medical simulator

Page 69



"Our emergency department can only invite orthopedic doctors to come here for consultation, but we can't take the initiative to choose who will come for consultation." Liang Xueya continued to explain.

He can't do this job, maybe Guo Haoran in the emergency department can have this power, but it is definitely not Liang Xueya, a small doctor who can arrange it.

"I!"

"I've really learned a lot, and I can't find a doctor even when I come to the hospital. It's true!"

"Your eight hospitals have a huge spectrum. I have never heard of this."

"The Affiliated Hospital of Shonan University doesn't have such a big spectrum, and the hospitals in Shanghai and Kyoto are not as outrageous as you!"

"What do you see me doing? Go and find a way for me!"

"You are such a big hospital, open the door openly to do business, find me a doctor! Solve the problem." He actually started yelling at Liang Xueya.

I also don't know who to contact and how to solve this problem.

Liang Xueya was a little regretful at the moment, a little regretful that she didn't go to the 'meeting' with Pang Dingkun and the others, and left herself to face the patient's family alone, feeling quite aggrieved.

But it's hard to say anything, so I can only bite the bullet and say: "I've said it all, the doctors on duty and consulting, and even the director of the orthopedic department have been called by the place you complained to for questioning."

"I have no right to arrange other doctors. It's useless for you to yell at me. I'm just a little doctor in the emergency department."

"I really want to." He raised his fist, but there were two security guards staring at him, not far away, but they kept staring at his hands.

As soon as they raised their fists, their hands parried.

"What are you doing? Fighting is not allowed here. If there is a fight, we can call the police. There are cameras here." The security guard stretched out his hand and stopped him. He was absolutely alone. If there were too many people, he probably wouldn't will be close.

Zhou Cheng frowned fiercely when he heard this.

While Liang Xueya was still struggling with the patient's family, he went to the surgical ward of the emergency department, and sure enough, he saw that the patient's anterior shoulder dislocation was displayed on the computer screen.

In the office of the ward, several doctors were grabbing the computer, but they didn't dare to turn it off.

Zhou Cheng swiped the mouse up and down, and frowned slightly.

This dislocation of the shoulder joint is indeed relatively rare. It is a dislocation of the joint that is irreversible. If the correct method is not found, it is really impossible to reset it. There are more than ten kinds of manipulations for the shoulder joint reset. Try each one for sure. Not advisable.

The humeral head is lodged against the glenoid of the shoulder joint.

This is very troublesome!

Have to find a very good way to reset the job.

After Zhou Cheng carefully read the film for a while!

I went to the doctor's office in the emergency department first, and casually twisted up a white coat to cover the hanging badge.

Send Luo Yun a message!

Then he tightened his mask and walked outside.

When he came out, he looked at Liang Xueya, he was still entangled with the patient's family, and the patient's family was still cursing and telling Liang Xueya what to do in the hospital?What is the truth of a doctor's medical ethics?

Taking advantage of no one's attention, he slipped into the operating room.

Zhou Cheng had no choice. The matter had reached this stage. If he insisted on waiting for Luo Yun and Cai Dongfan's orders before taking action, it would be difficult to end the matter.

Cai Dongfan was probably still on the operating table, and Luo Yun was called to a meeting.

It is still necessary to solve the root cause of the problem first. When patients come to the hospital for treatment and treatment, what they seek is healing, not for quarreling.

I checked my phone, but got no reply.

He could only sneak into the operating room privately...

……

In the conference room of the emergency department.

After Tan Zixing listened to the speeches of Pang Dingkun, Guo Haoran, Yan Haihan and others.

Said to Luo Yun: "Doctor Luo, please tell me, I already understand the general things, let me briefly talk about your personal opinion."

Previously, Yan Haihan specifically brought up the fact that Luo Yun was a major in joint surgery.

So Luo Yun's opinion is very important.

When Luo Yun explained the situation to Pang Dingkun and others, he had already organized the language.

Said: "Director Qin, just now Dr. Pang from our department, Director Guo and Director Zheng from the emergency department have also told what happened."

"I was also called to the emergency department by Director Yan halfway!"

"However, whether it is from the perspective of orthopedics or joints."

"I think it's all fine."

"First, first point."

"Dr. Pang from our department carefully assessed the patient's condition before the operation, and explained the diagnosis—this is the anterior dislocation of the shoulder joint after trauma!"

"No fractures, no symptoms of nerve paralysis on physical examination."

"It is in line with the indications for manipulative reset." Luo Yun put it at the end, so you can't talk nonsense. All these things may go to court, so it is natural to be clear.

"In the clinical treatment guidelines, manipulative reduction is the first choice! Surgical treatment is the alternative."

"Why did you propose an alternative surgical treatment? This is also written in the guidelines. This is an objective fact! This is the consensus formed by experts from all over the country, professors and experts in joint surgery and trauma surgery."

"Surgical treatment can only be chosen after manual reduction fails."

"This is also the second point I want to talk about. Dr. Pang also had a detailed communication with the patient and family members before the operation. Director Zheng overheard this."

"But we must also admit that the medical field is not programmed, and there is no necessary causal relationship between any treatment method and treatment results."

"This fully considers and respects the informed consent of patients and their families. Only consent is required."

"Dr. Pang has done a full pre-operative assessment, and after pre-operative communication, it is the patient and his family who chose the treatment method of manual reduction, but are unwilling to accept the result of manual reduction failure."

"Choose the right treatment but it doesn't work, it doesn't mean that there is a mistake in diagnosis or treatment!"

"And while Dr. Pang has already responded adequately, our orthopedics department has also adjusted the treatment plan in time."

"I have successively adjusted various reduction methods for the anterior dislocation of the shoulder joint, and also called for assistance from the anesthesiology department. These are all procedurally correct. They should also be done step by step."

"Even in the Affiliated Hospital of Shonan University, or even the well-known hospitals in Shanghai and Kyoto, when choosing the treatment method for anterior shoulder dislocation, you can only choose the method of reset first."

"It's just that there is no one-to-one correspondence between any treatment method. Medical guidelines are just reference opinions, and it doesn't mean that if you choose the right one, you will be cured."

"We must fully respect the patient's own choice of treatment methods, and we must also—"

While Luo Yun was talking, he heard someone knocking on the door of the conference room.

And quite hastily.

The sudden knock on the door made everyone frown.

Who is this?

But the knock on the door was a bit urgent, and before they called him in, he pushed the door open.

After pushing the door open, an attending physician from the emergency department stood at the door, swallowed several mouthfuls of saliva, and then he was a little nervous, and said with a very tangled expression: "Director Guo, Director Yan, this family member of Sheng Kaimei."

"I bought a lot of fruit baskets, and ran to the opposite side of the hospital in one breath, and bought several pennants with undecided departments and names."

"I have to say thank you in person."

After Guo Haoran and the others listened, their brains froze.

A person seemed to be stuck in a machine, with a different expression, and looked at the person at the door blankly.

Eyes and minds are different.

But there is no doubt that they all point to the word pain in the egg.

Sheng Kaimei was the patient with dislocated joints, and the patient's family members were the ones who reported it.

If he came to deliver pennants and fruit baskets, then why are so many of us here?

After such a long meeting, my mouth is almost dry, so I'm lonely?

After more than ten seconds, Guo Haoran said: "Lin Mo, what nonsense are you talking about? Now is not the time to joke."

"We are having a meeting right now to discuss this patient!"

"Get out of here!" Her voice and tone were sharp.

Chapter 98 Ah~?Orthopedics again?

Tan Zixing rubbed his hair fiercely at this moment, and almost lost his breath, and said:

"Lin Mo, what are you talking about? This is not a good joke!"

"We are having a meeting right now to discuss this patient!"

Tan Zixing's balls hurt, and his whole body was throbbing.

Good guy, he received a report call from the patient's family. He came here in person to solve the problem. He not only helped the patient solve the complaint, but also helped the clinical doctor to mediate the conflict with the patient.

Is it easy for him?

When I came to the emergency department, I called everyone to ask about the situation!

As a result, during the questioning process, the patient's family members brought fruit baskets and silk banners.

So, are we starting to be lonely?

Did Yan Haihan and Guo Haoran deliberately arrange this TN show to let him watch the play?

The attendant named Lin Mo smiled wryly at that time, and said, "Director Guo, of course I dare not make jokes."

"Now the patient's family members are waiting outside, and they have distributed the fruit baskets to other doctors and nurses in the emergency department. I just want to thank you in person."

The corners of Qin Zixing's mouth continued to twitch when he heard the words. He patted the table lightly and asked, "Director Guo, Director Yan, what's the matter with you?"

"Are you asking me to solve the complaint today? Or are you asking me to watch you collect the pennant?"

At the same time, I signaled the people in my office to stop writing, stop writing, and stop messing around.

What the hell, everyone is not idle, everyone has their own affairs and responsibilities. To put it bluntly, my complaint office is in charge of the complaints of the whole hospital, but I don't have so much time to joke with you here.

And this scene is really not good.

"Director Qin, I'm sorry."

"Director Guo and I don't know the situation, let's go out and have a look together."

"Actually, I didn't even know that I was being complained before you called." Yan Haihan immediately stood up and said voluntarily.

This incident happened in the orthopedics department, and it happened in the emergency department. Although Tan Zixing and the others felt that the relevant department was responsible for whichever department it happened in, they called Guo Haoran in, but as a human being, you can't be so shameless.

Tan Zixing has his perspective, and Yan Haihan has his own.

I just think that this family member might be a bit out of their wits, and as soon as they think about it, they should report it first, and then send fruit baskets and pennants...

And at the moment of this gap, Luo Yun finally had the time to secretly look at his mobile phone. After all, he called Zhou Cheng over, so he was worried and threw him to Liang Xueya and left him alone.

But after seeing the message, Luo Yun's expression immediately changed.

After thinking for a while, he lowered his voice and said, "Director Yan, I may know what's going on here."

After hearing Luo Yun's words, everyone immediately turned their gazes over.

Yan Haihan turned his head and blinked, with a puzzled expression: "Do you know the situation?"

"What do you know?"

"Well! I know the situation, but it's hard to say now. We'd better wait until we go out to see the patient and settle the complaint first, and then talk about it in detail."

"What happened to the patient's dislocation is the purpose of our meeting today. Director Yan."

Luo Yun had no choice but to take over the conversation, but at the same time he had to keep it a secret.

This young man Zhou Cheng is too courageous, without Cai Dongfan and Luo Yun's instructions, he dared to go to other groups to show off his power and interfere with patients in other treatment groups.

He can only cover it up first, and then slowly make a conclusion after seeing the results...

When Yan Haihan, Guo Haoran, and Tan Zixing heard this, they didn't pursue Luo Yun's fault that half of what he said left them half confused. What Luo Yun said was right, the root of the matter was the patient's side. If things are dealt with over there, everything after that will be easy to talk about.

If there is a problem there, then today's matter will have to continue, and it may even be a higher level.

Yan Haihan and his group hurried out the door, and then they saw Sheng Kaimei's family members talking and laughing to other doctors in the emergency department. Good fruit compote.

At the same time, he kept scanning, and happened to see Yan Haihan and others, and immediately turned around and walked over, and then held up the banner very respectfully and said: "Dear doctors, you have worked hard, thank you, thank you!"


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