In order to discuss what to do about this matter, Professor Cao had to call Yang Ping. If the patient really had to be admitted to the hospital for a thoracotomy and lung examination, the pressure would not be something that ordinary people could withstand.
After Yang Ping received the call, he happened to be free, so he immediately came to the clinic.
This pneumoconiosis patient is called Ou Lianfeng. He has been sitting in the outpatient hall until Professor Cao gets off work. He has been to many hospitals and has been running around for several years. Now he regards Sanbo Hospital as the last straw. This time he is making a desperate move to save his family.
I sold everything I had to raise money and came to Sanbo Hospital just to get a diagnosis. This diagnosis would not only allow me to get compensation, but also give me a sigh of relief. It was obvious that I had pneumoconiosis, so why didn't they give me a diagnosis?
"You see, we have seen the Nandu Annex 1 and Annex 2, the Provincial People's Hospital in our province, and several nationally renowned hospitals outside the province. The doctors' opinions are that they consider pneumoconiosis and recommend that they be diagnosed at the relevant occupational disease prevention and control center, but
Their local occupational disease prevention and control center refused to make a diagnosis, saying that they required the patient to provide proof from his workplace, proving that he was exposed to dust in the work environment and had conditions that could lead to pneumoconiosis, and that the current lung lesions had a direct causal relationship with the work environment.
Isn’t that nonsense?”
Professor Cao introduced the patient's condition to Yang Ping and used swear words as he spoke.
Yang Ping carefully analyzed these X-rays and CT pictures. These examination data will not lie. Let's talk about the facts. These X-rays and CT pictures have shown very obvious symptoms. They belong to the third stage of pneumoconiosis. There are large shadows in both lungs. The length of the large shadow exceeds
2cm, and the short diameter exceeds 1cm. Unless these imaging films are not of the patient himself, the diagnosis of the third stage of pneumoconiosis is a certainty.
Yang Ping felt that the patient's situation was quite special, so he asked Xiao Wu to call the patient in to learn more about the situation.
"Have you given the opinions of the experts and professors at these big hospitals to the doctors at the Occupational Disease Prevention and Control Center?"
Yang Ping asked Ou Lianfeng.
Ou Lianfeng still had that extremely helpless and tired expression on his face: "I showed it to them, and they said that no matter what hospital, not even Union Medical College has the qualifications to diagnose it. Only they have the qualifications to diagnose my disease, and no other hospital can say that.
I asked why all the doctors said it was pneumoconiosis, but you couldn't make a diagnosis. You asked me to get a certificate from my employer. I diagnosed pneumoconiosis with the intention of asking my employer for some compensation. Will my employer issue this certificate on its own? Aren't you making things difficult for me?
"
"The doctor over there sneered."
"This is our regulation. If you don't have supporting documents from your original employer or the documents are insufficient or unqualified, we can't diagnose you. It will be useless no matter where you go to complain."
The more Ou Lianfeng talked, the angrier he became. When he talked about the excitement, his facial muscles kept twitching, his lips trembled, and he kept gasping for air.
Graduate student Xiao Wu immediately brought a glass of water to Ou Lianfeng. Ou Lianfeng took a sip of water to calm his breathing, and suddenly knelt down with a plop: "I beg you for help. I really have nothing to do now because I can't work because of this disease."
, I can’t find a job, my family is in trouble, I have an elder and a younger child, and my child is still studying. For such an obvious thing, they just won’t give me a diagnosis. What do you think I should do now?”
Yang Ping and Professor Cao immediately helped Ou Lianfeng up: "Don't do this. If you have anything to say, talk to us. Let's find a solution together."
When Ou Lianfeng got up, the grown man burst into tears. If he hadn't been in the most desperate position, he wouldn't have been like this.
This patient is really pitiful. Graduate student Xiao Wu’s eyes were wet when he heard this, and his chest was full of anger. Professor Cao couldn’t help but feel sympathy and thought about how to help. Yang Ping kept reading the information. This objective fact showed that
Here, why do occupational disease prevention and control centers insist on refusing to diagnose and embarrass patients?
"Professor Cao, if not, I'll say hello and take another DR of his chest for free. Xiao Wu, you take him there now, and I'll call the radiology department now."
Ou Lianfeng has already taken so many films. Yang Ping does not want to increase the financial burden on the patient, nor does he want to add more radiation to him, but Yang Ping must make sure that these films are his own, let alone his complicated relationship with the original unit and occupational disease prevention and control.
In the dispute, Yang Ping was just discussing the matter. If these films were his own, then the diagnosis of pneumoconiosis would be iron-clad.
There are some things that you can't help, and if you encounter a patient who is playing tricks on you, you will get into trouble.
The world is too complicated, and you need to be cautious. There is no way around it. Some things must be verified clearly. There are many things that get into trouble due to confusion in medical treatment, and Yang Ping knows a lot of things.
Not to mention, a doctor from the Orthopedics Clinic of Sanbo Hospital saw a patient introduced by an acquaintance with an X-ray from another hospital. The patient had a history of trauma to the left ankle joint, and the left ankle joint was obviously swollen. The X-ray showed that the lower end of the left tibia was comminuted.
Fracture, the doctor was introduced by an acquaintance, and the patient and family members were extremely sincere, so he made a diagnosis of comminuted fracture of the lower end of the left tibia based on X-rays from an outside hospital. He also wrote a medical record and a diagnosis certificate, and signed his name.
As a result, not long after, the court found the doctor and accused him of providing perjury. The doctor was very puzzled, how could this be possible? The fracture was not clearly shown at that time. It took him a long time to figure out that the X-ray that the patient brought at that time was
It does not belong to the patient, and I don’t know where it was obtained.
Even the acquaintance who introduced him didn't know all this, and thought it was just an ordinary medical visit. Unexpectedly, the patient carefully designed a trap to trap the doctor. He had no fractures. In order to win the lawsuit and win more compensation, he carefully designed a scam.
Taking advantage of the doctor's unpreparedness and tricking the doctor into making a diagnosis.
If the hospital hadn't tried its best to protect the hospital and help with the investigation and clarification, it would have been difficult for the doctor to climb out of the trap. This kind of false diagnosis to defraud money is a criminal case.
There are still many patients who did not come and asked acquaintances to come to the hospital to help them issue a certificate for vacation. They only said that they were asking acquaintances to help them issue a certificate for vacation. In fact, they had other ulterior motives and involved the doctors.
This chapter is not over yet, please click on the next page to continue reading! What is even more horrifying is that the baby has died. The family members took the baby's body to the hospital for emergency treatment, and then said that the baby was gone and asked the hospital for trouble.
There are also elderly people who have fractured bones. Their families sent them to the hospital for treatment. They deliberately made the elderly people walk with two crutches and then fell down on purpose. Oops, I originally came to your hospital for treatment with just a sprained leg. Now that I fell here, the responsibility is yours.
, crying and making trouble, just want free treatment.
If one of these rat droppings comes across, the doctor will be haunted for the rest of his life.
So sometimes after seeing too much and hearing too much, one's heart becomes hardened. For this patient, no matter how much he burst into tears, Yang Ping insisted on re-examination and asked a graduate student to accompany him throughout the process. He had to make sure that the film was of him.
Only then can things continue, otherwise it will be a huge pit. No one knows whether some things are true or false, and no one knows where the pit is.
A person should be conscientious, but this conscience should not be used indiscriminately and cannot be used as a fool.
You must also pay attention to methods when doing good things, and you cannot get yourself into trouble.
"He's had a lot of tests ---"
Professor Cao felt very sorry for the patient. Yang Ping waved his hand: "Do another one and look at the latest lung imaging performance. Only by mastering the latest imaging performance can we make accurate judgments."
At the same time, Yang Ping wrote a few words on the paper, then waved to graduate student Xiao Wu, clicked on the words on the paper and said: "Go to this doctor and say that Professor Yang asked him to come over for examination. He does not charge for it.
I've already made the call."
In fact, it says on the paper: "You must accompany him throughout the entire process to ensure that he completes the inspection himself."
Graduate student Xiao Wu nodded knowingly: "Okay, I'll go over now."
In less than half an hour, Xiao Wu led Ou Lianfeng to complete the examination. Before they returned to the clinic, Yang Ping and Professor Cao had already reviewed the films on the computer in advance. There was no doubt about the third stage of pneumoconiosis. Those films were his own. This
The diagnosis is definitely fine.
So putting aside all irrelevant things, this patient does have stage three pneumoconiosis, and a definite diagnosis can be made. However, the problem he faces is also real and objective. Except for the patient’s local occupational disease prevention and control center, other hospitals, including Sanbo Hospital, have not made this diagnosis.
qualifications.
Even if it is 100% pneumoconiosis, you cannot make a diagnosis. If you make a diagnosis, it is against the law.
what to do?
"I have been running for several years, and now I am exhausted. There is nothing I can do. No hospital is willing to diagnose me." Ou Lianfeng sounded desperate.
Professor Cao said: "It's not that they are unwilling to make a diagnosis, it's that they don't have the qualifications, so giving you a diagnosis would be against the rules, or even illegal."
"But they are qualified but don't give a diagnosis. There's really nothing we can do about it." Ou Lianfeng sounded extremely helpless.
"If we want to make a diagnosis, we can only open the chest and examine the lungs!" Xiao Wu, a graduate student, is very familiar with this situation. He sympathizes with the patient and hopes to be of help.
Yang Ping was thinking, and Xiao Wu added: "We can only do surgery, open the chest, remove one lobe of the lung and do pathological examination, and finally make a pathological diagnosis of pneumoconiosis. Pathological diagnosis is the gold standard. This should be no problem. If we
Once a pathological diagnosis is made, it is impossible for them to deny it."
"If it's too difficult for you, I will go back. I know you are in trouble too." Ou Lianfeng packed his things and prepared to go back.
Yang Ping said: "Wait, don't worry, you stay. If we want to make a diagnosis, we can only do surgery to open the chest and check the lungs. Do you want to do it?"
Ou Lianfeng was overjoyed and nodded immediately: "Do it! I have heard doctors say this method before, but no doctor dares to do it."
''Xiao Wu, admit him to the hospital and perform pathological examination after thoracotomy lobectomy.'' Yang Ping said firmly, no matter what else, there is no problem with this diagnosis at all, why can't it be made.
"I reported to Dean Xia before the operation and hoped that he would support it."
Yang Ping knew that this operation was very risky, more risky than any of his previous operations, not only in the difficulty of the operation, but in other aspects.
"Okay!" Xiao Wu immediately issued a hospitalization certificate to the patient. As long as Professor Yang helps, this matter will be much easier to handle.
Ou Lianfeng was in disbelief: "Are you willing to open my chest and check my lungs? Are you willing to diagnose me?"
"Yes! But our final diagnosis can only be based on objective facts. The pathological diagnosis is whatever it is!" Yang Ping said clearly.
Ou Lianfeng nodded: "I know that I am willing to take all risks. Apart from this method, I have no other choice."
Xiao Wu explained some precautions for hospitalization. Ou Lianfeng immediately went to handle the hospitalization procedures with his luggage. Some hospitals had mentioned this method before, but they did not dare to do this operation. Now Sanbo Hospital dares to do it. Ou Lianfeng is really grateful.
This means that the things that I have been working on for several years are finally coming to fruition.
After Ou Lianfeng left, Professor Cao asked Yang Ping: "What do you think of this?"
''If we don't accept this operation, then who else will dare to accept this operation? Where will this patient get a diagnosis? Letting him go will not pass the test of conscience." Yang Ping said emotionally.
Professor Cao nodded and said, "Yes."
"I will report to President Xia. This matter must be told to him, otherwise there will be serious consequences and the hospital will be very hasty to deal with it," Yang Ping said.
At this time, Dean Sun happened to come to the outpatient clinic for some business and went to Professor Cao's clinic for a visit. Professor Cao told Dean Sun what had just happened. Dean Sun's face changed drastically: "You must not do this. When the time comes, the hospital
You will be punished, and your position in Xia Hospital will not be guaranteed, and Professor Yang may also get into big trouble, and the local patients will cause trouble for you."
Dean Sun knew the powerful connections inside, so how could he do such troublesome things.
"so serious?"
Professor Cao was very surprised.
Dean Sun said: "You don't know the powerful relationship inside. Here--hey---in short, listen to me. Don't take the trouble on yourself. It's better to do less than to do more. This is not within the scope of our responsibilities."
things."
"What should we do?"
Professor Cao was a little at a loss.
"Isn't the operation not done yet? Let the patient be discharged from the hospital as soon as possible, quickly! We can't poke this hornet's nest, we must not poke it! There are so many uncomfortable things in the world that we can't control. We put ourselves
Just do your job well, why bother causing such trouble." After Dean Sun said that, he answered the phone and hurried out.
"Remember, you must not do this. You have already admitted the patient to the hospital and it is difficult to explain. If necessary, I can ask the medical office to send someone to explain and let him go quickly. This is a big trouble. Listen to me.
.”
Before leaving, Dean Sun did not forget to turn around and give Yang Ping and Professor Cao a few words.
"Is this so serious? It's just an operation or a diagnosis."
Xiao Wu was very surprised.
Professor Cao nodded: "Yes, this is a big matter. Whether our hospital can handle it is a question. How will President Xia respond?"
"The dean said --- if you just go ahead and watch the sky fall, he won't believe this evil."
"Then things will be easier to handle. Xia Changjiang is really courageous. This matter will be recorded in the history of Sanbo Hospital. I don't know if Director Xia can withstand it." Lao Cao said worriedly.
Yang Ping said firmly: "We will bear it together. There is nothing to be afraid of. Prepare for the operation."
