top student at medical school

Chapter 194 Closing the Door to Beat the Dog (Please Subscribe)

From the moment Fang Ziye saw Shen Dong, he knew Shen Dong's profession was extraordinary. Otherwise, his wife wouldn't have said something so thoughtless.

Naturally, Shen Dong's own temperament is also exceptionally decisive and straightforward, unlike that of ordinary people. He is a man of his word, and even his father would not waste words in front of him.

The fact that Shen Dong's wife, who has such a volatile temper, doesn't dare to breathe loudly in front of Shen Dong must be related to the nature of Shen Dong's profession.

I met Shen Dong again just over forty minutes ago.

Given that scumbag's physique, let alone going head-to-head with Shen Dong, any one of Shen Dong's brothers could easily subdue Pang Hong.

Under such circumstances, it was completely unnecessary for Shen Dong to be provoked by Pang Hong and break both of Pang Hong's legs.

A comparison reveals a stark disparity in combat power between the two.

Shen Dong shouldn't have attacked Pang Hong. He should have taken him back immediately after capturing him. Why send him to the hospital?
Shen Dong looked up and glanced at Fang Ziye. Although Fang Ziye had changed back into the casual clothes he was preparing to go home, Shen Dong still recognized him: "Dr. Fang, thank you. You are a good doctor."

"So you shouldn't have taught me these things."

Shen Dong remembered that the doctor Fang who performed the manual reduction on his son was the best trauma surgeon, according to his cousin.

In Shen Dong's view, doctors should be relatively pure, and things like Fang Ziye teaching him to wear gloves so as not to leave fingerprints on Pang Hong are not worth advocating.

As Shen Dong spoke, he stood up.

Then he said, "Dr. Fang, are you off work?"

"Yeah, I'm off work. It's already this late." Fang Ziye checked the time on his phone and was surprised to see that it was well past midnight.

"Um, Officer Shen, will you be punished for this?" Fang Ziye felt that it was true that good people don't live long, while bad people live for a thousand years.

Pang Hong was powerless to resist at that time. Shen Dong broke his legs, which was certainly a way of venting his anger, but it would also cause him a lot of trouble. Even if he didn't take off his clothes, he would still be punished.

Fang Ziye continued to explain, "Now that Pang Hong is in the hospital, it's actually more troublesome. I estimate that he won't sign the consent form for surgery anytime soon. Moreover, he's an industry insider, so it will be very troublesome for us to complete his treatment procedures."

China is a modern society, so even death row inmates are treated with a certain degree of humanitarianism.

The disease that needs treatment must be treated, the fracture that needs surgery must be operated on, and before everything is properly handled, Pang Hong will not be taken away easily, lest he be gone before the specific process is found out.

As a result, Shen Dong will face a more severe punishment, at least one level higher.

"It's alright, Dr. Fang, I don't regret it," Shen Dongguan smiled.

"Dr. Fang, you should go and rest!" This matter had nothing to do with Fang Ziye, and Fang Ziye's words of comfort were also weak, since the matter had already been done.

Shen Dong felt very relaxed and in a good mood.

"Could I add you on WeChat?"

"To be honest, your colleague might be one of my previous surgical patients, but I'm too low-ranking to participate in the subsequent rescue process. However, I'm still very concerned about his condition. If you have any news, could you please send me a message?" Fang Ziye asked proactively.

Fang Ziye was indeed very interested in knowing the follow-up treatment situation of Zhang Yu.

However, given Fang Ziye's current status and rank, others might not be willing to notify him immediately whether the patient is alive or dead. If Fang Ziye doesn't even have the opportunity to know, then there's no way he can participate in any possible rescue process.

But Fang Ziye knew perfectly well that he hadn't been imprisoned.

Besides, I have enough knowledge now, what if it comes in handy?
"Okay!" Shen Dong thought for a moment and then added Fang Ziye's personal WeChat account.

He had a good impression of Fang Ziye, and he also knew that Fang Ziye was the biggest contributor to Shen Dong's ability to save his limbs. The subsequent damage had nothing to do with Fang Ziye, so Fang Ziye was still a respectable doctor.

……

After adding each other as friends, Fang Ziye went home and went to sleep peacefully.

If you can't sleep peacefully, there's nothing I can do about it.

The next day, Fang Ziye woke up late because he had gone to bed late the night before. He didn't get up until seven o'clock.

With no time left for his morning run, Fang Ziye could only quickly brush his teeth and wash his face to take care of his personal hygiene before rushing to the hospital.

In the doctor's office, it was clear that Xue Tao hadn't returned home or slept all night.

Meanwhile, Mao Mao had been busy all night and was completely exhausted.

Zhang Mingcan, Hong Du, Wu Guonan, and several other chief physicians, along with a vice president of the hospital, were smoking in the doctors' lounge, leaving betel nut residue everywhere, creating a truly chaotic atmosphere.

Fang Ziye, who has always disliked the smell of smoke, didn't have time to linger in it. Instead, he quietly took off his white coat and prepared to leave.

Only then did Wu Guonan say, "Director Zhang, the situation is special right now. Let's have a small meeting later, brainstorm together, and see if any of the other young people have any good suggestions."

Zhang Mingcan sighed and said, "That's all we can do. Pang Hong made a request to our department, hoping that our hospital would record the treatment process along with his. This is something we've had a hard time dealing with."

"If it were a regular patient, we would simply refuse the request and let the patient transfer to another hospital."

“But no matter where you transfer Pang Hong, the problems and difficulties he faces will be the same. Moreover, now that the State Health Commission has spoken, we can mobilize all the medical resources in the state, and even seek help from experts in provincial hospitals.”

"The problem of advising patients to transfer to other hospitals and refusing to communicate would no longer exist."

The rest of the people had their brows furrowed.

The vice president, whose hair and beard were half-gray, said, "Are you in the orthopedics department sure about this? If you are, recording it is fine, as long as he can save face and be transferred to the prison hospital."

Zhang Mingcan touched his bald head: "Dean Huang, if you boast about this kind of thing in front of knowledgeable colleagues and get recorded, even if nothing goes wrong, you'll still suffer a lot in the end."

"Pang Hong used to be the chief physician at our hospital, didn't he?" Zhang Mingcan felt compelled to remind Dean Huang, who only did administrative work!
Everyone fell silent, and Fang Ziye took the opportunity to slip away, closing the door slightly behind him.

……

After the shift handover was completed, Zhang Mingcan asked the nursing staff to leave first.

Then, Director Wu Guonan, who was Pang Hong's supervisor, clapped his hands and said:
"Those who remain below are all our own people from the department, so if you have any ideas, whether they are feasible or not, just say them directly."

"Our main topic of discussion is the treatment plan for patient Pang Hong in bed 39. But before we discuss his treatment plan, there's one more thing we need to know..."

Not many people knew about what happened last night, and it wouldn't have been such a big deal in the department so late at night.

Therefore, upon hearing Wu Guonan's words, many people in the department clenched their fists.

Wu Guonan continued, "There is another problem. This Pang Hong was also a doctor before, and he even reached the rank of associate chief physician. This will cause us to face many problems."

Wu Guonan recounted Pang Hong's background and the pathetic things he had done the previous night.

Xue Tao, the attending physician in charge of the patient's condition, spoke about professional matters: "I had a brief conversation with Pang Hong. Pang Hong didn't refuse to communicate, but he had a requirement: both sides must record the conversation. Otherwise, we wouldn't discuss any issues."

"This request is actually unreasonable, but it's not absolutely excessive either."

“His only goal right now is to stay in the hospital to avoid being interrogated and to prevent him from being transferred to another hospital. He definitely won’t agree to a simple and direct amputation, and there’s no indication for amputation, so we can only talk to him about surgical treatment.”

"Furthermore, in the hospital, he repeatedly refused to cooperate with the investigation last night due to pain, and although we performed temporary debridement and hemostasis on his right leg, it was not very effective."

"They went too far."

"They've gotten their revenge, but we're in big trouble now."

"Thirdly, the patient has no family members and no money."

"But actually, he has both. He also has children and parents, but his parents don't appear to have any money on the surface. Moreover, Pang Hong must have explained the situation to his parents beforehand: they don't have money for medical treatment, but they definitely have money for appeals and hiring lawyers..."

Upon hearing this, everyone's expression froze.

It's as if we're facing an unsolvable problem.

Of course, although Wu Guonan and Xue Tao were the supervising director and attending physician, Zhang Mingcan, as the ward director, certainly couldn't pretend to be dead; he was the ward director.

Zhang Mingcan tapped the table and stroked his bald head with both hands:
"Director Wu, and all the other brothers, let me say a few words."

"First of all, our role is that of doctors, not judges. Whether Pang Hong is guilty or not is not for us to decide. He is currently staying in our hospital, and he is just a patient."

"This point must be clear." "We doctors cannot care about their social roles, nor can we care about them."

"Get the illness treated and the surgery done. Leave the rest to the police. After all, we're not professional investigators. Just take what Director Wu said with a grain of salt; don't take it too seriously!"

"Let me summarize the problems our department is currently facing."

"First, patients do not refuse surgery, do not agree to surgery, and require a signature. This is our profession, and the probability of medical disputes is very high. Even from a medical perspective, we must be cautious and not make the slightest mistake."

"Secondly, there's no money. But the problem of not having money has already been taken care of."

"Third, the patient cannot be transferred to another hospital! Because there is no point in transferring him. It is impossible to transfer him to a higher-level hospital. What he did means that he can never leave Enshi again. Even during the surgery, he cannot escape the police's sight."

"Given these difficulties, let's think about what good solutions we can find. Let's see if we can break them down one by one and solve them, so that patients can be discharged happily as soon as possible..."

After shaving his head, Zhang Mingcan leaned back and tapped the table with the index and middle fingers of his right hand.

The tone and expression were almost aggressive; how could this not take the patient's social relationships into account?

The implication was clear: they wanted the surgery done quickly so they could get the person in as soon as possible!
Many people immediately got to work.

Upon hearing this, Huang Kai said, "Director Zhang, since the patient is so insistent on limb preservation, we can either invite a hospital in the province to perform the surgery, or we can invite experts from Shanghai or Beijing to come and conduct a consultation and surgery, right?"

"The fracture is not complicated, but there is one thing. I just heard from Xue Tao that the patient's current condition is not good. He has hypoproteinemia and malnutrition. Whether he can survive the operation is another matter."

"Furthermore, I believe that if I send this consultation surgery as a teaching surgery invitation to professors in the province, many professors will be interested, and I can try to contact them!"

Huang Kai stated that he could use his connections within his own school to find an expert willing to perform the surgery.

However, whether he can withstand the risks of anesthesia is not something Huang Kai can guarantee.

This surgery is minor.

Huang Kai believes that what he does is to meet the needs of patients and help them recover and be discharged from the hospital.

I just want him to be discharged from the hospital as soon as possible!
Zhang Mingcan also said, "The issue of fees is not difficult; we have already contacted the equipment supplier."

"The medical device suppliers and companies offer 'model plates' for a nominal fee, which our department can use for surgery without charging them. I've also spoken with Director Huang Qiaoshan about the anesthesiology department."

"This whole process should cost at most three or four thousand yuan. If the police don't pay and the hospital doesn't step in, I'll just pay it myself."

"It won't affect the performance of the other guys in the department."

This bald guy is definitely a man of strong character and knows how to get along with people.

But actually, this money isn't the most important thing right now.

"The most important issues are the risks of anesthesia and surgery. Currently, the patients' nutritional status is already poor. In our orthopedic surgeries, most of the unexpected events during surgery are existing risks such as anesthesia-related risks, shock, ventricular fibrillation, and atrial fibrillation."

"Moreover, if Pang Hong dies on the operating table, it's not something our department or the police would want to see either."

"We would rather see him alive than dead."

Director Hongdu, who had been silent until now, said, "Director Zhang, regarding anesthesia, we only have two options for Pang Hong now. One is for Nie Mingxian to administer nerve block anesthesia, which has a lower risk and does not involve the cardiopulmonary system."

“Nie Mingxian from the anesthesiology department is a cardiopulmonary bypass specialist. If any unexpected events occur during the operation, he can move the cardiopulmonary function outside the body to buy as much time as possible for rescue.”

"The second option is Dr. Wu Xuanqi from Minzu University Hospital. He said he has already contacted Peking Union Medical College Hospital, which is where Dr. Wu Xuanqi's wife studied for her doctorate."

"The Department of Anesthesiology at Union Hospital is the strongest in Hubei Province. Two professors from there can come, and a professor from Union Hospital's ICU can also come to deal with any unexpected situations that may occur during surgery."

"This is preparation by medical staff."

"Nerve block anesthesia is currently the safest method in anesthesiology."

"Then Dr. Wu Xuanqi from Minzu University Hospital also said that he had contacted some medical device suppliers and obtained some 'support' model devices, which were free of charge."

"We will install venous filters in both of Pang Hong's lower limbs free of charge, which can completely eliminate the risk of blood clots dislodging. This is done according to the highest standards of risk avoidance!"

"Furthermore, if Pang Hong is still not at ease, routine intraoperative ultrasound monitoring is perfectly fine. We can also provide him with two hemodialysis machines, operating simultaneously on both sides, ensuring that all blood returning to the heart from the lower limbs is purified..."

The old director is indeed the old director.

When Chief Physician Hongdu spoke, everyone fell silent.

That's really ruthless; it cuts off all the patient's escape routes.

But the cost was enormous; they spared no expense, investing 999,999 yuan for a mere one yuan in income, all to raise a million.

One fracture required two lower limb venous filters, and two vascular dialysis machines were installed to control the quality of blood returning to the heart.

The biggest fear during surgery is death caused by cardiovascular accidents, which often include cardiac embolism and arrhythmia. ICU professors deal with arrhythmias, intravenous filters deal with blood clots, and dialysis machines deal with ventricular fibrillation and atrial fibrillation caused by electrolyte imbalances!
Why do so much for a patient who doesn't have many contraindications to surgery?

Isn't this a clear indication that they've made up their minds to send him in?

……

In the doctor's office, Zhang Mingcan and others were discussing the patient's surgical plan and the prevention of unexpected risks.

No one in the nursing department was idle either.

A nurse helped Pang Hong with his fundraising campaign online to help him raise money for his medical treatment, which he claimed was impossible due to lack of funds.

The medical records are certainly complete.

However, not long after Pang Hong started this project, staff from Waterdrop Crowdfunding came to the ward.

They said, "Mr. Pang, you're really lucky. The fundraising campaign you launched on our Waterdrop Crowdfunding platform just a few minutes ago was completed very quickly."

"I also specifically communicated with the platform and asked them to waive the handling fees for this fundraising. All the funds will be directly transferred to the hospital's finance department as your surgical treatment expenses."

Upon hearing this, Pang Hong frowned deeply: "I've only just started, and you've already raised all the funds?"

The staff explained, "Yes, Mr. Pang, you were probably lucky and triggered traffic support, so a lot of people saw it, and that's why all the funding was raised so quickly!"

This time, upon hearing his words, even the nurses no longer cast disdainful glances at him.

After all, these people are making money by exploiting the kindness and compassion of the masses. To be honest, their service fees and handling fees are a little too high.

Unexpectedly, Pang Hong was knowledgeable and asked, "Can I have this money directly?"

"Look at me, I don't even have money for food."

The staff member's lips trembled slightly, thinking to himself, "Brother, you don't even know you're about to die! Do you know where this money came from? This is all money to send you on your way, just given to you through relatively legitimate means."

"I'm sorry, that won't work," the staff member replied.

Pang Hong shamelessly said, "Then I'll raise funds again. Just give me the money directly! This time I'm raising enough for a meal."

"I'll give you tens of thousands more, right?"

The staff member was in his thirties, very kind, but definitely not an idiot.

I cursed inwardly, "No way, I can't afford your money. I wouldn't dare take it even if you gave it to me."

He simply shook his head: "I'm sorry, Mr. Pang, it's the rule."

Pang Hong didn't care: "Forget it, I'll die whether I starve or not, so it doesn't matter."

"If you don't eat, you'll die in a week at most."

However, not long after Pang Hong finished speaking, the money his department had donated for his meal arrived—

I didn't take a photo with him, I just handed him the envelope!

We've locked the door and are about to beat you; how can you escape?
(End of this chapter)