Chapter 385: Dispute over business scope! (Please subscribe)
The doctor on duty was a tall, thin young man with acne all over his face.
After learning that Zhou Cheng was the chief resident of the Department of Orthopedics and came for consultation, he hurriedly replied: "You are the chief resident of the Department of Orthopedics. I don't know what the specific situation is? I am not in these two groups. You may want to ask the person in charge.
The bedside doctor or the superior physician."
"But it would be better to ask the superior doctor directly." He meant to ask Zhou Cheng to ask the superior of the burn department, not the orthopedics department.
However, it was impolite to cross departments to ask superiors in other wards. Zhou Cheng thanked the doctor on duty first, did not continue to ask, ran out of the ward, pondered for a while, and dialed Ding Changle's number.
Ding Changle today is not an operation day, and there are no operations scheduled outside. He is in a good mood right now and is fishing!
To Ding Changle, he is fishing. He is like a girl wearing stockings when she sees the sun. "Are you consulting the burn department? What diagnosis?"
"Diabetic foot, the next diagnosis is."
Ding Changle's voice was decisive and straightforward: "Look clearly, is the diagnosis they made is diabetic foot: ulcer complication, or is it simply diabetic foot?"
"But no matter which one it is, you just need to write the consultation opinion: the condition is known, the current diagnosis, and diabetic foot. After I called the professor of our department for instructions, the professor instructed me to ask the professor of your department for consultation and assistance in diagnosis and treatment. Thank you!"
"Then send me the diagnosis."
"Uh~~~" When Zhou Cheng heard this, he thought he heard it wrong, or that Ding Changle didn't hear it clearly.
"Professor Ding, is this diabetic foot?"
Diabetic foot is a real orthopedic disease category, okay?
But this consultation opinion is full of stories at first glance.
"I know, you just wrote like this. He didn't explain such an important thing to you clearly, right? I'll call him right now." Ding Changle was angry and wanted to find trouble with the previous sect director.
Zhou Chengcheng stopped him. It’s not difficult for him to be the chief hospitalist. There may be some things that he really couldn’t remember at the moment: “Professor Ding, Brother Zong said that I forgot it because I was busy, or I didn’t remember it clearly!”
"You're talking nonsense. It's impossible for your memory to forget. It must be that Huang Zong didn't explain it to you. I'll go find out what's going on." After Ding Changle finished speaking, he hung up the phone.
Wang Huan looked at his teacher, with stars still shining in his eyes, not knowing what Ding Changle and Zhou Cheng were talking about.
Zhou Cheng, who originally wanted to teach Wang Huan a lesson, could only go to another bed angrily after hearing this. He looked at the patient's diagnosis and confirmed that the admission diagnosis was diabetic foot: ulcer complications.
Not daring to meddle in other people's business, I wrote it down according to Ding Changle's words.
After finishing writing the consultation opinions, Wang Huancao was stunned and dumbfounded. Zhou Cheng continued to go out and rush to the next consultation direction. At the same time, he started to make a phone call: "Professor Ding, I have seen it. The diagnoses of both patients are diabetic foot and ulcer."
Complications, but when I asked for a consultation, the other person mentioned diabetic foot and did not add the word complications."
"I also looked at the medical record system of our department and collected common medical records in the past six months as study materials. I didn't see any patients with diabetic foot, so I felt strange."
Ding Changle groaned in silence: "You have such a good memory, so the call I just made to Huang Zong was correct, and the scolding was really good."
You are looking for fun in your colleagues, right? Professor Ding.
Zhou Cheng did not dare to say anything.
Ding Changle continued: "I know that patients in the burn department will all make such a diagnosis. It is up to her, the director of the burn department, currently Professor Liu, to treat ulcers as a disease, and any ulcer diagnosed
It’s over.”
"They are naturally responsible for diabetic foot surgery. Our hospital does not have a specialized foot and ankle surgery department, so naturally we cannot compete."
"What is the purpose of their consultation? To assist in diagnosis and treatment?" Although Ding Changle has not attended emergency consultations for many years, he still often participates in the hospital's general consultations and gets into many more fights than Zhou Cheng.
"Application for transfer to another department will be processed." Zhou Cheng replied honestly.
"Did you take a photo?" Ding Changle gave Zhou Cheng a hard slap again.
"I've taken it." Ding Changle said that, but he still dared not to take it? What Zhou Cheng took was the picture before he wrote his own consultation opinions.
"Then you go to the general hospital group, find the chief resident of the burn department, send these two pictures, and then put a question mark to him, and then I will send you another good thing, and send them all together!"
"She would never dare to scold you." Ding Changle sent a recording to Zhou Cheng while on the phone.
"Okay, that's it!" Ding Changle hung up the phone on his own initiative, but before hanging up, he heard a distant sound, you took the bait...
Zhou Cheng saw the recording sent by Ding Changle, and then hurriedly left the passage waiting for the elevator and walked to the walking stairs before he dared to turn on the recording.
Even Wang Huan raised his fair pointed ears with a gossipy face——
"Dean Chu, please comment, is ulcer a disease in our burn department?" This was an unfamiliar female voice, very decisive and capable!
Another voice was slightly similar to Professor Lei Zhong's: "Dean Chu, diabetic foot is diabetic foot, and diabetic foot ulcer is also diabetic foot. Those who cannot be treated by their burn department will be transferred to us if there is no chance of treatment."
Amputation is not possible!"
"There is no such truth in the world. Diabetic foot is the business scope of our orthopedics department. We are the orthopedics department of Shonan University Affiliated Hospital. We do not do specialized amputation diseases, only limb-sparing surgeries."
"Ulcer, ulcer, how many more times do I have to say it? Director Lei?" The woman's voice once again confirmed Zhou Cheng's guess about the male voice!
"Then an uncured ulcer is called a diabetic foot? A healed ulcer is called an ulcer? Professor Liu, what's the rationale for this?" Lei Zhong was also right and went back.
"Originally, surgical amputation is the outcome of this disease! Why does your orthopedics department refuse to accept transfer patients? What kind of mentality do you have for a big man?" The woman snorted!
"Professor Liu, this is a hospital. When doctors and nurses in the hospital treat diseases, there is no distinction between men and women. If you think so, please go read the Constitution of the People's Republic of China on your own. Thank you!"
"Second, if you want to treat diabetic foot, and you are professional in this, then you should be responsible for this disease to the end. Don't think that orthopedics is a place where you throw garbage."
"Either you, just leave it alone. Our Orthopedics Department will take it back ourselves. We will never ask your Burns Department to deal with any problems with diabetic foot ulcers. We will also not ask your Department to perform amputation surgeries!"
"The burn department is not an internal medicine department, you are a burn surgery department. The orthopedics department is not your downstream department. Your department has also developed amputation to a high level. Don't say that ours is not." Lei Zhong said clearly.
"Who said our department has started amputation? Professor Lei, you must be responsible for what you say!" Professor Liu was like a cat whose tail was stepped on, and his hair exploded.
"Okay, it's not amputation, it's limb and skin modification, okay?"
"Then let me ask you again, Professor Liu, whether diabetic foot treatment should be treated by your department or our department. Let's make it clear in front of Dean Chu." Lei Zhong asked.
"Dean Chu, our department should treat it first, and then the orthopedics department should assist our department in the treatment!" Professor Liu said to Dean Chu.
"There is no such choice. Dean Chu, I have made it clear. You make the decision. If their burn department deals with diabetic foot, then our department will never touch such a case. If our orthopedics department receives such a patient,
If so, we will be directly responsible to the end."
"But if our orthopedics department is to be used as an assembly line for amputation, that's not possible."
"A diabetic foot patient has to be transferred from department to department to cause trouble for the patient, and build a memorial for himself, right?" Lei Zhong was also a person with a bad temper, and his words were unpleasant to listen to.
Dean Chu spoke for the first time: "Professor Liu, what do you think? Are your burn surgery department willing to be responsible for the disease of diabetic foot?"
"Dean Chu, our burn department should treat ulcers, and then the orthopedics department should complete the final operation of amputation. Is this the normal process? Why don't you guys make sense? Are you being unreasonable?" Professor Liu's fighting ability is amazing, even the hospital
Changdu started to argue.
"Then your department won't want this disease, right? Give it to the Department of Orthopedics?" Dean Chu doesn't have the time to argue here, it would be embarrassing to say it.
"Of course we want it in our department!" Professor Liu insisted.
"Then what if our orthopedics department receives such a consultation call again in the future, or an application for consultation and transfer from your department?" Lei Zhong asked rhetorically.
"Just say what I said, diabetic foot, our burn department will be responsible to the end, you ask him to come to me!" Professor Liu said loudly.
Lei Zhong immediately turned off the recording on his cell phone: "Dean Chu, that's all right, as long as Professor Liu says this. In the future, no one in our orthopedics department will say anything about diabetic foot. Our department will never touch it."
Got it!"
The recording stopped here.
Then, after Zhou Chengcai had almost finished listening, Ding Changle on the other side withdrew the recording.
Then he sent a short recording to Zhou Cheng.
"You can just send this one. The above one is just a piece of gossip." Ding Changle estimated the time, withdrew the message, and gave Zhou Cheng another reminder.
"Okay, Professor Ding!" Zhou Cheng was also helpless.
There was a quarrel, and it was Director Lei Zhong who personally quarreled with the professor of the burn department. This incident caused a commotion.
Zhou Cheng had joined the post of general resident of the burn department before, and now the other party just passed it and said hello politely: "How are you, Mr. Zhou?"
"Hello, Mr. Xing." Zhou Cheng also said hello. The chief resident physician of the burn department is named Xing Fang. His name cannot tell whether he is male or female.
“Mr.
"Our professor said that diabetic foot is not under the jurisdiction of our trauma surgery department, so the matter of transferring the department cannot be transferred."
“Mr.
"I understand, I understand, Mr. Zhou. These are all the opinions and requirements of our superiors. We are all workers."
"It's not difficult to beat a worker, Brother Zhou. From now on, we will help you more and get the job done well. We don't care about the relationship between professors above for the time being. We are still brothers and sisters!" Xing Fang's words revealed her gender and also
I know how difficult it is for Zhou Cheng.
She knew very well that Professor Liu had regretted it for a long time. The amputation rate in burn surgery was too high. The hospital was now reorganizing the proportion of end-stage surgeries. Professor Liu wanted to get rid of this disease.
I just wanted to see what the opinion of the orthopedics department was. It happened that the trauma surgery department had just changed to a general hospital. If someone was ignorant, he took the patient over on his own initiative.
Professor Liu just took a step back and transferred the diabetic foot patient to the orthopedics department, not wanting to cause any more trouble.
Nowadays, all departments in the hospital know that the orthopedics department does not care about diabetic foot, and all diabetic foot patients go to the burn department. There are a lot of patients on the bed, and the real burn patients cannot be admitted. There are only two roads in the department, one is the branch department.
Another is to simplify disease categories.
But neither of the two paths is that easy.
Zhou Chengze hurriedly said: "Sister Fang must put in a good word for me when the time comes. This consultation opinion was written remotely after I made the call. Professor Ding Changle specifically asked for my employee number!
Teachers in the burn department, please don’t take it seriously?”
Zhou Cheng also lied without a blush or a heartbeat, and there was no need to be very explicit about some things.
"I understand!" Xing Fang replied and cursed loudly on the way to the consultation.
…
Wang Huan had a consultation with Zhou Cheng today. He was already full after eating Bagua. He was shivering and his thin body looked even thinner.
"Let's go, let's go for another consultation, and then we'll have to look at the discharge medical records. Then I'll teach you how to review them. Your senior brother Du Yanjun will do a preliminary review, and we can do the final review together."
"By the way, Xiaohuan, you should have no problem writing medical records, right?" Wang Huan's theoretical knowledge is excellent, and he can definitely improve the basic medical record writing rules.
Wang Huan nodded sheepishly.
Immediately afterwards, Zhou Chengcheng came to the General Surgery Department again...
As soon as Zhou Cheng left, the "uninformed" doctor on duty had already called the superior doctor and sent the consultation opinion to the superior as if he was complaining.
He also said: "Brother Ping, is the boss of this orthopedics department too aggressive? How dare you write such consultation opinions?"
Brother Ping, who thought the other party would be furious, instead sent him a message: "Okay, I got it."
Brother Ping also informed the professor in his group on the phone: "Professor Liu, you didn't take advantage of the loophole. The new chief resident was too cautious. He called his superiors and the consultation opinions were the same as before."
"Have you invited Huang Zong to dinner?" Professor Liu's voice was pertinent.
"Professor Liu, this must be reasonable. My own sister has already paid for it, let alone the meal. Before Huang Zong left, he specifically mentioned it and never explained it."
"This Zhou Cheng, I heard, is a cautious person. Before starting the general hospitalization, he sorted out all the diseases in the department in the past six months."
"Okay, there is no other way. I can only go to Dean Lei's place in person. Those who should be let out must be let out!" Professor Liu sighed and said.