Chapter 137 Entrusted with important tasks! (Please subscribe)
Choosing Fan Dun as a reason is actually not very good, but it is also quite good.
At least, after a while of silence, when Zhou Cheng looked at WeChat again, neither of them responded.
However, while Zhou Cheng was still polishing the materials for the evening simulation, his phone rang, as if deliberately trying to antagonize him.
When he lifted it up, he saw that it was Luo Yun calling.
He immediately answered the phone: "Teacher Luo, do you have anything to do with me?"
Luo Yun immediately said: "Xiao Zhou, are you free now? Can you come to the operating room?"
"There's something slightly wrong here!"
Zhou Cheng frowned slightly when he heard this. He didn't like being disturbed while studying.
The person on duty today is Lin Lin from Hu Ming's team, and Zhou Cheng can't even take the deputy shift. Luo Yun is on duty as the general duty, and is only responsible for joint matters. Under normal circumstances, he will not go to the operating room.
But he did not rule out an emergency situation, so he stood up quickly: "Teacher Luo, is it a complex irreversible dislocation?"
"I'll come right away."
Luo Yun immediately replied: "It's not a joint dislocation, it's just that we met an emergency trauma patient today. Zheng Xuanlin has already undergone debridement and external fixation with an external fixator. The blood supply during the operation was pretty good."
"But after I got off the stage, I found that the pulse of the dorsalis pedis artery was gone. CTA showed that the area above the bifurcation of the femoral artery and the profunda femoral artery was blocked, making it impossible to show the distal condition. Now the patient is dragged to the operating room again.
Perform thrombus removal."
"But you also know that Director Huang and his vascular surgery department just have a brand name. So?"
After Luo Yun said this, he added: "Yang Yifeng has gone back to school now and is not in the sand area."
"It's not easy to invite someone over for consultation."
"Because this patient's lower limbs are damaged!"
Zhou Cheng understood, and asked Luo Yun in a low voice: "Does Teacher Zheng Xuanlin think that we have successfully performed a limb-salvage surgery, so he wants to make one like this too?"
It's quite straightforward.
In addition to vascular injury and thrombosis, there are other indications for amputation.
③ Those with serious limb infection (such as gas gangrene), most of the limbs are necrotic and there is no other way to preserve them.
④Those with malignant tumors in limbs that cannot be partially removed.
⑤ The limb has been severely damaged and its main blood supply, muscles, nerves and other important tissues cannot be repaired or reconstructed by other methods to restore function.
In situations like these, trying to salvage a limb involves greater risks.
After Zhou Cheng finished speaking, Luo Yun was stunned.
Because next to Luo Yun, Zheng Xuanlin and Hu Ming were standing there.
At this moment, his face was full of embarrassment, and Hu Ming also looked at Zheng Xuanlin with hatred, his face was green and red.
Luo Yun walked away a few steps with embarrassment on his face and walked out of the operating room first.
Hu Ming scolded Zheng Xuanlin in a low voice: "Look at the good things you have done!"
Zheng Xuanlin said: "Director Hu, this patient's blood supply was still smooth before. I could really feel the pulse of the dorsalis pedis artery."
Hu Ming scolded: "With blood supply, limb salvage can be performed? Who told you?"
"Don't we need to consider the continuity and activity of muscles and nerves? Are you just a pig's head? Or you drank too much horse urine today..."
Luo Yun walked out and replied to Zhou Cheng: "We can think about these issues, but don't talk about them."
"Zheng Xuanlin really had no choice but to tell you when communicating with the patient. He said that you had undergone limb salvage surgery and could still find a way!"
"Just call me first. I'll come down and take a look, and then let me give you a call."
"Why don't you come over and take a look at the situation first? After all, it's a matter within the department." Luo Yun's tone was full of unity and friendship.
Zhou Cheng heard what Luo Yun meant and immediately understood what Luo Yun meant, and asked: "Teacher Luo, did Teacher Zheng Xuanlin really tell the patient that I had limb salvage, how could I still find a way to salvage this patient's limb?"
"
"I told you." Luo Yun looked around, and Zheng Xuanlin followed.
Zhou Cheng immediately shook his head like a rattle: "Teacher Luo, then I don't dare to come."
Zhou Cheng was immediately frightened.
Damn it, this Zheng Xuanlin is simply amazing! How smart he is, he is the only person in the world who knows how to behave!
He has mastered the two skills of killing and choosing vegetables to perfection. Is he the smartest in the world?
Zhou Cheng also understood that Luo Yun had explained so much to him and was not asking him to come to the operating room with a firm tone as soon as he opened his mouth.
Continued:
"Then whoever said it should find a solution. Anyway, I haven't said this before. If the patient reports me, Mr. Luo, you have to testify for me. I have never said such a thing."
"Limb salvage surgery is a level III or even level IV surgery. I can't do it, and I don't have the authority to do it."
"It's no use even if I come to see you, Teacher Luo."
"The combination of damage and blood clots is the best indication for amputation." Zhou Cheng said in a somewhat cold tone.
If Zheng Xuanlin hadn't mentioned this to the patient, then Zhou Cheng might have actually gone to see it. But if Zheng Xuanlin said this, wouldn't it be equivalent to putting Zhou Cheng on the grill?
What does it mean that I, Zhou Cheng, have undergone limb salvage surgery and can find a way to salvage my limb?
And if I can't keep it, it will become Zhou Cheng's problem, right?
Don't you have any idea in advance whether you can save your limbs?
Luo Yun could only nod helplessly and said, "Okay, I'll just go back to Zheng Xuanlin and the others."
Luo Yun felt quite funny in his heart at this moment. This Zheng Xuanlin was simply incredible.
After Luo Yun walked into the operating room again, he said: "Director Hu, Brother Zheng, Xiao Zhou said he was not sure, so it would be difficult to come."
Hearing this, Zheng Xuanlin's expression suddenly changed, and he said in a panic: "I'll call Zhou Cheng and ask."
At this moment, Zheng Xuanlin was really panicked. When this patient first entered the hospital, the people in the emergency department had discussed amputation with the patient, but they had only explored the possibility.
When Zheng Xuanlin learned that Luo Yun had undergone limb salvage surgery in the department, he was afraid that when he competed with Luo Yun for deputy chief physician next year, his resume would be seriously lacking. Therefore, after seeing that the patient's blood supply was improving, he also
I thought Baman would try a limb-sparing technique.
During the operation, everything went well. After the operation, Zheng Xuanlin even called Hu Ming to tell him the good news.
Then, not long after being sent to the ICU, they called and said that the patient's instep was very cold and there was no arterial pulse. This shocked Zheng Xuanlin...
Then we called Huang Shinan over, and there was nothing we could do.
A CTA was performed again and it showed that the blood vessels in the affected limb were blocked and could not be visualized.
Originally, calling Zhou Chenglai to ask for help made Zheng Xuanlin feel that he was quite humble. He was sending a resume to his competitor Luo Yun.
Unexpectedly, Zhou Cheng is still unwilling to come. He is just a resident doctor now. He can think of asking you to help because you are useful! Not because of anything else!
Upon seeing this, Luo Yun watched helplessly as Zheng Xuanlin took out his phone to make a call, but his expression and eyes gradually became colder.
Zheng Xuanlin, if you don’t trust me, don’t let me call the people in our group!
WTF?
However, Zhou Cheng is only a resident physician in the department. Although there are different groups, it is not the personal belongings of the group director.
Strictly speaking, Zheng Xuanlin was Zhou Cheng's superior physician and had the right to ask him to do things.
Hu Ming did not speak to dissuade him, but just pulled Luo Yun aside and explained: "Luo Yun, please don't tell Director Cai about this matter yet. After all, it is a matter within the department."
"If Zheng Xuanlin had any medical accident, our department would ultimately be jointly and severally liable."
"Xiao Zhou's strength is good, and we all have witnessed it. If he is willing to come to the operating room, then the patient's limb salvage will be more likely."
"It's a good thing for patients and their families, and it's also good news for the department. It's a win-win situation."
Although Luo Yun did not dare to confront Hu Ming directly like Cai Dongfan, he still asked: "What about Zhou Cheng?"
"Director Hu?"
Hu Ming rolled his eyes and said, "That's a good thing. It proves that he is very strong and worthy of being entrusted with important tasks. He is an elite soldier in our department."
"What if the limb is not salvageable? This patient has severe injuries and now has arterial embolism."
"Director Hu, you should also know that in this case, the possibility of limb salvage is extremely small. From the beginning, don't give the patient and family too much expectations of limb salvage!" Luo Yun said bluntly.
You can't drag our entire department into wiping your butt just because Zheng Xuanlin in your group is so competitive!
How could Hu Ming not know what Luo Yun meant, but at this moment, the matter had come to this, and he had no way of turning back.
As his immediate relative, he had to protect Zheng Xuanlin. If he couldn't protect even his own people, then he would only become a joke.
Hu Ming said: "Xiao Luo, you can't say that. As doctors, medical ethics is actually more important than medical skills!"
"Isn't there a saying from ancient times: Those whose virtues cannot approach the Buddha cannot be doctors."
"As long as there is any benefit and good for patients and patients, we as doctors should spare no effort and do our best to seek welfare for patients!"
When Luo Yun heard this, he turned his eyes and grinned: "Director Hu, does he know that those who are not as virtuous as Buddha cannot be doctors?"
"Those who do not understand the past and present in learning, do not understand heaven and man, are not talented enough to be close to immortals, and whose heart is not close to Buddha, would rather farm and weave for food and clothing than mistreat the world by practicing medicine!"
"Medicine, therefore, is a sacred profession. It is not something that future generations choose to practice before they have completed their studies or made a living. This must have long-established wisdom, dedicated mindfulness, and the principles of heaven and man, and exhaustive consideration of the past and present.
The book can then be used to explain medicine."
"The full text of this sentence does not mean that those who are not close to the Buddha will not be able to learn from the present and the past, and will not be able to understand heaven and humans."
"Among the four qualities of knowledge and virtue, virtue only occupies one of them, and not only those who are highly virtuous and good can be doctors!"
When he said this, Luo Yun said bluntly: "Director Hu, do you know how big the difference is between evil intentions and unfair intentions?"
"It's just a word difference."
Heart, human heart.
Technique, technology.
Those who have evil intentions or unfair intentions will kill people, while those who are not kind-hearted will save people!
Luo Yun didn't speak directly, but Hu Ming's expression also changed for a while. Looking at Luo Yun, his face was tangled and complicated.
To be honest, Hu Ming was angry inside, but he couldn't do anything about Luo Yun.
Luo Yun has a well-established organization, and he is Cai Dongfan's employee. As long as he does not commit suicide, it will be difficult for him to slip into his little shoes.
What's more, people like Luo Yun are not easy to mess with. If he goes too far while wearing small shoes, he will invite the teacher and his skin may be lost!
Therefore, Hu Ming could only accept Luo Yun's ridicule. Hu Ming and Zheng Xuanlin were worried about heaven, but they had no ability to go to heaven.
Luo Yun walked into the operating room and heard Zheng Xuanlin getting angry.
"Zhou Cheng, Director Yan can call you here, but why can't I call you? Do you think I'm not the director, so you can completely ignore me?"
"Or do you think Director Hu is not the ward director, so you can just ignore what he said?"
"Do you really want to put the flattery in the department out in the open?"
"I just want you to perform a thrombus removal operation!"
When Zheng Xuanlin saw Luo Yun approaching, he said again: "Zhou Cheng, are you sure you don't want to come? You know how to remove thrombus."
"Teacher Zheng, I have already said that, first, if a blood clot occurs again after damaging the injury, even if the blood clot is removed, I do not have the ability. Second, I do not have the need, and this is not my business. Sorry, I still
I have my own affairs." Zhou Cheng still answered firmly.
If Zheng Xuanlin is easy to say good things to, he will go.
But he deliberately laid a trap for him secretly, not to mention that there was no other way. Even if there was a way, Zhou Cheng would not go.
Zheng Xuanlin was so angry that he hung up the phone.
Then he said to Luo Yun: "Luo Yun, that Zhou Cheng in your group didn't even want to come, so I went directly to tell the patient's family so. If something happens later, don't blame me!"
Then I have to run out of the operating room to actually talk to the patient.
But Luo Yun followed a few steps and looked at Zheng Xuanlin seriously: "Brother Zheng, do you really want to make such a fuss?"
"If you really want to make such a fuss, don't you blame us if something happens later?"
This is Luo Yun setting the final bottom line for Zheng Xuanlin.
Whatever you like to think, do whatever you like, and be as capable as you like are your own thoughts and affairs, but you must be unreasonable and use any means to deal with the junior doctors in our group.
If you even put a dump on his head just to downplay your own responsibilities, then don't blame me.
You are possessed by a demon and don't regard me and Cai Dongfan as human beings.
Zheng Xuanlin paused mid-step and turned to look at Luo Yun: "Luo Yun, are you going to support Zhou Cheng, the absolutely lawless and arrogant Xiaozhupei, and then come to deal with me?"
"Who does he think he is? He is here for training, and he doesn't treat the training as a serious matter. Can you blame me for this?"
"Relying on my own abilities, I started to show off my power in the department, and I was arrogant!"
"Luo Yun, are you sure you want to do this?"
Luo Yun felt that Zheng Xuanlin was simply possessed, so he said, "Calm down first!"
"Brother Zheng, don't be emotional now. Go talk to the patient and family about the amputation. There is still a way to go back."
"If you insist on letting Zhou Chenglai take the blame for you, do you think you can shirk your own responsibility? This is impossible. He is a resident physician and you are the attending physician. No matter what the trouble is, you should blame him too.
Don’t take away even half a dime of responsibility! This is one of them.”
"Secondly, even if Zhou Cheng may be punished and morally condemned, what good will it do to you?"
"You are a little happy, but what will you do yourself? How do you want other residents to see you? How do you want Director Hu Ming to see you? How do you want other directors in the department to see you?"
"Can I do this to you next time?"
"Brother Zheng, one thing we have to remember is that if you want to live in a fair world, you must first respect fairness and abide by fairness and principles."
Speaking of this, Luo Yun took another deep breath: "Brother Zheng, I just hope you can think it over carefully. If you think it through, if you really want to feel happy like this, that's your freedom, and I won't stop you."
"But we are friends after all. Let me tell you, regardless of whether Zhou Cheng has any hidden social connections. There is a person in the department who is not from our hospital!"
"At least you can't seal this man's mouth!"
Luo Yun did not provoke Zheng Xuanlin, nor did he threaten him. He just reasoned with him calmly.
If Zheng Xuanlin doesn't listen, then he has nothing to do. He has already fulfilled the last advice of his best friend!
It's because the other party doesn't regard him as a friend and doesn't listen to him anymore.
Zheng Xuanlin's steps paused slightly, and his face suddenly became a little embarrassed.
Yes, Zheng Xuanlin suddenly felt that he had overlooked one factor, and that was Yang Yifeng.
Yang Yifeng, this idiot, in front of Yan Haihan and Huang Shinan, the two directors, will not go on stage even if he says he can't. How can you reason with him?
Even if he could silence everyone in the department, including Yan Haihan, he would only calm down the trouble, but he would definitely not be able to silence Yang Yifeng!
Can?
Zheng Xuanlin felt extremely uncomfortable at this moment.
He glanced at Luo Yun, walked out again, and reported to Hu Ming in a low voice: "Director Hu, Zhou Cheng still refuses to come."
Hu Ming sighed and said, "If you don't want to come, just don't come. It's not a big deal."
"Do your best and obey destiny."
"We went to talk to the patient's family, and the amputation should still be done! Only this time, it is still a slightly higher amputation!"
Hu Ming also knew about the stupid things Zheng Xuanlin did, but Zheng Xuanlin had already done everything and said his words, so what else could he do? He could give up Zheng Xuanlin, sell Zheng Xuanlin, and then
Go to Zhou Cheng's place to apologize with a hot face but a cold butt?
That is impossible.
This world will still function without people, and the same goes for treatment.
…
After Luo Yun stayed in the operating room for almost ten minutes, he saw Hu Ming walking in, cursing and seeming to be scolding the patient's family members for being unreasonable and unkind.
But after seeing Luo Yun, he also stopped talking.
After all, it was Zheng Xuanlin who first gave the patient hope, and then gave the patient hope, saying that someone in the department could still perform limb salvage surgery, and it was worth looking forward to.
Wasn't Zheng Xuanlin kicked in the head by a donkey?
He felt that since Zhou Cheng had performed a limb-sparing surgery, he had to perform one, and he regarded Zhou Cheng as his last supporter.
I really don’t know that Zheng Xuanlin would have such thoughts.
Hu Ming frowned fiercely and became embarrassed, waiting for Zheng Xuanlin to calm down the irritable patient's family members.
More than ten minutes later, Zheng Xuanlin came back in with a gloomy expression and said, "Director Hu, the patient's family called the medical department and reported us."
"They said we misdiagnosed. Someone from the medical department just called."
"I can't make my own decisions, so they will come to the operating room in person later to communicate with the patient's family."
After speaking, he looked at Luo Yun and sighed.
He felt that calling Luo Yun in advance would be an absolute mistake. If he called Zhou Cheng privately early, I'm afraid the matter would have been resolved long ago.
I don’t know why Hu Ming decided to give Luo Yun a chance to interfere.
So many troubles occurred.
…
Someone came to the Complaints Reception Office under the Medical Department soon, and it was Qin Zixing, but the recorder he brought today was not the Zhu Qingqing whom Luo Yun saw last time, but another gentle-looking man.
Comrade.
He is about 25 or 26 years old, wearing glasses, neither tall nor fat, and of medium build.
After Qin Zixing entered through the door of the operating room, he asked Hu Ming and Zheng Xuanlin to come out and explain the situation.
Zheng Xuanlin was the first and chief physician, so he immediately explained what happened.
The general meaning is that he is humanitarian, considers the patient and his family, and tries his best to give the patient a hope of limb preservation, so that the patient can obtain the maximum recovery effect after the operation.
Only then did the limb salvage fail and amputation was required. He had already told the patient that all previous surgeries were free of charge, but the patient and his family still refused to accept it.
Zheng Xuanlin did not dare to mention Zhou Cheng's matter. He had no shame in going to the medical department to talk about such a shameful matter.
Hu Ming didn’t mention it either.
So soon, Qin Zixing asked Hu Ming and Zheng Xuanlin to meet with the patient's family.
The patient's wife rushed in first and said: "Boss, it's time for you to take charge of the doctors in your hospital. I think he just doesn't understand medical skills at all. When I was in the emergency department, an old doctor there gave me
He said his leg might have to be amputated. He couldn't save it."
"That's him. He said he could try his best to save his legs."
Speaking of this, the patient's wife said angrily: "The facts are the facts. We must respect the facts. We have to save the legs when we clearly cannot save them. Isn't this a fool's errand?"
"We have been asking if we can save it and if we are sure, but he said yes! You see, he had an operation and was pushed to the ICU. Then he said he couldn't save it and took him back to the operating room for amputation."
"I paid tens of thousands of dollars and just messed around. Isn't this a deliberate attempt to cheat money?"
Hearing this, Zheng Xuanlin hurriedly said: "Madam, Director Qin, don't listen to him. No mature doctor will say that he is 100% sure that he can handle such an extremely unprofessional reply."
.”
"Whether it is the terms in our surgical informed consent form or our conversation process, I can only strictly say that for the sake of the patient's subsequent quality of life, we can look forward to limb salvage!"
"I want to state in advance that even if the patient can provide a recording of the conversation or other objective evidence, I still insist that I have never said that I can guarantee limb preservation!"
When the patient's wife heard this, she made a fuss and said, "You doctors know how to play riddles and go around in circles. So you can expect it, right?"
"You said it could be guaranteed, but you couldn't. Isn't this just a technical problem?"
"Director, you have to make the decision for us. They are taking human life lightly and are probably cheating us of our money. My husband doesn't know what the situation is yet. He said that if he continues to hesitate and disagrees with amputation, he still has life.
Danger."
"You have to help us think of a solution. God is watching over this." The patient's wife cried, feeling particularly aggrieved, with an expression like "I don't understand anything, I just got deceived by him."
.
Qin Zixing raised his hand and said, "Hello, please calm down first."
"I want to ask you, have the doctors in our hospital ever told you, definitely, guaranteed, absolutely, 100%? Do you have any objective evidence?"
As the director of the complaints office, Qin Zixing naturally has his own set of handling procedures.
The patient's wife rolled her eyes several times.
In fact, no, but she still cried and said: "How can I still remember so much? I just thought that he said he could save his leg, and now he didn't say he wanted to amputate it. The money was spent in vain. I still suffered!"
"
"If he had said he was not sure, we would have chosen amputation, and we might not even have to go to the ICU."
"I've definitely said it, I've definitely said it. If he didn't say that the limb could definitely be saved, we would definitely not agree to save the limb. We have already said that the limb would be amputated." Another family member of the patient, who seemed to be his brother or brother-in-law, spoke up.
.
Another person who didn’t know whether it was a sister-in-law or a sister also said: “Yes, we all heard this meaning, otherwise, if you said the limb should be amputated, how could we choose to save the limb?”
Qin Zixing nodded, raised his hand and asked: "That means that all of you, from the beginning, have never thought about saving the patient's limbs, right? The limbs need to be amputated, right?"
"Then if I tell you now that all the previous surgeries will be free of charge and treated as amputation, and all the money will be refunded to you, will you be willing?"
Tan Zixing came to solve the problem and asked Hu Ming, the orthopedic surgeon, for his bottom line.
He continued: "Although the patient suffered a little during this process, in the end we still consider his life."
"On the basis of not spending more of your money, are you willing to agree to amputation in order to save his life? I don't want this leg."
"Yes, of course!" The middle-aged couple nodded immediately and were about to answer.
But the patient's wife glanced at them, causing them to become silent.
The patient's wife is very entangled and embarrassed at the moment!
If this sentence continues, then my husband's legs will really be gone.
Now that I don't have to spend more money, my greed is getting worse. I asked Tan Zixing: "Boss, can't you think of a way to save your legs?"
At this point, Qin Zixing finally said: "Isn't this the case? Your family members also have a strong desire to save their limbs. Our doctors only give you suggestions and provide you with treatment help based on the patient's conditions at different stages.
That’s all.”
"We must respect the objective facts. When we were first admitted to the hospital, there may have been a possibility of limb salvage, but to be honest, with the current situation, it is not possible to say whether such limb salvage is very likely. Even if it is, we will not
I don’t dare to protect myself anymore.”
Qin Zixing has received many invalid complaints, and he must find a way to deal with them. The only problem is how to solve this matter.
In the process of handling, how to get the patient's words and authenticity out is what he needs to mediate.
"This is the medical department, which is also the functional discipline in charge of all departments in our hospital. I will be a third-party witness in person. Are you considering amputation to save your life now?"
"Or are you considering continuing to go to other hospitals for treatment in order to continue to save your limb?"
"Our Eighth Hospital is not the best hospital in Hunan Province, let alone Shashi. We have always acknowledged the gap between us and other hospitals. Thank you very much for trusting our hospital and sending patients to us. However, we have tried our best.
, still failed to achieve the best results you hoped for.”
"But we also dealt with the patient's affected limb immediately, stopped the bleeding, treated the fracture, etc. This temporarily relieved him from the risk of losing his life due to bleeding."
"But it's not the worst yet. You still have a chance to make a choice."
Tan Zixing looked at everyone, waiting for their final reply.
He knew that the patient's wife would tell her truest thoughts for the sake of her husband's legs, but that was not the case for the other two.
But now, he still needs the patient's wife to be willingly persuaded by the other two people.
This is the trade-off...
This type of patient actually cares about money and feels that if the limb is not saved, it is a waste of money. Therefore, if it is not saved, it should be withdrawn. They regard the doctor's contribution and contribution to the limb preservation as if they are correct, and treat medical treatment as consumption.
But there is no way. The domestic system is like this. Humanity comes first. Even Qin Zixing feels that he is insulting his own people by handling it this way. However, for the satisfaction of the patient's family, he must put the limb-sparing surgery that he has performed and worked hard for
The fee is waived.
Treating medical treatment as consumption was not created by Qin Zixing alone.
However, although Qin Zixing could not control the absurd truth that the patient felt - you didn't save my limb and you still charged me money?
Then, Tan Zixing didn't even want to think about possible ways to save the patient's limbs.
Qin Zixing also understood that damage to the limb was an absolute indication for amputation, so he didn't bother too much with the problem.
…
five minutes later.
The patient's family members signed a consent form for amputation, and then Hu Ming and Zheng Xuanlin conducted a standard amputation teaching operation.
The patient's wife cried with joy when she heard that her husband was not in danger, but she cried even harder when she heard that he had no legs!
A man is the backbone of the family...
In the operating room, Zheng Xuanlin listened to the patient's cry, his face and heart filled with helplessness and sadness.
He cursed in a low voice: "You idiot, your heart is really as cold as ice. You can do it but you don't even look at it!"
Next to him, Hu Ming heard that Zheng Xuanlin was scolding Zhou Cheng, but he finally glanced at Zheng Xuanlin and said calmly: "Xuanlin, the patient's current amputation is not because of Zhou Cheng, but because of you."
of!"
"do you understand?"
"You know, the word "xinshu" means "xinshu". "Xin" is the heart, and "shu" is the skill. These are two words!
"The right heart is the first, and the skill is the supplement."
"Think about it for yourself, where did you go wrong in the program? Which step did you go wrong? Then why is Zhou Cheng not willing to come?"
"From the beginning, you did not choose to perform this operation just to save the patient's leg."
"You're doing it for yourself."
"Later, you still didn't seek help from Zhou Cheng to save the patient's leg. You did it to relieve yourself of responsibility, to avoid admitting that your medical skills were incompetent, and to prevent yourself from being affected in any way."
"You have to know that from the moment you talk to the patient, your patient is already destined. He must be treated by you. He has no choice. But you have a choice."
When Zheng Xuanlin heard Hu Ming's words, he turned his head with a complicated look on his face.
"Filial piety is the first of all good deeds. When it comes to the heart, there is no deeds. When it comes to deeds, there are no filial sons in a poor family."
"Prostitution is the first of all evils. No one cares about his deeds but his heart. There are no good people in the world according to his heart."
"This sentence is not for our profession of doctors, but we can learn from it." Hu Ming patted Zheng Xuanlin's shoulder well.
He didn't say much. Although he could understand Zheng Xuanlin's inner thoughts best, Zheng Xuanlin felt that he couldn't keep up with Luo Yunhou's panic. He wanted to rush to perform and was unwilling to lag behind others.
However, the heart still needs to be cultivated slowly.
However, what Hu Ming was a little confused about was why Zhou Cheng was so calm.
It stands to reason that even people of Zheng Xuanlin's age are a bit impatient. How could Zhou Cheng remain indifferent after hearing Zheng Xuanlin's request for help?
Although, in the middle of the conversation, Zheng Xuanlin tried to burn bridges and shift the blame.
But am I not there at the end? I, Hu Ming, am the chief physician after all. Am I not even capable of doing this? What does it have to do with you?
How could Zhou Cheng hold back!
It's really weird.
…
When Zhou Cheng heard from Luo Yun that the patient's limb was finally amputated, Zhou Cheng's heart was severely tugged.
After taking a deep breath, he stopped reading and asked Luo Yun, "Teacher Luo, am I a little too inhumane?"
"The patient is innocent after all."
Luo Yundao: "The patient is innocent, aren't you innocent?"
Luo Yun was so angry. If he hadn't persuaded him, Zheng Xuanlin might have done something.
"Besides, the only patients a doctor can treat in his life are his own patients. Others can only be said to have no fate."
"While we were on the phone, someone died and we didn't know."
"Every day, the number of people dying of illness around the world may exceed ten every second!" Luo Yun persuaded Zhou Cheng, but did not give Zhou Cheng a small report about Zheng Xuanlin.
Zhou Chengdao: "But today's patient, I can actually come and take a look at it. Although I'm not sure there is a better way, what does Teacher Zheng Xuanlin say to the patient's family that I can cure it well?"
"Then I really don't dare to come!"
Don't be afraid of opponents who are like gods, but be afraid of teammates who are like pigs.
Although Zheng Xuanlin is not a pig, the things he does are worse and more disgusting than those of a pig. Isn't this just for his own sake?
"Don't think about it. The main thing I want to tell you is that your choice today was not wrong. You didn't even hear anyone asking you to help."
"Moreover, you must learn from what happened today."
"Medical care is not simply a matter between a doctor and a patient. It is the fate between medicine, the patient, and salvation."
"As doctors, our job is not just to prescribe medicine to the patient, take the medicine, and then leave the hospital."
"First you have to be stable, and then you can be stable." Luo Yun made a concluding speech.
Then he remembered that the person he was talking to was as steady as an old dog.
Otherwise, most people may not be able to hear the hint he gave when he called Zhou Cheng, telling him not to let him come over.
Then he added: "Of course, when it's time to take action, you still have to be courageous and responsible!"
“A good doctor is one who does not jump when he sees a trap, does not fear when he is anxious, does not panic when he sees the unknown, can still look calm when he sees a dead person in front of him, and can still treat patients well with careful words and deeds. This is a good doctor.”
When Luo Yun said this, he spoke again: "Speaking of which, I actually have a topic here. You can think about it as you like."
"Everyone has a balance in his heart to measure who is more important, medical skills or medical ethics."
"Some people think that morality comes first. As long as you save money for the patient, consider the patient completely and don't spend money, that is medical ethics."
"Some people think that medical skills come first, regardless of moral character. The most important thing is to prescribe drugs with minimal side effects to the patient, give the patient appropriate treatment according to the best standards, and make his quality of life better in the future."
Zhou Cheng said: "Teacher Luo, this proposition is a bit too big. I don't know how to measure it."
"I'll just do my own thing first."
Luo Yun said, "Then you have to start weighing things up, because you have reached this level and it's time to consider the balance between the two."
"Unless you have never thought about performing surgeries in the department alone or going to outpatient clinics to see patients by yourself. Then just pretend I didn't say anything."
"I have a full-day outpatient clinic on Sundays, and I have a lot of appointments. If you figure it out, just give me a reply."
"..."
After hanging up the phone, Zhou Cheng froze in the room.
No wonder Luo Yun talked to him so much, it turned out to be.
Something that Zhou Cheng never expected happened, he actually came.
Luo Yun, invited Zhou Cheng to sit in the clinic with him!
Well, it was the joint surgery clinic that Luo Yun came to from the hospital. Luo Yun said that there were quite a lot of people registered for the joint surgery, so he was afraid that he would not be able to see it alone, so he asked Zhou Cheng to go to the clinic with him.
!
This is equivalent to requiring Zhou Cheng to see the patient alone, make a diagnosis alone, prescribe medicine alone, and think about treatment plans alone.
That's why Luo Yun asked Zhou Cheng to consider these words carefully.
Sitting in a clinic alone is different from a simple matter like a resident doctor sharing the bed in the ward.
The patients in the ward are like being divided up by superior doctors and fed to you.
Patients in emergency surgery also have various trauma histories, so you only need to consider trauma surgery.
fracture--
trauma--
Joint dislocation -
Tendon rupture, ligament rupture.
Besides that, what else can there be?
Luo Yunkao's question was actually asking, if you were to see a patient alone, would you rather prescribe more medicines to the patient in order to make money, or would you rather consider the patient and do everything possible——
Another point that I have made so far is that to the patient and family members, I can completely and sternly say that surgery is necessary in your case!
The size and heat must be carefully controlled.
…
While Zhou Cheng was deep in thought, Luo Yun chuckled.
He smiled and said, "Zhou Cheng?"
"Xiao Zhou, who is studying professional skills by watching videos?"
"hello?"
"Are you surprised that you are suddenly asked to see the outpatient clinic?"
"Isn't it surprising?"
Luo Yun has never forgotten the video of joint surgery he sent to Zhou Cheng.
Deletions, deletions, and deletions. This issue was originally written from the perspective of the protagonist, but I was not satisfied with it, so I deleted it and rewrote it. Now this version is pretty good.
Medical ethics and medical skills are matters of heart and deeds. Let’s experience it individually. You can leave a message and be more objective.
It’s great to have both, but more often than not, it’s hard to have both!