[The Young Doctor]EP22 | Medical Drama | Ren Zhong/Zhang Li/Zhang Duo/Wang Yang/Zhang Jianing| YOUKU
Foreign Laughs foreign Thank you foreign it’s already been an hour with three defibrillations one hour CPR and four doses of epinephrine we’ve done all we can a save us we got here at three surgery did it start till seven wait that was four hours we are at the hospital aren’t we and he still died
This can’t be happening to us I cannot accept this I cannot accept this outcome I will not accept this you will give me an explanation How tell me how can I calm down huh my father died at this hospital and it’s all your fault missile view we didn’t want this either we could have begun surgery if you had accepted earlier though we couldn’t guarantee it he would have had a higher chance to live then
What kinds of doctors are you come down here there are other things that must be done you must understand your father’s body must be processed the room disinfected and your mother she needs comforting and certainly I hope you can calm down Mr Leo he is gone your father is God my son
My husband is gone don’t be sad Ly Mr you Mr Liu I understand how you feel we can go sit down and talk but now is not the time for it first let’s take care of your dad and you can take care of your mother I promise you if there is a problem we can talk about it
Director but he was the one who kept stalling it’s really not our fault was it you say um let’s take care of the body first okay please calm down you always have to talk Hello We couldn’t save the patient we be left don’t say anything I want to be alone What was that what the heck went wrong huh what’s with you tree nothing to do then check on our patients go now for typical heart attacks and ECG is enough then inform the other departments at most half an hour tell me what the heck was the problem with that
You’re right I know director the family brought him in a three and didn’t decide up until seven four hours is a long time but you were there when he arrived I wanted to give the patient an urgent PC but that the family wouldn’t agree the wife said to wait for the son who
Was in a meeting when he got here he said wait for the myocardial results that’s two hours before the results were in the sun had to leave again on the way back he was waiting for other doctors and got stuck in traffic but he said we
Had to wait for him did the patient vf’d so I thought I’d better do anything wrong it was the family’s mistake then you claim a very good case for yourself you know it’s not your first day here you’re the chief resident so you know what to do first the chief resident
Learns about the patient and their family’s Viewpoint you took so long with a PC and then still failed you’re responsible the family wouldn’t agree what could I do the heart attack was already confirmed right what’s there to say you could have said if they do it there’s an 80 chance he’ll
Live if not eighty percent chance he’ll die you could have just sold a family directly why would they hesitate but did you say it to them as a 20 they’re still 20 percent director when you weren’t there I called the Sun and I said to him that I was the
Chief resident but then he completely ignored me he said that he knew some big Specialists and had to confirm with him first if he should go through with the surgery what can I do with people like that if I said there’s an 80 chance of living with surgery and 20 death then
The patient died he’d sue the hospital just listen to yourself you’re a chief resident doctor you should be thinking about saving lives not avoiding responsibility I’m not making excuses I’m just telling the truth there are many reasons why a patient dies you can’t always blame the doctor
As chief resident I went through the protocol did the preparations and made every decision it was a string of bad luck and why and there was another old lady heart attack with a repeated VF Dr Shen talked to the family and they agreed to do thrombolysis and then old
Lady survived okay Wang bull let’s talk about that if you’re so objective then tell me that old lady that VF who was saved by thrombolysis who talked to them Dr Shem right now then how come Dr Shen was able to persuade them what do you think he said answer me
What did you tell them you were there then tell me and I’m being serious now tell me what happened and I’ll decide what to do oh all right I’ll discuss what happened then the lady’s daughter was a 27 year old girl and wouldn’t stop crying Dr Shen
Told her that they needed the surgery right away otherwise there’s a chance that her mother might die she was a bit hesitant at first but after Dr Shen explained it and told her the importance of the surgery she was cooperative after that and she agreed to
Sign the consent so then her mother was saved Dr Shan did a good job although if it were someone else because everyone’s different what Dr Shen said might not have worked don’t try to cover up her wineboa director can I say something go ahead
I know I knew and there’s a lot that I have to learn but I do understand why both special and concern right now a lot of people always think that as long as the patient is at the hospital in the hands of a doctor whatever the
Sickness is we can fix it they’d say that they’ll do what we tell them just to save the patient but there’s a problem with that sometimes listening to us won’t save them so it’s good to be safe today when that man died I heard what the wife said
Her mind was clear even as she cried she was able to notice this the first thing she said was they brought him here a tree and didn’t start surgery till seven we were all here for four hours but the patient’s son he wouldn’t cooperate with us I saw all of it
That’s the point the family wouldn’t cooperate and director I think you said something that you shouldn’t have you told them if there’s a problem we can talk about it doesn’t that sound like we did something wrong what do I say then do I tell them I’m sorry he died because of your hesitation
And it’s not our fault yeah just like that fine so you think that you’re right then keep thinking like that but I’m telling you you have to be ready because this matter won’t be resolved that easily the family is very upset and they won’t let this go these things are
A case-to-case basis do what we can when needed if there’s a problem solvent a mistake correct it black is black white is white and here’s something for you to think about when a doctor’s patient trust has been compromised and comes to this point what Solutions do we have to resolve it
What can we do to become a good doctor you’re suspended for a few days changjun will take over as chief resident what for does that mean I was wrong go through today’s case in reception log make sure that you send them to my office by tomorrow morning oh and make
Sure that after the meeting there will be no discussion of this with others you all know what I mean adjourn don’t you stand around get back to the dorm really now so I’m not allowed to stand anymore that’s not what I meant now what don’t tell me you’ve never been like
This well hey enough it’s enough settle down all right go get some rest what no I’m gonna do anything wrong all right I’ll go stop staring don’t let him he’s already dead what else is there to say I just felt bad you wanted to say something Q3 come sort through the record
Dr oh young here’s Mr Leo’s CIT scan readout and the myocardial enzyme report and the record the emergency log didn’t have time to write it the man just passed away and we haven’t had a chance to do it yet Dr oh yeah get the record
And log ready then give them to Dr Shen everyone we’re doing overtime today the family might come for the file in the morning so we have to get it done tonight okay they’re already here huh the suits from the notary office You what’s your name Dr Shan Ching Chuan good you’re all here this here is my attorney those two are from the notary office I’m here to claim my father’s record an emergency log I need those ASAP Mr Lou I apologize there were a lot of patients today and many urgent ones
Right now the files are still being done it’ll be finished by tomorrow in the morning you can get it then I’m afraid you’ll have to provide it now we will wait all right then please head over to the medical services we’ll still need the director to sign it afterward
So that way you’ll all rip up some story when we’re gone right Mr Lou please don’t talk like that you were there the whole time and we haven’t stopped running since your father’s arrival we’re just following protocol here you can understand that all right then hurry up with it but I’m
Warning you if you try to make things up my mother was there and she’s a witness We’ll have each of the doctors in here to verify the details and we will not stop until we get to the bottom of this Dr Chung how should we be writing this
Report can you check if this looks okay patient had liver cirrhosis collapsed defibrillated on Route ACG reading abnormal PC test hindered myocardial enzyme positive experienced VF just plain and simple like before it is a bit simplified but how else can we write down the report then couldn’t
Persuade them to do a PC since the patient’s family insisted on waiting for the results then the sun arrived then he left can we put that in I’m not sure there’s enough space but he writed like that it’ll sound like we’re blaming the family if this before this really is tough
Dr Shan what if we called director Zhang for help it is very difficult to write this report after all and while we’re here writing a report the sun’s over there hovering over us what’ll happen to us report just plain and simple like before I were all doctors all we need are the facts
All right that’ll do then include the time emergency process and every medication used PC test delayed three defibrillations four injections and an hour of CPR make sure you don’t miss out on any of the techniques all right got it I still do you should head back and rest Mr Zhang
And I are here didn’t they say that the report would be ready in the morning you still have a lot of work to do and your mother needs your company you should get going my sister’s with my mom Mr Zhang uh yes I’m sorry why don’t you
Go on ahead I can’t leave my father is still in the morgue I want to be with him just for a bit thank you okay I’m off then oh Dr Shen good job give it to director Zhang in the morning for review here and let one go read it too I think
I’m not sure what one we will think doctor that’s great she’s recovering well yeah she’s much better thank you all so much I’m so glad that I listened to Dr Shen’s advice or ask my mom Dr Shen is just as happy as you are doctor that was a really close call back
Then and it still scares me when I think about it and then when I saw that old man passed away I really don’t know how to thank you all you should be thanking yourself there’s something else we need to discuss yes you see your mother isn’t completely out of danger yet because
We’re still not sure of the exact cause of this tomorrow’s Saturday by Monday at least if she’s stable by then we’ll be able to continue her treatment and maybe do surgery what she needs another surgery yes heart attack patients are at risk for the following 24 hours and
Other heart symptoms can still occur throughout the entire following week like cardiac rupture and heart failure right now your mother is wavering between life and death the next treatment will be complex and possibly dangerous so we would need the patient family and doctors to work through this together
Than once we’re all through with it we can all be at ease all right doctor I understand thank you so much Mr Liu non-patients can’t be here you have to leave Mr Liu doctor may I talk to you for a while don’t you worry I won’t harm you I just want to talk
Sure wait I didn’t ask you please be careful don’t worry you can relax I won’t harm you I just want to hear the truth about my father was this condition really that’s a fear doctor I’m not sure what you mean if his condition was already severe to begin
With OR severe like how bad it was when you brought him here Dr among the rest you seem pretty clear-minded so I want you to tell me the truth when my father first arrived what kind of shape was he in I wasn’t there then and my mother won’t tell me
Don’t misunderstand I don’t want to cause trouble I just want to know what really happened I understand I was there from the very time your father arrived your mother said that he had abdominal pain and then he collapsed at home on the way here the ambulance staff
Already took his blood pressure and an ECG the ECG is a standard procedure for emergency patients its purpose is to inform the doctors of the patient’s vital signs during the attack your father’s ECG reading was abnormal in terms of heart condition this is a problem but knowing that your father had
Liver cirrhosis these signs were all not enough to allow the doctors to treat him for a heart attack as they were considering liver cirrhosis is a possible cause do you understand please go on what happened next okay and me being a heart specialist I noticed that his ECG was abnormal but the
Situation was complicated so then we had a group diagnosis where I recommended we do a PC test didn’t you say surgery yes when our chief resident explained it he said test which it is but the process involves both tests and treatment altogether you can consider it as a type
Of surgery our goal was to determine whether or not his blood vessels had clogged to confirm a heart attack if they were clogged then we had to do PCI or thrombolysis if they weren’t clogged could have eliminated heart attack why didn’t you just say that then
So the PC why didn’t you do it hmm you and your mother have to answer that to be honest I couldn’t understand why you and your mother kept asking us will the surgery hurt or what goes on during the process so our chief resident explained the
Process to your mother he said that we would be inserting a catheter deep into his hand to the coronary artery if we do PCI there it will only hurt a bit but with the other alternative there will be more pain if the patient during the PCI on the hand
Exhibits blockage then the doctor will also perform PCI through the thigh to sign it would hurt the patient more but why do all that then didn’t you have to confirm the heart attack first and that’s where the problem was if it were all up to me this is where the
Conversation would take a different turn we wanted a family to agree on taking an urgent test but they kept asking whether or not the procedure would hurt the patient and perhaps it’s because your parents were so close that your mother didn’t want him to feel any pain so when it
Came to this we all hit the standstill then your mother grew indecisive and said she wanted to call her son to ask you about it then our chief resident told me that you called a few other heart specialists to discuss the procedure and said that we
Had to wait for the test results but the test results took two hours yes your father did arrive at three o’clock and by the time the results were released we called the catheter room right away we also immediately called for the endocardial doctor also it was a Friday afternoon a lot of pieces
Couldn’t really connect you had already arrived but then left if you put it like that then everything was my fault right so I wasted my father’s time so it was me I’m the idiot I’m the bastard I wanted my father to die let’s tell you
We should look at this matter on its own merits try not to be too emotional unbelievable just what does your chief resident do for a living you could tell my mother fixated on details so why did you say so much why didn’t she just simply tell us if we do the surgery
He’ll live if not he’ll die yes Mr Liu you’re right about that our director in our meeting said the same thing too but now all of us have confirmed that your father actually died of a heart attack and we have a concise report to judge from that says he was myocardial enzyme
Positive so now we can backtrack and tell ourselves why didn’t we keep insisting on doing a PC test this is a very grave lesson indeed however judging at the time from your mother’s standpoint she refused to do the test and you you kept insisting in telling us that we should
Wait for you to arrive for the results to come out you can’t deny that that’s enough that’s enough so I’m the one who’s worthless I’m the one who’s good for nothing I’m such a terrible son I made my father lie in the hospital for four hours then just
Watched him die fine I get that can you tell me have you ever seen such a case a case with someone as sad as me and all that stuff you said just means you all didn’t do anything wrong that mistake was ours if everything’s up to us what do we need doctors for
Mr Liu believe me I know how you feel the doctors feel the same way too we feel awful I know you’re sad but don’t be hard on yourself Dr you don’t know how sad I am just now beside the bed looking at that lady I thought if only that were
That were my dad there but then tell me how come he wasn’t there and that explanation why’d you have to say all that to my mother huh she’s just an old lady she doesn’t understand what good are you doctors for huh you know all that time when I was in that room
I just kept thinking to myself why didn’t I just go over to them and try to convince them as well actually sometimes when we describe treatment processes to the families will overemphasize the damage involved which we know may cause fear to those unfamiliar with medicine thus stalling the exam process
But if we don’t come out and say these things it’s hard for the family to decide at the same time the conditions are always changing it’s a tough dilemma was there really no other way huh really are you sure you did not make any mistakes at all yes
Of course we did during this entire process doctors and family both make a very basic mistake we neglected the condition itself and the entire discussion seemed like everyone was just trying to protect themselves everyone was afraid of slipping up and didn’t want to take responsibility so what happened today
Was the worst possible result between doctor and patients lack of trust in this situation there is no winner everyone lost and the one with the greatest loss is the patient and their family all right Dr Shen thank you for talking to me we’ll let you get back now did you get all that
Of course sir are you any mistakes at all yes of course we did what happened why were you out there talking for so long don’t worry I just told him the truth ful when talking to you might twist your words if you’re not careful after this what’s there to say
In the end we just lack understanding of death when we lose a loved one we always have to blame someone else otherwise we can’t make sense of our own fears and sorrows I know you probably haven’t eaten yet here I got you something after you’re done you should read this
Okay then sign it if there’s no problem it goes in tomorrow all right hey that’s it are you serious other than saying the PC got delayed all the trouble we went through doesn’t go in is that it Longbow come on it’s not your first day as a doctor nobody ever writes a report
Like that so why can’t we huh what’s wrong with that shouldn’t we seek truth from fact you made a joke out of me now the whole Hospital knows that the chief resident is suspended and that’s as disgraceful As It Gets don’t dwell on it nobody thinks that
He’s suspended you to protect you it is for your own good director Zhang is just worried after all he doesn’t want that guy harassing you don’t you understand no I don’t I really don’t get it what did I do wrong tell me what did I do wrong didn’t I follow protocol you don’t
Know how stubborn they were especially that son he was really terrible he wouldn’t listen to anything it was as if I didn’t even exist mangbu do you think that you’re the only victim here but seriously your handling of the situation wasn’t it slow what are you
Saying how was I slow back then we’re friends even if we weren’t we are still colleagues how could you say that kicking me while I’m down you can’t do that you got that hitting you while you’re down what in the world are you talking about so you really don’t think
You’re wrong huh director Zhang and Dr Shan have been saying you’re a doctor how can you be misled by someone else you are the main component of medicine don’t you get that I do get it I’m the main component of medicine but who cares who listens to me look how cowardly
Doctors have become I say one thing wrong he’s got 10 things ready you say I’m wrong then you tell me how am I wrong huh fine fine fine you don’t think you’re wrong at all then let me tell you what you did wrong your mistake was that
You didn’t empathize empathize how am I supposed to do that if I made the choice and then there was a problem with the support who would be responsible it’s not like that never happens all right your grandma her surgery is a great example there was a problem and then you
Felt terrible right that’s because you are a Doctor Who here and your grandma didn’t go further didn’t take it to court and didn’t cause a Ruckus am I not right if that’s the case then the patient should just wait to die don’t twist it I never said they should wait
To die I’m just saying in this case I won’t plead guilty okay then I’ll tell you why I didn’t complain and when my grandma didn’t complain the reason for that is despite the outcome the first chance director shall God he told me the truth my grandma didn’t complain because one
She was so worried about me and two it doesn’t sound good but with her current condition she knew she’ll die eventually so there’s no point in complaining I’m sorry I shouldn’t have brought her up don’t worry about it in any case when you’re wrong just admit it and don’t keep on denying it
Why should I admit it huh what’s there to admit that the family is not responsible at all why should I take all the blame here well that is not happening fine fine that’s enough wangbo enough we’re getting carried away here so to sign the report I’ve gotta hand it
In by tomorrow morning sign this well I won’t I won’t no matter what I want to see how the hospital will deal with me I refuse I refuse I refuse to sign you know what ah 38.9 really this is pretty high you need to see the doctor this way thank you careful
Wrong wrong here wrong wrong your food you can take it are you sure we lost two more today heart attack and car crash wrong wrong that won’t solve things you’re so busy we lose people every day and if you refuse to eat every time someone dies you’re just torturing
Yourself I told you don’t try to talk me out of it I made a promise I hope you see I’m sorry I’ll stop that what if I don’t eat two Ever ate at all don’t you think what happened today was terrible Mr Lou’s death was such an injustice say that they all do their best If you put it that way it shouldn’t have happened Just what is wrong with people today they don’t even trust a doctor anymore Dr Wong why couldn’t he just say something more to them yeah it was sad coming Mr Liu how are you you’re here early director Zhang we’re here to copy the record this is my attorney and these two are notaries
All right I’ll call Medical Services right now yes and one more thing this year is a simple recording of my conversation with Dr Shen last night in the record he admitted that the hospital did make a mistake and thus for sealing the record let’s leave that to my assistant and attorney
So let’s talk about this Mr you why are you doing this if there is a problem let’s discuss it you don’t need to resort to this director saying is that I really don’t trust you last night I found someone to transcribe this conversation take a look director Zen what is it
In the locker rooms is something wrong sure no problem director what is it oh have a seat last night what did you say to Mr Liu’s son we talked about the treatment process he recorded it there are things we say amongst ourselves but we shouldn’t mention to the families I’ve said this before
Director I just told the truth I didn’t say anything I shouldn’t oh you didn’t did you when we described treatment processes to the families we over emphasize the damage involved which we know may cause fear in those unfamiliar with medicine thus stalling the exam process during this entire process doctors and
Family both make a very basic mistake we neglect the condition itself and the entire discussion seemed like everyone is just trying to protect themselves everyone was afraid of slipping up and didn’t want to take responsibility did you really say this yes I did is there a problem with this why did you
Say this to the family and not at the meeting do you know the difference there are just some things that you don’t understand you didn’t do anything or say anything wrong but he went and got a lawyer and now they’re using this as evidence in court director
If that’s the case if they’re going to court so be it it’s a clear case both sides had faults Dr Wang did make a mistake right and the family more so we don’t want to blame the family because they’re still dealing with the loss of their loved one and they are doing this
Because they can’t accept the fact that they’ve lost him if we can talk about it civilly then we can resolve this you’re completely aware that something like this amongst the staff can be resolved but when the hospital medical services and lawyers are involved it’s a much bigger problem what’s the hospital stance
Of course they want it settled to resolve it quietly people already have enough qualms about doctors the hospital doesn’t want trouble every day there are so many patients problems tell me does any one of us have time for this I’m against it against compensation with our principle if we do this the results
Will be grave all right then I got your opinion go back to work these are all of lujiguan’s Records emergency log and test reports you’re done with him he admitted let’s go we’ll talk in my office