The road to the rise of great doctors

Chapter 132

It was two o'clock in the afternoon, and the child had not yet come to the hospital.

Thinking of Deputy Chief Physician Zhang Wei's instructions and the fact that there was not much time left for the best operation for the child, Liu Dong searched for the phone number of the obstetrics office in the hospital's address book, and then made a call.

"Hello, obstetrics office."

"Hi, hello, this is the General Surgery Department. In the morning, our Deputy Chief Physician Zhang Wei consulted a child with congenital anal atresia. The child who needed emergency surgery was prepared. We also called the operating room and the anesthesiology department. Hello. Now, what are his family’s plans?”

"Oh, that's irritating! The child's mother doesn't care. The child's grandfather and grandmother are here. The old man supports the surgery, but he doesn't have much money, only two to three thousand yuan. The child's father hasn't come back yet, so I asked His family members said that his father would not allow him to undergo surgery and asked them to wait for him."

"I am the doctor in charge of the child's mother. I know this matter is extremely urgent, and I have gone to see them many times. Just wait, I will try to persuade you, but I don't have enough money. Can that be done?"

"Wait a minute, I'll ask Mr. Zhang. In the morning, I've filed a record with the medical office. I'll ask about the specific situation and see if there has been any change. You should also do more work for them. I can't afford to wait for the surgery. No more during the day." If you do it at night, if something happens, it won’t be too late for consultation.”

Liu Dong put down the phone and felt that the child's father was really not like a modern person. He was not even 30 years old yet, yet he was so childish and stubborn. "Oh," he sighed.

But he also knew that working in a hospital would allow him to see such weird things.Although most of them come to the hospital for medical treatment, when they arrive, they are not sure of their original intention and are disturbed by various circumstances.We all know that making money is not easy, so we feel unhappy when we have to spend money.Many disputes in hospitals cannot avoid the word "money".

It seems that although today's surgery is not a technical problem, it will definitely not go smoothly given the situation at home.
At this time, Zhao Gang walked in, saw Liu Dong looking a little worried, and asked, "What's wrong? The patient hasn't come yet?"

"Yes, why do you have such a father? Don't they all say that a father's love is as great as a mountain?"

"This sentence makes sense, but if you think about it, this happened on the second day he became a father. In addition, he was protected by his parents very well since he was a child. He said that he has become a father by himself, but in reality He's not mature mentally yet, he's still a 'big boy'."

After all, Zhao Gang has been a doctor for much longer than Liu Dong, so he is not surprised by this kind of thing. Although it will still arise, he has learned to compromise with himself early. In his own words, "In ancient times, it was said that 'doctors don't hold back the door. ', it makes sense. When you meet someone and say they are sick, the other person will probably think you have bad intentions. And there is a saying, 'Medicine can't kill people.' If the person doesn't want to live anymore, what can you do? All we can do is 'do our best and have a clear conscience'."

Liu Dong is still grudges, but on this matter, he is neither the chief surgeon nor the family member of the child, so he has no position to say anything.So he repeated what the obstetrician said, and then asked, "Now the child's grandfather and grandmother support the operation, but his father does not support it. What should we do? The child is in our hospital. If he does not undergo surgery, his intestines will become necrotic in the future. He even lost his life, what a pity. Although his disease will have more or less repercussions in the future, it is much better than those incurable diseases!"

Zhao Gang nodded, "It's better for Teacher Zhang to communicate with the hospital about this matter. He is the chief surgeon. But according to my guess, they should try to get the signatures of the child's mother, grandfather and grandmother, and then pay the amount of money. The medicines for the operation cannot be taken out from the pharmacy. Anyway, it is a staged operation. The cost of colostomy is not much, and then the child's life safety is relieved, leaving his family with sufficient time to consider. If you plan to go to another hospital for surgery, It’s up to them to perform early stage surgery.”

"However, we must do a solid job in documenting medical records and disease courses, and complete the conversation and signing of medical orders and various informed consent forms. We must also prepare records at the medical office, and also call the chief administrative officer on duty to communicate well. Strictly follow It should be dealt with by laws, regulations, rules and regulations. In fact, this is not our department's own business, but to solve the trouble for the hospital."

This can be regarded as Liu Dong's first time encountering such a doctor-patient dispute. Before this, he had heard that there were many conflicts related to obstetrics and pediatric diseases, whether he didn't understand them or not.Before seeing this incident, he never thought that he would be related to this kind of incident.

The behavior of the child's father completely subverted his three views.After all, no matter whether it is TV or life, when it comes to sons and grandsons, ordinary families "hold them in their mouths for fear of melting, and hold them in the palm of their hands for fear of falling." Even if they "abandon their wives and children", they generally will not have newborns. When the time comes, let’s do this, right? !

Jingle bell, Jingle bell.
The phone in the office next to her rang.

"Hey, are Zhao Gang and Liu Dong here?"

Liu Dong heard Zhang Wei's voice and said, "Teacher Zhang, I am Liu Dong, and Teacher Zhao Gang is next to me."

"How about Liu Dong, what's the condition of the child? I called the nurse station and said that the obstetrics department hasn't transferred the child yet?" Zhang Wei asked from the opposite side.

Liu Dong shook his head: "The child's grandpa and grandma agreed to the operation, but his father hasn't come back yet, and his mother doesn't speak. The obstetrician is still doing their job!"

"TND, wait another half hour, I will tell the department director and the chief administrative officer on duty! We can't wait too long. Let's start the process first and try to get the informed consent of grandpa, grandma and his mother. We can't wait forever. .”

"Okay, we'll wait for your news."

Liu Dong put down the phone, looked at each other and sighed.

On the table next to him, materials such as the informed consent form for surgery and the power of attorney form without names were ready.

In the obstetrics department on the other side, the doctor in charge of the bed had just left, leaving only the troubled and tired child who fell asleep, sobbing intermittently.The mother wants to breastfeed, but thinks that the baby will vomit after feeding and doesn’t know what to do.

The grandfather and grandmother on the side looked sad. The grandfather held his hands tightly, picked up the phone, and called his son.

After getting through, he suppressed his temper and said, "If you go to another hospital, what will the doctor say?"

"What the doctor said was similar to what he said here. He should operate immediately. He also asked where the child was. If he wanted to be at home, he should be sent to the hospital immediately. I told the doctor here that he was in the Medical College Affiliated Hospital, and the other party's attitude suddenly became cold. Down."

"Do you think their doctors are ventilating each other? Are they working together to deceive us?"

Grandpa, who could no longer suppress his anger, roared in a low voice, "Come back quickly. Since we are all talking about surgery, this hospital is still the best in the province, and we can't afford it. I heard what the doctor just said, Even if you don’t have enough money, you can do a small operation first to escape the danger of life. After it is done, you will have to do it again. At that time, there will be enough time to discuss it. "

"Son, listen to your father. I see my grandson crying all the time, and my heart hurts. Let's do the operation."

"I don't care if you want to do it. Anyway, I won't listen to that doctor's talk. He just lectured me. Who is he?!"

The grandfather hung up the phone, looked at his daughter-in-law, and said, "Let's do the surgery. You need to sign, and I'll sign it. If something goes wrong, you all blame me. It doesn't sound like the doctor is lying to me, and This is the best hospital within a hundred miles." The child's mother nodded and agreed.

After all, it was the flesh that fell from her body. Seeing her child like that, she was just helpless, not that there was something wrong with her brain.

Since the husband went to an outside hospital to register and inquired about this result, it makes no sense for him to live in this hospital, the child is also here, and to move to another hospital for surgery.Especially since this is already the best hospital and the best choice.Therefore, she had already agreed in her heart a long time ago, but because her husband, father-in-law, and mother-in-law were all here, if she said it out, if she caused their dissatisfaction, the family would be uneasy in the future.

The old couple got up quickly and went to the nurse's station and office to find the bedside doctor and asked for an operation.

On the other side, Zhang Wei had just finished communicating with the department director and chief administrative officer, "For the health of the children!" "We can't let the living children die before our eyes!" "You do it boldly, you do it for the sake of the children." Take health risks and the hospital will support you." This is the support given to Zhang Wei by the leaders!

Zhang Wei, who turned off the phone, was thinking about how to better do his work for the families of the children.

But I still feel angry. To be honest, after all, I am a "helper", and the family members of the children should be "seeking help". However, after a long time of trouble, the other party was not in a hurry, but I was in a hurry. "Hey, it's true that 'the emperor is not in a hurry, but the eunuch is in a hurry'."

In this line of work, don't cause trouble, and don't be afraid of trouble.If we really want to fight, the patient’s father is really not a coward!
Just as he was doing some mental construction, his cell phone rang. Liu Dong from the general surgery ward called. The core idea was, "The child's father cannot come, but the other three parents have agreed to the surgery and are willing to cooperate."

Zhang Wei didn't think much about it. When he heard this, he told him to go to the obstetrics department to sign the informed consent form first, and then let the family of the child finish talking and get hospitalized as soon as possible.I hurriedly hung up the phone and walked to the maternity ward.

Just now, he was conducting consultations in other departments.

It's nice to say it now, but you'll be exposed later.Doctors and patients have lost trust, and all that is left is business.

When he arrived at the maternity ward, Zhang Wei sat at the conference table in the office, holding the informed consent form for surgery, the power of attorney, and the informed consent form for blood transfusion in his hand.

The doctor in charge of the obstetrics and gynecology department first called the child's grandfather and grandmother over. After a while, the grandfather and grandmother finished talking and signing, and then replaced the child's mother.Although it's a bit troublesome, you can't be afraid of trouble when encountering something like this.

The child's grandfather and grandmother were also in a bad mood.

No way, the birth of a child was originally a happy event, but it turned out to be full of twists and turns, and it was discovered that there was a congenital malformation.The good news is that this congenital acute condition can be treated, and although there will be surgical scars after treatment, the impact on him as an adult will be acceptable.Just treat the disease when you are sick, but my precious son made the situation so bad again. Before the operation, he and the surgeon banged the table, cursed, then patted his butt and ran away.
"Director Zhang, we agree to do the operation. My son is ignorant, and we, the old couple, apologize to you." The child's grandfather and grandmother stood up and were about to bow. Zhang Wei was so frightened that he quickly stood aside.

"Don't be like this. You are you, and your son is your son. Now is not the time to talk about these polite things. A long time has been wasted. Let's make a long story short and do the surgery as soon as possible."

Several of them sat on the stools next to the conference table again.

Holding a model, Zhang Wei first introduced the disease to them.Then I talked about the purpose of staged surgery.

After listening, the old couple didn't know whether they understood, but they nodded repeatedly, "We agree to do the operation."

"Surgeries all have risks. Some of these risks are unpredictable, and some can be prevented. We all have plans, and the incidence rate is not high. But when it comes to a specific person, no one can say for sure whether there will be medical uncertainty or surgery. It is a general anesthesia operation, and the anesthesia risks are. Then, when doing the operation, you need to pay attention to the following issues."

Zhang Wei spoke dryly, and after he finished speaking, he saw that the old couple were still saying "agree to the operation", so he handed over the informed consent form for them to sign.

Then, they asked them to replace the child's mother, repeat the story, answer the child's mother's questions, and sign.

The "Surgery Informed Consent Form" is not a disclaimer and is not specifically used to evade responsibility when litigating.It is a written certificate that proves that the doctor has fulfilled his obligation to inform the patient or authorized client, so that the patient or authorized client has full rights to know and make independent choices.

When a medical dispute or lawsuit occurs, don't you judge who is right and who is wrong by looking at whether a certain clause is included in the informed consent form?Instead, the experts of the appraisal committee will judge whether it is the fault of the medical side and then decide who should bear the responsibility.

The difference between it and "deed of sale" and "contract" is that it is not an agreement, but a witness that the obligation to disclose has been fulfilled.

After the conversation before the operation or operation and the process of signing the informed consent, both the doctor and the patient finally reached an agreement that both the doctor and the patient should face the operation or operation together and accept the result.

In the face of disease, the relationship between doctors and patients is never antagonistic, but cooperative.

Just like drug treatment, the drug itself has its own effect, and the effect used to treat the corresponding disease is the drug's efficacy; the effect that is not helpful for the disease being treated is its side effect.However, the efficacy and side effects of drugs are specific to the disease being treated.

The same is true for surgery. Its process will cause trauma, but the therapeutic effect it brings, and its collaterals, are the "enemy" that both doctors and patients must deal with.

This method can be used for treatment only if the benefits outweigh the risks. "The harm outweighs the benefit", then that treatment method should not be chosen clinically!

The two parties reached an agreement, so they quickly processed the hospitalization, asked the ward to free up beds before the end of the operation, and prepared the operating room and anesthesia department. The next step was for Zhang Wei and his team.

The preparation time was long, but the operation was very quick and was completed in only half an hour.Everyone present breathed a sigh of relief when they saw the stable vital signs on the monitor.

If the child wakes up successfully, the first hurdle will be passed.The second level is the recovery after the operation. I have contacted the neonatal ICU, where there will be 24-hour uninterrupted care.The third level is radical surgery.

"Every pass is difficult and every pass is passed." If you do this job, you won't be afraid of the risks that come with it!

(End of this chapter)