Chapter 394 The First Accident, You Can't Become a Good Doctor Without Treating a Few People
"Do you know what our journalists' greatest abilities are?" She stared at Zhou Can and asked.
Zhou Can shook his head.
"Right to interview! As long as we think that the news is valuable, we can interview it, write it into a press release, and after review, we can show it to the public. If your character can always be so positive, this reporter can help you promote it for free. ”
It is said that women are very emotional.
Zhou Can helped her save the child together, and some of her thoughts resonated during the conversation, so she directly expressed her willingness to help Zhou Can do free publicity.
This is a benefit that other doctors can't ask for.
Zhou Can behaved very indifferently.
"There's no need to deliberately report on my positive stories. People are afraid of being famous, pigs are afraid of fat. I'm still working silently like this, and it's better to gradually improve. The influence of your satellite TV station is too great, and I am really afraid that I will not be able to bear it if you call me on TV again. ”
Zhou Can declined her kindness.
Lao Qin, who was sitting opposite, just shook his head and glanced at Zhou Can with a little surprise.
There are too few young people who can be indifferent to fame and fortune these days.
It is even rarer than the giant panda.
"Hehe, what do you think! Do you think it's so easy to be on the news column of TV? I'm talking about newspapers, self-media. She just likes Zhou Can's simplicity.
The more people who don't chase fame and fortune, the better they are.
"Newspapers and self-media propaganda are not used! I know you're well-intentioned, but I really don't need it right now. I'll come back to you when I need it later, okay? ”
Zhou Can refused again.
"Okay, okay! Don't blame you for not reminding you, now take the initiative to help you publicize you don't, next time you look for me, there are certain conditions. ”
She squinted slightly.
"Done!"
Zhou Can agreed.
"Yo, I still have to go back to the emergency room for the night shift, so I can't accompany you. Eat slowly! ”
He glanced at the time, and quickly got up to say goodbye to Twilight Mantis and Lao Qin.
Back in the emergency department, Dr. Xu really took care of him! Keep two tertiary surgeries for him.
Due to the high risk of tertiary surgery, Dr. Xu did not leave work as usual, but stayed in the operating room to guide Zhou Can in the operation.
"Today's pediatric consultation went well, right?"
Dr. Koh asked casually as he was preparing for the surgery.
"It's all going well. It was a child who fell from the roof of a car to the ground, dislocating his right arm. After I performed the manual bone reduction on him, the child kept complaining of pain and kept crying when he left. But after his shoulder was successfully realigned, his right arm was able to lift and his grip was restored. Do you think there will be any problems? ”
Zhou Can sat for a day, and only this patient made him feel a little uncomfortable.
I have to say that I was very happy to have a teacher talk to.
"Didn't you make another film after the bone was reduced?"
Dr. Xu thought for a moment and asked.
"Nope!"
Zhou Can also did this to help patients save treatment costs. At the same time, it also allows the patient to take one less dose of radiation.
X-rays do not have much radiation, but they can be avoided.
"Did you take a film before the bone?"
"That must have been filmed!"
"After you go to work tomorrow, you go to the pediatric department and bring up the film before the bone grafting and send it to me. If the child keeps crying fiercely before the bone, it is a pampered type, and it is not a big problem. If you don't cry when you are diagnosed and treated, but you cry out in pain and cry badly after the shoulder joint is reduced, then you need to further investigate the hidden danger. ”
Dr. Xu is an old doctor in the end, and his diagnosis and treatment experience is much richer than Zhou Can.
In a few words, the crux of the problem is pointed.
Zhou Can recalled carefully that when the child entered the outpatient room for treatment, he did not cry. It's just that there are traces of crying on his face.
Later, I came back to him after the examination, and I didn't cry either.
He felt a little uneasy.
We can only wait until tomorrow to bring up the film before the child's right arm is reset.
Generally, after a patient receives treatment, if there is something wrong, it usually responds to the hospital within a very short period of time.
So far, families have not called the hospital to report any problems.
It also made Zhou Can feel a little at ease.
He was in the operating room of the emergency department, and he didn't mention it when he took Qiao Yu and Luo Shishen to do the operation together.
……
Early the next morning, before eight o'clock, Zhou Can went to the pediatric department to transfer the patient's file.
He reviewed the child's footage and found nothing obvious.
You can only see the shoulder joint prolapse.
He sent the film to Dr. Xu for review, and also copied the phone number left by the child when he was seeking treatment.
Be prepared to call and ask the family when the time comes.
As soon as he returned to the emergency department, Zhou Yanqing, the outpatient nurse, called him.
"Doctor Zhou, there's something I want to reflect on you."
"You say!"
Zhou Can listened to her tone and sensed that it might not be a good thing.
"The boy who dislocated his right arm yesterday is now coming to the hospital with his mom and dad with the child. clamoring to see the person in charge. ”
I'm really afraid of something.
After returning home yesterday, Zhou Can has been thinking about this sick child.
I still can't understand why the child cries and cries all the time after the successful reduction of the shoulder joint.
Now that the family has come straight to the door, it is likely that there is something wrong with the child.
"Did you say anything?"
It was the first time Zhou Can had encountered this kind of thing, and he was a little nervous in his heart.
"The child's father was very fierce, saying that he had cured their child, and I didn't dare to ask more, for fear of being beaten. Now he has reported the matter to Director Tang, and asked the family to lead the family to the doctor's office. ”
Letting family members make noise in the outpatient clinic has an extremely bad impact.
It's definitely not going to work.
Therefore, the best thing to do is to take the family to the doctor's office or the reception room of the medical department first, and reassure them first to understand the cause of the incident.
"Okay, I see, thank you for giving me the message."
After Zhou Can hung up the phone, his brows furrowed tightly.
Not long after I hung up the phone, the phone rang again.
Director Tang Fei personally called.
Things are more serious than you think.
I just don't know what's going on?
It stands to reason that what can happen if the shoulder joint is reduced manually? At most, the reduction is unsuccessful and the shoulder joint is dislocated again.
"Doctor Zhou, are you busy now?"
"I'm just going to make a round, I'm not busy, if you have anything to say."
Zhou Can was actually mentally prepared.
"You received a five-year-old boy with a dislocated shoulder joint in his right arm yesterday, and the family said that they were directly in the outpatient room at that time to bring the child's shoulder joint back to the reduction, do you have any impression?"
Director Tang Fei also spoke softly and calmly when he encountered things, which is worth learning from Zhou Can.
The more superior you are, the more you have to be calm when you encounter things.
Zhou Can can be calm when he encounters things, but compared with Director Tang Fei, there is obviously still a certain gap.
"I remember this child, what's wrong?"
The family responded that when the child was repositioned, the hand was rough, and the child's right shoulder joint capsule directly caused bone cracking. They took the child to the Provincial Children's Hospital to take a film, and it was true that a clear fracture line could be seen. ”
"No wonder after successfully resetting the child at that time, he kept shouting pain and crying a lot! It turned out that the joint capsule was cracked. ”
Zhou Can suddenly realized.
This matter is very troublesome, if it is really Zhou Can's doing, it can already be characterized as a slight degree of medical malpractice.
"Was there a lot of force used to graft the bones at that time? In my clinical experience, it is almost impossible to cause a more severe bone fracture in the joint capsule at the time of reduction. Because the child's bone flexibility is already very good, it is impossible to say how violent the shoulder joint is to reduce the force. ”
Director Tang Fei calmly inquired about the situation at that time.
"Also, you don't have to have too much psychological burden on this. Even if it is caused by you accidentally during the treatment, the department will bear all the consequences for you, and you will not have to bear it personally. ”
Zhou Can was very heartwarming to hear this.
"Thank you! Thank you, Director Tang, for loving me so much and giving me the most generous care. ”
At this moment, Zhou Can had a deep recognition of Director Tang Fei's character, and his trust in her also rose a big step in an instant.
"At that time, I didn't use a lot of force to graft the child's bones, at least I didn't think it was possible to cause bone cracks. And this is not the first time that I have repositioned the shoulder joint of a child, and I think that there is no problem with experience, technique, and strength. It's just that I can't say anything about it now, and I can't guarantee that I didn't do it. ”
Zhou Can spoke to his own people, but he was very frank.
What to say.
"This matter is indeed difficult to argue, mainly because of the lack of strong evidence to prove his innocence. Did you take an X-ray of the child at the visit? ”
Director Tang Fei asked after a moment of silence.
"Shoot! Just now, I went to the pediatric department to retrieve the patient's file and re-check the light film, but I didn't find any problems. ”
Speaking of this, Zhou Can was somewhat depressed.
It's the first time I've encountered something like this.
He even began to wonder if his medical skills were too bad.
The indication-level osteopathy, it stands to reason, is basically enough!
As long as it is not the kind of particularly dangerous joint reduction and bone alignment, it can generally be operated. For example, the reduction of the cervical spine, this risk is extremely high, and he is not competent now.
The main thing is the fear of accidents.
"Okay, you don't have to worry about that for now. I'm calling you just to understand the situation, you don't have to have a psychological burden, and when the time comes, I'll give you feedback on the results. ”
Director Tang Fei comforted him and hung up the phone.
encountered such a bad thing early in the morning, Zhou Can's mood can be imagined.
"Xiao Zhou, I just watched the film you sent me. There should be something problematic. ”
Dr. Xu took his mobile phone and came to him.
"What's the problem? Just now, the pediatric department called me, saying that the family had brought the child to find trouble, and that I had cured the child. They were examined at the Provincial Children's Hospital and found a bone fracture in the shoulder capsule. ”
Zhou Can heard that Dr. Xu had found out the problem, like a drowning man grasping a life-saving straw.
If you can prove your innocence, the nature will be much different.
At most, it was a misdiagnosis, and no problem was found.
Hospitals have much less responsibility.
"Oh! Family members come to the hospital looking for trouble? In this case, don't do the rounds yet, and hurry up with me to the discussion room. ”
Dr. Xu took Zhou Can into the discussion room and projected and enlarged the film taken by the child.
"Oh, see no, the fracture line at this location is quite obvious."
A teacher is a teacher.
After watching the film, I immediately found the problem.
It's just on the mobile phone, because the screen is limited, even if the light film is magnified several times, the fracture line still can't be seen very clearly.
Now put it on the projector, after thirty times magnification, the obvious fracture line was immediately found.
"Really! I didn't even notice this hidden danger at the time, and I was careless. ”
Zhou Can was annoyed.
He directly took a picture and sent it to Director Tang Fei.
Immediately afterwards, Zhou Can called directly.
If you guessed correctly, the hospital is in communication with the family. is not wronged, Zhou Can will definitely not carry this pot.
"Director Tang, just now I showed the patient's shoulder bone fragment to my teacher, and after 30 times magnification, I found a relatively clear fracture line. I have sent the picture to you on WeChat, please see, is this fracture line consistent with the fracture line taken by the child after the examination in the Provincial Children's Hospital? ”
The first time he encountered this kind of thing, Zhou Can was inevitably a little anxious.
I just want to prove my innocence as soon as possible and solve the problem.
"Okay, I got it. We are communicating with the family here, and we will report it to the family. ”
She was obviously not very convenient to speak.
It is likely that the family members were at the scene.
The phone had already been hung up directly, and Zhou Can could even faintly hear the roars of his family.
In any hospital, after a medical accident, the first thing to do is to protect the medical staff. They can't be allowed to sweat and cry at the same time.
Doctors and nurses are a high-risk profession, and risks are everywhere.
If something happens and the doctor is pushed out to resist the anger of the patient's family, who would dare to be a doctor?
In any case, the doctor's intention when treating a patient is always good.
Treating patients at great risk and at all costs is something that deserves to be respected and upheld.
In this accident, if Zhou Can can't prove his innocence, the hospital will most likely lose some money and apologize.
If it is a darker hospital, there are many ways to deal with family members.
In many cases, patients and their families end up on the weaker side. The hospital represents a unit, and the patient is just an individual after all.
One person wants to fight a group of people, and the results can be imagined.
Unless there is sufficient evidence and a professional lawyer is hired to fight the lawsuit, there is a high probability that you will lose.
"It's the first time you've had a medical accident, right?"
Dr. Xu looked at Zhou Can calmly.
"Hmm!"
Zhou Can nodded honestly.
"As long as we doctors are engaged in diagnosis and treatment, it is difficult to avoid accidents. You can learn a lesson from this incident and be more cautious and cautious when practicing medicine in the future, but you don't have to be afraid of food because of choking. ”
Dr. Hui's voice was surprisingly gentle.
"When I was operating with a senior doctor in the operating room, the patient had an aortic dissection and died on the operating table. It was the first time I had surgery to die a person. At that time, my whole soul was so frightened that I didn't even know how to get out of the operating room. Years later, I still remember the guilt in my heart. I always feel that people are killed by us. ”
"Later, the head of the department called me into the office and reassured me that I didn't have to be afraid. If a doctor does not treat a few people, it is impossible for him to practice his skills, and it is impossible for him to grow to the point where he is not afraid of all diseases. At that time, I didn't quite understand and didn't dare to refute, I just nodded my head. I have forgotten what the head of the department told me later. ”
"It wasn't until later that I went through so much that even when I was in charge of the operation, the patient died on the operating table! It was only then that I began to understand the teachings of the section head. Doctors don't have to worry too much about treating patients, otherwise it is equivalent to wearing shackles and shackles, and their medical skills will never be strong. ”
Dr. Xu shared his own growth experience earnestly to enlighten Zhou Can.
(End of chapter)