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 in the entire department.
Difficult cases that have been discharged from hospital, pending treatment, intensive care or observation, and undiagnosed...
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.
"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 forcibly discharged.
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 referred to the pediatric department were fever, diarrhea, and mucus-watery stools?"
Director Lian clicked on it and glanced twice, his tone also increased a lot.
Treating diarrhea is the specialty of the first team 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?"
In the morning, the family members took the child and left the hospital voluntarily.
Director Yang was so angry because of this. "
Some older doctors have long developed a sense of arrogance after becoming famous.
In such a situation, if the family members question the level of performance, they will be immediately knocked out if they hold back their 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, the family voluntarily 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.
Families with wisdom and determination will only listen and not take it seriously.
But when another patient's treatment happens to be unsatisfactory, it is easy to listen to and believe one way or another.
For this kind of thing, hospitals generally have no good solution.
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 lives in the hospital, the doctors and nurses are responsible. After being discharged from the hospital, the patient and 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 each difficult case.
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 pseudomembranous colitis. We will know when 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 the family."
Director Lian first prioritized the two cases that had recently been 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 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 identified himself 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.
No doctor would dare to speak out when faced with such a difficult case.
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 not.
For cases of diarrhea that last for more than a month, even the best 'magic medicine' cannot cure the disease in two days.
After intestinal injury, recovery is a long process.
"Director Lian, please don't worry about this patient anymore. They have been discharged 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 disease in an instant.
Otherwise, the pressure would be imagined if the attending doctor, a resident doctor, and a group of trainee trainees were to rescue the patient.
"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 subverts 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 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 doctors who retired from hospitals choose to open clinics, they have virtually improved the level of diagnosis and treatment in the clinics. However, in the minds of the vast majority of people, clinics are still synonymous with being evil-minded, 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.
Reduced to running a clinic, it sounds nice to use the remaining heat, but in fact there is nothing you can do.
Rather than being idle, it is better to open a clinic to make some money and provide greater financial support to my children and grandchildren.
Director Lian did not believe in the evil and called his family again.
After the call was connected, the child's grandmother didn't wait for him to speak and directly scolded, "Are you bothered by the People's Hospital? It's not as good as other small clinics. Every day, they think about how to defraud us people's money. Stop calling me, or I will Complain against you."
Toot toot…
The phone was hung up again.
Director Lian was convinced this time.
When your family members scold you, it doesn't matter whether you are a director or a junior doctor, they will just take the scolding.
"She actually said that our People's Hospital is not as good as a small clinic, and also said that we cheated money... Speechless!"
Director Lian spread his hands mockingly and shrugged.
It's quite sad to meet such family members.
After work, Director Lian was still worried about the baby.
The condition itself is quite serious. If a small clinic blindly treats it with tiger and wolf medicine, even if the effect is seen on the spot, the condition will soon relapse. Serious complications may even occur.
It is no different than drinking a dove to quench thirst.
People's lives were at stake, and he wanted to give some advice to the family members.
Given the family's current prejudice and disgust towards the People's Hospital, direct persuasion would be in vain.
He didn't have a good idea for a while.
Director Yang is a senior in the department and has given him a lot of guidance and help.
Now that he is sick, he must go and visit.
The original intention was to persuade the baby with diarrhea to return to the hospital and then visit Director Yang after finding out the cause.
To put it bluntly, Director Yang is just mentally ill.
Now I can only persuade Director Yang and then think of a solution.
After buying some fruit, I arrived at Director Yang's residence with ease and knocked on the door.
This is actually unit housing built by the hospital for employees. As long as employees get the quota, they can buy a house at cost price. The price is much lower than the market price.
Many old comrades from the hospital live in this community.
Even if some of them later retire or resign, they still live here.
It's very close to the hospital and very convenient to work.
"Hey, Lian Tao is here!"
It was Director Yang's wife who opened the door.
Young couples come to keep company.
When you get old, it is a very happy thing to have a wife to take care of you.
"I heard that Professor Yang was ill, so I came here to check on you. Is your teacher okay?"
"Well, tell me, you are so old, why are you arguing with the patient? You have to make yourself sick in bed, and even if you want to send him to the hospital for treatment, he refuses to go. You are his favorite One of the students, it might be useful to give him some advice."
Director Yang's wife shook her head and sighed.
The doctor treated the patient but failed to treat the patient well. As a result, the doctor was made angry by the family member.
This kind of thing is quite rare.
Director Yang refused to go to the hospital for treatment because he was afraid that his colleagues would laugh at him.
Face is something that can be quite harmful sometimes.
The more status a person has, the more he values face.
This is especially true for those engaged in academic and medical research.
When the ancient civil servants could not persuade the emperor, they actually dared to bang their heads against the pillars in the palace and receive a box lunch on the spot.
It's not that they don't care about their lives, but they have the integrity of scholars and value face more than life.
Director Lian was led all the way into the study.
"Lao Yang, Lian Tao comes to see you!"
Director Lian hurried to the hospital bed and saw Director Yang's face was as golden as paper, and there were several books beside the pillow.
Practical Internal Medicine, Internal Medicine Manual, Infectious Diseases, 100 Cases of Suspicious Diarrhea...
Look at this situation, Master Yang is ill, but his heart is still tied to the baby.
I have been looking through books for the past two days.
Infectious Diseases is a textbook and it is a new edition. Director Yang probably bought it from a bookstore or borrowed it from someone.
"Teacher, are you feeling better? I heard that you were sick just after I came back today, so I came over immediately after get off work." Director Lian leaned over slightly to observe Director Yang's condition.
In the medical profession, we still respect our mentors.
"Then you guys chat first!"
Director Yang's wife knows that her husband is a face-saving person, so she leaves space for the master and apprentice.
"Oh, I'm really embarrassed this time!"
Director Yang sighed.
"What's the point? We doctors are also human beings, not gods. It's normal for us to be unable to find out the cause of some difficult and miscellaneous diseases. Many people have had misdiagnosis. You are much better than misdiagnosis or missed diagnosis. That is to say, family members If you don’t cooperate, otherwise with your ability, you will definitely be able to find out the real cause.”
Director Lian could only think of ways to comfort his mentor.
At this time, all Director Yang needs is a step up.
"Lian Tao, have you read that case? I've been thinking about it for the past two days, and after thinking about it, there are only two possibilities. Either it's neuropathic diarrhea, or it's an allergy caused by food."
Director Yang was lying on the bed reading a book, but it was not in vain.
After repeated deductions, two causes were concluded.
"After reading the information, I also suspected that the child was allergic to cow's milk protein. Because the child was fine until he was six months old, and the problem appeared after he was fed complementary food. Cow's milk protein allergy is not uncommon in infants, but it is particularly easy to be misdiagnosed and missed. In particular, this baby was suffering from malnutrition, and the course of the disease was extremely long, with symptoms ranging in severity and all kinds of symptoms appearing. It was particularly easy to suspect bacillary dysentery.
It was because of your insistence that the laboratory conduct three fecal cultures, and the results were all negative, so that multiple suspected causes could be ruled out. "
Director Lian focused on affirming the fecal examination.
Don’t think that students’ words have no weight.
An outstanding student like Director Lian might have already surpassed his mentor in status and authority.
"Do you think so too?"
Director Yang felt refreshed when he heard that the students also thought it might be caused by food allergies.
"My mentor and I basically agree on the diagnosis. Food allergy is most likely."
"At the beginning, I was also misled by the diagnosis and treatment process at the Children's Hospital. If the family members can be more patient, I will definitely be able to find out the real cause."
Director Yang would only say these explanations to students he trusts.
It’s like having someone to talk to.
"It's just that it's useless for us to speculate now! The family no longer trusts us and they were forcibly discharged from the hospital two days ago."
It can be heard that Director Yang also wants to persuade the family members to bring the child back, and then let him continue the diagnosis and treatment, so that the face will be restored.
In fact, there is no need for him to compete with this force.
Maybe his family members spread unfavorable and offensive remarks about him in the department, especially the sentence, "You can only check feces," which deeply hurt the old chief physician's self-esteem.
Director Lian decided to help his mentor untie his knot.
To untie the bell, one needs to tie the bell.
We have to find the family members.
"Teacher, I called the family before coming here."
"What did the family say?"
Director Yang was still bedridden due to illness, but now he gritted his teeth and propped himself up to sit up.
His expression was very excited, and his eyes were filled with anticipation.
"The family said... it has been cured. It feels like it should have been treated in a clinic. I'm afraid that the small clinics outside will do whatever they can to give the baby some tiger and wolf medicine. Otherwise, after only two days, how can it be done?" Is it possible to cure it?”
Director Lian expressed his concerns.
"The most unreliable thing is the clinic. If there is a true food allergy, even if it is treated in a large hospital like ours, it will take at least half a month to see real results. Has the family said which clinic it is?"
Director Yang is actually a very good old doctor.
He seemed particularly anxious when he heard that his family members were being treated in the clinic.
He was genuinely worried about the kid.
"Well... the first time I spoke to my family, the words Sunshine Clinic were mentioned. She may have thought I was a doctor at the clinic, and my attitude was quite warm and friendly. I guess I should be treated at this clinic."
Director Lian finally remembered it after recalling it carefully.
"We must call the family members to persuade them, and we must not listen to the lies of the doctors in the clinic. It is best if we can persuade them to return to our hospital for treatment."
Director Yang is such a face-saving person, he will definitely not make this call to the family members personally.
Otherwise, if he is scolded by his family again, he may have to be sent to the hospital for emergency treatment immediately.
What he meant was that he wanted Director Lian to make this call.
"Teacher, to be honest, the attitude of the family towards our hospital is a bit unfriendly. I called twice and they both scolded me and then hung up the phone directly. They also threatened to file a complaint if they dared to disturb them again. I."
Director Lian didn’t dare to fight the third one again.
At his level and status, there is absolutely no need to ask for trouble.
"I really don't know why this child's family is so stubborn?"
Director Yang frowned, obviously thinking of a solution.
"Sunshine Clinic? The name sounds familiar! Is it a clinic in this city?"
Director Lian had already taken out his mobile phone and opened the map to start searching.
"We found it. It's at No. 177, Chengnan Old Street. Looking at the appearance of the clinic shown on the map, it's most likely the kind of black clinic that cheats people without paying for their lives. You see, the cheap spray-painted sign is very old. It’s also very small.”
Director Lian showed the screen of his mobile phone to Director Yang.
"Otherwise, let's go over now and talk to the clinic owner."
Director Yang's words sounded somewhat childish.
"How to talk?"
Director Lian needs to be calmer after all. He definitely won't be able to do this if the teacher is fooling around.
"First ask the clinic owner. Aren't small clinics just for making money? I just give the clinic owner a little money and let him persuade the family to take the child back to the People's Hospital for treatment."
It turned out that Director Yang was not fooling around, but thought of a compromise.
(End of chapter)
