Chapter 99 So we started a lonely life? (Third update, please subscribe!)
When Liang Xueya saw Yan Haihan answering the call from the Medical Department - Complaints Office, a little worried, he scratched his hair.
Next to Liang Xueya, Zheng Guowei knocked on his shoulder and said: "Xiao Liang, now you know why I said that to you, right?"
"In the Orthopedics Department of our hospital, there is no routine in the manual reduction of joint dislocations. If you are not careful, such a situation may occur."
"Actually, Pang Dingkun is quite good. He is knowledgeable and knowledgeable, and he explains it very clearly to the patients and their families before the operation."
"And you also thought that the patient's family members were quite humane, right?"
"But the fact is that most people only think about the results and don't care about the process. If it's not done well, they go to the complaint office of the medical department to complain."
Liang Xueya lowered his head slightly, bit his lip and said, "But Director Zheng, this joint dislocation is originally a subspecialty of orthopedics. It wouldn't be appropriate for such a patient to be sent directly to another hospital after arriving, right?"
To be honest, Liang Xueya has only been on duty for a few days. The process of being on duty here is to work for 24 hours, then rest for three days, and then continue for another 24 hours.
A little different from the previous shift.
The first impression that Liang Xuaya had after coming here was that the emergency department of the Eighth Hospital was quite quiet, far less than the volume of patients when he was a graduate student in the emergency department of the Third Affiliated Hospital of Xiangnan University.
When he was on duty, he would occasionally be without patients for an hour or two...
With such a size of patient, do you still dare to pick and choose?
Zheng Guowei said with emotion: "Xiao Liang, this is what I told you, our Eighth Hospital is the same place as the Third Affiliated Hospital where you studied before."
"It's up to our emergency department to decide whether to do it or not. That's a specialist matter. Our orthopedics department here only has two departments. You can't force the orthopedics department to treat and handle all the patients."
"Forget it, let's not talk about this anymore. You will learn a lesson from the experience. Just remember it next time."
After finishing speaking, Zheng Guowei continued: "The medical department will definitely send someone over to investigate and mediate later. You are the first doctor who sees the patient in the emergency room, and I am your supervisor. Both of us will be called over."
"Just say that you called the orthopedics department for emergency consultation. Don't mention that the orthopedics department doesn't accept joint surgery patients. This will only make things more confusing."
"The medical department won't admit that you don't do this subspecialty thing."
"The Department of Orthopedics is already on fire, we can't add another fire."
Zheng Guowei explained.
This patient has nothing to do with the emergency department. They received the patient immediately and completed the examination. If he has a specialist problem, of course he needs specialist consultation, which is not within the scope of the emergency department's business.
It was Pang Dingkun who decided to perform manual repositioning on the patient after he came for consultation, so their emergency department had nothing to do with it.
The orthopedic specialty section in the emergency medical record was written by Pang Dingkun, and the doctor who spoke on the informed consent form was also signed by Pang Dingkun’s name.
Since you have nothing to do with yourself, you should avoid stabbing others in the back...
But Zheng Guowei then said with a wry smile: "Of course you may not be called, I can't escape anyway."
Liang Xueya raised his head and looked at Zheng Guowei, and said apologetically: "Teacher Zheng, I'm sorry, I blame you for not understanding it clearly."
"It's okay, it's okay. This is how everyone came here. When working in the Eighth Hospital, there are many details to pay attention to. In addition to orthopedics, there are also many details that need to be remembered clearly in other departments. For example, neurosurgery is the 1351 ward.
Consultation, consultation in ward 2462..."
"As for the even more outrageous department, there is the Department of Cardiology. There are consultations in the first ward in the morning, consultations in the second ward in the afternoon, and consultations in the third ward in the evening..."
Liang Xueya nodded quickly, remembering all these details one by one...
The people from the Complaints Office of the Medical Department came quite quickly. Almost ten minutes after Yan Haihan received the call, two people arrived. One seemed to be the director of the office, and the other was a staff member.
Keep a complaint log.
After arriving at the emergency department, they called everyone involved in the orthopedics department, but only Zheng Guowei and Guo Haoran were called from the emergency department.
After all, the main department responsible for this 'medical accident' is the Department of Orthopedics, but the incident happened in the Emergency Department, so people from the Emergency Department will naturally be called over.
Even Luo Yun didn't let go.
When Luo Yun heard that the director of the office wanted to call him into the office, he looked particularly embarrassed.
"Director Qin, do I have to go too? I was called to help on the way." Luo Yun asked Qin Zixing in a low voice, wanting to leave.
He called Zhou Chenggang and asked him to come over so that he could talk. He just made the call, but he was called in for questioning. Then Zhou Chenggang would come at that time. Wouldn't his trip be in vain?
"Luo Yun, why don't you come too?" Before the Director of the Complaints Office, Qin Zixing, who had a stern face and looked very rigid and unreasonable at first glance, could say anything, Yan Haihan took the initiative to call Luo Yun.
After all, Luo Yun has a background in joint surgery. It will be easier to speak later and his words will be more professional. Even if a medical dispute does arise and a lawsuit is filed, the arguments provided by Luo Yun will be more convincing.
"Okay, Director Yan." Luo Yun felt a pain in his heart, knowing that he could not escape.
And it is estimated that Yan Haihan will beat himself up in the department because of this matter in the future.
The manual reduction of joint dislocation was done by himself in the department. Pang Dingkun could be considered as being 'led out' by himself.
In front of Tan Zixing and Yan Haihan, Luo Yun naturally couldn't make any more phone calls.
So I quickly sent a message back to Zhou Cheng on WeChat: "I was called by the Complaints Office for a talk. You don't need to come over."
Zhou Cheng probably had been holding his cell phone and paying attention to the messages, so he replied almost instantly: "Teacher Luo, I'm already at the door of the emergency department, do I still come in?"
Luo Yun——
(⊙o⊙)…
"Then you come in and go to Liang Xueya from the emergency department to take a look at the film first..."
"I'm in, I can't play with my phone anymore." After Luo Yun replied, he didn't dare to play with his phone anymore. Things are very serious now, and this is not the time to joke around and smile.
Pang Dingkun sat in the door position of Qin Zixing. He is a physician in our hospital and a certified person with first-level surgical and operation authority. Today's incident was caused by him, so he naturally bears the brunt.
Next to them are Yan Haihan and Guo Haoran, and then Luo Yun and Zheng Guowei...
Qin Zixing got straight to the point: "I won't go into too much nonsense. Our Complaints Office received a complaint call. Before going to communicate with the patient, our Complaints Office follows the usual practice of understanding the facts."
"Dr. Pang, this is your first visit to an orthopedic specialist, so let's talk about it first."
"Zhu Qingqing, please write it down with a pen. Don't record it in the complaint file yet." Tan Zixing ordered the little girl who followed him, and deliberately explained one more thing...
…
After Zhou Cheng entered the emergency department, he quickly saw Liang Xueya.
Liang Xueya was the patient's first doctor. Now that the patient's family members couldn't find Pang Dingkun, they stood in front of Liang Xueya and asked, "Doctor Liang? Where are the doctors in the orthopedics department? Where is the director? None of them are missing?"
When he asked this, he felt a little regretful. He felt that he had called the complaint too early, so the orthopedic doctors were angry and all left.
But his wife is still in the operating room, half of her arm is numb, but the pain is gone, but she still can't move her hand, and it seems there is an obvious deformity. If no one cares about this, what will happen?
After he told his wife about this incident just now, he was scolded severely by her. The scolding was that he had no conscience and wanted to file a complaint before his illness was cured. So what will he do now that no doctor is here?
alley?
Of course he had no choice but to come find him.
Liang Xueya could only explain helplessly: "Uncle, don't worry. Our orthopedic doctor received a call from the complaint office and was called for questioning. He will be back soon."
"They are discussing a solution, don't worry yet."
"Then can I not be anxious?"
"My wife is still lying inside?" The patient's husband stopped at that time and his voice was a bit loud.
However, it seemed that he had not found the right person to trouble Liang Xueya so loudly, so he added: "Then if I call to cancel the complaint now, can those doctors come back?"
The corner of Liang Xueya's mouth twitched, and she said to herself, do you think this is a wet market to buy vegetables?
If you don’t want to buy it, just return it?
"I can understand your feelings, but after receiving the complaint, the Complaints Office must understand the situation. The hospital and orthopedics department will definitely come up with a plan as soon as possible." As Liang Xueya was talking, he suddenly turned sideways and saw Zhou Cheng leaving.
close.
Zhou Cheng called him, because the patient did not call him by his private address in person, but called him by a more formal title: "Doctor Liang."
"Hello, Doctor Zhou." Liang Xueya raised her eyebrows when she saw Zhou Cheng, feeling a little bitter in her heart.
Good guy, it's just a coincidence. The reason why I sent patients to the orthopedics department today is because this guy asked me to send him smoothly when he was on duty last time. As a result, this happened.
Of course, we can't say that Zhou Cheng's is not good.
"Dr. Liang, you haven't told me how to solve it yet? Are you going to leave it alone while my wife is lying inside?"
"Huh? No one cares?" He spread his hands, his tone mixed with resentment and anger, and he was naturally helpless.
Liang Xueya could only ignore Zhou Cheng and continue to explain to the patient: "But since you complained, the doctors who attended the clinic were temporarily called in for questioning."
"I definitely won't ignore it, and the people from the orthopedics department are still in the emergency department and will be here soon. The hospital is not selling things on the street outside. If you say you don't want to buy it, or you go to complain, other people's business will continue.
Do."
"After receiving a complaint, in non-emergency situations, operations that may cause trauma must be stopped immediately. People in the office need to check clearly before discussing a solution. Your wife's current situation is not life-threatening, so naturally she cannot continue
Continue."
"This is something we doctors can't do anything about." Liang Xuaya said with a bitter smile.
The patient's family members immediately snorted heavily: "Yeah! TMD!~"
"What is this?"
Then he changed his words and cursed: "What are you breaking the rules and messing up? I came to the hospital to see a doctor, and I came to the doctor for treatment. You just have to be responsible for treating me. I pay for your treatment. Why are there so many things?"
"Dr. Liang, can you find other doctors?"
"You need to ask the doctor to see you? Let them think of a solution." He slapped his thigh, but he didn't rush him to death.
This is the same feeling as if your wife was pushed to the operating room, anesthesia was given halfway, the operation was halfway done, and the doctor disappeared.
He probably also felt that if he went back to the previous doctor, he must have some thoughts about him and he complained to them, so they might retaliate.
Before you react, try another doctor. If you can treat the disease before the previous group of doctors, they can go home and be fine.
"This? Where." Liang Xueya subconsciously prepared to reply, but then he remembered that there seemed to be an orthopedic doctor right in front of him.
But they immediately gave up the idea. The level of this doctor was much lower than that of Pang Dingkun and Luo Yun. There was nothing they could do. Even if they became a living doctor, they couldn't bring Zhou Cheng up. When the time came, they would complain again and again.
Then the bird is finished.
"Where can I find him at this moment? The orthopedic doctor is arranged by the director of the orthopedic department, that is, the former director Yan."
"The doctor on duty and the doctors for consultation are all arranged by him!"
"Our emergency department can only invite orthopedic doctors to come here for consultation, but we cannot actively choose who comes for consultation." Liang Xueya continued to explain.
He can't do this job. Maybe Guo Haoran from the emergency department can have this power, but it's definitely not something that Liang Xuaya, a small doctor, can arrange.
"I!"
"I've gained so much experience. I can't even find a doctor when I go to the hospital. It's true!"
"Your eighth hospital is so outrageous. I have never heard of this."
"The Affiliated Hospital of Shonan University is not as outrageous as you, and the hospitals in Shanghai and Kyoto are not as outrageous as you!"
"What are you looking at me for? Go and find a solution for me!"
"A hospital as big as yours is doing business openly and openly. Find me a doctor! Solve the problem." He actually started to yell at Liang Xueya.
I don’t know who to contact or how to solve this problem.
Liang Xueya felt a little regretful at this moment. She regretted that she didn't go to the 'meeting' with Pang Dingkun and the others, leaving herself alone to face the patient's family. She felt a little aggrieved.
But it was difficult to say anything, so I could only bite the bullet and say: "I have told you that the doctors on duty and consultation, and even the director of the orthopedics department, have been called for questioning by the place where you complained."
"I have no power to arrange other doctors. It's useless for you to yell at me. I'm just a junior doctor in the emergency department."
"I really want to." He raised his fist, but there were two security guards nearby who kept staring at him. They were not far away, but they kept staring at his hands.
As soon as they raised their fists, their hands started to fight.
"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 definitely alone. If there were many people, it would probably not be possible.
It will be close.
When he heard this, Zhou Cheng frowned fiercely.
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 the film of the patient with anterior shoulder dislocation displayed on the computer screen.
In the ward office, several doctors were fighting for the computer, but they didn't dare to turn it off.
Zhou Cheng slid the mouse up and down and frowned slightly.
This shoulder joint dislocation is indeed relatively rare. It is an irreducible joint dislocation. If you don't find the right method, it really can't be reduced. There are more than ten ways to reduce the shoulder joint. Trying them one by one will definitely help.
Not advisable.
The head of the humerus is compressed into the glenoid fossa of the shoulder joint.
This is very troublesome!
You have to find a very good reset method.
After Zhou Cheng carefully read the film for a while!
First, I walked to the doctor's office in the emergency department, where I casually twisted up a white coat and covered the hanging name badge.
Sent a message to Luo Yun!
Then he tightened his mask and walked out.
When he walked out, he looked at Liang Xueya. He was still entangled with the patient's family members. The patient's family members were still cursing and telling Liang Xuaya how the hospital should be and what the medical ethics of doctors are.
When no one was paying attention, he slipped into the operation room.
Zhou Cheng has no choice now. The matter has reached this point. If he still insists on waiting for Luo Yun and Cai Dongfan's orders before taking action, it is estimated that the matter will be difficult to end.
Cai Dongfan was probably still on the operating table, while Luo Yun was called to a meeting.
It is still necessary to solve the root cause of the problem first. Patients come to the hospital for medical treatment and treatment. What they want is to be cured, not to quarrel.
I checked my phone and got no reply.
He could only sneak into the operation room privately...
…
In the conference room of the emergency department.
After Qin Zixing listened to the speeches of Pang Dingkun, Guo Haoran, Yan Haihan and others.
He said to Luo Yun: "Doctor Luo, please tell me about it. I already understand the general matter. Please briefly share your personal views."
Yan Haihan previously brought up the fact that Luo Yun had a major in joint surgery.
Therefore Luo Yun's opinion is very important.
When Luo Yun explained the situation to Pang Dingkun and others, he had actually organized his language.
Said: "Director Qin, just now Dr. Pang from our department, Director Guo and Director Zheng from the emergency department also talked about what happened."
"I was also called to the emergency department by Director Yan on the way!"
"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 anterior dislocation of the shoulder joint after trauma!"
"There are no fractures, and there are no symptoms of nerve palsy on physical examination."
"Conforming to the indications for manual repositioning." Luo Yun put it at the end, so we can't talk nonsense. These things may go to court, so naturally they have to be organized.
"In the clinical treatment guidelines, manual reduction is the first choice! Surgical treatment is the alternative."
"Why should alternative surgical treatment be proposed? This is also written in the guide. This is an objective fact! This is the consensus reached by experts from all over the country, including 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 make. Dr. Pang also communicated with the patient and family members in detail before the operation. Director Zheng overheard this."
"But we must also admit that the medical field is not programmed, and there is no inevitable causal relationship between any treatment method and treatment results."
"This fully considers and respects the informed consent rights of patients and their families. Only operate with consent."
"Dr. Pang has done a thorough preoperative assessment and preoperative communication. It is the patient and his family who chose manual reduction as a treatment method, but are unwilling to accept the result of manual reduction failure."
“If you choose the right treatment but it doesn’t work, it doesn’t mean there is an error in diagnosis or treatment!”
"And while Dr. Pang has made adequate response, our orthopedics department has also adjusted the treatment plan in a timely manner."
"We have successively made adjustments to various reduction methods for anterior shoulder dislocation, and also called in the assistance of the anesthesiology department. There is no problem with these procedures. It should also be done step by step."
"Even at Shonan University Affiliated Hospital, or even well-known hospitals such as Shanghai and Kyoto, the only choice for treatment of anterior shoulder dislocation is manual reduction first."
"It's just that there is no one-to-one correspondence between any treatment methods. Medical guidelines are only reference opinions. It does not mean that the right choice will cure the disease."
"We must fully respect the patient's choice of treatment, and also-"
While Luo Yun was talking, he heard someone knocking on the door of the conference room.
And it was quite sudden.
The sudden knock on the door immediately made everyone frown.
Who is this?
But the knock on the door was a bit urgent, and before they called him in, he opened the door directly.
After opening the door, an attending physician from the emergency department stood at the door. After swallowing several mouthfuls of saliva, he became a little nervous and said with a very tangled look: "Director Guo, Director Yan, this family member of Blooming Plum."
"I bought a lot of fruit baskets, and I ran to the opposite side of the hospital and bought several banners with undecided departments and names."
"I have to say thank you personally."
After Guo Haoran and others listened, their minds were at a loss.
A man seemed to have a machine stuck, his expression was frozen, and he looked blankly at the person at the door.
The eyes and thoughts are different.
But undoubtedly they all point to the word "dandruff".
Sheng Kaimei is the patient with joint dislocation, and the patient's family members are the ones who reported it.
If he comes to deliver banners and fruit baskets, then what are so many of us doing here?
After such a long meeting, your mouth is almost dry, so you have a lonely meeting?
After more than ten seconds, Guo Haoran shouted: "Lin Mo, what are you talking about? Now is not the time to joke."
"We are meeting now to discuss this patient's problem!"