Merchant and doctor
Chapter 2207 has some ethical issues.
Chapter 2207 has some ethical issues.
They are very capable, but their living and working environments are not ideal. Regardless of their industry, they often share some common thoughts. Even if they are thousands of miles apart or have never met, they can still see through each other's thoughts.
As a top expert in the medical field, when faced with the same special patient under specific circumstances, that male patient was like a mirror, through whom Bian Mu learned some unknown and magical medical details... These were the so-called "details" that were of utmost importance to a person's quality of life for most of their life.
Feeling that the stretching was sufficient, Bian Mu then spoke up to explain a few things.
"That senior doctor might not have been doing very well at their hospital, at least not in terms of interpersonal relationships. Perhaps... when he performed that surgery, his own situation was quite delicate, so he chose to avoid trouble and didn't make a fuss. However... a doctor's heart is benevolent, and the more skilled a doctor is, the higher their standards and stricter their requirements will be. After weighing all the pros and cons, that senior doctor made that subtle arrangement, thinking of leaving more room for his colleagues to operate after him. It's just a pity... his knowledge of traditional Chinese medicine was limited at the time, and he didn't have the ability to make accurate predictions. So... rather than leaving a relatively deep and broad space for operation, in fact... from the perspective of the latest TCM concepts, his handling was not appropriate..." Bian Mu explained gently for a long time.
Lu Yisi was extremely anxious!
He listened to every word and sentence, but Lu Yisi still couldn't grasp the core points. How could he not get anxious!
"I accidentally reduced the risk?! Is that how it's understood?" Lu Yisi had no choice but to humbly ask for advice.
“Of course! In fact, Western medicine and traditional Chinese medicine really do have common ground when they reach a certain level. Really, as long as we are facing the same patient and everyone upholds the most basic medical ethics, we are pretty much the same! The root of that man’s illness was actually a perianal cyst, a rather severe one. Because of its severity, it hadn’t shown any particularly obvious symptoms until now, and even the patient himself hadn’t taken it seriously. However, for the past ten years or so, most of his discomfort stemmed from that cyst. It was a relatively rare, somewhat hernia-like, specific type of perianal cyst, and at least two ‘nuclei’ had formed inside the mass. They were about the same size and hardness as date pits. Some schools of traditional Chinese medicine generally call them ‘hammer nuclei,’ meaning that after surgical removal, those nuclei look like small spindles.” Bian Mu was no longer in a hurry to return to the clinic and began to explain the deeper root of the illness.
"Holy crap! Is that even possible?! It's unbelievable!"
"Some things... might not sound so nice if I said them out loud. Would you like to hear me ramble on for a bit?" Bian Mu said with a smile, keeping everyone in suspense for a moment.
"You've already said everything you should and shouldn't have said, so what are you pretending for now? Hurry up and tell us! There's already a long line outside the clinic." Lu Yisi teased with a smile.
"What was the core medical objective when you decided to perform that surgery on that man?" Bian Mu asked calmly.
Upon hearing this, Lu Yisi was taken aback.
"Intestinal relaxation, full restoration of intestinal gas, and maximum elimination of long-accumulated chronic inflammation in the intestines... what else?! I'm pretty much doing a lot of work! Generally, other colleagues are only responsible for eliminating the symptoms of intestinal relaxation and partially restoring intestinal gas; the remaining symptoms are left to other colleagues," Lu Yisi replied nonchalantly.
"Isn't that the end of it?! Who's to blame for the pancreatic sequelae? Who's to blame for the patient's long-term suffering from chronic inflammation without being able to determine the cause through autopsy?! Letting the perianal cyst develop to the point of being incurable?! Sepsis?! Septic shock?! Incurable?!" As Bian Mu spoke, his words were filled with emotion.
Lu Yisi understood instantly!
silence!
Neither of them spoke, and the atmosphere instantly plummeted to below freezing.
The steam rising from the rim of the small teacup seemed to be affected by the cold atmosphere, too scared to rise up, and even the aroma of tea was almost undetectable.
"This matter is actually quite troublesome afterward..." Lu Yisi muttered, ultimately considering his reputation. "Anyway, it's all within your scope of general surgery. If you don't want to handle it yourself, you can just assign an assistant. However... you might have to use some medication, otherwise, if the symptoms aren't obvious, the patient and their family won't accept it easily. Sometimes, we doctors really find ourselves in a dilemma! It's hard to say..."
"You're an expert in pharmacy, just prepare some medicine for me."
"It doesn't make sense from a medical ethics standpoint... Besides, his wife is quite difficult to deal with. Why would she go to such lengths to find you to perform such a moderately difficult surgery?! It's highly likely that it was her idea. In other words, she knows people in the medical field who are quite influential. With a few phone calls, they can figure everything out. In this world, what kind of doctor prescribes medication to a patient first, deliberately triggering an attack of the disease, and then performs surgery on them?! It doesn't make sense."
"Only you can be so perceptive about this kind of thing. Anyway, in such a big city as Lijin, I'm afraid there won't be another one like you. What's there to be afraid of? Heaven, earth, you, and I are the only ones who know!" Lu Yisi replied dismissively.
"That's what they say. I prescribed the medicine, I made the decision, and I gave the main medical advice. But what about the future? To put it bluntly, if something goes wrong, who will take responsibility? You or me?!" Bian Mu retorted calmly.
Hearing this, Lu Yisi fell silent.
After drinking several more bowls of tea, Lu Yisi changed his mind.
"Let's get him back to the level of normal post-surgery recovery first, like normal tube removal, normal walking, normal diet... Then we can suggest he go to other hospitals for a check-up. I'll have my assistant expand the scope of the examination a little, and specifically tell them to go to Dr. Chen Ziyue. How about that? Dr. Chen is an authority in this field. You've been so clear about it, so his examination will be accurate. It will save us so much trouble!" Lu Yisi quickly came up with a win-win solution.
Bian Mu gently shook his head.
"Then what do you suggest we do?!" Lu Yisi's words were clearly tinged with emotion.
“You take the lead in external affairs, I'll come up with the treatment plan internally, and you'll bear all the responsibility for the final treatment. Can you accept that?” Bian Mu suddenly blurted out.
"You... you could have easily discharged them, but you insisted on..." At the end, perhaps afraid of offending the famous doctor in front of him, Lu Yisi stopped talking and didn't continue.
“This matter should not have been taken on so easily in the first place. Since the beginning was not good, we cannot continue to make mistakes. If you insist on dragging me into it, there are some things that you can no longer make decisions on your own.”
"You..."
"Don't worry! At first, I was quite wary of his wife, but after thinking about it carefully for a while, I'm figuring she might actually be your savior!"
Upon hearing this, Lu Yisi's head suddenly spun three times larger. As a highly intelligent person, he was now vaguely realizing that he had been led around by the nose by Bian Mu from the very beginning...
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