Chapter 251 Stick to Your Own Opinion
"Doctor Xi, just have one more CT scan. Fang Jian is also considering the patient." Yu Huiliang said with a smile: "We are just interns, but we are not qualified to use the attending doctor's patients."
Xi Jinghuan thought for a while and said seriously: "Fang Jian, Yu Huiliang, I am not targeting you. However, if you do this, it will cause dissatisfaction among patients and their families. If you encounter difficult things, it may affect Dr. Ku."
"No way..."
"Similar things have happened before." Xi Jinghuan sighed and said, "We also want to check it carefully and thoroughly, so it is convenient to diagnose it like this. However, patients don't think so. They will only say, check this today and that tomorrow, the money will be wasted. Alas, those with medical insurance are still good, and they don't say much, but those without medical insurance will make people feel a headache." He paused and said, "Even if you meet someone with medical insurance, you must be careful when you prescribe the drug bill. If you encounter someone who cannot report the medical insurance, even if we really do it for them, they are unwilling to prescribe."
Xi Jinghuan's words were really heart-warming.
If he was an ordinary intern, he would be happy to watch the joke, so he would not persuade him with great sincerity.
However, if Fang Jian and others were really ordinary interns, they would probably not have the courage to make such excessive demands.
Chen Hougong nodded repeatedly and said, "Yes, don't be angry, you're impulsive."
"Who is getting hot?"
Ku Yuanming's voice sounded from the door, and his face was not good: "What's going on with you guys? Have you filled out the form? What's up here? I wonder if you can hear it outside the corridor?" He paused, looked at Fang Jian and Yu Huiliang, and finally felt embarrassed to continue scolding, saying: "If you have time, you can go to the emergency room to help. If you encounter a minor operation, do it, which is good for improving your skills."
Yu Huiliang's face changed slightly, and he secretly cried out in his heart. He hurriedly said, "Doctor Ku, we have filled it out, so let's go to the emergency room to help." He pulled Fang Jian and signaled him to follow him quickly.
However, before he could pull Fang Jian, Fang Jian said, "Dr. Ku, I want to give a abdominal CT test sheet to the patient in bed No. 118."
Yu Huiliang's steps suddenly stopped and said in his heart that this guy still said.
"Abdominal CT examination?" Ku Yuanming's face changed slightly, and he said angrily: "Fang Jian, what are you thinking?"
Although Fang Jian and Yu Huiliang had already shown their backstage last night, these people were not something that Ku Yuanming could provoke. However, for a doctor, he had to be responsible for his own patients. This is a matter of life. He could open any jokes or back doors, but this red line could not be touched.
Fang Jian had a decision in his heart, and Ku Yuanming's anger was also expected. His face was calm and he said calmly: "Doctor Zheng, I just checked the patient with bed 118 and found that there was a clear sense of bloating and fullness in his lower left abdomen. I suspect that there was an unidentified cause in his body."
"Oh, are you sure?"
"Yes, I'm sure." Fang Jian knew that there must not be any hesitation at this moment, and he said without hesitation.
If it was just the result of a physical examination with both hands, he was not sure. However, after having the mental perspective image, he was absolutely sure. Moreover, even if there was no perspective image, the patient's left lower abdomen was indeed a little strange. Even if the final result was not what he saw, his suspicion was reasonable and reasonable, and would never make people suspicious.
Sure enough, after hearing this explanation, Dr. Ku and others were stunned for a moment, and their eyes immediately became a little different when they looked at him.
Ku Yuanming hesitated for a moment and pondered, "Fang Jian, what do you think, why do you have to go to the follow-up patient?" Although he was still in the tone of inquiry, his attitude had undergone extremely subtle changes.
Fang Jian was greatly encouraged, and he hurriedly said, "Doctor Ku, I am here for an internship. The teacher said that the situation of every patient is unique. It is best for us doctors to face the patient in person and collect first-hand information. So I just wanted to try my hand, but during the examination, I found some abnormal situations." He lowered his head and apologized: "I just made my own decision, please forgive me."
"It doesn't matter. It's a good thing that the doctor can detect abnormalities." Ku Yuanming looked at Fang Jian seriously and said slowly: "I just want to ask if you have followed up with all the patients or only chose one of 118 beds."
Fang Jian's mouth twitched slightly. Ku Yuanming was able to become the attending doctor of the Second Hospital, and he had two tricks. He immediately found the focus of the matter. Was Fang Jian's mistake or was it targeted?
Yu Huiliang and others also stared at them in an instant. They also wanted to know about this question.
"Doctor Ku, I learned how to have a physical examination before. Today, when I was seeing a patient in bed 118, I found that his complexion was a bit wrong, so I followed it out."
"Physical examination?" Ku Yuanming and others were stunned, and never expected to get such an answer.
Yu Huiliang even widened his eyes and stared at Fang Jian without blinking. We all learned physical examinations, but why did you find a problem?
Ku Yuanming thought for a while and said, "Fang Jian, your attitude is rigorous. Doctors should indeed master first-hand information as much as possible, and the starting point is also good. However, have you ever thought about it? The patient was diagnosed with ordinary Parkinson's syndrome. If they suddenly had a CT scan on their abdominal area, would it be suspected of overexamination? If they encounter difficult patients..."
Although he didn't continue, everyone knew what he meant. Now the doctor-patient relationship in China is absolutely not harmonious, and it is even a bit confrontational. Examples of medical disputes in various places have emerged one after another, turning medical staff into a high-risk profession. When it comes to patients, everyone is careful and dare not neglect.
Fang Jian raised his head and said aloud: "Doctor Ku, I know that doing this may cause dissatisfaction among patients. However, compared to thoroughly understanding the condition and stifling any visible dangers in advance, our doctors should give priority to it. We must not ignore the risks that patients may encounter because of these and those concerns."
Yu Huiliang widened his eyes and looked at Fang Jian with surprise. At this moment, he felt a little unaware of this good friend. This was the first time he saw Fang Jian so firm in four years. His strong determination and belief seemed to burst out, which deeply infected him.
Ku Yuanming also looked at this young man. His previous anger had long disappeared, and there was an unconcealed look of appreciation in his eyes. Although they had not been together for a long time, Fang Jian won his recognition with his actual actions.
Of course, whether it is worth placing an order and checking, but he cannot listen to his one-sided words, Ku Yuanming still believes in his decades of clinical experience.
"Fang Jian, please go and check it out again. If it is really as you said, then issue an order to check."
"yes."
Seeing the two men leaving one after another, the remaining three trainee doctors looked at each other, but at this moment, their thoughts and ideas were very different.
"I'll go and have a look, too." Yu Huiliang ran in two steps.
Xi Jinghuan and Chen Hougong hesitated for a moment and followed each other.
Chapter completed!