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The Enhanced Doctor-Chapter 788, the cost is an eternal issue
"Teacher Liu..." Liu Yiqing moved to Liu Banxia's side and called out softly.
Liu Banxia nodded and approached the patient. "How are you feeling now? Are there any specific sensations in your abdomen or chest? Do you feel dizzy?"
"A bit dizzy, doctor. Is surgery necessary? I don't have medical insurance," the patient replied.
"The situation is quite complex at present, so there are some things I need to discuss with you," Liu Banxia said.
"Considering your current situation, it's now a matter of criminal liability. I don't know the details of the dispute between you and the other party, but I am obligated to remind you that you can choose to call the police."
"For criminal liability, the other party has the responsibility to cover your medical expenses and compensate you for your economic losses. From the looks of your injury, it seems the person wanted to kill you."
"Your injuries are actually already severe, and the current diagnosis is just a preliminary one; your condition could worsen at any moment."
"For example, your spleen has suffered a laceration. Its capsule hasn't ruptured yet, so the bleeding has temporarily stopped. However, now that you've woken up and your blood pressure has returned to normal, the bleeding could intensify and potentially rupture the capsule."
"Also, from the CT images, we can see some fibrous material around the aorta. This may indicate damage to the aorta and connected blood vessels from the assault."
"You're lucky: even though you lost consciousness, your condition didn't worsen. Otherwise, even if you were taken to the hospital after being discovered by your friend, you might have missed the optimal window for emergency treatment."
"As doctors, we cannot force you to undergo a laparoscopic exploration to inspect your injured spleen and the area around the aorta, but I must advise you to do so."
"Because once the capsule ruptures, we may not detect it in the initial stages. When the bleeding intensifies, it won't be a simple minor surgery to save you. This not only increases the difficulty of the surgery but also the cost of medical treatment, and, more critically, it could threaten your life."
Liu Yiqing started to fret upon hearing his words.
At this time, the patient needed some pressure. At the very least, they should first report this to the police and have the culprit arrested.
The patient lying in bed did not make a sound; instead, she looked at her friend.
"Don't look at me," the patient's friend said. "You've been beaten this badly, what more are you hoping for? This isn't the first or second time. Next time, are you just going to wait for him to kill you?"
"Doctor, how much is the laparoscopic exploration?" the patient turned to Liu Banxia and asked.
"If it's just for exploration, it would be around 10,000 yuan. We would also need to evaluate your condition to see if there's any need for further surgery," Liu Banxia replied.
This was one reason for his earlier hesitation; the cost of the laparoscopic exploration was quite high. For this young woman, it was likely an unaffordable sum.
Upon hearing his words, even the patient's friend was at a loss for words. The cost was indeed very high.
"You should take some time to consider it. Then let us know your decision. With your current situation, you need to be admitted to the hospital," said Liu Banxia.
"Well… I'll go help with the admission paperwork," the patient's friend sighed.
Liu Banxia gave Liu Yiqing a look and moved aside.
"Why doesn't she have medical insurance? Isn't everyone supposed to pay for it now?" Liu Yiqing mumbled.
"It's quite common. You could say it's a mutual agreement between the company and the employee," replied Liu Banxia.
"Actually, we see many such cases in our lives. If a company pays for an employee's medical and pension insurance, the employee contributes a portion, but the company covers the larger part."
"In the long run, this is very beneficial, as it's like getting a significant advantage. But for those under financial strain, this choice might not be the best."
"So, to reduce their own expenses, some companies offer corresponding incentive policies. If you opt out of company-paid medical and pension insurance, they might give you a bonus instead."
"Not everyone can have a stable job and stable income; there are still people in society who can't afford to get sick."
"Teacher Liu, what... what..."
"Don't tell me you're planning to pay for her," Liu Banxia interrupted her. "After you pay, are you going to expect her to pay you back? If you don't expect her to repay you, then what about the next similar patient? Will you cover their costs too?"
"We encounter such situations frequently here. Unless your family owns a bank, just respect the patient's decision."
Liu Yiqing lowered her head, her hands fidgeting with the pocket of her white coat.
"Alright, it's not like there are no solutions," Wei Yuan chimed in. "If she chooses to report this to the police, considering this situation, President Liu might be able to exert some influence and arrange for a delay in collecting the medical fees."
Hearing Wei Yuan's words, Liu Yiqing quickly raised her head, fixing her gaze on Liu Banxia.
"We could give it a shot, but it does carry certain risks," said Liu Banxia. "If the other party is a complete scoundrel or a destitute deadbeat who would rather serve more jail time than pay compensation, we'd still end up having to cover this expense ourselves."
"However, based on the patient's demeanor, I believe she's quite honest and unlikely to become a defaulter. But the final decision on whether to perform a laparoscopic exploration rests with her."
"This situation involves a complex array of problems and isn't about one specific patient. It's a common situation that many patients might encounter."
"Medical care is costly. Even if some expenses are reimbursed, the out-of-pocket portion can still be unaffordable for the patient. In that case, if the family brings the patient in but can't pay a sufficient deposit, can we still perform the surgery?"
"Silly girl," Liu Banxia continued, "think about it yourself. Consider how to communicate with the patient, how to guide their emotions, and help the patient make a decision she won't regret later."
"Don't transfer her to the ward just yet. Keep her here under observation so I can handle any developments immediately. Otherwise, transferring her to a ward might cause delays."
"Okay, I'll go and try to talk to the patient again," Liu Yiqing said, wiping her tears.
"President Liu, were you a bit too harsh just now?" Wei Yuan asked with a bitter smile.
"If I'm not harsh, it won't work," Liu Banxia replied. "Otherwise, this girl will easily let her emotions take over. It's not the first time. I'm even worried she'll end up being resented by patients in the future."
"Take this patient, for example. We infer there might be certain risks. But what if we do the laparoscopic exploration and it turns out there are no actual risks? Then the cost of this exploration would seem wasted, and the patient would definitely have feelings about it."
"If Liu Yiqing really pays for her, who knows what will happen in the future. And if this kind of precedent is set, there will be no end to it."
"Won't that bankrupt this girl eventually? She needs to face this issue herself. Without experiencing it firsthand a few times, it's hard to develop an objective perspective."
Wei Yuan nodded. "Alright, you keep an eye on things then. I'm going to have lunch. If a laparoscopic exploration is needed, and you let Liu Yiqing take the lead, will you watch over her?"
"That's the only way," Liu Banxia responded. "Get a meal for the girl later. Given the current situation, she probably can't eat."
Actually, today's situation was a point of sharp conflict. It's not just something their hospital would encounter; all hospitals could potentially face a similar issue.
Though it might not occur every day, its frequency wouldn't be low either.
The discussion probably isn't going smoothly; Liu Yiqing is still over there with the patient's friend, trying to persuade them. If it were going well, she would have come back by now.
"Teacher Liu, is there anything else for us to do?" Xu Yino and the others walked over.
"Nothing major, just continue with your training tasks," said Liu Banxia. "You need to master debridement and basic suturing techniques as quickly as possible. Otherwise, even if you get a chance to operate, you won't be able to perform smoothly."
"Oh my, they're really cracking the whip," Xu Yino said with a sigh. "Suture, suture, we must suture well. What's Liu Yiqing doing over there?"
"She encountered a small problem, which has made her mind a bit unsettled," Liu Banxia said. "Let her handle it on her own. Don't offer any suggestions. Just pretend you don't know."
Xu Yino stuck her tongue out, made a gesture, and led the interns to begin attending to the debridement cases.
They had also discussed and decided to take turns guiding these interns. Each would take them for a day, so everyone wouldn't get too tired and could adjust as needed.
Liu Banxia hesitated for a moment. He actually really wanted to train Liu Yiqing's ability to handle these kinds of situations. But seeing her become somewhat anxious, he still walked over.
"How is the consideration going?" Liu Banxia asked.
"Doctor, she doesn't want to report the incident to the police," said the patient's friend.
"Is it because she still has feelings for him, or is she worried about his retaliation?" Liu Banxia inquired.
"She fears retaliation," Liu Yiqing spoke up this time.
"Then we can consider a simple question," Liu Banxia said, turning to the patient. "Even if you don't report him, do you think he will let you go?"
"I can understand your concern. If he is indeed locked up, he might retaliate after he's released. But I don't think it's a big deal; there are many ways to mitigate that risk."
"Let's use the simplest comparison. In the years he's incarcerated, you can lead a peaceful life, right? Whether you report him or not, you still have to face the danger he poses to you. What else is there to weigh up?"
"If he assaults you once, and you report him once, then he'll be the one who's afraid. The accumulated punishment he'd face would be greater, and he probably wouldn't dare to trouble you again."
"Young lady, think about it carefully. He might be taking advantage of your soft nature, and that's why he torments you again and again."
After saying this, Liu Banxia walked to the side and winked at Liu Yiqing. The rest is up to her efforts; he had said all he could.







