Chapter 169

Fang Ziye heard the middle-aged man say this, but instead felt a sense of relief.

One does not fear the calculating schemer, but the brainless, desireless, pure idiot.

If they want something, at least communication is possible; with a completely unreasonable idiot, you must speak very cautiously and carefully. Because you never know when they will snap and accidentally hurt you.

"I don't know." Fang Ziye shook his head, but retracted the bouncing fountain pen, pausing the act of writing.

"What do you mean you don't know?" The middle-aged man's Adam's apple bobbed as he spoke, his gaze burning as he looked at Fang Ziye.

Hearing this, Director Ning beside him was making frantic eye signals at Fang Ziye, hinting wildly at something.

"Because I haven't given you a precise diagnosis, I cannot say whether someone else's diagnosis is right or wrong. Don't try to wheedle information out of me either; I only respect the facts I see myself."

"As for other people's diagnoses, whether they are right or wrong, my capability is limited, I cannot evaluate them."

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

This couple had been fully fired up since the moment Fang Ziye entered, as if their sole purpose was to provoke Fang Ziye and Director Ning.

One suspects there were definitely private machinations at play.

"You say your piece, why are you afraid of me recording?"

"Record or not, does your story change?"

"I didn't record." The middle-aged man snorted coldly, his complexion turning even uglier.

But the middle-aged woman beside him appeared somewhat nervous.

Hearing this, Director Ning saw Fang Ziye slowly sit down in front of the patient couple before interjecting: "Brother, let's talk nicely. I see you're also a prominent figure in Enshi."

"A blunt word: we're all straightforward people. There's no need to stir up this kind of scene in our hospital; if it gets out, it looks bad for everyone."

"This is a hospital, not a place for evidence collection. Be it medical accidents or medical disputes in medical institutions, there has never been a saying of collecting evidence and finding faults at a brother hospital. Regardless of whether our hospital says another's diagnosis is right or wrong, it's all wrong."

"Misdiagnosis can only be determined by the Medical Safety Dispute Management Group of the Health Commission requesting the Medical Association's Expert Committee, right?"

"Making things this difficult for our hospital's young doctor is a bit unfair, isn't it?"

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

This was done deliberately for the middle-aged couple to see.

And he stated bluntly: "The call I just made was to our hospital's Medical Safety Office. The Medical Safety Office is a parallel functional department to the Medical Affairs Department. Any doubts you have beyond medical treatment, they will help handle and resolve."

"Including the fact that you've already recorded."

It is well known that the Emergency Department is where medical disputes occur most frequently. Therefore, the Medical Safety Office is generally established near the Emergency Department in all hospitals.

Director Ning had already spoken with the Safety Office people beforehand. Barely a minute after the call, four or five burly retired veterans had already entered from outside.

They stood at the doorway. The leader, likely the Safety Office Director or Group Leader, knocked and walked in.

He was sturdily built, not fat, but broad-framed, exuding immense pressure.

And in full uniform, his gait was still brisk, as if his skills were extraordinary.

After roughly scanning the situation inside, he said: "Hello, I'm from the Medical Safety Office. What exactly is the misunderstanding here?"

"If there's a misunderstanding, let's go to the Safety Office to talk. That way we can guarantee your treatment safety. And if our hospital doctor's attitude was bad, you can file a complaint right next door at the Complaint Reception Office, right?"

"Our hospital operates on the principle of serving patients."

Director Ning said: "Captain Zhang, these two patients came to our Emergency Department. We requested an Orthopedics consultation. He refuses to let our Dr. Fang treat him, only asking whether Minzu University Hospital misdiagnosed him. He may have recorded it too."

"This falls under emergency patients, so we couldn't report it in the system in time. It's also not a problem clinical doctors can handle anymore."

Captain Zhang understood the gist as soon as he heard.

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

"Whether Minzu University Hospital misdiagnosed you or not, go to Minzu University Hospital's Medical Affairs Department, find the Dean. Why pin it on our Orthopedics doctor?"

"Come on, come on. If you don't know the procedures for complaints and communication, our Safety Office staff are most familiar with this. Let's go, chat slowly, chat until you understand."

"Don't come over!" The middle-aged couple, seeing Captain Zhang's imposing figure approach, got a bit scared.

The middle-aged woman now explained in a low voice: "Let's not make a scene. Continuing like this isn't good for our connections either."

"Just because Dr. Wu didn't give you special convenience, affecting Director Zhong, it's not worth it."

The middle-aged man pondered for a long time. He looked at Fang Ziye, who wasn't scared but rather seemed to have seasoned handling experience, then at the composed Director Ning, and at Captain Zhang who didn't back down an inch after entering, as if he'd be taking him to the Safety Office for tea the next moment.

Only then did he take out his phone and say: "I'll delete the recording, okay? I need treatment. This dislocation still hurts a lot."

"Treatment requires cooperation. A doctor's diagnosis isn't guesswork, especially trauma. It's not something you can figure out just by touching and looking. The body is your own."

"If sequelae remain and you didn't get examined, how would that add up?"

"Judging by your dress, you should be a person of status too. No need to make things difficult for our hospital's doctors, right?"

Captain Zhang wasn't here to pick a fight either. If deleting the recording solves it.

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

Rather than going through functional departments and the Hospital Office's On-duty Director to have his registration cancelled.

Thus, witnessed by Captain Zhang at his side, the middle-aged man finally told Fang Ziye the truth.

Originally, the couple had the day off today. They planned to ride a motorcycle out for a spin. April weather, right in the middle of spring. Riding a motorcycle on mountain roads had a unique flavor.

But because they hadn't ridden in a long time, they fell. The wife on the back seat was fine. The man tumbled onto the ground. Fortunately, his foot wasn't crushed, only his arm injured.

The wife can ride too. She brought him to Minzu University Hospital and specifically pulled strings.

Unexpectedly, both arrived at the department, only to be told someone "cut in line." And the person who came was a Vice Dean of Minzu University Hospital, who personally came to the department and took Dr. Wu away.

He was already unhappy because Wu Xuanqi's handling wasn't crisp, and he still wanted him to do an MRI.

This good fellow, Wu Xuanqi, ran off with the Vice Dean right in front of him. How could he not be annoyed?

Later, although Wu Xuanqi called another doctor to handle him, told him to get tests, and explained Wu Xuanqi was going to the OR for a super-emergency surgery, otherwise a life would be lost.

And he had called Wu Xuanqi before. Wu Xuanqi didn't depart for a while. Only then did the Vice Dean go upstairs personally to summon him, taking Wu Xuanqi away.

But the patient wouldn't believe such an excuse. He felt he pulled strings, yet his doctor was "snatched away." Isn't that just saying their connections weren't hard enough?

Face burning with shame.

The cooperative middle-aged man underwent Fang Ziye's physical examination while nodding in agreement to his MRI application request, all the while venting his grievances.

"Doctor Fang, you tell me — if it were you, wouldn't you be angry?"

"And right before me, Doctor Wu just happened to perform a closed reduction on someone else too. I waited outside, but when it was my turn, I had to get an MRI, and then someone else got taken ahead of me."

"This medical ethics is simply the worst." The middle-aged man grew angrier the more he spoke.

Upon hearing this, Fang Ziye explained: "Doctor Wu's handling was fine, because the degree of your shoulder dislocation is more severe and rare than an anterior-inferior dislocation, with an extremely high probability of complications, so an examination was needed for confirmation."

"As for Doctor Wu leaving to perform emergency surgery, that's not for me to judge."

"But the rules in hospitals and textbooks are: save lives first, treat illness second. Your case falls squarely under treating illness. I believe Doctor Wu must have encountered a special emergency — not going could have meant losing a life."

"Naturally, I'm not saying his making you continue enduring the pain was correct, but on the principle of prioritizing the critical over the non-critical, he had to do it."

"Take this examination order, go to the MRI room for a scan, and when you're done, come find me in the Orthopedics Ward, alright? I'll be in the ward, and I still have things to do."

"The shoulder dislocation doesn't affect your pain either."

Fang Ziye still could not possibly comment on the right or wrong of another doctor's choices, because Fang Ziye did not have that authority. Even if Fang Ziye were a professor and the other person merely a Resident Physician, Fang Ziye still would not have that authority and capability, because misdiagnosis falls under the purview of the Professional Committee and the Medical Dispute Determination Group.

"Sigh—"

"You doctors all protect each other."

"When it comes to solidarity, you lot take the cake." The middle-aged man now felt that Fang Ziye actually wasn't so straightforward either.

He hadn't even recorded it anymore, so why couldn't he stand from his perspective and say a few nice flattering words?

……

After the patient and family left, Captain Zhang saw there was nothing more to do and led the Security Office staff away.

The Security Office doesn't serve just one department — it serves all departments. Whenever corresponding hidden dangers appear, they must go over to avoid direct physical disputes.

Director Ning looked at Fang Ziye and clicked his tongue in amazement: "Doctor Fang, you're not old, but you seem quite experienced at handling this sort of thing?"

"Director Ning, my previous subspecialty was Trauma Surgery." Fang Ziye felt he didn't need to over-explain.

"Oh—" Director Ning suddenly realized.

Orthopedics, aside from the Emergency Department, is the department with the highest incidence of medical dispute physical altercations, and Trauma Surgery bore the brunt of it.

This hospital's Trauma Medical Center, though not purely Trauma Surgery, the place where Fang Ziye did his graduate studies certainly was purely so.

He regarded Fang Ziye as one of this hospital's staff.

"Doctor Fang, you're really not bad — calm and composed, and the reasons you found are quite novel. You're a very good talent."

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

"Hello Director Ning, I'm Fang Ziye." After exchanging a few pleasantries with Director Ning, Fang Ziye headed out.

The matter was handled. This was no longer a pure emergency patient, but an emergency patient with a very high possibility of medical dispute — these are two different concepts, though the handling modes aren't that different either.

A pure emergency patient requires guaranteeing life safety; an emergency consultation patient requires avoiding the occurrence of medical disputes.

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

This speed was clearly not slow — the two of them must have acquaintances in Enshi Central Hospital who helped secure an MRI room and pull an extra shift, which is how it could be this fast.

Guo Yunlei subconsciously moved to prepare the informed consent form for the consultation signature, but Fang Ziye saw this and said: "Xiao Guo, I'll handle this patient's consultation signature myself."

"It's not necessarily a closed reduction."

Guo Yunlei understood immediately upon hearing this and grinned ingratiatingly at Fang Ziye.

However, after Fang Ziye carefully finished reading his MRI, he was surprised to a degree, and looked once more carefully at the MRI display images and basic information — it was indeed the middle-aged man himself.

He then said: "Uncle, your luck is truly extremely good."

"Such a rare dislocation, yet no accompanying fracture, nor any tears in the joint capsule, tendons, or other soft tissues — a closed reduction can be anticipated."

"Ah?" The middle-aged man gave a start upon hearing this.

His wife hurriedly said: "So this MRI was done for nothing then?"

"Not for nothing either — at least it lets you put your mind at ease. Let me tell you, the probability of you having no accompanying symptoms is not much lower than you buying a lottery ticket and winning five million."

"This is absolutely not alarmist talk — you can ask any Joint Surgery or Trauma Surgery doctor, or check any literature, it's all the same."

"Is good luck not good? Do you have to have problems come out and get cut open?" Fang Ziye was truly surprised — this man's luck was a bit too good.

A probability of less than one in ten thousand, and he hit it.

"That's not what I mean, but?"

"What a waste of time — just treat it directly and be done with it, no?" The middle-aged woman's emotions were slightly steered by Fang Ziye toward heartache for her husband.

This is precisely one of Fang Ziye's arts of speech — intentionally or not, steering the patient and family's thinking direction as much as possible toward monetary expenditure.

"That can't be said — whether you're here for treatment or I'm treating a patient, what we most demand is stability."

"If I do your reduction well, then tell you you might still need surgery, what would your thoughts be?"

"No need for me to say — your heart already has the answer."

"It's like if you were made to take a long-distance ride in a car driven by an unlicensed driver — your heart would be in your throat too, right?"

"Now the result is out — basically no need to consider rotator cuff damage or fracture issues. Put your mind at ease, sleep soundly. After successful closed reduction, just wait for recovery — isn't that good?"

After Fang Ziye said this, he had Guo Yunlei print a standard consultation signature informed consent form.

Because there were no exceptional injuries, there was no need to discuss related risks.

It's like you go out to the community to buy breakfast — the community grounds have no vehicle traffic, you don't cross any main roads, yet you still have to consider whether a crashing plane might fall from the sky and kill you, that kind of absurd fantasy — isn't that just borrowing trouble, selling anxiety?

When uncertain, Fang Ziye would try to explain the possibilities clearly, but once certain, there's no need to be vague and mystifying, putting on a high-end act.

Another ten-odd minutes later.

Fang Ziye, in the Operating Room, used a variant of the chair reduction method to reduce the posterior dislocation.

The middle-aged man let out an "Ah," then began to calmly, slowly compose his emotions and enjoy the intense pain relief, the "climax" after the dislocation was resolved.

"Alright, the joint has been reduced. Rest a bit, then try raising your arm, then put on a hanging sling, take an X-ray, and you can go home to rest."

"This hand cannot lift heavy objects or do strenuous exercise afterward. Semi-fixation for at least half a month to a month or so, then come back for a follow-up, and the problem will be solved."

"Also, your dislocation is indeed special; although there is no ligament rupture, there is soft tissue edema, and afterward there may be pain for a while, and swelling will also exist for about a week; you can consider using some common painkillers."

"After the edema and traumatic inflammation are eliminated, you can have normal activity; if your work nature is inconvenient, I can also give you a sick leave note here." Fang Ziye patiently explained to the patient.

The middle-aged man opened his eyes and immediately asked: "Doctor Fang, then what you say now, Minzu University Hospital, was it a misdiagnosis?"

Fang Ziye's face twitched for a moment.

He took a deep breath and explained: "It is not a misdiagnosis; Doctor Wu's diagnosis for you is no problem; it is just considering you have accompanying tendon injury, there is a possibility of needing surgery for direct reduction, solving multiple problems at once."

"It belongs to a protective examination."

"This is analogous to us buying major medical insurance; you buy it intending to directly give it to yourself for use?"

"Examinations are for letting us be more at ease, confirming the diagnosis; could it be you still expect that only if something you don't want to encounter is really checked out, does it live up to this money?" Fang Ziye, while approaching, during the process of putting on the forearm sling, counter-questioned like this.

"I must go over and argue it out with him to be satisfied."

"Doctor Fang, you also don't persuade me; look at you, your skill is so good, you solved it in one go. They, on the other hand, messily handled so much, and their attitude was also bad."

"Hmph." The middle-aged man at once excluded Fang Ziye, an expression of 'you just don't mind my choice' on his face.

Fang Ziye then said: "You may have had an MRI at Minzu University Hospital, so you also don't need to come run a trip to our place; I can give you closed reduction, not because my skill is better, but because I have examination results to back me up, so I can treat you with peace of mind."

"Doctor Fang, you don't say more." The middle-aged man's attitude was determined.

People fight for one breath, Buddha receives one incense stick.

(Chapter End)