Han Shengxue took out his key again, took off the office key and put it on the desk: "Xiao Fang, you have a rest at night and sleep here with me. I'm going back first. I have a sore back after a long day."
With that said, Han Shengxue got up and left.
Originally, Han Shengxue planned to stand aside and listen, but Jiang Hailei really didn't want to give him face.
You want to be jealous, but you still can’t resist it.
I just hate this kind of person who is so young and has a high level of skills, but doesn't know how to respect the old and care for the young.
When the office door opened, Han Shengxue was startled.
"What are you all doing here, ah..."
At the door of the office, Gao Dawei and Chen Jidong were listening. When Han Shengxue opened the door, Chen Jidong, who had his ear against the door, almost fell in.
When he entered the office just now, Han Shengxue was in a good mood, but now he is in a bad mood.
Jiang Hailei is the director and chief physician of the Department of Cardiothoracic Surgery. He is on the same level as Han Shengxue, and he is of a high rank. The emergency department is not a big department at present. Director Han is self-aware and cannot resist him.
If you can't resist it, you can only endure it.
But I felt quite uncomfortable.
There happened to be a group of punching bags at the door. Director Han was rude and pointed at his nose and scolded: "Why are you doing nothing? What are you doing here? If you really have nothing to do, copy the medical records twice more, learn more things, day by day...
..."
Chen Jidong and the others were so frightened by the scolding that they stood on the sidelines without even daring to breathe.
"If you really want to be fine, clean the duty room and tidy it up. Don't you have something to do?"
Han Shengxue cursed and quit the group chat... No, he left the duty room.
"I'll go, Director Han is so scary."
When Han Shengxue walked away, He Yaoping whispered.
"It seems that Director Jiang did not save face for Director Han."
Chen Jidong guessed. While talking, Chen Jidong secretly glanced at the office. When Han Shengxue came out, the office door was closed again.
Although I couldn't see what was going on inside, Director Han might have been so angry, but you can imagine what was going on inside just now.
Director Jiang and Fang Le are still inside at this moment?
Although Chen Jidong was scolded by Han Shengxue, he still worried about Fang Le.
Han Shengxue is already angry. Fang Le and Jiang Hailei are still there. Is Director Jiang still angry?
Or could it be that Director Han couldn't stop him when he saw it, so he just turned a blind eye?
Thinking of this, Chen Jidong felt better again.
Fang Le, Fang Le, who do you want to provoke? Director Jiang?
Who in the hospital doesn’t know Director Jiang’s temper?
They were all trembling when they followed Jiang Hailei for surgery during the day. How dare Fang Le question Jiang Hailei in the field of pneumonectomy?
I didn’t know where I saw something, so I showed it off.
Unfortunately, Director Jiang is not Director Han, nor is he Dr. Zheng.
Involuntarily, Chen Jidong recalled the scene during Han Shengxue's ward rounds. At that time, Fang Le also showed off on the spot, leaving Zheng Jinfan a little stunned.
It's a pity that the same trick doesn't work on Director Jiang's side.
In the office, Jiang Hailei didn't care about Han Shengxue's departure. Instead, he walked behind Han Shengxue's desk and sat down. He smiled and said to Fang Le: "Director Han has left. If you have any ideas, you can talk openly."
"I don't have any ideas."
Fang Ledao.
"Are you really not interested in going to our cardiothoracic surgery department?"
Jiang Hai Lei asked.
Fang Ledao: "I am still interested in studying for a while. In the long run, I still think it is appropriate to stay in the emergency department."
"hehe."
Jiang Hailei smiled: "I feel a little bit better now. What you said in the consultation room just now was intentional, and you deliberately showed off in front of me, but I can't figure it out. Since you wanted to attract my attention, now you don't
It's strange that he is willing to go to our cardiothoracic surgery department."
At that time, Cheng Zaiming saw that Fang Le did it on purpose. As the person involved, Jiang Hailei reacted a little slowly, but now he figured it out.
After all, what Fang Le said was not helpful to the final diagnosis and treatment.
Fang Le's final treatment plan was traditional Chinese medicine, and the patient continued to take medicine tonight. This was the reason why Fang Le stayed on duty.
Since it has nothing to do with treatment, why do you deliberately talk so much?
Just to offend people?
"Director Jiang, you are wrong to say that. I am just discussing the matter. How can I say that I am deliberately showing off?"
Fang Le would not admit it in front of Jiang Hailei, and said slowly: "Whether it is Chinese medicine or Western medicine, whether it is internal medicine or surgery, the purpose is to treat diseases and save people, rather than simply treating for the sake of treatment..."
"Especially for surgical operations, as a surgeon, you must have an accurate assessment before surgery..."
"As far as today's patients are concerned, the patient is older, already 70 years old, and has a history of smoking. Although he has quit smoking for three years, the previous impact still needs to be taken into consideration..."
Jiang Hailei was arguing with others, but he was not angry or impatient. He smiled and said: "So what do you mean, the patient has a lung tumor? If you don't perform surgery, you will let the patient's disease progress?"
Fang Le asked with a smile: "Then let me ask Director Jiang, from your perspective, if a patient undergoes a pneumonectomy, even if the operation goes smoothly, what is the probability of complications?"
"As far as the patient's condition is concerned, even if the operation goes smoothly, the probability of postoperative complications is about 30%."
Jiang Hailei told the truth.
"So from Director Jiang's point of view, the patient's expectations after surgery are relatively good. How many years can the patient live after surgery?"
Fang Le asked again.
"Based on my surgical skills, if the prognosis is better, the patient will still be able to survive for three years after surgery. The patient is already 70 years old. One more year will be a gain."
In this regard, Jiang Hailei is still very confident.
"Then Director Jiang has considered how much hope the patient has if he undergoes conservative treatment?"
Fang Le asked.
"Your question is a bit redundant."
Jiang Hailei said: "No one is willing to do surgery easily. Patients and their families must think carefully about such a major surgery. If it is not a last resort, who is willing to do surgery?"
"Yes, Director Jiang is right, I'm just asking if."
Fang Le said with a smile.
"I can't say that."
Jiang Hailei didn't have any leverage, and said realistically: "If Mr. Sun or Mr. Cheng takes action, it may be possible to help the patient for three to five years, but there are not many famous Chinese medicine experts like Mr. Sun and Mr. Cheng."
"But there are not many cardiothoracic surgeons like you, Director Jiang."
Fang Le said with a smile: "You are the first person in the field of pneumonectomy in the entire Qinzhou Province. You performed this operation yourself. The probability of postoperative complications is 30%, and your life will be extended by three years after the operation."
Year, what if it were someone else?"
"As for today's patient's postoperative infection, Director Cheng, Director Han, Director Tian and others all find it difficult. The patient is still undergoing treatment. What if the patient cannot pass this test?"
Fang Le continued to ask.
"this......"
Jiang Hailei was thoughtful.
Since it's a debate, it's about seeking truth from facts. What Fang Le said was something Jiang Hailei didn't think much about before, but now that he thought about it carefully, he found it quite reasonable.
"So what did you mean by what you just said?"
Jiang Hailei asked.
"To be honest, Director Jiang, although I am a student at the College of Traditional Chinese Medicine, I do not dislike modern medicine, nor do I discriminate against Western medicine. Traditional Chinese medicine has the advantages of traditional Chinese medicine, but it also has its own shortcomings. Western medicine has its own advantages, but it also has its own shortcomings.
, Whether it is traditional Chinese medicine or Western medicine, whether it is internal medicine or surgery, when facing patients, life-saving is the first priority. But in addition to saving lives, can we consider a more suitable treatment plan for the patient?"
Fang Ledao: "The patient is older and has a history of smoking. The probability of postoperative infection and postoperative complications is high. Even if the operation goes smoothly, the patient still needs to receive treatment during the three years. What is the daily treatment, risks and postoperative assessment?
, taking all aspects into consideration, should this surgery be done?”
"The issue you mentioned is indeed worthy of consideration."
Jiang Hailei said: "However, in actual clinical practice, the wishes of the patient and the patient's family are often very critical. You think he should not do it, but he just has to do it. If you don't do it, he will feel that you are discriminating against him.
Or maybe you feel that your condition is so serious that doctors don’t dare to do it. You think he should do it, but he thinks it’s too dangerous and is unwilling to do it. Instead, he misses the best opportunity for surgery.”
"The situation mentioned by Director Jiang is indeed an objective factor."
Fang Le said with a smile: "But let's talk about the matter. What about today's patient? Did the patient's family require that we do it?"
"..."
Jiang Hailei opened his mouth.
If we take today's case as an example, it's true that he didn't say much.
"you're right."
After a while, Jiang Hailei said: "If nothing else, just before the patient's surgery, if I had thought more carefully and asked Director Han to participate in the consultation, with your ability, you might have saved the patient this surgery."
Although Sun Qingping and Cheng Kangcheng were both present in the consultation room just now, in fact the entire treatment process, from examination to diagnosis to medication, was all handled by Fang Le.
Although the patient has only been taking the medicine for a short time and the effect is still unclear, the fact that Sun Qingping and Cheng Kangcheng agree with Fang Le's plan shows that there is nothing wrong with Fang Le's plan.
Not to mention how much Fang Le knew about pneumonectomy, in terms of Fang Le’s level of Chinese medicine, Fang Le from Jianghai Leijue was qualified to say such a thing.
Fang Le can handle the patient's postoperative crisis, but what about before surgery?
And Fang Leren is in the emergency department. Unlike Sun Qingping, he has retired long ago.
If during the daytime surgery today, there is a preoperative consultation and multiple parties are involved, and Fang Le is present without telling anyone else's presence, will the patient still need surgery?
This question is uncertain, but it is possible after all.
So it was not easy for Jiang Hailei to refute at this moment.
At any time, if you want your words to be recognized and respected by the other party, your own level is extremely critical. If Fang Le does not have this level, then Jiang Hailei will think that you are talking nonsense.
Do you want to die without surgery?
Do you have any idea?
It can't be done.
Anyone can tell a story, but simply relying on words cannot cure a disease or save a person.