Chapter 458 How to convince the family members of patients with extremely poor medical compliance
In the patient's coagulation function measurement, the aptt value was slightly high, but it was not unacceptable.
In addition, plasma prothrombin time, international normalized ratio, thrombin time measurement, and plasma fibrinogen measurement were all normal.
No wonder Feng Zixuan insisted that it was the problem with their surgery that caused the bleeding, not other problems.
Luo Hao looked at the anger in classmate Zhuang Yan's eyes and felt helpless.
He was half a foreign aid, here to help. This kid didn't even know who his opponent was, let alone what he was going to face. He only knew how to fight for the upper hand.
The key is that even though you are jealous, you haven't found the right person.
It's so stupid to hang up and read the book into the dog's belly.
"Professor Luo, I have heard of your name for a long time." The medical director of the Second Hospital walked up to Luo Hao and greeted Luo Hao with a smile.
He didn't look nervous.
In fact, it's true. I'm losing money without losing my own money, and I didn't do the surgery myself. How can I be so nervous?
Just follow the procedure, it's a bit annoying at best. It would be perfect if you could transfer to a first-year medical school or a higher-level hospital in the imperial capital.
If you can't turn it around, just grind it.
"You're welcome." Luo Hao smiled and looked away from classmate Zhuang Yan.
"Director Shen, he is one of the best in diagnosis in our province. He can call you Junior Uncle."
"It's a joke, don't take it seriously."
"How could it be possible, Director Shen... The catchphrase of their rheumatology and immunology experts is - so-and-so can also treat patients? They usually use their nostrils to see people, how can they joke about such a big thing?"
Luo Hao didn't explain, just smiled and continued to look at the test results.
Their medical records were average. Luo Hao had read Lao Meng's medical records and had already ignored this part.
After reading them all, Luo Hao had no idea.
"How does the patient weigh?"
"Weight?"
"Is electrocoagulation used to stop bleeding in the superficial subcutaneous veins? Or is it ligated with No. 1 wire?
Is the patient very thin with little subcutaneous fat?
I once encountered such a medical record in Xiehe University. The superficial vein was not ligated during the operation. On the third day after the operation, the patient had bleeding from the incision after defecation, followed by large ecchymosis under the skin of the entire operation area and lower back.
After the dressing change, bleeding from the incision was seen, and a local pressure bandage was applied. The bleeding stopped after lying on his back for about five days, and he was discharged from the hospital a week later. It looks a bit similar, but I always feel like something is wrong. ”
The look of contempt on the face of classmate Zhuang Yan became more intense. It was obvious that he had considered everything Luo Hao said. It was the simplest and easiest thing to consider, and he had already eliminated it.
"There is no problem. All these have been taken into consideration." the superior doctor replied.
"It's not written in the operation record. The medical record is too rough. If you use it to litigate, you will suffer big losses." Luo Hao smiled, his white teeth exposed, and the sun fell on them, giving off a white light.
Student Zhuang Yan's expression suddenly froze.
Even without opening his eyes, he felt a hint of murderous intent.
"The whole treatment process is somewhat problematic - the infection has been confirmed before the operation, and it is considered to be a deep infection. At this time, the patch should be removed, bacterial culture, anti-inflammatory treatment, and elective surgery again after recovery.
In addition, the patient still has unexplained bleeding, and the wound of laparoscopic surgery is large. If bleeding occurs again after the operation, how will the patient and his family be informed? ”
"Surgery, you still have to be careful."
Chen Yan twisted the hand that protected his heart and paused. Professor Xiao Luo was rarely so sharp, at least not in front of him.
It is said that Pei Yingjie's old dog provoked Professor Ronaldinho once, and was finally frightened into a panic by a consultation record.
How does the little doctor opposite look at Professor Ronaldinho? Are you worthy? !
Chen Yan quickly figured out what was going on.
Although I don't know the grudge between that man and Luo Hao, there must be a story.
"The medical records are so rough, your grassroots doctors still need to practice. The medical records in our surgery are rough, but I have never seen them so rough. Graduated from a technical secondary school? Didn't the teacher teach you?" Chen Yan added.
Classmate Zhuang Yan’s face turned red.
"I won't say anything about it. I knew something was wrong and didn't hurry up to make corrections. As a result, the medical records were sealed and left to the Medical Commission and the appraisal center." Feng Zixuan also added.
The medical director of the Second Hospital was stunned. Why did the people in the First Hospital of the Medical University suddenly start to show off their sharp edges and bite everywhere like crazy?
What did you say? Or maybe they collectively contracted some infectious disease.
"Why is there no hematology consultation?" Luo Hao continued to ask.
He treats Zhuang Yan's classmates...as nothing more than a piece of air, so how could he chase them down?
Then Luo Hao asked the second question.
"I remember that when I asked the hematology department for consultation, the patient's family members were already furious. If they didn't transfer to another department or didn't know how to diagnose, they would file a lawsuit with the medical records. You can sue or pay compensation, but you have to treat the patient first. I don’t think so.” The medical director of the Second Hospital said distressedly.
"Oh, that's it, that's all I'll say."
"What did you say?"
"Usually when encountering this kind of problem, any doctor who is a little more vigilant will first seek consultation from the hematology department. I thought the Second Hospital didn't have a hematology department." Luo Hao said, shaking his head.
"..."
"..."
Just as classmate Zhuang Yan was about to speak, Luo Hao closed the medical record and threw it on the table, "Generally, it is considered to be caused by hemophilia, and the patient should not be let go the first time."
"You're still not confident about the surgery. Is this your first time? Did you get lost during the surgery?"
Luo Hao said, his eyes falling on classmate Zhuang Yan's eyes.
"!!!"
"Such an operation will be lost, alas." Luo Hao sighed, "The director, leading professor, and resident manager did not look carefully at the time and were not sure, so they delayed it. Speaking of minimally invasive inguinal hernia repair surgery, I think It’s hard to get lost, you’re really promising.”
"When the schools merged, Peking University looked down upon several hospitals of Peking University, and later they were forcibly squeezed together. I knew the quality was a bit low, but I didn't expect it to be this bad."
"You!"
Student Zhuang Yan couldn't stand Luo Hao's yin and yang, so she slapped the table and stood up. Zhuang Yan shook her high ponytail. She had long been accustomed to Luo Hao's disdain for other schools.
"Sit down, the operation is like this. If I have the opportunity to go to your Peking University hospital to communicate and see your mentor, I must tell you. But I guess he will not recognize you by then."
Student Zhuang Yan’s face turned eggplant color.
"Hemophilia? Professor Luo, are you sure?" the medical director of the Second Hospital asked hurriedly.
"Not sure, need to check."
The medical director of the Second Hospital did not show any displeasure, but said with a sad face, "Our director of the hematology department also said the same, but when we asked him for consultation, the patient and the patient's family had already refused any diagnosis and treatment."
Refusing medical treatment is not uncommon.
The whole family has a bad temper and wants to fight to the death with the hospital.
Although Luo Hao had never seen it, his ears were callused after hearing it.
What to do next was indeed a bit difficult. Luo Hao put his hand on the table and tapped his fingers lightly on the table.
"What are you pretending to be!" Zhuang Yan said angrily.
He didn't yell, but tried to stay calm.
Luo Hao frowned slightly and looked at the young man.
"The worst case scenario is that I go to court. How can I be sentenced to confess on my own!"
"Don't make trouble." Luo Hao smiled.
"There's no need for you to pretend to laugh at me!"
"Are you kidding?" Luo Hao felt that this young man's views were indeed wrong. "It was repeated delays that directly reduced the medical compliance of patients and their families to negative values. Is this how your teacher taught you? Or did you just write Thesis, never been on stage?”
"Although it's a bit big to say "cure diseases and save people", since you are a doctor, you should always think about curing diseases first, and then think about other things. If your disease is cured well, it doesn't matter if you have shortcomings in small details. Everyone understands. But you are almost cured of this minor disease. How can you have the nerve to go to court if you put people to death?”
"!!!"
"!!!"
Luo Hao was a little bored and waved his hand, "Let's do this. I'll think of an idea and give it a try. It's hard to say whether it will work or not."
Feng Zixuan hesitated to speak.
It seemed that Luo Hao didn't listen to a word of what he said to Luo Hao on the way here. After he arrived, he took it as his own business.
This Professor Xiao Luo was brainwashed more severely than himself by the four words "treating illnesses and saving lives".
I was warned repeatedly on the way, but I got sick after arriving. This is also a common problem among doctors. I can’t blame Professor Ronaldinho.
What the hell, Feng Zixuan cursed in his heart, but still had a smile on his face.
Forget it, Ronaldinho is willing to go through troubles just to leave a good relationship.
When he was hired, the dean of the second hospital also went there. Unfortunately, dean Jin gave him better conditions.
Now, from Feng Zixuan's point of view, Professor Ronaldinho was really restrained about the little conditions at that time. He was just asking for a price out of thin air, and he just said it casually.
"Professor Xiao Luo, what are you going to do?" asked the medical director of the Second Hospital.
"I don't know, I'm very worried." Luo Hao sighed, "I have never encountered any of the four types of situations. Of course, the situation I am talking about is not postoperative bleeding, because generally experienced doctors will seek consultation from the hematology department as soon as possible. . It is quite rare to not know what the problem is. ”
"..." The medical director of the Second Hospital scratched his head.
This yin and yang thing is probably too much.
When Professor Ronaldinho beat someone up, he was really...
"I'm going out to make a phone call." Luo Hao stood up, smiled and said to the medical director of the Second Hospital.
"Okay, okay, Professor Ronaldinho, just tell me what we need to do."
Luo Hao smiled and nodded, politely, without any edge.
"Old Feng, I really envy you." The medical director of the Second Hospital said with emotion.
As a strange sound came from the opposite side, the medical director of the Second Hospital raised his head coldly and glanced at the opposite side with boredom.
But he didn't lose his temper either.
In his opinion, the man opposite him would no longer stay in the Second Hospital of the Medical University, so there was no need for him to talk so much to him.
"Ronaldinho is still very powerful. Director Shen once..."
Feng Zixuan didn't want to embarrass the medical director of the Second Hospital, so he started to gossip about the patients who were getting worse and worse for two weeks. The patient was sent to Xiehe, and the sweeper directly sent him to the Rheumatology Immunology Department on the seventh floor.
The medical director of the Second Hospital was stunned when he heard this, and he made meaningless sounds.
Soon, Luo Hao came back, "Can I see the patient and the patient's family first?"
"Okay." The medical director of the Second Hospital did not hesitate and took Luo Hao directly to the intensive care unit.
He is in the intensive care unit, but treatment is difficult. The hematology department requires a signature from his family members to perform bone puncture, but neither the patient nor his family members are willing to sign.
Their trust in the Second Hospital of the Medical University has dropped to rock bottom, and they would rather remain in a stalemate.
After changing clothes and entering the intensive care unit, Luo Hao recalled the patients' family members who had just seen cold faces, as if they were full of fear and fear, and he already knew what was going on. Looking at the patient from a distance, Luo Hao said softly, "I understand."
knew?
What do you know?
The medical director of the Second Hospital was stunned.
But Luo Hao didn't go for a physical examination or consultation. He turned around and went out, taking out his mobile phone.
The medical director of the Second Hospital looked at Feng Zixuan.
Feng Zixuan didn't understand what Luo Hao was doing.
"Wearing Taoist robes, I still suggest that Taoist Master Qi come. He looks like a serious Taoist priest, but you look less credible."
"Okay, since you think it's okay, then that's fine."
"Call me downstairs."
Luo Hao said and hung up the phone.
The medical director of the Second Hospital kept winking at Feng Zixuan, and his eyes nearly flew out of his sockets. He didn't understand what Luo Hao meant, and wanted Feng Zixuan to ask.
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Feng Zixuan coughed lightly.
"Xiao Luo, what are you going to do? Let Xiao Chen come? Why are you still wearing Taoist robes?"
"I don't know how to burn paper or burn incense, don't worry." Luo Hao smiled and looked at the medical director of the Second Hospital, "Do you have a nameplate? Find one for me."
The medical director of the Second Hospital was helpless when he saw that Luo Hao did not explain clearly, so he had no choice but to seek help from Feng Zixuan again.
But Feng Zixuan didn't say anything and just asked him to prepare what Luo Hao needed.
"Old Feng, are you sure? Why do you still need Taoist robes?"
"Professor Ronaldinho's assistant...Brother Chen from the provincial capital, have you heard of him?"
"￥#%@" The medical director of the Second Hospital was stunned.
Feng Zixuan was quite satisfied with the surprise expressed in his expression and body language.
Who doesn't like showing off? Not only Professor Ronaldinho can show off, but Chen Yong can do it too.
But unfortunately, Chen Yong needs to be heard by people with a certain level, and ordinary people have no access to it.
For example, the Taoist temple in Funiu Mountain would not be open to the public if it were not for the success of the Ice and Snow Festival in recent years.
Even a person at the level of the medical director cannot open the door to Funiu Mountain.
"Let me tell you, there is a patient who is allergic to lidocaine."
"Wait a minute, Old Feng, are you allergic to lidocaine? Can you be allergic to that thing? Why haven't I heard of it?"
"Yes, I am really allergic, but it is very rare. If you encounter it, it will be a big deal. You are lucky if nothing happens." Feng Zixuan smiled and gossiped, "Before the operation, Dr. Chen calculated with his fingers that there was a problem with today's operation, and asked about the medical history , knowing that the patient had a history of allergies, he was well prepared and brought a fat emulsion pad. ”
"!!!"
The medical director of the Second Hospital stopped talking. He had no idea why he was allergic to lidocaine or why he brought fat emulsion on stage.
If you talk too much, Director Feng will laugh.
"In the end, something really happened, but Professor Luo's medical team made the problem as small as possible. They gave a little lidocaine during the operation. After observing the allergic symptoms, they directly treated them without rescuing them. If the team had changed, the person would probably have died. I have another deadlock lawsuit here.”
There were many interesting things about Luo Hao's medical team. Feng Zixuan gossiped about it, leaving the medical director of the Second Hospital stunned for a moment.
After finding a nameplate for Luo Hao, he asked carefully, "Old Feng, Professor Luo seems to be young, so he knows a lot about it, but don't do anything weird and make the patient's family angry. You know , let’s...”
"I know, don't worry." Feng Zixuan said, "Professor Xiao Luo is very stable, and he knows more experts and professors than you."
The medical director of the Second Hospital was worried. Originally, the hospital would just have to pay the money. If the hospital paid more or less, it would be a lawsuit at most. There was no need for him to worry about it.
But once...
He thought of the worst.
But Feng Zixuan was there and insisted, so he was too embarrassed to say anything else.
In the midst of anxiety, the medical director of the Second Hospital chatted with Luo Hao and saw that although Luo Hao was young, he had an air of magnanimity and was very charming in his movements.
Although I feel uneasy, that's all I can do.
More than half an hour later, Luo Hao received a call, estimated the time, and walked to the confession room.
"Ma Zhuang's family!" Luo Hao shouted.
"Hey, here it is."
A young Taoist priest walked into the explanation room and sat down straightly. Luo Hao began to communicate with him about his condition.
The condition seemed to be pulmonary embolism after injection of hyaluronic acid. The medical director of the Second Hospital could not hear clearly. His eyes were full of Venus, and he was already stunned by the charming little Taoist priest.
The legendary mysterious young man from the Chen family who cultivated himself in the world of mortals is actually such a handsome young man? He doesn't look like a doctor, but more like a top traffic niche.
It's just that those traffic niche students definitely don't have the temperament and behavior of the person in front of them.
After a few minutes, the medical director of the Second Hospital calmed down and listened carefully.
Professor Luo was like a doctor in the ICU, explaining the condition to Chen Yong who was wearing a Taoist robe very formally.
He even drew basic anatomy diagrams.
Although simple, it can be understood by laymen.
This makes communication much smoother.
After nearly ten minutes, Luo Hao finished speaking and began to sign and press fingerprints. Everything followed the most formal procedures. Even the medical director of the Second Hospital could not see any flaws.
In front of him, a doctor was communicating with the patient's family.
"Okay, we'll do our best." Luo Hao walked Chen Yong to the door, turned and left.
Didn't he want to say something?
Or what does Brother Chen want to say?
The medical director of the Second Hospital looked blankly.
Sure enough, although Professor Xiao Luo left, Chen Yong took a closer look at the patient's family when he passed by, frowned slightly, and said something vaguely.
The patient's family members were originally watching the excitement with a gloomy face, but their expressions changed immediately after hearing Chen Yong speak.
"There is a way!" the medical director of the Second Hospital exclaimed in a deep voice.
He was behind one-way transparent glass, so he wasn't afraid of being seen.
"Ronaldo."
When Luo Hao came back, Feng Zixuan waved, "What is Chen Yong talking to the patient's family? He has a bit of a temper, so don't mess up."
"Damn, things are already at their worst. How much worse can they get?" Luo Hao said lightly, then smiled, "Hemophilia is a hereditary disease, and some patients are parents or close relatives of the previous generation. Caused.”
"!!!"
"!!!"
This was written in the textbook, but it was a mess in front of me. Neither Feng Zixuan nor the medical director of the Second Hospital thought about it.
"Chen Yong went to scare him. The family recognized him and said something mysterious. The key is to seize the time to treat the patient. How much should the second hospital pay?"
"..." The medical director of the Second Hospital was ashamed.
Professor Luo Haolo's focus has always been on treating people.
"This matter should be taken seriously. Peking University's hematology department is very strong, and my family's Union Medical College is not weak either. You can do whatever is convenient for you. If you really can't find a superior expert, I can contact Union Medical College."
"..."
"It will be soon. By the way, this piece of glass is good, our hospital..."
"I've already made a plan, I'll pretend after a while." Feng Zixuan said.
On the other side of the glass, in the corridor, the patient's family members had fainted from crying.
Chen Yong made a gesture with his fingers, and Feng Zixuan imitated the same gesture, but as soon as his fingers pinched, Luo Hao's hand fell on the back of his hand with a "pop" sound.
"Director Feng, stop fooling around." Luo Hao stopped him sternly.
"Huh?"
"I heard Chen Yong say that the optical type is also useful, but there is a price to pay."
"!!!" The hair on Feng Zixuan's back stood up.
Sure enough, he was just fooling around.
This kind of price can't be anything else. It's most likely a person's vitality.
As for whether vitality exists or not, you have already made mudras, and you still say you believe it or not?
"There are a lot of people messing around on the short video platform, and some people actually do it. Those are life-threatening things, and we can't mess around." Luo Hao warned softly.
"Yeah, yeah." Feng Zixuan nodded repeatedly.
Several people were watching behind the mirror. As for what Chen Yong said, they couldn't hear it, and Luo Hao didn't want to hear it.
When it comes to fortune-telling and the like, having the ability is the most important, but one also has to be observant of words and emotions. People with insufficient emotional intelligence cannot do this business.
As for Chen Yong, he must have enough emotional intelligence, otherwise he wouldn't be able to win every battle based on his looks alone.
More than ten minutes later, Chen Yong drifted away, like a little fairy who had descended from the mountain.
The patient's family gathered together and talked about something. The medical director of the Second Hospital was a little uneasy, but when he saw Luo Hao sitting firmly on the Diaoyutai, he didn't say anything.
After a while, the patient's mother came and rang the doorbell.
The medical director of the Second Hospital let out a long sigh.
As long as you're willing to communicate, that's fine.
He glanced at Luo Hao gratefully, "Professor Xiao Luo?"
"Normal communication, free medical expenses, and compensation of whatever amount should be paid. This is indeed something we did wrong."
"Okay, okay, let's talk about Xiehe?"
"Just call me if you need anything. Director Zhou, I can speak to you." Luo Hao smiled, "You should hurry up and take charge of the overall situation. Don't let any reckless person say the wrong thing and complicate the situation."
"Okay, let's talk another day." The medical director of the Second Hospital was also anxious and hurriedly arranged for communication with the patient's family.
Feng Zixuan and Luo Hao changed clothes and left.
"Ronaldo, what did Chen Yong say to the patient's family?"
"I don't know."
"What? You don't know?" Feng Zixuan was stunned.
"I told Chen Yong about the situation and my guess. The goal is to get the patient's family to agree to continue treatment. As for how they talk to the person who offered the incense, I'm not good at it."
Luo Hao said, feeling a little ashamed, "To tell the truth, chatting with patients and their families, trying to figure out what's going on. Lao Meng is doing better than me, but I don't have the time. Chen Yong is good at these strange and mysterious things."
Tsk tsk, Feng Zixuan sighed inwardly, Luo Hao's medical team is really full of talents.
(End of chapter)