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Practicing Medical Skills in a Small Clinic-Chapter 195 - 132: The Doctor Fell Ill from Angry Patients, A Compromise Solution
Director Lian is around forty-seven or forty-eight years old. He works very hard, has a wealth of medical knowledge, and a solid foundation, earning high praise from everyone.
After briefly reporting to the hospital leadership, he quickly returned to his department to start working, despite the exhaustion from traveling.
Traditionally, someone like him could completely rest at home on the day he returns to the country.
In the doctor's office, Director Lian turned on the computer and logged into the intranet, habitually checking the recent patients in his department.
Thanks to the widespread use of computers and networks, the hospital's intranet has gradually improved.
After logging into their personal accounts, doctors can view cases within their group according to their personal permissions.
Director Lian has a bit more authority and can view cases from the entire department.
Patients who have been discharged, cases pending, those under intensive monitoring or observation, undiagnosed challenging cases...
All of these are clearly categorized and straightforward to understand.
This also makes it convenient for department doctors to keep abreast of their patients' statuses in a timely manner.
"Why do we have so many undiagnosed challenging cases in our first group?"
Director Lian furrowed his brows.
"Many cases are indeed extremely difficult to diagnose, and there are two challenging pediatric cases transferred over. During the hospitalization observation period, the family, seeing no significant improvement, chose to discharge voluntarily."
The young doctor cautiously explained beside him.
The hospital has always felt helpless towards patients who voluntarily discharge themselves.
To put it bluntly, it means the patients forced their way out.
The hospital is not a prison. If the family and patients are dissatisfied with the effectiveness or have doubts about the hospital's medical staff, no one can stop them from leaving.
Of course, in such cases, a discharge certificate cannot be obtained.
"Both pediatric cases that were transferred over had fever, diarrhea, and mucus watery stool?"
Director Lian glanced through quickly, his tone noticeably higher.
Treating diarrhea is the strength of the first group in gastroenterology; the two patients who discharged themselves both had diarrhea and fever, which naturally made him show a hint of dissatisfaction.
"The first case of diarrhea is difficult to treat. It was transferred from the children's hospital and had been treated there for a long time. Director Yang was the initial and primary care physician, who conducted three fecal cultures, all with negative results. The family, possibly having accumulated some emotions during treatment at the children's hospital, was somewhat unhappy and complained to the nurse, questioning if all our hospital could do was test feces?"
That morning, the family took the child and discharged voluntarily.
Because of this, Director Yang got so upset that he fell ill."
Some older doctors, having gained fame and enjoyed privileges, have developed an air of arrogance.
When faced with this situation, being questioned for lack of competence, they can become so frustrated that they fall ill.
"No wonder we didn't see Director Yang today! So, what happened with the second case?"
"This child was hospitalized for five days after admission, and diarrhea lasted for a total of 20 days, with mucus and pus in the stool. The initial diagnosis was pseudomembranous colitis, and it has been sent for pathology. The results aren't back yet, but the family discharged voluntarily. This child's family doubts us, possibly influenced by the previous case's family."
Stirring up trouble, setting the rhythm, it's pervasive.
This sort of thing happens easily in hospital wards.
When one family is dissatisfied with the hospital, they will try every trick in the book to spread biased remarks among fellow patients and their families in the same ward.
Those relatives with wisdom and perseverance will listen but not take it seriously.
But if another patient's treatment isn't going well, it's easy for them to listen and believe.
For such matters, hospitals generally don't have any good solutions.
To be honest, for the hospital, having one or two troublesome patients leave might actually make the staff a bit happier.
Big hospitals never lack patients.
While patients are hospitalized, the medical staff is responsible. Once discharged, patients and their families take responsibility for themselves.
"Go ahead and get busy while I take a look!"
After sending the young doctor away, Director Lian began to carefully examine each difficult case.
The hospital has a three-tier ward round system.
General cases are usually resolved by the hospital and attending physicians, and the director might only casually inquire about them during the weekly rounds.
The cases that truly require the directors' attention are the difficult ones and critical cases.
"The diagnostic direction for this child should be correct; it is likely pseudomembranous colitis, and we'll know once the pathology results are out. As for the first case of diarrhea, the cause is elusive, and there's a possibility of inflammatory bowel disease, though the probability is quite low. I need to call the family and find out."
Director Lian prioritized ruling out the two recent cases of voluntary discharge.
Other doctors might not even bother calling the families.
Because it's easy to get scolded.
Director Lian is known for his persistence. When it comes to challenging cases, he has a relentless spirit to pursue the truth.
This dedication to overcoming obstacles and seeking the truth is what makes him increasingly strong.
"Who is calling?"
Once the call was connected, a somewhat fierce-sounding middle-aged woman's voice came through.
"Hello, is this Tang Chengguang's family?"
"Yes, yes! Are you from Sunshine Clinic?"
The caller was the child's grandmother, who thought it was a doctor from Sunshine Clinic calling to inquire about the condition, and her tone and attitude immediately became very courteous.
"We are not a clinic; I am Lian Tao, the chief physician of the gastroenterology department at People's Hospital."
Director Lian is the chief physician at a top-tier hospital, a professor and expert, and would never be associated with a 'rat's nest' of a clinic.
He quickly clarified and identified himself to the family.







