2859 It would be better if you were more careful.
The bespectacled man walked out of the hospital gate. He was a little depressed and lowered his head. He didn’t expect that someone would talk to him.
He had just been scolded by the woman, but he couldn’t talk back. In addition, the things that had happened in the past few months had made him feel confused. Without comparison, there would be no harm. It was true.
It was as if there was white mist all around him, and the spectacled man couldn’t see where he was going.
“What’s your name?” Director Zhou chased after him and asked.
“Uh …” The spectacled man was shocked. He turned around and saw director Zhou. He quickly turned around and said respectfully,”you must be director Zhou from the affiliated Academy of Nanjing University. Hello, hello.” I’ve long heard of your great name. “
“Which hospital are you from?” Director Zhou asked again.
“Director Zhou, my name is Xia Yong, I’m a doctor in the General Surgery Department of golden soup hospital … I used to be.” The bespectacled man said in a low voice.
Golden soup hospital was located in the city center. It was a class 3 first-class public hospital in Jinhai city, and the quality of its staff was quite good. Even in the entire Jin hai city, it could be ranked in the top five.
“I see you’re depressed, so I’m talking to you. Humans always had to experience ups and downs, so don’t take things too hard. In the face of time, this was nothing. Many years later, when you look back, you won’t even be considered a small dirt mound. ” Director Zhou said with a smile.
“Thank you, director. I’m … Fine … Now.” Xia Yong sighed.
“You’re a doctor, so you’ll always run into trouble. Not only you, but I’ve also run into a lot of trouble in my life. ” Director Zhou said,”but to put it bluntly, who doesn’t make mistakes? we are humans, not machines. Besides, just a machine? The X-ray machine can directly diagnose her?”
Xia Yong sighed.
There were snowflakes falling from the sky. Director Zhou tightened his clothes and said with a smile,”we’ll talk while we walk. My old bones can’t take it.”
“Director Zhou, thank you. I’m fine. Why don’t you go back first?” Xia Yong said.
“I used to be a Department Director, and whenever a young doctor has a problem, it’s my habit to give some advice. If you don’t mind, you can tell me about it. I have some connections in the medical circle of Tianjin. ” Director Zhou saw that Xia Yong was pitiful and comforted him.
“Director, I only have myself to blame for this.” Xia Yong smiled bitterly.”Three months ago, I was resuscitating the patient and took out a metal object. In the end, he did not find all of them. He thought about it and guessed that he had missed a foreign object that was less than 1cm. Later, the patient found a substantial lesion in his lower right lung and had a lobotomy in your hospital. “
“Uh …” Director Zhou was stunned for a moment. Metallic foreign objects were the most difficult to find. She was wearing a lead coat and looking for something under the rays of the radiology department. Many times, the foreign object was seen in a certain position, but the tissue had to be opened bit by bit to distinguish the foreign object from the bloody mess.
It was normal to miss out on something. After all, it was necessary to explain it clearly to the patient before the surgery, and most patients would understand. However, there were many times when it was impossible to find a few millimeters of metal in a bloody mess. Even director Zhou was not 100% sure that he could do it.
“What happened after that? How did it get into the lungs?”
“I’m unlucky. Actually, I deserve it. I can’t do my job well. ” Xia Yong said,”after the surgery at your hospital, we found that the substantial swelling coming from the pulmonary vein was a metal fragment. It was not big, only a few millimeters, causing the patient to cut out a lung leaf.”
Xia Yong’s tone was filled with guilt and regret. He did not continue, but director Zhou knew that he was just making assumptions. If he had been more serious, if he had been luckier …
However, it was really rare to see a metallic object removing the lobular part of the lung.
“Tell me the situation in detail. This is not a common thing.” Director Zhou perked up out of habit. He didn’t care about Xia Yong’s mental state and asked first.
“I’ve read the medical record. There was a metallic foreign object remaining in his lower right lung. A dot-like high-density shadow can be seen in the lower right lung with a clear boundary. The size is about 0.2 cm*0.3 cm, and the CT value is about 2647 HU. “
“The preoperative diagnosis was that there was a metal foreign object in the right lower lung. After that, we performed a thoracotomy. During the surgery, we saw a hard knot at the base of the inner right lower lung. We used a fine needle to probe the hard texture of the metal and performed a cuneiform resection of the right lower lung. We cut open the lung tissue and saw a 0.4 cm*0.2 cm*0.2 cm metal foreign object in the blood vessel of the right lower lung. “
“You …” Director Zhou also made a conclusion.
There were many patients with metallic objects. Most of them were factory workers who were injured by metal scraps.
“I thought about it later and thought that there might be a problem with a position on the left thigh. The patient didn’t say anything at that time, and I thought it was just a skin rupture, so I didn’t care. He only took out all the foreign objects on her belly and scanned her thighs with his x-ray vision once. I’m too thick-hearted, so I deserve it. ” Xia Yong sighed.
“Later, a teacher from the Affiliated Hospital of Nanjing University said that the metal scraps should start from the great left hidden vein, the femoral vein, the external ilial vein, the common ilial vein, the inferior vena cava, the right right right right ventricle, the atrium, the pulmonary artery, and finally stop in the right inferior pulmonary vessel.”
“What did your courtyard say?” Director Zhou asked.
“We didn’t say anything, but the patient’s family won’t let it go. Our hospital didn’t say anything, so we just dragged it on day by day.”
It was a little troublesome to solve the problem, and the relevant people in charge had to be reprimanded, but it was not to the extent of resigning, right?
“How did you get to where you are today?”
“Sigh …” Xia Yong sighed deeply and said,”I … I’ve changed the medical record.”
Director Zhou was shocked when he heard the words “amend the medical record.” Was this Xia Yong stupid? if something happened, then so be it. How could he change the medical record?
This was a big taboo, and the key was that there was no way to make amendments.
The more problems he had, the more he had to explain, and the more he explained, the more troublesome the problem would be.
In the end, it led to a direct collapse.
“You.” Director Zhou also sighed.
“Our Department Director looked for me and hinted that I did it.” Xia Yong smiled bitterly.”Forget it, it’s all in the past. There’s no need to talk about it.”
Director Zhou knew very well why the director had hinted at the benefits and the price to be paid.
This was a very despicable way of pushing the blame to the junior doctors.
However, it was also very difficult for junior doctors to handle such a request from the Department Director. No matter what, there would be a problem if he insisted on not doing anything or followed the Department director’s instructions to modify the medical record.
Nowadays, medical records were all electronic. If there was a problem, it would be sealed immediately. If one wanted to modify it on the computer, it would involve background data, so it would be difficult to do it without leaving any traces.
This little guy was really unlucky. A metal fragment had caused such a big problem.
“As doctors, we have a good life. We always wash our hands before performing surgery.”
Director Zhou spoke from his own experience. He was not joking, but he was very serious. As director Zhou spoke, he stretched out his hands, and his arms were slightly red.
“You see, this is my habit.” Director Zhou smiled helplessly and said,”every time I don’t brush my hands five times before I go on the stage, the surgery will not go smoothly. After so many years, my skin and flesh have been brushed off by this hard brush. “