Back in 2002 as a doctor

Eat and use, but don't say good things!

Going upstairs to see the patient, Director Jiang saw the dressing on the patient's abdomen, and asked suspiciously, "How did you do this?"

"The patient suffered from abdominal distension and had no money to go to the hospital for treatment, so he used a knife to cut open the abdominal wall for drainage at home."

"..." Director Jiang was taken aback, his face showed annoyance, and then he sighed.

Although he is the director of the Second Hospital of Medical University, and his social status is not low, he can't control similar things.No matter how much you say, you are just a doctor, what can you do?

The physical examination showed that it was indeed Budd-Chiari syndrome, but if the diagnosis is to be made, angiography must be done.

The preoperative explanation and other documents have been signed. Director Jiang sent the patient to the radiology department after seeing the patient, ready to start the operation.

"Xiao Zhou, the conditions here are really poor. Without you, I wouldn't dare to perform Budd-Chiari syndrome surgery under the X-ray machine."

"Let's make do with it. The conditions are the only conditions. If you can't change it, you can only change yourself." Zhou Congwen smiled slightly.

"Do I have to eat the thread all the time during the balloon dilation? The amount of thread in the X-ray machine of the radiology department is too large." Director Jiang was a little embarrassed.

"No, generally speaking, you need to watch, but when the balloon is inflated, you can feel it, so you can watch it intermittently." Zhou Congwen began to tell Director Jiang how to do the operation with gestures.

Wang Xueteng was a little dazed looking behind.

Originally, she thought that if Zhou Congwen, a chest doctor, had a high level of interventional surgery, he would only be a level above Director Jiang.

But looking at the current situation, Wang Xueteng knew that he had guessed wrong.

Director Jiang Pidianpidian drove here from the provincial capital, not to throw a knife, but to be a student.

He humbly asked Zhou Congwen for advice, and Zhou Congwen was not stingy, he explained it in such a detailed way that even Wang Xueteng could understand how the operation was done.Moreover, Wang Xueteng is confident that as long as he is given a few chances to practice, he will become an interventional doctor.

Because what Zhou Congwen said was too detailed, to the point of being unnecessary.

Shen Lang stood beside Wang Xueteng, Zhou Congwen didn't listen to Director Jiang's surgery, and focused all his attention on Wang Xueteng.

This girl is so pretty.

All the way to the operating room, the patient was already lying down, and Dr. Gao was preparing various items.

"Xiao Zhou, the patient is really miserable." Director Jiang sighed, "Budd-Chiari syndrome is basically a terminal disease in rural areas, and it is still a terminal disease that is difficult to die."

"It's okay to say that life is better than death." Zhou Congwen said lightly.

"A similar disease...Xiao Zhou, give me another case where life would be worse than death." Director Jiang had already understood Zhou Congwen's operation, and he was in a good mood, and began to chat and laugh with Zhou Congwen.

"No."

"Don't be so serious, surgery..." Director Jiang thought that Zhou Congwen was a little nervous before the operation, and began to persuade him, but then realized that Zhou Congwen was racing fast!

wipe!

Chapter 0524

A few people hadn't left the ward when there were noises of beating and scolding behind them.

Dr. Gao's face was a bit ugly, he stared and pursed his lips, as if he was suppressing the anger in his heart.

"Old Gao, what's going on?" Zhou Congwen was a little surprised after hearing a few words.

The voice seemed to be talking about eating, about fasting water.

The boundary between liquid food and semi-liquid food in the hospital is not very strict. When ordinary patients are admitted to the hospital, the doctor gives the first three doctor's orders - the admission nursing routine, diet, and nursing level. The diet is generally common food.

Occasionally, there are low-salt and low-fat diets, but no one follows them except the relevant departments, and even doctors and nurses don't take them seriously.

But the fasting water for surgical patients is really not allowed to take a sip of food or water, otherwise something serious will happen.This is a matter of principle and cannot be ambiguous.

How can the issue of diet still be debated?

"An old man with pancreatitis, over 80, with good teeth, overeating at home and eating himself out of pancreatitis."

"Awesome, the body is so good!" Zhou Congwen praised sincerely.

In his 80s, he still has such a good appetite, which is amazing.

"It's amazing, it's really amazing." Dr. Gao's expression was wrong, and he sneered, "I just took the medicine for a day after coming to the hospital, let's see if conservative treatment can cure it. After all, we are over 80, and we don't want to have surgery."

Zhou Congwen thought about it, and forgot when peptide drugs for pancreatitis entered the clinic and almost eliminated the surgical procedures for acute pancreatitis.

At present, pancreatectomy in general surgery is still a very difficult operation, and there is no progress in this operation, and it will become less and less in the future until it becomes a legend.

"It's a little better, but the old man is clamoring to eat. The same is true at home. Instead of persuading him, he even quarreled with the doctors and nurses, saying that the old man is already healed, and he can eat by himself without intravenous hypertrophy." Dr. Gao was angry. Toot said.

Zhou Congwen has seen similar patients, but he can't do anything about it.

It's not that the quality of the patient's family members is not enough, people, once they walk into a dead end, some things just can't be figured out.

In this regard, Zhou Congwen collectively referred to it as "fate".

"Grassroots hospitals are difficult to do." Director Jiang commented.

"Director Jiang, on your side..."

"Persuasion and education. If you don't follow the doctor's advice, you will be discharged automatically. The hospital is not a wholesale market. If you don't listen to the doctor, what are you doing in the hospital?" Director Jiang said forcefully.

This is the difference between hospital platforms, and the real county and township level hospitals are more difficult to do.

"Wait a minute, I'll go talk to the patient's family." Dr. Gao said helplessly.

"Xiao Zhou, what do you do when you encounter such a thing?" Director Jiang asked.

"No way." Zhou Congwen was also helpless, shrugging his shoulders and spreading his hands. "We dare not discharge the patient. After all, it is already the most 'basic' hospital that can treat related diseases. If you go to other smaller hospitals, the patient will undoubtedly die."

Director Jiang nodded. He also knew that it was difficult for similar patients and their family members to go to lower-level hospitals.

It is estimated that after being discharged from the hospital, it will be a dead end.

It seems that there are still some differences in the way of diagnosis and treatment in different hospitals.

Zhou Congwen didn't go directly to the operating room with Director Jiang. His eyes gradually spread with Dr. Gao's back. He saw that Dr. Gao was a little agitated. He talked to the patient's family and then quarreled.

"How about I talk about it?" Director Jiang asked, "I'm still a professor at a medical university. Maybe the family members of the patients should listen."

"Try it, I don't know if it will work." Zhou Congwen sighed.

The old man in his 80s already has extremely poor gastrointestinal function, if he doesn't obey and eats randomly...

Isn't this just trying to die? Zhou Congwen was still sighing, when he suddenly saw Dr. Gao and the patient's family pushing and shoving.

The prepared description should be that the family members of the patient pushed Dr. Gao with their hands, and Dr. Gao spoke a little louder. It should be a little frightened, and he used his voice to scare the other party.

Zhou Congwen hurried over, "Speak up if you have something to say, don't do anything!"

"My grandpa just wants to finish his porridge, what's wrong!" A middle-aged woman in her 30s pointed at Dr. Gao's nose and cursed, "Do you have any humanity? Doctors are benevolent. You're so fucking dog-eating."

"His illness is not cured now, what if he dies after drinking the porridge."

"Impossible! A bowl of porridge in your family can kill someone? Do you think Pan Jinlian gave Wu Dalang the medicine?"

Director Jiang came up from behind like a master, "Xiao Gao, what patient?"

He deliberately used his accent to make it clear that he told the patient's family that he was a doctor in a higher-level hospital with words, actions, and facial expressions.

"Who are you! What kind of garlic are you running here with a wrinkled face!" The middle-aged woman scolded without hesitation when she heard someone speak.

"..." Director Jiang was taken aback.

Is it because I can't manage my expressions properly?It shouldn't be.

Do you want to explain who you are? (Note)

While he was still hesitating, the woman pointed at her nose and cursed countless words that needed to be mosaiced.

The middle-aged woman was a little agitated, and she couldn't choose what to say. The people around her who were older than her and who seemed to be her parents and elders didn't stop her, but echoed them.

"You can't eat it! You have to listen to me in the hospital!" Dr. Gao no longer spoke softly, but tried to suppress the other party's "unreasonable demands" from the momentum.

"Discharged from the hospital!" The middle-aged woman said angrily, "Only you three hospitals say you can see a doctor? I came to your hospital because my house is close to here. Don't think that you three-legged cats can go to heaven. Who are you comparing with here? Woolen cloth!"

Dr. Gao was shocked when he heard the patient's family say the word "discharged".

"Get out of the hospital, don't stand here in a daze! You can't take care of it this time." The middle-aged woman said proudly.

"Are you going to the People's Hospital?" Dr. Gao asked a little worried.

"What kind of hospital do you want to go to?" Someone next to me said, "It's a stomachache, and you have to stop eating, and pay hundreds of dollars a day for nutritional medicine. Are you poor and crazy?"

"..." Dr. Gao said hastily, "The main reason is that the parenteral high-nutrition medicine is expensive. The patient's condition is just better, so..."

"It's still something, I was discharged from the hospital, I didn't hear it!" The middle-aged woman shouted, "Are you deaf? Do you want me to pass it on to you with a wire?"

The family members of other patients also followed the word "discharged" and urged.

This is a dead end, Zhou Congwen sighed.

He didn't try to persuade him, even Director Jiang, who looked like an old expert, was scolded, so what did he say?At least the family members of the patient haven't touched Director Jiang yet, but the situation will definitely be worse if they are themselves.

Dr. Gao also argued for a few minutes "lingering on his last breath", but in the end he had no choice but to agree to be discharged from the hospital.

He turned and left angrily.

……

……

Note: When I first went to work, I met an expert from a higher-level hospital. It was also a matter of eating for patients with pancreatitis when they improved slightly. I was scolded to dissuade them.At that time, I didn't know what his expression meant, but now I somewhat understand.

Chapter 0525 I treat him as a brother, but he misses his daughter

"It's nothing." Dr. Gao said angrily.

"Ah." Zhou Congwen also sighed, but there was nothing he could do.

Zhou Congwen has seen many similar situations, and the endings are not all bad.

In particular, some patients are more lucky after being automatically discharged from the hospital, and they are cured "inexplicably", but the probability is very low.

However, most of the patients' symptoms were temporarily relieved, and the family members of the patients believed that the hospital treated them indiscriminately.No matter how big the matter is, if it is known by some unscrupulous media, it will be even more publicized.

Just like the child with Hirschsprung’s disease in Pengcheng in 2011, the child had problems after birth. Pengcheng Children’s Hospital did continuous checkups, the diagnosis was clear, and surgery was recommended for the child.

Zhou Congwen still remembers that the newspapers and portal websites at that time reported that the father of the child had certain medical knowledge, refused the operation, was discharged from the hospital voluntarily, and carried the child to Yangcheng.

Then I used an enema of 8 cents to solve the problem.

At that time, countless media and forums acted as headline parties, juxtaposing the two numbers of 10,000+ and [-] cents, silently guiding readers.

For a while, public dissatisfaction boiled over, and the medical profession was hung on a fire to roast.

But in fact?The child did have a bowel movement once, but the problem still persisted. Pengcheng Children's Hospital did not make a diagnosis error.

The problem remains, and it will not work if it is not resolved. The parents of the child can only choose to have an operation on the child in Yangcheng.

The money is still 10,000+, but no one cares whether the child is dead or alive, and almost everyone adopts the information they are most willing to hear.

Moreover, neither the media nor the portal websites tracked this matter at all. It can attract attention, attract traffic, and earn money. No one cares about other things that have nothing to do with traffic.

Who cares whether the child is dead or alive in the end?

Who cares if the doctors at Pengcheng Women's and Children's Hospital were wronged?

So the doctor suggested to spend 10,000+ for surgery, but the story of being cured by 10,000 cents of medicine has been passed down, knowing that after a few years, some people only know about [-]+ and [-] cents.

This is the general environment, this is human nature, and Zhou Congwen can't help it.

He can only cure the disease, not the life.

Sighing, Zhou Congwen and Director Jiang went to the Radiology Department with a sullen face.

Dr. Gao sighed, the joy of knowing that his lover escaped death was gone.

"The work at the grassroots level is really difficult." Director Jiang also sighed.

He originally thought that he could persuade the family members of the patients by going up, but unexpectedly, he also got frustrated.

"Well, the higher the level of medical obedience, the better the hospital. It's more difficult for us to suffer from ups and downs here." Zhou Congwen said lightly.

When he came to the Radiology Department, Dr. Gao sent the little doctor who sent the patient back to go through the discharge procedures. He specifically told him what to write in the notice of automatic discharge, and he took the trouble.

Zhou Congwen ignored the matter, but prepared for the operation.

The "spider" patient lay blankly on the operating table, his stomach was covered with a piece of accessories, and he was looking around.

"What are you thinking about?" Zhou Congwen walked into the perspective room and asked.