Some people think that ICU doesn’t pay for it, but it’s a rumor.
Only a small percentage of the drugs are not covered by health care, etc.
I’d like to tell you about my aunt living in ICU.
I’m sure we’ll get a lot after that.
One.
My aunt was always in good health, and my family didn’t think that because of the normal cold, she suddenly went into ICU and her life was in danger.
The situation was that I was still at work and suddenly got a phone call from my uncle saying she was seriously ill and that she was notified of her condition at ICU and wanted to transfer to our hospital to ask for my opinion.
I know she’s always in good health. I just went home to see her.
Uncle simply said 10 days ago, she was not feeling well, she was dizzy, she was weak, and at first she thought it was a cold.
The results were not good, and were so serious as to require hospitalization.
During her stay in the hospital, her aunt used to say that she was tired and that several rounds of her medication had not worked.
Fearing that the illness would be delayed, the family moved their aunts to the central hospital overnight.
I didn’t know this was going to happen.
He had trouble breathing, he couldn’t breathe, and the doctor said he was having a heart attack, sending him to ICU, five days at a time.
The doctor also stated that the condition was serious and that the family was psychologically prepared.
In other words, aunt may be dying.
It’s an emergency. I was on the phone and I said, “Would you like to turn over to me first?”
I’m also doing ICU, put in my section, and we try to see if it works.
In fact, I don’t know what my aunt is.
Uncle, listen to me and turn to Guangzhou. It’s exciting. It’s hope.
He was concerned, however, that doctors in this area were hesitant because they stressed the seriousness of the condition, the low blood pressure of the patient and the high risk of trans-shipment.
The transfer of seriously ill patients was indeed extremely risky and, as a matter of security, I drove back to my home city hospital the same day and, in any case, first looked at the aunt.
It’s a good thing you’re at the hospital, and your aunt is a lot more optimistic than I thought.
Respiratory and circulatory systems are stable, and it takes about five hours to transfer to Guangzhou.
Sodium is very high in terms of tests. It could be said that it was too high to be detected by the routine methods of the testing section.
The doctor on duty told me that the patient’s condition is heavy, that the current consideration is a heart failure, and that the sodium calcium index is so high that we can’t detect it on several occasions.
And that’s why doctors say aunts are heart failure, a key indicator of heart failure.
However, there was a strange phenomenon in which the aunt had been given a bed-side charade in the local hospital and had not seen any obvious obstacles to the heart structure and movement.
After five days in the ICTU, the aunt had abated, tried to remove the respirator, pulled out the tube intubation, but had apparent respiratory difficulties, so yesterday she re-introduced the tube and returned to the respirator.
Overall, the cause of the disease is unknown.
That’s the worst headache.
Upon learning about the situation, I told my uncle and cousin that the aunt was in serious condition, but that it would be okay to take the ambulance to Guangzhou.
Uncles and cousins have the same meaning that if they can be saved, one in ten chances will be spared.
Good.
I helped them contact the outside ambulance, calculated the price and agreed to leave in the morning.
There’s a lot to talk about. If a serious patient needs long-distance attention.
The decision to transfer must be made in communication with a doctor, who will make a full assessment of the condition and make a determination that it can be trans-shipped.
In addition, family members of the patient are usually required to contact the paid ambulance themselves. There are doctors, nurses and respirators in ambulances, as well as common rescue devices, so the price is higher and the costs are prepared in advance.
Two.
On the way to the hospital, the road was in great danger.
The doctor who left the car told me that the patient had run out of sedatives and was awake, but he was not aware.
There was a lot of hand and foot movement, and all the pins on the left hand were pulled out, and a hemorrhage was spilled.
There was some confusion.
It’s good that the patient has a deep vein piercing tube and can continue to use the medicine.
They pushed her down with an extra Valium (the sedative).
But when you push the sedative, the blood pressure falls.
They also moved up the dosage of the adrenalin (propressurants) to a level that barely stabilized.
Finally, the patient was brought to me.
Patients on a respirator generally need palliative care, which reduces oxygen consumption on the one hand and the suffering on the other.
However, there are also disadvantages to sedatives, one of which leads to vascular hysteria and low blood pressure.
In order to counter this low blood pressure, the doctor had to give up the pressure.
This delicate balance is not so sure.
The next evening, the patient arrived at ICU.
I went out to communicate with my uncle’s cousin when I got the patient.
The aunt is still able to maintain her vital signs, but the cause of her illness is unknown and needs to be carefully examined.
They told me that aunts had liver cancer two years ago, but that it was early liver cancer, surgery had been cut off, recovery was good, and there had been no signs of recurrence.
The city hospital also stated that it feared that liver cancer might recur and that it could be transferred to the heart.
It’s hard to say if it’s a re-emergence or a transfer of liver cancer, or even a heart problem.
Also, I spoke to my uncle and cousin.
After all, in addition to the complexity of the condition, which is now before them, there is a big problem: the cost.
We’re here for ICU’s fee rate, if not special, for about 10,000 a day.
You’re covered by the health insurance. You’ll get about 40% of your home sick.
That is to say, you have to pay close to $600,000 a day, and it’s uncertain how long the patient will stay in ICU.
Families need to be psychologically prepared.
After hearing this, my cousin told me that the most important thing is to help the patient without thinking about money.
In addition to the cost, on the other hand, I have been under particularly stress when I have received patients like aunts.
In particular, it is difficult to see why.
I’m afraid she’ll die in my hands.
We’ll do our best to save the patient’s illness.
How to adjust emotions to life or death is a lesson for the patient and his family that cannot be avoided.
His uncle said he had the worst intentions, saying that if there was no hope for help, he would have hoped to take it home and die at home.
I promised them I would make the arrangements as early as possible if the day came.
3
The next morning, I briefed the director.
After a while, the Director said that there was no greater discovery for the time being, but only to observe it and then to bring you together:
Why does the patient have trouble breathing? This is the first issue to be resolved.
It is also the most fundamental problem.
We analysed a number of possibilities, including acute pneumonia, acute myocardial infarction, acute myocarditis and acute pulmonary embolism, all of which were rejected.
There were also consultations with cardiologists and respiratory surgeons, without any clear conclusions.
When I was in the hospital on the fourth day, I found her limbs extremely low, and then my cousin told me that her legs were weak and her feet were unstable.
And that’s a big hint to me, is it the four limbs and the respiratory muscles caused by neuromuscular disorders?
For example, the Gillambare syndrome, the serious muscular incompetence.
The aunt was then given an electrostatic biography on the same day, and it was certain that her limbs and muscle nerves were damaged.
We need to get a neurological consultation and say it does not exclude the possibility of a girambaray syndrome, and we suggest further vertebrae vertebrae, a test of the vertebrae, which, if it really is a girambare syndrome, is likely to separate protein cells.
I’ve arranged a vertebrae for my aunt.
Unfortunately, the results have not been as expected.
At the time of the loss, the chief of neuronology came back and said that the brain vertebrate examination was not typical of every patient, but that it was also necessary to perform a comprehensive analysis, to draw a tube of blood and a tube of vertebrate fluid, to be sent to an outside institution for examination and to make a relevant antibody, which would have been determined if positive.
But it’s expensive and it’s all self-financed.
I say money is not a problem, as long as it helps.
Of course uncle agreed to the check.
The specimen was left for inspection in the afternoon.
The next day the results came out.
Anti-neurological adhesive positive! And the serum and the spinal fluid are positive!
I knew it.
It’s the Gilambare syndrome! A disease damaged by an outer neurosis.
The Gilambare syndrome is an episodic neurosis of its own immunology.
It is common to say that the immune system in the body is disordered and attacks its outer nervous system, which is muscular and ultimately impotent and even muscular.
In the early stages of the illness, there are 1 to 3 weeks of respiratory or gastrointestinal symptoms, such as fever, cough, nausea, vomit, etc., which can easily be misdiagnosed.
In the event of a marked reduction in physical strength or an abnormal feeling (e.g., burning of the body, numbing, stinging, etc.), timely medical attention is required.
For so long, this expensive inspection program has not failed us, thanks to which it has finally come to light.
Uncle asked me if there were any special effects, if you can fix it, spend as much as you want.
Unfortunately, there are no special effects.
But the disease, which may have been caused by neurological damage to its own immune system, would have helped with the massive dosage of hormones and C-ball protein shocks.
In other words, both drugs can, to a certain extent, alleviate the condition.
But again, they’re very expensive.
Especially C-ball protein, 700 dollars, eight in a day, five days in a row, 30 grand in a small price.
And on several occasions these days, my aunt was in a state of emergency, and even at one point I suspected that the diagnosis was wrong, and that it was not the Gilambare syndrome.
At the expense of Kowloon, several attempts were made to treat him, with little success.
I haven’t slept in days. I’m under a lot of stress.
And it’s been almost a month since my aunt was hospitalized.
Everyone’s in a hurry.
We’ve also said that the ICU is not the only one who can afford it, and it costs thousands of dollars a day, a month or so.
Plus some self-financed projects and spending on city hospitals and county hospitals, I estimate that uncles have spent 300,000.
It’s not a small amount anymore.
One more question.
I talked to the chief because she couldn’t get her breather off for a long time, and I had to cut her open.
The mouth can’t always be plugged in the tube, it’s hard to get out of the ventilator, it’s 30 cm long, it’s dead.
If you cut it open, it’s about 10 cm in length, short, dead, relatively easy to escape.
Uncle’s a little worried. Can we get together later?
I told him, yes, as soon as it’s better, pull out the catheter and heal. But she can’t talk until she heals.
Uncle was worried about pain. I told him there was an anesthetic all the way. No pain.
He finally decided that I’d make the arrangements. I think we should just do it.
The next day, I had to do the knife myself, the director was my assistant, cut the aunt’s airpipe.
The process went well, and there was little haemorrhage due to the fact that it had been cut.
4
However, shortly after the brood was cut, my cousin suddenly found me.
It’s a little embarrassing, but I get it:
His sister asked other hospital professors, said the illness was not going to work, and asked if I wanted to go home.
Going home is like giving up. I remind him.
My cousin barely dared to look me in the eye, I know, he’s very confused.
He said that, and I understand.
At this point in the hospital, the money was spent, the illness didn’t improve, and the patient was still lying in the ICT bed, still in the air. They’re worried.
“If you stay another month, two months, can you get off the respirator? He asked me, “If I’m sure, I’ll turn the business over to someone else and get the money. I’m sorry.
I took a long breath and honestly told him that if I wasn’t sure, the disease would get better, that’s how long it would take.
We have no experience in this area, and the professor who came to the meeting said it could be short-lived and observed by the treatment.
Apparently, cousins are not happy with my answer.
I know he needs me to give him a clear answer, and if there’s a cure, he can spend hundreds of thousands more.
If it was clear that it would not do anything, he would have to weigh, after all, that he was a family man, and that children had just learned to walk and needed money everywhere.
I made a compromise. I’ll stay another week and see if it’s working out.
He agreed with my suggestion and asked me not to tell his father, my uncle, what he had told me today.
I mean, of course not.
In a few days, my uncle came to see me, and he said to me, no matter how long he waited, how long he waited, how long he waited.
If there’s any hope, don’t give up.
At this point, I can already feel the tension within their families.
That’s why I’m very careful.
Uncle asked me if there was absolutely no hope.
I said no, of course not, but it takes time. However, no specific time can be given.
“Then wait.” Uncle said. “If I can save my life, even if I can’t walk, I’ll stay with me. I’m sorry.
The tone is so sad and helpless.
It’s almost New Year’s. This time, my cousin found me.
Another doctor from Guangzhou was consulted, and this type of Gilambare syndrome was poorly prepared and asked if I was sure.
I’m a little angry about what the professor said, asking him to confront me in person, and I’d like to hear from his old man.
Of course my cousin didn’t tell me which hospital and which professor.
But I understand her. I’m still saying that. There’s definitely a chance, but wait.
I don’t know how long. It’s not an incurable disease, not a tumor. As for whether you want to go home or not, it’s up to you.
I dropped it.
My cousin didn’t make up her mind, and finally she just said, “Well, let’s see.”
My father called, asked me about my situation, and I’ll wait. You have to pay.
I sensed unprecedented pressure.
There was no substantial progress, and the aunt was lying in the ICT for a long time, which was a great test for her family, psychologically and economically.
Next, cure or no cure. How long will it take to cure it?
It’s all a problem.
The uncle’s attitude was that he would not give up as long as there was hope.
But cousins are already shaking.
5
Fortunately, the situation of aunts has improved somewhat during this period, and although muscle strength has not improved, respiratory pneumonia has also been contained and will certainly not die.
At least in the short term.
When she was 30 years old, he said she had to live for 30 years.
In order to satisfy my uncle’s wishes, I could have taken a day’s rest in 30 years, and I didn’t have a day’s rest. I came to the ward to guard my aunt and, of course, other patients.
It went well after 30 years.
I came home at the beginning of the second year, and my uncle and cousin came with a bag of presents and said they wanted to talk to me about the next plan.
My parents were there.
Uncle asked me what was going on, and I said there was no danger to life, but it took time for the nervous recovery to get out of the respirator and wait.
And then it’s amazing.
In front of all of us, uncle asked his cousin to say that now that I have no more ideas, what do you think of it?
My cousin may not have thought of this, but suddenly he was helpless, he did not say to continue his treatment, nor did he say to drag him home.
It’s really red.
The uncle asked again and again, and apparently he tried to force his cousin to make that decision in front of everyone.
I think it might be too cruel for my cousin to play the round and say that if we can’t make a decision in a while, we can watch for a few more days, after the first five years, and if we get better, we can talk about it.
My cousin cried and still didn’t talk.
Uncle went on to say, “I don’t want to go on with the treatment.”
I didn’t mean it like that, but my cousin said, “Let’s fix it.”
Cousin said what uncle wanted to hear.
But I don’t know whether it’s true or not, and I don’t want to know whether it’s my job to cure it.
It’s their internal problem, I can’t get involved.
It’s been through five years.
The situation is still not improving. My cousin called me, asked me if I could lie to my uncle, said the patient couldn’t fix it, but I couldn’t.
I say no, it’s not true.
I can feel your financial pressure, but I can’t lie to my uncle.
Because patients really don’t have a chance.
“But the patient has been living for almost two months without any improvement, which is not what we thought. I’m sorry.
I’m talking a little bit.
If it wasn’t for my cousin, I’d just yell.
“You came to Guangzhou when you asked me for help to bring you in, and I drove for more than 10 hours in a row to help my patients assess their condition, and I told you, the length of the treatment was difficult to estimate, it was expensive, and I thought about it again. I’m sorry.
“You haven’t slept much, I haven’t slept much, and I’m under less stress than you. I’m sorry.
“If you want to go home, just sign it, but I can’t lie about the patient’s failure, which is against my profession. I’m sorry.
I was so angry, I didn’t mean to hurt her.
And again, it’s okay to go home, and I won’t stop, but I won’t lie and say it’s too heavy to save.
“and I won’t tell my uncle that you asked to go home, and I won’t say anything. You decide to leave or stay.” I’m sorry.
I’ve been holding on to this for a long time, and I’m finally saying it.
My cousin was probably scared by my anger and, without saying anything, simply apologized to me, saying that it was not what I thought, and asked me not to take it seriously.
Can I leave it alone?
Two months of heart-bathing, how many days and nights do you sleep for?
I’ll end up lying to the next one, saying that the patient can’t cure the lie about pulling home.
May I?
But in a few days, my cousin finally decided to go home. There’s too much pressure on the economy to support it.
I closed my eyes, admitted it all, failed.
After all, the money’s all out of him. He didn’t ask me to lie, but he simply said he was broke and he didn’t want to be treated.
I’ve taken my cousin out of the hospital to settle the bills, and my cousin’s suffocated.
The cousin stood still, I know. He hesitated again.
He whispered to me, “Don’t get out of the hospital for a while. If I can really get that much reimbursement, I can support it.
I’m really excited.
I didn’t think about this high rate of reimbursement.
The rate of reimbursement was higher when it became known that there were at-risk patients from the countryside.
One more week, see what happens. We made a decision.
Uncle’s happy to hear about the treatment.
I couldn’t give up, but they all said so.
I’m afraid to interfere. It’s too complicated.
The aunt had stopped the sedative at that time, and the man was sober and understood everything, but the muscle strength was still zero and could not be removed from the respirator.
God paid her a visit and finally gave her time to recover and even to be discharged.
Most of the disease in Gilambare is rehabilitating, and all it takes is time.
Now aunts have had serious complications, pneumonia is just as good, and their sprouts are healed, waiting for their nerves to recover.
Wait a minute, it’ll be a victory.
But 10 days have passed and it hasn’t improved.
That’s when she was hospitalized for almost 50 days.
Actually, the bill should have cost $400,000.
I can’t hold my cousin back until I’ve done my best.
Several sisters refused to allow him to sell land and to trade.
Basically, people die and young people are alive. There’s no need for money.
The decision may be right.
Maybe it’s wrong.
Nobody knows.
On the day she was ready to return to her home, the nurse’s aunt had her hair combed, and several nurses had helped to change the new suit and was fully prepared.
We all wanted to see her get out of the ICT.
However, reality made it necessary to choose compromise.
I respect their choice.
When I was about to contact the ambulance, I turned my brain and went home to die and went home to take off the respirator, so I could try again today to see if my aunt could get out of the respirator.
I tried two days ago. It was a failure.
Today, too, is probably a lot of failure.
But no one thought that in the 10 minutes when I pulled out of my aunt’s respirator, she wasn’t in the obvious breath.
Her breath was obviously smooth.
Her coughing is not too strong, but much better than before.
As soon as I looked up at the EK, my blood pressure, my heart rate and my breathing frequency were normal, I kept my blood oxygen saturation at 100 percent.
I feel like my heart is about to pop out.
I’m so surprised!
I’m so excited!
Ten minutes later, the aunt was still glamorous and breathing.
I was too busy to pick up the phone and call my uncle and cousin and tell them not to leave. Get the connected ambulance back.
They were so excited to hear it, they came all the way.
Follow-up estimates have also been made.
The aunt was really able to take off her respirator, and her breathing muscles were restored after just two days.
Although the muscles of the limbs are still very poor, it doesn’t matter, as long as the respiratory muscles recover, the muscles of the limbs recover sooner or later, at least with hope.
In fact, the aunt’s all of a sudden getting well, it seems to be all of a sudden, and it’s not all of a sudden.
It’s not a sudden miracle, it’s the result of so many days of insistence.
In fact, it’s a little bit late.
A few days later, the man survived.
So many days of constant treatment, it finally worked.
The aunt’s nerves have finally begun to recover, the first of which was the nerve to control the respiratory muscle, so she can start to get off the respirator.
We have finally waited for this moment.
Uncle almost got down on his knees. I had to pick him up. My cousin cried so much.
Later, she spent another six months in the ICTU and finally recovered her physical strength, which took 65 days from the onset of the disease to the day.
Auntie’s finally out.
Remittance to local district hospitals. It was later successfully removed from the trachea and blocked.
The wound will heal in a few days.
After two months, my uncle told me that she could stand up and walk.
I cried all over that moment.
Cope classroom: What knowledge do IUC need to know?
Is there anything common people need to know about ICU fees?
ICU fees vary from one place to another, from hospital to hospital, and there is no horizontal comparison between patients and cases, so the ICU rates that I have mentioned in this paper can only be used as a reference. In general, however, the ICU fees are expensive, and the cost of 10,000 to 20,000 a day is frequent, as there are more custody equipment, drugs, care.
What’s the little tips?
Thanks to health policy, most of the costs are covered by health insurance, for example, 10,000 a day, or 80 per cent in some places, or 20 per cent by themselves. Some family members think that ICU doesn’t pay compensation. That’s a rumor. ICU’s under health care. It’s just that a few of the ICU drugs are self-funded, like some very new antibiotics that are not covered by health care. In the specific case of reimbursement, it would be preferable to consult staff of the Hospital Fee Office or the Medical Insurance Section.
ICU is expensive. What happens when the doctor says there’s a chance that people will lose money?
This is one of the most difficult problems in the world. I don’t have a good answer. But my approach is to continue the treatment for a few days, and if it gets better, continue to bite. If things don’t get better, give up. It’s a compromise. It doesn’t necessarily apply to everyone. It’s just my idea. It is not necessarily good for the patient to be left alone, but to consult the patient himself if he is conscious.
Since the knowledge of a doctor is limited and experience is limited, it is necessary to obtain a great deal of comprehensive information on the disease in order to properly diagnose it. Case number: YX11XXLJnow
I don’t know.
Keep your eyes on the road.
