White armor
Chapter 551 How to deal with family members of patients with paranoia
Chapter 551 How to deal with family members of patients with paranoia
"I went to see Lao Liu." Chen Yong looked at Luo Hao, his lips curled up, "I didn't expect you to care so much about Lao Liu."
"What else?" Luo Hao shrugged helplessly.
"I thought you just performed surgery on him, but I didn't expect you to mail him a wearable device to measure ED." Chen Yong laughed, "What are the researchers thinking nowadays? There is a wearable device for this thing!"
"Harmful."
"Luo Hao, what do you think? Tell me about your mental journey." Chen Yong asked with interest.
"You said that Lao Liu was infected with the virus from KTV and spa. Do you think this thing is contagious?" Luo Hao asked.
Chen Yong and Zhuang Yan were startled. Luo Hao spoke these two words seriously and clearly. Especially since spa was rarely pronounced, they were both stunned.
Only Meng Liangren looked at Luo Hao with a smile.
"As a senior patient who has been diagnosed for 32 years and a senior heavy addict who tries to get his foot bath covered by medical insurance every day, Lao Liu is hopeless."
"Life needs to be released, and GDP growth also needs the contribution of Lao Liu."
"You are too ridiculous."
"Who said that? What are the three major drivers of economic growth?" Luo Hao asked Chen Yong.
“Investment, consumption, and foreign trade.”
"Yes, that bastard Ma Zhuang is now investing and engaging in foreign trade. He comes back to China to spend money, and he also encourages Lao Liu to spend money with him."
"..."
"..."
"Do you feel it? The heavy sense of historical responsibility and the people's yearning for a better life are embodied in Ma Zhuang taking Lao Liu out to play and spend money."
"Depend on!"
"You sing a song, I sing a song, and the economic development is waving its hand; you sing an hour, I sing an hour, and the economy is moving forward rapidly." Luo Hao had a look of despair on his face, but he still said good things to help Lao Liu, as if he was not being sincere.
Chen Yong laughed, "Luo Hao, why don't you go by yourself?"
"Me? Are you kidding? I have a more important mission."
"Are you afraid of something happening?"
Luo Hao did not hide it and nodded, "Didn't the youngest academician in the country have an accident in Daibei River? As a result, he got divorced and his career was also affected a little. If it hadn't happened, I think the entire materials industry would have changed a little bit."
"Just spoil him." Chen Yong curled his lips, "You'll spoil Lao Liu! Bamboo will be there soon!"
"Hey, hey, hey, Lao Liu has nothing to do with me. Zhuzi is fine!" Luo Hao retorted.
As they were chatting, a woman looked around curiously.
"Is there something wrong?" Luo Hao immediately looked at the patient's family member seriously. Luo Hao knew her. Her husband had undergone surgery in the hospital, and she did it herself. He was about to be discharged.
He's looking around, maybe he's going to present a banner?
Is the banner for Lao Meng or for yourself?
Luo Hao thought with a smile.
"Ms. Cui Yonghao, what do you want from me?" Meng Liangren called her out directly. His words were not polite at all, and even had a hint of rudeness.
The woman was a little embarrassed and walked into the office, "Doctor Meng, Professor Luo, my husband Cui is about to be discharged from the hospital, I have something to ask."
"Well, go ahead." Meng Liangren said, "I noticed during my rounds in the past few days that you seemed to have something to tell me, but you didn't say anything when I asked you. Can't you hold it back this time?"
"Doctor Meng, I saw the nurses adding medicine and breaking the glass bottles with their hands. Don't they feel any pain?"
Luo Hao narrowed his eyes.
"Oh, that's not called a glass bottle, it's called an ampoule." (Note)
"The doctors and nurses just pry it open and extract the liquid medicine inside." Meng Liangren waved his hand and asked the patient's family to come to him. "You want to ask, what if the glass shards get into the blood vessels?"
Zhuang Yan didn't expect Meng Liangren to be able to decipher so much content.
Judging from the expressions of the patient's family, Meng Liangren's guess must be correct.
This incident cannot be called a medical accident, at most it is a complaint. But the medical team has been running for nearly 10 months without a single complaint, and it would be best if this record could be maintained and not broken here.
What would Lao Meng do?
It must be a gentle explanation, Zhuang Yan thought.
But she guessed wrong. Meng Liangren did not show his kind side. Instead, he was a little impatient and looked at the patient's family in a particularly strong manner.
Although Meng Liangren was sitting and the patient's family members were standing, Meng Liangren still acted as if he was looking down on them, with a square face full of majesty.
"Ampoules are small glass containers used to hold liquid medicine. When you break an ampoule, some glass fragments will be produced. These glass fragments are relatively small and invisible to the naked eye. They may enter the infusion solution along with the liquid medicine. During intravenous infusion, there is indeed a risk that glass fragments will enter the blood vessels."
"But!" After Meng Liangren finished speaking, he suddenly looked at the patient's family seriously, and there was even a hint of disdain and contempt in his expression.
Zhuang Yan was stunned. This was not the Meng Liangren she was familiar with.
"We have already thought of everything you can think of and have taken relatively safe precautions."
“First, there are strict restrictions on the techniques we use when breaking the ampoule, and it is difficult for the debris to enter the liquid.
Secondly, even if it goes in, there is a filter in the needle of the infusion set to prevent debris from entering.”
The patient's family was stunned. This was something she had not expected.
Not to mention the patient's family, even Zhuang Yan was stunned. There is a filter in the needle of the infusion pump?
Real or fake?
"There are two filters. The first one is below the regulator, where the infusion tube connects to the needle. There is a small raised circular part, also called a filter. This small part has a blocking effect."
"The second one is in the disposable infusion needle. Whatever you can think of, medical staff and related practitioners have already thought of it."
"There are filters in the needle and the infusion tube? That must be very sophisticated!" the woman asked in surprise.
"I didn't ask you to do it. They are all mass-produced in factories. It's not difficult. Do you have any other questions?" Meng Liangren asked.
"It's gone, it's gone." The woman said repeatedly.
The woman didn't know whether there was a filter in the needle, but she remembered that there was a small raised round part where the infusion tube connected to the needle.
"Okay, if you have anything to say, just come and tell me directly. Don't think about it yourself. The First Hospital of Medical University performs 100,000 surgeries every year. Every detail has been figured out. The things you are thinking about are not a big deal at all.
In everything, I am afraid that you will just imagine things on your own."
"Yes, yes." The woman nodded and left.
"Old Meng, is this true?" Zhuang Yan asked.
Luo Hao smiled. No wonder Old Meng didn't look at her well. It turned out that she had a mild paranoia.
"Are you talking about the needle of the syringe?" Meng Liangren replied, "In the past, only special disposable needles had filters. In recent years, perhaps the technology has matured and the price has been reduced. Now all the needles in the department have filters."
"Oh my god, so awesome! I didn't even know it!" Zhuang Yan was surprised.
She really had no idea about this.
"Industrial Cthulhu, what do you think?" Chen Yong said, "Jason bought a gadget online a few days ago for 2.6 yuan. If he gave a good review, he could get a 5 yuan cashback. He went crazy."
"He couldn't understand why he could make some money from an industrial product that was delivered to him thousands of kilometers away."
"The filter of a disposable syringe is probably the same. What do you think, Luo Hao?"
"Almost. Lao Meng has done in-depth research. Most doctors would not notice this, but Lao Meng is indeed very meticulous." Luo Hao praised.
"I recently discovered that there was something wrong with this patient's family, so I started to figure out which link might have gone wrong, and found that the ampoule was most likely to be faulty. I saw her hanging around outside the treatment room whenever she wanted, pretending to glance inside casually."
"A few days ago, one of Professor Zhang's patients vomited blood, and she was watching him break the ampoule during the rescue."
“So I researched it.”
Luo Hao smiled slightly. In these small things, Meng Liangren showed a quality that was so high that it was outrageous.
I didn't expect that this old attending physician who was transferred from the infectious disease hospital and stayed behind when I first came here because of a shortage of staff turned out to be a treasure.
This old attending physician was actually buried in the infectious disease hospital. Fortunately, he was discovered by himself. Luo Hao straightened his chest and felt the presence of the bronze mirror, and felt a slight heat.
"Meng, why do I feel that you have a bad attitude towards this patient's family? Don't find fault with them. They don't understand, and it's not intentional."
Zhuang Yan said.
"Oh." Meng Liangren said softly, but did not answer Zhuang Yan's question. Instead, he looked at Luo Hao.
It’s hard to say what to say next, Luo Hao knows it very well, so just do it yourself.
"This is it, Xiaozhuang." Luo Hao raised his hand and pressed it down, "Sit down, I'll tell you."
Zhuang Yan looked bewildered and sat down in a standard posture.
"It has nothing to do with whether you are rich or poor. Some people just want to bully others. If you are nice to them and are friendly to them, they will think you are weak and bully you to death."
“???” Zhuang Yan still didn’t quite understand.
Luo Hao smiled in his heart. Zhuang Yan's life was too smooth. She had not experienced many things and was like a flower or plant kept in a greenhouse.
Although she is talented, studious and hardworking, she has little exposure to the evil nature of human beings.
The only time was probably when Wen Youren instigated the patient's family to give up treatment in order to extort money from the First Hospital of Medical University.
But I resolved the incident in time and did not let Zhuang Yan feel any pain.
But that’s all I can say.
"Xiao Zhuang, don't stiffen your neck. Let me tell you, do you know the situation of his family? Lao Cui's family." Chen Yong said.
"I don't know." Zhuang Yan shook her head.
"The woman just now didn't have a job. Lao Cui retired a few years ago and his pension is not very high." Meng Liangren replied.
Chen Yong nodded.
Zhuang Yan felt isolated, as if everyone in the entire medical team knew the condition of the patient and his family except her.
But it was obvious that Chen Yong and his senior brother rarely went to check on the patients, but they seemed to know everything.
"You have to learn to read people's expressions. This is a basic skill when we tell fortunes." Chen Yong said, "On the first day of rounds, I noticed that their expressions were not right. There was a sense of hostility, but it was hidden. So I reminded Lao Meng."
Meng Liangren nodded and admitted it.
Zhuang Yan thought about it carefully and vaguely remembered that Chen Yong seemed to have told a little joke after the ward rounds a few days ago, which was related to the patient named Cui.
"There's inflation and economic downturn right now, and it's the same all over the world. We don't feel anything, but they feel it very deeply. It's like... getting pregnant and having a baby." "Getting pregnant and having a baby?"
"Without a job, it's just the pain of just feeling the urge to give birth, one finger dilated. Without a job and no savings, it's the pain of two fingers dilated. Without a job and no savings, and my son is getting married, it's the pain of three fingers dilated."
"Then you count it yourself. You gave your son a loan to buy a house, and you still have to bear the cost of three or five things, and the old couple in the family have to pay the mortgage. The pain is gradually escalating, and the only person in the family with a pension is sick and may die at any time."
"Death is one kind of pain, but losing your only stable source of income is another kind of pain."
"When all these things are piled together and the patient's family members still can't figure it out, it will turn into a wave of hostility."
"But...is it really okay for Lao Meng to do that?" Zhuang Yan asked in a low voice.
"That was a test, pushing them to the limit, finding out the bottom line of the patient and his family, and whether there was any danger. If there had been a problem just now, Lao Meng would have suggested that I not accept this patient in the future," Luo Hao added.
Meng Liangren nodded, indicating that this was indeed what he meant.
Zhuang Yan was stunned.
"And I think the patient's family has mild paranoia. If you smile at this kind of patient, she may have more bad thoughts. So, what Lao Meng did was right."
"But the patient's family didn't react too much. Lao Meng, next time he comes to the hospital, please remind me to try to save him some money." Luo Hao said.
"I wrote it down." Meng Liangren took out a small black notebook and wrote down every word Luo Hao said.
Zhuang Yan felt that she was the youngest in the entire medical team, and her eyes were filled with the clear stupidity of a college student.
"It's okay. These are just small matters. There are still many good people in society. We are all judging others by our own standards."
Luo Hao said self-deprecatingly.
"Senior brother, how can I learn to be like you?" Zhuang Yan asked Luo Hao.
"It's best if you can't learn. I hope you never learn it in your lifetime." Luo Hao said, and stood up. "I'm going to the infirmary."
Zhuang Yan understood what Luo Hao meant. His senior brother hoped that he would never encounter a similar situation in his life, that the medical team would always operate smoothly, and that patients' diseases would be treated to the best of their ability.
But everyone else understood it except herself, and Zhuang Yan was a little upset.
Luo Hao didn't care whether Zhuang Yan knew or not, and went straight to the medical department after leaving the inpatient department.
The stubborn eyes of the little patient named Ye Hong were always lingering in front of him.
Her surgery did not require the hospital to fill any bills, and the biggest expense was the magnetization of the liquid metal.
Ye Qingqing has been working on this research. The equipment needed for the operation is not difficult and it will be ready soon.
The most expensive magnetized liquid metal is free of charge, and other fees are waived, that’s about it.
As for anything more, Luo Hao was too lazy to think about it.
He also doesn't want to support the patient for the rest of his life.
When they arrived at the medical department, there were people inside. Luo Hao waited for ten minutes before those people were driven away by Feng Zixuan.
"Xiao Luo, I'm sorry." Feng Zixuan was a little helpless, "There are too many people doing business."
"Director Feng, I'm here to discuss something with you."
Luo Hao went straight to the point.
After talking about Director Xu's patient, Feng Zixuan was left with an impression.
"Finally he's in the hospital." Feng Zixuan said.
"Yes, at first the patient refused the surgery, but I persuaded him and he reluctantly agreed."
"Haha, you have the same temper as Old Xu." Feng Zixuan said, "I know that patient. Every time he comes to treat his illness, Old Xu begs for mercy. Especially during the orthopedic surgeries, Old Xu changed his clothes and stood behind Old Jing in the orthopedics department to watch him perform the surgery."
Luo Hao smiled. Orthopedic surgery is very expensive.
If you don't watch it, the money will go out like water if you relax your hands. Someone needs to watch it, and Director Xu even needs to keep knocking on the door to save money.
But this is all in the name of Director Xu.
"Director Xu, you too. There are patients everywhere. I really don't know what you are thinking." Feng Zixuan said this, but he held the mouse in his hand and clicked on a file.
"Still going with new technology?"
"The last time I performed a puncture on Chen Jiao, the major national scientific research project that Boss Chai helped me apply for should also see some progress," Luo Hao said.
"Okay, there aren't many national-level scientific research projects in the hospital. Let's go with new technologies. The hospitalization fee is considered as the hospital's support for you. There aren't many poverty alleviation indicators this year, so I'll keep a few."
"Okay." Luo Hao replied with a smile.
"Anything else you need?"
"No need for now."
"Xiao Luo, I don't understand your scientific research." Feng Zixuan sighed, "I think the initial maxillofacial hemangioma of infants and young children is difficult to operate on. I am ready for you to have two or three major medical disputes a year."
"But, nothing goes wrong." Feng Zixuan felt a little emotional when he talked about this.
Who would have thought that maxillofacial hemangiomas in infants and young children would not cause any problems!
Feng Zixuan was not hoping for anything to happen, but it would be unreasonable if nothing happened.
"It's mainly because Professor Yun performed the surgery well." Luo Hao smiled.
Feng Zixuan glanced at Luo Hao. This guy never spoke a word of truth.
"As for now, I can barely understand liquid metal, but what does magnetized liquid metal mean?"
“The magnetic attraction between magnets is used to reconstruct the continuity of the tissue to be anastomosed by squeezing without penetrating damage, thereby achieving the purpose of diagnosing and treating clinical diseases.”
“Magnetic compression technology achieves digestive tract lumen anastomosis: using the “non-contact” magnetic field force, the compressed tissue between the magnets undergoes “ischemia-necrosis-detachment”, while the adjacent compressed tissue undergoes the pathological change process of “adhesion-repair-healing”, thus achieving the purpose of anastomosis.
The entire operation process is simple, minimally invasive, fast and efficient.”
"You can throw those adjectives aside. This is not a report. Let me tell you and see if I understand it correctly." Feng Zixuan sorted it out, picked up a pen, and drew a mark on the A4 paper.
"This is the surgical scar. It has grown together, making it impossible for the patient to eat. He can only use a gastrostomy to drain chyme."
"The needle formed by liquid metal is used for puncture. At the beginning, only a little bit is needed to puncture a point."
Luo Hao nodded, thinking that Director Feng must have studied this before.
"If the general surgical method requires the use of an air bag, but the self-regulation part in the middle is not enough, necrosis is likely to occur. You have angiography, which can see the direction of small blood vessels. Run the supercomputer twice to find the most appropriate compression method."
"You know about running the supercomputer twice, Director Feng." Luo Hao was a little surprised.
"You said it." Feng Zixuan spoke from beginning to end, but the pen in his hand only left the initial traces and did not draw any figure.
He wanted to draw it, but his imagination was limited, so he could only briefly describe the principle but could not sketch out a specific image.
"That's roughly what I mean. I plan to do angiography on the patient tomorrow or the day after tomorrow, and then send the image data to Qingqing. I'll run it through the supercomputer twice. The magnetic force inside the liquid metal will cause it to constantly change its shape, squeezing the scar part and finally opening the esophageal passage."
"Your... trauma is too minor."
"The cost is all on liquid metal, but it will be rolled out clinically in the future. Liquid metal can be sterilized and reused."
"What about computing power?" Feng Zixuan asked.
"Isn't the country doing it? And our province will definitely have to build a computing power center in the future. If our medical industry can't even come up with a technology that requires computing power, we really won't be able to get a share of this big pie."
"In Yunnan and Guizhou, people from the imperial capital are in charge of the region, so they must have the best policies. Alas, Director Feng, why don't we have such good policies in the Northeast? Do you really think we are a big granary?"
Feng Zixuan was startled.
"Everything needs computing power, and it needs to be run twice on supercomputers...and the unmanned hospitals of the future will also need computing power, or even more computing power."
"..."
Feng Zixuan stopped talking and sighed.
Suddenly, Feng Zixuan had an idea, "Xiao Luo, you are staying in the Northeast, are you planning to build an unmanned hospital?"
Luo Hao smiled and said nothing.
"The imperial capital must prioritize stability, but the border provinces are easier."
Feng Zixuan seemed to have discovered a big secret, and he spoke more and more fluently.
"The next step is to attract investment, build a computing center, and run an unmanned hospital? But have you thought about the unmanned hospital?"
"I haven't thought about it yet, but don't worry. The computing center can't be built in five years. I can't stay that long either. I can come back anytime in 912."
Feng Zixuan felt disappointed when he heard Luo Hao say that he couldn't stay that long.
How great it would be if Xiao Luo could settle down in Northeast China for the rest of his life. Feng Zixuan doesn't understand things like computing power centers, nor does he want to understand them.
He just felt that he had less to worry about with Luo Hao around.
Besides, there are bamboos.
"Director Feng, that's it. I'm going to get back to work."
"Ah."
"Do you want to greet Dean Yongqiang or do I want to hand in the report?"
"Let's go together. You go to Dean Zhuang to report your work early tomorrow morning, and let Xiaoyan go home tonight to help out."
"Okay." Luo Hao replied with a smile, and the matter was settled.
Feng Zixuan looked at Luo Hao deeply. This bastard had already made a comprehensive plan. In Luo Hao's calculations, he was just a small chess piece.
How big is his plan? How many things does he want to do?
As soon as I got up, I heard a commotion outside the door.
Feng Zixuan frowned, thinking that he was definitely here to complain again. How annoying.
……
……
Note: Ampoule, the word "bottle" is pronounced as "bu", but I have always pronounced it as "pao". I tried to write about ampoule countless times in the previous books but never succeeded...hahahaha.
(End of this chapter)
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