Chapter 167: People Fight for a Breath (Ask for Subscription)

Fang Ziye breathed a sigh of relief when he heard the middle-aged man say this.

If you are not afraid of people with intentions, you will be pure brainless and desireless.

If you have a request, at least you can communicate, and if you are completely unreasonable, then you should be very cautious and careful in what you say. Because you don't know when he's going to go berserk and hurt himself by mistake.

"I don't know." Fang Ziye shook his head, but put the bouncing pen back and suspended the writing operation.

"You don't know what it means?" As the middle-aged man spoke, his Adam's apple stirred up and down, and his eyes looked at Fang Ziye with burning eyes.

And hearing this, Director Ning next to him was giving Fang Ziye a look and hinting at something crazy.

"Because I haven't made an accurate diagnosis for you, I can't say whether the diagnosis given to you by others is right or wrong, and you don't want to talk from me, I only respect the facts I see."

"Other people's diagnoses, right or wrong, I have limited ability to evaluate."

"By the way, uncle, if you have turned on the recording, please turn it off, so that we can calmly talk about how to diagnose and treat." It was not the first time Fang Ziye had encountered such an occasion.

As soon as these two people came in from Fang Ziye, they completely exploded, as if they were trying to anger Fang Ziye and Director Ning.

Presumably, there must have been a small move in private.

"You said yours, why are you afraid of me recording?"

"Recording or not, isn't your statement different?"

"I didn't have a recording." The middle-aged man snorted coldly, and his face became a little worse.

However, the middle-aged woman next to her was a little nervous.

Hearing this, Director Ning saw Fang Ziye slowly sitting down in front of the patient and his wife, and then interjected: "This brother, we have something to say, I think you are also a well-known figure in our city." ”

"To put it mildly, everyone is a bright person, there is no need to make such a mood in our hospital, it is not good for everyone to spread it like this."

"We are a hospital, not a place to collect evidence, whether it is a medical accident in a medical institution, or a medical dispute, we have never collected evidence and found mistakes in brother hospitals, no matter whether our hospital says that other people's diagnoses are right or wrong, it is not right."

"Misdiagnosis of this thing can only be done by the Medical Safety Dispute Management Group of the Health Commission, and ask the expert committee of the Medical Association to strengthen it, right?"

"You're not being so kind to the little doctor in our hospital, aren't you?"

Director Ning was talking, and at the same time, he made a phone call, and after pressing the phone, he did not put the phone next to his ear, but put the phone on the table.

At this point, he did it directly to the middle-aged couple.

And bluntly said: "The phone call I am calling now is the medical safety office of our hospital, and the medical safety office is a parallel functional department to the medical department. ”

"Including questions you've already recorded."

As we all know, the emergency department is the place with the highest incidence of medical disputes, so the security office is generally set up near the emergency department of all hospitals.

Director Ning had already talked to the people in the security office before, and within a minute of the phone call, four or five retired men had already come in outside.

They stood at the door, led by someone who might be the director of the security office or the team leader, knocked on the door and walked in.

He has a thick body and is not fat, but he has a wide skeleton and is extremely oppressive.

And the whole body is uniformed, and it is still neat when walking, as if it is extraordinary.

After glancing at the situation inside, he said, "Hello, I am from the Medical Safety Office, what kind of misunderstanding happened here?" ”

"If there is a misunderstanding, we will go to the security office together, so that we can ensure the safety of your visit, and if the attitude of the doctor in our hospital is not good, you can also complain at the nearest complaint reception office, right?"

"Our hospital is based on the principle of serving patients."

Director Ning said: "Captain Zhang, these two patients came to us to see the emergency department, we invited the orthopedic department to come for consultation, he didn't see the orthopedic doctor Fang, he was just asking the Minda Hospital if there was a misdiagnosis, and maybe he also recorded the audio." ”

"This is an emergency patient, so we can't report it in the system in time, and it's not a problem that our clinicians can handle."

As soon as Captain Zhang heard it, he probably understood.

Xiao Yinyin walked over: "Big brother, then you are not kind, this is a hospital, not a court, how can you determine who is right and who is wrong?" ”

"Whether the hospital was misdiagnosed or not, you went to the medical department of the hospital to find the dean, how did you find the orthopedic surgeon in our hospital?"

"Let's go, if you don't know how to complain and communicate procedures, our staff in the security office are the most familiar with this kind of thing. Let's go over and talk slowly until you will. ”

"Don't come here! ~"The middle-aged couple were a little stunned when they saw Captain Zhang's burly figure approaching.

The middle-aged woman explained in a low voice at this time: "Why don't we make trouble, if we continue to make trouble like this, it will not be good for our acquaintances." ”

"Just because Dr. Wu didn't give you convenience, it affected Director Zhong, which is not cost-effective."

The middle-aged man pondered for a long time, looked at Fang Ziye, who was not cowardly, but had a little experience in dealing with the old way, and then looked at Director Ning, who was calm and relaxed, and Captain Zhang, who didn't admit it at all after coming in, as if he was going to take him to the security office for tea in the next moment.

He took out his phone and said, "I'll delete the recording, okay?" I had to see a doctor, and the dislocation was still very painful. ”

"You have to cooperate when you see a doctor, the doctor does not rely on guessing to make a diagnosis, especially for trauma, nor is it a touch, you can see through all the diagnoses by looking at it, and the body is your own."

"If you don't check out the sequelae, how bad is it?"

"I see how you are dressed, you should also be a person with status, there is no need to embarrass the doctors in our hospital, right?"

Captain Zhang is not here to find fault, and he can solve the problem by deleting the recording.

Then this is still a patient, and a normal diagnosis and treatment relationship can be established.

Instead of going through the functional departments and the general duty of the hospital office, his registration was returned.

After this, under the witness of Captain Zhang, the middle-aged man told Fang Ziye the truth.

Originally, the husband and wife happened to take a day off today, and they planned to drive a motorcycle out for a walk, and the weather in April was in front of the spring day, riding a motorcycle on a mountain road, which had a unique flavor.

But because he hadn't ridden for a long time, he fell, and the wife in the back seat was fine, and the man rolled to the ground, but fortunately he didn't hit his foot, but only injured his arm.

My wife can also ride a bicycle, and after taking him to the Minmin University Hospital, I deliberately found a relationship.

Unexpectedly, both of them arrived in the department, and they said that they had been 'cut in line'. Moreover, the person who came, who was also a vice president of the Minmin University Hospital, personally went to the department and invited Dr. Wu away.

On his side, because Wu Xuanqi's handling was not happy, he also asked him to do an MRI examination, and he was unhappy.

This good guy, Wu Xuanqi ran away with the vice president in front of him, so can he not be annoyed?

Later, although Wu Xuanqi also called a doctor to deal with him and asked him to go for an examination, he also explained that Wu Xuanqi went to the operating room for super emergency surgery, otherwise he would have lost his life.

Moreover, he called Wu Xuanqi before, Wu Xuanqi didn't set off for a while, so the vice president went upstairs and personally called someone to take Wu Xuanqi away.

But where are the patients willing to believe such excuses, feeling that they have found a relationship and have been 'robbed' of the doctor, then doesn't this just see that the relationship they are looking for is not strong enough?

The face hurts.

The middle-aged man who cooperated with Fang Ziye for a physical examination nodded in agreement with Fang Ziye's application for MRI examination, while complaining.

"Doctor Fang, what do you say, if it were you, would you be angry?"

"And in front of me, Dr. Wu happened to do a manual reduction on another person, I was waiting outside, and when it was my turn, I had to do an MRI, and I was taken away."

"There is no one else in this medical virtue." The more the middle-aged man talked, the more angry he became.

When Fang Ziye heard this, he explained: "Dr. Wu's treatment is no problem, because the degree of your shoulder dislocation will be more serious and rare than anterior inferior dislocation, and the probability of complications is extremely high, so it is necessary to check and diagnose it." ”

"As for the question of Dr. Wu going for emergency surgery, I don't want to comment on this."

"But the rules in the hospital and in the textbooks are that you should save your life first, and then treat the disease, and your problem is directly under the scope of treatment, I believe that Dr. Wu must have encountered a special emergency department, and if you don't go, you may lose a life."

"Of course, I'm not saying that it's right for him to let you continue to suffer, it's just that he has to do it in a matter of priority."

"You take this checklist, go to the MRI room for an MRI, and when you're done, come to the orthopedic ward to find me, okay? I'm in the hospital room, and there's still something to do. ”

"A dislocated shoulder doesn't affect your pain."

It was still impossible for Fang Ziye to comment on the right or wrong choice made by another doctor, because Fang Ziye did not have such power. Even if Fang Ziye is a professor and the other person is only a resident doctor, Fang Ziye still does not have such power and ability, because misdiagnosis is the responsibility of the professional committee and the medical malpractice determination team.

"Alas! ~”

"You're all doctors."

"When it comes to unity, it's you." The middle-aged man felt that Fang Ziye was actually not happy.

He didn't have any recordings, so why couldn't he stand in his shoes and say a few nice flattering words?

……

After the patient and family members left, Captain Zhang saw that there was nothing wrong, so he left with the staff of the security office.

The safety office is not only for one department, but also for all departments, and there are corresponding hidden dangers, which must be passed to avoid direct physical disputes.

Director Ning looked at Fang Ziye, and said in amazement: "Doctor Fang, you are not very old, but you seem to be quite experienced in dealing with such things?" ”

"Director Ning, my previous subspecialty was trauma surgery." Fang Ziye felt that he didn't need to explain too much.

"Oh! ~" Director Ning suddenly realized.

In addition to the emergency department, orthopedics is a major contributor to the incidence of medical disputes, and trauma surgery has risen to the top.

Although the trauma medical center of this hospital is not pure trauma surgery, the place where Fang Ziye studied in graduate school before must be pure.

He regarded Fang Ziye as an employee of this hospital.

"Doctor Fang, you are still very good, calm and calm, and the reason you are looking for is relatively novel, you are a very good talent."

"Ning Anguo." After Director Ning stood up, he introduced himself.

"Hello Director Ning, my name is Fang Ziye." After Fang Ziye exchanged a few words with Director Ning, he walked out.

After the matter is dealt with, this is not a pure emergency patient, but an emergency patient with a very high probability of medical disputes, these two concepts are different, but the handling mode is also different.

Purely emergency patients are to ensure the safety of their lives, and emergency patients are to avoid the occurrence of medical disputes.

After Fang Ziye returned to the office of the trauma center, he ordered a takeout with Guo Yunlei, and then the middle-aged couple looked for it.

This speed is obviously not slow, it should be that the two of them are in the central hospital of En, and they also have acquaintances, so they asked him to find an MRI room and work an extra shift, so that it can be so fast.

Guo Yunlei subconsciously wanted to prepare the informed consent form for the conversation to sign, but when Fang Ziye saw this, he said: "Xiao Guo, I will come by myself to sign the conversation of this patient." ”

"It doesn't have to be a manual reset."

After listening to this, Guo Yunlei immediately understood the meaning, and smiled and showed favor to Fang Ziye.

It's just that after Fang Ziye carefully read his MRI, he was a little surprised, and carefully looked at the display pictures and basic information of this MRI again, it was indeed the middle-aged man himself.

Then he said, "Uncle, your luck is really good." ”

"Such a rare dislocation, there is really no concurrent fracture and a breach in soft tissues such as joint capsule and tendon, so we can expect a manual reduction."

"Huh?" When the middle-aged man heard this, he was shocked.

His wife hurriedly said, "So, this MRI was made for nothing?" ”

"It's not in vain, at least you can rest assured in your nest. Let me tell you, your chances of not having symptoms are not less than five million if you buy a lottery ticket. ”

"It's definitely not alarmist, even if you ask any joint surgeon or trauma surgeon, or you look up any literature, that's exactly what happens."

"Isn't it bad luck to be lucky? Do you have to make some questions and make a cut? Fang Ziye was really surprised, this man's luck was a little too good.

There may be less than one in 10,000 probability, and he has hit it.

"That's not what I meant, but?"

"It's a waste of time, wouldn't it be better to deal with it directly?" The emotions of the middle-aged woman were slightly brought by Fang Ziye to the direction of feeling sorry for her husband.

This is one of the art of Fang Ziye's speech, intentionally or unintentionally, to make patients and their families think in the direction of money as much as possible.

"That can't be said, whether you come to treat the disease, or I treat the patient, what we want most is stability."

"I'll do your reset here, and then tell you that you may have to have another operation, what will you think?"

"Needless to say, you must already have the answer in your heart."

"It's like if you were to go on a long trip in a car driven by a driver without a driver's license, you would have to be up and down in your heart, right?"

"Now, the results are out, basically no need to think about rotator cuff injuries and fractures, put your heart down, sleep peacefully, after the manual reduction is successful, then just wait for recovery, isn't this good?"

After Fang Ziye said this, he asked Guo Yunlei to print out a standard conversation and sign the informed consent form.

Since there are no exceptions to injury, there is no need to talk about the associated risks.

It's like, if you go out to buy breakfast in the community, there is no traffic on the ground in the community, and you don't pass through the main road, and you have to consider whether there will be a wrecked plane to kill such a fantastical event.

When uncertain, Fang Ziye will try to explain the possibility clearly, but once it is determined, there is no need to be in the clouds. Pretend to be high-end.

And so it was ten minutes later.

Fang Ziye was in the operation room, using a variant of the chair reset method to reset the posterior dislocation and reset the posterior dislocation.

After the middle-aged man screamed, he began to calmly and slowly begin to soothe his emotions, as well as enjoy, the sharp pain was relieved, and the "orgasm" after the dislocation was lifted.

"Okay, the joint has been reset, you take a break, and then try to do a hand lifting exercise, and then put on a cantilever sling, take a flat film, and then you can go home and rest."

"You can't lift heavy objects behind this hand, you can't exercise vigorously, and you're semi-fixed for at least half a month to a month, and then you can recheck it, and the problem will be solved."

"Also, your dislocation is really special, although there is no ligament rupture, but there is edema of the soft tissues, it may be painful for a period of time, and the swelling will exist for about a week, you can consider using a little common painkiller."

"After the edema and traumatic inflammation are gone, you can move normally, and if the nature of your work is inconvenient, I can also give you a leave note." Fang Ziye patiently explained to the patient.

As soon as the middle-aged man opened his eyes, he asked, "Doctor Fang, then you are saying now, Minda Hospital, is there a misdiagnosis?" ”

Fang Ziye's face twitched for a while.

He took a deep breath and explained: "It's not a misdiagnosis, the diagnosis made by Dr. Wu for you is no problem, but it is just considering the possibility that you may need surgery to reduce directly with tendon injury and solve multiple problems at once." ”

"It's a protective inspection."

"This is analogous to buying serious illness medical insurance, do you plan to buy it directly for yourself?"

"The purpose of doing the test is to give us more peace of mind and confirm the diagnosis, are you still looking forward to finding out something that you don't want to encounter, so that you can be worthy of the money?" Fang Ziye asked rhetorically as he approached, playing the forearm sling.

"I'll have to go over and talk to him about it."

"Doctor Fang, don't persuade me, look at you, how good your skills are, you can solve it all at once. As for them, they are messing around so much, and their attitude is not good. ”

"Hmph." The middle-aged man took Fang Ziye out at once, with an expression that you don't care about my choice.

Fang Ziye said: "You may have done an MRI in the Minmin University Hospital, so you don't have to run with us, I can do manual reduction for you, it's not that my skills are better, but I have the test results, and I can treat you with confidence." ”

"Doctor Fang, don't say more." The middle-aged man's attitude was firm.

People fight for a breath, and the Buddha receives a stick of incense.

(End of chapter)