crazy scalpel

Xie Ke glanced at her and said lightly: "You can go through the formalities if you want to be transferred, and I won't stop you. But now it's time for ward rounds, I have to do normal checkups on patients, this is my job, and responsibility to the patient."

The woman frowned and said angrily: "Why are the doctors in the hospital so young now, do you know that this will delay the patient's progress? I don't believe you now, so I don't want you to check."

Patient No. 6 knew that this young-looking doctor was actually an attending physician, so he said to his daughter: "Dr. Xie is very good, you should let him examine me."

Unexpectedly, his daughter didn't care about it at all, but insisted not to allow the inspection, and said that she would be transferred to another hospital tomorrow morning.

The nurse next to her was that Mao Yuanyuan. At this time, she interjected: "Dr. Xie is the attending physician. He is on duty today. What are you worried about?"

As a result, the woman scoffed, and squinted at Xie Ke: "Being an attending physician at such a young age, who are you lying to? Do you think I don't know the doctor's title system? Huh, even if it is true, it can only prove that you It’s just opening the back door, for someone like you, I can’t let my dad show it to you.”

Xie Ke had no choice but to stand by and observe the patient, asked a few more questions, and then wrote in the medical record that the family members refused to allow the inspection, and asked the woman to sign.

Since you asked not to check, Xie Ke can't force it, but a signature is definitely required, otherwise Xie Ke will suffer a loss if this is used to settle accounts in the future.

The woman took a look at the medical records, then closed them and put them aside. She said, "I won't sign such things."

Seeing that this was another deliberately finding fault, Mao Yuanyuan couldn't help but tell her: "Obviously you asked yourself not to be checked and transferred to another hospital. Why didn't you sign? If you refused to sign, you let the doctor check it. Don't you want to deliberately renege on the debt?" ?”

The woman raised her brows upside down, and pointed at Mao Yuanyuan: "You little vixen, what are you talking about?"

Xie Ke quickly grabbed Mao Yuanyuan, and he said to the woman: "It's not a good habit to swear casually. This is a hospital, and it's not a place for you to run wild. Since you don't want to be treated, you can of course transfer to another hospital. But before that, the procedures must be completed." , it doesn’t matter if you don’t sign this form, have you seen it over there?”

The woman followed Xie Ke's hand to look in the direction of the door, and saw the nurse named Jin Xiaolu facing them with a notebook.

Xie Ke said: "Your behavior just now has been recorded by the camera, even if you don't sign it, it doesn't matter, there is a video to testify."

The woman snorted and stopped talking.

Xie Ke continued to make ward rounds. After such a commotion, everyone knew that Xie Ke was the attending physician.Regardless of whether the back door is opened or not, the attending physician feels slightly more trustworthy than the general physician.Moreover, the on-duty doctor's ward rounds are just a formality, to see if there is any deterioration or emergency.Therefore, other patients and their families are still cooperative.

After Xie Ke finished his investigation, the colleague from the infirmary came back just now, and this time he brought another doctor.

The doctor was from the pharmacy, and when he saw Xie Ke there, he hurriedly greeted him.Xie Ke's current status is not low, and he is a person who can perform major operations.The more people undergoing major surgery and treating serious diseases, the more opportunities they have to prescribe those high-value medicines, so the people in the pharmacy are quite friendly when they see this group of people, and it is directly linked to their income.

Xie Ke asked him: "Old Yang, did you bring anything?"

As soon as Lao Yang came in, he felt that the atmosphere was not right, but seeing Xie Ke's confident appearance, he knew that Xie Ke would definitely be able to handle it.He took out a piece of paper from his pocket, gave it to Xie Ke, and said as if we were brothers: "Of course, I will help you find what you want."

Xie Ke took it over and looked at it, and he felt at ease with this thing.He turned around and walked in front of the man in the suit, and said to the father and son, "I'm very pleased that you can study the medicine instructions carefully. This also shows that you are educated people, so it will be much easier to explain this matter." gone."

The old man No. 5 and the strong man looked at Xie Ke suspiciously, not knowing what he wanted to say.Only the man in the suit shook his head triumphantly, feeling that the doctor was finally coming to intercede with him.He almost wanted to say "Life", but fortunately he was still sensible enough to stop it in time and said: "Please say."

Xie Ke: "You take out the manual you read just now."

The man in the suit took out the manual from his pocket again.When he threw Xie Ke just now, Xie Ke didn't check at all. He fell to the end of the bed and then floated to the ground. He picked it up by himself.This time he didn't throw it like that again, but handed it directly to Xie Ke.

Xie Ke still didn't answer, but looked at the man in the suit fixedly: "Please read the line explaining the usage and dosage."

The man in the suit felt something was wrong at this moment, it didn't look like he was begging for mercy.He quickly glanced at the instructions, and it was indeed written that there were two bottles a day, so he read it aloud.

Xie Ke: "Continue reading."

The man in the suit looked at the manual, then at Xie Ke, and said uncertainly, "The following are indications, do you still want to read it?"

Xie Ke: "It's not the bottom, it's the back. Behind the 1 bottles a day, there are four words."

As soon as he said that, the man in the suit immediately turned dark and broke.It's not that the man in the suit didn't see those four words, it's that he didn't think about it at all.The instructions clearly state that there are 1 bottles per day, which should be the amount for him.

The strong man was also surprised when he saw that his younger brother was speechless, and he grabbed the instruction manual from the man in the suit.After seeing it, I was also stunned.

Xie Ke raised his eyelids: "Read."

"Please..." The strong man faltered and muttered, "Please follow...the doctor..."

As soon as he read it, except for the woman who was not allowed to be checked by Xie Ke just now, everyone else burst out laughing.

These four words are simply too slap in the face.

The man in the suit glared at his elder brother, but at this moment he couldn't complain, so he blushed and didn't speak.

On the contrary, although the strong man was a little embarrassed, he still pointed out the problem to Xie Ke: "But didn't you just change the dosage to 12 bottle every 1 hours? It means that this dosage is correct. If 10 bottle every 1 hours It's not wrong, so why did you change it?"

The man in the suit immediately interjected: "That's right! It means that your doctor prescribed it wrong! Please follow the doctor's advice. It's on every instruction sheet, okay? Does the doctor's order have to be right? Doesn't it mean that you prescribe one bottle per hour? Is that right?"

Xie Ke was about to speak, when the woman who refused to let him examine him interrupted him again, she said: "Don't be fooled by this doctor. Doctors nowadays don't have the concept of hanging pots to help the world, they are all looking for money Do you think you know how to read the instructions, but their doctors don’t know how to read them? They just do this to prescribe more medicine. The medicine you use is also quite expensive, hum. If you prescribe more medicine, they can get more A small share is charged. So it is obviously a bottle for 12 hours, and he opens it for you to a bottle for 10 hours. The difference is not too big. If you are not vigilant, you will not find it at all.”

When the man in the suit heard it, he immediately felt that what the woman said was too true, and he was not alert.And the strong man who was a little loose at first frowned again and looked at Xie Ke.Everyone else in the ward also focused their eyes on Xie Ke.Among these people, the patients and family members wanted to know whether what the woman said was true, while the medical staff wanted to see how Xie Ke explained it.Only Lao Yang who came up from the pharmacy was relatively relaxed, as if he already knew that Xie Ke could settle the matter.

Xie Ke said slowly: "First of all, I want to explain why I changed the doctor's order just now. Because the purpose of using this antibiotic is to treat postoperative bacterial meningitis, and it has been used for two days. After my examination, I found that your father's Symptoms have subsided, so I lowered the dosage, is that okay?"

The man in the suit had calmed down at this time, his brain was running fast, and he must not be pulled back by the doctor: "What you said seems to be all right, but how do you explain that it is written in the instruction manual that it is 12 bottle for 1 hours? Since it is written like this There must be a reason for it, why did your doctor prescribe more than this dose?"

Xie Ke: "When a doctor prescribes medicine, he mainly needs to consider the patient's condition. If he is more serious at the beginning, it is normal to increase the dose a little. If everything can be done according to the instructions, why bother to write "Please follow the doctor's advice" word?"

The man in the suit wanted to speak, but Xie Ke interrupted him by raising his hand.

What Xieke held in his hand was another leaflet. He said: "Any drug has a safe dose, and the bottom line of this safe dose is generally not directly written on the leaflet. Be tighter to prevent people who don’t understand the drug from being used indiscriminately. The antibiotics you are using now need to be revised two or three times a year, and the instructions will be slightly changed, but the essence of the drug remains the same. The one in my hand It’s just another leaflet for the same drug, and you can see that the usage and dosage written on it is 2 to 3 bottles a day.”

"Ah?" The man in the suit was stunned: "You mean the manual is written in random?"

Xie Ke: "When did I say such a thing? The usage and dosage in the instruction manual is only an approximate or intermediate situation, and the specific dosage should be determined according to the condition, so I ask you to follow the doctor's advice."

Having said that, Xie Ke didn't plan to stay any longer. He said: "It is necessary to keep quiet in the ward, and it is best for patients to maintain a peaceful mind. I hope you can take a good rest as the first criterion." Thinking about being lively" he didn't say it, believing that these people should understand what he meant.

After going out, Xie Ke said to Lao Yang: "You came really fast, thank you."

Lao Yang patted him on the shoulder: "Fortunately, you are familiar with this medicine, and you also know the difference in each version of the instructions, hahaha. Don't say that the people in our pharmacy didn't pay attention, most people probably didn't notice it, and you presume it casually. of."

Xie Ke smiled: "I also saw it by accident, so I remembered it."

He knew that now was not the time to be nervous, but it didn't mean he wasn't worried about the situation.Although in the ward just now, Xie Ke successfully convinced those people that Wen Xudong's doctor's order was all right, but he himself didn't think so.

It is true that what he said earlier is not wrong.Although there are many versions of this kind of medicine, the ingredients are actually the same, and they are only revised for various reasons such as publicity or price increases, but their concentrations are not necessarily the same.That is to say, the active ingredients contained in the same medicine are likely to be different.It's just that this difference generally doesn't have much impact, so even if the instructions are changed, doctors don't care too much.

Medication instructions are definitely not something to write casually, the information on it is very important.As for Xie Ke, unless he encountered a very serious condition, he would not prescribe more than the prescribed dosage.Xie Ke didn't know whether Wen Xudong didn't pay attention when prescribing the medicine, or it was really intentional as the woman said.

The reason for this confusion, in addition to the constant exchange of drug versions, is another very important reason, that is, the poor communication between the hospital and the drug dealer.This has to mention the medical representative.The function of this position is not only to sell drugs to hospitals, but also to communicate in the R&D, manufacturing and use of drugs.

Any changes in the drugs produced by the company, as well as the latest discoveries or reports of this type of drugs, and to convey these information to doctors as soon as possible. This is what a good medical representative should do.

Xie Ke also knows that this kind of thing is due to the general environment, and it cannot be changed by him alone.There are quite a few scandals that broke out in this kind of thing, so we can only slowly keep up with the pace of internationalization and standardization.Fortunately, the recruitment of medical representatives is becoming more and more stringent now. Many of them are formerly studying medicine.For a pharmaceutical group like Yaqiong, Xie Ke didn't dare to compliment him, but he knew that Yu Tengcong, the head of Yaqiong Pharmaceutical's representative, was a person who didn't know anything about medicine.

Although the matter has been resolved and the patients and family members’ doubts about the doctor’s orders have been suppressed, Xie Ke still decided to talk about this matter at the regular meeting and remind everyone to try not to exceed the standard written in the instruction manual.

Doing so may make Bian Shunyuan and Wen Xudong very unhappy, but Xie Ke will never give in on matters of principle.