[Comprehensive Level: Attending Physician.]
[Basic Theory: Basic Theory of Trauma Surgery (Specialization 0/20), Ergency dicine (Specialization 5/20)...]
[CT Film Reading Skill (Specialization 10/20), Physical Examination (Specialization 20/20)...]
[Suturing Skill (Expert 20/200), Hemostasis Technique (Specialization 20/20)...]
[Surgical Basic Techniques: Fracture Manipulation and Reduction Skill (Specialization 10/20), Joint Dislocation Manipulation Reduction Technique (Specialization 12/20)...]
[Specialist Techniques: Spleen Preservation Surgery (Specialization 20/20), Gallbladder Preservation Surgery (Specialization 20/20)]
[Suturing Skill (Expert 2/200)]
[Suturing System Professional Basic Skills: Tendon Suturing Skill (Specialization 16/20)...]
[Suturing Specialized Skills: Vascular End-to-End Suturing Skill (Specialization 0/20), Unnad Tendon Suturing Technique (Specialization 15/20), Unnad Tendon Suturing Skill (Specialization 8/20), Neural Epineurium-Perineurium Suturing (Specialization 0/20), Unnad Spleen Suturing Technique (Specialization 20/20)...]
Lu Cheng instinctively glanced at his skill panel, then hurriedly followed the crowd towards the operating room.
The patient's current diagnosis is unclear and difficult to discern with the naked eye. Given the current vital signs, further examinations would waste ti and are unreliable.
Zhang Tiesheng and Lu Cheng were responsible for transferring the patient, while Han Xiaoping led the patient's family mbers to the doctor's office: "Big Sister, Big Brother, please co with to sign the forms."
"Doctor, what are we signing for?" The middle-aged woman looked blank.
"Surgery risk, critical condition, and serious illness notification forms. Your husband's condition is very dangerous; it's life-threatening. Even entering the operating room might not save him," Han Xiaoping explained.
"Will surgery not save him? What's the purpose of the surgery then?" The middle-aged woman hesitated.
Han Xiaoping asked, "Are you choosing not to proceed? If so, I'll call them to push him out, and you can take him away yourselves?"
Han Xiaoping couldn't determine if the woman was pretending not to understand, but as an ergency doctor, Han Xiaoping had fairly rich experience in handling such situations.
"I'm clearly informing you of the situation now. Until you sign, it's considered a refusal of surgery. The surgery won't happen until this consent form is brought to the operating room."
"If you have doubts, you can call our hospital's dical affairs departnt or report to confirm this regulation!" Han Xiaoping quickly explained the dical guidelines.
"If we don't sign, there won't be a surgery. What if he dies?" The patient's brother complained sowhat resentfully.
Han Xiaoping said, "Then your family should agree to the surgery. If you don't care about the patient's life, what are we doctors to do?"
While speaking, Han Xiaoping had already pressed the recording button in the office: "Patient's na, Niu Quandong. You're the patient's wife, right? What's your na?"
"My na is Liu Linxiang. Doctor, what's the real situation with my husband now?" Liu Linxiang asked.
"I don't know. I only know the situation is very dangerous, it's open hemorrhagic shock, and he could lose his life at any mont."
"The surgery he's about to undergo is exploratory laparotomy, because there's no ti for a detailed diagnosis. We must save ti."
"But the patient was already in shock before entering the operating room, with very low blood pressure and significant blood loss. Even if ergency surgery is perford, it could still be in vain."
"I don't have ti to explain more detailed things to you."
"The risk of death from the surgery is higher now, but not having the surgery poses a 100% risk of death. You have three choices."
"First, transfer to a higher-level hospital."
"Second, agree to surgical treatnt and sign."
"Third, refuse treatnt."
"Choose one!~" Han Xiaoping quickly took control of the conversation.
"What if sothing happens during surgery?" Liu Linxiang was still hesitant.
Han Xiaoping interrupted, "Choose one! Sign, transfer, or refuse. Don't ask anything else, you've already wasted enough ti signing."
"I still need to bring the inford consent into the operating room."
He pulled out pen and paper, handed it to Liu Linxiang, and continued to professionally ask, "Can you write? If not, a fingerprint will do."
These words might seem pointless, but they're specifically to leave a record, preventing the patient from later claiming they couldn't write, just as an excuse that doctors didn't provide enough options or delayed ti.
Experienced ergency doctors will always ask this extra question.
"Yes, I can write, but..."
"Then write, agree and sign your na, or refuse and sign your na. Hurry up, ti is precious now."
"I've already given you the pen." Han Xiaoping placed the pen in Liu Linxiang's hand.
Liu Linxiang's hand trembled; she couldn't handle the current atmosphere, feeling anxious and thinking about many things.
But despite her hesitation, she wrote down her na.
"Write 'request surgery' up front," Han Xiaoping continued, pointing to a blank space.
After Liu Linxiang complied, Han Xiaoping took the docunt and left.
Turning around, he continued, "Prepare your husband's ID number and ID card. Later, sign the authorization form too."
"Your husband is currently in a coma and cannot think or make decisions independently, so your signature is most effective."
"If your finances permit, you should first pay the fees, at least twenty thousand."
"If not, it's okay… we'll save him first… you can wait outside the operating room." Han Xiaoping responded very professionally.
An ergency like Niu Quandong's cannot be denied rescue due to unpaid surgery fees. In such absolute ergencies, rescue cos before paynt.
Scheduled or tid surgeries are exceptions since they aren't life-threatening, so it is possible to insist on paynt first.
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