Gou is practicing medicine in the clinic

Chapter 132 The doctor is mad at the patient, a compromise
Director Lian is about 47 and [-] years old. He works very hard, has rich medical knowledge and solid foundation, and is well received by everyone.

After simply reporting to the hospital leader, he quickly returned to the department to start working regardless of the exhaustion of the journey.

According to tradition, he can go home and rest on the day he just returned to China.

In the doctor's office, Director Lian turned on the computer, logged into the intranet, and habitually checked the recent patients in the department.

Thanks to the wide application of computers and networks, the hospital's intranet construction is also improving day by day.

After a doctor logs in to his personal account, he can view the cases in the group with his personal authority.

Director Lian has more power and can view the cases of the entire department.

Discharged, pending, intensive care or observation, undiagnosed difficult cases...

All of these are clearly classified and can be seen at a glance.

It is also convenient for doctors in the department to keep abreast of the dynamics of patients in their hands.

"How did our first group overwhelm so many undiagnosed difficult cases?"

Director Lian frowned.

"There are many cases where the diagnosis is extremely difficult. There are also two difficult cases transferred from the pediatric department. During the hospital observation period, the family members chose to be discharged automatically because they could not see a significant effect."

The young doctor carefully explained beside him.

Hospitals have always been very helpless for patients who are discharged automatically.

To put it bluntly, the patient was forcibly discharged from the hospital.

Hospitals are not prisons. Families and patients are dissatisfied with the curative effect, or question the medical staff of the hospital, and no one can stop them from leaving the hospital.

Of course, this kind of discharge certificate cannot be obtained.

"The two cases transferred from the pediatric department were all fever, diarrhea, and mucus watery stool?"

Even the director clicked and glanced twice, and his voice raised a lot.

Treating diarrhea is the strength of the first group of gastroenterology. The two patients who were discharged automatically had diarrhea and fever, which made him naturally show a dissatisfied expression.

"These two cases of diarrhea are not curable. The first case was transferred from the Children's Hospital and has been treated there for a long time. Director Yang is the first and attending physician, and he did three stool cultures for the child. The results were all negative. The family members may have accumulated a little emotion in the treatment at the Children's Hospital, and they were a little unhappy. They complained to the nurse, saying that our hospital only checks feces?

In the morning, the family members took their children and were discharged from the hospital automatically.

Because of this matter, Director Yang was very angry. "

Some older doctors, who were pampered after becoming famous, had already developed a sense of arrogance.

In such a situation, if the family member questioned her poor level, if she held her breath, she would be overwhelmed immediately.

"No wonder I didn't see Director Yang today! What about the second case?"

"The sick child was hospitalized for five days after admission. The total duration of diarrhea was as long as 20 days, and there was mucus and pus in the stool. The first diagnosis was pseudomembranous enteritis, and he was sent for pathology. Before the results came out, the family members were automatically discharged. Yes. The family members of this sick child questioned us, probably because of the influence of the family members of the previous sick baby."

Booing, knuckles, everywhere.

Hospital wards are especially prone to this kind of thing.

When a family member is dissatisfied with the hospital, he will do everything possible to spread all kinds of prejudiced remarks to the patients and family members in the same ward.

Family members with wisdom and determination will only listen to it, not taking it seriously.

But when another patient happens to be unsatisfactory in treatment, it is easy to listen to and believe in one side.

For this kind of thing, the hospital generally has no good way.

To be honest, as far as the hospital is concerned, the doctors and nurses at the bottom level should be more happy to get rid of one or two difficult patients.

Big hospitals never lack patients.

Patients live in the hospital, and the doctors and nurses are responsible.After being discharged from the hospital, the patient and family members are responsible for themselves.

"Go and do your work, I'll take a look first!"

After Director Lian sent the young doctor away, he began to carefully examine each difficult case.

The hospital has a three-level rounds system.

Ordinary cases are generally resolved by the resident physician and the attending physician, and the director may just ask a few words during the rounds once a week.

It is difficult cases and critical cases that really need chief physicians to solve.

"The diagnosis direction of this sick child should be correct. It is indeed likely to be pseudomembranous enteritis. We will know when the pathological results come out. As for the first diarrhea case, the cause is complicated and confusing. There may be an inflammatory bowel disease, but the probability is relatively low. I You have to call and ask your family."

Director Lian first prioritized the investigation of the two recently discharged cases.

If you change to another doctor, you probably won't call your family again.

Because it is easy to be scolded.

Director Lian has always been persistent. For difficult cases, he has a persistent spirit of breaking through the casserole and asking the truth.

It is also this determination to pursue the truth without fear of difficulties and obstacles that makes him stronger and stronger.

"Who are you looking for?"

After the call was connected, a somewhat aggressive middle-aged woman's voice came out.

"Hello, are you Tang Chengguang's family?"

"Yes, yes! Are you from the Sunshine Clinic?"

It was the child's grandma who answered the phone. She thought it was a doctor from the Sunshine Clinic calling to inquire about the condition, and her tone and attitude immediately became very polite.

"We are not a clinic. I am Lian Tao, Chief Physician of Gastroenterology Department of People's Hospital."

Director Lian is the chief physician of a top tertiary hospital. He is a professor and an expert. How could he be associated with a clinic like 'mouse shit'?

He hastened to get rid of it and revealed his identity to his family.

"What's up?"

Unexpectedly, after the family members heard his identity, not only did they not have any respect, but their attitude became cold in an instant.

Director Lian was depressed for a while, what kind of fairy family is this?

Could it be that the chief physician of the People's Hospital is not as good as the junior doctor of the clinic?

"It's like this. I just returned to China today. After I went to the hospital, I checked your child's medical records and examination materials. Is it convenient for you to bring your child to the hospital now? I will personally arrange beds for you and make some supplements as soon as possible. Examine to determine the cause."

Even the director didn't dare to talk too much.

When encountering such a difficult case, no doctor dared to speak big words.

Unless it is a novice Xiaobai.

"No, we're almost cured."

After speaking, the family member hung up the phone directly.

Director Lian almost followed the old path of Director Yang, and was immediately sickened by anger.

But after the initial anger, he quickly calmed down.

The family member was discharged from the hospital two days ago, and the child's illness was cured so quickly?No way.

Even the best "miracle medicine" cannot cure a case of diarrhea like this with a course of more than one month in two days.

After intestinal injury, recovery is a long process.

"Director Lian, don't worry about this patient anymore, they have been discharged from the hospital automatically anyway. This child's family is very difficult." The young doctor persuaded from the side.

After finally coming back as a general, they don't want even the director to be mad.

After the chief physician above falls, all the pressure will fall on the attending physicians, residents, trainees and interns.

For a department, the more outstanding chief physicians, the better.

In the event of an emergency, the directors took action, and the disease could be suppressed in an instant.

Otherwise, if the attending doctor led the resident doctor and a group of trainee trainees to rescue the patients, one can imagine the pressure.

"I was afraid that this family member would be deceived by those small clinics. This baby is only seven months old and has such severe diarrhea, and the course of the disease lasts for more than a month. What kind of medicine can cure it in two days? This really subverted my medical cognition. No, I have to persuade the family members that it is best to come to our hospital for regular treatment."

Director Lian's conceited thoughts are very common in the compound.

If you try to praise a small clinic for its excellent medical skills in front of the doctors in the compound, they will definitely look down on you.

Although some doctors who retired from the compound chose to open clinics, the level of diagnosis and treatment in the clinic was virtually elevated.But in the minds of most people, clinics are still synonymous with black hearts, cheating money, and selling health care medicines.

In fact, retired doctors from major hospitals will basically be rehired by the hospital if they have real skills.

Those who have been reduced to running a clinic, to put it nicely, call it to use their residual heat, but in fact there is no way out.

Instead of being idle, it is better to open a clinic to earn some money, which can also give greater financial support to children and grandchildren.

Director Lian didn't believe in evil, and called his family members again.

After the connection, the child's grandmother didn't wait for him to speak and scolded, "Is your people's hospital annoying? It's not as good as other small clinics. Every day, it thinks about how to cheat us ordinary people. Stop calling, or I will Complain to you."

beep...

The phone hung up again.

Director Lian was convinced this time.

Family members don't care if you are a director or a junior doctor when they swear, they can still swear.

"She actually said that our People's Hospital is not as good as a small clinic, and that we are cheating money... Speechless!"

Director Lian spread his hands mockingly and shrugged.

It's sad enough to meet such a family.

After work, Director Lian was still worried about the baby.

The condition itself is relatively serious. If the small clinic treats it blindly with tiger and wolf medicine, even if the effect is seen on the spot, the condition will soon relapse.There may even be serious complications.

It's like drinking a dove to quench your thirst.

Human life is at stake, and he wants to persuade his family members again.

Based on the family's current prejudice and disgust towards the People's Hospital, direct persuasion can only be futile.

He didn't have a good way for a while.

Director Yang is a senior in the department and has given him a lot of guidance and help.

Now that he is sick, he must visit him.

The original intention was to persuade the baby with diarrhea to go back to the hospital, and then visit Director Yang after finding out the cause.

To put it bluntly, Director Yang is just a heart disease.

Now I can only persuade Director Yang to think of a solution.

After buying some fruit, he came to Director Yang's residence with ease, and knocked on the door.

This is actually a unit housing built by the hospital for its employees. As long as the employees get the quota, they can buy a house at the cost price.Prices are well below market rates.

Many old comrades from the hospital live in this community.

Even if some retire later, or quit their jobs, they still live here.

It is very close to the hospital and it is very convenient to go to work.

"Yo, Lian Tao is here!"

The person who opened the door was Director Yang's wife.

Young couples come to accompany each other when they grow old.

When I get old, it is a very happy thing to have a wife to take care of me.

"I heard that Professor Yang is ill, so I came here to take a look. Is your teacher okay?"

"Hey, tell me, you are so old, why are you still comparing yourself to the patient? You have to put yourself on the bed and send him to the hospital for treatment, but he refuses to go. You are his favorite. One of the students, it might be useful to persuade him."

Director Yang's wife shook her head and sighed.

The doctor sees the patient, but the patient is not cured. As a result, the doctor is angry with the family.

This kind of thing is quite rare.

Director Yang refused to go to the hospital for treatment because he was afraid that his colleagues would laugh at him.

Face is something that hurts people sometimes.

The more powerful a person is, the more he values ​​face.

This is especially true for those engaged in academic and medical research.

In ancient times, when civil servants persuaded the emperor not to be persuaded, they really dared to bump their heads against the pillars in the palace and received a boxed meal on the spot.

It's not that they don't spare their lives, but that they have the integrity of scholars and regard face as more important than life.

Director Lian was led into the study all the way.

"Lao Yang, Lian Tao has come to see you!"

Director Lian hurried to the hospital bed, only to see Director Yang's face like gold paper, and there were a few books beside the pillow.

Practical internal medicine, internal medicine manual, infectious disease, 100 cases of suspected diarrhea...

Look at this situation, Mr. Yang is sick, but his heart is still tied to the baby.

These two days have been looking through the book.

Epidemiology is a textbook, and it is a new edition. It is estimated that Director Yang bought it from a bookstore or borrowed it from someone.

"Teacher, are you feeling better? I heard that you were ill just after I came back today, so I hurried over after get off work." Director Lian slightly leaned over to observe the situation of Director Yang.

In the profession of doctors, there is still a lot of respect for mentors.

"Then you guys talk first!"

Director Yang's wife knows that her husband is a person who cares about face, so she leaves room for the master and apprentice.

"Hey, I'm really ashamed this time!"

Director Yang sighed.

"What's the matter? We doctors are human beings, not gods. It's normal for some difficult and miscellaneous diseases to not be able to find out the cause. Many people have misdiagnosed. Yours is much better than misdiagnosis and missed diagnosis. That is, family members If you don’t cooperate, otherwise with your ability, you will definitely be able to find out the real cause of the disease.”

Director Lian could only find a way to comfort his teacher.

At this time, what Director Yang needs is just a step.

"Lian Tao, have you read that case? I've been thinking about it for the past two days. After much deliberation, there are only two possibilities. Either nervous diarrhea or food allergy."

Director Yang lay on the bed and flipped through the books, but it was not in vain.

After repeated deduction, two kinds of etiology were obtained.

"After I read the information, I also suspected that it was a milk protein allergy. Because the child was fine until half a year old, and the problem appeared after changing to complementary feeding. Milk protein allergy is not uncommon in infants, but it is particularly easy to be misdiagnosed and missed. In particular, the baby itself was malnourished, and the course of the disease was extremely long, with varying degrees of severity, and various symptoms appeared. It was particularly easy to suspect bacillary dysentery.

It is also because you insisted that the laboratory do three stool cultures, and the results were all negative, so that many suspected causes can be ruled out. "

Director Lian focused on affirming the feces inspection.

Don't think that students have no weight in speaking.

For an outstanding student like Director Lian, his status and authority may have surpassed that of his teacher.

"Do you think so too?"

When Director Yang heard that the students also thought it might be caused by food allergies, he couldn't help but feel refreshed.

"My teacher and I basically agree on the diagnosis, food allergy is the most likely."

"At the beginning, I was also misled by the diagnosis and treatment process at the Children's Hospital. If the family members can be more patient, I will definitely be able to find out the real cause."

Director Yang will only say these explanations to trusted students.

It is considered to have a confidant.

"It's just that our deduction is useless now! The family members no longer trust us, and we were forcibly discharged from the hospital two days ago."

It can be heard that Director Yang also wants to persuade the family to bring the child back, and then let him continue the diagnosis and treatment, so that the face will be restored.

In fact, he didn't need to be more aggressive.

Maybe the family members spread unfavorable attacks on him in the department, especially the sentence that you only check feces, which deeply hurt the self-esteem of the old chief physician.

Director Lian decided to help his mentor untie his knot.

The bell also needs to be tied.

The family must be found.

"Teacher, I called my family before I came here."

"What does the family say?"

Director Yang was still bedridden due to illness, but at this moment he gritted his teeth and propped himself up to sit up.

His expression was very excited, and there was anticipation in his eyes.

"The family members said... it has been cured. It feels like it should be treated in a clinic. I am afraid that the small clinics outside will do everything they can to give the baby some tiger-wolf medicine. Otherwise, it only took two days, why? May be cured?"

Director Lian expressed his concerns.

"The most unreliable thing is the clinic. If it is really a food allergy, even in a big hospital like ours, it will take at least half a month to see the real effect. Did the family members tell me which clinic it is?"

Director Yang is actually a very good old doctor.

He was particularly anxious when he heard that his family members were being treated in the clinic.

He was genuinely worried about that child.

"Uh... When I first spoke with my family, I seemed to mention the Sunshine Clinic. She probably thought I was a doctor from the clinic, and my attitude was quite warm and friendly. I guess I should be treated in this clinic."

Director Lian finally remembered after careful recollection.

"You must call to persuade your family members, and you must not listen to the lies of the doctors in the clinic. It would be the best to persuade them to return to our hospital for treatment."

Director Yang is such a face-saving person, he would definitely not make this call to his family in person.

Otherwise, if he is scolded by his family members again, he may have to be sent to the hospital for emergency treatment immediately.

He meant that he wanted Director Lian to make this call.

"Teacher, to be honest, the attitude of the family members towards our hospital is a bit unfriendly. I called twice, scolded me, and then hung up the phone directly. I also threatened that if I dare to disturb them again, I will complain." I."

Director Lian didn't dare to hit the third one.

With his level and status, there is absolutely no need to ask for guilt.

"I really don't know why this child's family is so stupid?"

Director Yang frowned, obviously thinking of a way.

"Sunshine Clinic? The name sounds familiar! Is it a clinic in this city?"

Director Lian has already taken out his mobile phone, opened the map and started searching.

"I found it. It's at No. 177, Chengnan Old Street. Looking at the appearance of the clinic shown on this map, it's likely to be the kind of black clinic that kills people without paying for their lives. Look, the cheap spray-painted signboard is very old, and the door Also small."

Director Lian showed the phone screen to Director Yang to watch.

"Otherwise, let's go over now and talk to the clinic owner."

Director Yang's words sounded a bit childish.

"How to talk?"

After all, Director Lian needs to be more calm. If the teacher is making a fuss, he definitely won't.

"Ask the clinic owner first. Isn't the small clinic just for making money? I can just give the clinic owner some money and ask him to persuade the family members to take their children back to the People's Hospital for treatment."

Director Yang was not fooling around, but thought of a compromise.

(End of this chapter)