medical simulator

Chapter 100 Ah~?Orthopedics again? (The first update, please subscribe!)

Tan Zixing rubbed his hair fiercely at this moment, and almost lost his breath, and said:

"Lin Mo, what are you talking about? This is not a good joke!"

"We are having a meeting right now to discuss this patient!"

Tan Zixing's balls hurt, and his whole body was throbbing.

Good guy, he received a report call from the patient's family. He came here in person to solve the problem. He not only helped the patient solve the complaint, but also helped the clinical doctor to mediate the conflict with the patient.

Is it easy for him?

When I came to the emergency department, I called everyone to ask about the situation!

As a result, during the questioning process, the patient's family members brought fruit baskets and silk banners.

So, are we starting to be lonely?
Did Yan Haihan and Guo Haoran deliberately arrange this TN show to let him watch the play?
The attendant named Lin Mo smiled wryly at that time, and said, "Director Guo, of course I dare not make jokes."

"Now the patient's family members are waiting outside, and they have distributed the fruit baskets to other doctors and nurses in the emergency department. I just want to thank you in person."

The corners of Qin Zixing's mouth continued to twitch when he heard the words. He patted the table lightly and asked, "Director Guo, Director Yan, what's the matter with you?"

"Are you asking me to solve the complaint today? Or are you asking me to watch you collect the pennant?"

At the same time, I signaled the people in my office to stop writing, stop writing, and stop messing around.

What the hell, everyone is not idle, everyone has their own affairs and responsibilities. To put it bluntly, my complaint office is in charge of the complaints of the whole hospital, but I don't have so much time to joke with you here.

And this scene is really not good.

"Director Qin, I'm sorry."

"Director Guo and I don't know the situation, let's go out and have a look together."

"Actually, I didn't even know that I was being complained before you called." Yan Haihan immediately stood up and said voluntarily.

This incident happened in the orthopedics department, and it happened in the emergency department. Although Tan Zixing and the others felt that the relevant department was responsible for whichever department it happened in, they called Guo Haoran in, but as a human being, you can't be so shameless.

Tan Zixing has his perspective, and Yan Haihan has his own.

I just think that this family member might be a bit out of their wits, and as soon as they think about it, they should report it first, and then send fruit baskets and pennants...

And at the moment of this gap, Luo Yun finally had the time to secretly look at his mobile phone. After all, he called Zhou Cheng over, so he was worried and threw him to Liang Xueya and left him alone.

But after seeing the message, Luo Yun's expression immediately changed.

After thinking for a while, he lowered his voice and said, "Director Yan, I may know what's going on here."

After hearing Luo Yun's words, everyone immediately turned their gazes over.

Yan Haihan turned his head and blinked, with a puzzled expression: "Do you know the situation?"

"What do you know?"

"Well! I know the situation, but it's hard to say now. We'd better wait until we go out to see the patient and settle the complaint first, and then talk about it in detail."

"What happened to the patient's dislocation is the purpose of our meeting today. Director Yan."

Luo Yun had no choice but to take over the conversation, but at the same time he had to keep it a secret.

This young man Zhou Cheng is too courageous, without Cai Dongfan and Luo Yun's instructions, he dared to go to other groups to show off his power and interfere with patients in other treatment groups.

He can only cover it up first, and then slowly make a conclusion after seeing the results...

When Yan Haihan, Guo Haoran, and Tan Zixing heard this, they didn't pursue Luo Yun's fault that half of what he said left them half confused. What Luo Yun said was right, the root of the matter was the patient's side. If things are dealt with over there, everything after that will be easy to talk about.

If there is a problem there, then today's matter will have to continue, and it may even be a higher level.

Yan Haihan and his group hurried out the door, and then they saw Sheng Kaimei's family members talking and laughing to other doctors in the emergency department. Good fruit compote.

At the same time, he kept scanning, and happened to see Yan Haihan and others, and immediately turned around and walked over, and then held up the banner very respectfully and said: "Dear doctors, you have worked hard, thank you, thank you!"

"Thank you so much, thank you for your hard work on my wife's affairs."

"In my heart, I feel very guilty now. I'm the one who made trouble unreasonably. I'm sorry!" He apologized and handed over the pennant.

Let everyone see it is inexplicable!
If he had such a good temper and was so talkative before, there would be absolutely no complaints today.

Yan Haihan and Guo Haoran did not dare to accept the silk banner.

Zheng Guowei glanced at Liang Xueya immediately, and waved to him. Liang Xueya walked over immediately, and then said in a low voice, "Director Guo, Director Zheng."

"Not long ago, when Sheng Kaimei and Sheng Kaimei's family members were still communicating, Sheng Kaimei somehow walked out of the operating room with her forearm sling on."

"Then she took the initiative to thank me and confused me and her husband who was arguing with me."

"I only found out after asking. Sheng Kaimei said that an orthopedic doctor had done a reset for her. I checked and found that the square shoulder deformity has disappeared. The patient went to the imaging department for an examination by himself."

"Knowing that my husband had a conflict with the department, I insisted on going alone and asked my husband to apologize to the doctors in the department."

"That's it."

Guo Haoran understood Liang Xueya's not-so-clear explanation, and hurriedly asked: "Then you didn't ask, who is that orthopedic surgeon?"

"You just let someone you don't know go to the operating room?"

Liang Xueya usually just followed Zheng Guowei, and she was still very afraid of such a big director as Guo Haoran. She explained in a low voice: "At that time, the patient's family was very emotional, and I was trying to calm his emotions. Otherwise, I was afraid that he would cause trouble."

Lin Mo also nodded and added: "What Xiao Liang said is true. Just now, the family almost dismantled the emergency department. All kinds of high-pitched words insisted on the orthopedic doctor. Xiao Liang has been dealing with patients..."

Guo Haoran felt that he couldn't understand, so he turned his head to look at Yan Haihan.

"Director Yan, who is this from your orthopedics department?"

He found that Yan Haihan was even more confused than himself at the moment.

He looked at Luo Yun, because when he left the conference room, Luo Yun said that he might know what was going on.

Others naturally followed Yan Haihan's gaze and looked at Luo Yun: "Is it Director Cai?"

Luo Yun knew that he couldn't hide it now, so he said, "No, it's not Director Cai."

Then he took a step back and said in a lower voice: "Director Yan, I guess it is Zhou Cheng. He is the only one who is free to come to the emergency department right now."

When Yan Haihan heard Zhou Cheng's word, his face was filled with panic in an instant: "How dare he reset this irreversible joint dislocation?"

"Yeah!" Luo Yun heard Yan Haihan's words getting more and more wrong, and immediately tightened his voice to remind him.

Director Yan, you are the director of the orthopedics department. Now we are in the ward of the emergency department, and there are people from the complaint office of the medical department next to you. As the director, you should protect your brother, instead of turning your back on him.

So Luo Yun continued to remind: "Director Yan, didn't we discuss it just now? This operation and operation belong to the Class I operation stipulated in the document issued by the National Health and Health Commission."

"The authorization of the first-level surgery can be granted by the chief physician or the deputy chief physician, and in emergency cases by the attending physician. We have submitted the application form for surgical authorization to the medical department and have been approved."

"We've just come to the conclusion that residents can perform class I surgeries and procedures."

During the conversation, he kept reminding Yan Haihan not to talk nonsense, otherwise, the person standing here still has the title of resident doctor. Although he is a doctor, he is still only a resident doctor.

According to what you said, he should be the first to be beheaded for public display.

"What we need to pay special attention to now is the patient's reset situation and the reexamination film. The patient's family is still waiting for us." Luo Yun continued to remind in a low voice.

When Luo Yun was speaking, Pang Dingkun's face was cloudy for a while. Luo Yun's words were obviously hitting him.

But he couldn't help it. It was indeed because of him that Luo Yun was called off the stage...

It wasn't that Luo Yun wanted to connotate Pang Dingkun on purpose, but that Luo Yun really could only say so in order to punish the public.

Otherwise, with Yan Hanhan's temper, no matter how well things are done at Zhou Cheng's place, he will definitely bully him in public later.

Seeing that none of the doctors answered, the patient continued in embarrassment: "Director Yan, Director Guo, I know that my previous behavior was quite wrong, but I am also worried about my wife's condition."

"I also ask you to be considerate."

His wife's dislocation is healed, and he is quite polite in speaking.

Only then did Yan Haihan take the initiative to stand up and confront him, saying: "We are doctors, and it is our duty to cure the sick and save the sick. We dare not accept the pennant. Our hospital has a clear rule that we cannot accept anything from patients."

"Whether it's money or not. The director of our hospital's complaint office is here. You can't let me make mistakes."

"Let's take a look at the patient's reexamination film first."

Yan Haihan naturally refused to accept the pennant he gave him. As for whether these words stimulated him psychologically, he felt that Yan Haihan was unwilling to forgive him, but Yan Haihan didn't care so much.

When he complained before, he didn't think about these people's sophistication.

From the beginning to the end, the orthopedic treatment was fine, and he was the one who complained first.

Guo Haoran and others next to him could tell that Yan Haihan's words had a different meaning.

Both the hospital and the Health Commission expressly stipulate that doctors are not allowed to accept bribes, but the pennant that patients voluntarily accept is not included in the scope of bribery.

Of course, strictly speaking, this is what the patient paid for, and Yan Haihan deliberately stepped on this sensitive point.It also makes sense, some people don't want to accept the pennant.

Soon, Sheng Kaimei came back from the imaging department.

Wearing a forearm sling, he saw his husband holding a pennant in front of a group of doctors with a little embarrassment but no one accepted it, so he took the initiative to come forward and bowed:
"Thank you, doctor, it's all my fault."

"My husband was mainly worried about me, so he did something wrong in a panic. Thank you for your generosity. Regardless of our mistakes, you gave me treatment."

In fact, patients do not know that as long as the first diagnosis is made in the hospital, they must be responsible to the end.

This responsibility, whether it is treatment or transfer, must be responsible to the end. The treatment must be treated to the extent that it can be discharged from the hospital. Transfer requires that the patient has completed the transfer procedures, has a receiving hospital and has been hospitalized.

Otherwise, the transfer process, in a strict sense, has to be tracked, which can be described as extremely troublesome.

Hearing this, Luo Yun took the initiative to step forward and said, "Well, you still don't feel the hand right now? Director Yan and Director Guo and I may have to do a physical examination on you. Can you go to the operating room conveniently?"

There are four signs of joint dislocation.

One is the deformity of the affected limb, which is determined by inspection.

The second is pain, even severe pain.This is the patient's supervisory feeling.

The third is limited activity due to pain, which needs to be determined through physical examination.

The third is that the plain film shows that the humeral head is detached from the glenoid of the shoulder joint, which is in an abnormal state.Determined by plain film.

The signs of successful reduction of joint dislocation are just opposite to this.

The disappearance of pain is actually the most direct, and the patient himself feels in charge.The easiest way to determine the success of the reset.

But this one is not applicable now. In order to facilitate the reset, the patient was given a nerve block anesthesia before, and the pain was gone.

Therefore, it can only be determined through other three aspects.

First, the deformity of the affected limb disappears, and it is found through inspection, which is also determined by inspection.

Second, the passive range of motion is restored, that is, under the intervention of external forces, the movement of the shoulder joint in all directions can be completed.The reason why she couldn't take the initiative to move was because of a nerve block anesthesia.

The feeling after anesthesia is limp, and I don’t even know the existence of this part, so how can I take the initiative to move?

Third, the plain film shows that the joint structure is normal...

"Okay, okay!" Sheng Kaimei replied immediately.

If there is a doctor who is willing to take the trouble to do more examinations for her, she is naturally very willing to accept it.

"..."

About 10 minutes later, the patient and his family members bowed to everyone with gratitude.

Yan Haihan confronted the patient's family members, saying that he refused to accept the banner and asked them to return it...

Luo Yun asked Pang Dingkun to write down the doctor's orders that need to be paid attention to in the emergency medical record book, which was also a chance for him to settle the matter completely.

After seeing the patient leave, Guo Haoran, Tan Zixing and others went about their own affairs.

What they care about is whether the patient is still making trouble, whether the patient has been properly handled, whether they still need to take responsibility or whether they should continue to be in troublesome entanglements.

So I'm not interested in asking who is the orthopedic person who did the reset?Did he overstep the group and meddle in other people's business?

As long as the orthopedic staff did not make any low-level mistakes such as leapfrog operations, which affected them.

Other things are internal affairs of the orthopedics department, and that's what Yan Haihan should worry about.Not that they are interested.

They have confirmed before that there is nothing wrong with the resident doctor performing first-level surgery. At most, they can only say that there is no superior doctor present. If the superior doctor is not present, then they have to ask the superior doctor why he is not present?Why is this?

……

After Guo Haoran and others left, Luo Yun took the initiative to find Yan Haihan, and followed behind Yan Haihan in an unconventional manner.

Leaving Pang Dingkun to communicate with the patient's family, this matter is over for Luo Yun and Yan Haihan.

But Pang Dingkun's troubles have not been resolved yet, he has to persuade the patient's family to cancel the complaint...

Complaints can be made with one phone call, but to cancel the complaint, he and the complainant have to go to the complaint office in person to make sure that the complainant has not been threatened, is willing, and has received relatively proper treatment.

This is to protect the interests of patients...

Seeing that there were fewer people around, Luo Yun took the initiative and said, "Director Yan, I'm mainly to blame for this matter. I called Zhou Cheng to the emergency department."

"Otherwise, he won't have a chance to mess around, and I'll call and criticize him severely later."

"What is this thing called? Yuezu is acting on his behalf. He is young and not sensible yet."

"Where can I get this patient?"

Yan Haihan glanced at Luo Yun casually when he heard the words, his cheeks twitched, he interrupted Luo Yun, and asked: "Luo Yun, what do you mean by saying this, is there something in your words?"

Luo Yun immediately stopped talking, and looked up at Yan Haihan, as if he was thinking about the meaning of Yan Haihan's words.

Yan Haihan continued to walk forward and said, "Go and take Cai Dongfan's place, it's not appropriate to call him to the operating room for our team's affairs."

"Besides, I also know about this matter. If it wasn't for Zhou Cheng, I wouldn't be so kind. I'm not a fool, and I wouldn't be so unkind and trouble Zhou Cheng."

"You don't have to deliberately go around several big circles just to protect this kid."

After Yan Haihan finished speaking, he left, leaving Luo Yun in a daze for a while.

Then he walked in the direction of the operating room, but he was still thinking about how Yan Haihan would deal with this matter. With Yan Haihan's temperament, he definitely wouldn't just let it go.

But there is no other way, Cai Dongfan is the only one who can line up with Yan Haihan, so it is better to tell Director Cai about this matter.

There was also emergency surgery, so Luo Yun sent Zhou Cheng a few more messages to beat for a while, and then returned to the operating room, replacing Cai Dongfan, allowing Cai Dongfan to step down and continue to perform emergency surgery...

……

The next day, I went to work early.

Luo Yun and Zhou Chengcheng anxiously waited for the nurse on duty and the doctor on duty to finish their shift, and then waited for what trick Yan Haihan would use.

But Yan Haohan didn't know if today was the surgery day of their group, so he decisively ended the shift: "There is nothing else today, the shift is over."

"Dong Qiansheng, you take the ward round, I will take someone to the operating room directly."

Naturally, Hu Ming and Cai Dongfan didn't say much, so they also took their own people to check the ward.

However, just as Cai Dongfan left the shift room, Yan Haihan patted Cai Dongfan on the shoulder and said, "Director Cai, thank you for what happened yesterday."

Cai Dongfan said casually: "Small things, Director Yan, we are all in the same department, we should help each other, thank you very much."

The corner of Hu Ming's mouth twitched. He obviously knew what kind of riddle Cai Dongfan and Yan Haihan were playing, and he didn't explain it. He just patted the stunned attending physician in his group and pushed him forward.

Yan Haihan took the person away and left the operating room.

Cai Dongfan conducted regular ward rounds, and after the ward rounds, he called Luo Yun and Zhou Cheng to the director's office.

Du Yanjun and Zhang Zhengquan are still on a daily basis, one goes to grab a medicine replacement cart, and the other goes to the office to write medical records.Including Zhang Zhengquan, the enthusiasm suddenly became full.

After all, even though Zhang Zhengquan gave up fighting for a place in the hospital, he couldn't resist yesterday when Cai Dongfan went to the emergency surgery in person in Zhou Cheng's absence, he paid him all the attention.

Zhang Zhengquan felt that if he didn't be more active, he would really be sorry for Cai Dongfan's attention to such a degree, so this morning, he arrived at the department at seven o'clock earlier.

Although Brother Zhou Cheng has been led into small alleys many times, I have never seen Director Cai and Teacher Luo Yun teach him so attentively...

If Cai Dongfan and Luo Yun knew what Zhang Zhengquan was thinking at the moment, they might feel sorry for the child.

-

In the director's office, Cai Dongfan clasped his hands together, crossed his fingers, and placed them flat on the table.

Then, looking at Luo Yun and Zhou Cheng, they said directly: "If someone asks about what happened yesterday, just say that I was the one who reset it."

Luo Yun and Zhou Cheng kept their mouths shut.

After finishing speaking, Cai Dongfan continued to say to Zhou Cheng: "Because I am the only one who has the time to feel ashamed to interfere with patients in other groups. You two owe me a little."

"The people in the department, Yan Haihan and I know who did it, and we know who it is. But we can only say that."

"Pang Dingkun is a doctor, a doctor in this hospital. Everyone is in the circle of the No. [-] Hospital. We are still brothers in the trenches. Those who should save some face should save some. The benefits that are due to you will not be less."

"But if you can take care of other people's face while getting benefits, it will be a win-win situation."

Speaking of this, Cai Dongfan took his right hand from the crossed fingers, knocked on the table, looked at Luo Yun, and said: "Yan Haihan is going to set up a general duty in the department for joint dislocation and fracture manipulation."

"Luo Yun, what do you think of this matter?"

Luo Yun's eyes widened——

⊙﹏⊙?

"90.00% of the performance of this total shift is at your personal control, and the department only takes [-]% symbolically." Cai Dongfan continued to tap on the table leisurely, like a devil, tempting Luo cloud.

_？
"Ah~? This~?"

Can I say no to this?

……

Meanwhile, in a certain operating room.

When a young girl heard what her teacher said, her face turned pale with fright, and she kicked her feet back several big steps!
Then, pale and aggrieved, he cast an aggrieved look at his teacher, and muttered in a low voice, "Ah~?"

"teacher?"

"Orthopedics again?"

(End of this chapter)