Hearing Yao Zhiwen''s medical history, suddenly the other two daughters blushed and stood up with thick necks.


    "We don''t love money. Money is not a problem. We don''t want my father to suffer!"


    "He''s so old that he''s still involved in taking the bolt. It''s too painful."


    In a word, Chen Cang couldn''t help laughing. The old man was hemiplegic, confused and incontinent. Did you say you didn''t want to suffer?


    However... Getting angry with the patient''s family is purely brain pumping behavior. Chen Cang took a deep breath. He didn''t want to say more words with such family members. He turned and couldn''t help asking Yao Zhiwen, "why didn''t he transfer to neurology?"


    Yao Zhiwen was obviously helpless and sighed: "there is no bed on it now. I''ve given you liquid. Treat here first and turn over tomorrow."


    Chen Cang looked at the infusion list and smiled. He did have money. One bottle of butylphthalide injection, 300 at his own expense, and two bottles a day for nerve nutrition.


    This undoubtedly saved Chen Cang a lot of things. Fortunately, they didn''t have a headache because of economic problems!


    Usually, because of many acute diseases, many good drugs are needed to treat them, but they are very expensive and many families can''t afford them.


    The patient had less trouble, but he didn''t expect to encounter more trouble: ignorant family members!


    Yao Zhiwen continued: "because stroke is accompanied by bulbar paralysis, now patients choke when drinking and eating, and can''t speak, have vague consciousness and incontinence."


    Hearing Yao Zhiwen''s words, Chen Cang immediately said, "the patient needs to have a nasal feeding tube."


    At this time, the daughter said, "he''s like this now. How uncomfortable it is to lower the stomach tube! And... He can drink water by himself."


    Chen Cang continued to ask, "is there any catheterization for urinary incontinence?"


    Yao Zhiwen shook his head and said helplessly, "no! The family disagrees. I''m afraid the patient is uncomfortable!"


    Chen Cang almost stared angrily at this sentence and wanted to swear!


    How can a seemingly decent family member be like ZZ!


    Chen Cang held his breath, looked up at his family and said, "the patient has urinary incontinence. If you don''t catheterize, you may keep urine!"


    The old lady shook her head: "I put on diapers for him. I''m not afraid. It''s hard to insert a diaper. I look uncomfortable... No, no, he won''t promise if he wakes up."


    Neither this nor that. Chen Cang had to take Yao Zhiwen out.


    At this time, Lele took the consent to refuse treatment.


    The patient''s family members cooperated very well. The old lady signed the letter beautifully. At first glance, it was "very cultural!"


    However, Yao Zhiwen was still worried. He turned back and forth and communicated with his family three or four times, 20 minutes each time. In this way, more than two hours passed.


    Yao Zhiwen returned to the office and was so angry that he almost fell into the medical record.


    "Who are these people? They''re afraid of suffering and don''t want the old man to suffer. They''re trying to kill people, aren''t they?"


    Listening to the constant coughing and panting in the corridor, Chen Cang also sighed.


    Sometimes, it''s not the doctor who kills the patient, it''s the patient''s family.


    Chen Cang also found that the more people who "know something", the more difficult they are. They always challenge the doctor''s profession with Baidu or a little knowledge.


    At about two o''clock, the door of the duty room kept banging.


    Chen Cang and Yao Zhiwen quickly got up and went out.


    "What''s the matter?"


    Lele said: "the patient is tossing and turning and can''t sleep. He is good at pulling the infusion set and coughing even worse!"


    Hearing this, Chen Cang and Yao Zhiwen changed their faces and hurried back to the ward.


    After coming in, I found that the two daughters pressed the old man''s hands and didn''t let them touch.


    Where did the old lady kindly comfort the old man: "it''s okay, it''s okay!"


    Then he touched the old man''s hand and massaged him.


    Chen Cang was stunned. Obviously, the family took the old man''s situation as nervous and anxious.


    Chen Cang was singled out. His diapers were clean and his stomach was obviously swollen.


    Chen Cang suddenly went crazy. He lost so much liquid and had no urine. It''s strange not to be upset!


    Chen Cang hurriedly said, "the patient needs catheterization, and now there is serious urinary retention, and the bladder area is obviously swollen, so he is * fidgety on the bed."


    "Also, we can fully understand the feelings of your patients with heartache!


    But there is a fact that you need to understand: there is no pain without any treatment,


    We can''t make patients suffer more because of such a little pain, not to mention that we can foresee this greater pain. "


    After some explanation, he finally agreed to insert a catheter.


    But... When Lele was ready to insert a catheter, the old lady disagreed again!


    "Is there a male nurse?"


    Chen Cang and Yao Zhiwen were stunned. Even Lele was silly.


    The old man is TM delirious. Do you have a male nurse?


    Chen Cang sighed: "Lele, give it to me."


    Skillfully connected the catheter, and the urine finally came out.


    And the restless old man finally calmed down.


    But


    Another hour later, the knock on the door rang again.


    Lele said anxiously, "Dr. Chen, the patient has a fever now!"


    Chen Cang and Yao Zhiwen looked at each other and hurried into the ward.


    The patient''s temperature is 38.3 degrees Celsius, and accompanied by constant choking!


    Generally speaking, the most terrible thing for patients with cerebral infarction is not paralysis, but eating choking and cough caused by bulbar paralysis, resulting in lung infection.


    Pulmonary infection is often fatal for such patients with acute stroke.


    Chen Cang looked up and asked, "did you give me some water?"


    The family was stunned and blushed: "I see him..."


    Chen Cang sighed: "prepare to lower the nasal feeding tube."


    This kind of family member will kill the patient sooner or later.


    Chen Cang continued to explain that his family really didn''t die until he reached the Yellow River.


    Looking at Chen Cang and Yao Zhiwen, the old lady said, "doctor... We don''t understand. You can''t blame us... We don''t understand!"


    Chen Cang almost laughed angrily. Didn''t you understand just now?


    One night, I tossed back and forth all night, and antibiotics were used.


    The temperature is initially under control, but... This is only the beginning.


    The patient has been accompanied by respiratory failure and is now complicated with pulmonary infection. This is the rhythm of sending to ICU tomorrow.


    To neurology?


    Dream, they won''t accept such a heavy patient.


    Sure enough, at more than nine o''clock in the morning, after the shift was handed over, the patient was sent to the ICU in the regret of his family. It was impossible for the neurologist to receive such a serious patient to the ward.


    Most importantly, the patient has not had endotracheal intubation so far!


    Several family members still argue with Dr. Zheng in ICU


    Chen Cang shook his head.


    Sometimes, the ignorance of family members will really ruin their lives.


    I''m really worried about giving them the right to sign


    ……


    ……


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