Perhaps some people feel that, after spending a long time in a clinical setting, one becomes numb to life.
In fact, it’s not life to which we become numb; it’s a sense of helplessness towards the medical status quo.
But no matter when, when you face the relentless flow of life’s hourglass, that desire to grasp it as it slips away… that feeling of wanting to save someone but being utterly powerless, it’s truly exhausting.
Yan Ming didn’t make a sound either, his nosebleed staining his clothes, which he ignored, letting it run onto his white coat.
A complex mixture of feelings.
Sitting there, his gaze was hollow, his mind brimming with countless thoughts.
His mind kept recalling the various scenes from the past two or three decades.
Once, wasn’t he just as energetic and positive as Chen Cang, possessing a tenacity towards life?
But gradually, he found his abilities becoming more and more limited.
Had he become negative?Complacent?
Or had his heart become numb?
It was none of these, yet it was all of these.
Over twenty years’ worth of past events flitted through his mind like a fleeting cloud.
In the medical disputes of the past, was Yan Ming at fault? He was! But is right and wrong in the medical field really that clearly defined?
The Yan Ming of yesteryear believed nothing was more important than saving lives.
Are rules important?
Back then, he thought many rules were superfluous and even hindered the normal process of medical rescue.
But later, he realized that the rules were actually there to protect the doctors themselves.
Looking at Chen Cang’s dejected figure, Yan Ming suddenly felt a surge of guilt.
He wasn’t guilty because of a patient’s death.
An acute myocardial infarction is unstoppable, and many have died in hospitals.
He was guilty because after coming to the emergency department, he had never done what an older generation healthcare worker should do.
He had been hurt before, felt unfairly punished, worked passively, but… he really shouldn’t let these feelings influence those young doctors who followed in his footsteps.
Thinking this, Yan Ming sat on the floor, leaning against the bed, and couldn’t help but sigh deeply.
Turning back the clock, Yan Ming felt as if he had returned to that resuscitation room…
That time, to be honest, had deeply wounded Yan Ming’s heart.
It was a rescue attempt that was doomed from the start, but because of his youth, his recklessness, his unwillingness to give up…
Regrettably… regrettably…
The punishment eventually came down.
Yan Ming never imagined he would end up being the one at fault.
His license was revoked for two years; the hospital made a payout, and so did the department.
For young Yan Ming, this was simply unbelievable!
Could there really be such a repercussion?
Was there an error in trying to save someone?
…
Over the next two years, he did a lot of things, but he never dared to approach clinical work until the old director invited him back after two years.
But by then, Yan Ming had already lost the heart he once had for medicine.
He became disillusioned, with the patients, with the system, and with himself.
In his subsequent work, Yan Ming was extra cautious, shirking responsibility wherever he could, avoiding trouble whenever possible.
But when Chen Cang’s punch came, Yan Ming suddenly saw his young self, the anger and frustration he had felt when he saw those idle elderly people.
He never thought he would fall to this level.
Reflecting on this, Yan Ming couldn’t help but give a bitter laugh.
Let it be…
Perhaps since the time he left, he was no longer suited to be a doctor, right?
Just as Chen Cang had said, did he deserve it?
Yan Ming shook his head; perhaps in his current state, he truly didn’t deserve it.
He couldn’t even lead by example, so how could he expect to be called “Doctor Yan” by others?
…
…
“`
Some might say, why did Chen Cang check on rounds but not check on others? Because he couldn’t!
Anyone who has ever been hospitalized will understand one thing: if you and the patient in the next bed do not share the same attending physician, then when your doctor does rounds, they essentially will not inquire too deeply about other patients and will speak very cautiously and carefully, remaining quite general in their comments.
Why is this the case?
Firstly, you don’t know enough about someone else; making hasty conclusions without fully understanding a patient’s condition can easily lead to trouble.
Secondly, different doctors have their own treatment philosophies and plans. Many patients are very worried when they fall ill, wanting to ask around for information, seeking advice here and there. This can ultimately result in a lack of trust in their own doctors, leading to poor treatment outcomes, or even causing medical disputes.
The last reason is that it can easily provoke animosity between two doctors.
So, this matter is very complicated.
Human hearts are also very complicated.
The emergency internal medicine and emergency surgery only collaborate in rescue situations; otherwise, each is responsible for their own patients.
…
…
When a patient encounters a problem in the hospital bathroom, whose responsibility is it?
Three daughters and a son, after facing this incident, were immensely heartbroken.
But soon, the man stood up, seeking an explanation.
Why hadn’t the medical staff noticed in time?
Chang Lina’s explanation was very clear: a patient with first-level care needs to be visited twice an hour by a nurse.
And during hospitalization, a family member’s companionship is required…
This system is very established.
When a patient is hospitalized, if the family feels the patient’s condition isn’t serious, they agree to a regular observation ward instead of ICU admission, sign the informed consent forms, and the companionship agreement, putting their signatures on each document.
You have to understand, one day in the ICU can cost a couple of thousand yuan, which is very expensive.
Ordinary first-level care is just a few tens of yuan, a huge difference indeed.
In the ICU, nurses observe the patients 24 hours a day; they stay within observation rooms, ready to monitor the situation at any moment.
First-level care is somewhat more stringent than second-level care, but it is not overly strict.
Initially, it was the patient’s eldest daughter and son who had arranged the hospitalization for the elder, and they were the ones who promised to provide companionship.
The surveillance footage was quickly reviewed, and indeed, Chang Lina had carried out her rounds diligently twice within the hour.
However, after signing the notice and consent forms, the family did not fulfill their companionship duties.
The incident was sudden; no one anticipated such an event. The man initially thought his father would be fine and went home.
But…
Should… should… how many shoulds does this world have?
For a moment, the family was silent.
A night without words…
The next day, steps to address the incident began one by one.
The medical affairs department intervened, and ultimately, the responsibility fell on the patient’s family members.
Though the family was reluctant to admit it, they left with the body of the deceased.
…
…
Deaths in the emergency department are not a big deal, but if it leads to a medical dispute, that’s a serious matter.
Perhaps some data is not very well known: the number of people emergency services can save each year… is very, very few!
Emergency medicine is an increasingly important topic in today’s society.
This matter is irrelevant to geography or country.
After the shift, Chen Cang had not yet left; after all, there was a patient death to discuss, and both the discussion and the death records needed to be reviewed.
All proceeded according to the protocol.
At ten o’clock, a piece of news spread through the emergency department.
“Yan Ming resigned!”
Everyone was slightly taken aback.
Then they fell silent.
If he’s gone, then he’s gone!
Chang Lina said irritatedly, “If he’s gone, fine, it’s not like he was of much use anyway.”
People outside the emergency department didn’t make many comments.
Chen Cang, however, was slightly startled.
“`
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