals.
Usually, before taking the temperature, the patient raises the temperature of the armpit area using something like a hot pack.
Doing that makes a normal temperature impossible. He has even seen patients with temperatures as high as 42 degrees Celsius, and even cases where the thermometer exploded under the armpit.
But this patient used a different, more concealed method.
The times for measuring temperature were fixed, or requested by the patient's family. Beforehand, he covered both hands with a hot water cup, raising the temperature of the palm surface.
Then, when taking the thermometer, he would tell the doctor or nurse about his condition. At such times, medical staff had no energy to look at the mercury end of the thermometer he held in his hand.
The temperature measured by the mercury thermometer was that of his warmed hand.
This is why the high fever situation kept occurring.
Actually, when spelled out, it's worth nothing.
After a few rounds of wits and courage, the patient's family became enraged and immediately started beating and scolding.
One day later, at the Medical Department, Lin Ge received the patient's family.
He directly told the patient's family that the Hospital 912 administration would definitely not cover this up, and then he calmly gave the family a bill.
The patient himself was an outsider, seeking treatment at Hospital 912, and had three daughters coming to care for him, sometimes also one or two sons-in-law.
Not counting hospitalization expenses, the three daughters' food and lodging in the capital cost at least 200 yuan per day.
Including hospitalization costs, monthly expenses of 6000–10000 yuan are certain. Lin Ge said, for one or two years, the Medical Department will drag it out with them.
This matter, Hospital 912 will absolutely not compromise!
Even Lin Ge hired a specialized legal counsel, preparing for a protracted battle.
In a war of attrition, an individual cannot oppose Hospital 912, such a massive entity. The patient's family were somewhat bewildered, not understanding why the usually weak hospital administration would make such a firm decision.
Finally, Lin Ge produced documents and showed them the task details of the Anti-Gangster and Evil Elimination Campaign Consolidation Phase.
If there is a problem, Hospital 912 will not evade it; if there is no problem and it's deliberate fraud, then we will see it through to the end.
The patient's daughters tried to cause a disturbance, and Director Zhang of the Cardiology Department led a team to observe them for an afternoon, so that if a heart condition flared up, immediate rescue could be provided.
At Hospital 912, there are certainly people who cannot be saved. But a normal person wanting to die is still not that easy.
In the end, all matters had video surveillance on hand, including the patient's postoperative imaging data and medical records, which were all handed over to the Medical Adjustment Committee.
They did not consult an expert panel, nor did they say who performed the surgery. The images sent to the Medical Adjustment Committee's imaging expert made him slam the table directly.
After surgery, a 9 cm tumor shrank to 7 cm in less than a week. If this surgical effect is not satisfactory, are you still preparing to go to heaven?!
Faced with this situation, the Medical Adjustment Committee also laughed and cried, returning the documents and refusing to accept them outright.
On the patient's side, because he refused surgery a few days later, the Hepatobiliary Surgery Department no longer needed to treat him, so under the coordination of the Medical Department he was transferred to the Gastroenterology Department.
Upon hearing the situation, Director Luo only said one sentence: The condition is relatively mild, stay in the hallway with an added bed.
Even the ward beds were unavailable, the standard of living plummeted, and the patient first could not bear it.
According to the postwar speculation of the Medical Department, Hepatobiliary Surgery, and Gastroenterology, the patient likely did not know what illness he had before coming to the capital for surgery.
But after the operation, the patient, upon learning of his condition by chance, had other thoughts.
Perhaps he felt his days were numbered and wanted to leave some money for his elderly spouse and children.
It might also be because the children thought expenses in the capital were high. Although Xinglin Yuan provides free medical care, family members' accompaniment and living expenses in the capital still cost money.
Late-stage liver cancer, these four words represent too much.
The patient himself was also feeble; Lin Ge had seen patients jump directly from the outpatient building's top floor down the escalator.
Finally, after lasting less than 24 hours, the patient first gave in.
He went straight to the Medical Department, scolded the daughter who blocked him, bowed to Lin Ge, apologized, and said he wanted to complete discharge procedures.
This is… yesterday afternoon's affair.
And all of this, Zheng Ren did not know.
After hearing Lin Ge finish speaking, Zheng Ren also felt somewhat wistful.
Although saving lives and healing wounds is a doctor's duty and obligation, facing the current situation, this patient himself certainly would not take it on.
Also unknown whether local doctors would take over treatment.
A fairly standard, typical patient who would likely survive five years after surgery might have less than a year left to live, and he felt somewhat uncomfortable.
But,
This is fate.
"Zheng Lao Ban, the matter was just finished today, discharge procedures have been completed, and the Medical Adjustment Committee side has also placed the patient on the blacklist. Going forward, as long as it's in networked areas, whoever sees the patient will know this information." Lin Ge said, "I originally intended to report to you after work."
"Director Lin, I dare not say report." Zheng Ren waved his hands repeatedly.
"It's just improper wording, don't mind it." Lin Ge laughed and said: "It just so happened that we encountered this today, so I just said it outright."
Zheng Ren shook his head slightly and said: "Thank you."
"This is what the Medical Department should do, truly should do." Lin Ge said: "As for research matters, we can't help. But for safeguarding, we will certainly do our utmost."
After saying that, he looked around mysteriously, lowered his voice and said: "This is what you and Director Yan asked the nursing staff to do that day; afterwards, Director Yan personally instructed."
……
……
Note: This paragraph is a case I experienced in January this year. It's basically completely true; the Medical Adjustment Committee was amused. It's not my patient; the ward doctor obviously lacked experience, I reminded him, but I wasn't taken seriously, and later it turned into a farce. Human hearts have kindness and simplicity, as well as greed and insatiability. Who knows... In the battle of wits and courage, basically all responses were from someone like me in clinical... cough, cough, after writing this joke, I really can't face the four words 'clinical experience'. I was wrong! Vomiting and body temperature were what I exposed. Later it directly turned into a huge shrew-like uproar.
End of Chapter
