This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 52 The Meaning of a Healer!
Chapter 52 The Meaning of a Healer!
"Director Lin, what did you say? Our department has been reported? Why was it reported?" In the break room, Lu Cheng had just put on his white coat when Director Lin Qianlong walked in from outside, and his words surprised Lu Cheng for a moment.
Lin Qianlong raised an eyelid at Lu Cheng, but did not reply.
Lu Cheng's eyes narrowed, and he began to quickly search his memories of treating patients: "Director Lin, why don't you just tell me directly, what did I do wrong?"
It's perfectly normal for doctors to be reported by patients. However, it's important to determine whether the report is valid.
"The report is against our department, not against you, Xiao Lu, but the reason for the report is related to you."
"It was in May of this year that a patient who was referred from our department was having a follow-up examination for tendon injury at the orthopedic department, where he met a patient from our department who had undergone surgery and was also there for a follow-up examination."
“Just say we refused to treat you back then!” Lin Qianlong said.
Lu Cheng: "..."
"Director Lin, our department didn't perform any tendon sutures in May, did we? Why would this patient report our emergency department instead of the orthopedics department?"
Lin Qianlong said helplessly, "The problem is that orthopedic departments still don't perform tendon repairs, but our emergency department does."
"Although it was an invalid report, the medical affairs department still had to accept it, and I talked to him for most of the day."
"The patient meant that our service attitude was bad. Luckily, I didn't tell him that you used to be an orthopedic doctor, otherwise he might have reported you as well."
“We’re asking him to pay us back. What could have been settled for three thousand yuan ended up costing him over six thousand…”
Lu Cheng's anxiety subsided slightly: "The medical affairs department didn't approve of this invalid report, did it?"
"Of course it wasn't approved. The medical department has records of all applications for surgical authorization. Those orthopedic patients are still complaining. If it couldn't be done then, it simply couldn't be done..."
"Professor Chen did indeed only arrive at the emergency department in July. If we don't even explain this basic principle, then no one will dare to do anything."
"As for me, I apologized at least a hundred times..." Lin Qianlong slapped his thigh, quite helpless.
Just then, Zeng Huanqi walked in, carrying four bowls of noodles. After squeezing through the door and seeing Lin Qianlong, he hesitated for less than a second: "Director Lin, you've come at the right time. Breakfast is here."
"You also have one. I've already eaten and I'm going home to rest soon."
Lin Qianlong saw there were four bowls and didn't suspect anything. He opened the bag and asked, "Zeng Huanqi, whose ward shift is today?"
“It’s Dai Hua’s turn today. He’s on his way.” Zeng Huanqi glanced casually in Lu Cheng’s direction and replied quite naturally.
Although Zeng Huanqi had connections, he was still very sensible and kept quiet.
"Dai Hua, great!~"
"Recent medical records need to be written in more detail. I received a message that the health bureau officials will be coming to check the medical records in a couple of days. I don't want to be chosen as an example."
"Xiao Lu, your medical records are well written. Help me review them when they're put on the shelves!" Lin Qianlong picked at the powder and asked, "Are Professor Chen and Professor Tong still enjoying their little pleasures?"
"Yeah, they'll probably be here soon..." Zeng Huanqi said.
"Director Lin, Du Daihua said he's arrived, so I'll leave work now. I didn't get enough rest yesterday." Zeng Huanqi expressed his hunger in a fresh and sophisticated way, with a clear reason.
Lin Qianlong nodded in agreement: "Then go and rest. Even though you're off work, you still need to be prepared for a shift. With Professor Chen and Professor Tong here, the number of surgeries in our department has increased..."
After the meal, Lu Cheng immediately took Du Daihua to check on the patients.
Currently, there are four patients in the surgical team. Bed 1 is patient number 2, and Lu Cheng performed a spleen-preserving surgery, which is also the eleventh spleen-preserving surgery in the hospital and the first spleen-preserving surgery performed by a doctor in this hospital.
Bed 2 primarily houses patients undergoing debridement, with Zhang Tiesheng performing the surgery. Bed 3 contains the first case of a flexor tendon injury in Zone 2, performed by Lu Cheng, with Professor Tong Yuan'an personally overseeing the surgical quality.
The patient in bed 4 suffered a tendon rupture, which was operated on by Tong Yuan'an himself on July 1st, and is currently recovering very well.
Because the on-duty doctor was Du Daihua, Lu Cheng routinely led the ward rounds, examining one bed with particular care and conducting a very thorough physical examination.
Finding no problems, Lu Cheng calmed down: "Auntie, it's been three days since the surgery. I examined you and didn't find any tenderness in your abdomen, which proves that the hemostasis was quite effective at the time."
"The chances of bleeding again are not so high. You can get out of bed and walk around with your crutches today, and it's not just about walking to the toilet."
To be the lead surgeon, even being able to perform the operation is secondary; first, one must understand the complications of a surgery. Chen Song had already tested Lu Cheng on this beforehand, and Lu Cheng's memorization ability was quite good, which is why Chen Song allowed Lu Cheng to make rounds alone.
If Lu Cheng is unaware of postoperative complications such as bleeding, re-rupture, peritonitis, or splenic leakage, and doesn't know how to investigate them, then Chen Song certainly wouldn't dare teach Lu Cheng how to perform surgery.
"Thank you, Dr. Lu." The aunt was very happy.
"According to Dr. Zeng, who was on duty yesterday, you are the first surgeon in our hospital to perform this kind of operation on me. In the past, for my condition, they would just remove my spleen directly." The aunt was forty-eight or forty-nine years old and had a kind face.
Du Daihua explained, "Yes, Auntie, you have an acute ruptured spleen. If you are transferred to another hospital, your life is in danger, and you must have emergency surgery."
“In the past, when we treated this type of disease, we always performed splenectomy. Spleen-preserving surgery is quite difficult, and it is generally only performed routinely by state hospitals.”
“Our county and other county hospitals all perform direct resection. Dr. Lu only recently learned spleen-preserving surgery from Professor Chen of Xiangya No. 2 Hospital.”
"Otherwise, you'll have no choice but to have your spleen removed."
The aunt's expression changed slightly: "Won't the person have problems if their spleen is removed?"
Lu Cheng said, "There won't be any major problems, but people's immune systems will weaken, and they will be more prone to anemia."
"It's unavoidable to save one's life, but if it's possible to preserve the spleen, then preserving the spleen should be the priority."
"The reason we chose to remove the spleen before was because we had no other choice. Firstly, spleen-preserving surgery is indeed very difficult to perform. If it is not handled properly, it may rupture again, which may lead to recurrent shock and an increased risk of infection."
"The patient will suffer in the end, so it's better to just remove it directly."
“Auntie, you can’t do strenuous exercise right now, can you?” After Lu Cheng finished speaking, he said to Du Daihua, “This auntie can stop taking antibiotics today. I see that she is in pretty good condition. Let’s stop the intravenous painkillers too, and switch to oral painkillers.”
"Dr. Lu, thank you so much."
"You're amazing!" The aunt touched her belly, her face beaming with a smile, harboring a sense of relief.
"I'm not that great. In our emergency department, we have patients being transferred out every day."
"For example, the patient with multiple injuries who came in this morning died on the way to the hospital."
"I'm helpless too. I don't even dare to let the patient into the operating room. I just can't get it off," Lu Cheng replied honestly.
“Dr. Lu, but you’re a good doctor!” The aunt blinked.
While ordinary people all hope that the doctors they encounter are miracle workers and that the people they meet are all good people, that is just a hope.
Everyone's abilities have limits.
Lu Cheng smiled and said, "It's all what we should do. We'll do our best if we can, and if we can't, then there's nothing we can do."
"Auntie, please rest well. If your condition improves, you can be discharged and go home this weekend. You don't need to go for dressing changes after discharge; just wait for the stitches to be removed!"
Being able to perform surgery requires skill, and secondly, the genuine gratitude from patients and the smiles on their faces are something many professions cannot experience.
"Dr. Lu, would you like some fruit..." the aunt politely offered, but Lu Cheng had already headed towards bed number 2...
In the break room, Tong Yuan'an asked Chen Song, "Aren't you going to take a look at the spleen removal surgery that Xiao Lu is performing?"
"You've seen everything? Nothing special, what's the point of seeing anything else?"
Chen Song scoffed, "Tong Yuan'an, you don't actually think I'm just trying to trick you by saying that Xiao Lu learned the spleen-preserving technique quickly, do you?"
Lin Qianlong said with a forced smile, "Professors, you are both good teachers, so don't argue. It doesn't matter who Xiao Lu follows."
"No way!" Chen Song's tone was decisive.
"Director Lin, you're not going to handle this..." Tong Yuan'an turned his head.
(End of this chapter)
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