137 The doctor-patient relationship is not simple
"You've been exercising very well now, and I think in another month or two, you'll be able to do surgery with Dean Li. After making a fuss for a while, Liu Banxia looked at Liang Xiaolin and said.
"Can I really do it?" asked Liang Xiaolin with some surprise.
"Why not? Isn't it very well stitched today? Liu Banxia encouraged.
"That's different, it's not just about the abdomen on the operating table. I don't know how to suture my blood vessels now, and I'm afraid that I will be stitched in a hurry. Liang Xiaolin frowned and said.
"Let's work together, you're only going to accompany you now, what do you still want? Do you want to pry Dean Li's work away? Liu Banxia said with a smile.
"In the emergency department, the main thing is to overcome your little problem of slow hands, and by the way, to exercise your suturing skills. Your job is outside the heart, so you still get outside the heart on the battlefield. ”
"But I don't know for sure, and I don't know who I'm going to send to the emergency department. Let's talk about it then, you'll have to train hard anyway. ”
Liang Xiaolin wrinkled her nose, and she didn't know why, listening to Banxia's preaching, she always felt that she should fight back to enjoy it.
"Mr. Liu, consultation. At this time, Wang Huan called him again.
Liu Banxia led Liang Xiaolin to the internal medicine clinic, stunned, it was the patient who insisted on not doing an instrument examination this morning.
"This time it was abdominal pain again, and some nausea. A brief physical examination was done and no abnormalities were found. What should I do if I still insist on not doing an instrument examination?" asked Wang Huan with a wry smile.
Liu Banxia also had a headache, and this originally simple question suddenly became complicated.
"Big brother, although we are doctors, we are not immortals. We can't tell what is wrong with you at a glance, we can only confirm what your disease is through physical examination and instrument examination. Liu Banxia looked at the patient and said.
"You came in the morning, and we didn't have a diagnosis. Now your abdominal pain has come back and you feel nauseous. Can you just trust us once and do an instrument check?"
"Doctor, I'm just eating bad stomach. The medicine is slow to work, can you hang two bottles of water for me?" said the patient.
"Won't it still be the same when you go to the instrument. On the contrary, it is a waste of money, hundreds or thousands of dollars, and I can't even see a shadow. ”
"When we do a physical examination, we can probably only diagnose the pain in terms of abdominal pain. Many patients with abdominal pain have divergent pain that is not clearly directed, and we can only use instrumental examination as an aid. ”
"Doctor, I was supposed to go on a business trip today, but now I've been delayed for a day, and it's enough to worry about it. "The patient is still very persistent.
"In this case, let's do another stool test. Wang Huan spoke.
"Then I don't want to poop now. The patient frowned.
"It's okay, we can use some caesar. If it is really enteritis, it can also be reflected in the stool test. Liu Banxia hurriedly added.
"And the types of enteritis are also very different, and the effect can only be good if you prescribe the right medicine. Anyway, you won't be on a business trip today, and I'll give the lab a push, and it won't delay you too much. ”
The patient thought for a moment and nodded.
Wang Huan started operating on the computer at this time.
"Brother Wang, do you have any eyebrows in your heart?" asked Liu Banxia after the patient went out to take samples.
Wang Huan shook his head, "He said that his stomach hurts, and he has a burst of colic." At first, I thought it might be enteritis, but the test results were not in favor of it. ”
"And if it's enteritis, how bad is his tolerance to be able to go to the emergency room? I suspect it's a heart problem, but after a myocardial infarction is ruled out, an instrument test will have to be done. ”
"Now let's see if the results of the stool test are available, if not, I don't know what to do. Do you still sign the notice?"
Liu Banxia frowned, "Let's see when the time comes, if it really doesn't work, contact the family." If the stool test does not result, at least it proves that his suspicion of enteritis diarrhea is wrong. ”
"I thought I could only meet such patients in the outpatient department, but I didn't expect that there were emergency rooms as well. Wang Huan shook his head.
"Hey...... The main reason is that patients don't know much about our medical treatment now, and there are a lot of negative news about hospitals that are often reported. In many people's understanding, we opened an instrument inspection just to make money. ”
"What if the patient still disagrees?" asked Liang Xiaolin.
"Just like Brother Wang said, I can only continue to sign the notice. Otherwise, if the patient has the slightest problem, he can sue us. Hasn't the hospital been advocating standardization since last year, including our first aid? ”
"As long as you are accompanied by a family member, you have to explain everything clearly. If surgery is required, it is not only necessary to get the patient's family to sign off, but also to explain the complications clearly. ”
"What a waste of time. Liang Xiaolin's brows also furrowed.
"If the patient is really dying and urgently needs to be rescued immediately, this link can be made up. Wang Huan said with a smile.
"In the past, doctors needed the consent of family members as long as they were willing to give first aid to patients. Isn't there a new regulation now, if the family gives up the treatment and the doctor feels that it is worth rescuing, the rescue can be carried out. ”
"But this matter is also risky, and it is necessary to obtain the consent of the patient's family as much as possible. Otherwise, the cost problem in the future and the problem of unsuccessful rescue may become a weapon for the patient's family to attack. ”
"Why do many departments have deficits? Why do they urge patients' families to pay fees over and over again? If you are admitted to the hospital, you have the responsibility to follow. If one is not handled well, it will be in a lawsuit. ”
"There are so many sayings, it's too hard to be an emergency doctor. Liang Xiaolin said with a wry smile.
"There is no way, people's awareness of rights protection is too strong now. Let's just say that as long as it is a patient who dies during surgery, or a patient who dies during an emergency, we will take some responsibility. Wang Huan said.
"Fairness? How can there be so many fair things. First aid is not rescued, our responsibility. First aid is still our responsibility. In the future, the emergency department will be officially operated, and there will be no shortage of such things. ”
Wang Huan has been in the Second Courtyard for a long time and has seen a lot of things. Now it can be regarded as popularizing these two rookies, otherwise they may fall into the pit because of their kindness.
The doctor-patient relationship is such a simple thing.
No matter what happens, people's first reaction is that the hospital is tired. It is not excluded that this is true in some hospitals, but in most hospitals, doctors are still worthy of their salaries.