medical simulator

Chapter 99 So We Have A Lonely Time? (The third update, please subscribe!)

When Liang Xueya saw that Yan Haihan was answering the phone call from the medical department - the complaint office, he scratched his hair.

Beside Liang Xueya, Zheng Guowei tapped him on the shoulder and said, "Xiao Liang, before I know why, I should tell you that, right?"

"In the orthopedics department of our hospital, there is no routine for the manual reduction of joint dislocations. If there is a little carelessness, such a situation may occur."

"Actually, Pang Dingkun is quite good. He has extensive knowledge and knowledge, and he explained it very clearly to the patient and family members before the operation."

"Besides, you also thought that the patient's family members were quite sympathetic?"

"But the fact is that most people only recognize the result, they don't care about the process. Anyway, if they don't do well, they can go to the complaint office of the medical department to complain."

Liang Xueya lowered her head slightly, bit her lip and said, "But Director Zheng, this joint dislocation is originally a sub-specialty of orthopedics. It's not appropriate for such a patient to be sent to other hospitals after he arrives, right?"

To be honest, Liang Xueya has only been on duty for a few days, the process here is to do a 24-hour shift, then rest for three days, and continue for another 24 hours.

A little different from the previous shift.

Liang Xueya's first impression after coming here was that the emergency department of the No. [-] Hospital was quite leisurely, far less than the volume of patients when he was a graduate student in the Emergency Department of the Third Affiliated Hospital of Shonan University.

When he was on duty, he would occasionally be without patients for an hour or two...

Such a patient size, dare to pick and choose?

Zheng Guowei said with emotion: "Xiao Liang, this is what I told you. Our Eighth Hospital is the same as the Third Attached to your graduate school."

"It doesn't matter whether you want to use our emergency department or not. It's a specialist matter. There are only two departments in our orthopedics department. You can't force the orthopedics department to admit and treat all the patients."

"Forget it, let's not talk about this, and learn a lot of wisdom. Just remember it next time."

After finishing speaking, Zheng Guowei continued: "The medical department will definitely send someone to investigate and mediate later. You are the first doctor who sees the patient in the emergency department, and I am your supervisor. Both of us will be called over."

"Just say that you called the orthopedics department for an emergency consultation. Don't mention that the orthopedics department doesn't accept joint surgery patients, it will only make the description more confusing."

"The medical department doesn't think you don't engage in this sub-specialty thing."

"The orthopedics department is already on fire, we can't add more fire."

Zheng Guowei confessed.

Speaking of this patient, it has nothing to do with the emergency department. They received the doctor immediately and completed the examination. If they have a specialist problem, of course they need a specialist consultation, which is not within the scope of the emergency department.

After Pang Dingkun came to the consultation, he decided to reset the patient's manipulation, so they have nothing to do with the emergency department.

The department of orthopedics in the emergency medical records was written by Pang Dingkun, and the talking doctor on the informed consent form also signed Pang Dingkun's name.

Since I have nothing to do with it, I should also avoid stabbing others in the back...

But Zheng Guowei then smiled bitterly and said: "Of course you may not be called, I can't hide anyway."

Liang Xueya looked up at Zheng Guowei, and said apologetically, "Mr. Zheng, I'm sorry, it's my fault that I didn't figure it out, and you got hurt."

"It's okay, it's okay, everyone came here like this. Working in the No. [-] Hospital, there are many details to pay attention to. In addition to the Department of Orthopedics, there are also many details that need to be memorized in other departments. For example, the Department of Neurosurgery is the [-] Ward. Consultation, consultation in Ward [-]..."

"As for the more outrageous department, there is the Department of Cardiology. It is consultation in the first ward in the morning, consultation in the second ward in the afternoon, and consultation in the third ward in the evening..."

Liang Xueya nodded quickly, remembering all these details in her heart...

The people from the Complaints Office of the Medical Department came quite quickly. About 10 minutes after Yan Haihan received the call, two people rushed over. One seemed to be the director of the office, and the other was a staff member. Keep a complaint log book.

After coming to the emergency department, they called everyone related to the orthopedics department, and only Zheng Guowei and Guo Haoran were called in the emergency department.

After all, the department responsible for the 'malpractice' this time is the department of orthopedics, but it happened in the emergency department, so the people in the emergency department would naturally be called over.

Even Luo Yun didn't let go.

When Luo Yun heard that the director of the office had even called him into the office, he had a look of embarrassment on his face.

"Director Qin, do I have to go too? I was called to help me halfway." Luo Yun asked Tan Zixing in a low voice, trying to get away.

He just called Zhou Chenggang and asked him to come over so that he could talk. He just called this time, but he called himself for questioning. Then Zhou Cheng came at that time, wouldn't it be a waste of time?
"Luo Yun, why don't you come along?" Tan Zixing's face was stern, and he looked very rigid, and before the director of the Complaints Office who was quite unreasonable could speak, Yan Hanhan took the initiative to call Luo Yun.

After all, Luo Yun is a major in joint surgery, and it will be easier to talk later, and what he says will be more professional. Even if there is a medical dispute and a lawsuit is required, the arguments provided by Luo Yun will be more convincing.

"Okay, Director Yan." Luo Yun felt a pain in his heart, knowing that he couldn't escape.

And it is estimated that Yan Haihan will beat himself in the department because of this matter in the future.

The manual reset of the joint dislocation was done by him in the department now, and Pang Dingkun was considered as being "broken" by himself.

In front of Tan Zixing and Yan Hanhan, Luo Yun naturally couldn't make the phone call anymore.

So he quickly sent a message to Zhou Cheng on WeChat: "I was called by the Complaint Office to talk, you don't need to come here."

Zhou Cheng guessed that he had been holding his mobile phone and paying attention to the information, so he replied almost instantly: "Ms. Luo, I'm already at the door of the emergency department, so should I come in?"

Luo Yun——

(⊙o⊙)...

"Then you come in and go to Liang Xueya from the emergency department to see the film first..."

"I'm in, so I can't play with my phone anymore." After Luo Yun replied, he didn't dare to play with his phone anymore. Things are very serious now, and it's not the time for joking and smiling.

Pang Dingkun sat at Tan Zixing's door. He is a doctor of the hospital and a certified person. He has first-level surgery and operation authority. Today's incident was caused by him alone, so he naturally bears the brunt of it.

Beside them are Yan Haihan and Guo Haoran, and then Luo Yun and Zheng Guowei...

Tan Zixing said straight to the point: "I won't talk nonsense. Our complaint office received a complaint call. Before going to the patient to communicate, our complaint office follows the usual practice to find out the facts."

"Dr. Pang, you are the first orthopedic specialist to see this patient, so let's talk about it first."

"Zhu Qingqing, please record it with a pen, and don't record it in the complaint file." Tan Zixing ordered the little girl who came with him, and deliberately confessed one more sentence...

……

After Zhou Cheng entered the emergency department, he soon saw Liang Xueya.

Liang Xueya was the patient's number one first doctor. Now the patient's family members couldn't find Pang Dingkun, so they stood in front of Liang Xueya and asked, "Dr. Liang? Where's the orthopedic doctor? Where's the director? None of them are gone?"

When he asked this question, he still felt a little regretful, thinking that he called the complaint call too early, so the orthopedic doctors got angry and all slipped away.

But his wife was still in the operating room, half of her arm was numb, and the pain was gone, but she still couldn't move her hand, and it seemed that there was an obvious deformity.What if no one cares about this?
Just now after he told his wife about this incident, he was severely scolded by his wife, who scolded him for having no conscience, and wanted to complain before his illness was cured, so what if there is no doctor here now? alley?
Of course he can only come to look for it.

Liang Xueya could only helplessly explain: "Uncle, don't worry. Our orthopedic doctor received a call from the complaint office and was called for questioning. He will be back soon."

"They are discussing a solution, so don't worry."

"Then can I not be in a hurry?"

"Is my wife still lying in there?" The patient's husband stopped working at that time, and his voice was a bit loud.

However, it seemed that he was so loud to trouble Liang Xueya, but he didn't find the right person, so he said: "Then I will call to cancel the complaint now, can those doctors come back?"

The corners of Liang Xueya's mouth twitched, and he thought to himself, do you think this is a vegetable market?
Do you want to return it if you don’t want to buy it?
"I can understand your feelings, but the Complaint Office has received a complaint, so it must understand the situation. The hospital and the orthopedic department will definitely come up with a plan as soon as possible." Liang Xueya was talking, and suddenly saw Zhou Cheng walking sideways close.

Zhou Cheng called him, because the patient didn't call him by a private name, but called him a more formal name: "Doctor Liang."

"Hello, Doctor Zhou." Liang Xueya raised his eyebrows when he saw Zhou Cheng, feeling a little bitter in his heart.

Good guy, it's really a coincidence, the reason why I send a patient to the orthopedics department today is because this guy let me send him off when he was on duty last time.As a result, such a stubble came out.

Of course, it cannot be said that Zhou Cheng is wrong.

"Doctor Liang, you haven't told me how to solve it? My wife is lying in it, so just leave it alone?"

"Huh? No one cares?" He spread his hands, his tone mixed with resentment and anger, and he was naturally a little helpless.

Liang Xueya could only ignore Zhou Cheng, and continued to explain to the patient: "But you have complained, and all the doctors in charge have been temporarily called in for questioning."

"I definitely won't ignore it, and the orthopedic department is still in the emergency department and will come soon. The hospital is not selling things on the street outside. If you say you don't want to buy it, or you complain, other people's business continues. Do."

"After receiving the complaint, in non-emergency situations, the operation that may cause trauma must be stopped immediately. It needs to be checked by the people in the office before discussing the solution. Your wife's current situation is not life-threatening, so naturally she can't do it again. Keep going."

"There's nothing our doctors can do about it." Liang Xueya smiled wryly.

The patient's family immediately snorted heavily: "Mmm! TMD!~"

"What luan is this?"

Then he changed his words and cursed: "What a mess, what a mess, I came to the hospital to see a doctor, and I came to see a doctor for treatment. You are responsible for curing me. I pay for it, and you see a doctor. Why are there so many things?"

"Doctor Liang, can you find another doctor?"

"You have to ask the doctor to see it? Let them find a way." He hammered his thigh, but he didn't rush him to death.

This is equivalent to my wife being pushed to the operating room, half of the anesthesia was given, half of the operation was done, and the doctor disappeared, I felt the same mood.

He probably also felt that if he went to the previous doctor again, he must have some thoughts about himself, and he complained to them, so they might retaliate.

Before you can react, try another doctor. If you can treat the disease before the previous batch of doctors, they will be fine when they go home.

"This? Where." Liang Xueya subconsciously prepared to reply, but then remembered that there was really an orthopedic doctor in front of her.

But he immediately dismissed this idea. The level of this doctor is much lower than that of Pang Dingkun and Luo Yun. There is nothing they can do about it. That's the end of the bird.

"Where can I find it now? The orthopedic doctor is arranged by the director of the orthopedic department, that is, the former director Yan."

"The on-duty doctor and the consultation doctor are all arranged by him!"

"Our emergency department can only invite orthopedic doctors to come here for consultation, but we can't take the initiative to choose who will come for consultation." Liang Xueya continued to explain.

He can't do this job, maybe Guo Haoran in the emergency department can have this power, but it is definitely not Liang Xueya, a small doctor who can arrange it.

"I!"

"I've really learned a lot, and I can't find a doctor even when I come to the hospital. It's true!"

"Your eight hospitals have a huge spectrum. I have never heard of this."

"The Affiliated Hospital of Shonan University doesn't have such a big spectrum, and the hospitals in Shanghai and Kyoto are not as outrageous as you!"

"What do you see me doing? Go and find a way for me!"

"You are such a big hospital, open the door openly to do business, find me a doctor! Solve the problem." He actually started yelling at Liang Xueya.

I also don't know who to contact and how to solve this problem.

Liang Xueya was a little regretful at the moment, a little regretful that she didn't go to the 'meeting' with Pang Dingkun and the others, and left herself to face the patient's family alone, feeling quite aggrieved.

But it's hard to say anything, so I can only bite the bullet and say: "I've said it all, the doctors on duty and consulting, and even the director of the orthopedic department have been called by the place you complained to for questioning."

"I have no right to arrange other doctors. It's useless for you to yell at me. I'm just a little doctor in the emergency department."

"I really want to." He raised his fist, but there were two security guards staring at him, not far away, but they kept staring at his hands.

As soon as they raised their fists, their hands parried.

"What are you doing? Fighting is not allowed here. If there is a fight, we can call the police. There are cameras here." The security guard stretched out his hand and stopped him. He was absolutely alone. If there were too many people, he probably wouldn't will be close.

Zhou Cheng frowned fiercely when he heard this.

While Liang Xueya was still struggling with the patient's family, he went to the surgical ward of the emergency department, and sure enough, he saw that the patient's anterior shoulder dislocation was displayed on the computer screen.

In the office of the ward, several doctors were grabbing the computer, but they didn't dare to turn it off.

Zhou Cheng swiped the mouse up and down, and frowned slightly.

This dislocation of the shoulder joint is indeed relatively rare. It is a dislocation of the joint that is irreversible. If the correct method is not found, it is really impossible to reset it. There are more than ten kinds of manipulations for the shoulder joint reset. Try each one for sure. Not advisable.

The humeral head is lodged against the glenoid of the shoulder joint.

This is very troublesome!
Have to find a very good way to reset the job.

After Zhou Cheng carefully read the film for a while!

I went to the doctor's office in the emergency department first, and casually twisted up a white coat to cover the hanging badge.

Send Luo Yun a message!

Then he tightened his mask and walked outside.

When he came out, he looked at Liang Xueya, he was still entangled with the patient's family, and the patient's family was still cursing and telling Liang Xueya what to do in the hospital?What is the truth of a doctor's medical ethics?

Taking advantage of no one's attention, he slipped into the operating room.

Zhou Cheng had no choice. The matter had reached this stage. If he insisted on waiting for Luo Yun and Cai Dongfan's orders before taking action, it would be difficult to end the matter.

Cai Dongfan was probably still on the operating table, and Luo Yun was called to a meeting.

It is still necessary to solve the root cause of the problem first. When patients come to the hospital for treatment and treatment, what they seek is healing, not for quarreling.

I checked my phone, but got no reply.

He could only sneak into the operating room privately...

……

In the conference room of the emergency department.

After Tan Zixing listened to the speeches of Pang Dingkun, Guo Haoran, Yan Haihan and others.

Said to Luo Yun: "Doctor Luo, please tell me, I already understand the general things, let me briefly talk about your personal opinion."

Previously, Yan Haihan specifically brought up the fact that Luo Yun was a major in joint surgery.

So Luo Yun's opinion is very important.

When Luo Yun explained the situation to Pang Dingkun and others, he had already organized the language.

Said: "Director Qin, just now Dr. Pang from our department, Director Guo and Director Zheng from the emergency department have also told what happened."

"I was also called to the emergency department by Director Yan halfway!"

"However, whether it is from the perspective of orthopedics or joints."

"I think it's all fine."

"First, first point."

"Dr. Pang from our department carefully assessed the patient's condition before the operation, and explained the diagnosis—this is the anterior dislocation of the shoulder joint after trauma!"

"No fractures, no symptoms of nerve paralysis on physical examination."

"It is in line with the indications for manipulative reset." Luo Yun put it at the end, so you can't talk nonsense. All these things may go to court, so it is natural to be clear.

"In the clinical treatment guidelines, manipulative reduction is the first choice! Surgical treatment is the alternative."

"Why did you propose an alternative surgical treatment? This is also written in the guidelines. This is an objective fact! This is the consensus formed by experts from all over the country, professors and experts in joint surgery and trauma surgery."

"Surgical treatment can only be chosen after manual reduction fails."

"This is also the second point I want to talk about. Dr. Pang also had a detailed communication with the patient and family members before the operation. Director Zheng overheard this."

"But we must also admit that the medical field is not programmed, and there is no necessary causal relationship between any treatment method and treatment results."

"This fully considers and respects the informed consent of patients and their families. Only consent is required."

"Dr. Pang has done a full pre-operative assessment, and after pre-operative communication, it is the patient and his family who chose the treatment method of manual reduction, but are unwilling to accept the result of manual reduction failure."

"Choose the right treatment but it doesn't work, it doesn't mean that there is a mistake in diagnosis or treatment!"

"And while Dr. Pang has already responded adequately, our orthopedics department has also adjusted the treatment plan in time."

"I have successively adjusted various reduction methods for the anterior dislocation of the shoulder joint, and also called for assistance from the anesthesiology department. These are all procedurally correct. They should also be done step by step."

"Even in the Affiliated Hospital of Shonan University, or even the well-known hospitals in Shanghai and Kyoto, when choosing the treatment method for anterior shoulder dislocation, you can only choose the method of reset first."

"It's just that there is no one-to-one correspondence between any treatment method. Medical guidelines are just reference opinions, and it doesn't mean that if you choose the right one, you will be cured."

"We must fully respect the patient's own choice of treatment methods, and we must also—"

While Luo Yun was talking, he heard someone knocking on the door of the conference room.

And quite hastily.

The sudden knock on the door made everyone frown.

Who is this?
But the knock on the door was a bit urgent, and before they called him in, he pushed the door open.

After pushing the door open, an attending physician from the emergency department stood at the door, swallowed several mouthfuls of saliva, and then he was a little nervous, and said with a very tangled expression: "Director Guo, Director Yan, this family member of Sheng Kaimei."

"I bought a lot of fruit baskets, and ran to the opposite side of the hospital in one breath, and bought several pennants with undecided departments and names."

"I have to say thank you in person."

After Guo Haoran and the others listened, their brains froze.

A person seemed to be stuck in a machine, with a different expression, and looked at the person at the door blankly.

Eyes and minds are different.

But there is no doubt that they all point to the word pain in the egg.

Sheng Kaimei was the patient with dislocated joints, and the patient's family members were the ones who reported it.

If he came to deliver pennants and fruit baskets, then why are so many of us here?

After such a long meeting, my mouth is almost dry, so I'm lonely?

After more than ten seconds, Guo Haoran said: "Lin Mo, what nonsense are you talking about? Now is not the time to joke."

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

"Get out of here!" Her voice and tone were sharp.

(End of this chapter)