White armor

Chapter 458 How to convince the family members of patients with poor medical compliance

The patient's coagulation function test showed that the APT value was slightly high, but not unacceptable.

Other test results, including plasma prothrombin time, international normalized ratio, thrombin time assay, and plasma fibrinogen assay, were all normal.

It is no wonder that Feng Zixuan insisted that the bleeding was caused by problems with the surgery on their side, and not any other issues.

Luo Hao looked at the anger in Zhuang Yan's eyes and felt helpless.

I am considered a semi-foreign aid, I am here to help. This kid doesn't even know who his opponent is, let alone what he will face. He only knows how to be jealous.

The key is that you are jealous of the wrong person.

It's so stupid that you have lost all your knowledge.

"Professor Luo, I've heard of your great name for a long time." The director of the Second Hospital's Medical Department walked up to Luo Hao and greeted him with a smile.

He didn't look nervous.

Actually, it's true. The compensation is not my own money, and the surgery was not performed by me, so why should I be so nervous?

Just follow the process. It may be a bit annoying at best. It would be perfect if you could be transferred to the First Medical University or a higher-level hospital in the capital.

If you can't turn it, just grind it.

"You're welcome." Luo Hao smiled and moved his gaze 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 just a joke, don't take it seriously."

"How could that be, Director Shen...their catchphrases among rheumatologists are - so-and-so can also treat illnesses? They usually look down on people, so how could they joke about such a big thing?"

Luo Hao didn't explain, just smiled and continued to look through the test reports.

The quality of their medical records is very average. Luo Hao has read Lao Meng's medical records and has ignored this part.

After reading them all, Luo Hao didn't have any ideas.

“How much does the patient weigh?”

"weight?"

“Is the subcutaneous superficial vein electrocoagulated for hemostasis? Or is it tied with No. 1 thread?
Is the patient very thin, with little subcutaneous fat?
I once encountered such a medical record in Union Hospital. The superficial vein was not ligated during the operation. On the third day after the operation, the patient suffered from bleeding from the incision after defecation, followed by large subcutaneous ecchymosis in the entire surgical area and the waist and back.

When I changed the dressing, I saw bleeding from the incision, so I applied local pressure bandage and the bleeding stopped after lying flat for about five days. I was discharged from the hospital a week later. It looks like it should be similar, but I always feel like there is something wrong. "

The contempt on Zhuang Yan's face became more and more intense. It was obvious that he had considered everything Luo Hao said. These were the simplest and easiest things to consider, and he had already ruled them out.

"No problem, all these have been taken into consideration," the senior doctor replied.

"It's not written in the surgical record. The medical record is too rough. If you take it to court, you will suffer a great loss." Luo Hao smiled, revealing his white teeth. The sunlight fell on them, creating a white glow.

Zhuang Yan's expression froze instantly.

Even though he was blind, he could sense a hint of murderous intent.

"The whole treatment process was somewhat problematic - the infection was confirmed before the operation, and it was considered a deep infection. At this time, the patch should be removed, bacterial culture should be carried out, anti-inflammatory treatment should be given, and another elective surgery should be performed after recovery.

Moreover, the patient has unexplained bleeding, and the laparoscopic surgery wound is large. If bleeding occurs again after the surgery, how can we explain this to the patient and his family? "

"It's surgery, so you still have to be careful."

Chen Yan paused as he twisted the heart-protecting hair. Professor Xiao Luo was rarely so sharp, at least not in front of him.

It is said that old dog Pei Yingjie once offended Professor Xiao Luo and was finally scared to death by a consultation record.

What kind of look did the young doctor across the street give Professor Xiao Luo? Are you worthy of that?!
Chen Yan quickly figured out what was going on.

Although I don’t know the grudge between that person and Luo Hao, there must be a story behind it.

"The medical records are written so roughly. Your grassroots doctors still need to practice. Our surgical medical records are rough, but I have never seen such rough ones. Graduated from a technical secondary school? Didn't your teacher teach you this?" Chen Yan added.

Classmate Zhuang Yan's face turned red.

"Not to mention how rough it was, they knew something was going to go wrong but they didn't take the time to revise it. As a result, the medical records were sealed and left to the Medical Dispute Mediation Committee and the Appraisal Center." Feng Zixuan also added.

The director of the Second Hospital's Medical Affairs Department was stunned. How come the people from the First Hospital of Medical University suddenly started to act like crazy and start biting people everywhere?

What did I say? Or maybe they were all infected with some infectious disease.

"Why is there no hematology consultation?" Luo Hao continued to ask.

He treated Zhuang Yan’s classmates as nothing but air, so why would he chase after them?

Then Luo Hao asked the second question.

"When I thought about asking the hematology department for a consultation, the patient's family was furious. They refused to transfer the patient to another department or make a diagnosis, and they wanted to sue him with the medical records. You tell me, they can sue me, and they can also pay compensation, but we have to diagnose the patient first," said the director of the Second Hospital's Medical Department in distress.

"Oh, so that's how it is. That's what I said."

"say what?"

"Generally speaking, when encountering this kind of problem, doctors who are a little bit alert will first consult the hematology department. I thought the Second Hospital didn't have a hematology department." Luo Hao said, shaking his head.

"..."

"..."

Just as Zhuang Yan was about to speak, Luo Hao closed the medical record and threw it on the table. "It is generally considered to be caused by hemophilia. The patient should not have been let go the first time."

"You're not confident in the surgery. Is this your first time? Did you get lost during the operation?"

As Luo Hao spoke, his gaze fell on classmate Zhuang Yan's eyes.

"!!!"

"Such a small operation would get lost, ah." Luo Hao sighed, "The director, the professor in charge, and the resident manager didn't look carefully and were not sure at the time, so they delayed it. It's hard to get lost in a minimally invasive inguinal hernia repair surgery, you are really promising."

"When the universities merged, Peking University looked down on the hospitals of Peking University Health Science Center, and they were later forcibly combined. I knew the level was a little bit lower, but I didn't expect it to be this low."

"you!"

Zhuang Yan couldn't stand Luo Hao's ambivalence and stood up after slapping the table. Zhuang Yan shook her high ponytail. She was used to Luo Hao's disdain for any other school.

"Sit down. The surgery was done like this. If I have the opportunity to visit your Peking University department's hospital for exchange, I will definitely tell your supervisor when I see him. But I don't think he will recognize you by then."

Classmate Zhuang Yan's face turned eggplant color.

"Hemophilia? Professor Xiao Luo, are you sure?" the director of the Medical Department of the Second Hospital asked hurriedly.

"Not sure, need to check."

The director of the Second Hospital's Medical Affairs Department did not show any displeasure, but said with a sad face, "Our director of the Department of Hematology said the same thing, but when we asked him to consult, the patient and his family had already refused any treatment."

Refusing medical treatment is not uncommon.

The whole family has bad tempers and they are determined to fight to the death with the hospital.

Although Luo Hao had never seen it, he had heard it so many times that his ears were callused.

It was indeed a bit difficult to decide what to do next. Luo Hao put his hands on the table and tapped the desktop lightly with his fingers.

"Why are you pretending!" Zhuang Yan said angrily.

He didn't yell, but tried to stay calm.

Luo Hao frowned slightly and looked at the young man.

"At worst I can go to court and I will admit the verdict myself!"

"Stop messing around." Luo Hao smiled.

"You don't have to pretend to be funny here!"

"Look at you and make fun of you?" Luo Hao felt that this young man's values ​​were indeed not right. "It is the repeated delays that directly reduce the medical compliance of patients and their families to a negative value. Is that what your teacher taught you? Or did you only write papers before and never go on stage?"

"Although curing illnesses and saving lives is a bit of a big deal, as a doctor, you should always think about curing illnesses first, and then think about other things. You are good at curing illnesses, so it doesn't matter if you make a small mistake. Everyone understands. But you almost killed someone for such a minor illness. How dare you say that you are going to court?"

"!!!"

"!!!"

Luo Hao was a little annoyed and waved his hand, "How about this, I'll think of a way and give it a try. I can't say whether it will work or not."

Feng Zixuan hesitated to speak.

It seemed like he didn't hear a word I said to Luo Hao on the way here. After arriving, he treated this matter as his own business.

Professor Xiao Luo has been brainwashed by the four words "cure diseases and save lives" more seriously than himself.

I repeatedly reminded him on the way, but he got sick after I got here. This is a common problem among doctors, so Professor Xiao Luo can't be blamed.

Damn it! Feng Zixuan cursed in his heart, but still had a smile on his face.

Forget it, since Xiao Luo is willing to go through so much trouble, it can be regarded as a good relationship.

When he was recruited, the dean of the Second Hospital also went there, but unfortunately dean Jin offered better conditions.

Now, in Feng Zixuan's opinion, Professor Xiao Luo was really restrained in his offer of the little conditions at that time. He was not asking for the price out of thin air; he was just saying it casually.

"Professor Xiao Luo, what are you going to do?" asked the director of the Medical Department of the Second Hospital.

"I don't know. It's very worrying." Luo Hao sighed. "I have never encountered the fourth category of situations. Of course, the situation I am talking about is not about postoperative bleeding, because generally experienced doctors will consult the hematology department as soon as possible. This kind of situation where we don't know what the problem is is quite rare."

“……” The director of the Second Hospital’s Medical Department scratched his head.

This yin and yang is a bit too much.

When Professor Xiao Luo hits someone, it's really...

"I'm going out to make a phone call." Luo Hao stood up and said to the director of the Medical Department of the Second Hospital with a smile.

"Okay, okay, Professor Xiao Luo, just tell us what you need us to do."

Luo Hao smiled and nodded politely, without a trace of sharpness.

"Old Feng, I really envy you." The director of the Medical Department of the Second Hospital said with some emotion.

As a strange voice came from the other side, the director of the Second Hospital's Medical Department raised his head coldly and glanced at the other side with annoyance.

But he didn't lose his temper.

In his opinion, the person opposite him would not stay in the Second Hospital of Medical University, so there was no need for him to talk to him so much.

"Xiao Luo is still very good. Director Shen once..."

Feng Zixuan didn't want to embarrass the director of the Second Hospital's Medical Department, so he started gossiping about how Director Shen had been gossiping for two weeks about a patient who was getting worse and worse and was sent to Union Hospital, and the cleaning lady directly asked him to go to the rheumatology and immunology department on the 7th floor.

The director of the Second Hospital's Medical Department was stunned upon hearing what he heard, and made meaningless babbling sounds.

Soon, Luo Hao came back and asked, "Can I see the patient and his family first?"

"Okay." The director of the Second Hospital's Medical Department didn't say anything more and took Luo Hao directly to the intensive care unit.

The patient is in the intensive care unit, but the treatment is difficult. The hematology department needs the family's signature for a bone marrow biopsy, but neither the patient nor the family is willing to sign.

Their trust in the Second Hospital of Medical University has reached rock bottom, and they would rather remain in a stalemate.

After changing clothes and entering the intensive care unit, Luo Hao recalled the cold-faced, evil-looking family members of the patient he had just seen. He already had an idea in his mind. From a distance, he glanced at the patient and said softly, "I know."

understood?
Know what?

The director of the Second Hospital’s Medical Department was stunned.

But Luo Hao did not go for a physical examination or ask any questions. He turned around and walked out, taking out his cell phone.

The director of the Second Hospital's Medical Department looked at Feng Zixuan.

Feng Zixuan also didn't understand what Luo Hao was doing.

"Come in Taoist robes. I still suggest that Taoist Priest Qi come. He looks like a legitimate Taoist priest. You look less credible."

"Okay, since you think it's okay, then fine."

"Call me downstairs."

Luo Hao said this and hung up the phone.

The director of the Second Hospital's Medical Department kept winking at Feng Zixuan, his eyes almost popping out of their sockets. He didn't understand what Luo Hao meant and wanted Feng Zixuan to go and ask.

Feng Zixuan coughed lightly.

"Xiao Luo, what are you doing? Are you asking Xiao Chen to come? Why are you wearing a Taoist robe?"

"Don't worry, I won't burn paper or incense." Luo Hao smiled and looked at the director of the Second Hospital's Medical Department, "Do you have a nameplate? Help me find one."

The director of the Second Hospital's Medical Department was helpless when he saw that Luo Hao did not explain it in detail, and could only ask Feng Zixuan for help again.

But Feng Zixuan didn't say anything, he just asked him to prepare what Luo Hao needed.

"Old Feng, are you reliable? Why do you need a Taoist robe?"

"Professor Xiao Luo's assistant... the young man from the provincial capital, Chen, have you heard of him?"

“￥#%@” The director of the Second Hospital’s Medical Department was stunned.

Feng Zixuan was quite satisfied with the surprise expressed in his expression and body language.

Who doesn't like to show off? Not only Professor Xiao Luo can be used to show off, but Chen Yong can also do it.

But unfortunately, only people who have reached a certain level of status will have heard of Chen Yong, and ordinary people have no access to him at all.

For example, the Taoist temple in Funiushan Mountain would not be open to the public if it were not for the good Ice and Snow Festival in recent years.

Even someone at the level of the Director of Medical Affairs cannot open the gate of Funiushan.

"Let me tell you, there was a patient who was allergic to lidocaine."

"Wait a minute, Old Feng, allergic to lidocaine? How can you be allergic to that thing? How come I have never heard of it?"

"Yes, it's a real allergy, but it's very rare. It's a big deal if it happens. You're lucky nothing happened." Feng Zixuan laughed and gossiped, "Before the operation, Doctor Chen counted on his fingers and knew there would be problems with the operation today. He also asked about the patient's medical history and knew that the patient had a history of allergies. He made thorough preparations and brought the fat emulsion table."

"!!!"

The director of the Medical Department of the Second Hospital did not say anything more. He had no idea about lidocaine allergy or why he had to wear fat emulsion when he went on stage.

If you say too much, Director Feng will laugh at you.

"As a result, something really happened. However, Professor Luo's medical team made the matter minor. They gave the patient some lidocaine during the operation and treated him directly after observing allergic symptoms. No rescue was done. If it had been a different team, the patient would have died. I have another unsolved lawsuit."

There were many interesting things about Luo Hao's medical team. Feng Zixuan picked out some gossip, which stunned the director of the Second Hospital's Medical Department.

After finding a nameplate for Luo Hao, he asked carefully, "Old Feng, Professor Luo looks young, so he should know his limits, right? Don't do anything weird and piss off the patient's family. You know, we..."

"I know. Don't worry." Feng Zixuan said, "Professor Xiao Luo is very steady. He knows more about this than the experts and professors on your side."

The director of the Second Hospital's Medical Department was worried. Originally, the hospital had to pay the compensation, and no matter how much, it would just be a lawsuit. He didn't need to worry about it.

But once...

He thought of the worst outcome.

But Feng Zixuan was there and insisted, so he was too embarrassed to say anything else.

Feeling nervous, the director of the Second Hospital's Medical Department chatted with Luo Hao. He found that although Luo Hao was young, he had a dignified demeanor, and his every move was elegant.

Although it makes me uneasy, this is the only way.

More than half an hour later, Luo Hao received a call. After estimating the time, he went to the confession room.

"Ma Zhuang's family!" Luo Hao shouted.

"Hey, here it is."

A young Taoist priest walked into the briefing room and sat down upright. Luo Hao began to communicate with him about the patient's condition.

The condition seemed to be pulmonary embolism after injection of hyaluronic acid. The director of the Medical Department of the Second Hospital didn't hear it clearly. He saw stars in front of his eyes and was frightened by the suave young Taoist priest.

The legendary mysterious young man from the Chen family who practiced in the secular world turned out to be such a handsome young man? He doesn't look like a doctor, but more like a top traffic star.

But those popular young actors definitely don’t have the temperament and manners of the guy in front of him.

A few minutes later, the director of the Second Hospital's Medical Department calmed himself down and listened carefully.

Professor Luo was like an ICU doctor, explaining the condition of Chen Yong in a very formal manner while he was wearing a Taoist robe.

He even drew basic anatomical diagrams.

Although it is simple, even a layman can understand it.

This made communication much smoother.

After nearly ten minutes, Luo Hao finished speaking and started signing and pressing fingerprints. Everything followed the most formal process. Even the director of the Medical Department of the Second Hospital could not see any flaws.

In front of him was a doctor communicating with the patient's family.

"Okay, we'll do our best." Luo Hao sent Chen Yong to the door and turned to leave.

Doesn't he want to say something?
Or what does the young man from the Chen family want to say?
The director of the Second Hospital’s Medical Department stared 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 fun with gloomy faces, but their expressions immediately changed after hearing Chen Yong's words.

"There is a way!" the director of the Second Hospital's Medical Department exclaimed in a deep voice.

He was behind a one-way transparent glass, so he was not afraid of being seen.

"Ronaldo."

Luo Hao came back, and Feng Zixuan waved, "What is Chen Yong talking about with the patient's family? He has a bit of a erratic personality, don't let him ruin things."

"Oh, things are already at their worst, how much worse can it get?" Luo Hao said lightly, then laughed, "Hemophilia is a genetic disease. Some patients have it because their parents or their older relatives got married."

"!!!"

"!!!"

This is written in the textbooks, but it's a mess in front of us. Neither Feng Zixuan nor the director of the Medical Department of the Second Hospital had thought of this.

"Chen Yong tried to scare the family, and the family accepted it. Then he said something mysterious. The key is to get the patient treated as soon as possible. The Second Hospital should pay as much compensation as it should."

“…” The director of the Second Hospital’s Medical Department was ashamed.

Professor Luo Haoluo's focus has always been on treating patients.

"We should take this matter seriously. Peking University Health Science Center's hematology department is very strong, and my Union Hospital is not weak either. Which one is more convenient for you? If you really can't find a senior expert, I can contact Union Hospital."

"..."

"I think it will be soon. This piece of glass is pretty good. Our hospital..."

"The plan has been proposed and it will be installed in a while." Feng Zixuan said.

On the other side of the glass, in the corridor, the patient's family had fainted from crying.

Chen Yong made a gesture with his fingers, and Feng Zixuan followed suit, but as soon as he pinched his fingers, Luo Hao's hand fell on the back of his hand with a "pop".

"Director Feng, stop messing around." Luo Hao stopped him sternly.

"Ok?"

"I heard from Chen Yong that the optical type is useful, but it comes at a price."

"!!!" The hairs on Feng Zixuan's back stood up.

It turned out that I was just fooling around.

This price cannot be anything else but human vitality.

As for whether Yuan Qi exists or not, I have already made the hand seals, so why are you asking whether I believe it or not?
"There are many people fooling around on the short video platform, and some of them actually succeed. Those are life-threatening matters, so we can't fool around." Luo Hao warned in a gentle voice.

"Yeah, yeah." Feng Zixuan nodded repeatedly.

Several people were watching from behind the mirror. As for what Chen Yong said, no one could hear it, and Luo Hao didn't want to listen either.

For fortune-telling and the like, having the ability is the most important thing, but you also have to observe people's words and expressions. People with low emotional intelligence cannot do this job.

As for Chen Yong, he must have high emotional intelligence, otherwise his looks alone would not have enabled him to win every battle.

More than ten minutes later, Chen Yong floated away, like a little god who had descended from the mountain.

The patients' family members gathered together and talked about something. The director of the Second Hospital's Medical Department felt a little uneasy, but seeing that Luo Hao was sitting on the Diaoyutai, he didn't say anything.

After a while, the patient's mother rang the doorbell.

The director of the Second Hospital's Medical Department breathed a sigh of relief.

As long as you are willing to communicate, that's fine.

He glanced at Luo Hao gratefully, "Professor Xiao Luo?"

"We should have communicated normally, waived all medical expenses, and paid as much as we should. We did something wrong in this matter."

"Okay, okay, what about Concord?"

"Just call me whenever you need me. Director Zhou, I have a say." Luo Hao smiled. "You should go and take charge of the situation. Don't let any reckless person say the wrong thing and complicate the situation."

"Okay, let's talk some other time." The director of the Second Hospital's Medical Department was also anxious and hurriedly arranged for someone to communicate with the patient's family.

Feng Zixuan and Luo Hao changed their clothes and left.

"Xiao Luo, what did Chen Yong say to the patient's family?"

"I do not 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 people who burn incense, I'm not good at it."

Luo Hao said, somewhat embarrassed, "To be honest, Lao Meng is better than me at chatting with patients and their families and understanding their thoughts. I don't have the time. Chen Yong is good at these weird and mysterious things."

Wow, Feng Zixuan sighed in his heart, Luo Hao’s medical team is really full of talented people.

(End of this chapter)