Chapter 299: Good is useless
Lan Tianluo pursed his lips and smiled, and after realizing what his master meant, he also felt that Yuan Weihong was very wronged.
Yuan Weihong's outpatient clinic is all day on Wednesday, and today is not Wednesday, otherwise, Yuan Weihong would not go to the operating room in the morning.
Therefore, Lan Tianluo was naughty and said, "Master, I'll get used to it anyway." β
"What did you say?" Yuan Weihong's eyelids jumped immediately.
There are so many problems in Jiehan, and Fang Ziye's ability is profound, they are all immortals that Yuan Weihong does not dare to provoke, but fortunately, Lan Tianluo has always been a good man.
But since Lan Tianluo fell in love suspiciously, he is now more and more jumpy and naughty......
"It's okay, Master, I mean, Senior Brother will definitely take care of everything, he is our own person." Lan Tianluo then euphemistically expressed another layer of meaning.
At this time, Lan Tianluo discovered that chatting with his girlfriend was an alternative to the exercise of eloquence.
Fang Ziye was still about to train people when there was a noise outside.
After the noise became more and more loud, Fang Ziye could only go to the department to ask Liu Haihua about the specific situation, and then frowned and said, "Eldest sister, don't worry, can you listen to me first?" β
"Isn't it okay to cure the disease first? How much pain do you see my mother? The middle-aged woman looked at Fang Ziye and found that Fang Ziye was older, so she believed a little.
"Your mother's current situation may not actually be an ordinary shoulder dislocation."
"In order to make a clearer diagnosis, we must first take an MRI to determine whether the musculature around the shoulder joint is stuck in the humeral head."
"Once we have a clear diagnosis and a clear understanding of the situation, we know what kind of treatment to adopt."
"What Dr. Liu said just now is right, shoulder dislocation can be reduced by manual reduction and surgical reduction, and manual reduction is preferred!"
"You've also checked these, but there are some special circumstances that are not suitable for manual reset."
Fang Ziye explained.
The person who came was an old grandmother with a middle-aged woman.
Both of them were displeased when they heard this.
The patient's daughter-in-law said, "But just now Dr. Liu said that you can reduce the position by hand first, and then go for an MRI." β
"What if it can be reset directly?"
"What if it's not a special joint dislocation? Wouldn't that be able to do an MRI? β
The old man didn't speak, but he was a little afraid of his daughter-in-law.
But she may not be in pain anymore, so she looked at Fang Ziye: "Pain, doctor, can you stop the pain first?" β
Fang Ziye shrugged his eyelids and continued: "This? Eldest sister. Not that way you understand it. β
"We can't pray for emergencies when we can't, we can only go for chances when we can't do anything."
"And we are human beings, and human beings can't just try it."
"According to an MRI, the results will come out quickly, and there won't be much delay."
After saying to the old lady's daughter-in-law, he turned his head and explained to the old lady: "Grandma, your pain is the pain of joint dislocation!" If the joint dislocation is not resolved, painkillers are not used. β
Fang Ziye actually found that this patient's anterior articular dislocation was more complicated through radiographic reading.
Although anterior dislocation is simple in dislocation, there are special circumstances after all!
Now let the patient's family take the old lady to do an MRI, but the other party refuses, which makes Fang Ziye embarrassed.
Even if Fang Ziye's current technique is reset to level 4 or above, it is close to level 5!
But it's less than level 5, Fang Ziye doesn't dare to be reckless.
Go and bet on the odds.
This is not what a doctor should do.
It is necessary to determine the shape and specific position of the biceps tendon first.
The old woman sighed, kept stroking the arm of her left hand with her right hand, and said, "Doctor, I'm in pain, you can do a painless reset for me first." β
"Is it okay for me to go back to the test after I don't have any pain?" Her tone was pleading.
"It's good if it doesn't hurt! Then you don't need to check it. Fang Ziye didn't feel that he didn't need to understand the explanation, and his tone was a little cold.
"Wouldn't that be better, doctor?"
"Let's go down and check, come up again, back and forth. It's not quite suitable, right? β
"And just now Dr. Liu said that he would try manual reduction first, but it would not work before turning to surgery."
"Isn't this an examination just to prepare for surgery?"
She said and looked at Liu Haihua with a shrewd gaze. Mentally examining what I found on the Internet, there are so many useless tests in the hospital.
There are many examinations, and if you can, you don't sit down.
Liu Haihua hurriedly retorted: "Eldest sister, when we were talking about treatment just now, I said that it could be reduced manually, but I didn't say that I wouldn't diagnose it first." β
"Tests are done to diagnose!"
The patient's daughter-in-law became impatient and took out the X-ray diagnostic report: "This report is clearly written!" Anterior shoulder dislocation, how can this be clear? β
"Are you two young doctors going to see it? If you don't know how to read it, why don't you call the director and superiors of your department? β
"They feel like they can reset without having to do an MRI."
"I, who don't know anything, know that this diagnosis is clear! You also want to check, isn't this a deliberate attempt to embarrass our patients? β
"What if we don't have enough skills? And it is generous to admit it? β
At this point, Fang Ziye immediately sighed. said, "Sister, let's not quarrel first." β
"There are a lot of postoperative patients in the department who are resting, and it is not appropriate to make a noise about them."
"Our director isn't in the department right now, but you need to. And if you don't trust my suggestion, wait a little while, can I call and report? β
"Hurry up and call your director! Won't see a doctor and waste time here. β
"Do you understand?" The patient's daughter-in-law impatiently snatched all the pieces in Fang Ziye's hand.
Fang Ziye could only call his master.
β¦β¦
Yuan Weihong happened to be at the point of getting off work, and he didn't leave the outpatient clinic far.
After hurrying back again, after reading the film carefully, he said: "Well, your mother's current situation, it is safer to do an MRI diagnosis, I am afraid that there will be soft tissue damage, and I will have to switch to sports medicine at that time." β
"As with a direct reset, it's very unscrupulousβ"
The middle-aged woman quarreled: "You're all in the same group, aren't you?" As soon as I heard him, he called you Master, and you came to help the students support the field, right? β
"I've been waiting for you for so long, and you're going to tell me this?"
"Then you might as well not come?"
The woman immediately started the home advantage, first pointing to Liu Haihua: "He said that he could cure it in a while, and then he came." β
Point to Fang Ziye.
"He said he was going to do an MRI."
"He's calling you in, and you're saying that, you're obviously talking to him." Then point to Fang Ziye.
"Is that how you want our patients to do so many tests?"
When Yuan Weihong heard this, he was happy: "Sister, you want to kill our students, right?" But you should know that in clinical students, mistakes are allowed! β
"If he says something wrong, of course I can correct him, and I can correct him! Why make this mistake to the end? β
"You're right? You know better than I do, so your mother won't be in the hospital, right? Yuan Weihong generously admitted his mistake.
"No, eldest sister, what kind of procedure are you going through? The emergency consultation should be in the emergency department, how did you get to the ward? β
"Sub-business? Is she registered? Yuan Weihong suddenly realized something.
I just warned Fang Ziye today, it is impossible for Fang Ziye to make a similar mistake again.
Yuan Weihong looked at the report she was holding again, it was from the outer hospital, so he decisively postponed it and said: "You have to go to register first, this is just a student, there is no right to diagnose and treat, you register, and then go through the emergency procedure." β
"You are not registered, we do not form a diagnosis and treatment relationship, who are you?"
"You're in his boat, obviously. I've heard you're all in this together. β
"Hey, you ......" the woman was indomitable: "The doctors in your department are different from each other. β
"One doctor said that manual reduction could be done, and another said that it could not be done, and that it should be checked first. Another person also said to check. β
"Who the hell am I supposed to listen to?" The middle-aged woman is also very witty, mentioning Fang Ziye and Liu Haihua first, as if she wants them to make a mistake.
"What says you can do manual reset, and what you say you can't do?"
"Why did he tell you? What are you making up by yourself, do you just say this and that? β
"Come, let me see your number?"
The middle-aged woman was stunned when she heard this.
Yuan Weihong continued to make inches: "You haven't registered, we took the initiative to come to you and tell you how to treat it, we are sluts?" β
"Don't say it, we can't even prescribe everything such as examinations and doctor's orders, so you should go to the emergency department for treatment......"
"Doctor, how can you do this? Do you want to talk about the money you have to register? Obviously, you just said, how can you bully people like this? The middle-aged woman was slightly less aggressive by Yuan Weihong.
Yuan Weihong said: "Then I said that I would do an MRI examination now, what do you say?" β
"We are doctors and patients, we are curing diseases, not doing business, we must be determined, my student he didn't see clearly!"
"Now I have to do a test to confirm the diagnosis!"
"Do you do a test to confirm the diagnosis? If you don't do it, don't make a noise. β
She was stunned and muttered, "But? But? β
"It's obvious that you misdiagnosed."
"What did we misdiagnose? Did Dr. Lau say that your mother's condition is not an anterior shoulder dislocation? Yuan Weihong said.
Middle-aged women don't speak.
"It's not that if it's not an anterior dislocation, it's not a misdiagnosis."
"That's the way it is now, you need to be tested first, further diagnosed, and then the treatment options can be discussed. You don't have to say so much. β
"Do you want to do a checkup, give a word." Yuan Weihong is not Fang Ziye and Liu Haihua, he is tough, but he is more imposing than these two.
"That's how you became a doctor, huh?" The middle-aged woman seemed to not want to admit anything, and took a few steps back.
Pointing to the crowd.
"You're all a bunch of bad thieves, you don't have a good thing, you only think about money, you only think about checking. A wolf in human skin, a human-faced beast heartβ"
"You are doctors, and it is what you should do to treat the sick and save people, not to let the patient check this and that."
Fang Ziye stepped forward and said, "Eldest sister, look, is this good?" β
"You're here to take your mother for treatment, since you don't trust our hospital, you can take your mother to another hospital for treatment, is that okay?"
"Your mother looks pretty uncomfortable right now."
When the middle-aged woman heard this, she yelled angrily at Fang Ziye: "You are even less qualified to speak, you can't see a doctor, you only know how to talk nonsense." β
"If it weren't for your nonsense, your director would take the initiative to speak for you, and my mother's illness would have been cured."
The middle-aged woman tilted her head: "You're in it for money, right?" How much can you get for an MRI? β
She took out her wallet: "How much money do you want, can I give it to you directly?" Will I give you 200 yuan? β
She threw it in Fang Ziye's face.
"Can you stop us people from tossing more?"
"Your teacher is to protect you, help you speak, for your bottom line, for your face, so he is unwilling to treat my mother!"
"He's a good doctor!"
"Those who know how to save money for the people have the meaning of medical ethics are good doctors." She looked at Liu Haihua, with a menacing attitude.
All right.
Fang Ziye retired directly at that time.
After Liu Haihua was touted by the middle-aged woman there, he didn't show any joy, but shivered, his eyes swept at Fang Ziye, afraid that Fang Ziye would be angry.
Just kidding, how can you compare your medical skills with Fang Ziye?
Yuan Weihong saw that Grandpa Hong kept floating to the ground around Fang Ziye's body, and his face turned dark, so he said, "Then what do you want?" If you continue to make trouble like this, you won't be able to solve the problem. Look at your mother, the dislocation is still there, and every minute you delay is her painful time. β
"If you had done the test in the first place, it would have been good by now."
"How much does it cost to do a check-up?"
The noisy noise of the middle-aged women before actually made the hospitalized family members and patients gather around.
Some patients also spoke: "This girl, let's take care of the old man first, it doesn't cost much to do an examination, or I'll give it to you, look at your mother?" β
The patient's words directly made her break her defense.
Pointing at Fang Ziye: "It's you." If it weren't for you, my mother would have been cured by now. β
"It's you, if you have to say that you don't do an examination, you can't be cured if you don't do an examination, and if you don't come, you will be cured?"
"I'm here to see a doctor, if you don't have the ability to see it, then find a way, don't harm people, okay?" Said the middle-aged woman.
"We spent so much money when we got into the hospital, and now it's not good at all. You still have to check in this hospital, and you will only treat you until you are bankrupt, right? β
"Our advice to you is to go for an examination, will you go?" Yuan Weihong asked loudly.
"The Security Section is here, too."
"Why should I check? Do you prescribe tests or do you become doctors? Are you just thinking about checking? If you don't see a doctor without a check-up? The middle-aged woman bit her to death before Liu Haihua had already talked to her about the treatment.
Yuan Weihong said: "Ziye, write this in the medical record book, and the patient strongly refuses to continue the examination to further clarify the diagnosis. β
Fang Ziye nodded to execute.
The middle-aged woman reacted immediately and snatched the medical record book in Liu Haihua's hand.
And tore off that page of the medical record.
"That's what doctors do in your hospital, isn't it?"
"You talk and bite yourself, not that I refuse."
"I'm going to expose you, I'm going to expose your behaviorβ"
As she spoke, she held up her phone and began to record it.
Seeing this, Fang Ziye said, "Madam, can you please put your phone down?" You're coming to the hospital now to see your mother, not to quarrel with us. β
"If you feel that you are very emotional, can you please call the other family members of the patient and ask them to take the patient to receive regular treatment as soon as possible?"
"And then we'll talk about whose responsibility it is?"
"If you're going to video, we're going to do it too."
"When the time comes, if your family sees the impact of you not taking your mother-in-law to the doctor, and messing around here! Even your child's reaction after seeing this video. β
"We're all irresponsible."
"But I have an obligation to let you know in advance." Fang Ziye said patiently.
There's no point in arguing.
The middle-aged woman was stunned, her expression trembling for a while.
hesitated for a while, as if Fang Ziye's words had broken through the most sensitive bottom line in her heart.
put down the phone, gritted his teeth and said: "You are butchers who eat people without spitting out bones, sucking blood and wanting to suck people to death, and only think about money." β
"If you were the doctors, all the patients' blood would not be enough for you to suck."
"The Butcher in White."
After she was furious, she pointed to the patient who did not help her: "You are the same, do they have medical ethics?" also helped them talk, you don't know how much money they have cheated and you don't know it. β
Hearing this, Fang Ziye first went back to the ward with Liu Haihua to comfort the patient.
Yuan Weihong was patient and asked again: "Madam, I also want to make sure to you, we all feel that your mother's current diagnosis is still unclear, and this is based on very professional factors. β
"Further tests are needed to confirm the diagnosis in order to determine and select the best course of treatment, do you refuse further testing?"
"We have surveillance and cameras here, and everything we happened today can be copied by our department at any time."
"What if."
The middle-aged woman yelled and threw the bag in her hand: "I won't do it!" β
"Sucked by your blood in your black-hearted hospital? Am I stupid?! β
"Mom, let's go, and they're thinking about asking for money."
"I don't do it!"
The middle-aged woman began to support the old man around her and walked outside the department.
Everyone has a bottom line and line of defense deep in their hearts, and if they can break it, they will be afraid.
I don't have much money in total, and I made it like this by myself.
But she still needs a staircase to go down, but she really doesn't know why Zhongnan Hospital can be so stubborn, so that her methods are completely unable to be used......
Looking at the old man's back, Fang Ziye's heart twitched.
Actually, in this old man's situation, if Fang Ziye is reckless, it should be no problem, although her reset situation is special, Fang Ziye can also reduce the risk through his own technology.
But it takes a gamble.
Fang Ziye always remembered one sentence.
In the hospital, unless life and death are a matter of life, any other time of gambling is a hooligan!
(End of chapter)