top student at medical school

Chapter 169 A Man Fights for His Pride (Please Subscribe)

Fang Ziye breathed a sigh of relief when he heard the middle-aged man say that.

I'm not afraid of those with ulterior motives, but I'm not afraid of those who are purely brainless and without desire.

If you have something to ask for, you can at least communicate. If someone is a complete idiot who is utterly unreasonable, you have to be extremely careful with your words. Because you never know when they might go berserk and accidentally hurt you.

"I don't know." Fang Ziye shook his head, but then put the pen back, pausing his writing.

"Don't you know what I mean?" The middle-aged man's Adam's apple bobbed as he spoke, his gaze fixed intently on Fang Ziye.

Upon hearing this, Director Ning, who was standing next to Fang Ziye, was frantically giving him meaningful glances.

"Because I haven't given you an accurate diagnosis, I can't say whether the diagnosis others gave you was right or wrong. Don't try to get information out of me. I only respect the facts I've seen."

"Whether other people's diagnoses are right or wrong is beyond my ability to judge."

"By the way, Uncle, if you have the recording on, please turn it off so we can discuss the diagnosis and treatment calmly." This wasn't the first time Fang Ziye had encountered such a situation.

The couple became furious the moment Fang Ziye entered, as if they were deliberately trying to provoke him and Director Ning.

There must have been some underhanded dealings behind the scenes.

"You can say whatever you want, why are you afraid I'll record you?"

"Whether you record the audio or not, does your story still make a difference?"

"I didn't record it." The middle-aged man snorted coldly, his expression turning even worse.

However, the middle-aged woman next to her seemed somewhat nervous.

Upon hearing this, Director Ning saw Fang Ziye slowly sit down in front of the patient couple before interjecting, "Brother, let's talk this out. I see you are a prominent figure in Enshi."

"To put it bluntly, we are all open-minded people, there is no need to create such emotions in our hospital, it will not be good for anyone if word gets out."

"We are a hospital, not a place for collecting evidence. Whether it's a medical accident or a medical dispute, we have never asked other hospitals to collect evidence or find errors. No matter whether our hospital says that someone else's diagnosis is right or wrong, it's wrong."

"The only way to determine whether a diagnosis has been misdiagnosed is for the Medical Safety Dispute Management Group of the National Health Commission to request the expert committee of the Medical Association to make a determination, right?"

"Isn't it a bit unfair of you to make things so difficult for our hospital's junior doctors?"

As Director Ning spoke, he made a phone call. After dialing the number, he didn't put the phone to his ear, but instead placed it face down on the table.

He did this directly to show the middle-aged couple.

And he stated bluntly: "The number I'm calling now is the Medical Safety Office of our hospital. The Medical Safety Office is a functional department parallel to the Medical Affairs Department. They will help handle and resolve any questions you may have outside of your medical treatment."

"Including the questions you've already recorded."

As is well known, the emergency department is where the highest rate of medical disputes occurs. Therefore, the office of safety is usually set up near the emergency department of all hospitals.

Director Ning had already spoken with the security office beforehand, and less than a minute after the call, four or five burly retired men entered.

They stood at the door, and the person in the lead, who was probably the director or team leader of the security office, knocked and came in.

He was sturdy, not fat, but with a broad frame, giving him a very imposing presence.

Moreover, despite being fully uniformed, he moved with remarkable agility, as if he possessed extraordinary skills.

After quickly glancing around the room, I said, "Hello, I'm from the Medical Safety Office. What kind of misunderstanding has occurred here?"

"If there's any misunderstanding, let's go to the security office together to talk. That way, we can ensure your safety during your medical visit. Also, if our hospital's doctors have a bad attitude, you can file a complaint at the nearest complaint reception office, right?"

"Our hospital is based on the principle of serving patients."

Director Ning said, "Captain Zhang, these two patients came to our emergency room. We invited the orthopedics department for a consultation, but he refused to see Dr. Fang from the orthopedics department. He just kept asking whether Minzu University Hospital had made a misdiagnosis, and he may have even recorded it."

"This is an emergency case, so we can't report it in the system in a timely manner, and it's not a problem that we clinicians can handle."

Upon hearing this, Captain Zhang roughly understood.

She walked over with a smile: "Brother, that's not very fair of you. This is a hospital, not a court. How can you determine who is right and who is wrong?"

"Whether Minzu University Hospital misdiagnosed you or not, go to the medical affairs department or the hospital director at Minzu University Hospital. Why did you come to our hospital's orthopedic doctor?"

"Come on, come on. If you don't know the procedure for filing a complaint and communicating, our security office staff are the most familiar with this kind of thing. Let's go over and talk slowly until you understand."

"Don't come any closer!" The middle-aged couple were intimidated when they saw Captain Zhang's burly figure approaching.

The middle-aged woman then explained in a low voice, "Why don't we stop making a scene? It's not good for our acquaintances if we keep going like this."

"It's not worth it for Dr. Wu to make things difficult for you and then affect Director Zhong."

The middle-aged man pondered for a long time, looking at Fang Ziye, who was not intimidated at all and had some experience in handling such situations, then at Director Ning, who was calm and composed, and Captain Zhang, who had not backed down at all since entering. It was as if he was about to take him to the security office for tea at any moment.

He then took out his phone and said, "Can I delete the recording? I need to see a doctor; this dislocation is still very painful."

"You have to cooperate when you see a doctor. Doctors don't make diagnoses by guessing, especially for external injuries. They can't just touch and look at it to make a diagnosis. Your body is your own."

"What if it leaves lasting effects that you didn't detect during the examination? Wouldn't that be a huge loss?"

"Judging from your attire, you must be someone of status. There's no need for you to make things difficult for our hospital's doctors, right?"

Captain Zhang wasn't there to cause trouble; he could resolve the issue by deleting the recording.

So this patient is still a patient, and a normal doctor-patient relationship can still be established.

Instead of cancelling his registration through the functional departments and the hospital office's on-call staff, they did so.

After this, with Captain Zhang as a witness, the middle-aged man finally told Fang Ziye the truth.

The couple had just taken a day off and planned to go for a ride on their motorcycle. In April, with spring in full bloom, riding a motorcycle on the mountain roads would be a unique experience.

Because he hadn't ridden a bike in a long time, he fell. His wife on the back seat was fine, but the man rolled onto the ground. Fortunately, he didn't hit his foot, only his arm.

His wife can also ride a bike, and after taking him to the Minzu University Hospital, she specifically used her connections.

Unexpectedly, after both of them arrived at the department, they were told that someone had cut in line. Moreover, the person who came was a vice president of the Minzu University Hospital, who personally came to the department and asked Dr. Wu to leave.

He was already unhappy because Wu Xuanqi's handling of the situation was unsatisfactory, and he was even required to undergo an MRI scan.

Good heavens, Wu Xuanqi ran off with the vice dean right in front of him, how could he not be furious?
Later, Wu Xuanqi called a doctor to treat him and make him undergo examinations. The doctor also explained that Wu Xuanqi was going into the operating room for an emergency surgery, otherwise he would have lost his life.

Moreover, they had called Wu Xuanqi beforehand, and since Wu Xuanqi hadn't left for a while, the vice dean went upstairs to personally call someone and take Wu Xuanqi away.

But patients don't believe such excuses. They feel that they've used connections and still had their doctor "stolen," which means their connections weren't strong enough.

Face hurts.

The middle-aged man, while cooperating with Fang Ziye's physical examination, nodded in agreement to Fang Ziye's request for an MRI scan, and complained about his troubles.

"Dr. Fang, tell me, if it were you, wouldn't you be angry?"

"And just before me, Dr. Wu had performed a manual reduction on another person. I was waiting outside, and when it was my turn, I had to get an MRI, but someone took me away."

"This medical ethics is simply appalling." The middle-aged man became increasingly angry as he spoke.

Upon hearing this, Fang Ziye explained, "Dr. Wu's treatment is correct. Your shoulder dislocation is more serious and rarer than anterior inferior dislocation, and the chance of complications is extremely high, so an examination is necessary for a definitive diagnosis."

"As for Dr. Wu performing emergency surgery, I cannot comment on that."

"However, the hospital and textbooks stipulate that saving lives comes first, then treating illnesses. Your problem falls directly into the category of treating illnesses. I believe that Dr. Wu must have encountered a special emergency, and not going could have meant losing a life."

"Of course, I'm not saying that it's right for him to let you continue to suffer, but in terms of prioritizing, he has to do it this way."

"Take this test form to the MRI room and get an MRI. After that, come find me in the orthopedic ward, okay? I have other things to do in the ward." "A shoulder dislocation won't affect your pain."

Fang Ziye still cannot comment on whether another doctor's choice was right or wrong, because he does not have that authority. Even if Fang Ziye is a professor and the other person is just a resident physician, Fang Ziye still does not have that authority or ability, because misdiagnosis falls within the responsibilities of the professional committee and the medical dispute determination panel.

"Alas!~"

"You doctors all protect each other."

“When it comes to unity, it has to be you guys.” The middle-aged man felt that Fang Ziye wasn’t exactly straightforward either.

He didn't even record it, so why can't we put ourselves in his shoes and say a few nice, flattering words?

……

After the patient and their family left, Captain Zhang, seeing that there was nothing else to do, left with the security office staff.

The safety office doesn't just serve one department; it serves all departments. If any potential hazards arise, the office must go there to avoid direct physical altercations.

Director Ning looked at Fang Ziye and clicked his tongue in amazement, saying, "Dr. Fang, you're not very old, but you seem to have quite a lot of experience in handling these kinds of things."

“Director Ning, my previous subspecialty was trauma surgery.” Fang Ziye felt he didn’t need to explain further.

"Oh!" Director Ning suddenly realized.

Orthopedics is a major contributor to the incidence of limb-related medical disputes, second only to the emergency department, and trauma surgery plays a crucial role in this.

Although our hospital's Trauma Medical Center is not purely a trauma surgery center, it is definitely a pure trauma surgery center, as it was where Fang Ziye did his postgraduate studies.

He regarded Fang Ziye as an employee of the hospital.

"Dr. Fang, you are quite good. You are calm and composed, and the reason you came up with is also quite novel. You are a very good talent."

"Ning Anguo." Director Ning stood up and introduced himself.

"Hello, Director Ning, my name is Fang Ziye." After exchanging a few pleasantries with Director Ning, Fang Ziye walked out.

Once the matter is resolved, this patient is no longer a typical emergency patient, but rather an emergency patient with a very high probability of medical disputes. These are two different concepts, and the handling methods are also different.

For purely emergency patients, the goal is to ensure their safety; for patients seeking emergency care, the goal is to avoid medical disputes.

After Fang Ziye returned to the trauma center office, he and Guo Yunlei ordered takeout together, and then the middle-aged couple came looking for them.

This speed is obviously not slow. It must be because the two of them have acquaintances in Enshi Central Hospital, so they asked him to find an MRI room and work an extra shift, which is why they were able to get it done so quickly.

Guo Yunlei instinctively reached for the informed consent form to sign, but Fang Ziye said, "Xiao Guo, I'll sign the patient's consent form myself."

"It doesn't necessarily have to be manual reduction."

After hearing this, Guo Yunlei immediately understood what it meant and smiled sheepishly as he tried to curry favor with Fang Ziye.

However, after carefully reviewing the MRI scan, Fang Ziye was somewhat surprised. He examined the MRI image and basic information again and confirmed that it was indeed the middle-aged man's image.

He then said, "Uncle, you are really very lucky."

"Such a rare dislocation, without any complications such as fractures or tears in the joint capsule or tendons, suggests that manual reduction is an option."

"Huh?" The middle-aged man was shocked upon hearing this.

His wife quickly said, "So, the MRI was done for nothing?"

"It's not all for nothing, at least you can rest easy. Let me tell you, the chances of you not having any accompanying symptoms are no less than winning five million in the lottery."

"This is absolutely not an exaggeration. If you ask any joint surgeon or trauma surgeon, or if you check any literature, you will find that this is the case."

"Isn't good luck enough? Why does it have to cause some problems and require surgery?" Fang Ziye was genuinely surprised; this man's luck was simply too good.

He encountered a situation with a probability of less than one in ten thousand.

That's not what I meant, but rather...?

"This is such a waste of time, why not just deal with it directly?" Fang Ziye slightly steered the middle-aged woman's emotions toward feeling sorry for her husband.

This is one of Fang Ziye's art of speaking: intentionally or unintentionally guiding patients and their families to focus their thinking on financial expenditures.

"You can't say that. Whether it's you coming to treat the patient or me treating the patient, what we require most is to be reliable."

"After I've finished repositioning you here, I'll tell you that you might need another surgery. How would you feel about that?"

"I don't need to tell you, you probably already have the answer in your heart."

"It's like if you were asked to take a long trip in a car driven by someone without a license, you'd definitely feel uneasy, right?"

"Now that the results are in, there's basically no need to worry about rotator cuff injury or fracture. Just relax, get some rest, and once the manual reduction is successful, all you have to do is wait for recovery. Isn't that great?"

After Fang Ziye finished speaking, he asked Guo Yunlei to print out a standard informed consent form for the interview.

Since there are no exceptional cases of injury, there is no need to discuss the associated risks.

This is like going out to buy breakfast in your neighborhood. There are no cars on the ground, and you don't cross any main roads. You still have to worry about things like a plane crash that could kill you. Isn't that just needless worrying and selling anxiety?

When uncertain, Fang Ziye would try his best to clarify the possibilities, but once certain, there was no need to remain vague. He was deliberately trying to appear sophisticated.

Another ten minutes or so passed.

Fang Ziye was in the control room, using a variation of the chair reset method to reset the posterior dislocation.

After letting out a cry, the middle-aged man began to calmly and slowly soothe his emotions and enjoy the relief of the intense pain and the "orgasm" after the dislocation was resolved.

"Okay, the joint has been put back in place. You can rest for a bit, then try raising your arm a little, then put on a sling, take an X-ray, and then you can go home to rest."

"You can't lift heavy objects or do strenuous exercise with this hand. It will be semi-immobilized for at least half a month to a month. Then come back for a follow-up examination, and the problem will be solved."

"Also, your dislocation is indeed unusual. Although there is no ligament rupture, there is soft tissue edema. You may experience pain for a period of time afterward, and the swelling may persist for about a week. You can consider using some commonly used painkillers."

"Once the swelling and traumatic inflammation subside, you can resume normal activities. If your work makes it inconvenient, I can also write you a leave slip," Fang Ziye patiently explained to the patient.

As soon as the middle-aged man opened his eyes, he asked, "Dr. Fang, can you tell me now, did Minzu University Hospital make a misdiagnosis?"

Fang Ziye's face twitched for a moment.

Taking a deep breath, he explained, "It's not a misdiagnosis. Dr. Wu's diagnosis for you is correct. It's just that considering you also have tendon damage, you might need surgery to directly reposition it, potentially resolving multiple issues at once."

"It's a protective check."

"This is similar to buying critical illness insurance. Are you buying it for your own use?"

"The purpose of the examination is to put our minds at ease and confirm the diagnosis. Do you really expect that the examination will reveal some problems that you don't want to encounter, so that the money will be worthwhile?" Fang Ziye asked rhetorically as he approached, putting on a sling for his forearm.

"I have to go and demand an explanation from him."

"Dr. Fang, don't try to persuade me anymore. Look at you, your skills are so good, you solved it in no time. And them, they did so many messy things, and their attitude was terrible."

"Hmph." The middle-aged man immediately dismissed Fang Ziye, giving him an expression that said, "Don't worry about my choice."

Fang Ziye then said, "You may have had an MRI at Minzu University Hospital, so you don't need to come here. I can perform manual repositioning for you, not because my technique is better, but because I have the test results to back me up, so I can treat you with peace of mind."

"Dr. Fang, please don't say any more." The middle-aged man's attitude was firm.

People fight for a breath, Buddha receives a stick of incense.

(End of this chapter)