medical simulator

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 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 about 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."

But 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?"