medical simulator
Page 529
Lu Bin scratched his head and said, "Doctor Zhou, in fact, this Xu Kairan, there is a reason why he makes such a fuss."
Zhou Cheng nodded, but did not speak.
If Xu Kairan is not a pure brain, then there must be a reason.
However, no matter what the reason was, Zhou Cheng didn't think it was a good form to make trouble for no reason.
Seeing that Zhou Cheng was not very interested, Lu Bin probably regarded Xu Kairan as a dispensable person, so he reminded: "Doctor Zhou, the actual situation is like this. In the past, Xu Kairan had a relative who lived in Changshi. He was hospitalized in the ICU of the First Hospital."
"The situation was not very good, but one day, the director of the ICU, considering that the ICU was full of patients, but one patient had to be transferred urgently, so he transferred Xu Kairan's relatives to the general ward. "
"Then, after only two or three days, the condition deteriorated again. Then he passed away."
"Of course Xu Kairan didn't agree. In the end, after he found out the truth, he realized that the reason why his relative was transferred out of the ICU was to give another leader's family member a vacant seat!"
"After learning about this result, Xu Kairan became furious, and there was a lot of trouble at that time."
"Then, this car accident was also caused by Xu Kairan himself. The driver, as Dr. Zhou may have guessed, is the director of the ICU of Changshi No. [-] Hospital."
"The reason why Xu Kairan made such a fuss, but the other party didn't dare to say anything, is because of this reason."
Zhou Cheng heard the words and continued to remain silent!
However, I feel a little uncomfortable in my heart, for Xu Kairan, and for the director of the ICU.
Qin Ming also felt that this topic was quite sensitive, so he didn't dare to start a conversation. He just looked around, but his eyes kept paying attention to Zhou Cheng's expression.
"So, Doctor Zhou, for Xu Kairan, if you meet him, if you can take a step back, let's take a step back, as long as he doesn't provoke us."
"Because of this matter, there is no right or wrong, the procedure is correct. It can only be said that the medical resources are quite limited. Moreover, from a more objective point of view, Director Hu of Changshi No. [-] Hospital at that time took Xu Kairan's Mother, transferred out of the ICU, the objective indicators have met the requirements."
"It's just that the condition is ever-changing, and we doctors can't predict it accurately."
"The other patient really needs ICU monitoring, otherwise he will lose his life."
Lu Bin explained the deeper details to Zhou Cheng.
However, at this moment, Zhou Cheng asked another question: "Director Lu, it is estimated that the influence behind each patient is different, right?"
Lu Bin continued to shake his head: "We can't afford to provoke you."
This is a very real problem.
Zhou Cheng asked again: "Then, what happened to Director Hu? Is he still working now?"
"Doctor Zhou, let's not talk about other topics." Lu Bin stopped the topic again.
Zhou Cheng also understood that the unlucky director Hu was not only caused by Xu Kairan, but the other party did not come forward to say anything.
The choice is made by him. It is right to be objective, but the responsibility still has to be borne.
Xu Kairan couldn't get behind the other party's back, and the only person he could look for intuitively was the director of the ICU, because the decision was made by him himself, he could choose someone else, but it happened to be his mother.
This is reality.
So, if I were Director Hu at that time, how should I choose?
Before he became the leader of the group, Zhou Chengcheng was only a resident doctor, and he mixed with others. The cases and patients he encountered were all fed by his superiors after they had fully digested them.
However, now that Zhou Cheng was sitting alone in the outpatient clinic, he had to learn how to deal with these issues, which were sensitive but very realistic.
After saying goodbye to Lu Bin and Qin Ming, Zhou Cheng returned home.
Sitting in front of the desk, he picked up the pen and wanted to write it down, but Zhou Cheng didn't know how to write it down. It was hard for Zhou Cheng to discuss whether such things should be written in the notebook.
There are some fig leafs that cannot be revealed.Even if he is Zhou Cheng.
Zhou Cheng is just Zhou Cheng.
Zhou Cheng broke the pen directly, threw it into the trash can, and continued to polish his learning system.
In the afternoon, when chatting with An Ruo, Zhou Cheng didn't mention this matter to An Ruo.
Telling An Ruo about this matter can only make An Ruo difficult. Maybe she won't have to be swayed by this kind of thing in her whole life, so there is no need to let him get in touch with this fundamental aspect.
It's just that we just talked for a while.
Zhang Zhengquan called suddenly, Zhou Chengcheng explained to An Ruo and hung up.
"Quanzi, what are you doing? Call at this time."
"Brother Zhou Cheng, did you watch Douyin today?" Zhang Zhengquan asked solemnly.
"No, something bad happened to me here, and I don't have time for Mr. Kong to look at those." Zhou Cheng replied.
Zhang Zhengquan continued to smile: "Oh, you didn't encounter any difficult problems, did you? Is it because of that patient?"
"Are you spying on me again?" Zhou Cheng said in an unhappy tone.
Zhang Zhengquan rolled his eyes, annoyed: "What the hell, I don't care about you if you don't fucking kill yourself. You are not a beautiful woman, and I am not interested in beautiful women."
"It's a member of our company's branch in Changshi. Ask me if you want us to help solve it. I refused. Brother Zhou Cheng, you have to trust my character, okay?"
"Let's get down to business! What's going on?" Zhou Cheng was too lazy to flirt with Zhang Zhengpipi.
Zhang Zhengquan said: "Hua Teng, started to attack us. This afternoon, Douyin began to spread widely. Our company's equipment was installed in the body of a fractured patient, which led to the incident of internal fixation equipment breaking."
"It's still in the process of fermentation, Brother Zhou Cheng, tell me, do we want to publicize immediately, or wait for a while?"
When Zhou Cheng heard this, his eyes froze, and he asked, "Have you checked it out? Is it in the registration system, the source of this equipment, and who is the surgeon?"
"Of course I checked. Brother Zhou Cheng, you are really wise beforehand. I'm afraid no one would have expected that you would keep such a hand. I'm just waiting, waiting for them to spend money and buy all the hot searches and so on. Then in a disguised form, advertise our company." Zhang Zhengquan laughed out loud.
Zhang Zhengquan is quite good at playing with public opinion, but at the real technical level, Zhang Zhengquan has to be convinced by Zhou Cheng. He has predicted this matter long ago.
"For specific matters, you should go to public relations by yourself, Quan Zi, I just hope that after you become bigger and stronger, you don't forget your original intention. We do these things, making money is one of the purposes, but it's not entirely for making money! " Zhou Cheng warned one or two.
He never persuaded Zhang Zhengquan to be kind, to help the world and save people for free, but the principle of doing good deeds, Zhou Cheng is unchanging, if Zhang Zhengquan is really dazzled by capital and money, then Zhou Cheng will also do it in due course. To go far away with Zhang Zhengquan.
Zhang Zhengquan, this factor of uncertainty is too great.
Of course, Zhang Zhengquan's path is still very upright. He can even clean himself up when he has gone in a crooked way. It is enough to show that his worldview is still a very upright person.
"Cut, business is not for making money, why? But don't worry, if you can think about doing such a dirty thing, you can't have any good intentions."
"You don't know, just a while ago, there was a patient who jumped off the building in order to break our equipment, and suffered another fracture. Our equipment was not broken, so he amputated himself."
"Some people do everything they can to make money!" Zhang Zhengquan's tone was cold.
Zhou Cheng opened his mouth when he heard the words, is there such a thing?
In order to destroy this new type of internal fixation device, the patient listened to others' instigation and jumped off the building?Then the internal fixation device is not broken, no problem, other places, amputation?
Doesn't this belong to the reverse verification of good quality?
It's just that in order to make money, even such a thing can be done. Zhou Cheng thinks that maybe he has overestimated the temptation of capital. People can do anything in order to make money.
"Quan Zi, pay attention to your own safety." Zhou Cheng could only say so.
Since we are going to rush in that direction, these things are inevitable. Business competition and the evil methods may be far beyond his imagination. If he goes to the mall by himself, Zhou Cheng feels that he will definitely not be able to get along.
Or the purely technical level of a doctor, which is more suitable for me.
"Don't worry, brother Zhou Cheng, it's possible. In the past few days, some dirty water may be splashed on you. Please wait patiently. Don't worry. I will let you know in advance."
"Furthermore, it's self-clearing. At present, we have used thousands of internal fixation devices. The occurrence of this case, even if it belongs to us, is a small probability event. I don't do anything to cut corners. How much dirty water can people pour on me."
"Besides, this is Huaguo, not anywhere else!" Zhang Zhengquan said confidently and proudly.
Zhang Zhengquan just hung up the phone, and then Director Lu Bin called, with a slightly strange tone.
"Doctor Zhou? What's going on with the recent news?"
"Now in the ward, the patients in our group who underwent surgery started to trouble the bed doctor in our group this afternoon! How should we explain it better?" Lu Bin didn't mean to blame, but he was a little anxious.
Zhou Cheng said: "Director Lu, the fracture rate of the traditional surgical steel plate is about [-] in [-], which is an extremely small probability event. Thousands of this new equipment were made before the first case was broken. There's no need to be so anxious, right?"
"You just take out the data and choose for the patients themselves."
"The follow-up surgery is also based on the patient's own wishes. Whether it is traditional internal fixation surgery or minimally invasive fracture internal fixation, it is just one treatment method. The purpose is for treatment, and there is no difference."
After hearing this, Lu Bin hurriedly replied: "Doctor Zhou, I have no other intentions."
"I'm just asking a random question, I'm afraid it will affect Dr. Zhou's reputation badly!"
When Zhou Cheng heard this, he just smiled and didn't argue anything.
Lu Bin being able to call at this time, instead of comforting the patient in the department, has already betrayed his original intention, and if something happens, he will blame himself.
But this is something that can't be helped, Zhou Cheng is the chief surgeon, and he can't shirk it.
However, he has read the informed consent form for the surgical risk of most surgical patients, and there is nothing wrong with it. Even if there is a problem, it is still within the controllable risk, which is nothing.
After Lu Bin finished calling, he also received calls one after another, expressing his concern.
As a result, because Zhou Cheng took too long to answer the phone, An Ruo, the little girl, became anxious and kept calling.
Zhou Cheng had no choice but to use a computer to log in to WeChat, start a video with An Ruo, and then made a boo gesture to her.
"Teacher, I don't think there's anything wrong with it. If this is an inherent problem, then solve it. The probability of one in a thousand will not cause much bad influence on the emergence of this new thing."
"On the contrary, because of this matter, if it is true, we can predict the risks in advance and inform patients of the pros and cons more objectively. I think it is more real and honest." Zhou Cheng said to Gui Yuanping.
Upon hearing this, Elder Gui smiled and said, "I'm relieved if you think so, I'm afraid you won't be able to think about it."
"The reason why the subject is difficult to do and the reason why medicine is so difficult is because of this. There are too many uncontrollable factors. It doesn't matter much. No one is perfect, and there is nothing that everyone likes and is willing to like. "
"But do good deeds, don't ask about the future, how are you doing in Changshi?" Elder Gui was concerned about other issues.
Zhou Chengcheng said: "Teacher, I think it's pretty good. Some teachers here are also very good. Thank you for your concern. I hope I didn't have any influence on you, Teacher."
Gui Yuanping let out a chuckle: "Your teacher and I are both so old. The trough period and the peak period have passed. These are just small troubles."
"At the foot of the imperial city..."
Gui Yuanping only said something to Zhou Cheng, but didn't go any further.
After hanging up the phone, Zhou Cheng finally finished answering the call.
Then he said to An Ruo: "An Ruo, I was calling Teacher Gui Yuanping just now, I don't have much to do, and, let me tell you, we have already expected this kind of thing, we have Corresponding filing measures."
"Ah?" An Ruo's eyes widened, and the tadpole eyes instantly turned into the shape of a litchi.
"Well, our preparatory measures are actually learned from foreign countries, but only a part of them, so don't worry, I'll give you a pass here first, and you will know what will happen soon after the follow-up .”
An Ruo looked at the video circulated in Douyin and thought about it.
"We are using Zhongzheng's internal fixation device. This is a problem with their company's device. You shouldn't come to me? We used it well before, but you broke it, which is an accident." Douyin In the video here, a certain director communicates with patients in this way.
Completely ignoring the patient's family members taking video.
"Then how do I know? Others use it that way. This problem is an extremely rare event. This kind of equipment is a new thing. Its safety has also been approved, and its qualifications are no problem."
"How can you say that? There must be no problem with the technology. Everyone else is doing well. You are not the first surgery performed in our hospital, and you will definitely not be the last."
"Of course, this must be a problem with the equipment. I have been doing fracture surgery all my life..."
The meaning behind the words is that his own technique is fine, and if an accident occurs, it is the patient himself who is unlucky, and then the quality of the equipment company is not up to standard. Anyway, he is not the first operation, and it will definitely not be the last operation.
"..."
While Zhou Cheng and An Ruo were chatting, on the Internet, most of the self-media began to repost or forward a comment about the poor quality of the new domestic internal fixation device and the phenomenon of fracture.
The comments in it are also different.
There are some Internet celebrities and self-media, even if they follow the trend and comment, they will not understand the truth and essence of the matter, just to check the traffic. Apart from this, they don't care about the essence.
Therefore, it was quickly rushed to the top of the hot search list...
The next day.
When Zhou Cheng came to the department again, he was immediately surrounded by many people.
"Doctor Zhou, yesterday I read on the Internet that the minimally invasive surgery equipment we made is a defective product, which is prone to quality problems and will break? What's going on?"
"Yes, Doctor Zhou, is this thing really easy to break?" Several patients and their families were dying of anxiety.
Looking at these people, Zhou Cheng was quite helpless, but he could understand them: "You can come to me with crutches and ask so many questions. Do you want me to tell you about your own feelings?"
"For the time being, I don't know how the internal fixation device of the patient uploaded on the Internet broke. However, the patients I have undergone surgery have a good postoperative outcome."
"This kind of device is approved by the state. It has objective data and basis. There has never been a breakage accident before. Of course, accidental breakage cannot be ruled out, but you don't need to worry about it."
"Within the range of normal use, there will be no problem."
"Could it be that you don't pay attention to your own feelings when you see a bad news on the Internet? Look at you, you have walked so far today, it's hundreds of meters away, you At this age, on the fourth day after the operation, it is already very good to be able to walk so far.”
"There is also this little friend who just had an operation yesterday, so he can go to the ground today?" Zhou Cheng pointed out the patients who came to ask questions one by one, and persuaded him like this.
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