Chapter 608： Internal affairs

Alas.

Ma Yilin knocked on Ling Ran's office door gently.

"Come in." Ling Ran's voice came out through the door, making everyone feel relaxed and happy.

When Ma Yanlin pushed away, she smelled a faint citrus. Needless to say, the young nurses at the nurse station changed their new essential oils. In other words, it is the little nurse on duty today that prefers the flavor of the essential oil.

Since Ling Ran was in charge of the treatment team, the income of the medical staff in the emergency center has skyrocketed. Not only that, the tolerance of daily expenses has also been improved. After all, the bonus cannot be raised too much to a certain amount, so as to avoid dissatisfaction in other departments of the hospital. However, the funds in the section can be relaxed more.

For example, the nurse station now has funds for purchasing fragrance products. The head nurse also provided himself with an article "Exploring the Quality of Nursing Care Services", so that each ward and doctor's office are no longer It's a monotonous disinfectant.

However, in the ward and other doctor's offices, the scent of sandalwood or lavender tends to be unchanged for thousands of years, and the aroma of Ling Ran's office is completely different.

Sometimes Ma Yanlin passing Ling Ran's office will sniff extra to increase his knowledge and be handsome.

Unfortunately, Ma Yilin didn't enjoy it today. He frowned, and said, "Dr. Ling, the two patients with Achilles tendon rupture who came this morning asked for Zhu-Ling Achilles tendon repair.

"Is both athletes?" Although Ling Ran notified Ma Yilin of a new patient with Achilles tendon rupture, he did not see the patient, only the referral from the emergency department.

As the person in charge of the treatment group, Ling Ran needs to do front-line work, but does not need to do front-line work. The most basic, such as collecting medical history, simple physical examinations, and then arranging beds, arranging image shooting, biochemical examinations, etc., are all done by little doctors.

If the little doctor loses all of these jobs, the hospital's training system will collapse.

Similarly, if experienced senior doctors have to do this kind of thing themselves, the hospital's training system can be considered a collapse.

However, Ma Yanlin is now a little broken.

He was full of his mind, and then followed Ling Ran's words carefully and said, "The problem is that neither of them is an athlete, they are ordinary people, but they both know Zhu Ling Ling Achilles Tendon Repair, and they want you to do it. And it can only be a Zhu-ling Achilles tendon repair. "

Most public hospitals, under normal channels, cannot specify a certain doctor to perform surgery. On the other hand, some hospitals have carried out reforms and introduced roll-calls, which cost hundreds of yuan to well-known doctors in the hospitals.

The current hospital reforms are actually turning hidden rules into clear rules.

For example, doctors in well-known hospitals, especially doctors at the director level, unless most of them are looking for someone, most of them will not perform surgery in this hospital-take two more steps and perform surgery in the hospital next door. How much is it to get a flying knife cost of thousands of yuan for surgery in our hospital and hundreds of dollars for the operation fee?

From the perspective of the hospital, the logic of the roll call fee is more here.

However, it is usually enough to call the doctor, and the type of surgery required is not available. The hospital and the doctor cannot agree.

If I cut across the knife and find out that the actual situation is different from the image data and predictions, what should I do?

Can't lift the anesthesia and wake up again.

Moreover, Zhu-Ling Achilles tendon repair is too infrequent for ordinary people. After the famous operation, it is not easy for ordinary people to know, such as the quadruple operation of French network, any medical student knows, ordinary people Little is known.

Ling Ran didn't think about it, but said, "If it is not an athlete, it is not necessary to do an open Achilles tendon repair. How old is it?"

Ma Yanlin said: "A 48-year-old and a 52-year-old."

Ling Ran coughed twice, took a sip of water, and asked, "What's the reason for their open Achilles tendon repair?"

"The patient insists on doing it and says not to perform minimally invasive surgery. The main reason is that one of them said that they knew a reporter or something. If we refused to do it, we would expose something."

"What was exposed?"

"Rejecting the patient? Disrespecting the patient's wishes?" Ma Yanlin, who had completed the two operations, just had her scalp and head blasted when she was newly admitted.

Just like the other treatment groups in the hospital, after the patient's income, the tube bed doctor will be the direct person in charge of the patient. In surgery, everything except surgery can be said to be the responsibility of the bed doctor.

It is as small as the time schedule, as large as the prescribing and pricing, as well as the postoperative recovery, the level of care, and so on. Everything that the superior doctor does not take care of is done by the tube bed doctor.

Ma Yilin has always been a doctor of tube beds for patients with Achilles tendon. There are also hundreds of patients who pass his hand.

However, the request of the two patients just received made Ma Jiulin aware of the trouble and danger.

Without too many associations, his mind jumped out of Meng Shan's name, but Ma Yilin couldn't say it directly.

Ma Yanlin can only remind Ling Ran deliberately: "The two patients were both from Guangdong Province and said they were introduced by other doctors, but they refused to say which doctors introduced them. I think they might be the same doctors. It ’s for reporters, reporters are not reporters, I do n’t know if it ’s true. ”

"The two were right, actually." Ling Ran stood up from his chair, pacing in the office.

The size of his office is small, but the layout is very careful, and because people often help him change the furniture and furnishings, the room can even give people a sense of freshness.

Ling Ran is now writing a thesis, thinking about surgery, preparing before surgery and thinking after surgery, and she likes to take two steps slowly to allow blood to flow and her thinking to become active.

Ma Linglin's gaze became somewhat dull with Ling Ran's activities: "Yes?"

"Well, we are doctors. Respecting the patient's wishes should indeed be given priority." Ling Ran nodded slightly, clearly agreeing.

Ma Yanlin frowned: "They don't think right. People in their 40s and 50s have an open operation. Maybe they need to lie for three or four months. They must have been confused."

"Then you talk to them again." Ling Ran gave power to Ma Yilin without contacting anyone.

When Ma Yilin went out, he hesitated and could only go to Zuo Cidian to speak.

"Do you think Meng Shan sent someone to find the fault?" Zuo Cidian heard it as soon as he heard it.

"I think it's a bit like that," Ma said, guessing. "Let's talk about it, Meng Shan must be a famous doctor. What would he say to the patient ..."

Zuo Cidian shook his head and interrupted Ma Yanlin, saying, "Meng Shan can't chop the patient's hamstrings and send it to us, right?"

Ma Yanlin laughed.

"Don't laugh, you can't laugh at this." Zuo Cidian sighed and said, "No matter whether Meng Shan is involved or not, the patient is real, this is the core. I think, let's keep the patient first All right."

Zuo Cidian, who has worked in townships for many years, knows that too many things are unclear. If we want to make things clear in the countryside, it is not enough to talk about the Republic of China, at least we must talk about the Qing Dynasty. The most important thing is that you are clear, and the two sides will not recognize you.

The things at hand are similar to Zuo Cidian.

Looking at Ma Yanlin, who was only half his age, Zuo Cidian's tone eased, and said, "Dr. Ling did not know the situation inside, but his decision was right. Let's talk with the patient again. I want to have open surgery, I can do it or I have to do it. "

Ma Yanlin refused to acknowledge: "Why does it take three months to recover?"

"Maybe they will."

"Who would want an additional three months recovery period."

"But the Achilles tendon is stronger, right?"

"I asked ~ www.novelhall.com ~ They usually don't even go to the gym. What do they need such a high Achilles tendon strength?"

"What you do is a matter of others. This is a question of values." Zuo Cidian sighed and said, "Some people do breast augmentation surgery, and some people do breast reduction surgery. What do you say?"

Ma Yanlin opened his mouth dumbfounded. This problem really hit his pain point.

"Let's go to see the patient together. The conversation before the operation is not what this is about." Zuo Cidian smiled. "If people really want to use a few months of pain for a stronger Achilles tendon, I don't think so Can not do Zhu Ling Achilles tendon repair. "

"Then you can't be biased."

"Sure, if there is a bias, I also favor them for minimally invasive."

"I didn't expect us to think about pushing the patient one day ... Meng Shan is really ..."

Zuo Cidian smiled: "Who asked you to push the patient, we'd better do our part."