133. Chapter 132 The doctor is angry with the patient and finds a compromise(1/3)
Chapter 132 The doctor was angry with the patient and found a compromise
Director Lian is about forty-seven or eighteen years old. He works very hard, has rich medical knowledge and solid foundation, and is highly praised by everyone.
After a brief report to the hospital leaders, he quickly returned to the department and started working despite the long journey.
According to tradition, people like him who have just returned to China can go home and rest on the same day.
In the doctor's office, Director Lian turned on the computer, logged into the intranet, and habitually checked recent patients in the department.
Thanks to the widespread application of computers and networks, the hospital's intranet construction is also increasingly improving.
After a doctor logs in to his personal account, he can view the cases in the group with personal permissions.
Director Lian has greater power and can view the cases of the entire department.
Discharged, pending treatment, intensive care or observation, difficult cases that have not been diagnosed...
All of these are clearly classified and can be seen at a glance.
It also facilitates department doctors to keep track of patient status in their hands in a timely manner.
"Why did our first team suppress so many undiagnosed difficult cases?"
Director Lian frowned.
"There are many cases that are extremely difficult to diagnose. There are also two difficult cases that were transferred from pediatrics. During the hospitalization period, the family members chose to be discharged voluntarily because they could not see significant curative effects."
The young doctor explained carefully beside him.
Hospitals have always been helpless when it comes to patients who are discharged voluntarily.
To put it bluntly, the patient is discharged from the hospital forcibly.
The hospital is not a prison. If family members and patients are dissatisfied with the curative effect or have doubts about the hospital's medical staff, no one can stop them from wanting to be discharged.
Of course, you cannot get a discharge certificate in this case.
"Both cases from the pediatric department were characterized by fever, diarrhea, and mucus-watery stools?"
Even the director clicked on it and glanced twice, his tone also increased a lot.
Treatment of diarrhea is the specialty of the first group of gastroenterology department. The two patients who were discharged voluntarily suffered from diarrhea and fever, which naturally made him show a hint of dissatisfaction.
"Both cases of diarrhea are difficult to cure. The first case was transferred from the Children's Hospital and has been treated there for a long time. Director Yang was the first and attending physician and did three fecal cultures on the child.
The results were all negative. The family members may have accumulated some emotions during the treatment in the children's hospital, and they were a little unhappy. They complained to the nurse and asked, "Does our hospital only do stool tests?"
That morning, the family members took the child and left the hospital voluntarily.
Director Yang is so angry because of this."
Some older doctors have long developed a sense of arrogance after becoming famous.
In this situation, if your family members question your level of performance, you will be immediately knocked out if you hold back your breath.
"No wonder I didn't see Director Yang today! So what happened to the second case?"
"This sick child was hospitalized for five days after being admitted to the hospital. The total course of diarrhea lasted for 20 days, and his stool contained mucus, pus and blood. He was initially diagnosed with pseudomembranous colitis and was sent for pathology. Before the results came out, his family members automatically discharged him from the hospital.
The family members of this sick baby have doubts about us, probably because they were influenced by the family members of the previous sick baby."
Heckling, being sarcastic, everywhere.
Hospital wards are particularly prone to this happening.
When a family member is dissatisfied with the hospital, he will do everything possible to spread all kinds of prejudiced remarks to the patients and family members in the same ward.
Family members with wisdom and determination will only listen to it and not take it seriously.
But when another patient's treatment happens to be unsatisfactory, it is easy to listen to and believe the same.
Hospitals generally don't have a good solution for this kind of thing.
To be honest, for a hospital, if one or two difficult patients are taken away, the underlying medical staff should be relatively happy.
Big hospitals never lack patients.
While the patient is in the hospital, the doctors and nurses are responsible. After the patient is discharged, the patient and his family members are responsible for themselves.
"Go and do your work, I'll take a look first!"
After Director Lian sent the young doctor away, he began to carefully examine the difficult cases one by one.
The hospital has a three-level ward rounds system.
Ordinary cases are usually handled by resident doctors and attending physicians, and the director may just ask a few questions during ward rounds once a week.
What really need to be solved by chief physicians are difficult cases and critical cases.
"The diagnosis of this child should be correct. It is indeed likely to be pseudomembranous colitis. We will know after the pathological results come out. As for the first case of diarrhea, the cause is confusing. Inflammatory enteritis may exist, but the probability is relatively low. I
You have to call and ask your family."
Director Lian first prioritized the two cases that were recently voluntarily discharged.
If it were another doctor, he probably wouldn't call the family again.
Because it's easy to get scolded.
Director Lian has always been persistent. When it comes to difficult cases, he has the persistence to get to the bottom of the problem.
It is this determination to pursue the truth despite hardships and obstacles that makes him become stronger and stronger.
"Who are you looking for?"
After the call was connected, a somewhat fierce middle-aged woman's voice came out.
"Hello, are you a family member of Tang Chengguang?"
"Yes, yes! Are you from Sunshine Clinic?"
The child's grandmother answered the phone. She thought it was a doctor from Sunshine Clinic calling to inquire about the condition, but her tone and attitude immediately became very polite.
"We are not a clinic. I am Lian Tao, chief physician of the Department of Gastroenterology at the People's Hospital."
Director Lian is the chief physician of a top tertiary hospital, a professor and an expert. How could he be associated with a "rat shit" clinic?
He quickly cleared it up and revealed his identity to his family.
"What's up?"
Unexpectedly, after hearing his identity, his family members not only showed no respect, but their attitude instantly became cold.
Director Lian felt depressed for a while, what kind of fairy family are these?
Is he, the chief physician of the People's Hospital, worse than a junior doctor in the clinic?
"That's it. I just returned to China today. After arriving at the hospital, I checked your child's medical records and examination data. Is it convenient for you to bring your child to the hospital now? I will personally arrange beds for you and make some supplements as soon as possible.
Check to find out the cause."
Even the director didn't dare to speak too fully.
When encountering such a difficult case, no doctor would dare to speak out.
Unless you are a newbie.
"No need, we are almost cured."
After saying that, the family members hung up the phone directly.
Director Lian almost followed Director Yang's path and was immediately made angry.
But after the initial anger, he quickly calmed down.
The family members were discharged from the hospital two days ago. The child's illness was cured so quickly? Absolutely impossible.
For cases of diarrhea that last for more than a month, even the best "miracle medicine" cannot cure it in two days.
After intestinal injury, recovery is a long process.
"Director Lian, please don't take care of this patient anymore. They have been discharged from the hospital voluntarily anyway. This child's family is very difficult to deal with." The young doctor advised from the side.
After finally returning a general, they didn't want even the director to be angry.
After the chief physician above collapses, all the pressure will fall on the attending physicians, resident physicians, regular training and interns.
In a department, the more outstanding chief physicians, the better.
In the event of an emergency, the directors can take action and suppress the condition in an instant.
Otherwise, if it were replaced by the attending doctor, a resident doctor, and a group of trainee trainees rescuing the patient, you can imagine the pressure.
"I'm afraid that this family member will be deceived by those small clinics. This baby is only seven months old. The diarrhea is so severe, and the disease lasts for more than a month. What medicine can cure it in two days? This really overturns my medical knowledge.
No, I have to advise the family members that it is best to come to our hospital for formal treatment."
Director Lian's arrogance is very common in the compound.
If you try to praise a small clinic's medical skills in front of a doctor from a large hospital, they will definitely look down upon you with contempt.
Although some retired doctors from hospitals choose to open clinics, which has invisibly improved the level of diagnosis and treatment in clinics. However, in the minds of most people, clinics are still synonymous with being black-hearted, cheating money, and only selling health care medicines.
In fact, retired doctors from large hospitals will basically be hired back by the hospital if they have real skills.
To be continued...