Chapter 397 I don't know if I can be a man, but it's a real dog!(1/2)
Chapter 397 I don’t know if I can be a human being, but I’m really a dog!
"Look at my child's hand now. What's it like? It was fine when it came here, but he made it look like this."
The child's mother pointed at Lu Cheng and shouted angrily.
While shouting, he also cursed at the people pointing around: "What are you looking at? Do you need to take care of our family's business?"
The premise of paying attention to laws and restraining people with morality is that people want face and trees want bark. If they are reasonable, many people are willing to stand on the moral high ground and condemn others, especially to help the weak.
But at this time, when they heard the middle-aged woman scolding her, the onlookers just cursed and said something was wrong, and then dispersed.
The atmosphere was slightly tense now.
But the child raised his head and said to his mother: "Mom, it hurt just as much when I came here as it does now."
A child cannot understand what his mother and father are doing. He only tells the facts he feels.
This sentence made the expressions of the police and the nurses who were watching soften slightly.
But the child's mother directly pulled the child behind her and scolded: "What do children know? Don't talk nonsense."
Then he went to Lu Cheng and said, "Let me tell you, this matter is not over today. If you make my child become like this, you have to take responsibility."
Then he looked at Wang Min: "Are you his leader? Can you make the decision? If you can't make the decision, call the person who can make the decision and call the director. The injury to my child now was caused by the unscrupulous doctor in your hospital.
!I."
When Lu Cheng heard this, he sighed slightly and said to the two policemen: "Comrade police, I really have two emergency surgeries to do here. She has been so unreasonable. I don't have that much time here."
Delaying. There is a patient over there who may die at any time. Anyway, you probably understand the whole story now. For the next thing, if you should go through the legal process, just go through the legal process."
"I really have to go to the operating room." Lu Cheng really didn't have time to waste time arguing with them here.
"Don't leave, you can't leave!" When the middle-aged woman heard that Lu Cheng was leaving, of course she couldn't let him go, so she stepped forward and grabbed Lu Cheng.
"Come here quickly. This unscrupulous doctor diagnosed the wrong disease and still runs away. Let's all comment."
She shouted to the people around her, hoping that others could help her stop Lu Cheng.
But everyone is not a fool, and everyone understands the facts of the matter. Who will really help her? Instead, two patients' family members deliberately walked to the middle of the road and blocked the middle-aged woman. After being hit,
He also cursed loudly: "Why are you running?"
"In your hospital, you can't walk without looking at your eyes?"
The hospital is a public place, and the emergency department is a place where every patient and family member can come.
So there is no need to coddle her at all.
"It's murder. The hospital is so disrespectful of people's lives. It's unreasonable..." The middle-aged woman saw Lu Cheng walking away and sat on the ground.
Then her son ran up, hugged his mother and comforted her: "Mom, don't cry, don't cry, I don't hurt anymore, I don't hurt at all."
This sound made everyone around them feel anxious.
In the end, the middle-aged woman’s husband couldn’t stand it anymore, so he ran up and pulled his son up, shouting to the doctors around him: “Doctor, nurse, I was wrong, it was our fault, you give me your son first”
Let’s treat your hand.”
Then he yelled at his wife: "What are you still doing? You only know how to get petty gains. How much money can you make?"
The middle-aged woman was stunned by her husband's yelling.
"Why are you still lying on the ground? Get up quickly. Is this how you set an example for your son as a mother?" He really regretted it. He thought that his son was really fine before, and he also thought that the doctor would have to pay a lot for just moving.
A hundred dollars is too expensive.
But now he sees such a sensible son watching him and his wife cheating on bills in the hospital, and still being so sensible, which makes him feel heartbroken. He feels like a fool who put his son aside for a few hundred dollars.
The middle-aged woman stood up immediately and yelled at the child's father: "Why are you yelling? If it weren't for your inability to make money, would I be like this? You have no ability..."
He said that he would catch him.
Her husband grabbed her hand and said, "Get out of here, is this your biological son?"
The middle-aged woman burst into tears on the spot. She had no intention of losing her face today, and she had not gained any benefits, which was a big loss. Moreover, her own image in the eyes of her son would probably be ruined in the future.
It's just that there is no turning back. Now that her husband is not on her side, she has no other choice.
The man directly took his child to register again, and then the doctor from the emergency clinic called Lu Cheng again.
Although there are a series of things going on before, the patient and the child are innocent. The hospital cannot refuse the patient medical treatment, nor does it deprive the patient of the right to medical treatment.
Lu Chengcheng performed the manual reset again and explained in detail the precautions after the reset.
This was not difficult for Lu Cheng. Previously, the mother of the child left immediately after being repositioned. He was caught and dislocated again before he could even tell him what to pay attention to. Can Lu Cheng be blamed for this?
However, Lu Cheng did not really pursue the legal responsibility of the child's mother for wrongfully accusing him and damaging his reputation.
He really doesn't have that much time.
After completing the reduction and writing down the medical records, I rushed directly to the operating room.
No matter how much time was wasted because of a few idiots, it was still innocent for the other patients who needed his treatment.
…
Only this time, Lu Cheng really understood why many seniors would say something in private, that is, no matter how pitiful the patients and their families are, they must strictly follow the medical procedures and standards, and they must not skip the level or make random mistakes.
Kindness.
Otherwise, you will be the one who suffers.
The human heart is originally warm, but after being watered with too much ice and snow, it will gradually become colder.
In addition to professional knowledge and skills accumulated in clinical practice, there are also styles and techniques for doing things, which clinicians need to learn.
If you don't pass the exam, you may have to pay tuition. Fortunately, Lu Cheng was cautious today and knew to collect the medical records in advance. Otherwise, he really doesn't know what to say.
Before Lu Cheng left, Liu Xuan went to Lu Cheng and said, "Brother Lu, I'm sorry for what happened today. It was me who caused trouble for you."
In fact, the most fundamental reason was that he called too early. Lu Cheng was only the consulting doctor, and Liu Xuan was the first doctor. Under the first-diagnosis responsibility system, Lu Cheng was only responsible for helping him cure the patient, and was responsible for subsequent explanations and reminders.
Fees and other matters should be the responsibility of the first-seeing doctor. Unless the patient is transferred to the orthopedic ward, then it is Lu Cheng's responsibility.
Lu Cheng said: "It's okay, Doctor Liu. We are all colleagues. There will be many places where we need help in the future."
"It's also my fault that I was too impatient. The main reason is that there were too many emergency patients today. I wanted to hurry up and the child was poor, so I did the reset in advance. It will definitely not be like this in the future."
"Doctor Liu, don't mind."
Liu Xuan shook his head and said, "Dr. Lu, you are kidding."
…
The patient who started the debridement and exploration was the first. When Lu Cheng walked in, people from the thoracic surgery department and the Department of Surgery were already there.
When the anesthesiologist saw Lu Cheng, he quickly said, "The patient's blood pressure is very unstable now. It is already below the shock blood pressure. Even if a blood transfusion is performed, it is still not stable. There may be active bleeding."
"Orthopedics department, you need to stop the bleeding quickly, otherwise it won't matter how many bags of blood you transfuse, and the patient may die if he says no."
However, Lu Cheng did not look nervous. Such a patient cannot be entirely blamed on the orthopedics department, so he said: "Teacher Anesthesia, this patient's blood pressure is unstable, but it has little to do with our orthopedics department. If the patient has a fracture,
The location is in the pelvis, where we can still be found.”
"However, for a trauma near the knee joint, even if the tibial artery or popliteal artery is injured, a tourniquet will be enough at most."
Then he took a quick look and said, "Whether this patient's leg can be saved, and whether it will still function after being saved, is another question. My detection here is very fast. As long as there is a problem with the blood vessel, it will be sutured. No."
For blood vessel problems, just put a VAC on it and it will be solved."
As Lu Cheng said this, he changed his hand and pressed the patient's popliteal artery for about a while. Then he checked the distal vascular signs and found that there was a problem with the blood vessel filling.
This exactly represents the position where Lu Cheng pressed to stop the bleeding, which is extremely accurate.
Chief Hospitalist: "..."
General hospitalization for thoracic surgery: "..."
The anesthesiologist was speechless. Seeing this, he could only press the button to measure the patient's blood pressure again, and at the same time began to check the blood gas and electrolytes.
A patient who has lost a lot of blood cannot be saved by a large amount of blood transfusion.
It is also necessary to check whether the blood oxygen saturation and electrolytes are disordered, especially hyperkalemia, which can lead to cardiac arrhythmia, cardiac arrest, and death.
This condition can come and go without a trace, so blood gases and electrolytes must be checked at regular intervals.
Even so, the anesthesiologist originally thought that the patient had active bleeding. Although he heard Lu Cheng said it was easy, just anastomose the blood vessels and it would be over.
But the essence of treatment for all diseases in this world is actually very simple to say.
It's just hard to do.
As for the popliteal fossa, there are extremely important structures such as the popliteal artery, anterior tibial artery, posterior tibial artery, the great saphenous vein on the inside, and the popliteal nerve...
The anesthesiologist could only smile and said, "Okay, pretend I didn't say anything."
"The patient's current blood pressure is still extremely unstable. It is now only 75/65mmHg. Although he has been taking norepinephrine, it cannot rise back. Immediate craniotomy for decompression and thoracotomy are needed."
Whether it is extracranial high pressure or hemopneumothorax, it can cause the patient to go into shock.
Hearing this, the chief residents of neurosurgery and thoracic surgery even accelerated their disinfection speed by a full three points.
Emergency consultation is actually a game and competition between various departments. As long as someone can prove that there is no problem with the other person, you have to quickly deal with the problems of your own department.
To be continued...