The man with glasses walked out of the hospital door. He was a little depressed and lowered his head. He didn't expect anyone to talk to him.
He had just been scolded by a woman, but he had no way of replying. What happened in the past few months made him feel confused. There is no harm without comparison, it is true.
It was as if there was white mist all around, and the man with glasses couldn't see where he was going.
"What's your name?" Director Zhou caught up and asked.
"Uh..." The man with glasses was startled. He turned around and saw Director Zhou. He quickly turned around and said respectfully, "You are Director Zhou from the Affiliated Hospital of Nanda University. Hello, hello. I've heard your name for a long time, and it's like thunder in my ears."
"Which hospital are you from?" Director Zhou asked again.
"Director Zhou, my name is Xia Yong. I am a doctor at the General Surgery Department of Jintang Hospital... I used to be." The man with glasses said in a frustrated voice.
Jintang Hospital is located in the city center and is a tertiary-A public hospital in Jinhai City. The overall quality of its staff is quite good. Even in the entire Jinhai City, it can be ranked among the top five.
"I see that you are depressed, so I want to talk to you. Human beings will always go through ups and downs, but don't forget about it. In the face of time, this is nothing. When you look back many years later, you will not even be considered a little bumpkin. No." Director Zhou said with a smile.
"Thank you, director, I... am... okay now." Xia Yong sighed and said.
"When you are a doctor, you will always encounter troubles. Not to mention you, I have also had a lot of troubles in my life." Director Zhou said, "But to put it bluntly, who can avoid making mistakes? We are Humans are not machines. Besides, what about a machine? Can the machine diagnose the film directly?"
Xia Yong sighed.
There were snowflakes falling from the sky. Director Zhou tightened his clothes and said with a smile, "I said as I walked, my old bones can't bear it."
"Director Zhou, thank you. I'm fine. Why don't you go back first?" Xia Yong said.
"I used to be the director of the department. When I encounter little doctors who have problems, I am used to enlightening them. If you don't mind, tell me. I have some connections in the entire Jinmen medical circle." Director Zhou saw that Xia Yong was pitiful. He said comfortingly.
"Director, I bring all the blame on myself." Xia Yong smiled bitterly, "Three months ago, we rescued the patient and removed the metal foreign body. In the end, not all of them were found. I thought that a foreign body less than 1cm should have been missed. Later, the patient found that the right body was missing. Parenchymal lower lung disease, lobectomy performed in your hospital."
"Uh..." Director Zhou was startled for a moment. Metal foreign objects are the most difficult to find. Wearing a lead coat, I was looking for something bit by bit under the radiation machine in the radiology department. Many times you see it in a certain location, but you have to open the tissue bit by bit to distinguish where the foreign object is from the blur of flesh and blood.
It is normal for some omissions to occur. This should be explained clearly to the patient before surgery, and most patients will understand. But many times it is impossible to find a few millimeters of metal foreign objects in the bloody mess. Even Director Zhou is not sure that he can do it 100%.
"What happened next? Why did it cause lung problems?"
"I'm unlucky, and I actually deserve it. I can't do my job well." Xia Yong said, "After the operation in your hospital, I found that the solid tumor originating from the pulmonary vein was a metal fragment, not big, a few millimeters, causing The patient had a lobe of his lung removed.”
Xia Yong's tone was full of guilt and regret. He didn't continue, but Director Zhou knew that he was full of assumptions. If only I had been more serious at that time, if I had been luckier at that time.
However, it is really rare to remove a lung lobe due to a metal foreign body.
"Please tell me carefully about the situation. This is not common." Director Zhou got up out of habit, and regardless of Xia Yong's mental state, he asked first.
"I looked at the medical records, and the chest CT examination showed that there was foreign body residue in the right lower lung. Dot-like high-density shadows were visible in the right lower lung, with clear boundaries, about 0.2 in size, and a CT value of about 2,647 HU."
"The preoperative diagnosis was the presence of a metallic foreign body in the right lower lung. Later, an exploratory thoracotomy was performed. During the operation, an induration was seen in the medial basal segment of the right lower lung. The fine needle was used to detect the metallic foreign body. A wedge-shaped resection of the right lower lung was performed and the incision was made. In the lung tissue, a metal foreign body of about 0.4*0.2 cm was found located in the right lower pulmonary blood vessel."
"You..." Director Zhou also concluded.
There are many patients with metal foreign bodies, most of whom are factory workers who were injured by metal chips.
"I later thought that there might be a problem with a location on the left thigh. The patient didn't say anything at the time. I thought it was just a broken skin, so I didn't care. I only took out all the foreign bodies on the belly and scanned the thigh under fluoroscopy. One time and it's over. I'm too cruel, I deserve it all." Xia Yong sighed.
“Later, a teacher from the Affiliated Hospital of NTU said that the metal shavings traveled from the left great saphenous vein, femoral vein, external iliac vein, common iliac vein, inferior vena cava, right atrium, right ventricle, pulmonary artery, and finally stayed in the right lower pulmonary vessel. "
"What did your courtyard say?" Director Zhou asked.
"I didn't say it, but the patient's family was very recalcitrant, and our hospital didn't show any sign of it, so we just delayed it day by day."
Ordinarily, it would be a bit troublesome to solve, and the relevant responsible persons would need to be reprimanded, but it would not lead to resignation.
"How did you get to where you are today?"
"Alas..." At this point, Xia Yong sighed deeply and said, "I... I modified the medical record."
Director Zhou was shocked when he heard the four words "modify medical records". Is this Xia Yong stupid? If something goes wrong, something will happen. How can he modify medical records
This is a big taboo. The key point is that there is no way to justify the modification.
It can only mean that there are more and more problems. The more problems there are, the more explanations are needed, and the more explanations there are, the more troublesome the problems will be.
Eventually leading to a direct collapse.
"You." Director Zhou also sighed.
"Our director came to me at that time and hinted that I did it." Xia Yong smiled bitterly, "Forget it, it's all in the past, so don't mention it."
Director Zhou had no idea why he wanted to hint to the director, what benefits could be gained from it, and what the price would be.
This is a very disgusting practice of passing the blame to lower-level doctors.
But when lower-level doctors face such a request from the director, it is difficult for them to handle it. There is something wrong with everything, whether you insist on doing nothing or follow the director's instructions to modify the medical record.
Today's medical records are all electronic medical records. If there is a problem, it will be sealed directly. If you want to modify it on the computer, it involves back-end data. No matter how you do it, it is difficult to leave no traces.
This little guy is really unlucky, a metal scrap caused such a big trouble.
"If we, as doctors, have a good life, we should wash our hands more often before operating."
Director Zhou spoke from his own experience, not as a joke, but very seriously. As he spoke, Director Zhou stretched out his hand, his arms turning 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 going on stage, the surgery will not go smoothly. For so many years, the hard-bristled brush has scratched my skin. It was brushed off.”