954 How to judge the rescue value is a problem
(Thanks to firebat1980, lazy confused insect, super handsome handsome uncle, men's monthly ticket encouragement)
Wu Shaoming's situation is much worse than Tang Feifei, and much worse than Liu Banxia's estimate.
His injuries are old injuries, which are accumulated over the years of action scenes. Even if Liu Banxia gave his shoulders corresponding massage, the force in the future will be worse than normal.
But now that I have done it, it is better than not caring about anything. Even though Liu Banxia is not a serious old Chinese doctor, his massage techniques are still very good.
"It seems like there is endless work to do every day." After coming out, Liu Banxia complained.
"Oh, Teacher Liu, I'm so envious. You are a full man and don't know what a hungry man's method is." Xu Yinuo said.
"Then you work hard, practice the techniques, and help me scratch more patients who can be used for surgery." Liu Banxia said.
"Just be honest, I don't say it's me anymore. Now the internal and surgical departments of the entire emergency center have joined forces to find the first lucky person for NOSES surgery." Xu Yinuo said seriously.
I am amused Liu Banxia, "You can coordinate with them for a few of them. If you can arrange them, go and play together. It doesn't matter if you can't arrange them. There will be opportunities in the future."
"I've contacted me and told me that I'll tell Mr. Qi. It's also an emergency, and he can understand. After all, your daily work is enough, and now there are so many regular doctors and interns who can help."
Xu Yinuo nodded happily, and it would be OK with Liu Banxia's words.
Although she could take a reasonable leave and rest, it was not so easy to explain so many people at once. With Liu Banxia over and said it would be fine. She was thinking about this in her mind just now.
When he returned to the office, Liu Banxia also thought about the completion of this task.
It is probably because this is an on-site first aid surgery, which is more difficult than the usual operation on the operating table. Moreover, the starting task of the job transfer task is also level 3, which is still sufficient.
As for the system, there are no other changes now. It may be because your level has not reached level 60, otherwise according to the usual moral integrity of the system, there will be changes.
Let’s continue to keep your expectations. If you look forward to more every day, your life will be colorful.
"It's over?" Shi Lei walked in happily thinking.
"It's over, what are you doing?" Liu Banxia asked with a smile.
Shi Lei glanced at him helplessly, "Director told you?"
Liu Banxia nodded, "I've finished speaking, you have other ideas in your heart. This is a very normal distribution. Do you feel a little guilty?"
Shi Lei was even more helpless. Do you know what you are asking?
"Haha, you guys work harder tonight. I want to borrow the sixth little girl." Liu Banxia said.
"What are you doing?" Shi Lei was curious, and naturally knew that there must be something wrong with this.
Although Liu Xiaopeng is not able to take on the heavy responsibility of the main surgery, if they are there, there will be no problem in the emergency center's treatment.
"Qingkova has come back secretly, and Qiao Qiao is still lively. She just took this opportunity to take them off work and have fun together." Liu Banxia said.
"It will take no more than four hours at most, and then I can pay back a few. I guess Xu Yinuo and Liu Yiqing will be in trouble, and they will almost be left by Qiao Qiao."
Shi Lei nodded, "No problem, I am on duty at night. There are three of us here and so many regular doctors who can fully support it."
"Besides, even if you are busy occasionally, you can still attract people to come. If there are really emergency patients, it may not be our job as a general institution."
"I asked you about something. Do you have any ideas about that huge tumor patient? I have been thinking about it for a long time, but I still haven't come up with a better solution."
"Boss, let's put it this way. I met the director when this patient came. It was not as serious as it is now. The safest way is to autologous liver transplantation to remove the tumor."
"His condition has worsened now, and the tumor is very big. However, judging from the current situation, there are still signs of surgery, and the chances are very good."
"If I delay another eight months, I would probably be very dangerous. Now it's just because the tumor is relatively large, so the surgery is very laborious."
"Hey..., the director asked me to see if there is any better plan. It's not that easy to think about it, it's mainly this family." Shi Lei sighed.
"The reason why I didn't make a decision directly was because I didn't have enough money. Now that I have raised some money, I can still finish the surgery. But the later costs are also quite high, so it's not easy to support it."
"There's no way. You're still an old doctor. Will you encounter fewer such situations?" Liu Banxia said.
"I glanced at it two days ago and the cost of our emergency center has increased a lot. The key is that some of the money has not been collected yet, and it is quite worrying."
"I guess we have to restrain ourselves in a few days. Especially when rescuing some first aid patients, we have to grasp the standards and make some effective judgments."
"Hey..., it's really a headache." Shi Lei also sighed.
Naturally, I know how to make this "effective judgment", but for every doctor, I want to rescue the patient.
It would be easier if the patient's family members were there. You can explain it clearly to the patient's family members, including the approximate chance of successful rescue and the cost.
However, some emergency patients were brought over at the scene of the accident and could not contact their families at all. This is the time to test the doctor.
How should some patients with very low chance of rescue success be issued?
Because there are still miracles in this world, if you don’t lose your vital signs, it means there is still a chance. Just having a chance does not mean you will succeed. After failure, things will become more and more.
"What do you think? Will the director have to discuss with you both?" Shi Lei asked.
"Let's wait for the director to make an idea, but this matter can only be left to the scene to judge." Liu Banxia said.
"We have all experienced such patients, so we hope to contact our family members soon. If we really can't contact us, we can only talk about it later."
"It's not just our family. In fact, all hospitals with emergency departments are facing this problem. Regardless of the rescue, it is definitely not possible, because you don't know what kind of family members you will encounter."
"And whenever rescue is rescued, there are many equipments on it, and the prices of medicines and equipment used are relatively high. The cost is too much, and some of the patients' families want to bear it, but they can't afford it."
"I think this matter is difficult to define legally. How to define it? It can only be based on the feeling of the scene. I feel that I can have a chance to rescue and I can try it out. If I feel that I have no chance, don't force it."
"We are still accounting for it separately now, and we are less restrictive. As the number of patients visiting the hospital increases, although we have some funds to supplement it, the expenditures have also increased a lot."
"Now our emergency center has become the first choice for first aid within a certain range, and there are many patients sent by ambulances. Anyway, the work in the future will definitely not be so easy. If we want to treat the disease and save the patient, we have to protect ourselves."
"Today we were chatting while we were waiting for work, and a family member of a patient in the city hospital questioned whether there was excessive rescue and excessive medication in the rescue."
"A review one by one, one program, one program analysis, is it reasonable to do that? It is not so easy to calculate when it involves human life."
"Fortunately, I am just an ordinary surgeon, so I don't have to worry too much about this. That's what you leaders should consider." Shi Lei said.
Liu Banxia rolled her eyes, "You don't know what the director's personality is? You must have delegated this authority to the front-line doctors. Including some of the current first aid surgeries, aren't they all put the operating room first and then approved?"
"I can handle special matters, so how can I review them one by one? That's why I feel a headache. I have too much losses in the future, so the director will definitely be under a lot of pressure."
"But we are receiving many patients now, so it's a powerful supplement. Don't think too much, just be clear."
"You second helper in the day after surgery?" Shi Lei asked.
Liu Banxia grinned, "I'm an intern, so I'll watch the fun. But I can bring all the six little ones in there, so I'll see what the director will arrange at that time."
"Actually, when the director comes on stage, he is also very casual occasionally. Anyway, the director's surgery is mainly for you, so you have to prepare more."
Shi Lei glared at him, knowing that this guy was in trouble again, adding pressure to himself.
"Teacher Liu, Teacher Shi is here too. I have notified them all, and Dr. Liang has time." At this time, Xu Yinuo ran in.
"Okay, I'll finish talking to Dr. Shi, and it's okay to talk to Mr. Qi." Liu Banxia nodded.
Xu Yinuo ran out happily again, and she was still looking forward to the small party tonight.
"Okay, don't make up for it. It's not the first time a little baby has been on stage. With so much experience, why are you so panic?" Liu Banxia said seriously.
"I have to go back and talk to everyone about rescuing the patient. I don't think the director is too overwhelmed and told us, let's come up with a similar plan first."
Shi Lei nodded, "I guess it's just like you said, make an effective judgment based on the scene. The key is to contact the family, which can also make the family less regretful."
"This is the right person. You can go and talk to Mr. Qi first." Liu Banxia said with a smile.
This is also his idea. The principle of the hospital is to respect the decisions of patients and their families. Many times, doctors really don’t have that much right to replace patients and their families.
Chapter completed!