219 The doctor-patient relationship is difficult to define

At noon, Liu Banxia's table once again became the highlight of the canteen. After all, it is not common to be able to eat as lively as them, and it is not common to go to a restaurant.

And there are two more people who have dinner with them today, that is, the reporter Qu Feng, and the camera brother.

"How was your stay this morning? Isn't it boring? There is no such thrilling scene?" asked Liu Banxia curiously.

"Anyway, we just want to capture the most realistic shots. Qu Feng said with a smile.

"Dr. Liu, I'm curious about this patient today. What if the patient is adamant that he won't have surgery, or that you're giving the wrong diagnosis?"

"I also learned a little bit about it when you were doing the surgery, and it seems that this omentum-related disease is not so easy to diagnose and requires a very detailed examination, right? Aren't you afraid of misdiagnosis?"

Liu Banxia glanced at her seriously, "Didn't you sneak the video or recording, and then broadcast it to me, right?"

Qu Feng shook his head helplessly, "We are regular media, and this time we came here to be a regular interview, not an unannounced visit to expose the dark side of society." ”

"By the way, the patient who fell from a height was also contacted by our desk to contact his employer. will bear part of the cost, and then the air conditioner dealer will also help pay part of the medical expenses after knowing about it. ”

"Look at it, this is the responsible and responsible media. It's much better than those media that often mislead people out of context just to catch people's attention. Do you want to add a chicken leg?" Liu Banxia gave a thumbs up.

"Thank you, Dr. Liu, I can't eat that much. Can you answer my question? We're just talking. Qu Feng said.

"Okay, then I'll tell you about some things that are not allowed to be broadcast on the TV station. A few of you have also listened well, in the future medical career, there will be no shortage of such things. Liu Banxia nodded.

"It's not that complicated, and we have to respect the patient's choice, no matter what reason the patient refuses surgery. If that happens, we're pretty much dead. Isn't it cold-blooded?"

"Doctor Liu, is it because you are worried that there will be a medical dispute? Then you didn't have any further examination today, aren't you afraid that there will be a dispute?" Qu Feng asked.

"You're to the point, but you're afraid of medical disputes. Unless the patient is in a coma and unconscious state when we receive the patient, we can bypass all interference and carry out emergency rescue, which is the right of emergency doctors given to us by law. Liu Banxia said.

"But the situation here is also diverse, and it's not so easy to define. Anyway, let's just put the patient first. However, it is another case for some conditions that have a high mortality rate and whose families do not agree to have more tests. ”

"Nowadays, people's awareness of rights protection is very strong, and cases of porcelain rights protection are not uncommon. Haven't I experienced it once, and I was slapped in the mouth and beaten several times. ”

"As for the decision to do surgery today without doing the rest of the tests, it is also because of the actual situation of the patient. She was worried about spending more money and was resistant to inspections. ”

"If we continue to check, the end result is that the patient is more resistant, let alone tested, and finally loses confidence in the doctor. ”

"Anyway, I've said so much, so I'll say more. The examination principles of our hospital are from low to high, unless the indication is very clear, it will be directly on CT and MRI. ”

"If you go to the hospital one day and find that the doctor will give you an electrocardiogram and B ultrasound first, and then give you a CT and MRI, don't have the idea that the doctor will play with you to make money, on the contrary, this is still a more responsible doctor. ”

"Many diseases have many overlapping parts in the presentation, and there may not be such clear indications throughout the examination. ”

"Today's patient is a special case, normally speaking, acute appendicitis, acute cholecystitis, kidney stones and other acute abdominal pain, we can have clear indications in the examination of B ultrasound. ”

"Of course, even then, there will be exceptions. I met a patient at Jinshui District Hospital who had suffered from appendicitis pain for several years. And actually, she's diverticulitis. ”

"The position coincides with the appendix, you don't have a colonoscopy, you don't open the abdomen, it's hard to define. Sometimes when encountering such cases, in addition to the assistance of instrument examination, more often it is based on experience. ”

"The human body is not a machine, it has a uniform specification and model. There will always be some differences between the various organs and tissues that grow within the body. ”

"Let's just say that the patient who fell from a high altitude is still lying in the ICU. The emergency surgery hurt him too much, and there were a lot of blood transfusions and infusions during the operation, after all, it was not the original thing in his body, and it could only be used for emergency purposes. ”

"The only thing we can say for sure now is that the operation was successful, but it is too early to say that it was successful in the treatment of this patient. When he recovers and is discharged from the hospital, this is the real success. ”

"Dr. Liu, I can understand what you said. There is a lot of uncertainty in the process of receiving patients, not only in terms of diagnosis, but also in terms of the patient's and family's causes. Qu Feng said.

"But don't you worry about bothering their soon-to-be-doctor students, as I understand it, to give them more encouragement, right?"

"Encouragement? But it's more important to hit them, save them from being bad intentions in the future, and then put themselves in it and ruin their careers. Liu Banxia said calmly.

"Hospitals, in fact, are also places where procedures are taken very seriously. Sometimes your self-righteous kindness and your belief that it is a help to the patient will end up in the end. ”

"So a lot of doctors mostly seem to be hard-hearted and impersonal. It's not that they should be like this, but they are forced by this society to have no choice. ”

"You see I'm happy to see patients every day, and I don't know when I won't be able to hold on. For example, if people living with HIV are not self-disciplined, we, as doctors, must fulfill our duty of confidentiality to them even if they find out. ”

"Hey...... Let's just say this, if you talk too much, there will be too many negative emotions, you have to let them experience it slowly, and then form their own thoughts. You have to walk on your own, kids, come on. ”

Liu Banxia said so much, not to complain, but to give these newcomers a reminder. Studying medicine is a very hard thing, and it is not easy to practice it, and it is not good to be disturbed by chaos.

At least judging from the time of contact, their performance is okay. In terms of attitude, he has already won his approval.

"Brother Li, I think we still have too little information about Liu Banxia, and he gives me a different feeling. Can you start the relationship again and dig a dig?" Qu Feng said after eating as he looked at the camera brother.

The cameraman nodded, "Although you can dig it up, it doesn't seem that there is a lot of information." It seems that he only caused a topic in the second court in the past two months, right? ”

"So it's up to Brother Li to think of a way to see if he can get in touch with those people. Qu Feng said with a smile.

"We can't talk about the conflict between him and the former director of the emergency department in the hospital, even if we are cooperating to complete the task, we have to collect more information and make the most accurate report. ”

"I'll get in touch and give it a try, but you have to be careful not to go too far. The cameraman said with a smile.

Liu Banxia, who returned to the emergency department, didn't know that the seemingly normal program was based on, and it seemed to be a little abnormal. Glancing at Qi Wentao, who was receiving treatment, he also had a headache.

How to get along and how to manage these are all questions.

If he wants to let go of those past grievances, when nothing has happened, it is nonsense, although he is not a particularly cautious person, but his heart is not very big.

But if he was to retaliate, he would have wanted to do so, but that would have affected the operation of the emergency department, and he would have put himself in it, which didn't seem to work.

After pondering for a few minutes, I didn't come up with a good way to get along, so I had to do this first.

"How about your debridement and suturing?" Liu Banxia called the interns to him again.

"Teacher Liu, it depends on what kind of standard it is. It's certainly a lot worse than your standards, but if you judge by our standards in the student body, it's still okay. Xu Yinuo said.

"Okay, two disposal rooms, you can combine them freely, and you can dispose of them if you need debridement and simple sutures. If you can't deal with it, report it to me and Dr. Qi. Liu Banxia said.

"Teacher Liu, let's get started now?" Miao Rui asked in surprise.

"Otherwise, when will it be? I can't ask the fortune teller to choose a good day and an auspicious day. Liu Banxia said with a smile.

For these interns, they also know that the steps of the internship must start from the most basic and finally go to the stage to assist in surgery.

But they didn't expect Liu Banxia to start debridement on the second day of their work, and the normal situation is to follow it first to see what will happen after a month or two.

Then they came to their senses, this is Liu Banxia's basic skills to see. On the contrary, they became a little nervous, afraid that their performance would not be able to satisfy Liu Banxia.

Liu Banxia has a sense of accomplishment, and it seems that this kind of work is really addictive.

Anyway, it's the first time he's taking an intern seriously, and he doesn't know what kind of process to have. He just wants to come out of it, and if he thinks it's useful, he will try it, and there are no necessary rules.