Gou is practicing medicine in the clinic

Chapter 304: There’s no point in making trouble, I’m officially a teacher

Li Jingsheng couldn't help but think of that female nurse with an extremely arrogant attitude.

It seemed that he was not the only one who received the cold look from that female nurse.

In any hospital, there will be some similar "officials". Their positions are not high and their abilities are not strong, but they either have a good father or a good godfather.

No one can do anything to them.

We are all sane adults, and it is impossible for us to fight against such a person with such a background over a trivial matter.

Most people hold their noses and endure it.

Anyway, it’s just one or two interactions, just stay away next time.

"Why would a department director be afraid of a female nurse? Does he have that kind of relationship with that female nurse?"

Li Jingsheng asked gossiping.

He was really curious about this matter.

"What a nonsense! This little girl is not stupid. Director Kuo is 52 years old this year, and his department is at the bottom every year. He wants income but no income, and wants status but no status. What little girl would follow him?"

Director Hua talks about these things as boldly as if he were on the wine table.

Not shying away from anything.

But it's really what he said.

Whether it's a hospital or other units, as long as you're an adult, everyone is very realistic.

If you want young nurses to devote themselves, don't even think about it unless there are big benefits.

"The grandfather and father of the female nurse in their endocrinology department are both people in the health system. Especially her grandfather, although he has retired, his influence is still considerable. With this kind of relationship, as long as the female nurse spends one day in the endocrinology department, , this department will have a certain sense of existence in the minds of hospital leaders and will not be easily canceled."

When Director Hua said this, Li Jingsheng understood everything.

Director Kuo tolerated what this female nurse did, which was actually a kind of mediocrity.

Because the Department of Endocrinology is too weak now, and in order to avoid being merged into other departments, he turned a blind eye to what the female nurse did.

Think of it as a compromise.

Director Kuo looks like an old man over 60 years old, but he is only 52 years old.

Looking so old, I am afraid that my daily work pressure is very high.

"After all, he is a chief physician. Even if the department is cancelled, it won't matter, right? Maybe if it is merged into another department, his income and status will be even higher."

In a hospital, as long as you have skills and a good professional title, you will basically be fine no matter how bad you are.

Now Director Kuo is struggling to support a department that is about to be destroyed, and he has to be ridden on his face by a female nurse to shit and pee every day. I really don’t know what he thinks?

Sometimes, maybe lying down is also a wise choice.

"Perhaps he has a feeling in his heart! He has worked in the Department of Endocrinology for many years and has a deep affection for this department. He can't bear to see it disappear. Over the years, he has been working hard to change the status quo and want to make the Department of Endocrinology better. Become stronger. It is a pity that the business of this department is poor and it cannot receive many patients, which leads to poor income generation and low wages of medical staff in the department.

This in turn affects the recruitment of new doctors.

No young doctor with any ability is willing to enter such a department with no future.

In short, this is a department that is on the verge of extinction. Stay away from it as much as possible.

You will be asked to testify later, so be sure to protect yourself. "

Director Hua was still a little worried and warned him again.

"understand!"

After Li Jingsheng left Director Hua's office, he quickly threw himself into the intense outpatient work.

At around eleven o'clock at noon, he received a call from Director Kuo, asking him to go to the doctor-patient mediation room next to the medical department.

It was originally supposed to be called the Dispute Mediation Room, but later it was changed to the Doctor-Patient Mediation Room in order to appear more harmonious.

After he entered, he found a long mediation table, with Shang Zhi, the deputy chief of the medical department, and two staff members sitting on the left.But Director Kuo was not seen.

To protect the doctors involved, the doctors involved are generally not allowed to meet directly with the family members.

Some family members lose control of their emotions and may pull out the murder weapon they carry with them and commit murder on the spot.

At the top of the mediation table sat two staff members, a man and a woman, who were in charge of the main department.

Li Jingsheng didn't know which department he was from.

Generally speaking, the level will not be very high.

Shang Zhi was very polite to those two people, indicating that they might be from the health system, probably the superior authority of the Second Hospital.

On the other side of the mediation table, there were several family members sitting with sad and angry expressions.

Including the wife of the deceased.

When Li Jingsheng saw this woman again, he saw that her eyes were red and swollen, her hair was slightly messy, and her clothes were still the same as two days ago.The whole person looked extremely haggard, and the grief in his expression was clearly from his heart.

This kind of despairing sadness is difficult for even an actor, let alone an ordinary person, to fake.

However, professional actors have reached a very high level of professional control over their emotions. Although the sadness they express is staged, it is no different from real sadness.

Because at that moment, he was invested in real emotions and immersed in the characters and the storyline.

This patient's wife is just an extremely ordinary woman.

Of course, it is impossible to have such superb acting skills.

It shows that she is really sad and sad about her husband's death.

This was completely different from the first time Li Jingsheng met her, staying in front of her husband's hospital bed and playing with her mobile phone carelessly.

Perhaps, people only know how to cherish when they lose it.

"Hello Dr. Li, these two are leaders of the health administration department. This is Xia Yanbing, the medical accident appraisal expert invited by the family."

Deputy Section Chief Shang was very polite to Li Jingsheng.

He knew very well how popular this young doctor was now.

From the hospital-level leaders to the department directors, everyone favors him.

The expert responsible for the technical appraisal sits on the patient's side, sitting in the first position at the top.

This also implicitly shows an attitude. The experts have been recognized by the family members and are very sympathetic to the experience of the deceased. They will help the family members find some omissions in the hospital's treatment of the patients.

"Hello, two leaders! Hello, Teacher Xia!"

Li Jingsheng used the word "teacher" as a title for experts, which is considered an honorific title.

To be able to become a technical appraisal expert, even if the family members spend money to find one, they must have strong professional standards.

Unless it's a fake expert, that's another matter.

"You don't have to be nervous. This matter is not directly related to you. We asked you to come here just because we want you to stand in a fair position and describe what happened that day in a clear and true manner."

The leader of the health administration department told him directly.

"Dr. Li can sit down and describe!"

The young female leader nodded kindly at him.

The Second Hospital has a very strong official background. The supervisory authority is not partial to the hospital, at least it will be on the side of the hospital subjectively.

Unless the hospital really has a problem, it is impossible for them to help the family claim compensation or punish the hospital.

Also, the technical appraisal expert hired by the family has a certain authority, but it is not high.

In medical malpractice appraisals, based on the principle of impartiality, all interested parties should recuse themselves.

If it's just a lawsuit, the evidence produced by this technical appraisal expert may be accepted or believed by the judge.

In short, there are many hidden rules here, and all parties will work hard to fight for their own interests.

"I was sitting in the outpatient clinic at that time, and I received a call from the director of the Department of Endocrinology, who asked me to come over and take a look. He said that the condition of the patient tomorrow was quite serious. After I rushed over, I found that the patient had hypokalemia. The Endocrinology Department had already performed a test on the patient. Potassium supplementation and fluid replenishment were used, but the effect was not obvious. Later, I suggested that Director Kuo add two more channels and try increasing the amount of potassium supplementation.

In the afternoon, I received a call from Director Kuo, saying that increasing potassium supplementation still had no significant effect.

He suggested that the family immediately transfer the patient to a larger hospital for treatment, but the family refused.

When I went for consultation, I also asked the family members to transfer him to another hospital for treatment, but was also rejected.

Later, at around 06:30 in the evening, I got off work and went to the inpatient ward of the Endocrinology Department.It was found that the patient had not been transferred to the hospital, so the hospital increased his potassium supplement and put on a respiratory mask.

At that time, the patient was short of breath and the situation was already serious.

I was worried that the patient would be in danger and suggested that the patient be prepared for tracheal intubation.But the family members did not agree at the time and asked to be transferred to another hospital.After obtaining Director Kuo's consent, I took the initiative to help contact the doctors in the anesthesiology department and asked them to be prepared so that they could perform tracheal intubation on the patient in time if the patient's condition deteriorated further.

The doctors in the anesthesiology department agreed to help and worked overtime to be ready for rescue at any time.

At that time, the family asked for transfer to another hospital, but Director Kuo refused.

Because the patient's condition is serious, dangers are very likely to occur on the way to the hospital.

Later, the patient's sister, parents and other family members all arrived and forcibly transferred the patient to another hospital.

This is all I know about what happened, and multiple doctors, nurses, and the deceased's wife can confirm it. "

Li Jingsheng told everything he knew.

"You contacted the anesthesiology doctor to prepare the patient for tracheal intubation. Is there any evidence for this?"

Expert Xia Yanbing questioned Li Jingsheng.

"Yes! Because it was already off work, I called Dr. Yu, whom I knew in the anesthesiology department. Family members, Director Kuo and others were all present. There was also a patient and a family member who accompanied him in the ward, as well as the nurse who cared for the deceased. Testify. There are also call records in my mobile phone. Dr. Yu was off work at that time and asked me to contact his apprentice to make preparations.

There must be evidence from her side. "

Li Jingsheng answered very definitely.

"Dr. Li, please send a screenshot of the call record to my mobile phone. I will immediately contact the two anesthesiologists involved to inquire clearly."

Shang Zhi was secretly happy.As long as it is confirmed that the anesthesiology doctors are indeed prepared to intubate the deceased patient, but the family members do not listen to the advice and force the transfer to another hospital, all the responsibilities will be borne by the family members.

The hospital has no responsibility whatsoever.

I contacted Lao Yu and his apprentice from the anesthesiology department on the spot, and the other party immediately provided a series of evidence.

Includes material requisition records.

After looking at it, the expert Xia Yanbing shook his head and sighed.

Looking at the family members helplessly, "Judging from the currently known evidence, there should be no negligence on the part of the hospital. I can't do anything about this matter. If you still want to sue, you can find other experts. But to be honest, this matter It’s just a waste of money for you to find someone else.”

After saying that, Xia Yanbing stood up and left.

As a technical appraisal expert, you can't be picky, right?

The hospital did strictly abide by the medical procedures and did some things beyond the obligation to rescue the patients.

For example, ask the anesthesiologist to prepare for tracheal intubation in advance.

According to the normal procedure, the patient's condition usually deteriorates further before an application for tracheal intubation is made.

"Woooo..."

The patient's wife lay on the table crying.

The other two female family members also cried bitterly.

Li Jingsheng greeted Section Chief Shang and the two leaders of the department in charge and walked out.

I sympathize with the deceased's family, but adults must take responsibility for their own actions.

Families should consider the consequences when forcibly transferring a patient to another hospital.

During lunch, he was still talking about this matter to Ou Qinglan, feeling very sorry.

But there was no way to stop the family from forcibly transferring him to another hospital.

Otherwise, if the patient dies in the second hospital, who will bear the responsibility?

After dinner, he and Ou Qinglan returned to the orthopedic surgery doctor's office.

When the five young doctors saw him coming in, they all stood up.

They were all strangers, and Li Jingsheng didn’t recognize any of them.

"This is Dr. Li from our Orthopedic Surgery Clinic, and he is also the teacher you are waiting for."

Qin Fei introduced to the five people.

As the chief resident of the Department of Orthopedic Surgery, these new doctors basically report to him.

"Hello, Teacher Li!"

"The teacher is so young!"

"Please take care of me, Teacher Li, in the future!"

Among the five young doctors, there are actually two female doctors.

They are not petite in stature, they are over 1.6 meters tall, and they do not look thin.However, manual bone setting is a laborious activity and is more suitable for men.

"Don't be so serious, please sit down!"

It is the first time for Li Jingsheng to be a teacher of so many medical students, and it feels quite novel.

There is also a little bit of pressure.

"Master's wife is so beautiful! I've heard for a long time that our teacher Li has found a very beautiful girlfriend. This time it's time to admit it!"

The female doctor with fair skin and short hair was dressed like a tomboy.

She is the most active.

"Just call me Dr. Ou!"

Ou Qinglan was still a little shy in front of so many new colleagues.

"Ou Qinglan, Doctor Ou, specializes in the field of orthopedic trauma, and is also my girlfriend. I hope everyone will respect her as much as they respect me in the future."

Li Jingsheng said to the five people.

"no problem!"

"Absolutely! Who dares to disrespect the master's wife!"

"Teacher, when can we set the bones of the injured? I have been practicing on the teaching mold for a long time, and I especially want to get started and try my current abilities."

These new recruits are the same as when Li Jingsheng first debuted.

I always think that I have learned a lot and am already very strong, and I can definitely cure patients with medicine.

As a result, during my internship, I had to be scolded several times even for cleaning the skin of a patient.

Not to mention acupuncture.

Li Jingsheng still remembers the first time he got an acupuncture and met a fat patient.At that time, no blood was seen after three injections. He was so nervous that he was sweating all over his forehead, but the nurse sister next to him couldn't see it and rescued him.

Nowadays, his acupuncture skills are not particularly impressive, but at least he is accurate every time.

For patients with thicker arm veins, you can even use flying needle technique.

However, novice doctors generally advise against trying to be cool.

The angle and force of the flying needle must be controlled well.

Otherwise, it would be tragic to tie the patient's blood vessels in opposite directions.

"The opportunity to start practicing will come sooner or later, so don't worry. On the first day, I will teach you some basic bone-setting techniques."

Li Jingsheng accepted five new students and simply gave up his plan to take a lunch break.

Take them directly to the surgery clinic.

All five of them looked very excited.

"Which school did you graduate from?"

"We are all medical students from the clinical department of Jiangli Medical University. The Second Hospital was recruiting people, and when we heard that there was an opportunity to learn bone-setting techniques from you, we rushed to sign up. We were pretty lucky, and after many rounds of screening Later, the Second Hospital hired us.”

I really didn’t expect that these people were all students from Jiangli Medical University.

It seems that the Second Hospital seized the opportunity to show its face in this skills competition and may have reached some kind of cooperation agreement with Jiangli Medical University.

A few days ago, Director Hua asked for Li Jingsheng's personal information, photos, copies of graduation certificates, etc., saying that he wanted to apply for a teaching assistant in a medical school for him.

It turns out that he was admitted to the Medical University in this city!

I heard that Jiangli Medical University has very high standards for recruiting teachers. It is very difficult to get in as a teacher, let alone a teaching assistant.

Director Hua and Dean Fu may also know that Li Jingsheng is a busy man and cannot go to the Medical University to teach students for long periods of time.

Now five students have been transferred directly from there. It should be that they have reached some kind of strategic cooperation with the Medical University.

For a special talent like Li Jingsheng, the Medical University is definitely very willing to give the green light and provide some special treatment.

In fact, not just medical universities, but almost all famous universities at home and abroad have a similar method of recruiting talents and expanding their influence.Such as visiting professors, lifelong honorary principals, tenured professors, etc.

The purpose of the Second Hospital is also very simple, which is to help Li Jingsheng become stronger.

At least you have to be able to use it!
During the skills competition, although Li Jingsheng won two gold medals, his personal introduction could only be written as Dr. Li Jingsheng of the Second Hospital.

There is almost no title that can be achieved.

For example, deputy chief physician, chief physician, associate professor, etc. are all high-level titles that can be obtained.

It's a pity that he doesn't have one at the moment.

If you want to be promoted to deputy chief physician, you have to wait at least several years.

And if you want to be awarded a deputy senior professional title, it is not that simple. You have to have similar abilities. With the help of the hospital, it will be easy to achieve.

He took five people to the manual reduction clinic.

Doctor Chen and Li Li were a little dumbfounded when they saw Li Jingsheng bringing a large army.

"These five are medical students who are learning manual bone setting with me. This is Dr. Chen, my assistant, and this is Teacher Li Li, the nurse in our manual reduction clinic."

Li Jingsheng introduced both parties to each other.

"My name is Ye Hui. I'm glad to meet you two teachers. Please take good care of me."

It was the tomboy who was the most active again.

When you are a doctor, it is good to have a cheerful personality, but you should not be too active.

Instead, be calm and be serious when you should be serious.

You should also watch your mouth.

Because it was the first day with these people, Li Jingsheng didn't say much.

"I don't have many requirements for us, but there are a few things that we must abide by. First, try to talk as little as possible. If you have any questions, you can write them down and sort them out, and ask them again after get off work or when I am not busy.

Second, it is very prudent to operate on patients.Do not operate without permission from your superior doctor.If I find someone acting blindly and performing treatment operations on patients without permission, I can only persuade them to leave.

The last one is to read more and learn more, and you can discuss and communicate with each other. "

It is equivalent to drawing a red line for five people.

The manual reduction clinic is not like the inpatient department or the operating room, because many treatments are non-invasive, which will inevitably make some courageous medical students relax their vigilance.I don't think this is a dangerous operation. If it doesn't work, it doesn't matter. Just ask the teacher to wipe the butt.

Virtually all clinical practice involves risks.

The risks of manual bone setting are equal to the risks of surgery. There is no lower risk.

(End of this chapter)