Chapter 201: Another Patient Comes (Wan Geng)
Chapter 201: Another Patient Came (Wan Geng)
"The patient's family conditions are not good! Let's think it's cheaper!" Han Qiang still defended.
The patient's family conditions are really not good!
"Doctor Han Qiang, I heard that you have also passed the attending doctor's examination! How did you pass the attending doctor's examination at this level? The best treatment plan for this ureteral stone patient is holmium laser, which has little damage and is easy to carry out.
Han Qiang was not very easy to express his position in an instant, Liu Ren was indeed right! Holmium laser is indeed more expensive, because the equipment loss is relatively large!
But he is safe, the operation is easy to do, and the prognosis is relatively good, basically there is no need to have any wounds on the patient's body, and the prognosis is very good!
Laparotomy is more troublesome! Not only is laparotomy necessary, but the surrounding tissues must also be opened to find the ureter! The risk is indeed much greater! The prognosis of the patient is also more troublesome!
Nowadays, many hospitals do not carry out open surgery unless absolutely necessary, and holmium laser is generally used to treat urinary stones.
Na Mochen Health Center has now carried out this operation! He and Han Qiang are still experts in the hospital!
Thinking of this, Han Qiang instantly felt a little depressed, just now he should indeed lead the patient to the holmium laser road.
And now holmium lasers are already mainstream.
Han Qiang admits that he is at a loss, so it is difficult to say anything.
"I think that if a patient wants to have surgery, it still depends on the doctor's attitude, Han Qiang is the first doctor, and when the patient asks about the operation, he tells the patient the operation method objectively and fairly, and there is no problem!" Lin Yu said.
This product is obviously grasping Han Qiang's point!
If a patient really wants to do surgery, is it because a doctor says which one is cheaper and which is more expensive, so he chooses which?
The answer is obviously no! The patient chooses this surgical method because the conditions are a little worse!
Even if Han Qiang doesn't tell him that he can have an open abdomen, the patient may also understand, you goods, take this matter as a big deal!
It's a good friend who bullied me, Lin Yu said he didn't agree.
"Hmph, let's discuss the surgical plan, you don't have a certificate, do you have a place to speak? You should try to pass the certificate first!" Liu Ren directly looked down on Lin Yu.
When Lin Yu heard this, he said that it hurt so much! Lao Tzu just doesn't have a certificate, you have to hold on to this matter.
"Deputy Director Liu Ren! What kind of surgery does the patient choose? I still think that the biggest responsibility lies with you! Your communication skills are not good! That's why the patient doesn't want to listen to you! Don't put this responsibility on Han Qiang, if he doesn't talk about these surgical plans, won't they use the Internet to search?" Lin Yu said.
Am I not good at communicating?
Who told you that my communication skills are not good?
Liu Ren only vomited blood, my communication skills have always been very good, and now in this situation, he has no choice, Han Qiang began to tell the patient and family members of the charge.
They've now preconceived about it, and they've made everyone very passive.
"Lin Yu! I used to think that you had a problem with your IQ and bad grades, but now, I found out that your emotional intelligence is not good, no matter how much I say that you are older than you, and you have more experience than you! It stands to reason that it is appropriate for you to call me a teacher, you are good, and you don't respect people everywhere! I am so disappointed in you!" Liu Ren's patience with Lin Yu has reached its limit.
"Oh, Deputy Director Liu Ren, if you want to gain the respect of others, you must first respect others!" Lin Yu directly did not give him any face!
Lin Yu said again: "Otherwise, that patient, I'll communicate with you, maybe he will choose holmium laser?" Lin Yu said.
Liu Ren only vomited blood, he was looking for this point just now, and he was just using the topic to play, not that he really couldn't get the patient!
If you go, don't you sit down, can't I have enough communication skills? Of course he won't agree!
"Hmph, our patients, please don't interfere with the two groups!".
"We're too lazy to take care of you!" Lin Yu said not to be outdone.
Han Qiang was secretly happy, he liked to watch Lin Yu scare people!
Liu Ren was a little irritated by Lin Yu, he never expected him to be so difficult! He really wanted to increase his firepower to scare him! The office door opened, and a person came in outside.
"Doctor Han Qiang!" an aunt-like figure opened the door.
"Aunt Liu!" Han Qiang immediately became enthusiastic.
"Doctor Han, my old man had a stomachache last week, and when he went to the health center, he took a photo and said that there were ureteral stones, and the pain was so bad that the doctor treated it, and the doctor said that this disease requires surgery to remove the stones! You can help me take a look!" The woman called a middle-aged uncle in.
"Well, Mr. Ma, please take a seat!" Han Qiang greeted the patient warmly.
"This is a B-ultrasound list! This is a photo!" Mr. Liu handed over the test results in his hand!
Han Qiang put the film on the reader in a matter-of-fact manner!
"Well, this is a midureteral calculus! It's incarcerated and needs surgery!".
"Can you do this?" asked Teacher Liu.
"Of course we can do it here, this stone is made with holmium laser, which is safe and has a good prognosis!" Han Qiang directly stopped talking about open surgery.
"Okay, then I'll do him, it hurt me last time!" Teacher Ma said, he was fatter, and his stomach didn't hurt at this time, but last time he had a stomachache, and he still has palpitations.
He came to the hospital this time to have the operation done, and he had to do the operation despite all difficulties, there is no reason to talk about it!
"I'll take a look!" Liu Ren walked over to himself!
"Hmm! It's... This is our Liu master... Doctor!" Han Qiang almost introduced him, but the director didn't say a word, and he held back alive.
"I'm the deputy director of the department! I'm in charge of the operation! This stone is relatively large, and now it's incarcerated, and now it doesn't hurt, that's because the stone hasn't moved, and if the stone moves, it will hurt even worse than last time!" Liu Ren watched the film for a long time and analyzed it for a long time.
This guy is not polite at all, he introduced himself, he is really not shy at all, Lin Yu said secretly.
Following his words, Lin Yu almost spit it out after hearing it.
"That's... Director Liu, are the side effects of holmium laser?" said Mr. Liu.
"The side effects are not big, I did many such surgeries during my postdoctoral studies in the United States, and now holmium lasers are basically used abroad! Ninety-nine percent of our hospitals also choose holmium lasers, and this operation is very mature!" Liu Ren continued to praise himself unashamedly.
Lin Yu vomited blood again, this product really spared no effort in order to push himself out, you introduced it like this, and directly told the patient that he was a postdoctor!
And I have done many of these operations abroad.
"Well, then I'll do it, let's go to the hospital first!" Mr. Ma said directly.
"Hmm, Han Qiang, you open a hospitalization order!" Liu Ren began to play the role of deputy director of his department!
"I've already made an order!Uncle and aunt, I'll arrange a bed for you!" Han Qiang said enthusiastically.
Han Qiang took the patient to the ward.
After a while, Han Qiang returned.
"This patient is of good quality! Surgery is scheduled for the afternoon!" Liu Ren said.
"What?"
"Arrange the patient's operation in the afternoon!" Liu Ren said.
"Deputy Director Liu Ren, I forgot to tell you, this patient should be given to our second group, although it is your group to treat patients today, but this patient is coming to me, and it is right for the patient to give us a group!" Lin Yu said.
"Is the patient coming to you?" Liu Ren didn't expect this product to oppose again!
"He didn't come to me, but he came to Han Qiang! You ask Han Qiangxian! Deputy Director Liu, you don't know about the responsibility system, right?" Lin Yu said.
In the hospital, the first doctor who contacts the patient is responsible for the patient, and is responsible for handing over the patient to the next patient, this system is very common in the hospital, this is to prevent the doctor from seeing the patient in the overrush, afraid that the doctor will push the patient here and there!
In this way, not to mention delaying the condition, if some doctors do not have a strong sense of responsibility, it will really cause what problems will happen to the patient, and then the doctor does not know.
For example, if a patient comes to the hospital with chest pain, and the patient can't figure it out, the patient has a stomachache and thinks it is a general disease, and then goes to the general surgeon to see that it should be a cardiology disease!
Maybe it's a heart attack, of course, it's also a stomach problem!
When the general surgeon ruled out the diseases in his department, he directly told the patients that you have to go to register again!
If a patient with myocardial infarction had really suffered such a toss, he would have lost the best opportunity for thrombolysis long ago! Sometimes, it is also possible to put the patient in danger.
Therefore, in clinical practice, in order to avoid this situation, if a patient with chest pain really comes, even if you are a general surgeon, after you receive it, you should also take responsibility for the patient, but when you suspect that he is not a general surgical disease, you should also rule out his heart disease!
But when you urgently draw blood or electrocardiogram and find that the patient is indeed highly suspected of myocardial infarction, you hand the patient over to the cardiology department or related departments, so that you have completed your first question responsibility system.
This system is really very good, Huaqing Hospital Hospital Chest Pain Center for chest pain patients, she has a special chest pain rescue process! Within a few minutes, the medicine must be drawn blood, and a few minutes must be thrombolytic! These have relevant requirements!
It is precisely because of such a strict rescue mechanism that the lives of many patients with myocardial infarction have been saved.
Therefore, a common practice in hospitals is the first-question responsibility system! This practice is now widely used in many fields.
Liu Ren was speechless when Lin Yu asked.
He originally thought that he would come to help today, and on the first day, he had two surgeries, which was nothing in the former municipal hospital, but here, this is very good, and this department has not had two surgeries in a month.
Who knows, Lin Yu directly asked this patient over, they actually had to do it themselves, according to the hospital's first question responsibility system, he really had nothing to say.
"Okay, if you want to do it, don't be unable to do it when the time comes?" but if you really can't do it, I'm still willing to help.1" Liu Ren said.
He knew what level Lin Yu was!
What level Han Qiang is, he understands it even more!
Although Director Wang Chao is the director of the department, he took the initiative to take them to this group, the second group, and the whole group is relatively two! Although Director Wang used to be an expert, the surgical technology is changing with each passing day, and it is developing very fast.
He's starting to wait and see now, you can't take it, I'll go on stage again, this will be better, this is kind of putting the three of you in the face, and then I will slap it.
Liu Ren was a lot happier when he thought of this.
"Hmph, then we'll wait and see!" Lin Yu said not to be outdone.
If you dare to be arrogant in front of me, I will surprise you!
"Let's go see the patient!" Han Qiang got up with the checklist.
"Wait a minute!" the door suddenly opened, and Sister Botao stood in the doorway.
"Dean Xia?" Liu Ren said happily when he saw the beautiful dean standing at the door.
He knew what Dean Xia was doing today, and his department was developing so well now, she was concerned!
This is a recognition of oneself!
Liu Ren thought like this, and was very happy in his heart!