425. Ask why(1/2)
Time was called back 2 hours ago, and Qi Jing was still in the emergency room at this time.
Originally, I came to the hospital early in the morning to talk to Wu Qinhu and exchange the specific details of the next step of the doctor's fight. Unfortunately, the other party suddenly felt sick and had to give up.
Everyone has arrived at the hospital, and going back to sleep is not Qi Jing’s style. There are only some literature and magazines at home, but it’s different in the hospital.
Early in the morning, the 120 ambulance was like coming to the market, one after another, stuffing the patients into the green passage. Qi Jing was idle anyway, and being able to help share some work is something that a part of the inner workings should do.
In addition to these jobs that attract him, there are many lovely younger generations here.
Although they lack clinical experience, they are full of energy and have a passion for medical work that they will never be exhausted. It can be said that if these medical students who come to intern in the middle are missing, their overall work efficiency will be greatly reduced.
As a senior, Qi Jing naturally has to shoulder the burden of education and instill in them the experience and knowledge of clinical work...
"Dog P!"
Qi Jing switched the original text message screen, pressed off the power switch, threw the phone on the desk, and cursed in his heart: "Can you have some potential and ask me to agree to something for this?"
He never expected that the price of asking Ji Qing to lie about Chen Liangjun's illness was to lead students.
"I'm so troublesome..."
"Hmm? Teacher Qi, what did you say?"
"Uh, nothing."
According to Qi Jing's expectations, with Hu Dongsheng and Gao Jian, and Ji Qing, although the four of them were still somewhat different from the diagnostic department they had imagined in their hearts, they were roughly considered as the prototype.
Once he loses the pressure of staffing, he will not be interested in teaching, and even feels inexplicably irritable when he sees the intern.
The detailed explanation of the cellular immunity I dreamed of before was that the entire system has been at the beginning of the dream and was too lazy to process it. The twelve-color urine learned from Coent also communicated between Ji Qing, Hu Dongsheng and Gao Jian.
Xiao Yu even asked him if he wanted to go to the university class for trial lectures again, but in the end he was rejected by Qi Jing.
After all, people who are not interested in the work at their hands cannot do this job well.
In fact, according to his idea, it was really stupid to directly move all the interns who were ignorant of the world and had not been to the clinic to the most stressful emergency line in the hospital.
But he can't decide on the system.
This educational environment that is sophisticated by the seedlings naturally needs to be matched with Spartan education techniques. However, Ji Qing, the teaching staff, is usually too gentle, so it is difficult for interns to grow enough in a short period of time, and it is often difficult to take on a big task after graduation.
Fortunately, November is much better than July. The children who came here have experienced 4 months of clinical work and know a little about what they need to do, what they need to learn, and what they cannot touch.
Gradually, many people will find it very exciting to save people in the emergency room, and then turn this stimulation into motivation for work.
This is a good thing, and often some necessary motivation is indeed needed. But while motivating, under Ji Qing's gentle sect, Qi Jing hopes to let them understand the cruelty of clinical work.
Gu Liang's case in the morning is very telling.
The patient and his family fell in a breakup in the emergency room, and the incident also alarmed Vice President Wang, who was on duty on the Chief Executive Officer, and it was a good educational material. The general situation of the matter was known, so the iron should be used while the iron was hot. When the two students were working hard to copy the prescription, Qi Jing's "education" began.
"Have you been to surgery?" Qi Jing asked, "General, orthopedics, extrathoracic..."
"Puwai, do you know Gu Liang?" Qi Jing asked again, "It's the one who was busy outside the country just now, the rice grain that was good and the poor."
"I know, I have followed him with appendicitis." The girl said with a smile, "The gestures are very clean and the movements are fast."
Another boy also said, "Teacher Gu is quite famous here. The most interesting thing is that when he finished his stomp, he always thought about the surgical instruments and gauze."
"Yes, Teacher Gu has to check it several times every time he closes his abdomen."
"I remember looking for a nurse to check it out when cleaning your stomach, and then searching for a tour to check it out when sewing the skin. It's enough to do it twice." The boy smiled while copying the square, "Teacher Gu usually starts three times."
“I’ve met five times.”
“Indeed, four or five times are the norm.”
"It's too cautious and exaggerated."
The two of them became more and more excited and had already thrown Qi Jing behind their heads: "According to his original words, 'After being bewitched by a bad boy, I always thought that I would leave something in someone else's stomach, I gradually became a little persecuted and delusional.'"
"It seems that I said that..."
Qi Jing blinked at them and gradually frowned: "Since you are so interested in him, let's talk about the case of your Teacher Gu Liang in the morning, and what do you say?"
The topic that was directly raised interrupted the two of them and made the two interns not know how to answer, and they seemed a little helpless.
After all, they just finished their four years of rigid written courses, and they just stumbled on the ward for a few times before jumping to clinical work. It was actually very crazy to do this, but now they still have to discuss open topics, which is inevitable for them to feel uncomfortable.
"You should know the whole story, right?"
"I know."
"Isn't it just that Teacher Gu left the things in his stomach?"
"Then let's determine the main direction of the discussion first. Who is responsible for the whole thing?"
Qi Jing made a guided question, hoping to have a good start. But seeing them looking a little confused and knowing that doing so was not enough, he clarified two specific options: "Is the responsibility in the hospital or the patient's side?"
After getting the specific option, the girl immediately replied: "It's of course the patient and the family."
"I think it's a patient's problem, too."
After hearing this, Qi Jing nodded slightly, but did not express his opinion. Instead, he turned on the computer at hand and continued to ask: "Then I want to ask more why."
"Why?"
"It's impossible for you to say that I believe Teacher Gu, Teacher Gu, and Teacher Gu, just judge the responsibility on the patients and their families at will." Qi Jing said with a smile, "We are scientific workers at least, and we have to face problems objectively."
To talk about objective evidence, I have actually told my family before, and they remembered more or less: "By the way, I remember that the foreign object shown in the CT reconstruction is in the organ."
"Well, this is obviously my own problem."
Qi Jing knew that they would talk about the film, so he turned to the girl's electronic inspection image, pointed to the high bright spot, and said: "To be clear, it is in the posterior yd fornix and cervix. The location can be roughly determined, but I didn't say it clearly just now."
"Will it be a knot? Appendicitis surgery won't touch that place."
"Why?"
"This, why is this?" The boy didn't understand what Qi Jing meant, nor did he know what he wanted to ask himself. "Teacher Qi, appendix surgery is just to explore the intestines. He used hemostasis forceps, gauze, and suture needles and threads. How could there be something of this shape?"
"There is videotaped during the surgery?"
"Video?" the boy said with an embarrassing smile, "I also want to have a video so that I can watch the surgery on the computer, but unfortunately there isn't."
"That's no evidence."
???
"You don't think this matter will end because of your saying 'Things are inside the organs and cannot be touched by the surgery'?" Qi Jing looked at their naive faces and shook his head gently, "Don't be too naive. Medical disputes are all inverted in the burden of proof. Patients claim that the hospital provides evidence. If there is no evidence, it is wrong."
"It's just an appendectomy, how could it be recorded?"
"Will you determine that Teacher Gu has a problem?"
"It's not a question of whether to determine it, there must be limited suspicion." Qi Jing said, "What's more, you can change your mind. Sometimes patients who come to the emergency department will be very anxious? Do doctors who do emergency surgery in general intravenous patients cannot keep up?"
"Yes, sometimes I can have seven or eight appendicitis in a day, but I can't get out of it at all."
"Will there be insufficient equipment nurses, surgery doctors, and finally work staggered?" Qi Jing saw that they were a little confused and explained, "For example, the operation room No. 1 has completed the operation and is ready to close the abdomen. He is sewing the skin, so you go to the operating room No. 2 to prepare for disinfection and towel laying..."
"Well, yes, this happens often."
"As the equipment nurse packs up her things, she will go to the next operating room to prepare the equipment bag."
"right."
"Wouldn't Gu Liang be left alone in the operating room No. 1?" Qi Jing said lightly, and then he looked at the magazines at his hand without any reason, which seemed particularly casual.
"It's just a simple slut, even I can't let me know what about Teacher Gu..."
At first, the boy didn't know what Qi Jing wanted to express, and thought he was saying the technique was not good and it was difficult to close his stomach. But before he finished speaking, he understood the profound meaning: "No, it won't be that. Teacher Gu looks quite decent, how could he do such a thing?"
The girl didn't react so quickly, but from the boy's strange facial expressions, she gradually realized what Qi Jing was saying: "How could Teacher Gu deliberately stuff the things in? This is too absurd."
Qi Jing admitted that his idea was absurd, especially in a professional junior high school surgeon, which was even more so: "I just said something casually, don't take it seriously. Gu Liang and I have been so old friends for so many years, just kidding."
"It turned out to be just a joke."
"However, this joke is not funny at all..."
"Yes, it's not funny." A dark curtain fell on Qi Jing's face, and his tone became much colder, "But the other party's lawyer doesn't care whether it's funny or not. Any possibility that is beneficial to them is something that can be reasonably doubted."
"Ah, this...this is too much."
"Wasn't Teacher Gu's reputation ruined?"
"That's not the case. I just said a possibility casually. This attack only requires testimony from work colleagues and neighbors, and ordinary medical lawyers will not play such a bad trick."
"That's good......"
"This cannot be considered good." Qi Jing said with a smile, "We still have no decisive evidence to prove that Gu Liang is innocent, not to mention that the patient's membrane is still intact."
“…”
The two interns were completely speechless, and the inversion of the responsibility for trouble often caused a headache for the hospital. Their brain cells were obviously not enough.
In fact, when Qi Jing just heard about this, his mind was clear.
Perhaps in 2004, the degree of social openness was limited, and many of these operations were hidden in the dark. The common people must have heard of it, but there is still some obstacle to applying this thing to examples.
"Think about it from the perspective of others and don't stop moving forward when encountering obstacles."
"Teacher Qi, you are so abstract, we are really..."
To be continued...