top student at medical school
Chapter 837 Better safe than sorry: Contraindications!
August 27th. Wednesday, surgery day, 6:10 AM.
When Fang Ziye entered the new campus of Zhongnan Hospital, his expression tightened and his mood was not very good.
After seeing Fang Ziye enter the ward, head nurse Huang Xiaowei took a few steps forward and walked alongside him, saying, "Director Fang, the video posted by the family member of the patient in bed eight hasn't been deleted yet."
"And it seems that quite a few self-media outlets are profiting from this incident."
Fang Ziye nodded upon hearing this: "Yes, I know."
The treatment of new diseases is quite troublesome. Patients who have good results are extremely grateful to Fang Ziye, but when they encounter patients and their families whose surgeries are ineffective, they are unwilling to admit that they are unlucky and just happened to encounter that few percent chance.
The family member of the patient in bed eight this time happens to be a self-media creator with a considerable number of followers.
After his relative's treatment proved ineffective and the department couldn't provide a satisfactory explanation, he exposed the whole story online.
Although some of the words were embellished, the general course of events was normal and unmodified.
That video became a minor hit in the Seoul area.
The comments below were almost unanimously negative, with some complaining that Zhongnan Hospital had many rules and that it was difficult to make an appointment for hospitalization.
Others commented that their relatives had encountered similar situations while hospitalized, and that the doctors and hospitals operated in a one-man show, protecting each other and not caring about the people's money and health at all.
Even after the surgery failed, they didn't give a single explanation, just attributed it to luck or something like that...
"What about the hospital's publicity department? Didn't they help with that?" Huang Xiaowei asked with some concern.
Once any issue escalates into public opinion, it becomes extremely difficult to handle.
Fang Ziye shook his head: "The publicity department did help with it, but my suggestion to them was not to rush to delete the video."
"This self-media outlet didn't exaggerate the situation. At this moment, there was a surge in traffic, which allowed the matter to ferment for a while, letting more people know that surgery is not a joke and modern medicine is not a myth!"
"Any type of surgery may have the possibility of being ineffective."
Huang Xiaowei was taken aback: "Director Fang, you're telling the publicity department not to help handle this? What if the Health Commission intervenes? Wouldn't that be extremely troublesome?"
Zhongnan Hospital is directly under the Hubei Provincial Health Commission, which can directly manage and handle its affairs, unlike Union Hospital and Tongji Hospital, which are directly under the National Health Commission.
"It's troublesome, but so be it!"
"This kind of thing will always exist; it's part of the treatment for new diseases, so we should act decisively and swiftly!"
"If someone were to revoke my surgical privileges, that would be much more convenient, as no one would need to perform surgeries."
"Even if our department doesn't treat spinal cord injury patients, we have enough patients and surgeries to make a living, so what's there to be afraid of?" Fang Ziye said.
When a patient is making a fuss, Fang Ziye can try to put himself in their shoes.
Even though the second patient didn't understand, Fang Ziye was still able to empathize.
There are no more than three things.
If previous surgical treatments were ineffective, it was because Fang Ziye hadn't explained it clearly, or because he hadn't anticipated it.
For the subsequent patients, Fang Ziye's team has fulfilled its obligation to inform them, and has even given vivid examples to clearly explain to you that there are precedents in the department where treatment has been ineffective.
If you're worried about spending money without getting the desired effect, you can choose not to have surgery.
The right to refuse surgery is equal to the right to accept surgery. This is not a very mature procedure; it belongs to a clinical research project!
We've said the good things and the bad things, we've gone to the safety office, we've completed the interviews, signed the consent forms, and fulfilled our obligations to inform, and we've performed the surgery to the best of our ability.
If a treatment that is beyond everyone's comprehension is ineffective, and you still want to cause trouble, then you are truly causing trouble for the sake of causing trouble.
Fang Ziye was too lazy to care.
When colleagues from the publicity department asked Fang Ziye about this matter, Fang Ziye immediately said, "Let it ferment as it may. At worst, the clinical research projects at Zhongnan Hospital will just stop."
I moved my clinical research to a sanatorium, where medical disputes are handled by professionals.
Fang Ziye felt that if the publicity department of Zhongnan Hospital did not take the initiative to handle this matter and still asked Fang Ziye what to do, then he would just be playing a double agent game with patients and their families all day long, and what kind of professional work would he be doing?
When Fang Ziye's qualifications are shallow, he cannot withstand the storms and setbacks, so he must be more cautious and do everything within the rules. If a dispute arises, he should try his best to deal with it actively, even if it means paying compensation, to protect his 'career'.
If Fang Ziye is still agonizing over so many things now, then all his previous efforts will have been wasted.
"Director Fang, that's true, but what if this isn't handled properly? What will happen to your reputation?" Huang Xiaowei was a little worried.
A doctor's reputation and medical ethics are also very important, especially reputation.
If a doctor's reputation is ruined, it will greatly affect their subsequent work.
“My reputation has never been good. Whether in the industry or among patients, those who are not patients I have personally contacted have a lot of complaints about me.”
"Even now, outpatients often say that I am arrogant and do not show any human touch."
"As for many of my colleagues in the province, when I worked at the sanatorium before, they often said that I only knew how to serve the powerful and wealthy."
"What reputation matters? As long as I have a clear conscience, that's enough." Fang Ziye didn't care and told Huang Xiaowei this bluntly before pushing open the door to the director's office.
"Head Nurse, I'd like to rest for a while."
“Last night, I stayed in the animal laboratory until the early hours of the morning.”
Upon hearing this, Huang Xiaowei asked with some concern, "Director Fang, you stayed up until the early hours of the morning again?"
"Don't you want to rest? You should also take care of yourself."
"It's alright. The most important thing is to bring out the contraindications for surgery as soon as possible, so as to minimize the chances of the surgery being ineffective."
"Based on our preliminary research, we have made some progress, and we are just one step away from the final goal."
"Last night, after working overtime for half a month, we were finally able to roughly predict which subtypes of patients might not respond to surgery."
"I'll take a nap... If Lan Tianluo and the others look for me later, just have them come to the director's office."
Huang Xiaowei hurriedly said, "Director Fang, you should rest then... I'll tell Professor Zeng and the others when we hand over the shift later."
Huang Xiaowei felt relieved after turning back.
Fang Ziye may seem indifferent to other people's opinions, but he has always been trying to find a way to solve the problem from the root.
The best way to solve the problem is to raise awareness so that patients with contraindications to surgery can be identified in advance.
This was certainly difficult, but Fang Ziye had been trying to find a solution.
……
In August, the heat in Wuhan was unbearable. When Hu Qingyuan rode his electric scooter from his rented room to the hospital, his neck was already covered in a fine layer of sweat.
After locking his car, Hu Qingyuan immediately jogged downstairs in the hospital building to escape the heat!
Before he could even wipe his sweat, he immediately took out his phone: "Senior Brother Feng, Master told me not to deal with it for now, but I've already edited the relevant explanatory video footage."
“As long as my master agrees, I can immediately send out the details of the conversation and signing.”
"Master said not to deal with it?" Feng Junfeng replied, somewhat surprised. "Yes, I asked Master last night, and he said not to deal with it for the time being. I don't know why."
Hu Qingyuan then speculated: "I think Master might have done it on purpose. The reason why this project was placed in the new campus of Zhongnan Hospital was originally a benefit that Master fought for for more paralyzed patients."
"Otherwise, just send them to a sanatorium, and there won't be so much trouble."
"Master might be genuinely angry, and he's just waiting for this project to be halted..."
Hu Qingyuan was quite clever; he guessed Fang Ziye's thoughts pretty much.
"Okay, I've also spoken with the patient's family, and neither the patient nor the family is particularly angry."
"I just feel uncomfortable, like I'm so unlucky."
"His nephew, a short video creator, volunteered to expose this after learning about it."
"However, he is quite clever and did not embellish or say anything he shouldn't have. It seems that he must have had a master guiding him."
“Otherwise, this appointment would definitely be gone!” Feng Junfeng had already arrived at the ward and was communicating with the patient’s family.
Feng Junfeng was well aware that he did not have the same level of scientific research talent as Hu Qingyuan, so the basic research he did was relatively conventional, with the priority being to ensure his graduation.
Most of the rest of my time was spent practicing my basic skills in preparation for job hunting.
He was also jealous of Hu Qingyuan, whose talent was unparalleled. Hu Qingyuan's surgical and operational skills, honed through playing video games, had allowed him to progress rapidly in clinical practice.
He has now surpassed Tian Yao and is very close to the level of "master's level breakthrough" in trauma surgery.
In just one year, they've achieved what it took them three or four years to accumulate!
This kind of talent cannot be envied!
"It's not easy to make a name for yourself in short videos, and my mentor didn't even think about dealing with the person who posted the video to report it."
“I think Master has other ideas…” Hu Qingyuan replied.
“Let’s go find our master together…” Feng Junfeng suggested.
"it is good."
……
When Fang Ziye opened his eyes again, still half asleep, Feng Junfeng, Tian Yao, Hu Qingyuan, and Ling Fengguang had all gathered there.
"Master, would you like to eat something first?" Ling Fengguang was the weakest and youngest junior brother in the sect, so he couldn't offer any practical advice and could only take care of logistics.
"Have you all eaten?" Fang Ziye rubbed his eyes and sat up.
"Not yet. Senior Brother Hu said we'll talk about it when you get up, Master. It's mainly about the trending reported video," Ling Fengguang said directly.
Hu Qingyuan immediately explained all his preparations.
Fang Ziye swiped open his phone screen and saw several unread messages. After reading them, he smiled and explained, "We don't need to brag anymore. The problem has been initially resolved."
"Master...it's solved? How was it solved?" Hu Qingyuan and the others hadn't been watching short videos lately.
"Of course, it was Professor Deng and Professor Wang Ou from the Department of Spinal Surgery who came up with the idea."
"Currently, many medical influencers, especially professionals in spinal surgery and neurosurgery, have released videos to explain this matter."
“Your advisor Yuan Weihong told me that some of these videos also went viral.”
"This is the most authoritative explanation!"
Tian Yao said, "The creator of the video that was posted last night released another video this morning explaining the situation..."
After Tian Yao finished speaking, he glanced thoughtfully in Fang Ziye's direction: "Master... this wouldn't be... that martial uncle, would it?"
"Not bad! You're quite smart. You've made progress." Fang Ziye laughed heartily.
"Come on, let's start eating," Fang Ziye said, signaling.
There are many ways to solve problems. One is to communicate and interact with patients individually, and another is to conduct broader science popularization.
Let everyone know that there is currently no solution for paralysis caused by spinal cord injury. In the absence of a solution, there is now a promising surgical procedure for treatment. This is a proactive form of public education.
When solving a problem, we must consider both the fundamental solution and the methods used to solve the problem.
This is a play that Li Yuanpei directed and acted in himself.
However, it is not appropriate to make the facts of this matter public.
There are several advantages to doing this.
First, to raise awareness of spinal cord injury among more people.
Secondly, use eye-catching methods to let other peers know that there is such a thing.
Third, it also lets the general public know that conducting clinical research is not easy.
Generally speaking, when people visiting the hospital are scrolling through short videos, they are likely to come across topics related to Zhongnan Hospital. This is how the big data model is derived.
Understanding these risks beforehand allows you to consider whether you can accept the consequences of spending money on ineffective treatment.
Hu Qingyuan quickly understood the key point, hurriedly put away the video, and said in a resentful tone, "Master, why didn't you say so earlier? I stayed up all night last night."
Didn't I tell you not to handle it?
After Fang Ziye finished speaking, he imitated Yuan Weihong's gesture and touched the back of Hu Qingyuan's head: "You don't have any rebellious bones growing on the back of your head, do you?"
"Why do you still expect your master to tell you everything, to explain it to you in detail from beginning to end, so that you can take the helm?"
Hu Qingyuan quickly shook his head and said cautiously, "Master, Uncle Li's brain is really useful!"
Hu Qingyuan hadn't initially come up with such a bold idea.
Fang Ziye pursed his lips and said, "One is your Uncle Li, and the other is your Master Deng."
"With these two together, all we have to do is act as the vanguard. Basically, no one can outsmart your master."
"Let me tell you, Professor Deng valued Li Yuanpei's abilities, which is why he chose Li Yuanpei over Song Yi."
"Of course, Li Yuanpei did this partly to show Song Yi what he was doing."
"To convince Teacher Song Yi?" Hu Qingyuan had only worked with Song Yi for a short time.
"Yes, I can solve the problems you can't!"
"Clinical matters involve much more than just treating and saving lives; they also include medical disputes and communication between doctors and patients."
"Hu Qingyuan, although you communicate well with the patient's family, when you really encounter a situation where treatment is ineffective, will mere verbal communication be useful?"
"Actually, if you pay a little more attention, you can guess it."
"The patient in bed 8 and their family weren't that extreme in their opinions, but this short video still surfaced. It wasn't exaggerated, and the person who posted it was his nephew..." Fang Ziye analyzed with a smile. (End of Chapter)
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