medical simulator

Chapter 137 Entrusted with a heavy responsibility! (seeking subscription)
Choosing Fantun as the reason is actually not very good, but it is also quite good.

At least, after a while, when Zhou Cheng checked WeChat again, neither of them replied.

However, when Zhou Cheng was still polishing the material for the night's simulation, his phone rang as if deliberately against him.

He looked up and saw that it was Luo Yun calling.

Immediately answered the phone: "Mr. Luo, what can I do for you?"

Luo Yun immediately said: "Xiao Zhou, are you free now? Can you come to the operating room?"

"Here, something is wrong!"

Zhou Cheng frowned slightly when he heard this, he didn't like being interrupted while studying.

Lin Lin from Hu Ming's team was on duty today, and Zhou Cheng couldn't even take the deputy shift.As for Luo Yun, who was on duty, he was only in charge of joint affairs, and usually would not go to the operating room.

But emergency situations were not ruled out, so he quickly stood up: "Mr. Luo, is it a complicated and irreversible dislocation?"

"I'll come right away."

Luo Yun immediately replied: "It's not a dislocation of the joint, it's because I met an emergency trauma patient today. Zheng Xuanlin has already done debridement and external fixation with external fixation brackets, and the blood supply during the operation is pretty good."

"But after stepping down, I found that the pulse of the dorsalis pedis artery was gone. CTA showed that the position above the bifurcation of the femoral artery and the deep femoral artery was blocked, and the condition of the distal end could not be displayed. Now the patient was dragged into the operating room again. Do thrombectomy."

"But you also know that Director Huang's vascular surgery department just hangs a sign by the way. So?"

When Luo Yun talked about this, he said again: "Yang Yifeng has gone back to school now, and is not in the sandy area."

"It's not very easy to ask someone to come over for consultation."

"Because this patient has damaged lower limbs!"

Zhou Cheng understood, and asked Luo Yun in a low voice: "Does Teacher Zheng Xuanlin think that we have successfully performed a limb salvage technique, so he wants to make this one too?"

It's quite straightforward.

Amputation indications, in addition to vascular injury and thrombosis, there are other conditions.

③ Limbs are severely infected (such as gas gangrene), and most of the limbs are necrotic and there is no other way to preserve them.

④Limbs suffering from malignant tumors that cannot be partially removed.

⑤ The limbs have been severely damaged, and the main blood supply, muscles, nerves and other important tissues cannot be repaired or reconstructed by other methods to restore their functions.

In situations like these, it is more risky to attempt limb salvage.

After Zhou Cheng finished speaking, Luo Yun was stunned.

Because next to Luo Yun, Zheng Xuanlin and Hu Ming were standing there.

Embarrassed at the moment, Hu Ming also looked at Zheng Xuanlin with hatred, his face turned green and red.

Luo Yun walked away a few steps with embarrassment all over his face, and walked out of the operating room first.

Hu Ming scolded Zheng Xuanlin in a low voice, "Look at what you've done!"

Zheng Xuanlin said, "Director Hu, the patient's blood supply was still smooth before. I could really feel the pulsation of the dorsalis pedis artery."

Hu Ming scolded: "If you have blood, you can do limb salvage? Who told you?"

"Don't worry about the continuity and activity of muscles and nerves, are you just a pig's brain? Or did you drink too much horse urine today..."

After Luo Yun walked out, he replied to Zhou Cheng: "We can think about these issues, but don't talk about them."

"Zheng Xuanlin really has no choice. When he can only communicate with the patient, he told you that you have undergone limb salvage surgery, and you can still think of a way!"

"That's why I called me first. I'll come down and have a look, and then let me call you."

"Why don't you come over to see the situation first? After all, it's a matter in the department." Luo Yun's tone was full of unity and friendship.

Hearing this, Zhou Cheng immediately understood what Luo Yun meant, and asked, "Mr. Luo, did Mr. Zheng Xuanlin really tell the patient that I have done limb salvage, and how can I think of a way to do it for this patient? "

"Say it." Luo Yun looked around, and Zheng Xuanlin followed.

Zhou Cheng immediately shook his head like a rattle: "Mr. Luo, then I won't dare to come."

Zhou Cheng immediately faltered.

Damn, this Zheng Xuanlin is absolutely amazing!How smart he is, he is the only one in the world who knows how to behave!
He has mastered the two skills of killing and picking vegetables so well, is he the smartest in the whole world?

Zhou Cheng also understood that Luo Yun explained so much to him, not the kind of firm tone that asked him to come to the operating room as soon as he opened his mouth.

continued:
"Then whoever said it, let's find a way. Anyway, I haven't said this. If the patient reports me, Mr. Luo, you have to testify for me. I never said such a thing."

"Limb salvage surgery belongs to level III or even level IV surgery. I can't do it, and I don't have the authority to do it."

"It's useless for me to see it, Mr. Luo."

"The combination of trauma and thrombus is the best indication for amputation." Zhou Cheng said in a cold tone.

If Zheng Xuanlin hadn't mentioned this to the patient, then Zhou Cheng might have gone to see it, but if Zheng Xuanlin had said this, wouldn't that be equivalent to putting Zhou Cheng on the grill?
What do you mean I, Zhou Cheng, who has undergone limb salvage surgery, can find a way to save his limbs?

Then if I can't keep it, it will be my Zhou Cheng's problem?
Can you save your own limbs, do you have a little bit of guessing ahead of time?
Luo Yun could only nod his head 'helplessly' and said, "That's fine, I'll just let Zheng Xuanlin and the others go back."

Luo Yun felt it was quite funny in his heart at the moment, this Zheng Xuanlin was simply too much.

After Luo Yun re-entered the operating room, he said, "Director Hu, brother Zheng, Xiao Zhou said that he is not sure, so it is not easy to come."

Hearing this, Zheng Xuanlin's expression suddenly changed, and he said in a panic, "I'll call Zhou Cheng again."

At this moment, Zheng Xuanlin was really flustered. When this patient was first admitted to the hospital, the people in the emergency department had talked to the patient about amputation, but they were only exploring the possibility.

When Zheng Xuanlin knew that Luo Yun had done limb salvage surgery in the department, he was afraid. When he competed with Luo Yun for the deputy chief physician next year, his resume would be severely lacking.Therefore, after seeing that the patient's blood supply was in good condition, he also thought about trying a limb salvage surgery.

During the operation, everything was fine, and Zheng Xuanlin even called Hu Ming to announce the good news after the operation.

Then, not long after being sent to the ICU, they called and said that the back of the patient's feet was cold and there was no arterial pulse.This really shocked Zheng Xuanlin...

Then calling Huang Shinan here again, there is no other way.

Another CTA showed that the blood vessels in the affected limb were blocked, which could not be visualized.

Originally, calling to beg Zhou Chenglai made Zheng Xuanlin feel quite humbled, and he was sending his resume to his competitor Luo Yun.

Unexpectedly, Zhou Cheng is still unwilling to come, he is only a resident doctor now, and he can think of asking you to help, it is because you are useful!Not because of anything else!
Seeing this, Luo Yun watched Zheng Xuanlin take out his phone to make a call, but his expression and gaze gradually turned cold.

Zheng Xuanlin, if you don't trust me, don't let me call our team!
WTF?

However, Zhou Cheng is just a resident doctor in the department. Although there are different groups, it is not the personal belongings of the group director.

Strictly speaking, Zheng Xuanlin was still Zhou Cheng's superior doctor, and had the right to let him do things.

Hu Ming didn't try to dissuade him, but pulled Luo Yun aside, explaining: "Luo Yun, please don't tell Director Cai about this matter, after all, it is a matter of the department."

"If there is any medical accident in Zheng Xuanlin, our department will also bear the joint responsibility in the end."

"Xiao Zhou's strength is good. We all know it. If he is willing to come to the operating room, then the possibility of limb salvage for this patient will be even greater."

"It's good news for patients and their families, and good news for the department. It's a win-win situation."

Although Luo Yun didn't dare to directly attack Hu Ming like Cai Dongfan did, he still asked, "What about Zhou Cheng?"

"Director Hu?"

Hu Ming rolled his eyes and said, "It's also a good thing. It proves that he is very strong and worthy of entrusting him with important tasks. He is a strong soldier in our department."

"Then what if the limb salvage is not successful? This patient has been damaged plus the embolism of the current artery."

"Director Hu, you should also know that under such circumstances, the possibility of completing the limb salvage is extremely small. From the very beginning, don't give the patient and family members too much expectation of limb salvage!" Luo Yun said bluntly.

You can't drag our entire department into the water to wipe your ass just because Zheng Xuanlin in your group wants to be competitive!
How could Hu Ming not know what Luo Yun meant, but at this moment, the matter has come to this point, and he has no turning back.

Zheng Xuanlin, as his immediate family, had to protect him. If he couldn't even protect his own people, then he would only be a joke.

Hu Ming said: "Xiao Luo, you can't say that. As doctors, medical ethics are actually more important than medical skills!"

"Isn't there a saying in ancient times that those who cannot be close to the Buddha in virtue cannot be doctors."

"As long as there is a slight benefit, it is good for patients and patients, as doctors, we should spare no effort and do our best to seek benefits for patients!"

Hearing this, Luo Yun turned his eyes and grinned: "Director Hu, do you know that those who cannot approach Buddhism with virtue can't be treated as doctors?"

"Those who do not know the present and the past, do not understand heaven and man, are not close to immortals, and their hearts are not close to Buddha, they would rather plow the fields and weave cloth to get food and clothing, and must not be a doctor to mislead the world!"

"Medicine, therefore, is a sacred profession. It is not a tool for future generations to choose a technique and live without a successful study or a livelihood. It must be that wisdom has long-standing roots, thoughts have dedicated learning, and the principles of heaven and man are exhausted. book, and then you can talk about medicine."

"The full text of this sentence is not that those who do not have a heart close to the Buddha, do not know the past and present, and do not understand heaven and man."

"Study and virtue, among the four, virtue is only one of them, not, a person with high virtue and kindness can be a doctor!"

When talking about this, Luo Yun said bluntly: "Director Hu, do you know how big the difference is between being unrighteous and injustice?"

"It's just a letter difference."

Heart, human heart.

art, technology.

Those with bad intentions or unequal intentions are killing people, and those who are not kind are saving people!

What Luo Yun said was not straightforward, but Hu Ming's expression also changed after hearing it.Looking at Luo Yun, his face was tangled and complicated.

To be honest, Hu Ming was angry in his heart, but he had nothing to do with Luo Yun.

Luo Yun is well-organized, and he is also a member of Cai Dongfan. As long as he doesn't try to kill himself, it will be difficult for him to wear his little shoes.

What's more, people like Luo Yun are not easy to provoke. If they go too far in the process of wearing small shoes, and they invite the teacher, they may lose their skin!
Therefore, Hu Ming could only suffer from Luo Yun's sarcasm about him, Hu Ming and Zheng Xuanlin, who both worried about going to heaven, but they didn't have the ability to go to heaven.

Luo Yun walked into the operating room when he heard Zheng Xuanlin getting angry.

"Zhou Cheng, Director Yan can call you, why can't I call you? Do you think I'm not the director, so you can completely ignore me?"

"Or, do you think Director Hu is not the director of the ward, so you can ignore his words?"

"Do you really want to put the flattery in the department on the surface?"

"I just asked you to perform a thrombus removal operation!"

Seeing Luo Yun approaching, Zheng Xuanlin said again: "Zhou Cheng, are you sure you won't come? You know how to remove thrombus."

"Mr. Zheng, I have already said, first, after the injury, a thrombus occurs again, even if the thrombus is removed, I don't have the ability. Second, I don't need it, and it's not my business. Sorry, I still have I have my own business." Zhou Cheng still replied firmly.

If Zheng Xuanlin was willing to say good things, he would go.

But this deliberately buried a hole for him secretly, not to mention that there is no way, even if there is a way, Zhou Cheng will not go.

Zheng Xuanlin was so angry that he hung up the phone.

Then he said to Luo Yun: "Luo Yun, that Zhou Cheng in your group didn't even want to come, so I just went and told the patient's family. If anything happens later, don't blame me!"

Then I have to run out of the operating room to actually talk to the patient.

But Luo Yun followed a few steps, and looked at Zheng Xuanlin seriously: "Brother Zheng, do you really want to make such a fuss?"

"If you really want to make such a fuss, if something happens later, don't you blame us?"

This is Luo Yun setting the final bottom line for Zheng Xuanlin.

What you like to think, how to do it, and how to be able to do it are your own ideas and things, but you have to deal with the junior doctors in our group unreasonably and unscrupulously.

If you even put a shit bowl on his head in order to downplay your responsibility, then don't blame me.

You are in a demon, you don't treat me and Cai Dongfan as human beings anymore.

Zheng Xuanlin stopped halfway, and turned to look at Luo Yun: "Luo Yun, are you going to support Zhou Cheng, a lawless and defiant little Zhupei, and then come to deal with me?"

"What is he? He came here for Guipei, and he doesn't take Zhupei seriously. Can you blame me?"

"Relying on my own ability, I started to show off in the department, defiantly!"

"Luo Yun, are you sure you want to do this?"

Luo Yun felt that Zheng Xuanlin was simply obsessed, and said, "Calm down first!"

"Brother Zheng, don't be too emotional now, go talk to the patient and his family about the amputation, and there is still a way to go."

"If you insist on letting Zhou Chenglai take the blame for you, do you think you can shirk your own responsibility? This is impossible. He is a resident physician, and you are the attending physician. Wherever the trouble arises, you throw it on him." Responsibility not to lose half a dime! This is one of them.”

"Secondly, even if Zhou Cheng may be punished, it comes from moral condemnation, so what good is it for you?"

"You are happy, but what do you do yourself? How do you let other trainees see you, how do you let Director Hu Ming see you. How do you let other directors in the department see you."

"Can I do this to you next time?"

"Brother Zheng, one thing we have to remember is that if you want to live in a fair world, you must first respect fairness yourself. Follow fairness and principles yourself."

Speaking of this, Luo Yun took another deep breath: "I just hope Brother Zheng, you can think about it carefully. If you think about it, if you really want to feel happy like this, then that's your freedom, and I won't stop you."

"But we are friends anyway, let me tell you, regardless of whether Zhou Cheng has hidden social connections or not. Now there is a person in the department who is not from our hospital!"

"At least you can't keep this person's mouth shut!"

Luo Yun didn't provoke Zheng Xuanlin, but he didn't try to intimidate him, he just reasoned with him calmly.

If Zheng Xuanlin doesn't listen, then he has nothing to do, he has done the last advice from his best friend!
It was because the other party didn't regard him as a friend and stopped listening.

Zheng Xuanlin's steps paused slightly, and his face suddenly became a little embarrassed.

Yes, Zheng Xuanlin suddenly felt that he had overlooked one factor, and that was Yang Yifeng.

Yang Yifeng is a dude, in front of Yan Haihan and Huang Shinan, the two directors, he won't go on stage if he can't say it, how can you reason with him?

Even if he can shut the mouths of everyone in the department, including Yan Haihan, he will only calm down, but he certainly can't shut the mouth of Yang Yifeng!
Can?
Zheng Xuanlin felt extremely uncomfortable at the moment.

Glancing at Luo Yun, he walked out again, and then reported to Hu Ming in a low voice: "Director Hu, Zhou Cheng still refused to come."

Hu Ming sighed and said: "If you don't want to come, then don't come, it's not a big deal."

"Do your best and obey the destiny."

"Let's go talk to the patient's family, the amputation is still going to be done! Only this time, it's still going to be amputated at a higher position!"

Hu Ming also knew about Zheng Xuanlin's stupid things, but Zheng Xuanlin had already done everything and said what he said, so what else could he do?Can you give up Zheng Xuanlin, sell Zheng Xuanlin, and then go to Zhou Cheng to apologize with a hot face and a cold butt?
That is impossible.

The world will function without anyone, and so will the treatment.

……

After Luo Yun stayed in the operating room for about ten minutes, he saw Hu Ming come in cursing, as if scolding the patient's family members for being unreasonable and unkind.

But after seeing Luo Yun, he also stopped talking.

After all, it was Zheng Xuanlin who owed it first, and after giving hope to the patient, he gave hope to the patient, saying that someone in the department would still perform limb salvage surgery, and it was worth looking forward to.

Wasn't Zheng Xuanlin kicked in the head by a donkey?
He felt that Zhou Cheng had done a limb salvage surgery, so he had to make one, and he regarded Zhou Cheng as the last backer.

On weekdays, I really don't know that Zheng Xuanlin would have such an idea.

Hu Ming frowned fiercely, feeling embarrassed, waiting for Zheng Xuanlin to appease the irritable family members of the patient.

After another 10 minutes passed, Zheng Xuanlin came in again with an uncertain expression, and said, "Director Hu, the patient's family members called the medical department and reported us."

"Say we misdiagnosed, the people from the medical department just called."

"I can't make up my own mind, so they will come to the operating room in person later to communicate with the patient's family."

After speaking, he looked at Luo Yun and sighed.

He felt that it was an absolute mistake to call Luo Yun in advance. If he called Zhou Cheng privately early, the matter would have been resolved long ago.

I don't know why Hu Ming wanted to give Luo Yun a chance to get in the way.

There are so many incidents.

……

Someone from the Complaint Reception Office under the Medical Affairs Department soon came, and it was Tan Zixing who came, but the recorder he brought today was not the Zhu Qingqing that Luo Yun saw last time, but another gentle-looking man. Comrade.

About 25 or six years old, wearing glasses, not tall or fat, with a medium build.

After Tan Zixing entered the operating room, he asked Hu Ming and Zheng Xuanlin to come out and explain the situation.

Zheng Xuanlin was the first and main clinician, so he immediately explained what happened.

It probably means that, based on humanitarianism, he considers the patient and his family, and tries his best to give the patient a hope of limb salvage, so that the patient can obtain the greatest recovery effect after the operation.

Only then did the limb salvage fail and amputation was required. He had already told the patient that all previous surgeries could be done free of charge, but the patient and family members still did not accept it.

Zheng Xuanlin didn't dare to mention Zhou Cheng's matter, such a embarrassing matter, he was ashamed to go to the medical department to say it.

Hu Ming didn't mention it either.

So soon, Tan Zixing asked Hu Ming and Zheng Xuanlin to meet with the patient's family.

The patient's wife rushed in first and said, "Leader, you should take care of the doctor in your hospital. I think he just doesn't understand medical skills at all. When I was in the emergency department, an old doctor over there gave me medical advice. He said that he might have to amputate his limbs. He couldn’t keep it.”

"It's him. He said he can try to save his legs."

Speaking of this, the patient's wife said very angrily: "Facts are facts, we must respect the facts, and we have to protect the legs that we can't keep. Isn't this a nonsense?"

"We have been asking whether we can keep it, are we sure, and he said yes! You see, he had an operation, and he was pushed to the ICU. He said he couldn't keep it, and he was pulled back to the operating room for amputation."

"After paying tens of thousands of dollars, I just toss around. Isn't this a deliberate cheating of money?"

Hearing this, Zheng Xuanlin hurriedly said: "This lady, Director Qin, don't listen to him. No mature doctor will say that he is sure and [-]% able to handle such an extremely unprofessional answer. .”

"Whether it's the terms on our informed consent form for surgery or our conversation process, I'm only strictly saying that we can look forward to limb salvage for the sake of the patient's subsequent quality of life!"

"On this point, I want to declare in advance that even if the patient can provide a recording of the conversation or other objective evidence, I still insist. I never said that I can guarantee limb salvage!"

The patient's wife yelled loudly when she heard the words: "You doctors, you can play charades and go around in circles. Doesn't it mean that you can expect it?"

"You said you could keep it, but you didn't. Isn't this a technical problem?"

"Director, you have to make the decision for us. They are ignoring human lives, and they are probably cheating us of money. My husband still doesn't know what's going on. He said that if he continues to hesitate and refuses to agree to amputation, he still has his life. Danger."

"You have to help us find a way. There are gods watching this." The patient's wife cried, feeling extremely wronged, with an expression that I didn't understand anything, but was deceived by him. .

Tan Zixing raised his hand and said, "Hello, please calm down first."

"I want to ask you, did the doctors in our hospital tell you, definitely, guarantee, absolutely, [-]%? Do you have any objective evidence?"

As the director of the complaint office, Tan Zixing naturally has his own set of procedures.

The patient's wife rolled her eyes a few times.

In fact, she didn't, but she still cried and said, "I don't remember so much, I just thought that he said he could save his leg, and now he didn't say that he would amputate it. The money was wasted. I still suffer! "

"If he had said that he was not sure, we would have chosen amputation, and we might not even have to go to the ICU."

"Definitely, definitely. If he doesn't say that he can definitely save the limb, we definitely don't agree to the limb salvage. We have already said that the amputation is going to happen." Another family member of the patient, who seems to be his brother or brother-in-law, spoke up. .

In addition, the person who didn't know whether it was sister-in-law or sister also said: "Yes, we all heard the meaning, otherwise, if you said that the limb should be amputated, how could we choose limb salvage?"

Tan Zixing nodded, raised his hand and asked, "That is to say, all of you, from the very beginning, never thought of saving the patient's limb, did you? It's going to be amputated, right?"

"Then if I tell you now that all the previous surgeries will be free of charge, and all of them will be treated as amputations, and all the money will be refunded to you, would you be willing?"

Tan Zixing came to solve the problem, and asked Hu Ming from the Department of Orthopedics about his bottom line.

Continued: "Although the patient suffered a little during this process, we still consider his life after all."

"On the basis of not spending too much money on you, are you willing to agree to amputation now to save his life? I don't want this leg."

"Agreed, of course!" The middle-aged couple nodded immediately and were about to answer.

But the patient's wife glanced at them, making them silent.

The patient's wife is very tangled and embarrassed at the moment!
After this sentence, my husband's feet are really gone.

Now that I can spend less money, I am more greedy.Then he asked Tan Zixing: "Boss, can't you think of a way to save your leg?"

At this point, Tan Zixing finally said: "Isn't this still the case? Your family members also have a strong willingness to save their limbs. We doctors only give you suggestions and provide you with treatment help according to the patients' conditions in different periods. That's all."

"We must respect the objective facts. When we were first admitted to the hospital, there might still be the possibility of limb salvage, but to be honest, in the current situation, let alone whether the possibility of such limb salvage is very high or not. I dare not protect it any longer.”

Tan Zixing has received many invalid complaints, and he must find a way to deal with them, but how to solve this matter.

In the process of processing, how to get the patient's words and authenticity out, this is what he needs to mediate.

"I'm in the medical department here, and it's also a functional discipline in charge of all departments in our hospital. I'll be a third-party witness in person. Are you guys considering amputation to save your life?"

"Still considering, in order to continue to save limbs, continue to go to other hospitals for treatment?"

"Our Eighth Hospital is not the best hospital in Hunan Province, let alone Shashi. We have always acknowledged the gap between us and other hospitals. Thank you very much for trusting our hospital and sending patients to us. However, we have tried our best , still not achieving the best results you could have hoped for."

"But we also dealt with the patient's affected limb in the first place, stopped the bleeding, dealt with the fracture, etc. It temporarily saved him from the risk of losing his life due to bleeding."

"But it's not the worst step yet, you still have a chance to make a choice."

Tan Zixing looked at everyone, waiting for their final reply.

He knew that the patient's wife would speak out her truest thoughts for the sake of her husband's legs, but the other two were not necessarily sure.

But now, he also needs, the patient's wife is willing to be persuaded by the other two.

That's the trade off...

This kind of patients actually love money, and feel that if they don’t keep their limbs, they are wasting money, so if they don’t keep their limbs, they should get their money back.

But there is no way, the domestic system is like this, humaneness comes first, even Tan Zixing feels that he is insulting his own people by handling this way at the moment, but for the satisfaction of the patient's family members, the limb salvage operation that he has performed and worked hard Fees are waived.

Tan Zixing did not create such a thing as seeing a doctor as consumption.

However, although Tan Zixing couldn't control the absurd truth that the patient felt—you didn't save my limbs and still charge me money?
Then, Tan Zixing didn't want to mention any possible ways to save the patient's limb at all.

Tan Zixing has also understood that damage is an absolute indication for amputation, so it's not too much to add to the problem.

……

5 minute later.

The patient's family members signed the consent form for the amputation, and then Hu Ming led Zheng Xuanlin to carry out a standard amputation teaching operation.

The patient's wife cried with joy when she heard that her husband was no longer in danger, but she cried even harder when she heard that he had lost his leg!
A man is the backbone of the family...

In the operating room, Zheng Xuanlin listened to the cries of the patient, his face and heart were full of helplessness and sadness.

He scolded in a low voice: "Damn it, your heart is as cold as ice. You can do it, but you don't even look at it!"

Beside, Hu Ming heard that Zheng Xuanlin was scolding Zhou Cheng, but he finally glanced at Zheng Xuanlin, and said lightly: "Xuanlin, the patient's current amputation is not because of Zhou Cheng, but because of you. of!"

"do you understand?"

"You know, the two words of heart art and heart art, heart is heart, art is art, these are two words!"

"The heart is the first, and the skill is the auxiliary."

"Think about it for yourself. Where exactly did you go wrong? Which step did you go wrong? Then Zhou Cheng, why didn't you want to come?"

"From the very beginning, you didn't choose to perform this operation in order to save the patient's leg."

"You are for yourself."

"In the end, you still didn't turn to Zhou Cheng for help to save the patient's leg. You did it to exempt yourself from responsibility, to avoid admitting that your medical skills were not good, and to protect yourself from any influence."

"You have to know that from the moment you talk to the patient, your patient is already doomed. He must be seen by you. He can't choose. But you have a choice."

When Zheng Xuanlin heard Hu Ming's words, he turned his head away with a complicated look on his face.

"One hundred good filial piety is the first, regardless of the heart, regardless of the deeds, no filial son in the poor family."

"All evils and adultery are the first, regardless of the deeds, regardless of the heart, and there is no good person in the world."

"This sentence is not in our profession of doctors, but it can be used as a reference." Hu Ming patted Zheng Xuanlin's shoulder well.

He didn't say much, although he could best understand Zheng Xuanlin's inner thoughts, Zheng Xuanlin was flustered when he felt that he couldn't catch up with Luo Yunhou, and wanted to show eagerly, unwilling to lag behind others.

However, the heart still needs to be raised slowly.

It's just that what Hu Ming doesn't understand is why this Zhou Cheng is so calm.

Logically speaking, even a person of Zheng Xuanlin's age is a bit impatient.How could Zhou Cheng remain indifferent after hearing Zheng Xuanlin asking for help?
Although Zheng Xuanlin was in the middle of the conversation, he was a bit crossing the river and demolishing bridges to shift the blame.

But isn't there me at the end?I, Hu Ming, am the chief physician anyway, don't I even have the ability to handle this?What's the matter with you?

Zhou Cheng couldn't resist coming!

It's also really weird.

……

When Zhou Cheng heard Luo Yun say that the patient was finally amputated, Zhou Cheng's heart was pulled hard.

After taking a deep breath, he didn't want to read any more, and asked Luo Yun, "Mr. Luo, isn't it a little too unreasonable for me to be like this?"

"Patients are innocent after all."

Luo Yundao: "The patient is innocent, so aren't you innocent?"

Luo Yun was very angry, if he hadn't persuaded him, Zheng Xuanlin might have done something wrong.

"Besides, in a doctor's life, the only patients he can reach are his own patients. For others, it can only be said that there is no fate."

"When we called, someone died and we didn't know."

"The number of people who die of illness in the world every day may exceed ten every second!" Luo Yun persuaded Zhou Cheng, but did not report Zheng Xuanlin to Zhou Cheng.

Zhou Chengdao: "But today, I can actually come over to take a look at this patient. Although I'm not sure there is a better way, but what does Teacher Zheng Xuanlin tell the patient's family that I can be cured?"

"Then I really dare not come!"

Not afraid of god-like opponents, but afraid of pig-like teammates.

Although Zheng Xuanlin is not a pig, the things he does are worse and more disgusting than pigs. Doesn't this mean that he is putting himself together?

"Don't think about it, the main thing is to tell you that your choice today is not wrong, and you can go there without hearing someone asking you to help."

"Also, you have to learn from what happened today."

"Medical care is not simply a matter between a doctor and a patient, but the fate between medicine, patients and salvation."

"As doctors, we do human things. It's not just as simple as prescribing medicines for patients, taking medicines for patients, and then leaving the hospital."

"You have to be stable first, and then you can be stable." Luo Yun made a concluding speech.

Then I remembered that the person I was talking to was someone who was as stable as an old dog.

Otherwise, ordinary people may not be able to hear the hint when I called Zhou Cheng that I should not let him come.

Then he said: "Of course, when it's time to make a move, you still have to be courageous and responsible!"

"Don't jump when you see a pit, don't be afraid when you are in a hurry, don't panic when you see the unknown, see the dead face to face, and still keep your face unchanged, and can still treat patients carefully with words and deeds. This is a good doctor."

When Luo Yun said this, he said again: "Speaking of which, I actually have a topic here, you can think about it as you like."

"Everyone has a balance in their hearts to measure which is more important, medical skills or medical ethics."

"Some people think that morality comes first, as long as it saves money for patients, fully considers patients, and does not cost money, it is medical ethics."

"Some people think that medical skills come first, regardless of morality, prescribing the medicine with the least side effects for the patient, giving the patient the appropriate treatment according to the best standards, and improving his quality of life later are the most important."

Zhou Cheng said: "Mr. Luo, this proposition is a bit too big. I don't know how to measure it."

"I'll just do my own thing first."

Luo Yun said: "Then you have to start weighing, because you have reached this level, it's time to consider the balance between the two."

"Unless you have never thought about performing operations in the department alone or going to the outpatient clinic to see patients by yourself. Then just pretend I didn't say anything."

"I am a full-time outpatient on Sunday, and I have a lot of calls. If you figure it out, just reply to me."

"..."

After hanging up the phone, Zhou Cheng froze in the room.

No wonder Luo Yun talked to him so much, it turned out to be.

What Zhou Cheng never expected happened, he came.

Luo Yun, invite Zhou Cheng to sit with him in the outpatient clinic!

Well, it was Luo Yuncong who was coming to the separate outpatient clinic of joint surgery. Luo Yun said that there were still a lot of registered people in the joint clinic, so he was afraid that he would not be able to see it alone, so he asked Zhou Cheng to go to the outpatient clinic with him. !
This is equivalent to asking Zhou Cheng to see a doctor alone, make a diagnosis alone, prescribe medicine alone, and think about the treatment plan alone.

That's why Luo Yun asked Zhou Cheng to carefully consider these words.

Sitting alone is different from simple things like resident doctors sharing beds in the ward.

The patients in the ward are like being divided up by the superior doctor and fed to you.

Patients in emergency surgery also have various trauma histories, so you just need to think about trauma surgery.

fracture--

trauma--

joint dislocation—

Tendon rupture, ligament rupture.

Besides, what else?
Luo Yun asked his question, in fact, he was asking, if you see patients alone, are you willing to prescribe more medicines for the sake of making money, or are you willing to consider for the patients?

So far, there is another meaning, that is, to the patient and his family, he must be completely honest and stern, in this case, surgery is necessary!
The size and the heat have to be carefully handled.

……

While Zhou Cheng was thinking, Luo Yun laughed lightly.

He smiled and said, "Zhou Cheng?"

"Watch Xiao Zhou from the video science department?"

"hello?"

"Suddenly let you see the outpatient clinic, isn't it a surprise?"

"Accidental?"

Luo Yun never forgot that he went to the joint surgery video for Zhou Chengfa.

　Deletions, deletions, and deletions, I originally wrote this question from the perspective of the protagonist, but I was not satisfied, so I deleted and rewritten it. Now this version is not bad.

　　Medical ethics and medical skills are a matter of discussing the heart and deeds.Let’s experience it for ourselves. You can leave a message and be objective.

　　It is great to have both, but more often than not, it is difficult to have both!
　　
　
(End of this chapter)