System Came When the Doctor was Thirty

[Comprehensive Level: Attending Physician.]

[Basic Theory: Basic Theory of Trauma Surgery (Specialization 0/20), Emergency Medicine (Specialization 5/20)...]

[CT Film Reading Skill (Specialization 10/20), Physical Examination (Specialization 20/20)...]

[Suturing Skill (Expert 20/200), Hemostasis Technique (Specialization 20/20)...]

[Surgical Basic Techniques: Fracture Manipulation and Reduction Skill (Specialization 10/20), Joint Dislocation Manipulation Reduction Technique (Specialization 12/20)...]

[Specialist Techniques: Spleen Preservation Surgery (Specialization 20/20), Gallbladder Preservation Surgery (Specialization 20/20)]

[Suturing Skill (Expert 2/200)]

[Suturing System Professional Basic Skills: Tendon Suturing Skill (Specialization 16/20)...]

[Suturing Specialized Skills: Vascular End-to-End Suturing Skill (Specialization 0/20), Unnamed Tendon Suturing Technique (Specialization 15/20), Unnamed Tendon Suturing Skill (Specialization 8/20), Neural Epineurium-Perineurium Suturing (Specialization 0/20), Unnamed Spleen Suturing Technique (Specialization 20/20)...]

Lu Cheng instinctively glanced at his skill panel, then hurriedly followed the crowd towards the operating room.

The patient’s current diagnosis is unclear and difficult to discern with the naked eye. Given the current vital signs, further examinations would waste time and are unreliable.

Zhang Tiesheng and Lu Cheng were responsible for transferring the patient, while Han Xiaoping led the patient’s family members to the doctor’s office: ”Big Sister, Big Brother, please come with me to sign the forms.”

”Doctor, what are we signing for?” The middle-aged woman looked blank.

”Surgery risk, critical condition, and serious illness notification forms. Your husband’s condition is very dangerous; it’s life-threatening. Even entering the operating room might not save him,” Han Xiaoping explained.

”Will surgery not save him? What’s the purpose of the surgery then?” The middle-aged woman hesitated.

Han Xiaoping asked, ”Are you choosing not to proceed? If so, I’ll call them to push him out, and you can take him away yourselves?”

Han Xiaoping couldn’t determine if the woman was pretending not to understand, but as an emergency doctor, Han Xiaoping had fairly rich experience in handling such situations.

”I’m clearly informing you of the situation now. Until you sign, it’s considered a refusal of surgery. The surgery won’t happen until this consent form is brought to the operating room.”

”If you have doubts, you can call our hospital’s medical affairs department or report to confirm this regulation!” Han Xiaoping quickly explained the medical guidelines.

”If we don’t sign, there won’t be a surgery. What if he dies?” The patient’s brother complained somewhat resentfully.

Han Xiaoping said, ”Then your family should agree to the surgery. If you don’t care about the patient’s life, what are we doctors to do?”

While speaking, Han Xiaoping had already pressed the recording button in the office: ”Patient’s name, Niu Quandong. You’re the patient’s wife, right? What’s your name?”

”My name is Liu Linxiang. Doctor, what’s the real situation with my husband now?” Liu Linxiang asked.

”I don’t know. I only know the situation is very dangerous, it’s open hemorrhagic shock, and he could lose his life at any moment.”

”The surgery he’s about to undergo is exploratory laparotomy, because there’s no time for a detailed diagnosis. We must save time.”

”But the patient was already in shock before entering the operating room, with very low blood pressure and significant blood loss. Even if emergency surgery is performed, it could still be in vain.”

”I don’t have time to explain more detailed things to you.”

”The risk of death from the surgery is higher now, but not having the surgery poses a 100% risk of death. You have three choices.”

”First, transfer to a higher-level hospital.”

”Second, agree to surgical treatment and sign.”

”Third, refuse treatment.”

”Choose one!~” Han Xiaoping quickly took control of the conversation.

”What if something happens during surgery?” Liu Linxiang was still hesitant.

Han Xiaoping interrupted, ”Choose one! Sign, transfer, or refuse. Don’t ask anything else, you’ve already wasted enough time signing.”

”I still need to bring the informed consent into the operating room.”

He pulled out pen and paper, handed it to Liu Linxiang, and continued to professionally ask, ”Can you write? If not, a fingerprint will do.”

These words might seem pointless, but they’re specifically to leave a record, preventing the patient from later claiming they couldn’t write, just as an excuse that doctors didn’t provide enough options or delayed time.

Experienced emergency doctors will always ask this extra question.

”Yes, I can write, but...”

”Then write, agree and sign your name, or refuse and sign your name. Hurry up, time is precious now.”

”I’ve already given you the pen.” Han Xiaoping placed the pen in Liu Linxiang’s hand.

Liu Linxiang’s hand trembled; she couldn’t handle the current atmosphere, feeling anxious and thinking about many things.

But despite her hesitation, she wrote down her name.

”Write ’request surgery’ up front,” Han Xiaoping continued, pointing to a blank space.

After Liu Linxiang complied, Han Xiaoping took the document and left.

Turning around, he continued, ”Prepare your husband’s ID number and ID card. Later, sign the authorization form too.”

”Your husband is currently in a coma and cannot think or make decisions independently, so your signature is most effective.”

”If your finances permit, you should first pay the fees, at least twenty thousand.”

”If not, it’s okay… we’ll save him first… you can wait outside the operating room.” Han Xiaoping responded very professionally.

An emergency like Niu Quandong’s cannot be denied rescue due to unpaid surgery fees. In such absolute emergencies, rescue comes before payment.

Scheduled or timed surgeries are exceptions since they aren’t life-threatening, so it is possible to insist on payment first.