Great doctors start with pediatrics

The air in the hospital always smells of disinfectant and iodine, mixed with a desolate and bleak atmosphere.

The office was eerily quiet at that moment.

Zhang Lianren's face turned ashen.

He had high hopes for Laurent, but Laurent's current behavior is undoubtedly abusing his medical license.

His suturing ability is one thing, but who would have thought Laurent could be so unreliable in other aspects?

I really shouldn't have had too many expectations for resident trainees!

Director Jiang's smile froze.

Looking at Laurent, he asked, "Laurent, do you mean you can't judge the patient's condition, but you feel there are these factors, so the surgery needs to be suspended?"

"It's not just that I'm pausing the surgery, it's that I feel it's very dangerous."

Laurent stated directly, "The patient himself was hiding something, and I came to this conclusion after observing the patient's condition."

Before Director Jiang could speak, Zhang Lianren, unable to contain himself, questioned, "I understand your concerns, but all the necessary pre-operative examinations have been performed. Blood pressure is within the normal range, and the electrocardiogram showed no abnormalities. How can you stop the surgery based solely on subjective feelings?"

"Yes, you said there might be a risk to his heart, but circumcision is a minor outpatient procedure with a small dose of anesthesia and a short duration. Even if there are some fluctuations in his heart rate, it is completely within a controllable range and there is no way it could endanger his life."

You're essentially trying to force a pathological connection to a normal physiological phenomenon through suggestive language.

Such subjective descriptions cannot be used as any basis for diagnosis.

Zhang Lianren finished speaking in one breath, then paused, lowered his voice, and said again, "Laurent! Diagnosis and surgery are not suturing techniques, nor are they detective games. Your suspicions are baseless and meaningless."

Director Jiang nodded.

From a doctor's perspective, Zhang Lianren's statement is undoubtedly correct.

Laurent's doubts are not without value, but they are meaningless.

Director Jiang thought for a moment, and seeing that Zuo Zhenxing had not yet spoken, he said, "Laurent, being cautious is a good thing. As a doctor, you should pay attention to such details, but you can't rely solely on your feelings in clinical practice."

This is the same as what Dr. Zhang said.

First, the patient is young and has no history of heart palpitations. Palpitations after exercise and staying up late are common physiological reactions, so it is possible to have the surgery after a good night's sleep.

Secondly, the preoperative examinations were all satisfactory and met the indications for surgery. If everyone had the same doubts as you, how many examinations would we need to do?

Moreover, we can monitor the patient during the operation. The hospital has very standardized procedures and regulations, which should not be overturned rashly.

Fortunately, this was the last patient today. What would have happened to the patients ahead of us in line?

Explain with emotion and reason.

After all, he is the director of pediatric surgery, and his temperament is much gentler than that of doctors in other departments.

Generally speaking, doctors in obstetrics and gynecology departments and emergency departments in hospitals are often the most short-tempered.

Pediatricians must have the best temperaments.

Pediatrics is the job where you're most likely to get upset; the family of a sick child will often come and give the doctor a thorough interrogation.

After a while, people with strong personalities simply couldn't continue working in pediatrics. They either had to quit or try to transfer to the emergency department.

Even now, when facing students, Director Jiang's temperament has not changed.

"What do you think, Lao Zuo?"

Director Jiang said, "After all, this is your student, so I shouldn't say too much."

Zuo Zhenxing frowned.

Her eyes were fixed on Laurent, her teeth constantly biting her lip, and she hesitated greatly: "Laurent."

"exist."

Zuo Zhenxing asked, "You said you felt the same way yesterday morning?"

"Yes, I'm sure of it."

Laurent stated firmly, "I believe there is a possibility of risks if the surgery continues."

"Are you sure?" Zuo Zhenxing didn't say much, he just looked at Laurent.

"Sure."

Upon hearing Laurent's words, Zuo Zhenxing fell into deep thought.

After a long silence, Zuo Zhenxing slowly spoke:

"The surgery costs will be charged to my account."

"I'll cover the costs, and then I'll order the tests from my clinic."

"but……"

Zuo Zhenxing said to Laurent again, "If this matter doesn't yield results, I hope you will be more cautious."

For patients, excessive testing means spending money.

Although most of the patients who come to our hospital are urban residents, most of them do not have employee medical insurance. A CT scan of one part of the body can cost three or four hundred yuan, and blood tests other than routine blood tests can cost several hundred yuan.

Therefore, we cannot allow them to waste money from a profit-making perspective; many of them do not earn much more than you, the residents in residency programs.

After saying that, Zuo Zhenxing changed his perspective: "Besides, if you order too many unnecessary tests for patients, as long as there is any suspicion of over-medicalization, the doctor will inevitably be questioned. This is closely related to your profession, and you should be cautious even for your own sake."

Laurent listened attentively: "I understand, Teacher Zuo."

Laurent certainly understood what Zuo Zhenxing was talking about.

As an excellent teacher, I not only hope that students can consider patients from a moral perspective, but also transform this into a rational choice from the perspective of professional ethics.

This statement, from an educator's perspective, is undoubtedly insightful.

"Good that you understand."

"Director Jiang, thank you for your help."

Zuo Zhenxing nodded to Director Jiang, then turned his gaze to the energetic young man in the corner: "Hey...brother, what are you thinking? I can cover the checkup fees. How about we get a few basic tests done? It won't harm your health. A chest CT scan might involve some radiation, but if you don't want to..."

"It's okay, it's just a check-up, right? My brother said I'd definitely be willing." The energetic young man stepped forward and hooked his arm around Laurent's neck.

However, he was a head shorter than Laurent, and after all that, he was forced to stand on his tiptoes.

"Are chest CT scans the kind that show a skeleton? Haha!"

The doctors present nodded silently.

"Just give me one for free when the time comes."

"And bro, remember you have to stitch me up, okay?"

As he spoke, the energetic young man grabbed Laurent and tried to walk out.

Zhang Lianren looked at Zuo Zhenxing: "Director Zuo, this isn't right..."

"Give it a try." Zuo Zhenxing didn't say much more: "Consider it a lesson for the students."

……

"The CT scan results are in."

"Aside from a 2*3 cm ground-glass nodule in the right lung with blood vessels running through it, which requires follow-up observation, there were no abnormalities."

Zuo Zhenxing, Director Jiang, and Zhang Lianren huddled together in front of the computer to observe.

"The blood test results are normal; we need to wait for the D-dimer test."

"Laurent, judging from the test results, the patient doesn't seem to have many problems. What do you think?"

"..."

There's none?

Impossible!

Laurent looked at the data above. Even though he didn't understand medical knowledge, he could still read the test results.

Laurent was speechless for a moment.

Am I just being paranoid?

"Hey, baby, wait for me at the bar tonight."

Red light, the red light still appears.