On October 31, 2018, the Director of Emergency Medicine, Li Shuya, retired. The department had a small farewell party, and the director asked me to do a special interview to recognize her contributions to our emergency and urgent care over the years.
Director Li said, “Forget about recognition, if you want to write about it, why not write about my experience of being beaten up several times in the emergency department? Half a lifetime of medical practice, ‘top talent’, ‘top ten doctors’, ‘excellent party members’, ‘provincial model labor’ The company has a lot of certificates of merit, but nothing is as memorable as the beating.”
The following is Li Shuya’s own account.
1
When I was first transferred to the emergency department, I was only 30 years old. Six years after graduation, I had been in the cardiology department, so my clinical experience was not much, but not much. Finally, I was characterized by the leadership as a “talent” who was “eloquent, businesslike and responsive” and was “lured” to the emergency department. At that time, I didn’t know why being “articulate” was a priority condition for transferring to the emergency department.
In a 300-bed “second-class” hospital, the emergency department had one disposal room, one emergency room with only two emergency beds, and three observation rooms with only six observation beds in total. But with these limited resources, there are a lot of patients to be treated – patients whose lives are in danger and who are too late to be triaged to the department for resuscitation; patients who drink pills, slit their wrists, or hang themselves; patients whose symptoms are severe but not yet clear and whose diagnosis is not known to which department they should receive; patients whose diagnosis is clear and who do not need to be hospitalized, but who are afraid to go home and have their condition changed. ……
So, the emergency doctor has to be a “jack-of-all-trades”, now the more fashionable term called “general practitioner”, all kinds of good, but also all kinds of difficult to fine. When the doctor, who does not want to specialize in a particular field to become a “master”? But can not resist the leadership of a combination of hard and soft offensive techniques, there is no choice but to the development of emergency medicine “general practice”.
The first night shift I came to the emergency department, I was scared out of my mind and soul.
That night, at 1:00 a.m., the corridor was suddenly filled with shouting: “Doctor, help! “What the hell are you doing? Hurry up!” (I got used to it later, because of the word “emergency”, it was the norm for people who came to the clinic, whether they were dying, or had a fever or fainting spell, to scream for their lives when they entered the door.
I saw four 17 or 18-year-old boys stumbling in, each with blood on their bodies: a gurgling head, bleeding all over the face and body; a left arm, skin and flesh; a right shoulder and back blood-stained shirt, red; and a limping leg, a bloody footprint.
The corridor was suddenly filled with the heavy smell of blood. I opened the disposal room in a hurry, and the nurse entered at a stride, spreading a large blue disposable sheet on the consultation bed and greeting them with a curse, “Come on in”.
It was a good thing that this was my first night shift and I had a veteran doctor to guide me through the workflow. He came out at the sound of the voice, a look of calmness before the collapse of the mountain not change color. Seeing this, my heart hanging in the throat slowly fell back into the chest.
The old doctor looked at the wounds one by one, then while preparing the items, while comforting the injured, in fact, is also to comfort the internal medicine has never experienced such a scene I: “It does not matter, knife cuts, are not deep, did not hurt the organs and aorta. Just clean and suture, stop the bleeding and bandage.”
The nurse played the hand, the old doctor dealt with scalp injuries, I let the young man with more blood on his leg lie on the consultation bed and began to give him stitches. Off to the side, the one with the right shoulder strap injury paced distractedly to the door and casually locked the disposal room door.
“Don’t lock the door!” The nurse said hastily, “We have to keep an eye out for sounds, what if another patient can’t hear us?”
“Fuck you! I’ll lock it, who dares to open it?” He scowled, “If we don’t get it right, all the patients will have to stay out of the way!”
The nurse was silent, the old doctor ignored him.
My hand began to shiver, not even a few stitches, the disposal room door was “bang bang bang” knocked again, the old doctor let the two idle people open the door, but see them looking at each other with a nervous look.
The knocking turned into a smashing, accompanied by frantic cursing. The nurse approached the door, but was roughly pulled back by the two of them: “Don’t open it!”
The young man with the shoulder injury actually shook out a long Katana from one of his sleeves. The one with the traumatic arm injury patrolled a bit and quickly grabbed the iron washbasin stand in the corner. The two being stitched up also quickly stood up, pushed us away and grabbed the knife and scissors in the stitching tray and the bench under his butt.
An axe smashed the glass of the barred door and began to split the door along the gap, I was frozen in place, my heart pounding wildly and my body shaking uncontrollably. The nurse pulled me back to the corner, and the old doctor quickly dragged the narrow clinic bed across in front of us, holding my head down together and squatting down, saying quietly: “It’s the revenge seekers coming, don’t be afraid, hold your head, don’t make a sound!”
It was too late, then, the door was split off a shoulder-wide board, several grim-faced boys with machetes in hand came through the door hole, and the previous four people tangled together.
Shouting and cursing, the clanging of iron and the muffled sound of things falling to the ground were intertwined. Two people escaped, and three immediately followed, tangling in the corridor and setting up a battlefield, while the remaining four or five dodged, hacked and fought in the disposal room.
The good thing is that the consultation bed and the corner form a triangle of safety, the old doctor, the nurse and I are safe for the time being. From time to time, there were drops of blood splashed over, I do not know whether it was the blood of the previous wounded or the new cut out. A little later, saline bottles, cotton ball jars, treatment trays, wire removal scissors, large forceps, holding forceps began to fly in the sky, from time to time to smash to us, a scalpel looked to fly to my head, quick hands of the old doctor raised his hands to block, hands immediately dripping with blood. He screamed in pain and said, “No, we have to get out. Follow me against the wall and jump out the window!”
Good thing it was the first floor, the three of us in the bang bang fight sound of kneeling horse crawling ground escape. To the window, the old doctor signaled the nurse to go first, when it was my turn, just stand up, I do not know what fell to the ground “bang” issued a shocking muffled sound, scared a shiver I subconsciously squatted down again. At this time the old doctor has scurried up to the windowsill, turned back to shout at me: “Quick, hurry!” But I just reached his hand, the defeated party someone quick to see, a yanked me away, himself scampered on the ledge, pushing the old doctor a piece to jump out.
I was shoved and stumbled a few times, and a dancing and swirling person collided with me, screaming in fear. The good thing is that the head has been with the blood gourd like the guy is still sensible, cursed “go”, push me away and back to kill. At this time, a mop is hit, I can not dodge, right in the shoulder, and pain and fear, holding the head at once cried out: “I am a doctor, do not hit me!”
Outside the window, the old doctor shouted: “You go back to the corner!”
Before I could react, the man who had beaten me actually dragged me to the corner like a chicken and kicked the gastric lavage machine in front of me. Cowering behind the machine with my head in my hands, I spent every second of my life like a year. There were instruments flying, there were glass bottles breaking, the wailing of machetes touching people, the crunching and muffled sound of things touching, horrible as I was in hell.
I don’t know how long it took, the house was quiet I didn’t even notice. When picked up, looking at the room full of wreckage, full of blood drops, my legs weak heart trembling, I do not know what day it is.
Two of the previously lightly wounded people became seriously injured, and the people who came after them also had serious injuries and shock. The nurse wrapped a bandage around the old doctor’s wounded hand, and the two of them went into resuscitation with a calm demeanor. Doctors and nurses from various departments came on the news, lifting, pushing, most of the armed fighters were directly hospitalized.
I was not able to continue working, and I couldn’t help but shiver when I was set up in front of the police to take a statement. The security guard on duty ran over with a guilty face to apologize: “I …… them …… they are …… too many people, I… …my baton, are not as long as people’s …… machetes ……”
The free colleagues ran to comfort me. Some said “accept the bad luck, this thing, whoever happens to be unlucky”, some said “emergency medicine is like this, any strange and bizarre things can happen”, and a good friend in surgery called, said their department a clavicle fracture patient, bragging to people how they fight The company’s main business is to provide a wide range of products and services to its customers.
I grinned bitterly as I listened to the painful swelling of my shoulder, not knowing whether to express my gratitude to him or to pursue responsibility. A colleague said: “This gang of ‘green blind (huāng) eggs’, can know that the wrong has a head and the debt has a master, never drag the innocent!”
“The old doctor laughed and said, “That’s right, the three of us have to thank people for not killing us.”
The next day’s morning meeting, the head nurse concluded: “This is not unprecedented in the emergency department, nor will it be unprecedented. Everyone should be smart and the first thing is self-protection.”
After that, I was extra vigilant about the young people who came to treat their injuries, asking first for the cause when they saw blood, fearing that the other side of the fight would track them down and seek revenge. After this incident, all rooms in the emergency clinic were replaced with iron doors to eliminate the possibility of being split open by an axe, and it was an unwritten emergency plan to lock the doors before treating brawl injuries.
But jokes also came: once again the house to treat injuries, outside the house bang someone smashed the door to ask the ancestors, doctors and nurses left the injured jumped on the window and fled. As it turned out, the person who smashed the door was just a patient who was anxious and poorly restored.
Already a bird of prey, the doctor and nurse had to come back around from the yard and apologize in a low voice to calm the anger of both the injured patient.
2
The first time I was beaten, at least it was painful not to eat gas, the shock is also easy to recover. Once again beaten, the heart of that fire, I can’t strike like those green blind egg reckless revenge snow hatred.
That day, just after the night shift, the nurse muttered to me: “Today is the eve, God bless us both to stop it.”
The nurse said this because every “Valentine’s Day”, whether foreign or Chinese, the night shift in the emergency room is generally not peaceful: the most common is drunken unconscious, to use sobriety drugs, sedative (intravenous) naloxone; there is also a legitimate husband and wife with people to catch adultery, beat cheating men and women; and couples quarrel with a heart attack cerebrovascular disease, or feelings hurt to drink drugs to commit suicide, and so on.
Our hospital emergency room on Valentine’s Day received the most bizarre, is a high fall injuries due to resuscitation failed to die, the cause is the deceased and his lover hotel dating, his wife followed to the reception desk to check the room number failed to call him full corridor. In an emergency, the man tore the curtain to try to climb from the 6th floor to escape, the result is that the curtain can not bear its weight, suddenly broke, he fell from the height of the 5th floor straight down.
In short, Valentine’s Day often becomes a “Valentine’s robbery”, and this node to see the emergency room, are not the usual patients that have injuries to treat injuries, illnesses, always accompanied by complaints, quarrels, cries and even fights of relatives, a tossing and turning to exhaust most of the night. Therefore, the night shift on February 14 of the solar calendar and the seventh day of the seventh month of the lunar calendar is scheduled for anyone who is reluctant.
I smiled and reassured the worried nurse: “Don’t worry, these years have lovers have learned a good lesson, either in advance of the holiday or after the wrong holiday, the right day generally dare not commit the crime.”
She grunted: “There is always love that makes the wise.”
Sure enough, at 21:00 that night, a pair of middle-aged men and women who appeared to be lovers showed up and entered the door shouting, “Doctor! Doctor!”
I walked out of the clinic in response, and the nurse ran down the hallway from the nurses’ station. The tall man was holding the petite woman, who was dressed in a long lake blue silk dress with a blood-stained hem and a long trail of blood on her calves, her arms wrapped around the man’s neck, her head in the man’s arms, inhaling and moaning from time to time.
The space was small, and the smell of alcohol was overwhelming. I let the man put the woman on the clinic bed, the woman’s buttocks and legs on the bed, the upper body nestled in the man shouted with a loud tongue: “Ouch pain!”
The man sat on the bed leaning on her buttocks, put up her skirt, also obviously drunk: “quickly to see, quickly!”
The woman’s right calf outside a 1 cm long small mouth, the blood has coagulated, said the two people are drinking, beer bottles exploded in the side of the leg, the collapse. I said that we have to explore the wound inside there is no glass residue, the woman shouted: “play anesthetic play anesthetic! First play numbing medicine!”
I clip the hydrogen peroxide cotton balls to wipe the wound, the woman “ow” a cry of pain, the man stood up in the side of the woman, covering her eyes, patting her shoulder softly comforted: “baby not afraid of ah! And then yelled at me viciously: “You lighter, okay?
The woman buried her face in his chest, issued a whispering motion: “It hurts …… if, if the scar falls how to wear a dress ah ……”
I am more certain that this is a pair of dog men and women – forty years old couples to see the doctor I have seen a lot, the man did not like a dozen, twenty as to call the woman “baby”, the woman also did not so pampered to do whining play girl. In the same situation, the man will most likely advise his wife to hold back, and impatient face blame the wife evil – middle-aged men and women, the more sticky the less like a couple.
I want to separate them, the woman can not serve the pet and delicate, clear stitches will be much smoother: “You let her sit here by herself. You go register and pay the disposal fee.”
The woman, however, grabbed the man and did not let him go, wailing, “I’m afraid ……”
I said, “Register to see a doctor, this is the rule. Besides, your injuries are very minor and do not require family assistance. Cleaning and suturing is a sterile operation, and non-medical personnel stay in the disposal room, increasing the risk of infection.”
The woman still refused to let go: “Let him stay with me, I’m afraid ……”
The nurse was clamping saline cotton balls into a disposable curved tray, gave her a look and said, “You’re not a kid anymore ……”
“Get the fuck out of here!” The man yelled roughly, “Stand and talk, you lie here and try to be afraid?”
The nurse did not dare to speak again, past experience shows that arguing with drunk and immoral people is like a showman meeting a soldier.
I stopped moving my hands, suppressed my disgust, and said in a pleasant manner, “Go register and pay the fee. Non-emergency patients are not given a green channel and must be seen according to the process.”
The man was furious: “Not just fucking money? You have to pay first even if you’re bleeding like a river, right?”
“You don’t have to pay for the bleeding, but she’s not bleeding, and I’m not waiting for you to pay before I dispose of it, you do it and we’ll do it at the same time.”
The man patted the woman’s face soothingly, “Good baby, I’ll be right back!”
The nurse and I looked at each other and just felt the goose bumps swish down.
He yelled at us again, “Sew well, no scars!”
The man left, and I proceeded to disinfect the wound. As soon as the woman stopped screaming, she only begged loudly, “Doctor, just give me a shot of anesthesia, I really can’t stand it, please don’t let me leave a scar.”
I patiently persuaded: “Your small wound stitches will be fine, the anesthetic also has to hurt a little, bear it and pass.”
The nurse said, “Two or three stitches of small wounds do not need anesthesia. As for the scar problem, it has to do with the individual’s constitution, no one can guarantee it.”
She did not say anything.
I said, “Bear with it, it’s similar to the pain of anesthesia.”
She then said, “Okay.”
The curved needle from one side of the wound into the other side of the penetration, not waiting for me to release the needle holding pliers to pull the tip of the needle, she “ah” a scream, the right hand to the left side of my face with a thunderous whistle, my glasses flew far away, a buzzing in the ears, subconsciously a right hand, needle holding pliers with suture needle open the outer edge of the wound.
Another scream, a sharp claw straight to my face, I ducked my head, the right cheek immediately burning.
“What are you doing?” The nurse grabbed her scratching hand and shouted, “Security! Security!”
The security room was across the street from the nurses’ station, and the man on duty arrived in response, by which time the woman had jumped out of bed and was tearing the nurse apart, mouthing profanity after profanity. I foolishly touched the blood seeping out of my face, and surprisingly felt no pain at all.
When the security guard took control of the woman, the man also ran back in response, asking in alarm, “What’s wrong? What’s wrong?”
The woman cried: “She opened up my wound!”
The man was furious: “What the hell are you doing?” He said, he rushed up and kicked me, I was slow to dodge, my left thigh was solidly kicked, the hem of the white coat was printed with a clear shoe print.
The neighboring cashiers, pharmacists, laboratory technicians came to the sound, stopping people to stop people, the police, the police, quickly control the situation.
The police came, as if the woman had suffered a great injustice, the crossed blood on the leg repeatedly exhibited, a young police officer actually a sympathetic face, in a restful tone said: “You suture to open up the human wound, people are angry can be understood right?”
I was furious: “How can you be biased?”
The nurse shouted, “She hit someone while she was stitching, she caused the wound to open up.”
The man shouted, “They’re a gang, she’s talking to her own people, it doesn’t count.”
Another older police officer is more experienced, looking up, said: “There is not monitoring, transfer monitoring, ironclad evidence.”
It is because of the frequent disputes that cameras were placed inside and outside the emergency room as a last resort. At the critical moment, it can really come in handy.
The chief duty officer arranged for the ear, nose and throat and cosmetology doctors to examine my injuries, which resulted in a perforated eardrum and scratch marks deep into the dermis, immediately hospitalizing me.
The latter is what my colleagues taught me.
When the general duty transferred to the surgeon for the woman to deal with the wound, she actually struggled to slip: “I can not trust you, I want to go to another hospital!”
The police, who had already watched the surveillance, said, “We will accompany you wherever you go, to treat the wound, to do the detention procedures. Are you two a couple? If yes, we notify the immediate family. If not, please give me the contact information of each of your family members.”
The two men looked at each other, a little dumbfounded. The man reacted quickly: “Comrade police we are wrong, can’t we? We apologize to the doctor.”
“Apologize and that’s it? Eardrum perforation can constitute a minor injury, that is to be sentenced to less than three years in prison. Besides, scratching someone’s face and leaving a scar is no small matter!” The old policeman said.
The woman was shocked, then cried and shouted: “Impossible! How is it possible to perforate an eardrum with just one blow? How can their own hospital’s diagnosis be trusted? They faked it to blackmail people!”
“Do you have proof that we faked it? Can you afford to be held legally responsible for making false accusations? Of course, the court will not only believe the hospital’s diagnosis, but also the judicial appraisal can be used for sentencing. We will apply for a forensic evaluation as soon as we get to work tomorrow morning.” The chief duty officer said coldly.
The woman was dumbfounded, and her colleagues did not cry out in pain as they stitched up her wound. The man was more like a deflated ball, sitting on the waiting chair in the corridor with his head in his hands, not caring that his “baby” is suffering, let the police how to ask questions, not a word.
It is said that this has caused a furore in the respective families of the two people. Of course, I did not have peace, hospital bed, to apologize for the two sides of the family and come to say sorry to colleagues and friends, one after another – the two are public officials, once detained, the consequences are unimaginable, so desperately looking for relationships to beg forgiveness.
Although I hate to see them sentenced to prison to relieve the hatred, but I also know that it is appropriate to solve the injustice should not be knotted. After the drunken misconduct, can sincerely repent of their mistakes, disgrace and lose money, the punishment is also enough can be. Finally, the hospital intervened, and I quickly reached a mediation agreement with the other side.
Fortunately, the tympanic membrane wound gradually healed after two months, and the scratch on my face was treated with anti-scar therapy, and although there was still pigmentation after the scab fell, it also faded away after several years.
However, the shadow in my heart would not go away for a long time.
3
The first two times I was beaten, I was not at all at fault, I was caught off guard, innocent as hell. The next time, I knew there was a tiger on the mountain, which was equivalent to asking for pain.
At that time, I was already the director of the emergency department. During the National Day holiday, there was a doctor in the department who was away from home visiting his family, and the staff could not be scheduled, so I took his place on the day shift of 120.
Shortly after the shift started in the morning, the phone rang and a male voice said his mother was dying and he wanted an ambulance to pick her up. I was suspicious that the “mother is dying” was a hallucination, but a female voice came back clearly: “Let the ambulance be snappy, don’t die at home, or the neighbors will talk, and the house where the person died will be hard to sell. It is difficult to sell it!”
When the nurse and I arrived, the scene inside the house dazzled us both: to open the door is a teenage boy, the living room supported by two tables of mahjong, 4 men and 4 women in the heat of battle, see us carrying oxygen bags and first aid kits in, before they have pushed the mahjong stand up and lead us into the bedroom. A gray-haired, dying old lady, so alone in a small room on the bed, full of the smell of urine and feces, not to mention the sacral tail, both sides of the hip, back of the shoulder, elbow and even the auricle, are full of broken, pus pressure sores.
The elderly brain hemorrhage sequelae, half of the body can not move, bedridden for six months, said the fever, do not eat and drink has been 3 days. At this moment, her eyes were tightly closed and she could not be called, but her eyelash reflex, pressure orbital reflex, and pupil-to-light reflex were still normal. I exchanged a silent look with the nurse. I judged that the old man was not unable to eat, but he was pretending to be in a coma because he was deliberately on a hunger strike and was determined to go.
After I received the patient back, I asked the trailing sons and daughters to do the paperwork for hospitalization, but someone didn’t like it: “Why stay in the hospital when you’re like this? Can’t we stay in your observation room for a while?”
I had been suppressing my anger and was a bit irrational at this point, so I asked in an emotional tone, “If you’re not going to be hospitalized, why are you asking us to pick up?”
This immediately stirred up a hornet’s nest, and immediately someone shouted and cursed.
“What the fuck is your attitude?”
“You black-hearted, rotten-hearted doctors, you just want to see money! You want to squeeze more money out of people who are already like this!”
I subconsciously glanced at the old man lying on the flat car, only to see two lines of tears flowing from the corners of her closed eyes, seeping into the pillowcase. I suddenly felt full of sadness, quickly brought them into the office, with the idea of going out of the way to rebuke in a low voice: “to say that the black heart rotten lungs, I am really ashamed of it! The mother is seriously ill in bed without water, children playing mahjong and laughing, there is more than this black heart and rotten lung?
Emergency medical practice, if you have not been beaten is the jackpot!
Instant silence. A few moments later, the voices of all the voices.
“Your mother X you say again? Which one of your eyes saw us talking and laughing? Our family’s business, you need to care more?”
“We …… our …… children are old, you do not see him serving grandmother ah!”
“Let you have a bedridden old man try? It’s not easy to stand and talk! We do not serve her she can live until now?”
“If you keep talking nonsense, beat the shit out of him ……”
Two of them really rushed forward and were stopped by their accomplices. Apparently, their siblings are not of good quality.
Is it a long illness? It’s only half a year. I have seen elderly people who have been bedridden for eight years being served by their children with a clean bill of health. But I shut my lips tightly, not daring to let the words pour out of my throat. I sat down at the table and buried my head in the checklist. Then I handed the list to a man with a refined air and a blushing face who had not spoken.
The man hesitantly did not want to take: “I am the son-in-law, I …… do not make the decision ……”
“All this, the check is still useful?” The woman’s voice, probably his wife.
“Which is the case?” I asked.
“The eyes are not working, what else to check?” A man intervened and started spouting shit again, “You don’t fucking understand human language, do you? No resuscitation, just observation.”
“According to my observation, she is not in a coma, no organ failure, just pressure sore infection, lung infection leading to fever, do not eat and drink caused by electrolyte disorders. Do your best to treat and be able to get better.” I tried to be as calm as possible. I also wanted to say that if the old man had the strength to commit suicide, I’m afraid she would have left long ago. Bear with me, did not say.
“So …… hospitalization?” The son-in-law hesitated again.
“Live what live? People are not responsive at all still hospitalized!”
“Listen to her, just fooling us money!”
The old man was lying on a flat car, waiting in the corridor, waiting for a group of descendants to decide her fate. Her eyes were tightly closed, but the corners of her eyes were tearing up like lines, and her daughter and daughter-in-law, who were full of money, were all oblivious. I went over and tapped her on the shoulder and called her name, trying to get her to respond to me to prove consciousness, and she responded with only more and more raging tears.
“My mother has had lacrimal sacculitis for a long time, and she always had tears when she didn’t have a brain hemorrhage.” The woman explained.
I pity the old man’s pretending, hating her children’s pretending. But reason tells me that I can no longer bring my inner emotions to work.
“It’s okay to stay for observation without hospitalization. But observation is not what you understand by staring at the patient, but medication and treatment according to changes in the condition.” I made it clear, “Whenever a patient comes to the hospital, whether he or she is hospitalized or kept under observation, he or she must be treated.”
I can’t say things like “if you want to wait for death, carry home”, but can only patiently explain.
The curses started again.
“Where is this fucking people’s hospital, it’s a RMB hospital!”
“It’s really a wild goose that pulls out the hair! Even those who want to die are not spared.”
Then their own people began to infighting: “It is superfluous to call 120.
“Just redundant to call 120, nothing to do.”
“Who said you can’t survive today? Survive, you pay for all future expenses.”
“Why? Our mother didn’t feed you, right?”
When I found out that the outpatient expenses were not reimbursable, my team was furious and asked me to settle the score: “Isn’t it obvious that this is a disaster?
“Why didn’t you tell us that the money we spent was not reimbursable?”
I was so angry that I didn’t explain the difference between inpatient and outpatient costs, so I tried my best to make up for it: “We can apply for inpatient right away, and I’ll refund the outpatient fee, and then charge it to the inpatient fee, right?” Although it was troublesome to coordinate back and forth between the outpatient pharmacy and the inpatient pharmacy, I was willing to take responsibility for my negligence.
The other side refused and condemned me, demanding that I “pay” for my mistake.
The nurse couldn’t stand it and said, “What’s wrong with not making a cost statement? Doctors only care about saving lives, not about reimbursement.”
Immediately, there were men greeting her elders and sharp female voices trying to tear her mouth apart.
“That’s enough!” I shouted angrily, “Give me the receipt from earlier and I’ll pay you back! Then what? Hospitalization, or continue to stay?”
At these words, there was silence. Only the elegant man mumbled: “How can I let you ……” The lady glared at him, and he immediately fell silent again.
“I’ve seen shameless, I’ve never seen such shameless!” Close the door, the nurse could not help but curse. I said, think of it as a donation for the poor old man.
When they learned that they had to pay a deposit of 5,000 yuan for hospitalization, they chose to stay in the hospital for observation, because in our case, every prescription for hospitalization is paid for in the outpatient clinic, and the money is paid for one day, which can be crossed to the medical insurance card, which also counts as reimbursement.
“Once the hospital deposit is paid, it’s definitely a meatball. At least we can control the outpatient payment, if not, we can refuse to pay and see if they can carry our mother out! The actual inpatient hospitalization is reimbursable, but how much money can be reimbursed when the starting line is removed and the expensive out-of-pocket drugs like albumin are removed?” They were in the observation room, guarding their mother, and the family members of the patients in the same room came running in with contempt, repeating their words.
The medication was administered during the day and the night was peaceful. The next day I went to see the elderly woman, and although she was still “unconscious,” her fever had gone down, her complexion was clearly improving, her pulse was strong, and the blistering sounds in her lungs had decreased on auscultation. I gently called to her, “How about a bowl of porridge? If you insist on not eating, I’ll have the nurse intubate you from your nose to your stomach and feed you nasal fluids.”
There was only one man and one woman left as chaperones. The man grunted, as if he was scoffing at my medical skills. The woman protested shrilly, “I don’t agree, I can’t let my mother suffer like this when she’s dying!”
The family did not agree, so of course they could not give nasal feedings. I asked them to discuss the matter before deciding, and turned around and went back to the clinic.
Not long after, when there were no patients in the room, they both came, and once they entered the room and locked the door first, the woman came up to me and put money in my pocket: “Director, we can’t let you pay for yesterday’s medical expenses, it’s embarrassing enough for you to bother, how can I let you pay? The extra 1000 yuan you buy some delicious food, our family thanks you!
The man probably disliked her expression is not clear, hurriedly interjected: “We just want to let the old lady here to observe, of course, can not make you difficult, you just hang some saline glucose or something okay?”
“How can I do that?” I got up to take out money, the woman pressed my hand not to let. I said back, “I can respect your wishes for medical expenses, but I can’t ask for a single extra cent, only saline glucose infusion, that is against the treatment routine, I can’t do that.”
The man first looked at us tearing, see me not the slightest intention to accommodate, turning his face faster than a book: “What the fuck do you want? What do you want? To eat the wine and eat the punishment, right?” Said up and kicked me.
Pain on the leg, I stumbled a little, the woman actually pushed me along: “I’ve never seen you so damn, hold your children down the well is what?”
I was knocked against the wall, next to the suite connected with the clinic – the doctor’s duty room, fortunately the door was hidden, I quickly went in and closed and locked the door, no matter how they shouted, but also did not open the door.
The security guards arrived and wanted to call the police, but I didn’t let them. I’ve seen a lot of things where the doctor was punched and kicked by the patient, but it didn’t hurt much anyway, so it’s better to quickly turn the page and calm down.
I didn’t have time to refuse to go out of the money out, leaving their own last night to pay into that, the extra 1,000 yuan to let the head nurse returned – pay or donate, I changed my mind, and then sympathy for the elderly, but also can not be cheap those scum bastards.
Torn face, the family began to refuse to pay, on the reliance on that observation room. Of course, I can’t say that I won’t treat the old man. Their poor old mother gave her children a decent step: at the moment when they finished beating me and screaming madly, the old woman used her right hand, which was able to move, to remove her infusion tube, oxygen tube and catheter. They still do not admit that the mother is conscious, Baidu to a medical term to the surrounding people to make a “reasonable” explanation: “she has been agitated, simply can not cooperate with the treatment, no medicine can be used.”
Since people have already made it clear that they can’t let their moms ‘suffer’ again, I can’t risk another beating by putting restraints on the elderly. I was too lazy to be angry, I reported the matter to the hospital, and never entered that observation room.
The hospital leaders came out and failed to persuade them to let the old man be hospitalized, and they refused to go home for “observation”, only to have a few people stand in front of me and apologize seemingly sincerely, not the least of which was “because my mother was critically ill and anxious, so my attitude was not good”, and I said I understood their filial piety.
It’s good to laugh off the grudge.
The company’s main business is to provide a wide range of products and services to the public. The family cried for a while, followed by the funeral home hearse left.
The first time I saw a line of people hollering for my mother’s death, I was kicked in the leg vaguely painful.
The more painful thing is the heart.
Postscript
After telling the story of his beating, Director Li concluded, “Compared to other doctors who have been working in emergency medicine for a longer period of time, the number of times I have been beaten can be summarized by Kong Yiji counting fennel beans: How many? Not too many! If someone who has been in emergency medicine for more than 10 years tells me that he has never been beaten by a patient, I congratulate him on winning the lottery! If he had never been scolded, it would be a miracle of miracles.”
“After I retire, I can totally re-establish my business and write a “Scolding Prevention Guide” for medical staff, and peddle the secret of peace in hospitals above the second level nationwide.”
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