There is no need to call a reporter at all, the modern network is developed, everyone has a mobile phone, and there are countless people who bow their heads, and they will hold their mobile phones and play non-stop when they have nothing to do, not to mention that now there are people making trouble outside the operating room?

People who have already done good things filmed the scene and divided it into several videos and posted them on the Internet.

Tang Yi put his hands in the pockets of his white coat, "I'm not afraid of you making trouble, the bigger the trouble, the only shame will be your family, so that more people can see the hideous face of your family." ”

Qian Fang's mother-in-law didn't notice that the people around her were taking pictures of herself with their mobile phones, regardless of the pull of the son next to her, "You look for it, our family is ashamed, you lose your job, don't think about being a doctor in the future." ”

Qian Fang's mother-in-law decided that Tang Yi did not dare to contact reporters, and even if Tang Yi did, the hospital would not be willing.

Non-private hospitals do not advertise, relying on word-of-mouth publicity.

If a hospital is exposed to a scandal and the incident expands, it will not only be investigated by the higher authorities, but also criticized by netizens.

When patients choose to seek medical treatment, they will mentally reject hospitals that have medical malpractice. Even if the hospital is not responsible for the incident, patients and their families will prefer other hospitals when choosing to seek medical treatment.

If the general resident doctor or attending physician is more or less afraid of the big incident, he chooses to calm the matter, and he should spend some money to buy an Ansheng.

The ridicule in Tang Yi's eyes was not concealed at all, "Due to the crisis of the patient's condition, the patient is unable to obtain the patient's opinion and there is no family or related person present, the treating doctor proposes a medical treatment plan, and implements it after obtaining the approval of the person in charge of the medical institution or the person authorized to be responsible." Qian Fang's condition fully met the conditions for first aid, so there was no violation of the operation at all. Since there were no violations, my medical license would not have been revoked. ”

Qian Fang's mother-in-law only knew half of the regulations of the medical system, and when she heard Tang Yi say this, she felt a little uncertain, "So, so what?" If you operate without our permission, we will not pay for the expenses incurred during the operation. ”

Hospitals have bad debts, and the vast majority of them end up in emergency departments. Saving people is like fighting fire, every minute, every second should not be delayed.

What should I do when a patient is sent to the emergency department and has no relatives or friends around to pay the bill? Watching a patient die? If this is the case, the doctors and nurses who take over from the dean to the next level will be fired.

"If you can give birth, you will pay for it, what is a woman who can't give birth doing with that money!" Although Qian Fang's mother-in-law's voice was small, Tang Yi heard it clearly.

"Under normal circumstances, if the defect area is greater than 2 square centimeters, the load on the heart will be greatly increased in the later stage of pregnancy, so it is easy to induce the appearance of heart failure. In general, doctors recommend pregnancy in patients with ventricular septal defects. Through the previous surgery, the patient's condition has a preliminary understanding, Tang Yi said, "After the heart repair surgery, the doctor will combine the patient's situation at the time and finally determine whether the patient can continue to have children!" In the case of your daughter-in-law, reasonable treatment, coupled with the cooperation of the family, not to mention a natural birth, a caesarean section is still no problem. ”

"Really?" When Yan Lei heard Tang Yi's words, he was surprised and a little incredulous.

Tang Yi looked at the strange mother and son in front of him, "If you don't believe it, you can check it on the Internet, as an expert in cardiology, I don't need to lie to you about this, and ruin my reputation." ”

Being able to have children means that there is no need for divorce? Qian Fang's mother-in-law took her son's hand, "Our Yan family has a queen, a queen!" Doctor, when will Qian Fang recover? ”

The people around saw that Qian Fang's mother-in-law turned her face faster than she turned a book, and they felt sick.

Yan Lei and Qian Fang have not yet divorced, and according to their legal obligations, their spouses are closer than their parents and children. Husbands and wives have an obligation to support each other throughout the duration of the marriage.

As a doctor, even if he dislikes this family, Tang Yi must truthfully inform the patient's situation, "After the atrial septal defect repair surgery, the patient will be re-examined 3-6 months after discharge, and if the re-examination is good, it will basically return to the same situation as a normal person." It is recommended to review it every six months for the first year. If the patient does not have irregular heartbeat, atrial fibrillation, or cardiac enlargement, you can try to get pregnant. ”

"After pregnancy, it is necessary to closely monitor the patient's vital signs to ensure the safety of pregnancy and delivery." After Tang Yi explained the precautions for the patient after surgery and during pregnancy, the nurse's voice sounded behind him.

"Qian Fang's family, is Qian Fang's family here?"

Yan Lei glanced at the bed pushed out of the door of the operating room, and then looked at his mother beside him, "Mom, Fangfang is out, do you want to go over?" ”

Qian Fang's mother-in-law looked at Tang Yi, thinking of her daughter-in-law's good before, and the fertility problem had been solved again, the expression on her face kept changing, "How do you talk about this child, that's your daughter-in-law, can you still leave her alone?" ”

Back in the duty room, Liao Yong handed Tang Yi a cigarette, "There is no need to say so much to Qian Fang's mother-in-law, her husband is a treasure, and her mother-in-law is strong." The two left early, good morning. If the marriage continues, it will only be torture. ”

"We are doctors, and the families of patients have the right to know. In addition to treating the sick and saving people, everything else is the patient's household chores and is no longer within our scope. Leaning on the sofa, Tang Yi said as he played with the cigarette butt in his hand.

Liao Yong opened his mouth, and finally turned into a sigh.

It is difficult for a clean official to cut off family affairs, not to mention that he is only a doctor.

Tang Yi leaned on the sofa and looked at the ceiling, "Just now I noticed that many people are holding mobile phones to record videos, and now there are all kinds of ghosts, snakes and gods on the Internet, if someone distorts the facts and deliberately arranges it, it will not have a good impact on our hospital." It's best to contact the security room and tune up the video of Qian Fang's mother's trouble, so that when the time comes, we won't be passive. ”

Liao Yong's eyes lit up, today's matter is not trivial, there are netizens taking the lead, coupled with the hospital's surveillance video, it will inevitably cause an uproar on the Internet.

Even if Qian Fang didn't see the video, what about her family and friends?

"High, really high!" Liao Yong said with a thumbs up.

……

Two days later, the emergency department of the National Medical Hall.

Tang Yongming looked down at the resume in his hand, a thin page, the only thing that made people's eyes shine, that is, he graduated from Kyoto University of Traditional Chinese Medicine at the age of eighteen. But this only bright spot was overshadowed by a five-year hiatus.

Tang Yongming raised his head, his brows furrowed slightly, "In which hospital did you work in five years after graduation?" ”

Coming to the emergency department of the National Medical Center was not what Tang Yi wanted, so when he wrote his resume, he was completely perfunctory and didn't pay attention to it, and he didn't mention anything about studying at Harvard and working at the Mayo Clinic, "I worked in a small clinic for five years!" ”

Residency qualification certificate, candidates who have completed one year after graduating from the bachelor's degree, and have completed a probationary period of one year under the guidance of a licensed physician and passed the assessment.

Tang Yi has a doctor's qualification certificate, and it would be a bit fake to say that he has been playing at home for five years.

Working in a small clinic for five years? Looking at the resume, Tang Yongming's face is not very good-looking, what is the place of the National Medical Hall? It has three national players and brings together the country's top Chinese medicine talents. The level of traditional Chinese medicine is not the first in the country, but it is also among the top three.

The minimum residency here is also a graduate degree, and Tang Yi, an undergraduate graduate, is nothing here.

Tang Yongming put his resume aside, "Emergency, as the name suggests, means treatment in an emergency. Emergency treatment is divided into emergency treatment and rescue, to ensure that in the event of sudden illness or accidental injury, professional and scientific treatment can be received in the fastest time. The emergency department requires a comprehensive range of skills, even if not particularly proficient, to at least be able to give a practical and effective treatment plan. Do you think you're up to the job? ”

Generally, the emergency department is mainly responsible for the pre-treatment of the emergency department, and the real serious patients still depend on the department.

In Tang Yongming's heart, Tang Yi has strong theoretical knowledge, but the combination of theory and practice is poor.

No wonder Tang Yongming has such an idea, in the fifth year of medical students, they will be assigned to major hospitals for internships, and if they have outstanding ability, they will be qualified to stay in the hospital, and they don't need to go to a small clinic at all.

A person who can't even combine theory and practical ability can come to the emergency department of the National Medical Center, either by spending money or by having a background.

But if you have a background, you should have gotten the establishment of the hospital five years ago, and if you put aside the latter, then it would cost money.

Either way, Tang Yongming, the director of the emergency department, didn't like it.

Tang Yi scratched his head, if it was a Western medicine emergency, he would nod without hesitation, but in the first aid of Chinese medicine, his psychology was a little drumming, "I haven't encountered it, so I don't dare to guarantee it." ”

It's not that Tang Yi is modest, he has been abroad for five years, and his theoretical knowledge has not been forgotten, but in practice, he has indeed pulled down a lot.

The profession of doctor is a profession where practice makes perfect, especially traditional Chinese medicine.

Traditional Chinese medicine does not have instruments as an aid, let alone an intuitive data, what does it rely on to diagnose and treat patients?

Compared with Western medicine, TCM diagnostic methods do not rely on instruments, but mainly rely on experience, and examine all aspects of the body. To examine a disease, TCM needs to look at and hear, ask and cut 4 diagnoses, and conduct detailed observation and summary. This mainly allows us to understand the specific changes in the activities of the patient's viscera, as well as the depth and degree of the patient's disease. In addition to asking the patient about the detailed history of the disease and the course of the attack, Western medicine also needs to carry out various instrument examinations and laboratory examinations to understand the pathological cause and location of the disease, and cannot derive the characteristics of the disease through its own judgment.

For example, there are six categories of pulses, including floating pulses, sinking pulses, late pulses, several pulses, imaginary pulses, and solid pulses, and there are 28 types of pulses under the six categories.

It's like the floating veins are divided into, floating veins, flood veins, wet veins, scattered veins, rui veins, and leather veins.

If you are inexperienced, touch the floating vein into a wet vein, one is the main manifestation of the empirical evidence, the other is the main false evidence, or the wet evidence has an additional appearance. Once the two are confused, it is naturally impossible to diagnose correctly, let alone prescribe drugs.

What are the consequences of prescribing the wrong medication? Not to mention licorice turning into arsenic, at least the treatment time is delayed!

Emergency is a race against death, so how can you make mistakes?

Hearing this uncertain answer, Tang Yongming, who was already suspicious of Tang Yi, had a gloomy expression on his face, the pen in his hand lightly knocked on the table, and took a deep breath, "I don't care who you entrust, come here to see more, say less, you can ask if you don't know, the premise is not to affect the work of others!" If the performance is passable, I will turn a blind eye, and if I mess around, I will never spare it! ”

Am I being underestimated? Or is it that the general residents of the National Medical Hall are already powerful to the level of attending physicians?

Although he hasn't used Chinese medicine much for five years, some clinical experience is still there, and Tang Yi thinks that no matter how bad his level is, he will not fall to the level of a resident doctor, "Okay! ”

Looking at Tang Yi's disapproving expression, Tang Yongming snorted lightly and stood up from his position, "I'll take you to the emergency department first, and arrange a teacher to take you first!" ”

Although psychology rejects people like Tang Yi, it is arranged by the superior leader after all. On the premise that the other party did not make a mistake, Tang Yongming could not refuse it directly.

"Director Tang"

"Hello Director Tang!"

"Director Tang, is this a new trainee?"

……

Following behind Tang Yongming, looking at the layout of the emergency department of the National Medical Hall, the consultation office, the waiting area, the emergency department, the disposal room, the rescue room, and the operating room!

Is there an operating room in the emergency department of Chinese medicine?

According to the historical records, the earliest surgical operation recognized by ancient Chinese medicine was Hua Tuo, a famous doctor from the Eastern Han Dynasty to the Three Kingdoms period, who practiced medicine in Wei and Shu in the third century AD, and invented a variety of surgical operations such as "scraping bones and healing wounds" and "dissecting the stomach and clearing the intestines", which are recorded in the "Chronicles of the Three Kingdoms" and the "Book of the Later Han Dynasty".

In addition, it is mentioned in the "Historical Records of Bian Que" that there was a doctor Yu Tarsal during the Yellow Emperor's surgical technique, "a set of response to the disease, because of the loss of the five Tibets, is to cut the skin and dissolve the muscles, the veins and tendons, the marrow and the brain, the famine, the claw curtain, the intestines and stomach, and the five Tibets."

However, with the development of history, traditional Chinese medicine surgery has gradually disappeared, coupled with the improvement of human anatomy in Western medicine, surgery has gradually become synonymous with Western medicine.

Modern Chinese medicine surgery mainly treats sores, carbuncles, bruises, orthopaedic bones, bone grafting and other surgical diseases.

Emergency treatment is not limited to these simple surgeries, such as car accidents, damage to the patient's internal organs, comminuted fractures of bones, modern Chinese medicine surgery can seem helpless.

If it is just a simple orthopedic surgery, bone grafting, and some small surgeries, it is a bit far-fetched to call it an operating room, and it should be more appropriate to use a disposal room.

Since there is an operating room in the Chinese Medical Hall, it should be more than just ordinary surgery.

Curiosity is curiosity, Tang Yi didn't ask.