Chapter 302: A Place with No Use for One's Skills

Lan Tianluo pressed his lips into a smile, and after realizing his Master's intent, he also felt that Yuan Weihong had been wronged.

Yuan Weihong's outpatient clinic was all day Wednesday; today was not Wednesday, otherwise Yuan Weihong would not have gone to the operating room this morning.

So Lan Tianro mischievously said: "Master, anyway, one gets used to it."

"What did you say?" Yuan Weihong's eyelids immediately twitched.

Jie Han's endless questions and Fang Ziye's profound abilities were both immortals Yuan Weihong dared not provoke; fortunately, Lan Tianluo had always been an obedient boy.

But since Lan Tianluo suspiciously fell into the river of love, he had become increasingly jumpy and mischievous...

"It's nothing, Master. What I mean is, Senior Brother will definitely handle everything well; he is one of our own." Lan Tianluo thus tactfully expressed another layer of meaning.

It was only now that Lan Tianluo discovered that chatting with his girlfriend and honing his eloquence could not be replaced by ordinary activities.

Fang Ziye was just planning to train someone when noise came from outside.

As the noise grew louder, Fang Ziye could only go into the department to ask Liu Haihua about the specific situation, then frowned tightly and said: "Elder Sister, please don't be anxious first. Can you listen to me first?"

"Can't we treat the illness first? Look how much pain my mother is in?" The middle-aged woman looked at Fang Ziye, found him more mature, and believed him a little.

"Your mother's current situation is actually probably not an ordinary shoulder joint dislocation."

"To diagnose more clearly, an MRI must be taken first to determine whether the muscle tissue around the shoulder joint is interlocking with the humeral head."

"Only after a clear diagnosis and understanding the situation can we know what treatment to conduct."

"What Doctor Liu just said was also correct. Shoulder joint dislocation can be treated by manual reduction or surgical reduction, and manual reduction is preferred!"

"You've checked these, but some special situations are not suitable for manual reduction."

Fang Ziye explained.

The people who came were an old grandmother and a middle-aged woman.

Both women looked displeased after hearing this.

The patient's daughter-in-law said: "But just now Doctor Liu said manual reduction could be tried first, then an MRI."

"What if it can be reduced directly?"

"What if it's not a special joint dislocation? Then wouldn't an MRI be unnecessary?"

The old woman said nothing, just a little afraid of her daughter-in-law.

But she might have been unable to bear the pain, so she looked at Fang Ziye: "It hurts, Doctor. Can we do analgesics first?"

Fang Ziye raised his upper eyelid and continued: "This? Elder Sister. It's not what you understand."

"We cannot pray for a 'what if' when conditions exist. Only when there is no other solution can we strive for that 'what if' opportunity."

"And we are human; humans cannot just try things casually."

"An MRI gives results very quickly and doesn't waste much time."

After speaking to the old woman's daughter-in-law, he turned to explain to the old woman: "Grandma, your pain is joint dislocation pain! If the joint dislocation isn't solved, painkillers are useless."

Fang Ziye had actually discovered through Image Reading that this patient's anterior shoulder dislocation was quite complex.

Anterior dislocation was simple among dislocations, but special situations still existed!

Now having the patient's family member take the old woman for an MRI, the other party refused, which put Fang Ziye in a difficult position.

Even though Fang Ziye's manual reduction was now above Level 4, approaching Level 5!

But it was still not Level 5, and Fang Ziye dared not gamble recklessly.

To gamble on probability.

This was not something a doctor should do.

One must first confirm the course and specific position of the biceps brachii tendon.

The old grandmother sighed, her right hand continually stroking her left arm, saying: "Doctor, I hurt. Give me a painless reduction first."

"Can I go for examination after I don't hurt?" Her tone carried pleading.

"No pain means cured! Then no examination is needed." Did Fang Ziye feel his explanation didn't need to be understood? His tone turned slightly cold.

"Isn't that better, Doctor, Doctor."

"We go down for examination, then come up. This round trip isn't very suitable, is it?"

"And just now Doctor Liu said to try manual reduction first, and if it really doesn't work, switch to surgery."

"Isn't this examination just for surgical preparation?"

As she spoke, she looked at Liu Haihua, her gaze shrewd. In her heart she examined the content she had searched online: hospitals were full of useless examinations.

Many examinations—if they can be skipped, don't do them.

Liu Haihua anxiously argued: "Elder Sister, just now when we were talking about treatment, I said manual reduction could be done, but I didn't say not to diagnose first."

"Examinations are for diagnosis!"

The patient's daughter-in-law grew impatient, producing an X-ray diagnosis report: "This report clearly says it! Anterior shoulder dislocation. How much clearer does it need to be?"

"You two young doctors—can you read it or not? If you can't, call your department's director and superior over!"

"They think reduction can be done without an MRI."

"I, someone who understands nothing, know this diagnosis is already clear! You still want to examine—aren't you intentionally making things difficult for our patient?"

"If your level isn't enough? Just openly admit it?"

Things had come to this point, and Fang Ziye immediately sighed. He said: "Elder Sister, let's not argue first."

"There are many postoperative patients resting in the department. Disturbing them is not suitable."

"Our director is not in the department now, but you need him. And if you're not reassured by my suggestion, wait a moment; I can make a phone call to report?"

"Hurry and call your director! Can't treat illness and still waste time here."

"Don't you have any sense?" The patient's daughter-in-law impatiently snatched the films from Fang Ziye's hand.

Fang Ziye could only call his Master.

……

Yuan Weihong happened to be off work at that time, and hadn't gone far from the outpatient clinic.

He hurried back, and only after carefully reading the films did he say: "Hmm, given your mother's current condition, it's safer to get an MRI for confirmation, just in case there's soft tissue damage, and then she'd need to be transferred to Sports Medicine."

"If we just do a closed reduction directly, that's far too rigorous—"

The middle-aged woman started making a scene: "You're all in cahoots, right? I just heard him call you Master, and you're here backing up your student, aren't you?"

"I've waited so long for you, and you come over just to tell me this?"

"Then you might as well not have come?"

The woman immediately played the home field advantage, first pointing at Liu Haihua: "He said he could cure it in a moment, and then he came."

She pointed at Fang Ziye.

"He said he needs an MRI."

"He called you over, and you say the same thing—you're obviously just covering for him." Then she pointed at Fang Ziye again.

"Do you really want us patients to undergo so many tests?"

Hearing this, Yuan Weihong chuckled: "Big Sister, you want to kill our student, right? But you should know that clinical students are allowed to make mistakes!"

"If he said something wrong, I can certainly correct him, and even help him improve! Why let this error go uncorrected?"

"You say he's right? Do you understand more than I do? Then your mother wouldn't need to come to the hospital for treatment at all?" Yuan Weihong openly admitted the error.

"No, Big Sister, what kind of procedure is this? Emergency consultation should be in the Emergency Department—how did you end up in the ward?"

"Ziye? Did she register?" Yuan Weihong suddenly realized something.

He had only just admonished Fang Ziye today; Fang Ziye couldn't possibly make a similar mistake again.

Yuan Weihong looked at the report she was holding—it was from another hospital—and decisively pushed her back, saying: "You need to register first. This is just a student; he has no diagnosis and treatment authority. Register first, then go through the emergency procedure."

"You haven't registered, so we have no doctor-patient relationship. Who are you?"

"You're clearly in cahoots with him. I heard you're in cahoots."

"Hey, you..." The woman was relentless: "Doctors in your department protect each other, and their opinions are all over the place."

"One doctor says closed reduction can be done, another says it can't and that tests must come first. Then another person also says tests are needed."

"Who am I supposed to listen to?" The middle-aged woman was quite clever, first bringing up Fang Ziye and Liu Haihua, as if she wanted them to be wrong.

"What do you mean one says closed reduction can be done and another says it can't?"

"Why would he tell you that? You're just making things up yourself. Did you register? Just saying this and that?"

"Come on, let me see your registration slip?"

The middle-aged woman was stunned upon hearing this.

Yuan Weihong continued to push his luck: "You haven't even registered, and we came to you on our own initiative to discuss treatment—are we scoundrels?"

"Besides, we can't even issue tests or medical orders for you. You'd better hurry to the Emergency Department for treatment..."

"Doctor, how can you be like this? You're even going to argue over a few registration fees? You clearly said it, so how can you bully people like this?" The middle-aged woman's momentum dropped slightly after being retorted by Yuan Weihong.

Yuan Weihong said: "Then I say an MRI needs to be done now—what do you say?"

"We are doctor and patient, treating illness, not doing business. We don't have to insist on one thing. My student just didn't see clearly!"

"Tests must be done now for confirmation!"

"Are you doing the tests or not? If not, stop making a scene."

She was stunned for a moment, muttering under her breath: "But... but...?"

"It's clearly your misdiagnosis."

"What did we misdiagnose? Did Doctor Liu say your mother's condition isn't an anterior shoulder dislocation?" Yuan Weihong said.

The middle-aged woman said nothing.

"Not saying it's not an anterior dislocation doesn't mean it's not a misdiagnosis."

"The situation is like this now: tests need to be done first, then further confirmation, and then we discuss the treatment plan. Don't say so much."

"Do you want the tests or not? Give me a word." Yuan Weihong was not like Fang Ziye and Liu Haihua; he became tough, with far more presence than those two.

"Is this how you practice medicine?" The middle-aged woman seemed unwilling to admit anything, and stepped back a few paces.

She pointed at everyone present.

"You're all a bunch of annoying thieves—not a single good one among you. You only think about money, only think about tests. Wolves in human skin, with human faces and beastly hearts—"

"You're doctors; saving lives and healing the wounded is what you should be doing, not making patients undergo this test and that test."

Fang Ziye then stepped forward and said: "Big Sister, how about this?"

"You've come here with your mother to seek treatment. Since you don't trust our hospital, you can take your mother to another hospital for treatment. Would that work?"

"Your mother looks like she's in quite a bit of discomfort right now."

Hearing this, the middle-aged woman roared at Fang Ziye: "You're even less qualified to speak. You don't know how to treat illness; you only know how to spout nonsense."

"If it weren't for your nonsense, our director wouldn't have spoken up for you, and my mother's illness would be cured by now."

The middle-aged woman tilted her head: "You're doing it for the money, right? How much can you make from one MRI?"

She took out her wallet: "I'll give you however much you want, okay? Is two hundred enough?"

She threw it at Fang Ziye's face.

"Can't you stop making us ordinary people go through so much trouble?"

"Your teacher is protecting you, speaking up for you, covering for you, for your own face—that's why he's unwilling to treat my mother!"

"He is the good doctor!"

"One who knows how to save money for ordinary people, who has medical ethics—that's a good doctor." She looked at Liu Haihua, full of momentum.

Fine.

Fang Ziye directly asked to be excused at that moment.

Liu Haihua, after being flattered by the middle-aged woman there, showed no sign of happiness at all; instead, he trembled, his gaze scanning Fang Ziye, afraid that Fang Ziye would be angry.

Joke, compare my medical skill with Fang Ziye?

Yuan Weihong saw Grandpa Hong constantly drifting around Fang Ziye, and his face darkened too, so he said: "Then what exactly do you want? Continuing to make trouble like this won't solve the problem. Look at your mother, the dislocation is still there, every minute you delay is a minute of her pain."

"If you had done the examination from the start, it would have been cured by now."

"How much money does an examination cost anyway?"

The middle-aged woman's earlier quarreling had actually drawn the hospitalized family members and patients to gather around.

A patient friend also spoke up: "Young lady, take care of the elderly person first, an examination doesn't cost much, if you can't afford it I'll pay for you, look at your mother?"

This patient friend's words directly broke through her defenses.

Pointing at Fang Ziye: "It's you. If you hadn't inserted yourself, my mother would already be cured, the illness would be cured."

"It's you, insisting on an examination, saying it can't be treated without an examination, if you hadn't come she would have been cured?"

"I came to the hospital to see a doctor, if you don't have the ability to treat her then think of a way, don't harm people okay?" the middle-aged woman said.

"We spent so much money just to be admitted, and now there's not the slightest improvement. Your hospital still wants examinations, you'll only treat after examinations bankrupt us, is that it?"

"Our advice is to go for an examination, will you go?" Yuan Weihong asked loudly.

"Security Department is here too."

"Why should I have an examination? Are you the ones opening examinations or being doctors? Do you only think about examinations, examinations? Without examinations you don't know how to treat illness?" The middle-aged woman bit down on the fact that Liu Haihua had already talked to her about treatment earlier.

Yuan Weihong then said: "Ziye, write this in the medical record book, patient strongly refuses to continue examination to further clarify diagnosis."

Fang Ziye nodded and went to execute it.

The middle-aged woman immediately reacted, snatched the medical record book from Liu Haihua's hand.

And tore out that entire medical record page.

"This is your hospital's doctors' virtue and conduct, right?"

"You randomly speak and randomly bite, insisting I refused."

"I'll expose you, I'll expose your behavior——"

As she spoke, she raised her mobile phone and started recording.

Seeing this situation, Fang Ziye said: "Madam, could you please put down your mobile phone? Your purpose in coming to the hospital now is to treat your mother's illness, not to quarrel with us."

"If you feel your emotions are very agitated, could you first trouble yourself to call the patient's other family members, have them bring the patient to accept proper treatment as soon as possible?"

"Then we can carefully discuss whose responsibility it is?"

"If you want to record, then we will record too."

"At that time, if your family sees you not taking your mother-in-law to see a doctor, but making trouble here, the impact it brings! Even your children, their reaction after seeing this video."

"We are all not responsible."

"But I have the obligation to inform you in advance." Fang Ziye said patiently.

Quarreling definitely has no meaning.

The middle-aged woman froze for a moment, her expression trembling with struggle.

Hesitated for a while, as if Fang Ziye's words had stepped on and broken through the most sensitive bottom line in her heart.

Put down the mobile phone, biting the bullet said: "You are butchers who eat people without spitting out bones, suck blood wishing to suck people dead, only thinking about money."

"If doctors are all like you, all patients' blood won't be enough for you to suck."

"White-coated butchers."

After her anger burned, she pointed at that patient friend who didn't help her: "You're the same, do they have medical ethics? Still helping them speak, you don't know how much money they've cheated you out of and you're still unaware."

Hearing this, Fang Ziye first had Liu Haihua soothe the patient friend to return to the ward first.

Yuan Weihong then patiently asked again: "Madam, I'll confirm with you once more, we all feel your mother's diagnosis is still unclear, this is based on very professional factors for consideration."

"Further examination is needed to clarify diagnosis, only then can the optimal treatment plan be confirmed and chosen, do you refuse further examination?"

"We have surveillance cameras here, everything that happened today, our department can copy at any time."

"If you."

The middle-aged woman roared loudly, threw the bag in her hand: "I won't do it anymore!"

"Be sucked dry by you in this black-hearted hospital? Am I stupid?!"

"Mom, let's go, they only think about money."

"I won't do it!"

The middle-aged woman began supporting the elderly person beside her and walking out of the department.

Deep in everyone's heart there is a bottom line and a defense line, if it can be broken open, there will be scruples.

Total wasn't much money, but she made it into this mess herself.

But she still needed a level/stage to step down, but she really didn't understand, why Zhongnan Hospital could be this stubborn, making her tactics completely unable to be displayed...

Looking at the elderly person's trembling back view, Fang Ziye's heart clenched.

Actually, this elderly person's situation, if Fang Ziye acted recklessly, it should be no problem, although her reduction situation is special, Fang Ziye can also lower the risk through his own technique.

But this requires a gamble.

Fang Ziye always remembers a sentence.

In the hospital, unless it's a matter of life and death gambling for a glimmer of hope, any other time's gambling is hooliganism!

(Chapter End)