Chapter Eighty-Seven: Preoperative Signing and Discussion
As a graduate student who has not yet graduated from the internship in the third year of graduate school, Ziran has not been in contact with many patients, and there will always be some things that he is not used to seeing and not understanding.
Compared with him, Meng Lianghua has obviously adapted to these systems, and he calmly replied: "This system is actually a product of a special historical period, in fact, when it came out, I think it was also to prevent legal disputes in the future." ”
"After all, if you completely listen to the doctor, and something happens during the operation, then with the current medical environment, medical troubles will not follow!" Meng Lianghua added, "And there is also a possibility that when you want to find someone now, you can't find anyone, if something really happens, the seven aunts and eight aunts will appear inexplicably to reason with you and even ask for compensation, and medical troubles have become inevitable again." ”
"Not really!" Ziran said in surprise.
"Really, I've heard from my master that something like this has happened before. Meng Lianghua said calmly, "And there are a lot of such things, so when you think that such a system is not right or unreasonable, you should also look at it dialectically, there are two sides, after all, existence has its reasonableness." ”
Meng Lianghua added after speaking, "So when I knew that the master was going to take the risk of doing this operation, I was actually very complicated in my heart, on the one hand, looking at Kai Kai in such pain today, I definitely hoped that the master would do the operation to relieve him this morning, and on the other hand, in fact, I was afraid that the master would do the operation, and it was okay if the operation was really done, if something happened and the police found Kai Kai's parents, it was very likely to cause medical trouble, and at that time it was really reasonable to say nothing." ”
"Senior brother, you're right. Ziran replied.
Then he said: "Actually, I can understand what you said about today's matter, after all, Kai Kai has a special situation, Kai Kai himself does have intellectual problems, and he has no self-judgment ability, so he must not be able to sign the preoperative information form by himself." ”
"But what about other patients, even those who can make their own decisions, why do they have to sign by their family members, I think this is very unreasonable. Ziran added indignantly, "It's better to be in our department, many of the people who have undergone surgery are seriously ill patients, and it is understandable to ask family members to sign." ”
"However, for example, the size of the cesarean section in the obstetrics and gynecology department is also considered an operation, and it must be signed by the family, and the cesarean section cannot be delivered without signing, which I think is ridiculous. Ziran continued to express the puzzle in his heart, "There are also surgeries like appendicitis, which are actually minor surgeries, and they all have the ability to judge themselves before the operation, and they can actually sign the operation by themselves." ”
Meng Lianghua looked very dissatisfied with the medical system when he heard Ziran, and just smiled indifferently.
"I used to wonder about this question. Meng Lianghua said, "And I also asked my senior brother who was two terms higher than me, and at that time, I was also just out of clinical practice, and I was very incomprehensible to many systems." ”
"Yes, senior brother, which senior brother are you talking about?" Ziran asked curiously.
"He's Senior Brother Lu Enyang, you haven't seen him, but you've definitely heard of him. Meng Lianghua replied.
Of course, I've heard of him, and I've heard that he studied abroad for his Ph.D., and now he seems to be working in Shanghai. Ziran replied, "I heard from my master that he is very powerful, and when he was in graduate school, he posted a SCI with a score of 6. ”
"Yes!" Meng Lianghua said, "he is very powerful. ”
"When I was just a freshman in the first year of study, I went to the clinic for a period of time, and at that time I also questioned this matter and the unreasonableness of this system. Meng Lianghua said slowly, "I remember very clearly that he told me that no matter whether the patient is delirious due to the pain, he may be judged by the family to be an irrational decision, and even some patients themselves will regret their previous decision, which will inevitably cause medical trouble for the family." ”
"Also, what happened afterwards was the most unclear. Ziran also nodded in response.
"So, in fact, this ensures the safety of our doctors. Meng Lianghua said, "Speaking of this matter, I remembered that my classmate Liang Bo once said something that he had a deep understanding of because his master encountered a medical trouble, and I also agree with that sentence very much." ”
"What is that?" Ziran asked curiously.
"That is, at any time, the doctor must be the one who most hopes that the patient will not have an accident and that the patient will be cured and discharged from the hospital and survive well. This is not because of how noble our doctors are, but purely because if something happens to the patient's hospital, we doctors will definitely suffer huge losses, which is to put it mildly, that is to say, on the issue of rehabilitation, in fact, we doctors and patients are the real community of interests, and only when they are discharged from the hospital in good health can we be safe and sound. ”
"Yes, we have the same goal with the patient, which is to cure the patient and let them recover and be discharged from the hospital as soon as possible. Ziran said, "However, the patient's family members finally have a feeling that they are the opposite of us, they always look at us with suspicion, or they are young and think that we are not good, and the director-level doctors always feel that people want to accept red envelopes and make black money." Hey"
"Now it may be that everyone has a misunderstanding that makes the doctor-patient relationship so tense. Meng Lianghua said, "Isn't the country slowly introducing various policies to ease the tense doctor-patient relationship?" ”
"It's just that the effect is not obvious from the current form, but it makes it more and more difficult for us to become doctors. Meng Lianghua added.
"That's right, the medical reform has been going on, but the effect is nothing at all, the patient still sees the patient, and the doctor is more and more difficult. Ziran said helplessly.
After speaking, Ziran asked again, "Senior brother, have you heard that you are going to specialize in training now?"
"Well, I heard. Meng Lianghua replied, "I also heard others say some time ago, saying that there is no need for separate training after graduating from a professional master's degree, and the internship time will offset the training time, and the training certificate will be issued directly after graduation, but now that the training is over, I still require special training, but I don't know when the real implementation of this special training will start." ”
"Our medical students are too hard, I just hope that the special training will not be implemented, otherwise it will be too cheating like our academic type to survive 2 years of regular training and professional training, and the 30-year-old has not yet been officially employed. ”
"Hey, who knows when it will be executed!" Meng Lianghua sighed, "Now that I have said it, it is estimated that it will be carried out soon, anyway, it is becoming more and more difficult for doctors to mix." ”
"Yes!" Ziran echoed, "and"
Just as he wanted to continue talking, the phone on duty rang again.
23