Chapter 068: Night Shift

That night, even on the night shift to the east, Yang Xi stayed in Corey.

Luckily, before seven o'clock, an emergency patient with appendicitis, a little girl of only twelve years old, was admitted.

During the preoperative conversation, Lian Xiangdong had not yet spoken, but the little girl's father asked the question first.

"Doctor, can you not go under the knife?"

The little girl's father is like a national cadre, and his speech and demeanor are quite majestic.

"I just looked it up on the Internet and said that appendicitis can be treated conservatively, doctor, I hope you can treat my daughter carefully. ”

As soon as he heard this, Yang Xi turned around and left.

This kind of person has very poor medical compliance, and if he doesn't do it well, it will be a doctor-patient contradiction.

Xiao Ye is just a regular doctor from the countryside, but he can't make up for this kind of excitement, so it is wisest to hide to the side.

Even Xiangdong couldn't dodge, so he could only face it hard, although his face was a little unhappy, but his tone was relatively peaceful. "What you say on the Internet, can you believe it?"

The cadre immediately lowered his face and said, "How can you, a little doctor, talk like this? I consulted a regular doctor from a regular hospital, so how can you say that you can't be trusted?"

If this was left more than ten years ago, and I became any doctor, the custody would be a slap on the table, a finger at the door, and then a scolding, Lao Tzu can't afford to wait, who the hell do you like to find a doctor to find a doctor, just trouble your uncle to bring the door to Lao Tzu when he gets out.

But nowadays, this attitude is unacceptable, in the face of unreasonable patients or relatives of patients, doctors must be kind and patient, otherwise, a complaint can make doctors unable to eat and walk around. If you are unlucky, people will beat you if you don't agree with each other, and the doctor can't fight back, otherwise, the police will take you away in minutes.

Lian Xiangdong secretly gritted his teeth and glared secretly, but after all, he endured this breath, and just snorted out a foul mouth: "Damn!"

Rao is like this, which is enough to arouse the anger of the cadre's wife, and the umbrella handle in his hand immediately poked Lian Xiangdong's body, and his mouth reprimanded at the same time: "How can you scold people? What attitude? What quality?"

The cadre stopped his wife and said quite solemnly: "As a doctor in the People's Hospital, you must have the spirit of serving the people, little comrade, your attitude towards patients is very undesirable, I want to complain to you, I must complain to you! I demand that your leaders come out to see me immediately and apologize to me!"

He Lian Xiangdong was Lu Haoming, a senior attending doctor in another group, who heard the noise in the doctor's office at this time and had to come forward.

"Okay, okay, let's get rid of our anger, even if we want to complain, then we have to wait until tomorrow daylight, right? Besides, let's pay attention to the image with the camera. Dr. Lu responded calmly and calmly, smiling: "This gentleman, you are right, what about appendicitis, it can indeed be treated conservatively, and the success rate of treatment is not low, there are literature statistics, using high-dose antibiotics, about 70% of acute simple appendicitis can be controlled, or turn into chronic appendicitis. I can understand the feelings of you as parents, who are reluctant to pull a knife on your own children. ”

The faces of the cadres and their wives softened a lot.

But even Xiangdong's face darkened.

"You have the right to choose conservative treatment. Lu Haoming didn't care about Lian Xiangdong's emotions, dragged the medical record in front of him, brushed a few pens, wrote down the conversation record, and said: "Sign it! However, we have to explain it first, in case the conservative treatment fails, and the patient has signs of purulence and perforation, this knife is still inevitable!"

The cadres and their wives nodded again and again, and when they took the pen to sign, they begged: "Doctor, you have to use the best anti-inflammatory medicine for my daughter." ”

Lu Haoming smiled and nodded: "That's a certainty." ”

After the couple left, Lian Xiangdong began to complain.

Lu Haoming always smiled and remained silent.

In the end, it seemed that he was annoyed by Lian Xiangdong's nagging, and Lu Haoming responded with a sentence: "You, you're still tender! In this way, you go to the front emergency center and keep an eye on it, if you can bring back an emergency operation, I will keep you able to vent your evil anger." ”

Even Xiangdong didn't understand, and Yang Xi was also confused.

But Lu Haoming didn't explain, got up directly, and left adrift.

Lian Xiangdong had no choice but to accompany Yang Xi and go to the emergency center in front.

In recent years, emergency medicine has developed rapidly, and major hospitals have also followed the trend and strengthened the discipline construction of emergency medicine. The former emergency department or emergency department is outdated, and now all of them are hung with the sign of an emergency center, however, the emergency center of most hospitals is in a state of abnormal development.

Because, by definition, emergency medicine should not deal with the whole process of injury and illness, but should focus on the first aid phase of dealing with injury and illness. In professional terms, the main categories of emergency medicine are: resuscitation of the heart, lungs and brain, physical restraint caused by circulatory function, acute trauma, failure of multiple organs, acute poisoning, etc.

In other words, the doctor in the emergency center is only supposed to save lives. Once the patient's vital signs have stabilized, the patient is returned to a specialist for further treatment.

But the reality is that this is not the case.

The vast majority of hospital emergency centers have the wrong behavior of secretly changing concepts in the business scope, which makes the general public, including many doctors, think that all emergency cases that require emergency treatment of patients belong to the business scope of the emergency center.

For example, Boss Zheng of a municipal hospital, and Chen Da Pig's Feet of a provincial second doctor, the departments they are all involved in emergency surgery, what are appendicitis, intestinal obstruction, gastric perforation, knife wounds, scalds, traumatic brain injuries...... All of them can be classified under the category of emergency surgery.

You can't say it's wrong, because everybody does.

However, in the municipal hospital, the emergency department of the emergency center was deflated.

When the emergency center built its own independent operating room, he also tried to intercept appendicitis, gastric perforation and other general surgery emergency surgeries in his own hands, but the director of Ma University came to the door with a textbook on emergency medicine and scolded the director of emergency surgery for more than an hour.

The vice president of the business who rushed over to persuade him did not fall well, and he was scolded for more than half an hour.

After that, the emergency department of the emergency center no longer dared to intercept the patients of the Hoopu surgery on the surface.

On the surface, he didn't dare, but behind his back, he made small moves from time to time, as long as he was not caught, an acquaintance could block Director Ma's mouth.

Therefore, the countermeasure of general surgery is to go to the emergency surgery office and ward frequently.