Chapter 192: Closing the Door and Fighting the Dog (Asking for Subscription)

From the first time Fang Ziye saw Shen Dong, he knew that Shen Dong's profession was not ordinary. Otherwise, his wife wouldn't have said such brainless words.

Naturally, Shen Dong's own temperament is also neat to the level that very people can compare, to say one thing, even if he is in front of him, there is not much nonsense.

Shen Dong's wife is such a grumpy person, she doesn't dare to breathe in front of Shen Dong, it must be related to Shen Dong's own professional nature.

I met Shen Dong again, just over forty minutes ago.

With the physique of the scumbag inside, Mo said that he was just facing Shen Dong, even if any brother next to Shen Dong went up, he would be able to restrain Pang Hong.

Under such circumstances, Shen Dong was so provoked by Pang Hong that he directly broke Pang Hong's legs, which was really unnecessary.

A comparison shows that there is an absolute disparity between the combat effectiveness of the two.

Shen Dong shouldn't have made a move on Pang Hong, just take him back as soon as he catches him, why send people to the hospital?

Shen Dong raised his head and glanced at Fang Ziye, although Fang Ziye changed back into the casual clothes he was going home at this time, he still recognized Fang Ziye: "Doctor Fang, thank you, you are a good doctor." ”

"So you shouldn't have taught me that."

Shen Dong remembered that this doctor Fang who performed manual reduction for his son was said by his cousin, the doctor who did the best manual reduction in trauma surgery.

In Shen Dong's opinion, doctors should be relatively pure, and it is not worth advocating to teach him to wear gloves like Fang Ziye and not leave fingerprints on Pang Hong's body.

Shen Dong stood up as he spoke.

He said, "Doctor Fang, are you off work?" ”

"Well, it's time to get off work. It's also getting to this point. Fang Ziye turned on his mobile phone to check the time, and it was already early in the morning.

"That, Officer Shen, will you be punished?" Fang Ziye felt that it was really good people who didn't live long, and bad people who left a thousand years.

Pang Hong didn't have any resistance at that time, Shen Dong broke his legs, he must be angry, even he himself must be very troublesome, even if he doesn't take off the clothes on his body, he will be punished with a demerit.

Fang Ziye continued to explain: "Now this Pang Hong, when he enters the hospital, it is even more troublesome, he estimates that he will not sign to agree to the operation in a short time, and he is still a person in the industry, we will have to complete his treatment procedures at that time, it will be very troublesome." ”

Huaguo is a modern society, so even if it is a condemned prisoner, it will pay attention to a certain degree of humanitarianism.

The disease that should be treated has to be treated, and the fracture that should be surgically treated has to be operated, and before it is properly treated, this Pang Hong will not be easily taken away, so as not to ask the specific process, and the others will be gone.

And in this way, Shen Dong's upcoming punishment will be greater, at least one level higher.

"It's okay, Doctor Fang, I don't regret it." Shen Dongguan smiled.

"Doctor Fang, go and rest first!" This matter has nothing to do with Fang Ziye, and Fang Ziye's comfort is also very pale, and everything has been done.

Shen Dong felt that his current mood was very smooth.

"Can I add you a WeChat?"

"Honestly, maybe, the colleague below you is the patient I operated on before, but my level is too low to participate in the follow-up rescue process, but I am still very concerned about his situation, if you have any news, can you send me a message?" Fang Ziye took the initiative to ask.

Fang Ziye really wanted to know the follow-up rescue situation of that Zhang Yu.

However, with Fang Ziye's current identity and level, whether the patient is alive or dead, others may not be willing to inform him as soon as possible, so if Fang Ziye doesn't even have a chance to know, let alone participate in the possible rescue process.

But Fang Ziye knew that he had never closed it.

And I have enough knowledge now, what if it's useful?

"Good! ~" Shen Dong thought for a while, and still added a private WeChat of Fang Ziye.

He had a good impression of Fang Ziye, and he also knew that Fang Ziye was the biggest contributor to Shen Dong's ability to save his limbs, and the subsequent injuries had nothing to do with Fang Ziye, so Fang Ziye was still a respectable doctor.

……

After adding friends, Fang Ziye went back to sleep at home with peace of mind.

If you don't sleep at ease, you can't help it.

The next day, Fang Ziye got up late because he slept late yesterday. I didn't get up until seven o'clock.

The time for the morning run was gone, and Fang Ziye could only brush his teeth and wash quickly, and after solving the personal hygiene problem, he rushed to the hospital as soon as possible.

In the doctor's office, Xue Tao obviously didn't return all night and didn't sleep all night.

At the same time, Mao Mao was also busy all night, and he was not energetic at the moment.

Zhang Mingcan, Hong Du and Wu Guonan, the chief physicians, plus a vice president of the hospital, were in the doctor's lounge, swallowing clouds and spitting fog, and betel nut slag was everywhere, which can be described as a miasma.

Fang Ziye, who has never liked the smell of smoke, didn't have time to delay the smell of smoke at the moment, but lightly took off his white coat and planned to leave.

Only then did Wu Guonan say: "Director Zhang, the current situation is special, let's have a small meeting later, and see if other young people have better suggestions." ”

Zhang Mingcan sighed and said: "It can only be like this, Pang Hong has put forward a request to our department, hoping that our hospital will record the treatment process at the same time as him, and it will be difficult for us to deal with this point." ”

"If it's an ordinary patient, just refuse this request and let the patient go."

"But this Pang Hong, where you let him go, the problems and difficulties he faces are the same, and now that the state health commission has spoken, we can call on all the medical resources in the state, and even ask for help from experts from provincial hospitals."

"The problem of advising patients to transfer to hospitals and refusing to communicate does not exist."

The rest frowned.

The half-white vice president said, "Is your orthopedic department sure of this?" If he is sure, even if he is recording, it will be fine, as long as he can get off the stage and be transferred to the prison hospital. ”

Zhang Mingcan touched his bald head: "Dean Huang, grasp this kind of thing, brag in front of knowledgeable peers, and be recorded, even if there is no problem, it will peel off in the end." ”

"Pang Hong used to be the chief physician of our hospital?" Zhang Mingcan must remind Dean Huang, who is only an administrator!

Everyone was silent, but Fang Ziye just slipped away and closed the door slightly.

……

After the shift, Zhang Mingcan asked the people in the nursing department to leave first.

Then, Director Wu Guonan, as Pang Hong's director in charge, clapped his hands and said:

"The people left below are all our own people in the department, so if you have any ideas, whether it is feasible or not, just say them."

"The main content we want to discuss is the treatment plan of 39 beds, Pang Hong. But before discussing his treatment options, there is one more thing to know......

Not many people knew about last night's events yesterday, and it wouldn't be in the evening, so everyone in the department knew about it.

Therefore, hearing Wu Guonan's words, many people in the department clenched their fists.

Wu Guonan continued: "There is another problem, that is, this Pang Hong was also a doctor before, and when he reached the title of deputy chief physician of the deputy high school, we will face many problems. ”

Wu Guonan talked about Pang Hong's background and what he did last night.

Xue Tao, who is the doctor who personally manages the bed, said about professional matters: "I have roughly communicated with Pang Hong, and Pang Hong does not refuse to communicate, but there is a request, that is, a bilateral recording." Otherwise, there will be no discussion of any issues. ”

"This request is actually unreasonable, but it is not to the point of absolute excess."

"His purpose now is one, to stay in the hospital, to avoid being interrogated, and he can't be transferred, a very simple and direct amputation, then he will definitely not agree, and there is no indication for amputation, so I can only talk to him about surgical treatment."

"And in the hospital, he refused to cooperate with the investigation many times last night because of pain, and because of bleeding in his right leg, although we did temporary debridement to stop the bleeding, it was not very useful."

"It's too hard."

"They're relieved, we're in big trouble."

"The third point is that the patient has no family members and no money."

"But in fact, he still has children, parents, but his parents have no money on the surface, and his parents must have been explained in advance by Pang Hong, there is no money for treatment, appeals and lawyers, they are definitely rich......"

When everyone heard this, their expressions froze.

It's as if we're in an unsolvable problem.

Of course, although Wu Guonan and Xue Tao are the directors in charge and the doctors in charge of the bed, Zhang Mingcan, as the director of the ward, must not pretend to be dead, he is the director of the ward.

Zhang Mingcan knocked on the table and stroked his bald head with both hands:

"Director Wu, there are other brothers, let me say a few words."

"First, our identity is only a doctor, not a judge. Whether Pang Hong is guilty or not cannot be determined by us, he is now living in our hospital, and he is just a patient. ”

"This must be clear."

"We doctors can't care about his social role, and we can't care about it."

"Cure the disease, do a good operation, and hand over the rest to the police, after all, we are not professional investigators, what Director Wu said before, we just listen to it, we don't have to take it seriously!"

"Let's summarize the problems that our department is currently encountering."

"First, the patient does not refuse the operation, does not agree to the operation, and asks for a signature. It is a profession, and the probability of medical disputes is very high, even from the medical level, we must be cautious and not have the slightest mistake. ”

"Second, there is no money. But the problem of no money has already been dealt with. ”

"Third, patients cannot be transferred! Because there is no point in transferring to a hospital, it is impossible to transfer to a higher-level hospital, and what he did is destined to make it impossible for him to leave Eunshi, and even during the operation, it is impossible for him to leave the police's field of vision. ”

"Based on these difficulties, you can think about what is a better solution, and we will see if we can disassemble and solve them one by one, and then let the patient be discharged happily as soon as possible......

After Zhang Mingcan finished brushing his bald head, he leaned back and clicked on the desktop with the index and middle fingers of his right hand.

The tone and expression are almost about to hit someone, where is this posture that does not take into account the patient's social relationship?

All the meanings in and out of the words are that it is clear that the operation is done quickly, and then the person is sent in as soon as possible!

A lot of people are in an instant.

Huang Kai heard the words and said: "Director Zhang, since the patient has a strong limb salvage hospital, we can invite the hospitals in the province to come and fly the knife, and second, we can also invite experts from the magic capital Kyoto to come over for consultation and surgery?" ”

"The fracture situation is not complicated, but there is one point, I just heard Xue Tao say that the patient's current personal condition is not very good, hypoproteinemia, malnutrition, is whether he can get off the operating table, it is two words."

"And I believe that if this consultation surgery is sent to the professors in the province as a teaching surgery invitation, there will be many professors who are interested, and I can also try to contact it!"

Huang Kai said that he could follow the relationship between his own teachers and find experts who were willing to come to the operation.

But whether he can survive the risk of anesthesia is not something that Huang Kai can guarantee.

This surgery is not big-

Huang Kai feels that what he is doing is to meet the needs of patients for the purpose of making patients better and discharged from the hospital as the goal.

It's just so that he can be discharged from the hospital early!

Zhang Mingcan also said: "The cost is not tricky, and we have already contacted the device manufacturer. ”

"On the side of the instrument manufacturer and the device company, there is a 'model steel plate' with a symbolic fee, and the surgical fee of our department can also be charged, and I have already talked to Director Huang Qiaoshan in the anesthesiology department."

"This set of processes is at most three or four thousand yuan. If the police don't come out of the police and the hospital doesn't come forward, I'll pay it personally. ”

"It won't affect the performance of the brothers in the department."

This big bald head is definitely a lover and a very good person.

But in fact, the current money is not the main thing.

"The most important thing is the risk of anesthesia and the risk in surgery, at present, the nutritional status of patients is not good, our orthopedic surgery, intraoperative accidents, mostly anesthesia-related risks, shock, ventricular fibrillation and atrial fibrillation and other existing risks."

"Moreover, if this Pang Hong dies on the operating table, it is not something that our department is willing to see, and the police are willing to see."

"We would all like to see him alive than a dead man."

The old director of Hong Du, who had not spoken, said: "Director Zhang, regarding anesthesia, there are only two options for Pang Hong now, one is that Nie Mingxian will have a relatively low-risk nerve block anesthesia, which does not involve the cardiopulmonary system. ”

"Nie Mingxian from the anesthesiology department is an extracorporeal bypass specialist, and if there is any accident during the operation, he can move the cardiopulmonary function outside the body to strive for the maximum rescue time."

"The second option is that Dr. Wu Xuanqi from the Minmin University Hospital said that he had contacted Union Hospital, which is the unit where Dr. Wu Xuanqi's wife studied for a doctorate."

"The anesthesiology department of Huazhong Union Medical College Hospital is the strongest department of anesthesiology in Hubei Province, and two professors can come over there, and one professor can also come over in the intensive care ICU of Union Hospital to deal with all kinds of unexpected situations that may occur during the operation at any time."

"It's the preparation of the medical staff."

"Nerve block anesthesia is currently the safest way to anesthesiology."

"Then Dr. Wu Xuanqi from the Minmin University Hospital also said that he had contacted some equipment manufacturers and got some 'support' model equipment, which did not cost money."

"I will install vein filters for both lower limbs for Pang Hong free of charge, which can completely eliminate the risk of thrombosis falling off, and do it in accordance with the highest specifications of risk avoidance!"

"And, if this Pang Hong is still not at ease, the routine color ultrasound monitoring during the operation is completely fine, and you can also give him two hemodialysis instruments, open the bow left and right, and all the blood volume of the lower limbs is purified ......after purification."

The old director is the old director.

As soon as Chief Physician Hongdu spoke, everyone was instantly speechless.

This is really ruthless, this is to cut off all the ways of retreat for the patient.

But the cost is really large, it can be said that at all costs, for the income of one dollar, 999,999 yuan was invested, just to make up one million.

For a fracture, not to mention the installation of two lower limb venous filters, two vasodialysis instruments are also used to control the quality of blood returned to the heart.

The most feared thing about surgery is death caused by cardiovascular accidents, cardiovascular accidents mostly include heart embolism and arrhythmia, ICU professors are to deal with arrhythmia, venous strainers are to deal with thrombosis, and dialysis machines are to deal with ventricular fibrillation and atrial fibrillation caused by electrolyte balance disorders!

Just for this patient, who doesn't have many contraindications to surgery in the first place, doing so much?

Isn't this the ironclad determination to send him in?

……

In the doctor's office, Zhang Mingcan and others discussed the patient's surgical plan and accident risk prevention plan.

No one in the nursing department was idle.

A nurse assisted Pang Hong and made Pang Hong a fundraising plan for help because he complained that he had no money and wanted to donate through his illness online!

The medical records are certainly adequate.

It's just that not long after Pang Hong got this plan up, the staff of Shui Di Chip came to the ward.

He said, "Mr. Pang, you are so lucky, the fundraising and donation plan you launched on our water drop chip a few minutes ago was completed quickly. ”

"I also deliberately communicated with the platform and deliberately waived the handling fee for this fundraising, and all the money will be directly called to the hospital's financial department as your surgical treatment fee."

When Pang Hong heard this, he immediately frowned: "I have just launched it here, and you have all the funds there?" ”

The staff explained: "Yes, Mr. Pang, maybe you were lucky enough to trigger the traffic support, so you saw a lot of people, so you quickly raised all the expenses!" ”

And this time, hearing his words, even the nurse didn't cast a disgusted gaze again.

After all, these people are consuming the love and kindness of the masses to make money, and to be honest, the service fee and handling fee are so high.

But unexpectedly, Pang Hong was knowledgeable, and asked: "Can this money be given to me directly?" ”

"Look at me, I don't even have money to eat."

The corners of the staff's mouth trembled slightly, and he secretly said in his heart, big brother, you don't know until you die, do you know where you got this money? It's all money to send you on the road, but it's just given to you by relatively legitimate means.

"I'm sorry, that's not going to work." The staff returned.

Pang Hong said shamelessly: "Then I will continue to raise money once, you can give me the money directly!" This time I raised money for a meal. ”

"I'll give you tens of thousands, right?"

The staff is in their thirties and the whole person is very kind, but definitely not stupid.

I scolded in my heart, don't, I can't afford your money. I don't even dare to take it if I give it to me.

Just shook his head: "I'm sorry, Mr. Pang, this is the rule." ”

Pang Hong doesn't care: "Forget it, starvation is death, and death without surgery is death, it doesn't matter." ”

"If you don't eat, you'll die in a week at most."

However, not long after Pang Hong's words were finished, the meal money donated to him by the department arrived-

I didn't take a photo either, I just handed him the envelope!

Shut the door and beat the dog, how can you be allowed to escape?

(End of chapter)